High-density electromyographic data during isometric contractions of the ankle joint in children with cerebral palsy pre and post BoNT-A treatment

Muscle-Specific High-Density Electromyography Arrays for Hand Gesture Classification

OBJECTIVE

Dexterous hand motion is critical for object manipulation. Electrophysiological studies of the hand are key to understanding its underlying mechanisms. High-density electromyography (HD-EMG) provides spatio-temporal information about the underlying electrical activity of muscles, which can be used in neurophysiological research, rehabilitation and control applications. However, existing EMG electrodes platforms are not muscle-specific, which makes the assessment of intrinsic hand muscles difficult.

METHODS

Muscle-specific flexible HD-EMG electrode arrays were developed to capture intrinsic hand muscle myoelectric activity during manipulation tasks. The arrays consist of 60 individual electrodes targeting 10 intrinsic hand muscles. Myoelectric activity was displayed as spatio-temporal amplitude maps to visualize muscle activation. Time-domain and temporal-spatial HD-EMG features were extracted to train cubic support vector machine machine-learning classifiers to classify the intended user motion.

RESULTS

Experimental data was collected from 5 subjects performing a range of 10 common hand motions. Spatio-temporal EMG maps showed distinct activation areas correlated to the muscles recruited during each movement. The thenar muscle fiber conduction velocity (CV) was estimated to be at 4.70.3 m/s for all subjects. Hand motions were successfully classified and average accuracy for all subjects was directly related to spatial resolution based on the number of channels used as inputs; ranging from 744% when using only 5 channels and up to 922% when using 41 channels. Temporal-spatial features were shown to provide increased motion-specific accuracy when similar muscles were recruited for different gestures.

CONCLUSIONS

Muscle-specific electrodes were capable of accurately recording HD-EMG signals from intrinsic hand muscles and accurately predicting motion.

SIGNIFICANCE

The muscle-specific electrode arrays could improve electrophysiological research studies using EMG decomposition techniques to assess motor unit activity and in applications involving the analysis of dexterous hand motions.

Surface EMG in Clinical Assessment and Neurorehabilitation: Barriers Limiting Its Use

This article addresses the potential clinical value of techniques based on surface electromyography (sEMG) in rehabilitation medicine with specific focus on neurorehabilitation. Applications in exercise and sport pathophysiology, in movement analysis, in ergonomics and occupational medicine, and in a number of related fields are also considered. The contrast between the extensive scientific literature in these fields and the limited clinical applications is discussed. The "barriers" between research findings and their application are very broad, and are longstanding, cultural, educational, and technical. Cultural barriers relate to the general acceptance and use of the concept of objective measurement in a clinical setting and its role in promoting Evidence Based Medicine. Wide differences between countries exist in appropriate training in the use of such quantitative measurements in general, and in electrical measurements in particular. These differences are manifest in training programs, in degrees granted, and in academic/research career opportunities. Educational barriers are related to the background in mathematics and physics for rehabilitation clinicians, leading to insufficient basic concepts of signal interpretation, as well as to the lack of a common language with rehabilitation engineers. Technical barriers are being overcome progressively, but progress is still impacted by the lack of user-friendly equipment, insufficient market demand, gadget-like devices, relatively high equipment price and a pervasive lack of interest by manufacturers. Despite the recommendations provided by the 20-year old EU project on "Surface EMG for Non-Invasive Assessment of Muscles (SENIAM)," real international standards are still missing and there is minimal international pressure for developing and applying such standards. The need for change in training and teaching is increasingly felt in the academic world, but is much less perceived in the health delivery system and clinical environments. The rapid technological progress in the fields of sensor and measurement technology (including sEMG), assistive devices, and robotic rehabilitation, has not been driven by clinical demands. Our assertion is that the most important and urgent interventions concern enhanced education, more effective technology transfer, and increased academic opportunities for physiotherapists, occupational therapists, and kinesiologists.