SlideShare una empresa de Scribd logo
1 de 21
Electromyography
A practical guide to understanding
muscle activity
1
Muscle function
• Muscles are the physiological motors of the
human body
• Kinematics and kinetics give us a good
indication of the muscle groups
• For increased specificity we measure a muscles
activity during gait
2
Electromyography
• Definition of Electromyography (EMG)
– Electromyography (EMG) is the detection and
recording of the electrical signal produced by
muscle tissue as it contracts.
3
Muscle activation (sEMG)
• Measurement of electrical signals within the
muscle with two electrodes
• A summation of the action potentials generated
during contractions due to a change in the cell’s
membrane potential
• The size of the signal is dependent on the
number and frequency of firing of motor units
4
Why measure sEMG?
• Measuring the muscle activity during gait allows:
– an indication to whether the muscle is active
– to see relative changes in timing of the muscles
– to assess motor control and coordination
– to determine any evidence of spasticity
– to evaluate muscle function post-surgical transfer
5
EMG does not tell us:
• The strength of the muscle
• What type of movement the signal represents
• Whether the activity is compensatory or the
primary abnormality.
6
Electromyography
• EMG includes the
– Detection
– Amplification
– Recording
– Processing and analysis
– Interpretation
• Three ways of recording the signals
• Surface electromyography (sEMG) most popular
7
How to measure sEMG
• Positioning the patient
8
Recommendations: www.seniam.org
How to measure sEMG
• Determine the electrode location
Recommendations: www.seniam.org
9
How to measure sEMG
• Skin preparation
10
Recommendations: www.seniam.org
How to measure sEMG
• Place and fix the electrodes securely
11
Recommendations: www.seniam.org
Fine Wire EMG
• Determine Position
12
How to measure sEMG
• Test the connection and accuracy of the
placement
13
Recommendations: www.seniam.org
Processing the signal
• Raw signal
14
Not
active
active
Processing the signal
• Rectified signal
15
Not
active
active
Processing the signal
• Muscle timings
16
smoothed
& rectified
signal
threshold
Onset Off
Processing the signal
• Filtered
17
Not
active
active
Processing the signal
• Fatigue
18
Factors that affect sEMG signal
• Impedance of the tissue
• Cross-talk between muscles
• Changes in geometry between muscle and
electrodes
• External noise
• All of these can be reduced using the 3P’s
– Position, Preparation and Placement of the electrodes
19
Repeatability and Interpretation
of EMG data
20
• Very few studies in the general literature
• Displayed the same way as general gait data
• Normalisation methods need to be appropriate
• sEMG alongside kinematics and kinetics can
offer further details about muscle function
• However, many labs choose specific individuals
Demonstration
Demonstration of
sEMG and fwEMG
21

Más contenido relacionado

La actualidad más candente

Electromyography
ElectromyographyElectromyography
Electromyography
Rajesh Goit
 
Electromyography (emg)
Electromyography (emg)Electromyography (emg)
Electromyography (emg)
Gokila Mani
 
Evoked potentials, clinical importance & physiological basis of consciousness...
Evoked potentials, clinical importance & physiological basis of consciousness...Evoked potentials, clinical importance & physiological basis of consciousness...
Evoked potentials, clinical importance & physiological basis of consciousness...
Rajesh Goit
 

La actualidad más candente (20)

Late Responses (F-wave and H.Reflex)
Late Responses (F-wave and H.Reflex)Late Responses (F-wave and H.Reflex)
Late Responses (F-wave and H.Reflex)
 
Electromyography
ElectromyographyElectromyography
Electromyography
 
EMG Instrumentation
EMG InstrumentationEMG Instrumentation
EMG Instrumentation
 
Emg presentation
Emg presentationEmg presentation
Emg presentation
 
Electromyogram
ElectromyogramElectromyogram
Electromyogram
 
Electromyography (emg)
Electromyography (emg)Electromyography (emg)
Electromyography (emg)
 
Electro diagnostic tests ppt
Electro diagnostic tests pptElectro diagnostic tests ppt
Electro diagnostic tests ppt
 
Emg changes during fatigue and contraction
Emg changes during fatigue and contractionEmg changes during fatigue and contraction
Emg changes during fatigue and contraction
 
Somatosensory evoked potential
Somatosensory evoked potentialSomatosensory evoked potential
Somatosensory evoked potential
 
Somatosensory evoked potentials
Somatosensory evoked potentialsSomatosensory evoked potentials
Somatosensory evoked potentials
 
Nerves conduction study
Nerves conduction studyNerves conduction study
Nerves conduction study
 
Electrical stimulation
Electrical stimulationElectrical stimulation
Electrical stimulation
 
Emg and ncs slides chapter 1 and 2
Emg and ncs slides chapter 1 and 2Emg and ncs slides chapter 1 and 2
Emg and ncs slides chapter 1 and 2
 
Electromyograph(EMG)
Electromyograph(EMG)Electromyograph(EMG)
Electromyograph(EMG)
 
Electrodiagnosis 1
Electrodiagnosis 1Electrodiagnosis 1
Electrodiagnosis 1
 
Evoked Potentials.pptx
Evoked Potentials.pptxEvoked Potentials.pptx
Evoked Potentials.pptx
 
EEG & Evoked potentials
EEG & Evoked potentialsEEG & Evoked potentials
EEG & Evoked potentials
 
Evoked potentials, clinical importance & physiological basis of consciousness...
Evoked potentials, clinical importance & physiological basis of consciousness...Evoked potentials, clinical importance & physiological basis of consciousness...
Evoked potentials, clinical importance & physiological basis of consciousness...
 
Cga ifa 2015 9 electromyography
Cga ifa 2015 9 electromyographyCga ifa 2015 9 electromyography
Cga ifa 2015 9 electromyography
 
Motor evoked potentials - IONM Basics
Motor evoked potentials -  IONM BasicsMotor evoked potentials -  IONM Basics
Motor evoked potentials - IONM Basics
 

Destacado (7)

PRESENTATION LAB DSP.Analysis & classification of EMG signal - DSP LAB
PRESENTATION LAB DSP.Analysis & classification of EMG signal - DSP LABPRESENTATION LAB DSP.Analysis & classification of EMG signal - DSP LAB
PRESENTATION LAB DSP.Analysis & classification of EMG signal - DSP LAB
 
Repetitive Nerve Stimulation
Repetitive Nerve Stimulation Repetitive Nerve Stimulation
Repetitive Nerve Stimulation
 
Repetitive Nerve Stimulation (RNS)
Repetitive Nerve Stimulation (RNS)Repetitive Nerve Stimulation (RNS)
Repetitive Nerve Stimulation (RNS)
 
repetitive nerve stimulation
repetitive nerve stimulationrepetitive nerve stimulation
repetitive nerve stimulation
 
EMG & Force
EMG & ForceEMG & Force
EMG & Force
 
EMG
EMGEMG
EMG
 
Emg fundamental
Emg fundamentalEmg fundamental
Emg fundamental
 

Similar a EMG

Electromyography.pptx for electrical diagnosed
Electromyography.pptx for electrical diagnosedElectromyography.pptx for electrical diagnosed
Electromyography.pptx for electrical diagnosed
AhsanAli479495
 
L1-_EMGMNCV.power point presentation for ncv
L1-_EMGMNCV.power point presentation for ncvL1-_EMGMNCV.power point presentation for ncv
L1-_EMGMNCV.power point presentation for ncv
PranavTrehan2
 
Acrylic Prosthetic Limb Using EMG signal
Acrylic Prosthetic Limb Using EMG signalAcrylic Prosthetic Limb Using EMG signal
Acrylic Prosthetic Limb Using EMG signal
AnveshChinta1
 

Similar a EMG (20)

Intraoperative Electromyography (EMG)
Intraoperative Electromyography (EMG)Intraoperative Electromyography (EMG)
Intraoperative Electromyography (EMG)
 
EMG.pptx
EMG.pptxEMG.pptx
EMG.pptx
 
Electromyography.pptx for electrical diagnosed
Electromyography.pptx for electrical diagnosedElectromyography.pptx for electrical diagnosed
Electromyography.pptx for electrical diagnosed
 
EMG Lecture 10-1-2015.ppt electromyography
EMG Lecture 10-1-2015.ppt electromyographyEMG Lecture 10-1-2015.ppt electromyography
EMG Lecture 10-1-2015.ppt electromyography
 
L1- EMG+MNCV.ppt
L1- EMG+MNCV.pptL1- EMG+MNCV.ppt
L1- EMG+MNCV.ppt
 
L1-_EMGMNCV.power point presentation for ncv
L1-_EMGMNCV.power point presentation for ncvL1-_EMGMNCV.power point presentation for ncv
L1-_EMGMNCV.power point presentation for ncv
 
Electromyography
ElectromyographyElectromyography
Electromyography
 
EMG.pdf
EMG.pdfEMG.pdf
EMG.pdf
 
EMG project by BME student, funny project.pptx
EMG project by BME student, funny project.pptxEMG project by BME student, funny project.pptx
EMG project by BME student, funny project.pptx
 
Muscles of mastication[part 2]/cosmetic dentistry courses
Muscles of mastication[part 2]/cosmetic dentistry coursesMuscles of mastication[part 2]/cosmetic dentistry courses
Muscles of mastication[part 2]/cosmetic dentistry courses
 
PPT 1 BIOLOGY EMG ECG.pptx
PPT 1 BIOLOGY EMG ECG.pptxPPT 1 BIOLOGY EMG ECG.pptx
PPT 1 BIOLOGY EMG ECG.pptx
 
The Muscle Physiology / orthodontic short term courses
The Muscle Physiology / orthodontic short term coursesThe Muscle Physiology / orthodontic short term courses
The Muscle Physiology / orthodontic short term courses
 
Medical Instrumentation- EMG,ERG,EOG,PCG
Medical Instrumentation- EMG,ERG,EOG,PCGMedical Instrumentation- EMG,ERG,EOG,PCG
Medical Instrumentation- EMG,ERG,EOG,PCG
 
Biomedical Instruments.pptx
Biomedical Instruments.pptxBiomedical Instruments.pptx
Biomedical Instruments.pptx
 
Electromyography(emg).pptx
Electromyography(emg).pptxElectromyography(emg).pptx
Electromyography(emg).pptx
 
Sec 4 emg
Sec 4 emgSec 4 emg
Sec 4 emg
 
Emg (2) /certified fixed orthodontic courses by Indian dental academy
Emg (2) /certified fixed orthodontic courses by Indian dental academy Emg (2) /certified fixed orthodontic courses by Indian dental academy
Emg (2) /certified fixed orthodontic courses by Indian dental academy
 
EMGinInternalMedicine.ppt neurogenic and myopathic
EMGinInternalMedicine.ppt neurogenic and myopathicEMGinInternalMedicine.ppt neurogenic and myopathic
EMGinInternalMedicine.ppt neurogenic and myopathic
 
Acrylic Prosthetic Limb Using EMG signal
Acrylic Prosthetic Limb Using EMG signalAcrylic Prosthetic Limb Using EMG signal
Acrylic Prosthetic Limb Using EMG signal
 
A Patient guide to an Electromyography. What to expect.
A Patient guide to an Electromyography. What to expect.A Patient guide to an Electromyography. What to expect.
A Patient guide to an Electromyography. What to expect.
 

Más de Richard Baker

1 what is clnical gait analysis (cga ifa 2015)
1 what is clnical gait analysis (cga ifa 2015)1 what is clnical gait analysis (cga ifa 2015)
1 what is clnical gait analysis (cga ifa 2015)
Richard Baker
 

Más de Richard Baker (20)

Cga ifa 2015 3 introduction to the conventional gait model
Cga ifa 2015 3 introduction to the conventional gait modelCga ifa 2015 3 introduction to the conventional gait model
Cga ifa 2015 3 introduction to the conventional gait model
 
Cga ifa 2015 15 evaluating outcomes
Cga ifa 2015 15 evaluating outcomesCga ifa 2015 15 evaluating outcomes
Cga ifa 2015 15 evaluating outcomes
 
Cga ifa 2015 14 foot models
Cga ifa 2015 14 foot modelsCga ifa 2015 14 foot models
Cga ifa 2015 14 foot models
 
Cga ifa 2015 13 the role of cga in crouch
Cga ifa 2015 13 the role of cga in crouchCga ifa 2015 13 the role of cga in crouch
Cga ifa 2015 13 the role of cga in crouch
 
Cga ifa 2015 12 the role of cga in sdr
Cga ifa 2015 12 the role of cga in sdrCga ifa 2015 12 the role of cga in sdr
Cga ifa 2015 12 the role of cga in sdr
 
Cga ifa 2015 10 impairment focussed interpretation
Cga ifa 2015 10 impairment focussed interpretationCga ifa 2015 10 impairment focussed interpretation
Cga ifa 2015 10 impairment focussed interpretation
 
Cga ifa 2015 8 why we walk kinetics
Cga ifa 2015 8 why we walk kineticsCga ifa 2015 8 why we walk kinetics
Cga ifa 2015 8 why we walk kinetics
 
Cga ifa 2015 7 why we walk the way we do
Cga ifa 2015 7 why we walk the way we doCga ifa 2015 7 why we walk the way we do
Cga ifa 2015 7 why we walk the way we do
 
Cga ifa 2015 6 measurement artefact
Cga ifa 2015 6 measurement artefactCga ifa 2015 6 measurement artefact
Cga ifa 2015 6 measurement artefact
 
Cga ifa 2015 5 clinical video
Cga ifa 2015 5 clinical videoCga ifa 2015 5 clinical video
Cga ifa 2015 5 clinical video
 
Cga ifa 2015 4 physical exam
Cga ifa 2015 4 physical examCga ifa 2015 4 physical exam
Cga ifa 2015 4 physical exam
 
Cga ifa 2015 2 basic measurements
Cga ifa 2015 2 basic measurementsCga ifa 2015 2 basic measurements
Cga ifa 2015 2 basic measurements
 
1 what is clnical gait analysis (cga ifa 2015)
1 what is clnical gait analysis (cga ifa 2015)1 what is clnical gait analysis (cga ifa 2015)
1 what is clnical gait analysis (cga ifa 2015)
 
Why we walk the way we do (ug)
Why we walk the way we do (ug)Why we walk the way we do (ug)
Why we walk the way we do (ug)
 
2 introduction to the conventional gait model
2 introduction to the conventional gait model2 introduction to the conventional gait model
2 introduction to the conventional gait model
 
16 how to set up a gait lab (nov 2014)
16 how to set up a gait lab (nov 2014)16 how to set up a gait lab (nov 2014)
16 how to set up a gait lab (nov 2014)
 
15 quality assurance (nov 2014)
15 quality assurance (nov 2014)15 quality assurance (nov 2014)
15 quality assurance (nov 2014)
 
13 functional calibration (nov 2014)
13 functional calibration (nov 2014)13 functional calibration (nov 2014)
13 functional calibration (nov 2014)
 
11 impairment focussed interpretation (nov 2014)
11 impairment focussed interpretation (nov 2014)11 impairment focussed interpretation (nov 2014)
11 impairment focussed interpretation (nov 2014)
 
10 recognising gait features (nov 2014)
10 recognising gait features (nov 2014)10 recognising gait features (nov 2014)
10 recognising gait features (nov 2014)
 

Último

Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
9953056974 Low Rate Call Girls In Saket, Delhi NCR
 
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
chetankumar9855
 
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
adilkhan87451
 

Último (20)

9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
 
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
 
Top Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near Me
Top Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near MeTop Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near Me
Top Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near Me
 
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
 
Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...
Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...
Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...
 
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
 
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
 
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
 
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
 
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on WhatsappMost Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
 
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
 
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
 
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
 
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
 
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
 
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
 
Kollam call girls Mallu aunty service 7877702510
Kollam call girls Mallu aunty service 7877702510Kollam call girls Mallu aunty service 7877702510
Kollam call girls Mallu aunty service 7877702510
 

EMG

  • 1. Electromyography A practical guide to understanding muscle activity 1
  • 2. Muscle function • Muscles are the physiological motors of the human body • Kinematics and kinetics give us a good indication of the muscle groups • For increased specificity we measure a muscles activity during gait 2
  • 3. Electromyography • Definition of Electromyography (EMG) – Electromyography (EMG) is the detection and recording of the electrical signal produced by muscle tissue as it contracts. 3
  • 4. Muscle activation (sEMG) • Measurement of electrical signals within the muscle with two electrodes • A summation of the action potentials generated during contractions due to a change in the cell’s membrane potential • The size of the signal is dependent on the number and frequency of firing of motor units 4
  • 5. Why measure sEMG? • Measuring the muscle activity during gait allows: – an indication to whether the muscle is active – to see relative changes in timing of the muscles – to assess motor control and coordination – to determine any evidence of spasticity – to evaluate muscle function post-surgical transfer 5
  • 6. EMG does not tell us: • The strength of the muscle • What type of movement the signal represents • Whether the activity is compensatory or the primary abnormality. 6
  • 7. Electromyography • EMG includes the – Detection – Amplification – Recording – Processing and analysis – Interpretation • Three ways of recording the signals • Surface electromyography (sEMG) most popular 7
  • 8. How to measure sEMG • Positioning the patient 8 Recommendations: www.seniam.org
  • 9. How to measure sEMG • Determine the electrode location Recommendations: www.seniam.org 9
  • 10. How to measure sEMG • Skin preparation 10 Recommendations: www.seniam.org
  • 11. How to measure sEMG • Place and fix the electrodes securely 11 Recommendations: www.seniam.org
  • 12. Fine Wire EMG • Determine Position 12
  • 13. How to measure sEMG • Test the connection and accuracy of the placement 13 Recommendations: www.seniam.org
  • 14. Processing the signal • Raw signal 14 Not active active
  • 15. Processing the signal • Rectified signal 15 Not active active
  • 16. Processing the signal • Muscle timings 16 smoothed & rectified signal threshold Onset Off
  • 17. Processing the signal • Filtered 17 Not active active
  • 19. Factors that affect sEMG signal • Impedance of the tissue • Cross-talk between muscles • Changes in geometry between muscle and electrodes • External noise • All of these can be reduced using the 3P’s – Position, Preparation and Placement of the electrodes 19
  • 20. Repeatability and Interpretation of EMG data 20 • Very few studies in the general literature • Displayed the same way as general gait data • Normalisation methods need to be appropriate • sEMG alongside kinematics and kinetics can offer further details about muscle function • However, many labs choose specific individuals