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Updated: Jun 27, 2026

Assessment of Neuromuscular Function Using Percutaneous Electrical Nerve Stimulation
Published on: September 13, 2015
Normative Extensor Hallucis Brevis Muscle Activity During Locomotion Following the Development of a Novel
Kelly A Robb1, Keara Sutherland1, Stephen D Perry1
1Department of Kinesiology and Physical Education, Faculty of Science, Wilfrid Laurier University, Waterloo, ON, Canada.
This study developed an ultrasound-guided fine-wire electromyography (EMG) protocol for the extensor hallucis brevis (EHB) muscle. Normative EMG data reveal EHB
Area of Science:
- Biomechanics
- Neuroscience
- Musculoskeletal Research
Background:
- Fine-wire electromyography (EMG) is a standard laboratory method for assessing small foot muscle activity.
- Recordings from the extensor hallucis brevis (EHB), a key great toe extensor, are currently lacking.
- EHB is crucial for understanding foot pathologies like hallux valgus.
Purpose of the Study:
- To establish an ultrasound-guided fine-wire EMG protocol for EHB muscle activity.
- To document normative EMG profiles of healthy young adults during walking.
- To investigate the functional role of EHB in locomotion and foot biomechanics.
Main Methods:
- Developed an ultrasound-guided fine-wire EMG protocol for EHB.
- Recruited 16 healthy young adults for walking trials at self-selected speeds.
- Calculated ensemble averages from time-normalized linear envelopes during the stance phase of gait.
Main Results:
- EHB muscle activity bursts were consistently observed from 0% to 20% of the stance phase.
- A secondary EHB burst occurred between 80% and 100% of stance in 50% of participants.
- Established normative EMG data for EHB during gait.
Conclusions:
- Introduced a novel ultrasound-guided EMG protocol for EHB.
- Normative EHB data suggest a synergistic role with anterior compartment muscles during foot contact.
- Findings offer insights into EHB function and biomechanical factors in hallux pathologies.
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