Open Access
Validation of the filling factor index to study the filling process of the sEMG signal in the quadriceps
(Elsevier, 2023) Rodríguez Falces, Javier; Malanda Trigueros, Armando; Mariscal Aguilar, Cristina; Niazi, Imran Khan; Navallas Irujo, Javier; Ingeniería Eléctrica, Electrónica y de Comunicación; Ingeniaritza Elektrikoa, Elektronikoaren eta Telekomunikazio Ingeniaritzaren
Introduction: The EMG filling factor is an index to quantify the degree to which an EMG signal has been filled. Here, we tested the validity of such index to analyse the EMG filling process as contraction force was slowly increased. Methods: Surface EMG signals were recorded from the quadriceps muscles of healthy subjects as force was gradually increased from 0 to 40% MVC. The sEMG filling process was analyzed by measuring the EMG filling factor (calculated from the non-central moments of the rectified sEMG). Results: (1) As force was gradually increased, one or two prominent abrupt jumps in sEMG amplitude appeared between 0 and 10% of MVC force in all the vastus lateralis and medialis. (2) The jumps in amplitude were originated when a few large-amplitude MUPs, clearly standing out from previous activity, appeared in the sEMG signal. (3) Every time an abrupt jump in sEMG amplitude occurred, a new stage of sEMG filling was initiated. (4) The sEMG was almost completely filled at 2–12% MVC. (5) The filling factor decreased significantly upon the occurrence of an sEMG amplitude jump, and increased as additional MUPs were added to the sEMG signal. (6) The filling factor curve was highly repeatable across repetitions. Conclusions: It has been validated that the filling factor is a useful, reliable tool to analyse the sEMG filling process. As force was gradually increased in the vastus muscles, the sEMG filling process occurred in one or two stages due to the presence of abrupt jumps in sEMG amplitude.
Open Access
Actividad electromiográfica (EMG) durante el pedaleo, su utilidad en el diagnóstico de la fatiga en ciclistas
(SEMED - FEMEDE, 2017) Córdova Martínez, Alfredo; Nuin, Iván; Fernández-Lázaro, Diego; Latasa Zudaire, Iban Alexander; Rodríguez Falces, Javier; Ingeniería Eléctrica y Electrónica; Ingeniaritza Elektrikoa eta Elektronikoa
La fatiga muscular tiene múltiples definiciones, pero con una misión especial cual es la misión protectora, avisando al organismo sobre la debilidad o la aparición de una incapacidad funcional. En esta revisión se hace un análisis de las aplicaciones de la electromiografía (EMG) como técnica para comprender los patrones de activación musculares durante el pedaleo y la aparición de fatiga muscular. Se ha realizado una revisión en la cual se analizan las variaciones de la actividad EMG durante las fases del pedaleo. El movimiento del pedaleo ha sido estudiado exhaustivamente y se ha legado a distinguir 4 fases en el pedaleo que originan la propulsión y el recobro. Mediante el uso de la EMG se pueden describir los patrones de activación típicos, en cuanto al nivel de actividad y el tiempo de activación de los principales músculos de las extremidades inferiores. La actividad muscular y la coordinación pueden variar entre personas a lo largo de un solo ciclo de pedaleo y entre diferentes ciclos de la misma persona. También se examinan los principales factores que pueden influir en estos patrones EMG durante las fases del pedaleo. Asimismo, se describe la influencia de factores como la potencia de salida, cadencia o frecuencia de pedaleo, pendiente y postura, interfaz calzado pedal, nivel de entrenamiento y fatiga muscular, que producen alteraciones en el tiempo de activación y coordinación muscular.
Open Access
M-wave changes caused by brief voluntary and stimulated isometric contractions
(Springer, 2023) Rodríguez Falces, Javier; Malanda Trigueros, Armando; Navallas Irujo, Javier; Place, Nicolas; Ingeniería Eléctrica, Electrónica y de Comunicación; Ingeniaritza Elektrikoa, Elektronikoaren eta Telekomunikazio Ingeniaritzaren; Universidad Pública de Navarra / Nafarroako Unibertsitate Publikoa
Introduction Under isometric conditions, the increase in muscle force is accompanied by a reduction in the fbers’ length. The efects of muscle shortening on the compound muscle action potential (M wave) have so far been investigated only by computer simulation. This study was undertaken to assess experimentally the M-wave changes caused by brief voluntary and stimulated isometric contractions. Methods Two diferent methods of inducing muscle shortening under isometric condition were adopted: (1) applying a brief (1 s) tetanic contraction and (2) performing brief voluntary contractions of diferent intensities. In both methods, supramaximal stimulation was applied to the brachial plexus and femoral nerves to evoke M waves. In the frst method, electrical stimulation (20 Hz) was delivered with the muscle at rest, whereas in the second, stimulation was applied while participants performed 5-s stepwise isometric contractions at 10, 20, 30, 40, 50, 60, 70, and 100% MVC. The amplitude and duration of the frst and second M-wave phases were computed. Results The main fndings were: (1) on application of tetanic stimulation, the amplitude of the M-wave frst phase decreased (~10%, P<0.05), that of the second phase increased (~50%, P<0.05), and the M-wave duration decreased (~20%, P<0.05) across the frst fve M waves of the tetanic train and then plateaued for the subsequent responses; (2) when superimposing a single electrical stimulus on muscle contractions of increasing forces, the amplitude of the M-wave frst phase decreased (~20%, P<0.05), that of the second phase increased (~30%, P<0.05), and M-wave duration decreased (~30%, P<0.05) as force was raised from 0 to 60–70% MVC force. Conclusions The present results will help to identify the adjustments in the M-wave profle caused by muscle shortening and also contribute to diferentiate these adjustments from those caused by muscle fatigue and/or changes in Na+–K+ pump activity.
Open Access
The filling factor of the sEMG signal at low contraction forces in the quadriceps muscles is influenced by the thickness of the subcutaneous layer
(Frontiers Media, 2023) Rodríguez Falces, Javier; Malanda Trigueros, Armando; Mariscal Aguilar, Cristina; Navallas Irujo, Javier; Ingeniería Eléctrica, Electrónica y de Comunicación; Institute of Smart Cities - ISC; Ingeniaritza Elektrikoa, Elektronikoaren eta Telekomunikazio Ingeniaritzaren
Introduction: It has been shown that, for male subjects, the sEMG activity at low contraction forces is normally 'pulsatile', i.e., formed by a few large-amplitude MUPs, coming from the most superficial motor units. The subcutaneous layer thickness, known to be greater in females than males, influences the electrode detection volume. Here, we investigated the influence of the subcutaneous layer thickness on the type of sEMG activity (pulsatile vs. continuous) at low contraction forces. Methods: Voluntary surface EMG signals were recorded from the quadriceps muscles of healthy males and females as force was gradually increased from 0% to 40% MVC. The sEMG filling process was examined by measuring the EMG filling factor, computed from the non-central moments of the rectified sEMG signal. Results: 1) The sEMG activity at low contraction forces was ¿continuous¿ in the VL, VM and RF of females, whereas this sEMG activity was ¿pulsatile¿ in the VL and VM of males. 2) The filling factor at low contraction forces was lower in males than females for the VL (p = 0.003) and VM (p = 0.002), but not for the RF (p = 0.54). 3) The subcutaneous layer was significantly thicker in females than males for the VL (p = 0.001), VM (p = 0.001), and RF (p = 0.003). 4) A significant correlation was found in the vastus muscles between the subcutaneous layer thickness and the filling factor (p < 0.05). Discussion: The present results indicate that the sEMG activity at low contraction forces in the female quadriceps muscles is 'continuous' due to the thick subcutaneous layer of these muscles, which impedes an accurate assessment of the sEMG filling process.
Open Access
Automatic jitter measurement in needle-detected motor unit potential trains
(Elsevier, 2022) Malanda Trigueros, Armando; Stashuk, Daniel W.; Navallas Irujo, Javier; Rodríguez Falces, Javier; Rodríguez Carreño, Ignacio; Valle, César; Garnés Camarena, Óscar; Ingeniería Eléctrica, Electrónica y de Comunicación; Ingeniaritza Elektrikoa, Elektronikoaren eta Telekomunikazio Ingeniaritzaren; Universidad Pública de Navarra / Nafarroako Unibertsitate Publikoa
In an active motor unit (MU), the time intervals between the firings of its muscle fibers vary across successive MU activations. This variability is called jitter and is increased in pathological processes that affect the neuromuscular junctions or terminal axonal segments of MUs. Traditionally, jitter has been measured using single fiber electrodes (SFEs) and a difficult and subjective manual technique. SFEs are expensive and reused, implying a potential risk of patient infection; so, they are being gradually substituted by safer, disposable, concentric needle electrodes (CNEs). As CNEs are larger, voltage contributions from individual fibers of a MU are more difficult to detect, making jitter measurement more difficult. This paper presents an automatic method to estimate jitter from trains of motor unit potentials (MUPs), for both SFE and CNE records. For a MUP train, segments of MUPs generated by single muscle fibers (SF MUP segments) are found and jitter is measured between pairs of these segments. Segments whose estimated jitter values are not reliable, according to several SF MUP segment characteristics, are excluded. The method has been tested in several simulation studies that use mathematical models of muscle fiber potentials. The results are very satisfactory in terms of jitter estimation error (less than 10% in most of the cases studied) and mean number of valid jitter estimates obtained per simulated train (greater than 1.0 in many of the cases and less than 0.5 only in the most complicated). A preliminary study with real signals was also performed, using 19 MUP trains from 3 neuropathic patients. Jitter measurements obtained by the automatic method were compared with those extracted from a commercial system (Keypoint) and the edition and supervision of an expert electromyographer. From these measurements 63% were taken from equivalent interval pair sites within the time span of the MUP trains and, as such, were considered as compatible measurements. Differences in jitter of these compatible measurements were very low (mean value of 1.3 μs, mean of absolute differences of 2.97 μs, 25% and 75% percentile intervals of − 0.85 and 3.82 μs, respectively). Although new tests with larger number of real recordings are still required, the method seems promising for clinical practice.
Open Access
Motor unit action potential duration, I: variability of manual and automatic measurements
(Lippincott, Williams & Wilkins, 2007) Rodríguez Carreño, Ignacio; Gila Useros, Luis; Malanda Trigueros, Armando; García Gurtubay, Ignacio; Mallor Giménez, Fermín; Gómez Elvira, Sagrario; Rodríguez Falces, Javier; Navallas Irujo, Javier; Ingeniería Eléctrica y Electrónica; Estadística e Investigación Operativa; Ingeniaritza Elektrikoa eta Elektronikoa; Estatistika eta Ikerketa Operatiboa
To analyze the variability in manual measurements of motor unit action potential (MUAP) duration and to evaluate the effectiveness of well-known algorithms for automatic measurement. Two electromyographists carried out three independent duration measurements of a set of 240 MUAPs. The intraexaminer and interexaminer variabilities were analyzed by means of the Gage Reproducibility and Repeatability method. The mean of the three closest manually marked positions was considered the gold standard of the duration markers positions (GSP). The results of four wellknown automatic methods for estimating MUAP duration were compared with the GSP. Manual measurements of duration showed a lot of variability, with the combined intraoperator and interoperator variability greater than 30%. The greatest difference between manual positions was 11.2 ms. The mean differences between the GSP and those obtained with the four automatic methods ranged between 0.6 and 8.5 ms. Both manual and automatic measurements of MUAP duration show a high degree of variability. More precise methods are needed to improve the accuracy and reliability of the estimates of this parameter.
Open Access
EMG modeling
(InTechOpen, 2012) Rodríguez Falces, Javier; Navallas Irujo, Javier; Malanda Trigueros, Armando; Ingeniería Eléctrica y Electrónica; Ingeniaritza Elektrikoa eta Elektronikoa
The aim of this chapter is to describe the approaches used for modelling electromyographic (EMG) signals as well as the principles of electrical conduction within the muscle. Sections are organized into a progressive, step-by-step EMG modeling of structures of increasing complexity. First, the basis of the electrical conduction that allows for the propagation of the EMG signals within the muscle is presented. Second, the models used for describing the electrical activity generated by a single fibre described. The third section is devoted to modeling the organization of the motor unit and the generation of motor unit potentials. Based on models of the architectural organization of motor units and their activation and firing mechanisms, the last section focuses on modeling the electrical activity of a complete muscle as recorded at the surface.
Open Access
Métodos de procesamiento y análisis de señales electromiográficas
(Gobierno de Navarra, 2009) Gila Useros, Luis; Malanda Trigueros, Armando; Rodríguez Carreño, Ignacio; Rodríguez Falces, Javier; Navallas Irujo, Javier; Ingeniería Eléctrica y Electrónica; Ingeniaritza Elektrikoa eta Elektronikoa
La electromiografía clínica es una metodología de registro y análisis de la actividad bioeléctrica del músculo esquelético orientada al diagnóstico de las enfermedades neuromusculares. Las posibilidades de aplicación y el rendimiento diagnóstico de la electromiografía han evolucionado paralelamente al conocimiento de las propiedades de la energía eléctrica y al desarrollo de la tecnología eléctrica y electrónica. A mediados del siglo XX se introdujo el primer equipo comercial de electromiografía para uso médico basado en circuitos electrónicos analógicos. El desarrollo posterior de la tecnología digital ha permitido disponer de sistemas controlados por microprocesadores cada vez más fiables y potentes para captar, representar, almacenar, analizar y clasificar las señales mioeléctricas. Es esperable que el avance de las nuevas tecnologías de la información y la comunicación pueda conducir en un futuro próximo a la aplicación de desarrollos de inteligencia artificial que faciliten la clasificación automática de señales así como sistemas expertos de apoyo al diagnóstico electromiográfico.
Open Access
Sliding window averaging in normal and pathological motor unit action potential trains
(Elsevier, 2018) Malanda Trigueros, Armando; Navallas Irujo, Javier; Rodríguez Falces, Javier; Porta Cuéllar, Sonia; Fernández Martínez, Miguel; Ingeniería Eléctrica, Electrónica y de Comunicación; Ingeniaritza Elektrikoa, Elektronikoaren eta Telekomunikazio Ingeniaritzaren
Objective: To evaluate the performance of a recently proposed motor unit action potential (MUAP) averaging method based on a sliding window, and compare it with relevant published methods in normal and pathological muscles. Methods: Three versions of the method (with different window lengths) were compared to three relevant published methods in terms of signal analysis-based merit figures and MUAP waveform parameters used in the clinical practice. 218 MUAP trains recorded from normal, myopathic, subacute neurogenic and chronic neurogenic muscles were analysed. Percentage scores of the cases in which the methods obtained the best performance or a performance not significantly worse than the best were computed. Results: For signal processing figures of merit, the three versions of the new method performed better (with scores of 100, 86.6 and 66.7%) than the other three methods (66.7, 25 and 0%, respectively). In terms of MUAP waveform parameters, the new method also performed better (100, 95.8 and 91.7%) than the other methods (83.3, 37.5 and 25%). Conclusions: For the types of normal and pathological muscle studied, the sliding window approach extracted more accurate and reliable MUAP curves than other existing methods. Significance: The new method can be of service in quantitative EMG.
Open Access
Motor unit action potential duration, II: a new automatic measurement method based on the wavelet transform
(Lippincott, Williams & Wilkins, 2007) Rodríguez Carreño, Ignacio; Gila Useros, Luis; Malanda Trigueros, Armando; García Gurtubay, Ignacio; Mallor Giménez, Fermín; Gómez Elvira, Sagrario; Rodríguez Falces, Javier; Navallas Irujo, Javier; Ingeniería Eléctrica y Electrónica; Estadística e Investigación Operativa; Ingeniaritza Elektrikoa eta Elektronikoa; Estatistika eta Ikerketa Operatiboa
To present and evaluate a new algorithm, based on the wavelet transform, for the automatic measurement of motor unit action potential (MUAP) duration. A total of 240 MUAPs were studied. The waveform of each MUAP was wavelet-transformed, and the start and end points were estimated by regarding the maxima and minima points in a particular scale of the wavelet transform. The results of the new method were compared with the gold standard of duration marker positions obtained by manual measurement. The new method was also compared with a conventional algorithm, which we had found to be best in a previous comparative study. To evaluate the new method against manual measurements, the dispersion of automatic and manual duration markers were analyzed in a set of 19 repeatedly recorded MUAPs. The differences between the new algorithm’s marker positions and the gold standard of duration marker positions were smaller than those observed with the conventional method. The dispersion of the new algorithm’s marker positions was slightly less than that of the manual one. Our new method for automatic measurement of MUAP duration is more accurate than other available algorithms and more consistent than manual measurements.