SlideShare a Scribd company logo
1 of 21
Electromyography
A practical guide to understanding
muscle activity
1
Muscle function
ā€¢ Muscles are the physiological motors of the
human body
ā€¢ Kinematics and kinetics give us a good
indication of the muscle groups
ā€¢ For increased specificity we measure a muscles
activity during gait
2
Electromyography
ā€¢ Definition of Electromyography (EMG)
ā€“ Electromyography (EMG) is the detection and
recording of the electrical signal produced by
muscle tissue as it contracts.
3
Muscle activation (sEMG)
ā€¢ Measurement of electrical signals within the
muscle with two electrodes
ā€¢ A summation of the action potentials generated
during contractions due to a change in the cellā€™s
membrane potential
ā€¢ The size of the signal is dependent on the
number and frequency of firing of motor units
4
Why measure sEMG?
ā€¢ Measuring the muscle activity during gait allows:
ā€“ an indication to whether the muscle is active
ā€“ to see relative changes in timing of the muscles
ā€“ to assess motor control and coordination
ā€“ to determine any evidence of spasticity
ā€“ to evaluate muscle function post-surgical transfer
5
EMG does not tell us:
ā€¢ The strength of the muscle
ā€¢ What type of movement the signal represents
ā€¢ Whether the activity is compensatory or the
primary abnormality.
6
Electromyography
ā€¢ EMG includes the
ā€“ Detection
ā€“ Amplification
ā€“ Recording
ā€“ Processing and analysis
ā€“ Interpretation
ā€¢ Three ways of recording the signals
ā€¢ Surface electromyography (sEMG) most popular
7
How to measure sEMG
ā€¢ Positioning the patient
8
Recommendations: www.seniam.org
How to measure sEMG
ā€¢ Determine the electrode location
Recommendations: www.seniam.org
9
How to measure sEMG
ā€¢ Skin preparation
10
Recommendations: www.seniam.org
How to measure sEMG
ā€¢ Place and fix the electrodes securely
11
Recommendations: www.seniam.org
Fine Wire EMG
ā€¢ Determine Position
12
How to measure sEMG
ā€¢ Test the connection and accuracy of the
placement
13
Recommendations: www.seniam.org
Processing the signal
ā€¢ Raw signal
14
Not
active
active
Processing the signal
ā€¢ Rectified signal
15
Not
active
active
Processing the signal
ā€¢ Muscle timings
16
smoothed
& rectified
signal
threshold
Onset Off
Processing the signal
ā€¢ Filtered
17
Not
active
active
Processing the signal
ā€¢ Fatigue
18
Factors that affect sEMG signal
ā€¢ Impedance of the tissue
ā€¢ Cross-talk between muscles
ā€¢ Changes in geometry between muscle and
electrodes
ā€¢ External noise
ā€¢ All of these can be reduced using the 3Pā€™s
ā€“ Position, Preparation and Placement of the electrodes
19
Repeatability and Interpretation
of EMG data
20
ā€¢ Very few studies in the general literature
ā€¢ Displayed the same way as general gait data
ā€¢ Normalisation methods need to be appropriate
ā€¢ sEMG alongside kinematics and kinetics can
offer further details about muscle function
ā€¢ However, many labs choose specific individuals
Demonstration
Demonstration of
sEMG and fwEMG
21

More Related Content

What's hot

Electromyography (emg)
Electromyography (emg)Electromyography (emg)
Electromyography (emg)Gokila Mani
Ā 
Nerves conduction study
Nerves conduction study Nerves conduction study
Nerves conduction study Sachin Adukia
Ā 
Evoked potential - An overview
Evoked potential - An overviewEvoked potential - An overview
Evoked potential - An overviewAnbarasi rajkumar
Ā 
Somatosensory evoked potentials
Somatosensory evoked potentialsSomatosensory evoked potentials
Somatosensory evoked potentialsManideep Malaka
Ā 
EMG Biofeedback
EMG BiofeedbackEMG Biofeedback
EMG BiofeedbackSreeraj S R
Ā 
Electromyography (EMG) - Physiotherapy - Dr Rohit Bhaskar
Electromyography (EMG)  - Physiotherapy - Dr Rohit BhaskarElectromyography (EMG)  - Physiotherapy - Dr Rohit Bhaskar
Electromyography (EMG) - Physiotherapy - Dr Rohit BhaskarDr Rohit Bhaskar, Physio
Ā 
Somatosensory evoked potential
Somatosensory evoked potentialSomatosensory evoked potential
Somatosensory evoked potentialdahmed hamed
Ā 
Neuromuscular electrical stimulation
Neuromuscular electrical stimulation Neuromuscular electrical stimulation
Neuromuscular electrical stimulation HemangiParmar4
Ā 
Motor evoked potentials - IONM Basics
Motor evoked potentials -  IONM BasicsMotor evoked potentials -  IONM Basics
Motor evoked potentials - IONM BasicsSimon Jeba Kumar
Ā 
EMG Instrumentation
EMG InstrumentationEMG Instrumentation
EMG InstrumentationAnkush Jaiswal
Ā 
Electrical stimulation
Electrical stimulationElectrical stimulation
Electrical stimulationApatel99094
Ā 
Electromyograph(EMG)
Electromyograph(EMG)Electromyograph(EMG)
Electromyograph(EMG)RAMESHBABUA3
Ā 
Late Responses (F-wave and H.Reflex)
Late Responses (F-wave and H.Reflex)Late Responses (F-wave and H.Reflex)
Late Responses (F-wave and H.Reflex)Murtaza Syed
Ā 
Emg fundamental
Emg fundamentalEmg fundamental
Emg fundamentalSherwan Omer
Ā 

What's hot (20)

Electromyography (emg)
Electromyography (emg)Electromyography (emg)
Electromyography (emg)
Ā 
Nerves conduction study
Nerves conduction study Nerves conduction study
Nerves conduction study
Ā 
Evoked potential - An overview
Evoked potential - An overviewEvoked potential - An overview
Evoked potential - An overview
Ā 
Sec 4 emg
Sec 4 emgSec 4 emg
Sec 4 emg
Ā 
Somatosensory evoked potentials
Somatosensory evoked potentialsSomatosensory evoked potentials
Somatosensory evoked potentials
Ā 
Electromyography (emg) basics
Electromyography (emg)   basicsElectromyography (emg)   basics
Electromyography (emg) basics
Ā 
EMG Biofeedback
EMG BiofeedbackEMG Biofeedback
EMG Biofeedback
Ā 
Electromyography (EMG) - Physiotherapy - Dr Rohit Bhaskar
Electromyography (EMG)  - Physiotherapy - Dr Rohit BhaskarElectromyography (EMG)  - Physiotherapy - Dr Rohit Bhaskar
Electromyography (EMG) - Physiotherapy - Dr Rohit Bhaskar
Ā 
Somatosensory evoked potential
Somatosensory evoked potentialSomatosensory evoked potential
Somatosensory evoked potential
Ā 
Neuromuscular electrical stimulation
Neuromuscular electrical stimulation Neuromuscular electrical stimulation
Neuromuscular electrical stimulation
Ā 
Electromyogram
ElectromyogramElectromyogram
Electromyogram
Ā 
Motor evoked potentials - IONM Basics
Motor evoked potentials -  IONM BasicsMotor evoked potentials -  IONM Basics
Motor evoked potentials - IONM Basics
Ā 
EMG
EMGEMG
EMG
Ā 
Electrical stimulation
Electrical stimulationElectrical stimulation
Electrical stimulation
Ā 
EMG Instrumentation
EMG InstrumentationEMG Instrumentation
EMG Instrumentation
Ā 
Electrical stimulation
Electrical stimulationElectrical stimulation
Electrical stimulation
Ā 
Electromyograph(EMG)
Electromyograph(EMG)Electromyograph(EMG)
Electromyograph(EMG)
Ā 
Late Responses (F-wave and H.Reflex)
Late Responses (F-wave and H.Reflex)Late Responses (F-wave and H.Reflex)
Late Responses (F-wave and H.Reflex)
Ā 
Basics of emg
Basics of emgBasics of emg
Basics of emg
Ā 
Emg fundamental
Emg fundamentalEmg fundamental
Emg fundamental
Ā 

Viewers also liked

PRESENTATION LAB DSP.Analysis & classification of EMG signal - DSP LAB
PRESENTATION LAB DSP.Analysis & classification of EMG signal - DSP LABPRESENTATION LAB DSP.Analysis & classification of EMG signal - DSP LAB
PRESENTATION LAB DSP.Analysis & classification of EMG signal - DSP LABNurhasanah Shafei
Ā 
Repetitive Nerve Stimulation
Repetitive Nerve Stimulation Repetitive Nerve Stimulation
Repetitive Nerve Stimulation Mohit Patel
Ā 
Repetitive Nerve Stimulation (RNS)
Repetitive Nerve Stimulation (RNS)Repetitive Nerve Stimulation (RNS)
Repetitive Nerve Stimulation (RNS)Murtaza Syed
Ā 

Viewers also liked (6)

PRESENTATION LAB DSP.Analysis & classification of EMG signal - DSP LAB
PRESENTATION LAB DSP.Analysis & classification of EMG signal - DSP LABPRESENTATION LAB DSP.Analysis & classification of EMG signal - DSP LAB
PRESENTATION LAB DSP.Analysis & classification of EMG signal - DSP LAB
Ā 
Repetitive Nerve Stimulation
Repetitive Nerve Stimulation Repetitive Nerve Stimulation
Repetitive Nerve Stimulation
Ā 
Repetitive Nerve Stimulation (RNS)
Repetitive Nerve Stimulation (RNS)Repetitive Nerve Stimulation (RNS)
Repetitive Nerve Stimulation (RNS)
Ā 
repetitive nerve stimulation
repetitive nerve stimulationrepetitive nerve stimulation
repetitive nerve stimulation
Ā 
EMG & Force
EMG & ForceEMG & Force
EMG & Force
Ā 
EMG
EMGEMG
EMG
Ā 

Similar to EMG

Emg changes during fatigue and contraction
Emg changes during fatigue and contractionEmg changes during fatigue and contraction
Emg changes during fatigue and contractionDr Akshay RAj Chandra PT
Ā 
Intraoperative Electromyography (EMG)
Intraoperative Electromyography (EMG)Intraoperative Electromyography (EMG)
Intraoperative Electromyography (EMG)Anurag Tewari MD
Ā 
Electromyography.pptx for electrical diagnosed
Electromyography.pptx for electrical diagnosedElectromyography.pptx for electrical diagnosed
Electromyography.pptx for electrical diagnosedAhsanAli479495
Ā 
EMG Lecture 10-1-2015.ppt electromyography
EMG Lecture 10-1-2015.ppt electromyographyEMG Lecture 10-1-2015.ppt electromyography
EMG Lecture 10-1-2015.ppt electromyographyPallaviBR4UB20EI021
Ā 
Electromyography
ElectromyographyElectromyography
ElectromyographyGanesh Kushwah
Ā 
Electro diagnostic tests ppt
Electro diagnostic tests pptElectro diagnostic tests ppt
Electro diagnostic tests pptKanchan Sharma
Ā 
Muscles of mastication[part 2]/cosmetic dentistry courses
Muscles of mastication[part 2]/cosmetic dentistry coursesMuscles of mastication[part 2]/cosmetic dentistry courses
Muscles of mastication[part 2]/cosmetic dentistry coursesIndian dental academy
Ā 
PPT 1 BIOLOGY EMG ECG.pptx
PPT 1 BIOLOGY EMG ECG.pptxPPT 1 BIOLOGY EMG ECG.pptx
PPT 1 BIOLOGY EMG ECG.pptxPramodKumar369244
Ā 
The Muscle Physiology / orthodontic short term courses
The Muscle Physiology / orthodontic short term coursesThe Muscle Physiology / orthodontic short term courses
The Muscle Physiology / orthodontic short term coursesIndian dental academy
Ā 
Medical Instrumentation- EMG,ERG,EOG,PCG
Medical Instrumentation- EMG,ERG,EOG,PCGMedical Instrumentation- EMG,ERG,EOG,PCG
Medical Instrumentation- EMG,ERG,EOG,PCGPoornima D
Ā 
Biomedical Instruments.pptx
Biomedical Instruments.pptxBiomedical Instruments.pptx
Biomedical Instruments.pptxsage4x4
Ā 
Electromyography(emg).pptx
Electromyography(emg).pptxElectromyography(emg).pptx
Electromyography(emg).pptxsunil JMI
Ā 
Emg (2) /certified fixed orthodontic courses by Indian dental academy
Emg (2) /certified fixed orthodontic courses by Indian dental academy Emg (2) /certified fixed orthodontic courses by Indian dental academy
Emg (2) /certified fixed orthodontic courses by Indian dental academy Indian dental academy
Ā 
EMGinInternalMedicine.ppt neurogenic and myopathic
EMGinInternalMedicine.ppt neurogenic and myopathicEMGinInternalMedicine.ppt neurogenic and myopathic
EMGinInternalMedicine.ppt neurogenic and myopathicpriya99148
Ā 
Acrylic Prosthetic Limb Using EMG signal
Acrylic Prosthetic Limb Using EMG signalAcrylic Prosthetic Limb Using EMG signal
Acrylic Prosthetic Limb Using EMG signalAnveshChinta1
Ā 
A Patient guide to an Electromyography. What to expect.
A Patient guide to an Electromyography. What to expect.A Patient guide to an Electromyography. What to expect.
A Patient guide to an Electromyography. What to expect.School RN BCPS
Ā 

Similar to EMG (20)

Emg changes during fatigue and contraction
Emg changes during fatigue and contractionEmg changes during fatigue and contraction
Emg changes during fatigue and contraction
Ā 
Intraoperative Electromyography (EMG)
Intraoperative Electromyography (EMG)Intraoperative Electromyography (EMG)
Intraoperative Electromyography (EMG)
Ā 
EMG.pptx
EMG.pptxEMG.pptx
EMG.pptx
Ā 
Electromyography.pptx for electrical diagnosed
Electromyography.pptx for electrical diagnosedElectromyography.pptx for electrical diagnosed
Electromyography.pptx for electrical diagnosed
Ā 
EMG Lecture 10-1-2015.ppt electromyography
EMG Lecture 10-1-2015.ppt electromyographyEMG Lecture 10-1-2015.ppt electromyography
EMG Lecture 10-1-2015.ppt electromyography
Ā 
L1- EMG+MNCV.ppt
L1- EMG+MNCV.pptL1- EMG+MNCV.ppt
L1- EMG+MNCV.ppt
Ā 
Electromyography
ElectromyographyElectromyography
Electromyography
Ā 
EMG.pdf
EMG.pdfEMG.pdf
EMG.pdf
Ā 
Electro diagnostic tests ppt
Electro diagnostic tests pptElectro diagnostic tests ppt
Electro diagnostic tests ppt
Ā 
Muscles of mastication[part 2]/cosmetic dentistry courses
Muscles of mastication[part 2]/cosmetic dentistry coursesMuscles of mastication[part 2]/cosmetic dentistry courses
Muscles of mastication[part 2]/cosmetic dentistry courses
Ā 
PPT 1 BIOLOGY EMG ECG.pptx
PPT 1 BIOLOGY EMG ECG.pptxPPT 1 BIOLOGY EMG ECG.pptx
PPT 1 BIOLOGY EMG ECG.pptx
Ā 
The Muscle Physiology / orthodontic short term courses
The Muscle Physiology / orthodontic short term coursesThe Muscle Physiology / orthodontic short term courses
The Muscle Physiology / orthodontic short term courses
Ā 
Medical Instrumentation- EMG,ERG,EOG,PCG
Medical Instrumentation- EMG,ERG,EOG,PCGMedical Instrumentation- EMG,ERG,EOG,PCG
Medical Instrumentation- EMG,ERG,EOG,PCG
Ā 
Biomedical Instruments.pptx
Biomedical Instruments.pptxBiomedical Instruments.pptx
Biomedical Instruments.pptx
Ā 
Electromyography(emg).pptx
Electromyography(emg).pptxElectromyography(emg).pptx
Electromyography(emg).pptx
Ā 
Emg (2) /certified fixed orthodontic courses by Indian dental academy
Emg (2) /certified fixed orthodontic courses by Indian dental academy Emg (2) /certified fixed orthodontic courses by Indian dental academy
Emg (2) /certified fixed orthodontic courses by Indian dental academy
Ā 
EMGinInternalMedicine.ppt neurogenic and myopathic
EMGinInternalMedicine.ppt neurogenic and myopathicEMGinInternalMedicine.ppt neurogenic and myopathic
EMGinInternalMedicine.ppt neurogenic and myopathic
Ā 
Acrylic Prosthetic Limb Using EMG signal
Acrylic Prosthetic Limb Using EMG signalAcrylic Prosthetic Limb Using EMG signal
Acrylic Prosthetic Limb Using EMG signal
Ā 
A Patient guide to an Electromyography. What to expect.
A Patient guide to an Electromyography. What to expect.A Patient guide to an Electromyography. What to expect.
A Patient guide to an Electromyography. What to expect.
Ā 
Electrocardiogram pptx
Electrocardiogram pptxElectrocardiogram pptx
Electrocardiogram pptx
Ā 

More from Richard Baker

Cga ifa 2015 3 introduction to the conventional gait model
Cga ifa 2015 3 introduction to the conventional gait modelCga ifa 2015 3 introduction to the conventional gait model
Cga ifa 2015 3 introduction to the conventional gait modelRichard Baker
Ā 
Cga ifa 2015 15 evaluating outcomes
Cga ifa 2015 15 evaluating outcomesCga ifa 2015 15 evaluating outcomes
Cga ifa 2015 15 evaluating outcomesRichard Baker
Ā 
Cga ifa 2015 14 foot models
Cga ifa 2015 14 foot modelsCga ifa 2015 14 foot models
Cga ifa 2015 14 foot modelsRichard Baker
Ā 
Cga ifa 2015 13 the role of cga in crouch
Cga ifa 2015 13 the role of cga in crouchCga ifa 2015 13 the role of cga in crouch
Cga ifa 2015 13 the role of cga in crouchRichard Baker
Ā 
Cga ifa 2015 12 the role of cga in sdr
Cga ifa 2015 12 the role of cga in sdrCga ifa 2015 12 the role of cga in sdr
Cga ifa 2015 12 the role of cga in sdrRichard Baker
Ā 
Cga ifa 2015 10 impairment focussed interpretation
Cga ifa 2015 10 impairment focussed interpretationCga ifa 2015 10 impairment focussed interpretation
Cga ifa 2015 10 impairment focussed interpretationRichard Baker
Ā 
Cga ifa 2015 9 electromyography
Cga ifa 2015 9 electromyographyCga ifa 2015 9 electromyography
Cga ifa 2015 9 electromyographyRichard Baker
Ā 
Cga ifa 2015 8 why we walk kinetics
Cga ifa 2015 8 why we walk kineticsCga ifa 2015 8 why we walk kinetics
Cga ifa 2015 8 why we walk kineticsRichard Baker
Ā 
Cga ifa 2015 7 why we walk the way we do
Cga ifa 2015 7 why we walk the way we doCga ifa 2015 7 why we walk the way we do
Cga ifa 2015 7 why we walk the way we doRichard Baker
Ā 
Cga ifa 2015 6 measurement artefact
Cga ifa 2015 6 measurement artefactCga ifa 2015 6 measurement artefact
Cga ifa 2015 6 measurement artefactRichard Baker
Ā 
Cga ifa 2015 5 clinical video
Cga ifa 2015 5 clinical videoCga ifa 2015 5 clinical video
Cga ifa 2015 5 clinical videoRichard Baker
Ā 
Cga ifa 2015 4 physical exam
Cga ifa 2015 4 physical examCga ifa 2015 4 physical exam
Cga ifa 2015 4 physical examRichard Baker
Ā 
Cga ifa 2015 2 basic measurements
Cga ifa 2015 2 basic measurementsCga ifa 2015 2 basic measurements
Cga ifa 2015 2 basic measurementsRichard Baker
Ā 
1 what is clnical gait analysis (cga ifa 2015)
1 what is clnical gait analysis (cga ifa 2015)1 what is clnical gait analysis (cga ifa 2015)
1 what is clnical gait analysis (cga ifa 2015)Richard Baker
Ā 
Why we walk the way we do (ug)
Why we walk the way we do (ug)Why we walk the way we do (ug)
Why we walk the way we do (ug)Richard Baker
Ā 
2 introduction to the conventional gait model
2 introduction to the conventional gait model2 introduction to the conventional gait model
2 introduction to the conventional gait modelRichard Baker
Ā 
16 how to set up a gait lab (nov 2014)
16 how to set up a gait lab (nov 2014)16 how to set up a gait lab (nov 2014)
16 how to set up a gait lab (nov 2014)Richard Baker
Ā 
15 quality assurance (nov 2014)
15 quality assurance (nov 2014)15 quality assurance (nov 2014)
15 quality assurance (nov 2014)Richard Baker
Ā 
13 functional calibration (nov 2014)
13 functional calibration (nov 2014)13 functional calibration (nov 2014)
13 functional calibration (nov 2014)Richard Baker
Ā 
11 impairment focussed interpretation (nov 2014)
11 impairment focussed interpretation (nov 2014)11 impairment focussed interpretation (nov 2014)
11 impairment focussed interpretation (nov 2014)Richard Baker
Ā 

More from Richard Baker (20)

Cga ifa 2015 3 introduction to the conventional gait model
Cga ifa 2015 3 introduction to the conventional gait modelCga ifa 2015 3 introduction to the conventional gait model
Cga ifa 2015 3 introduction to the conventional gait model
Ā 
Cga ifa 2015 15 evaluating outcomes
Cga ifa 2015 15 evaluating outcomesCga ifa 2015 15 evaluating outcomes
Cga ifa 2015 15 evaluating outcomes
Ā 
Cga ifa 2015 14 foot models
Cga ifa 2015 14 foot modelsCga ifa 2015 14 foot models
Cga ifa 2015 14 foot models
Ā 
Cga ifa 2015 13 the role of cga in crouch
Cga ifa 2015 13 the role of cga in crouchCga ifa 2015 13 the role of cga in crouch
Cga ifa 2015 13 the role of cga in crouch
Ā 
Cga ifa 2015 12 the role of cga in sdr
Cga ifa 2015 12 the role of cga in sdrCga ifa 2015 12 the role of cga in sdr
Cga ifa 2015 12 the role of cga in sdr
Ā 
Cga ifa 2015 10 impairment focussed interpretation
Cga ifa 2015 10 impairment focussed interpretationCga ifa 2015 10 impairment focussed interpretation
Cga ifa 2015 10 impairment focussed interpretation
Ā 
Cga ifa 2015 9 electromyography
Cga ifa 2015 9 electromyographyCga ifa 2015 9 electromyography
Cga ifa 2015 9 electromyography
Ā 
Cga ifa 2015 8 why we walk kinetics
Cga ifa 2015 8 why we walk kineticsCga ifa 2015 8 why we walk kinetics
Cga ifa 2015 8 why we walk kinetics
Ā 
Cga ifa 2015 7 why we walk the way we do
Cga ifa 2015 7 why we walk the way we doCga ifa 2015 7 why we walk the way we do
Cga ifa 2015 7 why we walk the way we do
Ā 
Cga ifa 2015 6 measurement artefact
Cga ifa 2015 6 measurement artefactCga ifa 2015 6 measurement artefact
Cga ifa 2015 6 measurement artefact
Ā 
Cga ifa 2015 5 clinical video
Cga ifa 2015 5 clinical videoCga ifa 2015 5 clinical video
Cga ifa 2015 5 clinical video
Ā 
Cga ifa 2015 4 physical exam
Cga ifa 2015 4 physical examCga ifa 2015 4 physical exam
Cga ifa 2015 4 physical exam
Ā 
Cga ifa 2015 2 basic measurements
Cga ifa 2015 2 basic measurementsCga ifa 2015 2 basic measurements
Cga ifa 2015 2 basic measurements
Ā 
1 what is clnical gait analysis (cga ifa 2015)
1 what is clnical gait analysis (cga ifa 2015)1 what is clnical gait analysis (cga ifa 2015)
1 what is clnical gait analysis (cga ifa 2015)
Ā 
Why we walk the way we do (ug)
Why we walk the way we do (ug)Why we walk the way we do (ug)
Why we walk the way we do (ug)
Ā 
2 introduction to the conventional gait model
2 introduction to the conventional gait model2 introduction to the conventional gait model
2 introduction to the conventional gait model
Ā 
16 how to set up a gait lab (nov 2014)
16 how to set up a gait lab (nov 2014)16 how to set up a gait lab (nov 2014)
16 how to set up a gait lab (nov 2014)
Ā 
15 quality assurance (nov 2014)
15 quality assurance (nov 2014)15 quality assurance (nov 2014)
15 quality assurance (nov 2014)
Ā 
13 functional calibration (nov 2014)
13 functional calibration (nov 2014)13 functional calibration (nov 2014)
13 functional calibration (nov 2014)
Ā 
11 impairment focussed interpretation (nov 2014)
11 impairment focussed interpretation (nov 2014)11 impairment focussed interpretation (nov 2014)
11 impairment focussed interpretation (nov 2014)
Ā 

Recently uploaded

Aspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas AliAspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas AliRewAs ALI
Ā 
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...Miss joya
Ā 
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Miss joya
Ā 
šŸ’ŽVVIP Kolkata Call Girls ParganasšŸ©±7001035870šŸ©±Independent Girl ( Ac Rooms Avai...
šŸ’ŽVVIP Kolkata Call Girls ParganasšŸ©±7001035870šŸ©±Independent Girl ( Ac Rooms Avai...šŸ’ŽVVIP Kolkata Call Girls ParganasšŸ©±7001035870šŸ©±Independent Girl ( Ac Rooms Avai...
šŸ’ŽVVIP Kolkata Call Girls ParganasšŸ©±7001035870šŸ©±Independent Girl ( Ac Rooms Avai...Taniya Sharma
Ā 
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...Call girls in Ahmedabad High profile
Ā 
Call Girls Service Jaipur Grishma WhatsApp ā¤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ā¤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ā¤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ā¤8445551418 VIP Call Girls Jaipurparulsinha
Ā 
High Profile Call Girls Coimbatore Saanviā˜Žļø 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanviā˜Žļø  8250192130 Independent Escort Se...High Profile Call Girls Coimbatore Saanviā˜Žļø  8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanviā˜Žļø 8250192130 Independent Escort Se...narwatsonia7
Ā 
Call Girls Colaba Mumbai ā¤ļø 9920874524 šŸ‘ˆ Cash on Delivery
Call Girls Colaba Mumbai ā¤ļø 9920874524 šŸ‘ˆ Cash on DeliveryCall Girls Colaba Mumbai ā¤ļø 9920874524 šŸ‘ˆ Cash on Delivery
Call Girls Colaba Mumbai ā¤ļø 9920874524 šŸ‘ˆ Cash on Deliverynehamumbai
Ā 
Call Girl Number in Panvel MumbaišŸ“² 9833363713 šŸ’ž Full Night Enjoy
Call Girl Number in Panvel MumbaišŸ“² 9833363713 šŸ’ž Full Night EnjoyCall Girl Number in Panvel MumbaišŸ“² 9833363713 šŸ’ž Full Night Enjoy
Call Girl Number in Panvel MumbaišŸ“² 9833363713 šŸ’ž Full Night Enjoybabeytanya
Ā 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
Ā 
Call Girls Near Hotel Marine Plaza āœ” 9820252231 āœ”For 18+ VIP Call Girl At The...
Call Girls Near Hotel Marine Plaza āœ” 9820252231 āœ”For 18+ VIP Call Girl At The...Call Girls Near Hotel Marine Plaza āœ” 9820252231 āœ”For 18+ VIP Call Girl At The...
Call Girls Near Hotel Marine Plaza āœ” 9820252231 āœ”For 18+ VIP Call Girl At The...call girls in ahmedabad high profile
Ā 
Call Girls Service Surat Samaira ā¤ļøšŸ‘ 8250192130 šŸ‘„ Independent Escort Service ...
Call Girls Service Surat Samaira ā¤ļøšŸ‘ 8250192130 šŸ‘„ Independent Escort Service ...Call Girls Service Surat Samaira ā¤ļøšŸ‘ 8250192130 šŸ‘„ Independent Escort Service ...
Call Girls Service Surat Samaira ā¤ļøšŸ‘ 8250192130 šŸ‘„ Independent Escort Service ...CALL GIRLS
Ā 
Vip Call Girls Anna Salai Chennai šŸ‘‰ 8250192130 ā£ļøšŸ’Æ Top Class Girls Available
Vip Call Girls Anna Salai Chennai šŸ‘‰ 8250192130 ā£ļøšŸ’Æ Top Class Girls AvailableVip Call Girls Anna Salai Chennai šŸ‘‰ 8250192130 ā£ļøšŸ’Æ Top Class Girls Available
Vip Call Girls Anna Salai Chennai šŸ‘‰ 8250192130 ā£ļøšŸ’Æ Top Class Girls AvailableNehru place Escorts
Ā 
Bangalore Call Girls Marathahalli šŸ“ž 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli šŸ“ž 9907093804 High Profile Service 100% SafeBangalore Call Girls Marathahalli šŸ“ž 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli šŸ“ž 9907093804 High Profile Service 100% Safenarwatsonia7
Ā 
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy GirlsCall Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girlsnehamumbai
Ā 
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...Miss joya
Ā 
ā™›VVIP Hyderabad Call Girls ChintalkuntašŸ–•7001035870šŸ–•Riya Kappor Top Call Girl ...
ā™›VVIP Hyderabad Call Girls ChintalkuntašŸ–•7001035870šŸ–•Riya Kappor Top Call Girl ...ā™›VVIP Hyderabad Call Girls ChintalkuntašŸ–•7001035870šŸ–•Riya Kappor Top Call Girl ...
ā™›VVIP Hyderabad Call Girls ChintalkuntašŸ–•7001035870šŸ–•Riya Kappor Top Call Girl ...astropune
Ā 
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiCall Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiNehru place Escorts
Ā 
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...Miss joya
Ā 
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls ServiceKesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Servicemakika9823
Ā 

Recently uploaded (20)

Aspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas AliAspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas Ali
Ā 
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Ā 
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Ā 
šŸ’ŽVVIP Kolkata Call Girls ParganasšŸ©±7001035870šŸ©±Independent Girl ( Ac Rooms Avai...
šŸ’ŽVVIP Kolkata Call Girls ParganasšŸ©±7001035870šŸ©±Independent Girl ( Ac Rooms Avai...šŸ’ŽVVIP Kolkata Call Girls ParganasšŸ©±7001035870šŸ©±Independent Girl ( Ac Rooms Avai...
šŸ’ŽVVIP Kolkata Call Girls ParganasšŸ©±7001035870šŸ©±Independent Girl ( Ac Rooms Avai...
Ā 
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Ā 
Call Girls Service Jaipur Grishma WhatsApp ā¤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ā¤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ā¤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ā¤8445551418 VIP Call Girls Jaipur
Ā 
High Profile Call Girls Coimbatore Saanviā˜Žļø 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanviā˜Žļø  8250192130 Independent Escort Se...High Profile Call Girls Coimbatore Saanviā˜Žļø  8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanviā˜Žļø 8250192130 Independent Escort Se...
Ā 
Call Girls Colaba Mumbai ā¤ļø 9920874524 šŸ‘ˆ Cash on Delivery
Call Girls Colaba Mumbai ā¤ļø 9920874524 šŸ‘ˆ Cash on DeliveryCall Girls Colaba Mumbai ā¤ļø 9920874524 šŸ‘ˆ Cash on Delivery
Call Girls Colaba Mumbai ā¤ļø 9920874524 šŸ‘ˆ Cash on Delivery
Ā 
Call Girl Number in Panvel MumbaišŸ“² 9833363713 šŸ’ž Full Night Enjoy
Call Girl Number in Panvel MumbaišŸ“² 9833363713 šŸ’ž Full Night EnjoyCall Girl Number in Panvel MumbaišŸ“² 9833363713 šŸ’ž Full Night Enjoy
Call Girl Number in Panvel MumbaišŸ“² 9833363713 šŸ’ž Full Night Enjoy
Ā 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Ā 
Call Girls Near Hotel Marine Plaza āœ” 9820252231 āœ”For 18+ VIP Call Girl At The...
Call Girls Near Hotel Marine Plaza āœ” 9820252231 āœ”For 18+ VIP Call Girl At The...Call Girls Near Hotel Marine Plaza āœ” 9820252231 āœ”For 18+ VIP Call Girl At The...
Call Girls Near Hotel Marine Plaza āœ” 9820252231 āœ”For 18+ VIP Call Girl At The...
Ā 
Call Girls Service Surat Samaira ā¤ļøšŸ‘ 8250192130 šŸ‘„ Independent Escort Service ...
Call Girls Service Surat Samaira ā¤ļøšŸ‘ 8250192130 šŸ‘„ Independent Escort Service ...Call Girls Service Surat Samaira ā¤ļøšŸ‘ 8250192130 šŸ‘„ Independent Escort Service ...
Call Girls Service Surat Samaira ā¤ļøšŸ‘ 8250192130 šŸ‘„ Independent Escort Service ...
Ā 
Vip Call Girls Anna Salai Chennai šŸ‘‰ 8250192130 ā£ļøšŸ’Æ Top Class Girls Available
Vip Call Girls Anna Salai Chennai šŸ‘‰ 8250192130 ā£ļøšŸ’Æ Top Class Girls AvailableVip Call Girls Anna Salai Chennai šŸ‘‰ 8250192130 ā£ļøšŸ’Æ Top Class Girls Available
Vip Call Girls Anna Salai Chennai šŸ‘‰ 8250192130 ā£ļøšŸ’Æ Top Class Girls Available
Ā 
Bangalore Call Girls Marathahalli šŸ“ž 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli šŸ“ž 9907093804 High Profile Service 100% SafeBangalore Call Girls Marathahalli šŸ“ž 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli šŸ“ž 9907093804 High Profile Service 100% Safe
Ā 
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy GirlsCall Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Ā 
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
Ā 
ā™›VVIP Hyderabad Call Girls ChintalkuntašŸ–•7001035870šŸ–•Riya Kappor Top Call Girl ...
ā™›VVIP Hyderabad Call Girls ChintalkuntašŸ–•7001035870šŸ–•Riya Kappor Top Call Girl ...ā™›VVIP Hyderabad Call Girls ChintalkuntašŸ–•7001035870šŸ–•Riya Kappor Top Call Girl ...
ā™›VVIP Hyderabad Call Girls ChintalkuntašŸ–•7001035870šŸ–•Riya Kappor Top Call Girl ...
Ā 
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiCall Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Ā 
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
Ā 
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls ServiceKesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Ā 

EMG

  • 1. Electromyography A practical guide to understanding muscle activity 1
  • 2. Muscle function ā€¢ Muscles are the physiological motors of the human body ā€¢ Kinematics and kinetics give us a good indication of the muscle groups ā€¢ For increased specificity we measure a muscles activity during gait 2
  • 3. Electromyography ā€¢ Definition of Electromyography (EMG) ā€“ Electromyography (EMG) is the detection and recording of the electrical signal produced by muscle tissue as it contracts. 3
  • 4. Muscle activation (sEMG) ā€¢ Measurement of electrical signals within the muscle with two electrodes ā€¢ A summation of the action potentials generated during contractions due to a change in the cellā€™s membrane potential ā€¢ The size of the signal is dependent on the number and frequency of firing of motor units 4
  • 5. Why measure sEMG? ā€¢ Measuring the muscle activity during gait allows: ā€“ an indication to whether the muscle is active ā€“ to see relative changes in timing of the muscles ā€“ to assess motor control and coordination ā€“ to determine any evidence of spasticity ā€“ to evaluate muscle function post-surgical transfer 5
  • 6. EMG does not tell us: ā€¢ The strength of the muscle ā€¢ What type of movement the signal represents ā€¢ Whether the activity is compensatory or the primary abnormality. 6
  • 7. Electromyography ā€¢ EMG includes the ā€“ Detection ā€“ Amplification ā€“ Recording ā€“ Processing and analysis ā€“ Interpretation ā€¢ Three ways of recording the signals ā€¢ Surface electromyography (sEMG) most popular 7
  • 8. How to measure sEMG ā€¢ Positioning the patient 8 Recommendations: www.seniam.org
  • 9. How to measure sEMG ā€¢ Determine the electrode location Recommendations: www.seniam.org 9
  • 10. How to measure sEMG ā€¢ Skin preparation 10 Recommendations: www.seniam.org
  • 11. How to measure sEMG ā€¢ Place and fix the electrodes securely 11 Recommendations: www.seniam.org
  • 12. Fine Wire EMG ā€¢ Determine Position 12
  • 13. How to measure sEMG ā€¢ Test the connection and accuracy of the placement 13 Recommendations: www.seniam.org
  • 14. Processing the signal ā€¢ Raw signal 14 Not active active
  • 15. Processing the signal ā€¢ Rectified signal 15 Not active active
  • 16. Processing the signal ā€¢ Muscle timings 16 smoothed & rectified signal threshold Onset Off
  • 17. Processing the signal ā€¢ Filtered 17 Not active active
  • 19. Factors that affect sEMG signal ā€¢ Impedance of the tissue ā€¢ Cross-talk between muscles ā€¢ Changes in geometry between muscle and electrodes ā€¢ External noise ā€¢ All of these can be reduced using the 3Pā€™s ā€“ Position, Preparation and Placement of the electrodes 19
  • 20. Repeatability and Interpretation of EMG data 20 ā€¢ Very few studies in the general literature ā€¢ Displayed the same way as general gait data ā€¢ Normalisation methods need to be appropriate ā€¢ sEMG alongside kinematics and kinetics can offer further details about muscle function ā€¢ However, many labs choose specific individuals