Adrian Burden

How should we normalize electromyograms obtained from healthy participants? What we have learned from over 25 years of research.

Electromyograms (EMGs) need to be normalized if comparisons are sought between trials when electrodes are reapplied, as well as between different muscles and individuals. The methods used to normalize EMGs recorded from healthy individuals have been appraised for more than a quarter of a century. Eight methods were identified and reviewed based on criteria relating to their ability to facilitate the comparison of EMGs. Such criteria included the magnitude and pattern of the normalized EMG, reliability, and inter-individual variability. If the aim is to reduce inter-individual variability, then the peak or mean EMG from the task under investigation should be used as the normalization reference value. However, the ability of such normalization methods to facilitate comparisons of EMGs is questionable. EMGs from MVCs can be as reliable as those from submaximal contractions, and do not appear to be affected by contraction mode or joint kinematics, particularly for the elbow flexors. Thus, the EMG from an isometric MVC is endorsed as a normalization reference value. Alternatively the EMG from a dynamic MVC can be used, although it is recognized that neither method is guaranteed to be able to reveal how active a muscle is in relation to its maximal activation capacity.

Normalisation of gait EMGs: a re-examination

The purpose of this study was to compare four different methods of normalising electromyograms (EMGs) recorded during normal gait. Comparisons were made between the amplitude, intra-individual variability and inter-individual variability of EMGs. Surface EMGs were recorded from the biceps femoris, semitendinosus, vastus lateralis and vastus medialis of ten males and two females while they walked on a treadmill at a self-selected speed. EMGs from the same muscles were subsequently recorded during isometric maximal voluntary contractions (MVCs) and concentric, isokinetic MVCs that were performed between 0.52 and 7.85 rad x s(-1) on a BIODEX dynamometer. EMGs were also recorded during eccentric, isokinetic MVCs between 0.52 and 2.62 rad x s(-1). Gait EMGs were then normalised at 2% intervals of the gait cycle by expressing them as a percentage of the following reference values: the mean (mean dynamic method) and the peak (peak dynamic method) EMG from the intra-individual ensemble average; the EMG from an isometric MVC (isometric MVC method); and the EMG from an isokinetic MVC that occurred with the same muscle action, length and velocity of musculotendinous unit as the gait EMGs (isokinetic MVC method). The isokinetic MVC method produced significantly greater (P<0.05) intra-individual variability compared to the other methods when it was measured using the variance ratio. Inter-individual variability of gait EMGs, again measured using the variance ratio, was also greatest when they were normalised using the isokinetic MVC method. The pattern and amplitude of EMGs normalised using the isometric MVC method and the isokinetic MVC method were very similar (root mean square difference and absolute difference both less than 3%). It was concluded that the isokinetic MVC method should not be adopted by gait researchers or clinicians as it does not reduce intra- or inter-individual variability anymore than existing normalisation methods, nor does it provide a more representative measure of muscle activation during gait than the isometric MVC method.

Normalisation of EMG amplitude: an evaluation and comparison of old and new methods

The purpose of this study was to evaluate and compare four different methods of normalising the amplitude of electromyograms (EMGs), from the biceps brachii. Five males performed isotonic contractions of the elbow flexors with an external force of 50 N, 100 N, 150 N and 200 N. These were followed by a single isometric maximal voluntary contraction (MVC) and ten isokinetic MVCs at 0.35 rad s(-1) intervals between 0.35 rad s(-1) and 3.50 rad s(-1). The processed EMGs recorded from the isotonic contractions were normalised by expressing them as a percentage of: (i) the mean (Dynamic Mean Method) and (ii) the peak EMG from the same contraction (Dynamic Peak Method), (iii) the EMG from the isometric MVC (Isometric MVC Method), and (iv) the EMG from an isokinetic MVC at the same elbow angle and angular velocity (Isokinetic MVC Method). The root mean square difference (RMSD) between the outputs of the Isokinetic MVC and Dynamic Mean methods was significantly greater (P<0.05) than between the Isokinetic MVC method and the Dynamic Peak and the Isometric MVC methods. The small (10%) difference between the Isokinetic MVC and the Isometric MVC Methods was a consequence, firstly, of the lack of difference in EMG recorded from the isometric and isokinetic MVCs and, secondly, the consistency in EMG over the range of motion and at different angular velocities of isokinetic MVC. We conclude that only the Isometric and Isokinetic MVC methods should be used to normalise the amplitude of EMGs from the biceps brachii.

Case report: reduction of low back pain in a professional golfer

Previous research agrees that the majority of injuries that affect male golfers are located in the lower back and that they are related to improper swing mechanics and/or the repetitive nature of the swing. This study describes the trunk motion and paraspinal muscle activity during the swing of a golfer with related low back pain (LBP) and assesses the effect of a 3-month period of muscle conditioning and coaching on these variables. Motion of the trunk was measured using three-dimensional video analysis and electromyograms (EMGs) were recorded from the same six sites of the erector spinae at the start and end of the 3-month period. At the end of the period, the golfer was able to play and practice without LBP. Coaching resulted in an increase in the range of hip turn and a decrease in the amount of shoulder turn, which occurred during the swing. In addition, a reduction in the amount of trunk flexion/lateral flexion during the downswing occurred in conjunction with less activity in the left erector spinae. These changes may serve to reduce the torsional and compressive loads acting on the thoracic and lumbar spine, which in turn may have contributed to the cessation of the LBP and would reduce the risk of reoccurrence in the future. In conclusion, further research with more subjects would now be warranted in order to test the findings of this program for the prevention of low back in golfers as piloted in this case report.

The role of predictive visual temporal information in the coordination of muscle activity in catching

SummaryThis study addresses the question as to the nature of the information on which the preactivation of the appropriate muscles in the grasping of the ball in a onehanded catching task is initiated and coordinated. High speed film and electromyograms were recorded while experiences subjects (N = 4) caught balls — projected towards them by a ball-machine at different speeds (11.9, 13.9 and 16.2 m/s — resulting in significantly different flight times of 508, 443 and 355 ms, respectively). Tau-margins (times to contact) values were calculated at the time of the initiation of the grasp movement for each subject at each speed. No significant differences were found between taumargins at different speeds. Further, the onset of the muscle activity for the initiation of the grasp movement was shown to be independent of ball speed. These findings lend support to the contention that the initiation of the grasp movement in catching is controlled and coordinated by the optical variable tau which specifies (directly) this time-to-contact. Given that the muscle group selected includes both flexors and extensors, co-activation on the basis of tau information is evidenced.

Participant-generated imagery scripts produce greater EMG activity and imagery ability

Abstract In this study, we examined whether movement imagery results in greater physiological responses and greater imagery ability when the imagery script is generated by the participant than when generated by the experimenter. Electromyography (EMG) was used to measure left and right biceps brachii and triceps muscle activity in 19 participants during physical and imagined performance of a set of 16 repetitions of a dumbbell curl performed with the right arm. EMG was measured during a relaxed baseline, physical trial and experimenter-generated and participant-generated imagery conditions. The experimenter-generated scripts were based on previously published imagery studies using the same task, whereas the participant-generated scripts were based on the self-reported stimulus and response propositions of the participants. The results showed that self-reported imagery ability ratings were higher, and EMG activity in the right bicep was greater, when the participants generated their own imagery scripts than when the script was produced by the experimenter. Results also showed that this effect was specific to the task-relevant muscle and arm. These results support Langs (1979, 1985) bioinformational theory and emphasize the importance of personalizing imagery interventions to produce a vivid imagery experience that is accompanied by task-specific physiological responses.

The Influence of Varying Hip Angle and Pelvis Position on Muscle Recruitment Patterns of the Hip Abductor Muscles During the Clam Exercise

STUDY DESIGN Within-subject, repeated-measures design. OBJECTIVES To determine the influence of pelvis position and hip angle on activation of the hip abductors while performing the clam exercise. BACKGROUND Therapeutic exercises are regularly employed to strengthen the hip abductors to improve lower-limb and pelvis stability. While previous studies primarily have compared the activity of hip abductor muscles between various exercises, few studies have examined the influence of varying the techniques of particular exercises on the relative activation of hip abductor muscles. Such information could be used to facilitate appropriate exercise instruction. METHODS Muscle activation in 17 healthy, asymptomatic volunteers during 6 variations of the clam exercise was analyzed with surface electromyography. Electromyographic signals were recorded from the gluteus maximus, gluteus medius, and tensor fasciae latae. Normalized data were examined using 2-way, repeated-measures analyses of variance. RESULTS The magnitude of gluteus maximus and gluteus medius activation was significantly greater when the pelvis was in neutral rather than reclined. Furthermore, gluteus medius activation was greatest when the hip was flexed to 60°. Activation of the tensor fasciae latae was not influenced by pelvis position or hip angle. CONCLUSION A neutral pelvis position is advocated to optimize recruitment of the gluteus maximus and gluteus medius during the clam exercise. Increasing the hip flexion angle increases activation of the gluteus medius. Tensor fasciae latae activity was relatively low and generally unaffected by variations of the clam exercise.

Impact of range of motion during ecologically valid resistance training protocols on muscle size, subcutaneous fat, and strength.

Abstract McMahon, GE, Morse, CI, Burden, A, Winwood, K, and Onambélé, GL. Impact of range of motion during ecologically valid resistance training protocols on muscle size, subcutaneous fat, and strength. J Strength Cond Res 28(1): 245–255, 2014—The impact of using different resistance training (RT) kinematics, which therefore alters RT mechanics, and their subsequent effect on adaptations remain largely unreported. The aim of this study was to identify the differences to training at a longer (LR) compared with a shorter (SR) range of motion (ROM) and the time course of any changes during detraining. Recreationally active participants in LR (aged 19 ± 2.6 years; n = 8) and SR (aged 19 ± 3.4 years; n = 8) groups undertook 8 weeks of RT and 4 weeks of detraining. Muscle size, architecture, subcutaneous fat, and strength were measured at weeks 0, 8, 10, and 12 (repeated measures). A control group (aged 23 ± 2.4 years; n = 10) was also monitored during this period. Significant (p > 0.05) posttraining differences existed in strength (on average 4 ± 2 vs. 18 ± 2%), distal anatomical cross-sectional area (59 ± 15 vs. 16 ± 10%), fascicle length (23 ± 5 vs. 10 ± 2%), and subcutaneous fat (22 ± 8 vs. 5 ± 2%), with LR exhibiting greater adaptations than SR. Detraining resulted in significant (p > 0.05) deteriorations in all muscle parameters measured in both groups, with the SR group experiencing a more rapid relative loss of postexercise increases in strength than that experienced by the LR group (p > 0.05). Greater morphological and architectural RT adaptations in the LR (owing to higher mechanical stress) result in a more significant increase in strength compared with that of the SR. The practical implications for this body of work follow that LR should be observed in RT where increased muscle strength and size are the objective, because we demonstrate here that ROM should not be compromised for greater external loading.

Repeatability of stature measurements in individuals with and without chronic low-back pain.

Measurements of reduction in stature have been used to compare spinal loading in chronic low-back pain (CLBP) and asymptomatic populations. Whether there are any differences in the repeatability of stature measurements, between those with and without CLBP, is not known. This investigation aimed to determine the repeatability of stature measurements in those with (n = 12) and without (n = 12) CLBP, and to establish if the ability to produce repeatable measurements is retained after a specific timeframe. Stature measurements were taken on two separate sessions that were 2 weeks apart, using a stadiometer accurate to 0.01 mm. All participants attained a mean SD of ≤0.5 mm by the third measurement set taken on the first session of testing and no significant difference in mean SD was found between those with (0.37 mm) and without (0.40 mm) CLBP (p > 0.05). Intraclass correlation coefficients (ICC) demonstrated good levels of repeatability for all stature measurements obtained from the participants and the values for Standard error of the measurement (SEM) improved as the mean SD decreased with each measurement set. Investigators should have confidence in the ability of those with and without CLBP to produce equally repeatable stature measurements with appropriate prior practice. The second session of testing demonstrated that both groups had retained the ability to achieve the desired level of repeatability (SD ≤0.5 mm) 2 weeks later without further practice.

Diurnal variation in stature: Do those with chronic low-back pain differ from asymptomatic controls?

BACKGROUND Stature loss is a commonly used measure of spinal load. The aim of this study was to investigate the pattern of diurnal stature change in those with and without chronic low-back pain, over a 24-h period. METHODS Eight participants with chronic low-back pain (age 24.6 (SD 4.3) years, height 1.76 (SD 0.08) m, body mass 72.8 (SD 11.1) kg) and eight controls (age 21.8 (SD 2.0) years, height 1.75 (SD 0.10) m, body mass 71.8 (SD 11.6) kg) participated in this investigation. Twenty-four stature measurements were performed over a 24-h period. FINDINGS The trough to peak variation in stature of 17.9 mm (low-back pain group) and 17.6mm (control group) did not differ between groups (P>0.05). Both groups experienced greatest stature change in the 1st hour after rising (31.3% [low-back pain] and 44.6% [control] of total stature change). At approximately 18:00h the LBP group reached a plateau whilst the control group continued to lose stature. Between 14:00 and 18:00h both groups demonstrated a previously unreported recovery of stature. A significant correlation was found between low-back discomfort and stature change in the low-back pain group only. INTERPRETATION No significant difference existed between groups in relation to total stature loss; however the low-back pain group appeared to reach their nadir earlier, possibly exposing other spinal structures to loading for a greater duration. This is supported by the relationship found between stature loss and discomfort. The reversal in stature loss in the afternoon may be of clinical significance and warrants further investigation.