Reducing electrocardiographic interference in the multichannel electromyogram to help muscle fatigue assessment in low-intensity contractions.

Abstract

Surface electromyography (EMG) can be used in the rehabilitation of musculoskeletal disorders, for evaluating the coordination of muscles that stabilize a joint, or as an objective tool in assessing muscle fatigue. This latter may be achieved by evaluating the low-frequency content of the EMG. However, the electrocardiogram (ECG) interference is also recorded when EMG is acquired close to the heart. It may mask or even modify the information of interest in the EMG. Different signal processing techniques have been proposed to eliminate ECG artifacts from the EMG signals, the high-pass filter being the most used one. Nevertheless, this classic filtering approach would also attenuate EMG activities below 30 Hz, which contain information from low-intensity muscle contractions. This work addresses the automatic ECG attenuation when multichannel EMG is collected on the left pectoralis major muscle during a muscle fatigue test. The proposed ECG artifact mitigation extends a successful automatic template subtraction (TS) approach, which does not require an extra reference channel and is now applied to independent EMG source signal components extracted using a blind source separation technique (ICA, Independent Component Analysis). The automatic detection of ECG components was performed through two alternative measures: entropy and Kullback-Leibler divergence. While the ECG interference seems to hamper the detection of muscle fatigue in the low-contraction regime, the association ICA+TS preserved better the EMG low-frequency content, and the entropy-based automatic detection was found to be more suitable, avoiding possible errors that might arise from manual detection procedures.