Assessment of Respiratory Muscle Activity with Surface Electromyographic Signals Acquired by Concentric Ring Electrodes.

ABSTRACT

The assessment of respiratory muscle activity by surface electromyography (sEMG) is a promising noninvasive technique for the diagnosis and monitoring of chronic obstructive pulmonary disease. The diaphragm is the most important muscle in breathing, although in forced inspiration other muscles, such as sternocleidomastoid, are activated and contribute to the respiratory process. The measurement of the sEMG in these muscles (sEMGdi and sEMGscm, respectively) by means of two electrodes in conventional bipolar configuration (BEs) is a common practice to evaluate the respiratory muscle activity and allows to indirectly quantify the level of muscular activation. However, the resulting signals are usually contaminated by electrocardiographic (ECG) activity, hindering the assessment of the activity of these muscles. sEMG signals can also be recorded using concentric ring electrodes (CREs). CREs have greater spatial resolution and attenuate distant bioelectrical interferences. In this scenario, the objective of this work has been to evaluate the applicability of CREs for the acquisition of sEMGdi and sEMGscm. For this purpose, both sEMG signals were recorded simultaneously with BEs and CREs in healthy subjects while performing an inspiratory load protocol. To evaluate the effect of the cardiac interference, the ratio between the mean power in inspiratory segments without ECG and the mean power in expiratory segments with ECG (Rcardio) was calculated. Additionally, the ratio between the mean power in inspiratory segments without ECG and the mean power in expiratory segments without ECG (Rinex) was also calculated. The results revealed that the Rcardio and bandwidth is greater in sEMG signals acquired with the CREs, while the Rinex is higher in the signals acquired with BEs. These results suggest that the use of CREs is a recommended alternative for the acquisition of sEMG in muscles with high cardiac interference, such as the diaphragm muscle.