scholarly journals Semi-automated Detection of the Timing of Respiratory Muscle Activity: Validation and First Application

2022 ◽  
Vol 12 ◽  
Author(s):  
Antenor Rodrigues ◽  
Luc Janssens ◽  
Daniel Langer ◽  
Umi Matsumura ◽  
Dmitry Rozenberg ◽  
...  
Keyword(s):  
Muscle Activity ◽  
Respiratory Muscle ◽  
Respiratory Muscles ◽  
Failure Surface ◽  
Surface Emg ◽  
Emg Activity ◽  
Emg Signal ◽  
Activity Duration ◽  
Millisecond Accuracy ◽  
Respiratory Muscle Activity

Background: Respiratory muscle electromyography (EMG) can identify whether a muscle is activated, its activation amplitude, and timing. Most studies have focused on the activation amplitude, while differences in timing and duration of activity have been less investigated. Detection of the timing of respiratory muscle activity is typically based on the visual inspection of the EMG signal. This method is time-consuming and prone to subjective interpretation.Aims: Our main objective was to develop and validate a method to assess the respective timing of different respiratory muscle activity in an objective and semi-automated manner.Method: Seven healthy adults performed an inspiratory threshold loading (ITL) test at 50% of their maximum inspiratory pressure until task failure. Surface EMG recordings of the costal diaphragm/intercostals, scalene, parasternal intercostals, and sternocleidomastoid were obtained during ITL. We developed a semi-automated algorithm to detect the onset (EMG, onset) and offset (EMG, offset) of each muscle’s EMG activity breath-by-breath with millisecond accuracy and compared its performance with manual evaluations from two independent assessors. For each muscle, the Intraclass Coefficient correlation (ICC) of the EMG, onset detection was determined between the two assessors and between the algorithm and each assessor. Additionally, we explored muscle differences in the EMG, onset, and EMG, offset timing, and duration of activity throughout the ITL.Results: More than 2000 EMG, onset s were analyzed for algorithm validation. ICCs ranged from 0.75–0.90 between assessor 1 and 2, 0.68–0.96 between assessor 1 and the algorithm, and 0.75–0.91 between assessor 2 and the algorithm (p < 0.01 for all). The lowest ICC was shown for the diaphragm/intercostal and the highest for the parasternal intercostal (0.68 and 0.96, respectively). During ITL, diaphragm/intercostal EMG, onset occurred later during the inspiratory cycle and its activity duration was shorter than the scalene, parasternal intercostal, and sternocleidomastoid (p < 0.01). EMG, offset occurred synchronously across all muscles (p ≥ 0.98). EMG, onset, and EMG, offset timing, and activity duration was consistent throughout the ITL for all muscles (p > 0.63).Conclusion: We developed an algorithm to detect EMG, onset of several respiratory muscles with millisecond accuracy that is time-efficient and validated against manual measures. Compared to the inherent bias of manual measures, the algorithm enhances objectivity and provides a strong standard for determining the respiratory muscle EMG, onset.

Surface Recordings of Respiratory Muscle Activity during Speech

1989 ◽  
Vol 32 (3) ◽  
pp. 657-667 ◽  
Author(s):  
David H. McFarland ◽  
Anne Smith
Keyword(s):  
Chest Wall ◽  
Muscle Activity ◽  
Respiratory Muscle ◽  
Respiratory Muscles ◽  
Emg Activity ◽  
Breathing Cycle ◽  
Surface Electrodes ◽  
Disk Electrodes ◽  
Respiratory Muscle Activity ◽  
Accessory Respiratory Muscles

Bipolar electromyographic (EMG) recordings were made from six chest wall and nasal sites with disk electrodes attached to the skin. Electrode locations were based on previous studies of nonspeech breathing and were designed to sample the activity of both primary and accessory respiratory muscles. EMG activity was sampled while subjects performed a series of speech and nonspeeeh tasks. The results revealed that surface electrodes could sample the activity of respiratory muscles during speech and other ventilatory tasks, particularly during the expiratory phases of the breathing cycle.

scholarly journals Respiratory muscle activity after spontaneous, neostigmine- or sugammadex-enhanced recovery of neuromuscular blockade: a double blind prospective randomized controlled trial

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Tom Schepens ◽  
Koen Janssens ◽  
Sabine Maes ◽  
Davina Wildemeersch ◽  
Jurryt Vellinga ◽  
...  
Keyword(s):  
Neuromuscular Blockade ◽  
Muscle Activity ◽  
Spontaneous Breathing ◽  
Respiratory Muscle ◽  
Secondary Outcome ◽  
Emg Activity ◽  
Double Blind ◽  
Randomized Controlled ◽  
The Moment ◽  
Respiratory Muscle Activity

Abstract Background The use of neostigmine after neuromuscular blockade (NMB) has been associated with postoperative respiratory complications. In previous studies, we found lower diaphragmatic activity after neostigmine reversal of NMB, compared to sugammadex. It is still unclear whether the adequate use of neostigmine guarantees normal respiratory muscle function after NMB. In this study, we wanted to assess the effect of commonly used degrees of NMB and their possible reversal strategies on respiratory muscle activity after the return of normal neuromuscular transmission. Methods This is a randomized, controlled, parallel-group, single-centre, double-blind study in patients scheduled for intracranial surgery at a tertiary academic hospital in Belgium. All participants received target controlled propofol/remifentanil anesthesia and were randomized into one of five groups, receiving either a shallow NMB with no reversal (shallow/saline), a shallow NMB with sugammadex reversal (shallow/sugammadex), a moderate NMB with neostigmine reversal (moderate/neostigmine), a moderate NMB with sugammadex reversal (moderate/sugammadex), or a deep NMB with sugammadex reversal (deep/sugammadex). Primary and secondary outcome parameters were diaphragm and intercostal electromyographic (EMG) activity at the moment of resumed spontaneous breathing activity, defined as a maximal interval of 10 min after the first spontaneous breath. Results For the five groups, a total of 55 patients could be included in the final analysis. Median time of spontaneous breathing analyzed was 5 min (IQR 3–9.5 min). Both the moderate/sugammadex and the moderate/neostigmine groups had lower levels of diaphragm EMG compared to the shallow/sugammadex group. The moderate/neostigmine group had lower levels of intercostal EMG activity compared to the shallow/saline group. Conclusions In this study, the depth of neuromuscular blockade and type of reversal strategy impacts respiratory muscle activity at the moment of resumed spontaneous breathing and recovery of neuromuscular blockade. Both groups that received moderate NMB had lower levels of diaphragm EMG, compared to the shallow NMB group with sugammadex reversal. Compared to the shallow NMB group with no reversal, the moderate NMB with neostigmine reversal group had lower intercostal EMG activity. Trial registration Clinicaltrials.gov NCT01962298 on October 9, 2013 and EudraCT 2013–001926-25 on October 10, 2013.

scholarly journals An Electromyographic Study of the Hip Abductor Muscles as Subjects With a Hip Prosthesis Walked With Different Methods of Using a Cane and Carrying a Load

1999 ◽  
Vol 79 (12) ◽  
pp. 1163-1173 ◽  
Author(s):  
Donald A Neumann
Keyword(s):  
Body Weight ◽  
Muscle Activity ◽  
Hip Prosthesis ◽  
Load Condition ◽  
Surface Emg ◽  
Emg Activity ◽  
Emg Signal ◽  
Hip Abductor ◽  
Load Conditions

Abstract Background and Purpose. Certain methods of carrying handheld loads or using a cane can reduce the demands placed on the hip abductor (HA) muscles and the loads on the underlying prosthetic hip. In certain conditions, unusually large forces from the HA muscles may contribute to premature loosening of a prosthetic hip. The purpose of this study was to examine HA use by measuring the amplitude of the electromyographic (EMG) signal from the HA muscles as subjects carried a load and simultaneously used a cane. Subjects. Twenty-four active subjects (mean age=63.3 years, SD=10.7, range=40–86) with a unilateral prosthetic hip were tested. Methods. The HA muscle surface EMG activity was analyzed as subjects carried loads weighing 5%, 10%, or 15% of body weight held by either their contralateral or ipsilateral arm relative to their prosthetic hip. They simultaneously used a cane with their free hand. Results. The contralateral cane and ipsilateral load conditions produced HA muscle EMG activity that was approximately 40% less than the EMG activity produced while walking without carrying a load or using a cane. Conclusion and Discussion. People who are in danger of premature loosening of their prosthetic hip should, if possible, avoid carrying loads. If a load must be carried, however, then the contralateral cane and ipsilateral load condition appears to minimize the loads placed on the prosthetic hip due to HA muscle activity.

Effect of sleep-induced increases in upper airway resistance on respiratory muscle activity

1991 ◽  
Vol 70 (1) ◽  
pp. 158-168 ◽  
Author(s):  
K. G. Henke ◽  
J. A. Dempsey ◽  
M. S. Badr ◽  
J. M. Kowitz ◽  
J. B. Skatrud
Keyword(s):  
Muscle Activity ◽  
Respiratory Muscle ◽  
Peak Flow ◽  
Nrem Sleep ◽  
Emg Activity ◽  
Electromyographic Activity ◽  
Stage 2 Sleep ◽  
Expiratory Muscles ◽  
Resistive Loads ◽  
Respiratory Muscle Activity

To investigate the response of inspiratory and expiratory muscles to naturally occurring inspiratory resistive loads in the absence of conscious control, five male "snorers" were studied during non-rapid-eye-movement (NREM) sleep with and without continuous positive airway pressure (CPAP). Diaphragm (EMGdi) and scalene (EMGsc) electromyographic activity were monitored with surface electrodes and abdominal EMG activity (EMGab) with wire electrodes. Subjects were studied in the following conditions: 1) awake, 2) stage 2 sleep, 3) stage 3/4 sleep, 4) CPAP during stage 3/4 sleep, 5) CPAP plus end-tidal CO2 pressure (PETCO2) isocapnic to stage 2 sleep, and 6) CPAP plus PETCO2 isocapnic to stage 3/4 sleep. Inspired pulmonary resistance (RL) at peak flow rate and PETCO2 increased in all stages of sleep. Activity of EMGdi, EMGsc, and EMGab increased significantly in stage 3/4 sleep. CPAP reduced RL at peak flow, increased tidal volume and expired ventilation, and reduced PETCO2. EMGdi and EMGsc were reduced, and EMGab was silenced. During CPAP, with CO2 added to make PETCO2 isocapnic to stage 3/4 sleep, EMGsc and EMGab increased, but EMGdi was augmented in only one-half of the trials. EMG activity in this condition, however, was only 75% (EMGsc) and 43% (EMGab) of the activity observed during eupneic breathing in stage 3/4 sleep when PETCO2 was equal but RL was much higher. We conclude that during NREM sleep 1) inspiratory and expiratory muscles respond to internal inspiratory resistive loads and the associated dynamic airway narrowing and turbulent flow developed throughout inspiration, 2) some of the augmentation of respiratory muscle activity is also due to the hypercapnia that accompanies loading, and 3) the abdominal muscles are the most sensitive to load and CO2 and the diaphragm is the least sensitive.

Variations in respiratory muscle activity during echolocation when stationary in three species of bat (Microchiroptera: Vespertilionidae)

2001 ◽  
Vol 204 (24) ◽  
pp. 4185-4197
Author(s):  
Winston C. Lancaster ◽  
J. R. Speakman
Keyword(s):  
Muscle Activity ◽  
Respiratory Muscle ◽  
Respiratory Muscles ◽  
Transversus Abdominis ◽  
Abdominal Muscles ◽  
Pteronotus Parnellii ◽  
Economic Production ◽  
Morphological Adaptations ◽  
The Family ◽  
Respiratory Muscle Activity

SUMMARY Echolocating bats use respiratory muscles to power the production of biosonar vocalisations. The physical characteristics of these calls vary among species of bat, and variations also exist in the timing and patterns of respiratory muscle recruitment during echolocation. We recorded electromyograms from the respiratory muscles of three species of bat (Family Vespertilionidae) while the animals vocalised from stationary positions. Activity was recorded consistently from the lateral abdominal muscles (internal abdominal oblique and transversus abdominis) from all calling bats, but we found much variation within and among species. Bats in the family Vespertilionidae devoted longer periods of expiratory muscle activity to each call than did the mormoopid bat Pteronotus parnellii. These differences correlate negatively with the duration of calls. We suggest that morphological adaptations in some bats may facilitate the economic production of echolocation calls at rest.

Effect of dorsolateral pontine lesions on diaphragmatic activity during REMS

1990 ◽  
Vol 68 (4) ◽  
pp. 1435-1442 ◽  
Author(s):  
J. C. Hendricks ◽  
L. R. Kline ◽  
R. O. Davies ◽  
A. I. Pack
Keyword(s):  
Muscle Activity ◽  
Respiratory Muscle ◽  
Sleep Disordered Breathing ◽  
Average Rate ◽  
Emg Activity ◽  
Rapid Eye Movement Sleep ◽  
Muscle Atonia ◽  
Before And After ◽  
Respiratory Muscle Activity ◽  
Diaphragm Activity

Muscle atonia is a feature of normal rapid-eye-movement sleep (REMS). The suppression of accessory respiratory muscle activity has been investigated and a role for sleep-disordered breathing hypothesized, but the suppression of diaphragmatic activity has rarely been considered. We hypothesized that the activity of the diaphragm was suppressed by an area of the dorsolateral pons during REMS. Lesions in this region have previously been shown to abolish the atonia of REMS. The diaphragmatic electromyogram (EMG) activity was analyzed in five naturally sleeping cats before and after pontine lesions leading to REMS without atonia. Although respiratory timing parameters were not altered by the lesion, the inspiratory rate of rise was significantly increased in all cats, and the brief pauses (40-100 ms) in the diaphragmatic EMG normally seen in REMS were virtually abolished. We conclude that the dorsolateral pons has a role in suppressing diaphragmatic activation during REMS. This suppression affects the average rate of rise of diaphragmatic activity and also leads to brief intermittent complete cessation of ongoing muscle activity. These decrements in diaphragm activity could jeopardize ventilation during REMS.

Vagal contributions to respiratory muscle activity during eupnea in the awake dog

1992 ◽  
Vol 72 (4) ◽  
pp. 1355-1361 ◽  
Author(s):  
D. M. Ainsworth ◽  
C. A. Smith ◽  
B. D. Johnson ◽  
S. W. Eicker ◽  
K. S. Henderson ◽  
...  
Keyword(s):  
Electrical Activity ◽  
Muscle Activity ◽  
Respiratory Muscle ◽  
Transversus Abdominis ◽  
Emg Activity ◽  
Expiratory Muscle ◽  
Vagal Blockade ◽  
Inspiratory Activity ◽  
Vagal Cooling ◽  
Respiratory Muscle Activity

We examined the effects of reversible vagal cooling on respiratory muscle activities in awake chronically instrumented tracheotomized dogs. We specifically analyzed electromyographic (EMG) activity and its ventilatory correlates, end-expiratory lung volume (EELV) and diaphragmatic resting length via sonomicrometry. Elimination of phasic and tonic mechanoreceptor activity by vagal cooling doubled the EMG activity of the costal, crural, and parasternal muscles, with activation occurring sooner relative to the onset of inspiratory flow. Diaphragmatic postinspiration inspiratory activity in the intact dog coincided with a brief mechanical shortening of the diaphragm during early expiration; vagal blockade removed both the electrical activity and the mechanical shortening. Vagal blockade also doubled the EMG activity of a rib cage expiratory muscle, the triangularis sterni, but reduced that of an abdominal expiratory muscle, the transversus abdominis. Within-breath electrical activity of both muscles occurred sooner relative to the onset of expiratory flow during vagal blockade. Vagal cooling was also associated with a 12% increase in EELV and a 5% decrease in end-expiratory resting length of the diaphragm. We conclude that vagal input significantly modulates inspiratory and expiratory muscle activities, which help regulate EELV efficiently and optimize diaphragmatic length during eupneic breathing in the awake dog.

Sequence of respiratory muscle activity during varied vocal attack

1965 ◽  
Vol 32 (2) ◽  
pp. 185-191 ◽  
Author(s):  
Michael S. Hoshiko ◽  
Kenneth W. Berger
Keyword(s):  
Muscle Activity ◽  
Respiratory Muscle ◽  
Respiratory Muscle Activity

scholarly journals Low-Frequency Oscillations (<0.3 Hz) in the Electromyographic (EMG) Activity of the Human Trapezius Muscle During Sleep

2002 ◽  
Vol 88 (3) ◽  
pp. 1177-1184 ◽  
Author(s):  
R. H. Westgaard ◽  
P. Bonato ◽  
K. A. Holte
Keyword(s):  
Heart Rate ◽  
Muscle Activity ◽  
Activity Pattern ◽  
Sudden Change ◽  
Mean Amplitude ◽  
Activity Level ◽  
Emg Activity ◽  
Similar Frequency ◽  
Emg Signal ◽  
The Mean

The surface electromyographic (EMG) signal from right and left trapezius muscles and the heart rate were recorded over 24 h in 27 healthy female subjects. The root-mean-square (RMS) value of the surface EMG signals and the heartbeat interval time series were calculated with a time resolution of 0.2 s. The EMG activity during sleep showed long periods with stable mean amplitude, modulated by rhythmic components in the frequency range 0.05–0.2 Hz. The ratio between the amplitude of the oscillatory components and the mean amplitude of the EMG signal was approximately constant over the range within which the phenomenon was observed, corresponding to a peak-to-peak oscillatory amplitude of ∼10% of the mean amplitude. The duration of the periods with stable mean amplitude ranged from a few minutes to ∼1 h, usually interrupted by a sudden change in the activity level or by cessation of the muscle activity. Right and left trapezius muscles presented the same pattern of FM. In supplementary experiments, rhythmic muscle activity pattern was also demonstrated in the upper extremity muscles of deltoid, biceps, and forearm flexor muscles. There was no apparent association between the rhythmic components in the muscle activity pattern and the heart rate variability. To our knowledge, this is the first time that the above-described pattern of EMG activity during sleep is documented. On reanalysis of earlier recorded trapezius motor unit firing pattern in experiments on awake subjects in a situation with mental stress, low-FM of firing with similar frequency content was detected. Possible sources of rhythmic excitation of trapezius motoneurons include slow-wave cortical oscillations represented in descending cortico-spinal pathways, and/or activation by monoaminergic pathways originating in the brain stem reticular formation. The analysis of muscle activity patterns may provide an important new tool to study neural mechanisms in human sleep.

scholarly journals Cervical spinal V2a neurons pattern respiratory muscle activity and enhance ventilation

2020 ◽  
Vol 34 (S1) ◽  
pp. 1-1
Author(s):  
Victoria N. Jensen ◽  
Azl Saeed ◽  
Kari A. Seedle ◽  
Sarah Marie Turner ◽  
Steven A. Crone
Keyword(s):  
Muscle Activity ◽  
Respiratory Muscle ◽  
Respiratory Muscle Activity
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