Knee pathology diagnosis based on muscle activation intervals detection and the relationship between knee flexion and surface EMG

Author(s):  
Ahlem Benazzouz ◽  
Zine Eddine Hadj Slimane
2016 ◽  
Vol 32 (5) ◽  
pp. 526-531 ◽  
Author(s):  
Dean C. Hay ◽  
Mark P. Wachowiak ◽  
Ryan B. Graham

Advances in time-frequency analysis can provide new insights into the important, yet complex relationship between muscle activation (ie, electromyography [EMG]) and motion during dynamic tasks. We use wavelet coherence to compare a fundamental cyclical movement (lumbar spine flexion and extension) to the surface EMG linear envelope of 2 trunk muscles (lumbar erector spinae and internal oblique). Both muscles cohere to the spine kinematics at the main cyclic frequency, but lumbar erector spinae exhibits significantly greater coherence than internal oblique to kinematics at 0.25, 0.5, and 1.0 Hz. Coherence phase plots of the 2 muscles exhibit different characteristics. The lumbar erector spinae precedes trunk extension at 0.25 Hz, whereas internal oblique is in phase with spine kinematics. These differences may be due to their proposed contrasting functions as a primary spine mover (lumbar erector spinae) versus a spine stabilizer (internal oblique). We believe that this method will be useful in evaluating how a variety of factors (eg, pain, dysfunction, pathology, fatigue) affect the relationship between muscles’ motor inputs (ie, activation measured using EMG) and outputs (ie, the resulting joint motion patterns).


2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Michèle N. J. Keizer ◽  
Juha M. Hijmans ◽  
Alli Gokeler ◽  
Anne Benjaminse ◽  
Egbert Otten

Abstract Purpose It has been reported that there is no correlation between anterior tibia translation (ATT) in passive and dynamic situations. Passive ATT (ATTp) may be different to dynamic ATT (ATTd) due to muscle activation patterns. This study aimed to investigate whether muscle activation during jumping can control ATT in healthy participants. Methods ATTp of twenty-one healthy participants was measured using a KT-1000 arthrometer. All participants performed single leg hops for distance during which ATTd, knee flexion angles and knee flexion moments were measured using a 3D motion capture system. During both tests, sEMG signals were recorded. Results A negative correlation was found between ATTp and the maximal ATTd (r = − 0.47, p = 0.028). An N-Way ANOVA showed that larger semitendinosus activity was seen when ATTd was larger, while less biceps femoris activity and rectus femoris activity were seen. Moreover, larger knee extension moment, knee flexion angle and ground reaction force in the anterior-posterior direction were seen when ATTd was larger. Conclusion Participants with more ATTp showed smaller ATTd during jump landing. Muscle activation did not contribute to reduce ATTd during impact of a jump-landing at the observed knee angles. However, subjects with large ATTp landed with less knee flexion and consequently showed less ATTd. The results of this study give information on how healthy people control knee laxity during jump-landing. Level of evidence III


Author(s):  
Kristen M. Farris ◽  
Regan E. Fehrenbacher ◽  
Erin L. Hayes ◽  
Ryan R. McEvoy ◽  
Alex P. Smith ◽  
...  

2021 ◽  
Vol 11 (9) ◽  
pp. 4033
Author(s):  
Ahmed Salem ◽  
Amr Hassan ◽  
Markus Tilp ◽  
Abdel-Rahman Akl

The purpose of this study was to determine the muscle activation and co-activation of selected muscles during the kettlebell single arm swing exercise. To the best of our knowledge, this is the first study investigating the muscle co-activation of a kettlebell single arm swing exercise. Nine volunteers participated in the present study (age: 22.6 ± 3.8 years; body mass: 80.4 ± 9.2 kg; height: 175.6 ± 7.5 cm). The electrical muscle activity of eight right agonist/antagonist muscles (AD/PD, ESL/RA, ESI/EO, and GM/RF) were recorded using a surface EMG system (Myon m320RX; Myon, Switzerland) and processed using the integrated EMG to calculate a co-activation index (CoI) for the ascending and descending phases. A significant effect of the ascending and descending phases on the muscles’ CoI was observed. Post hoc analyses showed that the co-activation was significantly higher in the descending phase compared to that in the ascending phase of AD/PD CoI (34.25 ± 18.03% and 24.75 ± 13.03%, p < 0.001), ESL/RA CoI (34.97 ± 17.86% and 24.19 ± 10.32%, p < 0.001), ESI/EO CoI (41.14 ± 10.72% and 30.87 ± 11.26%, p < 0.001), and GM/RF CoI (27.49 ± 12.97% and 34.98 ± 14.97%, p < 0.001). In conclusion, the co-activation of the shoulder muscles varies within the kettlebell single arm swing. The highest level of co-activation was observed in the descending phase of AD/PD and GM/RF CoI, and the lowest level of co-activation was observed during the descending phase, ESL/RA and ESI/EO CoI. In addition, the highest level of co-activation was observed in the ascending phase of ESL/RA and ESI/EO CoI, and the lowest level of co-activation was observed during the ascending phase, AD/PD and GM/RF CoI. The co-activation index could be a useful method for the interpretation of the shoulder and core muscles’ co-activity during a kettlebell single arm swing.


2004 ◽  
Vol 97 (5) ◽  
pp. 1693-1701 ◽  
Author(s):  
C. J. de Ruiter ◽  
R. D. Kooistra ◽  
M. I. Paalman ◽  
A. de Haan

We investigated the capacity for torque development and muscle activation at the onset of fast voluntary isometric knee extensions at 30, 60, and 90° knee angle. Experiments were performed in subjects ( n = 7) who had high levels (>90%) of activation at the plateau of maximal voluntary contractions. During maximal electrical nerve stimulation (8 pulses at 300 Hz), the maximal rate of torque development (MRTD) and torque time integral over the first 40 ms (TTI40) changed in proportion with torque at the different knee angles (highest values at 60°). At each knee angle, voluntary MRTD and stimulated MRTD were similar ( P < 0.05), but time to voluntary MRTD was significantly longer. Voluntary TTI40 was independent ( P > 0.05) of knee angle and on average (all subjects and angles) only 40% of stimulated TTI40. However, among subjects, the averaged (across knee angles) values ranged from 10.3 ± 3.1 to 83.3 ± 3.2% and were positively related ( r2 = 0.75, P < 0.05) to the knee-extensor surface EMG at the start of torque development. It was concluded that, although all subjects had high levels of voluntary activation at the plateau of maximal voluntary contraction, among subjects and independent of knee angle, the capacity for fast muscle activation varied substantially. Moreover, in all subjects, torque developed considerably faster during maximal electrical stimulation than during maximal voluntary effort. At different knee angles, stimulated MRTD and TTI40 changed in proportion with stimulated torque, but voluntary MRTD and TTI40 changed less than maximal voluntary torque.


1989 ◽  
Vol 19 (1) ◽  
pp. 21-24 ◽  
Author(s):  
R N Villar ◽  
V K Solomon ◽  
J Rangam

The pattern of knee pathology seen in an Indian mission hospital following the introduction of knee clinics is described. This paper reports the results of the first 200 consecutive patients seen at these clinics, relating the findings to anticipated treatments. The occurrence of degenerative disease was high. The importance of knee flexion, in order to be able to squat, is highlighted. The necessity to adopt this position materially alters the types of treatment that can be offered to this group of people. It is concluded that treatments common to the West are not always suitable for patients in the Third World.


2000 ◽  
Vol 83 (5) ◽  
pp. 2814-2824 ◽  
Author(s):  
Tania Lamb ◽  
Jaynie F. Yang

This study examined the idea of whether the same central pattern generator (CPG) for locomotion can control different directions of walking in humans. Fifty-two infants, aged 2–11 mo, were tested. Infants were supported to walk on a treadmill at a variety of speeds. If forward stepping was elicited, stepping in the other directions (primarily sideways and backward) was attempted. The orientation of the infant on the treadmill belt determined the direction of stepping. In some infants, we also attempted to obtain a smooth transition from one direction to another by gradually changing the orientation of the infant during a stepping sequence. Limb segment motion and surface electromyography from the muscles of the lower limb were recorded. Most infants who showed sustained forward walking also could walk in all other directions. Thirty-three of 34 infants tested could step sideways. The success of eliciting backward stepping was 69%. Most of the infants who did not meet our backward stepping criteria did, however, make stepping movements. The different directions of stepping had similar responses to changes in treadmill speed. The relationship between stance and swing phase durations and cycle duration were the same regardless of the direction of stepping across a range of speeds. Some differences were noted in the muscle activation patterns during different directions of walking. For example, the hamstrings were much more active during the swing phase of backward walking compared with forward walking. The quadriceps was more active in the trailing leg during sideways walking. In some infants, we were able to elicit stepping along a continuum of directions. We found no discrete differences in either the electromyographic patterns or the temporal parameters of stepping as the direction of stepping was gradually changed. The results support the idea that the same locomotor CPG controls different directions of stepping in human infants. The fact that most infants were able to step in all directions, the similarity in the response to speed changes, and the absence of any discrete changes as the direction of stepping was changed gradually are all consistent with this hypothesis.


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