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Surface Electromyography in Clinical Practice. A Perspective From a Developing Country.

Hachi Manzur-Valdivia1, Joel Alvarez-Ruf2,3

  • 1Red de Salud Universidad Católica-Christus, Santiago, Chile.

Frontiers in Neurology
|November 12, 2020
PubMed
Summary
This summary is machine-generated.

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Surface electromyography (sEMG) is underutilized in developing countries due to limited evidence of clinical outcomes and inadequate training. Socioeconomic factors and equipment accessibility further hinder its adoption in healthcare settings.

Area of Science:

  • Biomedical Engineering
  • Rehabilitation Science
  • Health Economics

Background:

  • Surface electromyography (sEMG) is a valuable tool in research, healthcare, and brain-machine interfaces.
  • Despite its potential, sEMG adoption in clinical practice, particularly in developing countries, remains limited.
  • Barriers include socioeconomic factors, insufficient evidence of clinical utility, inadequate training, and equipment accessibility issues.

Purpose of the Study:

  • To analyze the barriers to sEMG adoption in healthcare within developing countries, using Chile as a case study.
  • To evaluate the interplay between socioeconomic indicators, clinical evidence, training curricula, and equipment accessibility for sEMG implementation.

Main Methods:

  • Analysis of Chilean healthcare socioeconomic indicators and relevant sEMG literature.
Keywords:
Chileclinical trainingelectromyographic biofeedbacklow-income countriesneurorehabilitationphysiotherapy educationsurface electromyography

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  • Review of physical therapy school curricula in Chile to assess sEMG training.
  • Evaluation of the accessibility (affordability, availability, portability) of available sEMG devices.

    • Main Results:

    • Socioeconomic factors in developing countries favor cost-effective treatments, limiting sEMG use.
    • Lack of robust evidence demonstrating decisive clinical outcomes for sEMG applications hinders adoption.
    • Physical therapy training programs offer inadequate instruction on sEMG, and equipment accessibility remains a concern.

    Conclusions:

    • The limited use of sEMG in developing countries stems from a combination of insufficient evidence of crucial clinical outcomes and inadequate training.
    • These factors interact with local socioeconomic conditions, restricting the application of sEMG techniques in healthcare.
    • Addressing these barriers is essential for increasing the utilization of sEMG in rehabilitation and other health sectors.