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  4. Validity and Reliability of Surface Electromyography Features in Lower Extremity Muscle Contraction in Healthy and Spinal Cord–Injured Participants

Validity and Reliability of Surface Electromyography Features in Lower Extremity Muscle Contraction in Healthy and Spinal Cord–Injured Participants

Top Spinal Cord Inj Rehabil, 2021 · DOI: 10.46292/sci20-00001 · Published: January 1, 2021

Spinal Cord InjuryRehabilitation

Simple Explanation

This study looks at how well certain measurements from muscles in the legs correlate with actual muscle force, and how consistent these measurements are over time. The goal is to see if these measurements can be used to track muscle function in people with spinal cord injuries (SCI). The study compared these muscle measurements in healthy individuals and those with SCI to see if they could be reliable indicators of muscle effort, even when muscle control is affected by SCI.

Study Duration
Not specified
Participants
9 healthy uninjured and 4 cervical incomplete SCI volunteers
Evidence Level
Not specified

Key Findings

  • 1
    In healthy participants, SEMG features correlated well with torque (TA: ρ > 0.92; SOL: ρ > 0.94) and showed high reliability (ICCmean = 0.90; range, 0.72-0.99).
  • 2
    In an SCI case series, SEMG features also correlated well with torque (TA: ρ > 0.86; SOL: ρ > 0.86), and time-domain features appeared no less repeatable than amplitude-based measures.
  • 3
    Time-domain SEMG features are valid and reliable measures of lower extremity muscle activity in healthy participants and may be valid measures of sublesional muscle activity following SCI.

Research Summary

The purpose of this study was to explore the feasibility of using SEMG time-domain features to quantify volitional effort in the lower extremities of healthy individuals and SCI participants. In this study, all time-domain SEMG features correlated well with measured torque between 20% and 80% peak contraction. In a case series of SCI individuals, time-domain features were valid indicators of exerted muscle torque and appeared to perform at least as well as conventional amplitude-based features across days.

Practical Implications

Rehabilitation Monitoring

Time-domain SEMG features could be used to gauge motor impairment and progression of rehabilitative interventions.

Assistive Technology

These features could be used in controlling assistive technologies.

Improved Assessment

Time-domain features appear to be potential additions to amplitude-based neurophysiological assessments in SCI participants.

Study Limitations

  • 1
    Number of participants with SCI was small
  • 2
    Lack of control for shoe type
  • 3
    Use of medications

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