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  • Comments from EMG & MVC

    Hi All,

    Many thanks for everyone’s comments and time in responding to my question.
    All comments have been of great interest. Thanks again.

    Here are the responses:
    ---------------------------------------------------------------
    You have asked an important question that has not been resolved in the EMG
    normalization literature. What is certian is that normalization will not give
    you a standard 0 to 100% relative scale of activation, because of differences
    in static an dynamic actions and normal variation.

    Some favor the isometric MVC since it does factor out variations in activation
    due to dynamics (changes in muscle length, velocity, position under the
    electrodes), while others favor multiple position or dynamic normalization
    procedures but these include unknown between trial variation into the data. It
    is not clear if variation due to muscle action or maximal effort is larger and
    most in need of elimination in the normaliztion process.

    There is considerable reserach on this topic, but no clear consensus as to
    what method is best. It may even depend on the muscle/muscle group involved.
    Here are a few sources for you to look at:

    Kasprisin & Grabiner 2000 Clin Biomech 15:743-749.
    Vint & Hinrichs 1999 J Appl Biomech 15:210-220.
    Miaki et al. 1999 Eur J Appl Physiol 80:185-191.
    Burden & Bartlett 1999 Med Eng Phys 21:247-257.
    Kasprisin & Grabiner 1998 J EMG Kines 8:45-50.
    Bamman et al. 1997 J Strength Cond Res 11:68-72.
    Zabik & Dawson 1996 Percept Mot Skills 83:976-978.
    Knutson et al. 1994 J. EMG Kines 4:47-59.
    Allison et al. 1993 J. EMG Kines 3:236-244.
    Knudson & Johnston 1993 J Hum Mov Stud 25:39-50.
    Veiersted 1991 Eur J Appl Physiol 62:91-98.

    __________________________________
    Duane Knudson, Ph.D.
    Associate Chair
    Department of Physical Education and Exercise Science
    California State University, Chico
    Chico, CA 95929-0330 USA
    530-898-6069
    530-898-4932 Fax
    dknudson@csuchico.edu
    http://web.csuchico.edu/~dknudson/

    ---------------------------------------------------------------------------

    For adult healthy subjects I believe the maximum isometric contraction
    is the best reference contraction. You may have seen an article I
    co-authored in 1994 in JEK. Also see Soderberg and Knutson in Physical
    Therapy in 2000.

    Loretta M. Knutson, PhD, PT, PCS
    Professor, Physical Therapy
    Southwest Missouri State University
    email: LorettaKnutson@smsu.edu
    phone: 417/836-8728 fax: 6229

    ----------------------------------------------------------------------------
    The following reference may be of some help:
    Yang JF, Winter DA.
    Electromyographic amplitude normalization methods: improving their sensitivity
    as diagnostic tools in gait analysis
    Arch Phys Med Rehabil. 1984 Sep;65(9):517-21.

    ************************************************** *********************
    Gordon Chalmers, Ph.D.
    Dept. of Physical Education, Health and Recreation
    Western Washington University
    516 High St.
    Bellingham, WA, U.S.A.
    98225-9067

    Phone: 360-650-3113
    FAX: 360-650-7447

    Email: Gordon.Chalmers at wwu dot edu
    Web: www.wwu.edu/~chalmers

    -------------------------------------------------------------------------------
    Robert:

    I've attached two PowerPoint files that I've used in recent EMG classes
    at Arizona State University. One speaks directly to normalization
    schemes, the other to reliability (which is strongly related). I would
    suggest staying away from MVC normalization schemes because they tend to
    take a lot of time and do not really give you much back in terms of
    reliability. The only real benefit of MVC normalization is that it is
    one of the schemes that actually allows you to assess the "level" of EMG
    activity relative to some physiological capacity. Other normalization
    schemes can improve reliability, but lose the ability to describe "how
    active" a muscle is during a given task relative to "how active" it
    could be when maximally active. Yang and Winter's work probably shows
    this most conclusively.

    Yang, J.F., & Winter, D.A. (1984). Electromyographic amplitude
    normalization methods: Improving their sensitivity as diagnostic tools
    in gait analysis. Archives of Physical Medicine and Rehabilitation, 65
    (9), 517-521.

    Yang, J.F., & Winter, D.A. (1983). Electromyography reliability in
    maximal and submaximal isometric contractions. Archives of Physical
    Medicine and Rehabilitation, 64, 417-420.

    But, before you go to the trouble of choosing and implementing a
    normalization scheme, I would suggest that you to define your problem or
    needs more explicitly. For example, what measures are you actually
    comparing? If you are comparing within subject EMG changes to different
    plyometric exercises (or even have a repeated measures, within subject
    experimental design), then normalization is not really necessary because
    each subject's response on one condition will be compared with that same
    subject's response on another condition. If, however, you want to
    establish a between-day reliability of your data, then normalization may
    help.

    I would be happy to help if you have additional problems.


    Peter
    ______________________________________
    Peter F. Vint, Ph.D.
    Research Scientist
    Research Integrations, Inc.
    9280 S. Kyrene Rd. Suite 101
    Tempe, AZ 85284
    Phone: 480-893-1600 x214
    Fax: 480-893-0602
    e-mail: peter.vint@riimail.com

    -----------------------------------------------------------------------------

    Check out the following reference for one approach to normalising EMG signals.


    Authors Dolan P. Adams MA.
    Institution Department of Anatomy, University of Bristol, Park Row, U.K.
    Title The relationship between EMG activity and extensor moment generation
    in the erector spinae muscles during bending and lifting activities.
    Source Journal of Biomechanics. 26(4-5):513-22, 1993 Apr-May.
    Abstract The relationship between EMG activity and extensor moment
    generation in the erector spinae muscles was investigated under isometric
    and concentric conditions. The full-wave rectified and averaged EMG signal
    was recorded from skin-surface electrodes located over the belly of the
    erector spinae at the levels of T10 and L3, and compared with measurements
    of extensor moment. The effects of muscle length and contraction velocity
    were studied by measuring the overall curvature (theta) and rate of change
    of curvature (d theta/dt) of the lumbar spine in the sagittal plane, using
    the '3-Space Isotrak' system. Isometric contractions were investigated with
    the subjects pulling up on a load cell attached to the floor. Hand height
    was varied to produce different amounts of lumbar flexion, as indicated by
    changes in lumbar curvature. The extensor moment was found to be linearly
    related to EMG activity, and the 'gradient' and 'intercept' of the
    relationship were themselves dependent upon the lumbar curvature at the
    time of testing. Concentric contractions were investigated with the
    subjects extending from a seated toe-touching position, at various speeds,
    while the torque exerted on the arm of a Cybex dynamometer was continuously
    measured. Under these conditions the EMG signal (E) was higher than the
    isometric signal (E0) associated with the same torque. E and E0 were
    related as follows: E0 = E/(1 + A d theta/dt), where A = 0.0014 exp
    (0.045P) and P = percentage lumbar flexion. This equation was used to
    correct the EMG data for the effect of contraction velocity. The corrected
    data were then used, in conjunction with the results of the isometric
    calibrations, to calculate the extensor moment generated by the erector
    spinae muscles during bending and lifting activities. The extensor moment
    can itself be used to calculate the compressive force acting on the lumbar
    spine.
    -------------------------------------------------------------------------------

    Dear Robert: You will find that EMG activity levels achieved during
    dynamic events such as jumping will exceed those during isometric
    contractions. Thus, the exact meaning of a 100% isometric MVC is not
    clear. If you are doing near maximal dynamic activities I would use the
    highest EMG activity levels observed during all the activities that you do
    as that will probably be most representative of 100% maximum EMG. We used
    this to normalize finger muscle EMGs (Darling et al., Journal of
    Biomechanics 27:479-491) during dynamic movements which included "as fast
    as possible" movements. One problem with your EMG analysis for plyometric
    activities such as drop jumps is that the impacts will cause large movement
    artifacts in the EMG that you must deal with (I suggest using a high pass
    filter on the raw EMG at about 30-50 Hz - see Fagenbaum and Darling,
    American Journal of Sports Medicine 31:233-240).

    Good luck,
    Warren

    Sincerely,

    Warren G. Darling, Ph.D.
    Associate Professor,
    Department of Exercise Science,
    The University of Iowa
    Iowa City, IA 52242

    phone: 319-335-9514
    fax: 319-335-6966

    -------------------------------------------------------------------------------
    Hi, Robert. We have encountered the issue of EMG normalization during
    our isometric and isokinetic studies. We have used both techniques you
    described in your initial post (i.e., EMG expressed as a percentage of
    the highest recorded value within the data set and expressed as a
    percentage of isometric MVC). Below are four references. The quotes
    from these references simply support the notion of EMG normalization,
    but additional reading from these sources will provide more detailed
    accounts of different normalization techniques (i.e., also expressed as
    a percentage of force production or ratios thereof). I'm not sure that
    it really matters what normalization procedure you use, but when
    comparing between individuals, muscles, and muscle actions, it is
    important that you do normalize.

    The specific procedure you use is somewhat dependent upon the number of
    data points (EMG amplitude values within subjects) you wish to
    normalize. If you have many data points, then expressing your EMG
    amplitude values as a percentage of the highest recorded value would be
    fine. If you are analyzing a limited number of data points for each
    subject, then you may want to consider normalizing to an external value,
    such as a percentage of an isometric MVC. In addition, there have been
    studies that have expressed EMG amplitude values as a ratio of the force
    produced during the EMG signal epoch.

    Hopefully the following information will be helpful:

    The absolute amplitude of the EMG signal is influenced by many factors
    including the subcutaneous tissue between the electrode and muscle,
    muscle architecture, fiber type, and fiber diameter. Thus, EMG data
    used for comparisons between individuals, muscles or activities should
    be normalized. Basmajian and DeLuca (Muscles Alive, 5th ed., 1985, p.
    77) have stated:

    "A generalized representation of the EMG signal must contain a
    formulation which allows a comparison of the signal between different
    muscles and individuals. This is not a problem in some contractions,
    such as those involving ballistic movements. However, it is a
    requirement in isometric and anisometric contractions. The formulation
    for comparison may be obtained by normalizing the variables of the EMG
    signal with respect to their maximal measurable value in the particular
    experimental procedure."

    LeVeau and Andersson (Output forms Data analysis and applications,
    Interpretation of the electromyographic signal. In: Soderberg, G.L.
    (ed.) Selected Topic in Surface Electromyography for Use in Occupational
    Settings: Expert Perspectives. U.S. Department of Health and Human
    Services, Publication No. 91-100, 1992, p. 70) have stated:

    "Quantification of the myoelectric signal, although not the goal, is
    done so that comparisons may be made among muscles, individuals, and
    activities. The myoelectric signal amplitude is used as an indirect
    measure of contraction-force. Because there is not a one-to-one
    relationship between the two, a standard of reference must be
    established for any comparison among subjects, muscles, or activities.
    Such a process is referred to as normalization."

    Cram and Kasman (Introduction to Surface Electromyography. Aspen
    Publishers Inc. 1998, p. 62) have stated:

    "Comparison of sEMG values both within and between individuals is
    potentially fraught with problems. Anthropomorphic differences between
    different recording sites and between individuals suggest cautious use
    of such comparisons. Some of the factors that might affect these
    comparisons include: thickness of subcutaneous adipose tissue, muscle
    mass/cross-sectional area, fiber type, age, sex, subtle changes in
    posture, interelectrode distance, and impedance of the skin. The
    effects of the various anthropomorphic moderating variables on
    comparison between individuals are reviewed in some depth in Chapter 5.
    The bottom line is that it is possible to compare RMS values across
    muscle sties for the resting baseline conditions only. Population
    statistics for the sites of comparison are extremely valuable. However,
    during dynamic movements, comparison of amplitude measurements alone
    (ie, peak RMS) across muscle groups can be very misleading without first
    normalizing the sEMG data.
    Researchers and practitioners have attempted to deal with these
    issues. One technique used to control for these variables is called
    normalization."

    Recently, Soderberg and Knutson (A Guide for Use and Interpretation of
    Kinesiologic Electromyographic Data. Physical Therapy. 80:5 p. 492)
    summarized the need for normalization by stating:

    "Either raw or processed versions of data can be entered into the
    normalization module, which allows for the process of referencing the
    EMG data to some standard value, usually by dividing the derived EMG
    data by a reference value. The decision to normalize or not normalize
    is based on the type of descriptions or comparisons to be made. For
    example, if comparisons are made between subjects, days, muscles, or
    studies, the process is required."

    Good luck!

    Joel

    Joel T. Cramer
    University of Nebraska-Lincoln
    Department of Health and Human Performance
    Center for Youth Fitness and Sports Research
    145 Mabel Lee Hall
    Lincoln, NE 68588-0229
    Phone: (402) 472-3846
    Fax: (402) 472-4305
    E-mail: jcramer@unlserve.unl.edu
    Web: http://tc.unl.edu/jtcramer/

    -------------------------------------------------------------------------------

    Hi Robert,

    I am not exactly sure of your research design, I would think that using a
    condition as the reference (100%) and making all other condition a percentage
    of that condition would probably be best. We have had a number of cycling EMG
    studies published that have used this method. Also, I have a paper in review
    at the moment that has been rejected a number of times due to the fact that I
    have compared EMG from concentric and eccentric contractions together.
    Apparently, due to signal cancellation issues diferent muscle action types
    should not be directly compared against each other (Day & Hullioger 2001, J
    Neurophysiol 86:2144-2158). If you want to get your study published once
    finished I suggest that you don't normalise against an isometric max,
    normalise against a reference or standard depth jump even if you need to
    include a new jump in your protocol solely for this purpose, it will only add
    a few minites to your total testing time.

    Hope this helps,
    Jack

    ************************************
    Jack Cannon
    Postgraduate Student
    Human Movement Studies Unit
    Faculty of Education
    Charles Sturt University
    Bathurst, 2795
    Australia
    Ph: +61 2 6338 4334
    Fax: +61 2 6338 4065
    ************************************
    -----------------------------------------------------------------------------

    Hi Robert,
    I have looked at the issue of amplitude normalisation for the SSC and
    abdominal muscles.
    Esentially there are three positions adopted by researchers.
    A. Express it as a % of MVIC (generally independent of motor strategy
    hence the maximal obtained in different actions. [Ref])
    Advantages:
    Most common form (by researchers who utilise the EMG signal as a
    mapping of the force) hence you can compare data with other research
    raw data results.
    Easiest conceptually - avoids the conceptual problem of having an
    amplitude of 125% - easier to describe
    Easiest to perform prior to activity - most people understand MVIC.
    Mid range isometric not generally pattern specific
    Disadvantages.
    Inappropriate (my opinion) in situations where there is pain or
    potential inhibition i.e LBP groups.
    Usually highly variable (within subject performance between sessions)
    - adds to variability in the data.
    Not good for low level activities.
    Mid range isometric - difficult correlates with different lengths and actions.

    B. Submaximal normalisation
    Same as MVIC but a standard load is used that reflect the similar
    amplitude of the task being studied.
    For example a set load held against gravity.
    Advantages:
    Easy to perform - most people understand.
    Better reliability within and between sessions [ref]
    Appropriate where there may be pain inhibition of maximal performance
    Good for low amplitude activities
    Disadvantages.
    Mid range isometric not generally pattern specific
    Mid range isometric - difficult correlates with different lengths and actions.
    Some people have problems interpreting the amplitude scale.

    C. Peak or mean amplitude derived from the activity.
    Advantages:
    easy to determine.
    Disadvantages.
    May not be independent of the derived variable of investigation.
    Pattern specific
    Difficult to compare between muscles


    How to choose which is best amplitude normalisation technique?

    There is probably no correct answer but at least you can justify what
    you pick by using the literature. ...

    My suggestions.
    1. Understand the derived variable you are drawing from the EMG
    signal is it changed by different amp norm techniques? [ Does mm,
    length, action difference etc in the Amp norm impact on the derived
    variable?]
    2. The Amp Norm technique has to be reliable
    3. The Amp Norm technique (unless using MVIC) should be similar to
    the amp you are observing.
    4. A reduction in coefficient of variation (CV) by itself is not the
    single best indicator of the the value of amplitude normalisation.
    5. a Chnge in the statistical power of the derived variable of a
    known clinical difference is the key to the quantification of Amp
    Norm assessments.

    I mention these in some of my publications.

    p.s.
    How you process the EMG signal is also important to understand the
    variability in the data - for example the reliability of the peak
    signals is related to how hard the data are filtered.

    Good luck.

    Garry T Allison Associate Professor of Physiotherapy
    The Centre for Musculoskeletal Studies http://www.cms.uwa.edu.au/
    School of Surgery and Pathology, The University of Western Australia.
    Level 2 Medical Research Foundation Building
    Rear 50 Murray Street
    Perth Western Australia 6000.
    email
    ph: (618) 9224 0219
    Fax (618) 9224 0204
    -------------------------------------------------------------------------------

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