Liliam Fernandes de Oliveira

Calculation of area of stabilometric signals using principal component analysis

In stabilometry, the sway of the human body in an upright posture is studied by monitoring the displacement of its centre of pressure in the lateral (x) and anterio-posterior (y) directions. The area covered by this trace has been defined as that of an ellipse fitted to the data. Conventionally, its angle of inclination is found through linear regression (LR) on the data in the x-y plane. In the present paper, principal component analysis (PCA) is proposed as providing a more suitable basis for the estimation of angle and area. Results of simulations and stabilometric tests confirm large differences between area and angle estimates obtained by regression of x over y, and y over x, with PCA generally agreeing with either one or the other of the LRs. The PCA technique is therefore recommended as an improved basis for measuring area and inclination of stabilograms, or similar data sets.

Digital Butterworth filter for subtracting noise from low magnitude surface electromyogram

This work presents a digital filter designed to delimitate the frequency band of surface electromyograms (EMG) and remove the mains noise and its harmonics, focusing the signal analysis during reduced muscle activity. A Butterworth filter was designed as the frequency-domain product of a second order, high-pass filter with cutoff frequency 10 Hz, an eighth order low-pass filter, with cutoff at 400 Hz and six stop-band filters, second order, centered at the 60 Hz mains noise and its harmonics until 360 Hz. The resulting filter was applied in both direct and reverse directions of the signals to avoid phase distortions. The performance was evaluated with a simulated EMG signal with additive noise in multiples of 60 Hz. A qualitative assessment was made with real EMG data, acquired from 16 subjects, with age from 20 to 32 years. Subjects were positioned in orthostatic position during 21s, being only the last second analyzed to assure stationarity. EMG were collected by Ag/AgCl electrodes on right lateral gastrocnemius, amplified with gain 5000, filtered in the band from 10 Hz to 1 kHz, and thus digitized with 2ksamples/s. The filter effectively removed the mains noise components, with attenuations greater than 96.6%. The attenuation of the simulated signal at frequencies below 15 Hz and at 60 Hz caused only a small reduction of total power, preserving the original spectrum. Thus, the filter resulted suitable to the proposed application.

Postural sway changes during pregnancy: A descriptive study using stabilometry

OBJECTIVE This study aims to analyse changes in body sway over the course of pregnancy. STUDY DESIGN This is a descriptive study in which stabilometric tests were applied at three stages of pregnancy and with a combination of different visual conditions (eyes open/closed) and support base configuration (feet together/apart). Twenty healthy pregnant women participated in the study. Changes in postural control with pregnancy were analysed via the elliptical area of the stabilograms and spectral analysis of the displacements of the centre of pressure (COP) along the lateral and anterior/posterior directions. RESULTS The elliptical area encompassing the COP significantly increased over the course of the pregnancy for the feet apart and eyes closed test protocols. The spectral analysis revealed a significant increase of COP oscillations along the anterior-posterior direction when subjects stood with the eyes open/feet together and feet apart. A reduction (significant) of the lateral oscillations of COP was observed for the eyes open/feet together protocol. CONCLUSION Pregnancy induced significant changes in the postural control when pregnant women stood with a reduced support base or with eyes closed.

Reliability of the rectus femoris muscle cross-sectional area measurements by ultrasonography

The skeletal muscle system can adapt to an external stimulus from either physiological or pathological conditions. This plasticity is measured by imaging techniques such as magnetic resonance imaging or ultrasound. The anatomical cross‐sectional area of a muscle is one of the muscle architecture parameters that relates to the maximum muscle strength. The aim of this study was to determine the reliability of anatomical cross‐sectional area rectus femoris measurements, obtained by ultrasound, with two different protocols. Acquisition of four anatomical cross‐sectional area images of the right rectus femoris in two distinct regions (15 cm above the patella and 50% of the thigh length) was performed in 2 days, from a group of 15 young healthy subjects. The cross‐sectional area of each image was measured five times. The reliability of the anatomical cross‐sectional area measures was determined by the coefficient of variation (CV), intraclass correlation coefficient (ICC) and typical error of measurement (TEM). In each protocol, there were no significant differences between the means of anatomical cross‐sectional area in measurements, images and days (P>0·05). The CVs were 8·53% and 8·9%, the ICCs 0·88 and 0·87 and the TEMs 65·59 and 94·25 between the 2 days in the regions of 15 cm and 50% of the thigh length, respectively. The average values of the cross‐sectional area at 50% of the thigh length were significantly higher than those for at 15 cm above the patella (P<0·001). The measurement of rectus femoris anatomical cross‐sectional area by ultrasound proved reliable.

Strength training's chronic effects on muscle architecture parameters of different arm sites.

Matta, T, Simão, R, de Salles, BF, Spineti, J, and Oliveira, LF. Strength trainings chronic effects on muscle architecture parameters of different arm sites. J Strength Cond Res 25(6): 1711-1717, 2011—Strength training generates alterations in muscle geometry, which can be monitored by imaging techniques as, for example, the ultrasound (US) technique. There is no consensus about the homogeneity of hypertrophy in different muscle sites. Therefore, the purpose of this study was to compare the muscle thickness (MT) and pennation angle (PA) in 3 different sites (50, 60, and 70% of arm length) of the biceps brachii and triceps brachii after 12 weeks of strength training. Forty-nine healthy untrained men were divided into 2 groups: Training Group ([TG, n = 40] 29.90 ± 1.72 years; 79.53 ± 11.84 kg; 173 ± 0.6 cm) and Control Group (n = 9 25.89 ± 3.59 years; 73.96 ± 9.86 kg; 171 ± 6 cm). The TG underwent a strength training program during 12 weeks, which included exercises such as a free-weight bench press, machine lat pull-down, triceps extension in lat pull-down, and standing free-weight biceps curl with a straight bar. A US apparatus was used to measure the PA and MT at the 3 sites. The maximal voluntary isometric contraction (MVC) test was conducted for each muscle group. After 12 weeks of training, a significant difference was observed between MT in biceps brachii, with an improvement of 12% in the proximal site, whereas the distal site increased by only 4.7% (p < 0.05). For the long head of the triceps brachii, the MT and PA at the 3 sites presented significant increases, but no significant variation was observed among them, probably because of the pennated-fiber arrangement. The MVC increased significantly for both muscle groups. The results indicated that the strength training program was efficient in promoting hypertrophy in both muscles, but with dissimilar responses of the pennated and fusiform muscle architecture at different arm sites.

An overview of age-related changes in postural control during quiet standing tasks using classical and modern stabilometric descriptors

Age-related changes in postural control during quiet standing likely result from underlying pathological conditions or from the low specificity of classical stabilometric parameters, which are vulnerable to base of support configurations and anthropometric differences. This study focuses on the identification of changes in postural control with natural aging by using conventional and recent stabilometric analysis, and on the interpretation of the stabilometric parameters according to a recently proposed framework of postural control. Quiet standing stabilometric tests were applied to 57 subjects equally divided into young, middle-aged and aged groups (19-29, 38-51 and 65-73 years, respectively) with eyes open and closed conditions. In addition to estimation of classical descriptors, center of pressure time series were approached according to a diffusion-like process and the recently proposed sway density curve. Two out of 10 estimated descriptors identified between-group differences. Aged subjects exhibited higher sway frequencies, possibly resulting from the increase of torque bursts produced by the plantar flexors, and stronger negative correlation between consecutive center of pressure displacements observed for long time intervals, likely due to higher amplitude of plantar flexors torque. Aging itself does not result in major changes of postural stability, but reflects a small increase in plantar flexion torque amplitude and frequency of torque adjustments, probably to compensate for the lower stiffness of calf muscle tendon in aged subjects.

Individual-specific muscle maximum force estimation using ultrasound for ankle joint torque prediction using an EMG-driven Hill-type model

EMG-driven models can be used to estimate muscle force in biomechanical systems. Collected and processed EMG readings are used as the input of a dynamic system, which is integrated numerically. This approach requires the definition of a reasonably large set of parameters. Some of these vary widely among subjects, and slight inaccuracies in such parameters can lead to large model output errors. One of these parameters is the maximum voluntary contraction force (F(om)). This paper proposes an approach to find F(om) by estimating muscle physiological cross-sectional area (PCSA) using ultrasound (US), which is multiplied by a realistic value of maximum muscle specific tension. Ultrasound is used to measure muscle thickness, which allows for the determination of muscle volume through regression equations. Soleus, gastrocnemius medialis and gastrocnemius lateralis PCSAs are estimated using published volume proportions among leg muscles, which also requires measurements of muscle fiber length and pennation angle by US. F(om) obtained by this approach and from data widely cited in the literature was used to comparatively test a Hill-type EMG-driven model of the ankle joint. The model uses 3 EMGs (Soleus, gastrocnemius medialis and gastrocnemius lateralis) as inputs with joint torque as the output. The EMG signals were obtained in a series of experiments carried out with 8 adult male subjects, who performed an isometric contraction protocol consisting of 10s step contractions at 20% and 60% of the maximum voluntary contraction level. Isometric torque was simultaneously collected using a dynamometer. A statistically significant reduction in the root mean square error was observed when US-obtained F(om) was used, as compared to F(om) from the literature.

Estimation procedures affect the center of pressure frequency analysis

Even though frequency analysis of body sway is widely applied in clinical studies, the lack of standardized procedures concerning power spectrum estimation may provide unreliable descriptors. Stabilometric tests were applied to 35 subjects (20-51 years, 54-95 kg, 1.6-1.9 m) and the power spectral density function was estimated for the anterior-posterior center of pressure time series. The median frequency was compared between power spectra estimated according to signal partitioning, sampling rate, test duration, and detrending methods. The median frequency reliability for different test durations was assessed using the intraclass correlation coefficient. When increasing number of segments, shortening test duration or applying linear detrending, the median frequency values increased significantly up to 137%. Even the shortest test duration provided reliable estimates as observed with the intraclass coefficient (0.74-0.89 confidence interval for a single 20-s test). Clinical assessment of balance may benefit from a standardized protocol for center of pressure spectral analysis that provides an adequate relationship between resolution and variance. An algorithm to estimate center of pressure power density spectrum is also proposed.

Isometric fatigue patterns in time and time–frequency domains of triceps surae muscle in different knee positions

The occurrence of fatigue in triceps surae (TS) muscles during sustained plantar flexion contraction is investigated by means of the RMS electromyogram (EMG) and the instantaneous median frequency (IMF) of the short time Fourier transform (STFT). Six male subjects realized a 40% maximal plantar flexion isometric voluntary contraction until fatigue in two knee positions. Electrodes were positioned on gastrocnemius medialis, gastrocnemius lateralis and soleus muscles. The torque (TO) and EMG signals were synchronized. The RMS and the median of the IMF values were obtained, respectively, for each 250 ms and 1s windows of signal. Each signal was segmented into 10 epochs, from which the mean values of IMF, RMS and TO were obtained and submitted to linear regressions to determine parameter trends. Friedman test with the Dunns post hoc were used to test for differences among muscles activation for each knee position and among slopes of regression curves, as well as to observe changes in TS RMS values over time. The results indicate different activation strategies with the knee extended (KE) in contrast to knee flexed (KF). With the KE, the gastrocnemii showed typical fatigue behavior with significant (p<0.05) IMF reductions and RMS increases over time, while soleus showed concomitant RMS and IMF increases (p<0.05) suggesting an increased soleus contribution to the torque production. With KF, the gastrocnemii were under activated, increasing the role of soleus. Thus, time-frequency analysis represented an important tool for TS muscular fatigue evaluation, allowing differentiates the role of soleus muscle.

Effects of maximal oxygen uptake test and prolonged cycle ergometer exercise on the quiet standing control

This work aims at testing the influence of peripheral and central fatigue, after maximal oxygen uptake test (Test1) and prolonged (Test2) cycle ergometer exercises, respectively, on sway density curve (SDC) parameters of postural control. Sixteen healthy male subjects were submitted to stabilometric tests, before and after the exercises. The Test1 was started at 12.5W, with 12.5W/min increments and 50rpm cadence until exhaustion. From the respiratory gas exchange signals, the first ventilatory threshold was obtained by the v-slope method. After a minimum of 72h, the subjects performed the Test2 for 60min, at a power output corresponding to 70% of such threshold. Before and just after these exercises, a set of 10 stabilometric trials of 50s was performed, alternating the eyes open and closed conditions, intercalated by a 10s resting period. The resulting signals were used to obtain the SDC. The Test1 caused decrease of the mean of peaks duration in SDC (p<0.05), decreasing the stability level, with small changes in the rates of central nervous system (CNS) and muscular torque controls. Conversely, Test2 increased the mean of time intervals between peaks in SDC (p<0.05), thus decreasing the CNS commands rate with minor changes in the stability level. Visual privation had a greater effect on body sway than these exercises, which were applied to muscles that are not the main actuators in body sway control. Concluding, this study allowed discriminating the effects of exercise intensities on body sway control.