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When the neuron of a motor unit fires an action potential, it triggers a series of events, leading to a twitch contraction in the muscle fibers. The process of excitation-contraction coupling is crucial in relaying the action potential to the muscle fibers.
The latent period of contraction marks the onset of excitation-contraction coupling, when the action potential propagates across the sarcolemma, preparing the muscle fibers for contraction. As the fibers enter the contraction phase, the...
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Assessment of Neuromuscular Function Using Percutaneous Electrical Nerve Stimulation
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Submaximal contractions can serve as a reliable technique for shoulder electromyography normalization.

Jennifer Cooper1, Andrew Karduna1

  • 1Department of Human Physiology, University of Oregon, Eugene, OR, United States.

Journal of Biomechanics
|March 1, 2022
PubMed
Summary

This study found that normalizing electromyography (EMG) data using standardized submaximal contractions offers a reliable alternative when maximal voluntary contractions are impractical. Reliability varied by muscle, but submaximal normalization is a viable technique for most muscles.

Keywords:
ElectromyographyKinematicsNormalizationShoulder

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Area of Science:

  • Biomechanics
  • Neuroscience
  • Physiology

Background:

  • Electromyography (EMG) data normalization is crucial for comparing muscle activity.
  • Maximal voluntary contraction (MVC) is the standard normalization method but is not always practical.
  • Alternative normalization techniques are needed for diverse clinical and research scenarios.

Purpose of the Study:

  • To evaluate the reliability of electromyography (EMG) data normalization using standardized submaximal contractions.
  • To compare the reliability of submaximal normalization across different muscles and force percentages.
  • To determine the viability of submaximal normalization when MVC is impractical.

Main Methods:

  • Twenty healthy subjects (10 male, 10 female) participated in the study.
  • Surface and fine-wire electromyography were used to record muscle activity.
  • Data were collected over two sessions at 15%, 30%, 45%, and 60% of day 1 maximum force, with testing repeated after an average of 5.3 days.

Main Results:

  • Intraclass correlation coefficient (ICC) and standard error of measurement (SEM) values indicated varying reliability across submaximal percentages for different muscles.
  • Deltoid heads, upper trapezius, and serratus anterior showed good reliability under at least one submaximal condition.
  • Latissimus dorsi and supraspinatus demonstrated moderate reliability, while the infraspinatus showed poor reliability across all tested conditions.

Conclusions:

  • Electromyography (EMG) amplitude normalization to standardized submaximal contractions is a viable alternative to MVC for many muscles.
  • This technique is particularly useful in situations where MVC is impractical or subject to change.
  • Muscle-specific reliability should be considered when choosing a submaximal normalization percentage.