intramuscular emg quiz

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Analysis of intramuscular electromyogram signals It's a quiz! Dario Farina Roberto Merletti

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A presentation put together for my weekly lab meeting based on the recent publication "Analysis of intramuscular electromyogram signals" (pubmed: http://tinyurl.com/b4mryy).Concepts highlighted in the manuscript are reviewed with multiple choice questions mixed in between.

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Page 1: Intramuscular EMG Quiz

Analysis of intramuscular electromyogram signals

It's a quiz!

Dario FarinaRoberto Merletti

Page 2: Intramuscular EMG Quiz

Basmajian 1968

Page 3: Intramuscular EMG Quiz

What is the term given to describe all of the muscle fibers belonging to one motor unit?

1. Task group

2. Muscle unit

3. Fiber unit

4. Contractile apparatus

Page 4: Intramuscular EMG Quiz

What is the term given to describe all of the muscle fibers belonging to one motor unit?

1. Task group

2. Muscle unit

3. Fiber unit

4. Contractile apparatus

Page 5: Intramuscular EMG Quiz

Stålberg et al. 1995

Motor Unit 1

Stålberg et al. 1995Stålberg et al. 1995

Motor Unit 2

Motor Unit 3

Page 6: Intramuscular EMG Quiz

Volume conductor

Page 7: Intramuscular EMG Quiz
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Page 12: Intramuscular EMG Quiz

Which needle electrode configuration is likely to produce the lower two traces?

1.

2.

3.

4.

Distance from AP

Sign

al a

mpl

itude

Detection volume

Page 13: Intramuscular EMG Quiz

Which needle electrode configuration is likely to produce the lower two traces?

1.

2.

3.

4.

Distance from AP

Sign

al a

mpl

itude

Detection volume

Page 14: Intramuscular EMG Quiz

All of the following are limitations of intramuscular recordings except:

1. Reflects the activity of only a small number of active motor units

2. The detected APs are not representative of all fibers belonging to the motor unit

3. Permits recording from deep muscles

4. It is difficult to have the same unit in repeated insertions

Page 15: Intramuscular EMG Quiz

All of the following are limitations of intramuscular recordings except:

1. Reflects the activity of only a small number of active motor units

2. The detected APs are not representative of all fibers belonging to the motor unit

3. Permits recording from deep muscles

4. It is difficult to have the same unit in repeated insertions

Page 16: Intramuscular EMG Quiz

27G needle = 0.41 mm

Muscle fiber = 50 μm

8.2 X

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Page 20: Intramuscular EMG Quiz

What is one limitation of wire electrodes compared with needle electrodes?

1. Cause less subject discomfort/pain during contraction

2. Ability to be repositioned (in & out of muscle)

3. More stability over long periods of time

4. More stability during movement

Page 21: Intramuscular EMG Quiz

What is one limitation of wire electrodes compared with needle electrodes?

1. Less subject discomfort/pain during contraction

2. Ability to be repositioned (in & out of muscle)

3. More stability over long periods of time

4. More stability during movement

Page 22: Intramuscular EMG Quiz

Gydikov et al. 1986

Wire 1

Wire 2

Site 1

Site 2a Site 2b

Signal = Wire 1 - Wire 2

Page 23: Intramuscular EMG Quiz

Which of the following would NOT improve the signal of the branched bipolar electrode?

1. Reducing the amount of insulation removed and distance between removal sites

2. Placing the electrode parallel to the muscle fibers

3. Closer positioning of the electrode to the muscle fascia

4. Repositioning of the electrode along the muscle belly

Page 24: Intramuscular EMG Quiz

Which of the following would NOT improve the signal of the branched bipolar electrode?

1. Reducing the amount of insulation removed and distance between removal sites

2. Placing the electrode parallel to the muscle fibers

3. Closer positioning of the electrode to the muscle fascia

4. Repositioning of the electrode along the muscle belly

Page 25: Intramuscular EMG Quiz

1) Triggering single fiber electrode

2) Exposed macroelectrode

Surface

Stålberg et al. 1980

Page 26: Intramuscular EMG Quiz

A macro EMG electrode can be used to address all but which of the following:

1. Is the size of motor units of older adults consistent with young adults?

2. Does a particular pathology involve the reinnervation of affected muscle fibers?

3. Are estimates of the number of motor units consistent across age and disease?

4. Does muscle fiber conduction velocity change during eccentric contractions?

Page 27: Intramuscular EMG Quiz

A macro EMG electrode can be used to address all but which of the following:

1. Is the size of motor units of older adults consistent with young adults?

2. Does a particular pathology involve the reinnervation of affected muscle fibers?

3. Are estimates of the number of motor units consistent across age and disease?

4. Does muscle fiber conduction velocity change during eccentric contractions?

Page 28: Intramuscular EMG Quiz

Example articles:

1. Masakado et al. 1994

2. Ivanyi et al. 1994

3. de Koning et al. 1988

Page 29: Intramuscular EMG Quiz

Stålberg & Antoni 1980

Muscle 1) Triggering SFEMG electrode

Investigated corridor

MU territory2) Concentric needle electrode

Page 30: Intramuscular EMG Quiz

Stålberg & Antoni 1980

20 increments

Page 31: Intramuscular EMG Quiz

What is the length of the MU cross section (mm) and how does this compare to the actual territory size?

1. 10, this is likely an overestimate

2. 1, this is likely an overestimate

3. 10, this is likely an underestimate

4. 1, this is likely an underestimate

Page 32: Intramuscular EMG Quiz

What is the length of the MU cross section (mm) and how does this compare to the actual territory size?

1. 10, this is likely an overestimate

2. 1, this is likely an overestimate

3. 10, this is likely an underestimate

4. 1, this is likely an underestimate

Page 33: Intramuscular EMG Quiz

What is decomposition?

1. Identification of motor units from an interference EMG signal

2. Classification of a motor unit type from EMG

3. Quantitative description of a motor unit action potential

4. Something best left to the EBIO department

Page 34: Intramuscular EMG Quiz

What is decomposition?

1. Identification of motor units from an interference EMG signal

2. Classification of a motor unit type from EMG

3. Quantitative description of a motor unit action potential

4. Something best left to the EBIO department

Page 35: Intramuscular EMG Quiz

Decomposition

Page 36: Intramuscular EMG Quiz

Put the steps of decomposition in the correct order:

1. Detection or segmentation – how does information differ from noise signal

2. Identification and classification of an “ideal” MUAP

3. Verification of Identified MUAP's

4. Recognition or Classification

Page 37: Intramuscular EMG Quiz

Put the steps of decomposition in the correct order:

1. Detection or segmentation – how does information differ from noise signal

2. Identification and classification of an “ideal” MUAP

3. Verification of Identified MUAP's

4. Recognition or Classification

1

2

3

4

Page 38: Intramuscular EMG Quiz

Put the steps of decomposition in the correct order:

1. Detection or segmentation – how does information differ from noise signal

2. Identification and classification of an “ideal” MUAP

3. Verification of Identified MUAP's

4. Recognition or Classification

−Generally 1 and 2 are combined in one step

1

2

3

4

Page 39: Intramuscular EMG Quiz

Identification of MUAP's

Peak to peak

Voltage

# of phases, turns

Duration

Fourier transformation coefficients

Coefficients from other transformations

Time sample of filtered signal

Wavelet characteristics

Merletti and Farina 2008

Page 40: Intramuscular EMG Quiz

Wavelet vs. Fourier Transform

Meyer Mexican Hat

Page 41: Intramuscular EMG Quiz

What is not a limitation to Decomposition?

1. No ideal waveform available

2. Must come from intramuscular EMG

3. Inaccurate past ~50% MVC

4. Can only readily identify 3-8 MU's

Page 42: Intramuscular EMG Quiz

What is not a limitation to Decomposition?

1. No ideal waveform available

2. Must come from intramuscular EMG

3. Inaccurate past ~50% MVC

4. Can only readily identify 3-8 MU's

Page 44: Intramuscular EMG Quiz

MATLAB based EMGLAB resolved superimpositions with which method?

1. Modeling approach

2. “Best match” or “peel off” method

Page 45: Intramuscular EMG Quiz

MATLAB based EMGLAB resolved superimpositions with which method?

1. Modeling approach

2. “Best match” or “peel off” method

Page 46: Intramuscular EMG Quiz

MATLAB based EMGLAB resolved superimpositions with which method?

1. Modeling approach

2. “Best match” or “peel off” method

Which is more powerful? difficult?

Page 47: Intramuscular EMG Quiz

Stashuk 2001

Modelling vs. Peel Off

Page 48: Intramuscular EMG Quiz

Which is not a method of verifying a decomposed signal?

1. Comparison with ideal waveform characteristics

2. Cross verification from two different locations

3. Mathematical reference signal

4. Expert Operator verification

Page 49: Intramuscular EMG Quiz

Which is not a method of verifying a decomposed signal?

1. Comparison with ideal waveform characteristics

2. Cross verification from two different locations

3. Mathematical reference signal

4. Expert Operator verification

Page 50: Intramuscular EMG Quiz

Which is not true with regards to decomposition in a clinical setting?

1. Done using interference EMG signal

2. Uses same methodology as in research setting

3. Impractical for clinical use

4. True decomposition is beyond the realm of clinicians

Page 51: Intramuscular EMG Quiz

Which is not true with regards to decomposition in a clinical setting?

1. Done using interference EMG signal

2. Uses same methodology as in research setting

3. Impractical for clinical use

4. True decomposition is beyond the realm of clinicians

Page 52: Intramuscular EMG Quiz

First dorsalinterosseus

Amplifier(EMG)

Triggerunit

Averager

Amplifier

Surface electrodearray

Muscle fiberconduction

velocity

Farina et al. 2002

Page 53: Intramuscular EMG Quiz

If the time between averaged waveforms is 1.28 ms and the CV is 3.9 m*s-1, how far apart are

the electrodes on the array in mm?

1) 5

2) 0.39

3) 7.5

4) 0.5

Page 54: Intramuscular EMG Quiz

If the time between averaged waveforms is 1.28 ms and the CV is 3.9 m*s-1, how far apart are

the electrodes on the array in mm?

1) 5

2) 0.39

3) 7.5

4) 0.5

Page 55: Intramuscular EMG Quiz

First dorsalinterosseus

Amplifier(EMG)

Triggerunit

Amplifier

Averager

Forcetransducer

Torquecontribution

Page 56: Intramuscular EMG Quiz

Stålberg & Falck 1997

Page 57: Intramuscular EMG Quiz

Patient 1 Patient 2

Signal A Signal B

Page 58: Intramuscular EMG Quiz

Which detection system (intramuscular or surface) is used to diagnose pathologies and why?

1. Intramuscular, lower frequencies are preserved

2. Intramuscular, features of individual APs are preserved

3. Surface, you record from more fibers

4. Surface, the signal bandwidth allows for analysis of the number of turns in AP shape

Page 59: Intramuscular EMG Quiz

Which detection system (intramuscular or surface) is used to diagnose pathologies and why?

1. Intramuscular, lower frequencies are preserved

2. Intramuscular, features of individual APs are preserved

3. Surface, you record from more fibers

4. Surface, the signal bandwidth allows for analysis of the number of turns in AP shape

Page 60: Intramuscular EMG Quiz

References*Adrian & Bronk 1929

Basmajian 1963

Basmajian & Stecko 1962

Buchthal at el. 1957

de Koning et al. 1988

De Luca & Forrest 1972

Farina et al. 2002

Gydikov et al. 1986

Haig et al. 2003

Ivanyi et al. 1994

Masakado et al. 1994

Stålberg & Antoni 1980

Stålberg & Falck 1997

Stålberg et al. 1980

Stålberg et al. 1995

Stashuck 2001

*Click on each study to view record on journal website