Surface electromyography based muscle fatigue analysis for stroke patients at different Brunnstrom stages

Author(s):  
Yinjun Tu ◽  
Zhe Zhang ◽  
Xudong Gu ◽  
Qiang Fang
Entropy ◽  
2021 ◽  
Vol 23 (8) ◽  
pp. 1036
Author(s):  
Fuyuan Liao ◽  
Xueyan Zhang ◽  
Chunmei Cao ◽  
Isabella Yu-Ju Hung ◽  
Yanni Chen ◽  
...  

This study aimed to investigate the degree of regularity of surface electromyography (sEMG) signals during muscle fatigue during dynamic contractions and muscle recovery after cupping therapy. To the best of our knowledge, this is the first study assessing both muscle fatigue and muscle recovery using a nonlinear method. Twelve healthy participants were recruited to perform biceps curls at 75% of the 10 repetitions maximum under four conditions: immediately and 24 h after cupping therapy (−300 mmHg pressure), as well as after sham control (no negative pressure). Cupping therapy or sham control was assigned to each participant according to a pre-determined counter-balanced order and applied to the participant’s biceps brachii for 5 min. The degree of regularity of the sEMG signal during the first, second, and last 10 repetitions (Reps) of biceps curls was quantified using a modified sample entropy (Ems) algorithm. When exercise was performed immediately or 24 h after sham control, Ems of the sEMG signal showed a significant decrease from the first to second 10 Reps; when exercise was performed immediately after cupping therapy, Ems also showed a significant decrease from the first to second 10 Reps but its relative change was significantly smaller compared to the condition of exercise immediately after sham control. When exercise was performed 24 h after cupping therapy, Ems did not show a significant decrease, while its relative change was significantly smaller compared to the condition of exercise 24 h after sham control. These results indicated that the degree of regularity of sEMG signals quantified by Ems is capable of assessing muscle fatigue and the effect of cupping therapy. Moreover, this measure seems to be more sensitive to muscle fatigue and could yield more consistent results compared to the traditional linear measures.


2015 ◽  
Vol 58 (6) ◽  
pp. 1627-1636 ◽  
Author(s):  
Alba M. Azola ◽  
Lindsey R. Greene ◽  
Isha Taylor-Kamara ◽  
Phoebe Macrae ◽  
Cheryl Anderson ◽  
...  

Purpose The Mendelsohn Maneuver (MM) is a commonly prescribed technique that is taught to individuals with dysphagia to improve swallowing ability. Due to cost and safety concerns associated with videofluoroscopy (VFS) use, submental surface electromyography (ssEMG) is commonly used in place of VFS to train the MM in clinical and research settings. However, it is unknown whether ssEMG accurately reflects the prolonged hyo-laryngeal movements required for execution of the MM. The primary goal of this study was to examine the relationship among ssEMG duration, duration of laryngeal vestibule closure, and duration of maximum hyoid elevation during MM performance. Method Participants included healthy adults and patients with dysphagia due to stroke. All performed the MM during synchronous ssEMG and VFS recording. Results Significant correlations between ssEMG duration and VFS measures of hyo-laryngeal kinematic durations during MM performance ranged from very weak to moderate. None of the correlations in the group of stroke patients reached statistical significance. Conclusion Clinicians and researchers should consider that the MM involves novel hyo-laryngeal kinematics that may be only moderately represented with ssEMG. Thus, there is a risk that these target therapeutic movements are not consistently being trained.


Author(s):  
Kiran Marri ◽  
Ramakrishnan Swaminathan

Muscle fatigue is a neuromuscular condition experienced during daily activities. This phenomenon is generally characterized using surface electromyography (sEMG) signals and has gained a lot of interest in the fields of clinical rehabilitation, prosthetics control, and sports medicine. sEMG signals are complex, nonstationary and also exhibit self-similarity fractal characteristics. In this work, an attempt has been made to differentiate sEMG signals in nonfatigue and fatigue conditions during dynamic contraction using multifractal analysis. sEMG signals are recorded from biceps brachii muscles of 42 healthy adult volunteers while performing curl exercise. The signals are preprocessed and segmented into nonfatigue and fatigue conditions using the first and last curls, respectively. The multifractal detrended moving average algorithm (MFDMA) is applied to both segments, and multifractal singularity spectrum (SSM) function is derived. Five conventional features are extracted from the singularity spectrum. Twenty-five new features are proposed for analyzing muscle fatigue from the multifractal spectrum. These proposed features are adopted from analysis of sEMG signals and muscle fatigue studies performed in time and frequency domain. These proposed 25 feature sets are compared with conventional five features using feature selection methods such as Wilcoxon rank sum, information gain (IG) and genetic algorithm (GA) techniques. Two classification algorithms, namely, k-nearest neighbor (k-NN) and logistic regression (LR), are explored for differentiating muscle fatigue. The results show that about 60% of the proposed features are statistically highly significant and suitable for muscle fatigue analysis. The results also show that eight proposed features ranked among the top 10 features. The classification accuracy with conventional features in dynamic contraction is 75%. This accuracy improved to 88% with k-NN-GA combination with proposed new feature set. Based on the results, it appears that the multifractal spectrum analysis with new singularity features can be used for clinical evaluation in varied neuromuscular conditions, and the proposed features can also be useful in analyzing other physiological time series.


2020 ◽  
pp. 2150016
Author(s):  
Navaneethakrishna Makaram ◽  
P. A. Karthick ◽  
Venugopal Gopinath ◽  
Ramakrishnan Swaminathan

Surface electromyography (sEMG) is a non-invasive technique to assess the electrical activity of contracting skeletal muscles. sEMG-based muscle fatigue detection plays a key role in sports medicine, ergonomics and rehabilitation. These signals are random, multicomponent, nonlinear and the degree of fluctuations is higher in dynamic contractions. Hence, the extraction of reliable biomarkers remains a challenging task. In this work, an attempt has been made to differentiate non-fatigue, and fatigue conditions using nonlinear techniques, namely, binary and weighted Visibility Graph (VG) features. For this, signals are recorded from the biceps brachii muscle of 52 healthy adult volunteers. These signals are preprocessed, and the contractions associated with the non-fatigue and fatigue conditions are segmented. The graph transformation is performed, and first-order and second-order statistics, along with entropy measures, are extracted from the degree distribution. Parametric and non-parametric machine learning methods are applied for the classification. The results show that the proposed VG approach is able to capture the fluctuations of the signals in non-fatigue and fatigue conditions. Further, all extracted features exhibit a significant difference with [Formula: see text] [Formula: see text]. Maximum accuracy of 89.1% is achieved with information gain selected features and extreme learning machines classifier. Additionally, weighted VG features perform better than the binary version with a difference in the accuracy of 5%. It appears that the proposed approach could be used in real-time implementation for the monitoring of muscle fatigue conditions.


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