Mean sEMG Research Articles

Associations Between Pelvis, Trunk, and Shoulder Girdle Muscle Activity; Age; and Scores During the Closed Kinetic Chain Upper Extremity Stability Test in Baseball Pitchers

OBJECTIVE: To evaluate associations between muscle activity, age, and scores on the Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST). DESIGN: Quasi-experimental. METHODS: Pelvic, trunk, and shoulder girdle surface electromyography (sEMG) and kinematic data were measured in 21 high school and college male baseball pitchers (17.4 ± 2.0 years, 184.4 ± 5.7 cm, 78.4 ± 14.2 kg) while they performed the CKCUEST. Mean sEMG data were computed while in sole support on the throwing-arm side (TS) as the glove-arm side (GS) was horizontally translating. Correlations and local regressions were used to assess associations and general patterns between mean sEMG data, age, and scores. RESULTS: TS serratus anterior, TS external oblique, GS serratus anterior, and TS gluteus medius had the highest mean sEMG data. Low-to-high significant correlations were found between proximal muscle groups. Correlations with the highest magnitudes in descending order were TS external oblique and TS gluteus maximus, TS external oblique and TS serratus anterior, and GS external oblique and TS gluteus medius. Small significant associations were observed between other muscle groups and age; there were no associations between muscle activity and test performance. CONCLUSION: Associations were observed between mean muscle activity among muscle groups and age but not test outcome. JOSPT Open 2024;2(4):297-305. Epub 7 June 2024. doi:10.2519/josptopen.2024.1023

Comparison of sEMG activity of submental muscles between the head-lift exercise, tongue-press exercise and the head extension tongue-press exercise in healthy young adults.

Swallowing is a complex function that requires precise coordination between different muscles. Weakness in submental muscles can lead to complications such as pharyngeal residue and aspiration. Therefore, exercise interventions targeting these muscles, such as the Head-Lift Exercise (HLE), are clinically important but pose challenges. This study aimed to compare the myoelectric activity of submental muscles during traditional Head-Lift Exercise (HLE), Tongue-Press Exercise (TPE) and Head Extension Tongue-Press Exercise (HETPE), providing potential alternatives to HLE. Thirty healthy volunteers (22 females and 8 males, mean age 25.63 ± 5.27 years) participated in this cross-sectional study. Surface electromyography (sEMG) recorded activity of the submental muscles bilaterally during HLE, TPE and HETPE. Participants performed each manoeuvre for 14 s, repeated three times in a counterbalanced order. Statistical analyses assessed differences in mean, maximum and median frequency of the sEMG signals among manoeuvres using repeated-measures analysis of variance (RM-ANOVA). The experienced irritation levels by participants during manoeuvres were also compared by the Friedman test. HETPE exhibited significantly higher maximum sEMG activity compared to HLE and TPE (p < .05). Mean sEMG activity was significantly increased during HETPE compared to TPE. Median frequency was significantly lower during HETPE compared to the two other exercises, indicating greater muscle fatigue. Participants reported similar levels of irritation for HLE and HETPE, and significantly lower levels during TPE. These results indicate that HETPE is effective in activating and strengthening submental muscles, potentially serving as a viable alternative to HLE without added difficulty. Further research is recommended to assess the long-term impacts on swallowing physiology in patients with dysphagia.

The Effect of Hip Flexor Tightness on Muscle Activity during the Front Squat

The purpose of this study was to compare peak and mean surface electromyography (sEMG) in the rectus femoris (RF), gluteus maximus (GM), biceps femoris (BF), semitendinosus (ST) muscles, and GM:BF muscle co-activation ratio during front squat between resistance trained females with and without hip flexor tightness. Peak and mean sEMG was recorded during three repetitions of 75% of one-repetition maximum (1RM) front squat of resistance trained females who either had hip flexor tightness (n = 9) or did not have hip flexor tightness (n = 7). Observed mean sEMG of the GM and BF was used to calculate GM:BF muscle co-activation. The result of the independent samples t-test indicated a statistically significant difference in peak RF (p = .013), peak (p = .001) and mean (p = .045) BF, and GM:BF muscle co-activation (p = .042) between those with and without hip flexor tightness during the ascending phase of a 75% 1RM front squat. The results indicate the RF and BF to be more active in resistance trained females with hip flexor tightness than those without hip flexor tightness during the front squat, potentially lowering GM activation relative to the BF. Fitness professionals should consider providing a hip flexor stretching interventions to prevent over activation of the BF when selecting the front squat as a resistance training exercise.

Hip thrust and back squat training elicit similar gluteus muscle hypertrophy and transfer similarly to the deadlift.

We examined how set-volume equated resistance training using either the back squat (SQ) or hip thrust (HT) affected hypertrophy and various strength outcomes. Untrained college-aged participants were randomized into HT (n = 18) or SQ (n = 16) groups. Surface electromyograms (sEMG) from the right gluteus maximus and medius muscles were obtained during the first training session. Participants completed 9weeks of supervised training (15-17 sessions), before and after which gluteus and leg muscle cross-sectional area (mCSA) was assessed via magnetic resonance imaging. Strength was also assessed prior to and after the training intervention via three-repetition maximum (3RM) testing and an isometric wall push test. Gluteus mCSA increases were similar across both groups. Specifically, estimates [(-) favors HT (+) favors SQ] modestly favored the HT versus SQ for lower [effect ±SE, -1.6 ± 2.1 cm2; CI95% (-6.1, 2.0)], mid [-0.5 ± 1.7cm2; CI95% (-4.0, 2.6)], and upper [-0.5 ± 2.6cm2; CI95% (-5.8, 4.1)] gluteal mCSAs but with appreciable variance. Gluteus medius + minimus [-1.8 ± 1.5cm2; CI95% (-4.6, 1.4)] and hamstrings [0.1 ± 0.6cm2; CI95% (-0.9, 1.4)] mCSA demonstrated little to no growth with small differences between groups. mCSA changes were greater in SQ for the quadriceps [3.6 ± 1.5cm2; CI95% (0.7, 6.4)] and adductors [2.5 ± 0.7cm2; CI95% (1.2, 3.9)]. Squat 3RM increases favored SQ [14 ± 2kg; CI95% (9, 18),] and hip thrust 3RM favored HT [-26 ± 5kg; CI95% (-34, -16)]. 3RM deadlift [0 ± 2kg; CI95% (-4, 3)] and wall push strength [-7 ± 12N; CI95% (-32, 17)] similarly improved. All measured gluteal sites showed greater mean sEMG amplitudes during the first bout hip thrust versus squat set, but this did not consistently predict gluteal hypertrophy outcomes. Squat and hip thrust training elicited similar gluteal hypertrophy, greater thigh hypertrophy in SQ, strength increases that favored exercise allocation, and similar deadlift and wall push strength increases.

Comparison of spasticity measurements with surface electromyography in the affected and unaffected side of children with hemiparetic cerebral palsy

Aims: Various methods are used in the evaluation of spasticity, which is common in Cerebral Palsy (CP). However, studies measuring upper extremity spasticity with Surface Electromyography (sEMG) were found to be insufficient in children with CP. In this study, the comparison of Modified Ashworth Scale (MAS) and sEMG measurements for bilateral upper extremity spasticity in children with Hemiparetic CP was aimed. Methods: 33 (11.03 ± 3.82 years, 11F-2M) patients with hemiparetic CP and 32 healthy controls (10.31± 2.88 years, 16F-16M) with a similar mean age were included in the study. Results: Upper extremity spasticities of both sides of the cases were evaluated with MAS and SEMG. Affected side MAS results were found to be higher than the unaffected side (p&lt;0.05). The mean sEMG value of the wrist flexors was lower on the affected side during voluntary contraction and higher during voluntary relaxation (p&lt;0.05). In addition, the maximum percentage of voluntary contraction was measured higher on the affected side (p&lt;0.05). Conclusion: Spasticity, as assessed by sEMG and MAS, was increased on the affected side. MAS and sEMG give consistent results. These results show us that the YEMG method can be used for spasticity measurements. It is considered that MAS would be a preferable method in evaluating spasticity owing to the fact that it is easy to use and it does not constitute extra costs.

Effects of Age and Lingual-Palatal Pressure Levels on Submental Surface Electromyography Measures.

Submental surface electromyography (sEMG) may provide information about the lingual-palatal pressure (LPP) during swallowing. However, the extent to which changes in age and LPP levels are reflected in different sEMG measures is unclear. This study aimed to understand the effects of age and different levels of submaximal LPPs on submental sEMG peak, average, and integrated values in healthy adults. Ninety community-dwelling healthy participants were categorized into three age groups (young: 20-39years, middle age: 40-59years, older: 60 ≥ years). sEMG and LPP measurements were collected concurrently. After placing the sEMG electrodes, the maximal isometric LPP was established using the Iowa oral performance instrument (IOPI) on the anterior tongue. sEMG recordings were conducted for three submaximal LPP levels, including 40%, 60%, and 80% of the maximum LPP. Two-way repeated measure ANOVAs were conducted to find the effects of age and varying LPP levels on mean sEMG peak, average, and integrated measures. A significant age by LPP level interaction was identified for sEMG peak [F (4, 172) = 4.116, p < 0.007, ηp2 = 0.087], sEMG average [F (4, 170) = 5.049, p < 0.001, ηp2 = 0.106], and sEMG integrated values [F (4, 170) = 4.179, p < 0.003, ηp2 = 0.090]. Post hoc testing demonstrated that, in general, sEMG values significantly increased with rising LPP levels, primarily for younger and middle-aged adults. Furthermore, at 80% of maximum LPP, older adults generated less sEMG average and integrated values than middle age (only significant for sEMG integrated value) and younger adults. Likewise, max LPP was lower in older adults compared with young and middle-aged groups. Submental sEMG has the potential to be incorporated into a skill-based lingual exercise paradigm to improve tongue function during swallowing. Moreover, submental sEMG can characterize some age-related subclinical changes in swallowing.

Effects of Carbonated Water Concentration on Swallowing Function in Healthy Adults.

In this study, we investigated the effects of carbonated water concentration on swallowing function using surface electromyography (sEMG). Healthy subjects (n = 52, 26.77 ± 3.21years old) were asked to perform two swallows each of noncarbonated water, low-concentration carbonated water, medium-concentration carbonated water, and high-concentration carbonated water. Onset time, the mean sEMG activity amplitude, and duration of muscle activity in each swallow were measured and analyzed for orbicularis oris, masseter, submental muscle complex and infrahyoid muscles. Onset time significantly decreased and mean sEMG activity amplitude significantly increased with carbonation concentration. Therefore, stimulation with carbonation can be effective for modulating a faster and stronger swallow in the oral and pharyngeal phases of swallowing, and its effect on amplitude was greater in the oral phase than in the pharyngeal phase.Clinical Trials Registration This study is registered with Clinical Research Information Service (KCT0005925).

A critical appraisal of ankle rehabilitative interventions

ABSTRACT Introduction Lateral ankle sprain is a common musculoskeletal pathology. Functional exercise progression is vital to restore full function. Aim The aim of this study was to compare the electromyographical response to a standard balance task on one stable and four unstable surfaces. Participants Twenty subjects (5 male, 15 females; age at 23 ± 7.1 years) were recruited to participate in the study. Methods A gym-based single session cross over design was used to compare peak and mean surface EMG (sEMG) activity of the Peroneus Longus, Tibilais Anterior and medial head of the gastrocnemius muscles whilst performing a standardized balance task on one stable surface and four unstable surfaces stable surface. Results A significant main effect for surface was found. Post-hoc testing revealed that the Floor and Trampoline (Trampet) elicited similar mean sEMG response. Discussion The results of the study propose a safe and stepwise progressive rehabilitation regime following ankle injury whilst considering the healing process of the injured structure.

Analysis of Vastus Lateralis and Vastus Medialis Activities in Men the Late Post-Surgery Period after ACL Reconstruction with LARS Synthetic Ligament.

The aim of the study was to assess the activity of the vastus lateralis (VAL) and vastus medialis (VAM) within 3-5 years after anterior cruciate ligament (ACL) reconstruction with a LARS synthetic ligament (the Ligament Advanced Reinforcement System) compared to muscle activity in the non-operated limb and in the limbs of the controls during selected functional tests. 20 men after ACL reconstruction using LARS synthetic ligament were qualified to the study group. The control group included 20 healthy men. Lysholm scale used to assess the functionality of the knee joint. To test muscle activity, TELEMYO DTS surface electromyography (sEMG) recording kit by Noraxon was used. The examined muscles on both limbs were the VAL and the VAM. The subjects were asked to perform the test-movements (dynamic ascent and descent from 25 cm step and slowly squats). Statistically significant differences were noted only for the values of VAL SA_SD (the quotients of mean sEMG values of the VAL muscle during step ascent - SA and descent -SD; Z=2.83; p=0.0047) and VAM SA_SD (Z=1.98; p=0.0401) parameters. In each analyzed parameter higher values were recorded among people from the control group. Weak but significant correlations were found between the VAL and VAM: SA_SD and the results obtained on the Lysholm Scale. 1. In the group of patients after LARS, quadriceps activity disorders persisted in tested dynamic activities. 2. In the therapy planning or sports training in the distant period after ACL reconstruction with LARS, emphasis should be placed on quadriceps muscle training, and the sEMG test may be helpful in optimizing the management strategy.

Relationship Between Electromyographic Frequency of the Erector Spinae and Location, Direction, and Number of Spinal Curvatures in Children with Scoliotic Changes.

IntroductionThe aim of the study was to assess the relationship between erector spinae electromyographic frequency (SEMG) and the location, direction and number of spinal curvatures in children with scoliotic changes.MethodsAnalysis comprised 103 (42,21%) children with scoliosis and 141 (57.79%) with scoliotic posture. Body posture and the spine were examined using the Diers formetric III 4D optoelectronic method. Electromyographic analysis was performed using a 14-channel Noraxon TeleMyo DTS apparatus.ResultsIn girls, the highest mean SEMG frequency of the erector spinae, calculated from 16 measurements, occurred in the case of scoliotic posture (Mean = 73.69 Hz), while in boys, the greatest values were noted for scoliosis (Mean = 79.75 Hz). There was a significant correlation between erector spinae SEMG frequency and curvature location, both in the scoliosis group (p = 0.003) and in the group with scoliotic posture (p = 0.04). There was also a significant correlation between SEMG frequency of the erector spinae and direction of the curvature, both in the scoliosis (p = 0.01) and scoliotic posture groups (p = 0.04), as well as between the erector spinae SEMG frequency and the number of spinal curvatures (scoliosis group: p = 0.03; scoliotic posture group: p = 0.03).ConclusionThe study is of applicative value and fills the gap in research on erector spinae SEMG frequency of in low-grade scoliosis among small children. Our research can also be used in research on the etiology and progression scoliosis. Visible disturbances in the erector spinae SEMG frequency (activity and tension) contribute to the development of curvature and testify to the fact that these changes are the primary cause of idiopathic scoliosis. Scoliosis is merely a symptom, an external expression of CNS dysfunction that is not fully recognised. It is also visible on the SEMG record of postural muscles. Our objective is to contribute to creating a future model record for SEMG of the postural muscles, characteristic for children with scoliosis. Then, based on electromyographic examination, it will be possible to identify initial symptoms of scoliosis and start preventive rehabilitation before irreversible bone changes occur.

Ergonomic advantage of pistol-grip endoscope in the ENT practice.

ObjectivesRecent technology manufactured a nasopharyngeal videoscope with pistol‐shaped grip (PG). This study aimed to assess the ergonomic feasibility of this novel device in daily ENT practice.MethodsTo assess the ergonomic impact of grip shape on ENT physicians, conventional grip videoscope (CG) and PG were utilized in this study. Surface electromyography (sEMG) was recorded to assess the muscle activity in the upper limb during endoscopy on a training model. Bilateral sEMG recordings were performed including thenar muscle, pronator teres muscle, brachioradialis muscle, and biceps brachii muscle. Mean value of the mean sEMG amplitude throughout the task in triplicated examinations (mMA) with each electrode, total values of four mMAs in both of the grip‐side and the insertion tube‐side limb muscles, and total value of all eight mMAs were calculated, and compared between CG and PG. Subgroup analyses were also performed in the experienced ENT physicians and the residents.ResultsPG provided significantly lower mMA values in thenar muscle and brachioradialis muscle of the grip‐side limb compared with CG. Total value of four mMAs in PG was significantly lower compared with that in CG in the grip‐side limb, and total value of all eight mMAs in PG was significantly lower compared with that in CG. Furthermore, total value of four mMAs in PG was significantly lower compared with that in CG in the grip‐side limb, in both of the subgroups.ConclusionThis is the first study to support the idea that the newly designed pistol‐grip endoscope may have an ergonomic advantage over conventional endoscope for otolaryngologists in daily practice.Level of Evidence4

Surface Electromyography of the Longissimus and Gluteus Medius Muscles in Greyhounds Walking and Trotting on Ground Flat, Up, and Downhill.

Simple SummaryIn the field of canine physical rehabilitation and sports medicine, knowledge of muscle function in the therapeutic exercises prescribed is needed by physical therapists and veterinary surgeons. The longissimus dorsi and gluteus medius muscles are of great interest due to their role in locomotion related to frequent canine diseases. The muscle activity of these two muscles was studied in five Greyhound dogs performing slow, controlled leash walking and trotting on ground exercises uphill and downhill, commonly prescribed as therapeutic exercises. Results showed that for the same incline, the muscle activity of longissimus muscle was higher at the trot than at the walk. It was also shown that incline and decline affected the muscle activity of the longissimus and gluteus medius muscles of dogs walking or trotting on the ground. Walking and trotting up and downhill added separate therapeutic value to flat motion. The results of the present study might contribute to a better understanding of the function of longissimus and gluteus medius muscles in dogs, this being especially useful for the field of canine rehabilitation. In the field of canine rehabilitation, knowledge of muscle function in the therapeutic exercises prescribed is needed by physical therapists and veterinary surgeons. To gain insight into the function of longissimus dorsi (LD) and gluteus medius (GM) muscles in dogs, five Greyhounds performing leash walking and trotting on the ground flat, up (+7%), and downhill (−7%) were studied by surface electromyography, and the mean and maximum activity was compared. For the same incline, the surface electromyography (sEMG) of LD was higher (p < 0.05) at the trot than at the walk. In LD muscle, trotting uphill showed significantly higher maximum activity than any other exercise. A change of +7% incline or −7% decline affected (increased or decreased, respectively) the mean sEMG of the LD and GM muscles of dogs walking or trotting on the ground. When combined, the influence of gait and incline on electromyographic activity was analyzed, and walking at certain inclines showed no difference with trotting at certain inclines. Walking and trotting up and downhill added separate therapeutic value to flat motion. The results of the present study might contribute to a better understanding of the function of LD and GM muscles in dogs, this being especially useful for the field of canine rehabilitation.

Effects of bodyweight support and guidance force on muscle activation during Locomat walking in people with stroke: a cross-sectional study

BackgroundLocomat is a robotic exoskeleton providing guidance force and bodyweight support to facilitate intensive walking training for people with stroke. Although the Locomat has been reported to be effective in improving walking performance, the effects of training parameters on the neuromuscular control remain unclear. This study aimed to compare the muscle activities between Locomat walking and treadmill walking at a normal speed, as well as to investigate the effects of varying bodyweight support and guidance force on muscle activation patterns during Locomat walking in people with stroke.MethodsA cross-sectional study design was employed. Participants first performed an unrestrained walking on a treadmill and then walked in the Locomat with different levels of bodyweight support (30% or 50%) and guidance force (40% or 70%) at the same speed (1.2 m/s). Surface electromyography (sEMG) of seven muscles of the affected leg was recorded. The sEMG envelope was time-normalised and averaged over gait cycles. Mean sEMG amplitude was then calculated by normalising the sEMG amplitude with respect to the peak amplitude during treadmill walking for statistical analysis. A series of Non-parametric test and post hoc analysis were performed with a significance level of 0.05.ResultsFourteen participants with stroke were recruited at the Yangzhi Affiliated Rehabilitation Hospital of Tongji University (female n = 1; mean age 46.1 ± 11.1 years). Only the mean sEMG amplitude of vastus medialis oblique during Locomat walking (50% bodyweight support and 70% guidance force) was significantly lower than that during treadmill walking. Reducing both bodyweight and guidance increased muscle activity of gluteus medius and tibialis anterior. Activity of vastus medialis oblique muscle increased as bodyweight support reduced, while that of rectus femoris increased as guidance force decreased.ConclusionsThe effects of Locomat on reducing muscle activity in people with stroke were minimized when walking at a normal speed. Reducing bodyweight support and guidance force increased the activity of specific muscles during Locomat walking. Effects of bodyweight support, guidance force and speed should be taken into account when developing individualized Locomat training protocols for clients with stroke.

Alterations in Surface Electromyography Are Associated with Subjective Masticatory Muscle Pain

Background Tenderness of masseters and temporalis can be considered a relevant tool for diagnosis of myo-type craniofacial pain disorders, but a limit of pain score systems is that they are based on subjective pain perception. Surface electromyography (sEMG) is a noninvasive and reliable tool for recording muscle activity. Therefore, we investigated whether a correlation exists between tenderness on masseters and temporalis, assessed by subjective pain scale, and muscles activity, evaluated by sEMG, in patients with painful temporomandibular disorder (TMD) and concurrent tension-type headache (TTH). Methods A cross-sectional study on fifty adult volunteer patients with TMD and TTH, who underwent tenderness protocol according to Diagnostic Criteria for TMD (DC/TMD) guidelines, was conducted followed by sEMG recording of temporalis and masseters. Pearson's correlation was performed to investigate the correlation between muscular activity and subjective pain scores. Results An overall moderate correlation between muscle tenderness and sEMG values (y = 1 + 1.2 · x; r2 = 0.62; p < 0.0001), particularly in the temporalis, was observed. Segregation of data occurred according to tenderness and sEMG values. At the highest pain score, the mean sEMG absolute value was higher at the temporalis than the masseters. Conclusions Our study provides evidence that subjective pain perception can be objectively quantified at a magnitude proportional to pain severity. At greater tenderness scores, higher sEMG activity at the level of temporalis could help discriminate clinically prevalent TTH versus prevalent TMD. sEMG confirms to be an accurate tool to reliably objectify the subjective perception of pain. When combined with clinical evaluation and patients' symptoms, sEMG increases diagnostic sensitivity in the field of myo-type craniofacial pain disorders. This trial is registered with NCT02789085.

Intraday and interday reliability of pelvic floor muscles electromyography in continent woman.

Vaginal surface electromyography (sEMG) is a tool used for the diagnosis and therapeutic intervention of urinary incontinence. Current sEMG systems differ in regard to electrode arrangement and data reproducibility. The aim of this study was to determine the intrasession, intraday, and interday reliabilities of sEMG parameters using a probe with circumferential electrode-position. The intrasession, intraday, and interday reliabilities of maximum isometric voluntary contractions (MVC) of the pelvic floor muscles were assessed for 19 healthy continent women. Three sEMG parameters that are used to describe muscle activity were verified: maximal EMG (EMGmax ), mean over 500 ms around EMGmax (EMGA0.5 ), and mean over 2 seconds during MVC plateau (EMGA2-4 ). Relative and absolute reliability parameters were calculated, and the statistical methods described by Bland and Altman were applied to the data. We observed substantial reliabilities for all obtained parameters (EMGmax , EMGA2-4 , and EMGA0.5 ) in regard to the intrasession measurements (ICC = 0.93-0.97; CI = 0.86-0.99). Overall, the intraday reliability has been moderate (ICC = 0.64-0.75; CI = 0.27-0.90). EMGmax (ICC = 0.75; CI = 0.45-0.90) and EMGA2-4 (ICC = 0.73, CI = 0.42-0.89) were higher than EMGA0.5 (ICC = 0.64; CI = 0.27-0.85). However, the interday reliability was only fair for EMGmax (ICC = 0.48; CI = 0.04-0.77) and EMGA0.5 (ICC = 0.51; CI = 0.07-0.78) but moderate for EMGA2-4 (ICC = 0.65; CI = 0.28-0.85). This intrasession, intraday, and interday reliability results are similar to the results reported in the literature using probes with longitudinally oriented bars. The mean sEMG signal over 2 seconds (EMGA2-4 ) exhibited the highest reliability and is recommended for further studies. The interday reliability might be enhanced by considering the menstruation cycle.

P77-S Early results of rTMS application in the recovery of motor function in the iSCI subjects

Background Patients with incomplete spinal cord injuries (iSCI) present impairment of motor and sensory functions associated with increased spasticity. The repetitive transcranial magnetic stimulation (rTMS) becomes widely used to potentiate the effects of long-lasting physical rehabilitation in the iSCI subjects. The purpose of this study was ascertaining the early changes in activity of motor muscles units and spinal cord efferent transmission studied with surface electromyography (sEMG) and motor evoked potentials (MEPs) recordings after five repeated sessions of rTMS applied every month to the iSCI subjects along with rehabilitation. Material and methods Twenty-eight subjects with iSCI at C2-Th12 levels were subjected to twenty sessions of rTMS for five months (three to four sessions every month). Subjects received 800 biphasic pulses (20 Hz, 2s trains, 28s ITI, 36–38% MSO) per day bilaterally over the primary motor cortex areas (MagVenture). sEMG at rest and during attempts of maximal contraction lasting five seconds and MEPs recordings from five observation periods were analyzed before and after rTMS. Results After five rTMS meetings a significant decrease in sEMG amplitudes recorded at rest and increase of mean sEMG amplitudes recorded during maximal contraction were observed. A moderate increase of mean MEPs amplitudes was observed on certain observation period. Conclusions rTMS provided decrease of spasticity as evaluated in sEMG recordings at rest and evoked simultaneous improvement of muscle’s motor units’ contractions as well as the efferent transmission in spinal pathways in the iSCI subjects. The study was supported by the Nicholls Spinal Injury Foundation, UK .

A Device Improves Signs and Symptoms of TMD.

Background Temporomandibular joint dysfunction (TMD) therapy remains an open challenge for modern dentistry. Herein, we propose a new neuromuscular lingual device able to reduce signs and symptoms of TMD in female patients with chronic orofacial pain. Methods 50 females with myofascial TMD according to RDC/TMD were randomly assigned to study (n = 25) and control groups (n = 25). At T0, both groups received sEMG/KNG and pain evaluation by the VAS scale. The study group received the ELIBA device (lingual elevator by Balercia) constructed under ULF-TENS (ultra-low-frequency transcoutaneous electrical nervous stimulation). Subjects were instructed to use ELIBA at least for 16 h/day. After 6 months (T1), both groups underwent to sEMG/KNG and VAS revaluation. Results T1 study group compared to controls showed a significant reduction in total (p < 0.0001) and mean (p < 0.0001) sEMG values, as well as a significant increase in both maximum vertical mouth opening (p=0.003) and maximum velocity in mouth opening (p=0.003) and closing (p < 0.0001). Interestingly, a significant reduction in pain measured by VAS (p < 0.0001) was reported. Conclusions After 6 months, the ELIBA device is able to significantly reduce TMD-associated myogenous pain and to promote the enhancement of sEMG/KNG values. Practical Implications. ELIBA can be considered as a new device, potentially useful for head-neck pain relief in patients suffering from chronic TMD. In addition, its use promotes a muscles relaxation inducing freeway space increase. This characteristic makes it particularly useful for rehabilitation of patients with not enough space for construction of conventional orthotics or neuromuscular bites.

TRUNK MUSCLE ACTIVATION IN CHILDREN WITH SPASTIC DIPLEGIC CEREBRAL PALSY USING A HIPPOTHERAPY SIMULATOR

Purpose: To determine if there is a difference in trunk muscle activation in children with spastic diplegic cerebral palsy (CP) compared to typically developing (TD) children while being held in different positions on a hippotherapy simulator. Methods: Five children with spastic diplegic CP and five TD children of similar age were recruited through the Children’s Hospital of Wisconsin. The participants were held in static positions sitting on a hippotherapy simulator at 10[Formula: see text], 15[Formula: see text], and 20[Formula: see text] from the midline to front, back, and side positions. Surface electromyography (sEMG) data were collected from the left and right latissimus dorsi, hip adductor, middle trapezius, and rectus abdominis muscles. The pooled mean sEMG amplitude, at each position, served as the main outcome measurement. Results: The forward position at 20[Formula: see text] for the left and right lower rectus abdominis and right middle trapezius muscles had an effect size of [Formula: see text]. This was also evident in the right middle trapezius at 10[Formula: see text] in the forward and left tilted positions, and in the right latissimus dorsi at the 10[Formula: see text] left tilted position. Conclusion: Different sEMG in the abdominal, middle trapezius, and latissimus dorsi muscles in children with spastic diplegic CP suggests that utilizing a trunk position of different angles may improve the current therapeutic methods in the recruitment of trunk muscles.

Abnormal locomotor muscle recruitment activity is present in horses with shivering and Purkinje cell distal axonopathy.

Cerebellar Purkinje cell axonal degeneration has been identified in horses with shivering but its relationship with abnormal hindlimb movement has not been elucidated. To characterise surface electromyographic (sEMG) hindlimb muscle activity in horses with shivering, correlate with clinical scores and examine horses for Purkinje axonal degeneration. Descriptive controlled clinical study. The hindlimb of seven shivering and six control draught horses were clinically scored. Biceps femoris (BF), vastus lateralis (VL), tensor fasciae latae and extensor digitorum longus were recorded via sEMG during forward/backward walking and trotting. Integrated (iEMG) and peak EMG activity were compared between groups and correlated with clinical locomotor exam scores. Sections of the deep cerebellar nuclei (DCN) of six of the seven shivering horses were examined with calbindin immunohistochemistry. In control horses, backward walking resembled forward walking (right hindlimb peak EMG: backward: 47.5±21.9%, forward: 36.9±15.7%) but displayed significantly higher amplitudes during trotting (76.1±3.4%). However, in shivering horses, backward walking was significantly different from forward (backward: 88.5±21.5%, forward: 49.2±8.9%), and resembled activity during trotting (81.4±4.8%). Specific to backward walking, mean sEMG amplitude fell outside two standard deviations of mean control sEMG for ≥25% of the stride in the BF for all seven and the VL for six of the seven shivering horses. Locomotor exam scores were correlated with peak EMG (r=0.87) and iEMG (r=0.87). Calbindin-positive spheroids were present in Purkinje axons in DCN of all shivering horses examined. The neuropathological examination focused specifically on the DCN and, therefore, we cannot fully exclude additional lesions that may have influenced abnormal sEMG findings in shivering horses. Shivering is characterised by abnormally elevated muscle recruitment particularly in BF and VL muscles during backward walking and associated with selective Purkinje cell distal axonal degeneration.

Comparison of trunk electromyographic muscle activity depends on sitting postures

Different postural positions can be characterized by the activation and relative contributions of different postural muscles, and may variously contribute to the recovery from or worsening of chronic lower back pain. The present study aimed to investigates trunk muscle activities in four types of seated postures: cross-legged, long, side, and W-shaped. Eight healthy adults participated in the study. Trunk muscle activities of the external oblique (EO), rectus abdominis (RA), latissimus dorsi (LD), and erector spinae (ES) muscles in each of the sitting postures including cross-legged, long, side, and W-shaped were collected utilizing surface electromyography (sEMG). The mean sEMG signals in each of the sitting postures were used for statistical comparisons. There were no significant differences in electromyographic muscle activity of EO, RA, LD, and ES in the four postures (p > 0.05). However, in the W-shape sitting posture, the left LD showed the greatest electromyographic muscle activity, followed by the right LD and left EO, respectively. The right and left LD in the long sitting posture and left ES in the side sitting posture showed greater electromyographic muscle activity than that of other muscles. Based on the results, trunk muscle activity did not significantly differ between the four types of sitting postures. However, our study is limited by its experimental method and sample size. Thus, in the Future, further study will be needed.