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Journal of Electromyography and Kinesiology 21 (2011) 102–111

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Journal of Electromyography and Kinesiology


journal homepage: www.elsevier.com/locate/jelekin

Peak and average rectified EMG measures: Which method of data reduction
should be used for assessing core training exercises? q
A.E. Hibbs a,*, K.G. Thompson b, D.N. French b, D. Hodgson a, I.R. Spears a
a
University of Teesside, UK
b
Northumbria University, Ellison Place, Newcastle upon Tyne, Tyne and Wear, NE1 8ST, UK

a r t i c l e i n f o a b s t r a c t

Article history: Core strengthening and stability exercises are fundamental for any conditioning training program.
Received 1 November 2009 Although surface electromyography (sEMG) is used to quantify muscle activity there is a lack of research
Received in revised form 7 June 2010 using this method to investigate the core musculature and core stability. Two types of data reduction are
Accepted 7 June 2010
commonly used for sEMG; peak and average rectified EMG methods. Peak EMG has been infrequently
reported in the literature with regard to the assessment of core training while even fewer studies have
incorporated average rectified EMG data (ARV). The aim of the study was to establish the repeatability
Keywords:
EMG
of peak and average rectified EMG data during core training exercises and their interrelationship.
ARV EMG Ten male highly trained athletes (inter-subject repeatability group; age, 18 ± 1.2 years; height,
MVIC 176.5 ± 3.2 cm; body mass, 71 ± 4.5 kg) and one female highly trained athlete (intra-subject repeatability
Core stability group; age; 27 years old; height; 180 cm; weight; 53 kg) performed five maximal voluntary isometric
Core strength contractions (MVIC) and five core exercises, chosen to represent a range of movement and muscle recruit-
ment patterns. Peak EMG and ARV EMG were calculated for eight core muscles (rectus abdominis, RA;
external oblique, EO; internal oblique, IO; multifidis, MF; latissimus dorsi, LD; longissimus, LG; gluteus
maximus, GM; rectus femoris, RF) using sEMG. Average coefficient of variation (CV%) for peak EMG across
all the exercises and muscles was 45%. This is in comparison to 35% for the ARV method, which was found
to be a significant difference (P < 0.05), therefore implying that the ARV method is the more reliable mea-
sure for these types of exercise. Analysis of the inter-subject and intra-subject CV% values suggest that
these exercises and muscles are sufficiently repeatable using sEMG. Five muscles were highly correlated
(R > 0.70; RA, EO, MF, GM, LG) between peak and ARV EMG suggesting, that for these core muscles, the
two methods provide a similar evaluation of muscle activity. However, for other muscles (IO, RF, LD)
the relationship was found to range from poor to moderate (R = 0.10–0.70). The relationship between
peak and ARV EMG was also affected by exercise type. Dynamic low and high-threshold exercises and
asymmetrical low-threshold exercises had a moderate correlation between the variables (R = 0.74–
0.81), while the static exercise showed a poor correlation (R = 0.46). It can be concluded that there are
similarities between the two EMG variables, however due to the effect of type of exercise and muscle
on the EMG data, both methods should be included in any future EMG study on the core musculature
and core stability exercises.
Ó 2010 Elsevier Ltd. All rights reserved.

1. Introduction involve the core and consequently, core exercises are incorporated
into most sports training programs. Core training uses a combina-
The core refers to the musculature of the shoulder stabilisers, tion of dynamic and static exercises, some of which are asymmet-
trunk and the upper leg muscles (Lehman, 2006; McGill, 2002; rical (e.g. birddog (McGill, 1999) resulting in alternating demands
Elphinston, 2004; Santana, 2003). Almost all athletic movements on the left and right side of the body) and some are performed
on unstable surfaces and with a small base of support (Posner-
Mayer, 1995; Cosio-Lima et al., 2003; Check, 1999). The resulting
q
Declaration by authors: The following paper has not been previously published muscle activity occurs not only to move the limbs/objects into
or submitted for consideration in any other journal. All of the above authors the desired position but also to maintain body posture (McGill,
acknowledge that they have read, and approved of, the content of the manuscript as 1999). Regularly performing these types of exercises is believed
submitted.
to result in improvements to core stability and core strength due
* Corresponding author. Address: University of Teesside, 36 Blake Walk, Gates-
head NE8 3NW, UK. Tel.: +44 1914779898.
to improvements in proprioception, muscle recruitment and mus-
E-mail address: angelahibbs1@yahoo.co.uk (A.E. Hibbs). cular/body control (Stanton et al., 2004; Trappe and Pearson, 1994;

1050-6411/$ - see front matter Ó 2010 Elsevier Ltd. All rights reserved.
doi:10.1016/j.jelekin.2010.06.001
A.E. Hibbs et al. / Journal of Electromyography and Kinesiology 21 (2011) 102–111 103

Hubley-Kozey and Vezina, 2002; Hasegawa, 2004; Hakkinen et al., dures, differences in the subsequent level of muscular activity dur-
2001). This in turn may lead to an improvement in overall sporting ing core stability exercises are reported. For example, Hildenbrand
performance by, for example, enhancing force transfer through the and Noble (2004) used mean integrated EMG activity by calculat-
body (McGill, 1999). Surface electromyography (sEMG) has been ing the area under the rectified EMG curve and dividing this by
used to quantify muscle activity during dynamic and static body the elapsed time for 5 repetitions. Meanwhile, Warden et al.
movements during core musculature training (Axler and McGill, (1999) used peak EMG values for the same muscles during the
1997; McGill, 2001). Such data if proven to be reliable would be vi- same sit up techniques by identifying the greatest EMG value dur-
tal to coaches/athletes and would enable them to identify exercises ing the exercise repetitions. Subsequently the two studies reported
which can maximise training adaptations and hence improve core differing levels of EMG activity for the same muscles and con-
stability and/or core strength. Despite this, the biomechanics of cluded that this could have been due to the different data reduc-
core exercises are not fully understood (Akuthota and Nadler, tion procedures. This highlights the potential importance of
2004). measuring more than one EMG processing method.
EMG data processing is complex and the muscle activity can be In addition to functional relevance another consideration when
summarised using different output variables (De Luca, 1997). Two choosing a summary measure for EMG is the variability of the data
of the more common summary measures are peak EMG and Aver- both within and between subjects (De Luca, 1997, 1993; Burdon,
age Rectified Variable EMG (ARV EMG). The calculation of both 2006; Basmajian and De Luca, 1985). Factors such as cross talk
variables involves normalising the EMG data which involves the (Farina et al., 2004; Winter et al., 1994) and the quasi-random nat-
subject performing a preliminary restrained exercise (i.e. isokinet- ure of the EMG signal due to differing neural recruitment patterns
ic, isometric and isotonic exercises) that elicits an assumed maxi- makes the signal susceptible to large variations between measure-
mal voluntary isometric contraction (MVIC) of a given muscle ments (De Luca, 1997). While it has been found that by following
(Ekstorm et al., 2005). The peak EMG variable can then be ex- careful data collection procedures, reliable sEMG data can be ob-
pressed as a percentage of this MVIC (McGill, 1999; Axler and tained (Komi and Buskirk, 1970; Kadaba et al., 1985; Giroux and
McGill, 1997; Vezina and Hubley-Kozey, 2000; Arokoski et al., Lamontagne, 1990; Finni et al., 2007; Finucane et al., 1998; Golho-
1999). The peak EMG variable gives a measure of the maximal fer et al., 1990; Goodwin et al., 1999), the variability in the mea-
activity of the given muscle during the exercise and has been used sures can be high (10–30%) (Jackson et al., 2008). Furthermore,
to quantify muscle activity during core exercises (Axler and McGill, although no published data on the coefficients of variation (CV)
1997). In contrast, the ARV EMG is a measure of the area under the for the core musculature exists, CV values of 30–50% from ultra-
normalised EMG time-series curve divided by the time period sound studies have been reported (Mannion et al., 2008). It is
(Hatton et al., 2008; Edwards et al., 2008; Merletti, 1999) (Fig. 1). therefore expected that variability is a likely problem for assessing
This variable will include an indication of any submaximal activity core musculature which could obscure interpretation of differing
which may occur during the stabilisation of the body (Comerford, demands and muscle roles during core exercises.
2007) particularly when performing the exercise on an unstable The aims of this study are twofold. The first aim of the study is
surface or with a small base of support as occurs during many rou- to quantify the variability of peak and ARV EMG data during core
tine core exercises. Previous research on the core muscle activa- training exercises and the second is to establish which method
tions patterns (Hildenbrand and Noble, 2004; Warden et al., may be the more appropriate for the assessment of muscular activ-
1999) has found that by using different EMG data reduction proce- ity during core stability and core strength exercises.

Fig. 1. Diagram of the ARV EMG and Peak EMG processing method. Integral, repetition duration and peak values for the processed EMG were taken between the onset and
offset points. Also shown is the method of establishing the onset and offset values for each repetition. (A) Baseline data to calculate onset threshold and (B) baseline data to
calculate offset threshold.
104 A.E. Hibbs et al. / Journal of Electromyography and Kinesiology 21 (2011) 102–111

2. Methods Table 1
Eight core muscles were analysed using sEMG; abbreviations and placements.
Locations based on previous research. Cram J. Introduction to surface electromyog-
2.1. Subjects raphy. 2nd ed. Jones & Bartlett Publishers; 2008.

Muscle (group) Position of electrode (right side)


Eleven athletes (10 male, age, 18 ± 1.02 years; height, 177 ±
1.5 cm; body mass, 76 ± 2.1 kg; one female, age, 18 ± 1.2 years; Rectus abdominis – Positioned vertically on centre of muscle belly, 5 cm
upper (RA) above umbilicus, 3 cm lateral from midline
height, 175.5 ± 1.1 cm; body mass, 71 ± 1.8 kg) volunteered to par-
External oblique 3 cm above iliac crest, at 45° above the anterior
ticipate in the study. The 10 male subjects performed the protocol (EO) superior iliac spine (ASIS) level with the umbilicus
on a single day. The EMG electrodes were positioned on the muscle Internal oblique (IO) Positioned horizontally 2 cm inferomedial to the ASIS
landmarks (see below) at the beginning of the day and remained in Multifidis (MF) Positioned vertically 3 cm lateral to spine, L4–5
position until the end of the day’s data collection. A single subject spinous process
Longissimus (LG) Positioned vertically 3 cm lateral to spine, L2 region
(female, age; 27 years old; height; 180 cm; weight; 53 kg) repeated
Gluteus maximus On centre of muscle belly
the protocol on three separate days. In this case the electrode land- (GM)
mark was marked with a permanent marker to ensure the same Latissimus dorsi Positioned obliquely, 25° from horizontal in
placement on the following days. Experimental test protocols were (LD) inferomedial direction, 4 cm below inferior angle of
scapula
approved by the Teesside University Ethical Committee. All sub-
Rectus femoris (RF) Positioned vertically on midline of thigh, midway
jects were highly trained and experienced in performing core sta- between ASIS and proximal patella
bility and strength exercises thus minimising the potential for any
learning effects. The subjects were in full health and did not report
any feelings of pain when performing the tests.

et al., 2005; Konrad et al., 2001) have recommended using more


2.2. Data collection
than one MVIC exercise to ensure a maximum activation for a mus-
cle. Accordingly, five maximal voluntary isometric exercises
2.2.1. Equipment set-up
(MVIC) were performed three times (with one minute rest be-
EMG signals were recorded from 8 right-sided core muscles
tween each) for 10 s to ensure a true MVIC from each muscle (de-
(Table 1). The reference electrode was placed on the right iliac
tails of each MVIC exercise can be found in Table 2). In order to
crest. Muscles were selected on the basis that they are important
minimise the effect of the muscle length–tension relationship on
to core stability and core strength (Elphinston, 2004; Hubley-Ko-
the resultant EMG output (Urquhart et al., 2005; Howard and Eno-
zey and Vezina, 2002; Hakkinen et al., 2001; McGill et al., 2003;
ka, 1991) the MVIC exercises were performed in a similar body po-
McGill, 1991; Marshall and Murphy, 2003; Hubley-Kozey and
sition to those of the core stability exercises (Table 3). For each
Vezina, 2002; Hodges et al., 1999; Gardner-Morse et al., 1995;
subject, for the resisted exercises, the amount of weight needed
Faries and Greenwood, 2007). Each landmark was identified using
to prevent any body angle movement occurring was established
anatomical landmarks by a qualified physiotherapist and shaved
and then used during the MVIC exercises (this ranged from 20 to
and cleaned using alcoholic wipes. All electrodes were securely
35 kg of free weights). Each MVIC exercise was performed three
taped to the skin and the data was subsequently high pass filtered
times for 10 s with a two minutes rest period between each repe-
at 20 Hz to reduce any movement artefacts. EMG data was
tition. Subjects were given verbal encouragement during each
collected (sampling rate 1000 Hz) using Delsys Wireless Myomon-
MVC and core exercise to help ensure a maximum and consistent
itor III device with surface electrodes (Delsys DE-2.3 Single
effort during the EMG data collection period.
Differential Surface Electrode; inter-electrode distance 1 cm; bar
type electrode, contact dimensions 10  1 mm, 99.9% Ag; Gain
2.2.3.2. Core stability and strength exercises. Five core stability and
1000; Bandwidth 20–450 Hz; common mode rejection ratio of
core strength exercises were performed (Table 3). The exercises
92 dB, pre-amplifier gain 1000 V/V ±1%, input impedance of
were selected based on previous research that highlights them as
>1015 X//0.2 pf) and saved using Delsys EMGWorks Acquisition
important in developing core stability and core strength (Axler
software.
and McGill, 1997; Akuthota and Nadler, 2004; Faries and Green-
wood, 2007; Hodges, 1999; Jeffreys, 2002; Kibler et al., 2006; Lie-
2.2.2. Experimental procedure mohn et al., 2005; McGill, 1998). These included low-threshold
Due to the athletes being familiar with performing core exer- (less demanding, posture related exercises which focus on muscle
cises, the learning effects of performing these exercises are ex- recruitment) and high-threshold exercises (greater stress on the
pected to be low given the highly trained nature of the sample. core musculature thus promoting core strength development)
Any learning effect was further minimised by introducing the exer- (Comerford, 2007). Some of the exercises are classified twice. For
cises one week prior to data collection. Subjects were provided example the sit-hold-twist with resistance exercise is classified
with a written explanation of each exercise, shown a demonstra- as both a dynamic high-threshold exercise and an asymmetrical
tion and practised each MVIC and core exercises at the required exercise.
repetition rate. On the day of testing sEMG data was first recorded The core exercises were performed continually for a minute and
with the muscles fully relaxed (subject lay prone on the floor) to then repeated with one minute rest between each set. The order of
define the baseline for each muscle channel. the exercises was performed in a crossover randomised design for
each subject. The duration and number of repetitions over which
2.2.3. Exercise details these exercises were performed varied due to the demands of the
2.2.3.1. Normalisation exercises. The choice of MVIC exercise does exercises (Table 3) but these were subsequently time-normalised
result in some variability between measurements (Ekstorm et al., to muscle activity per second to enable direct comparisons be-
2005; Enoka and Fuglevand, 1993). However, previous research tween the exercises. Repetition rates were determined by a certi-
has established that the use of numerous static MVIC exercises fied UK strength and conditioning coach and monitored during
does result in the least variability of data and that this method is testing using a stopwatch. Subjects were instructed to perform
suitable for the normalisation process of EMG data (Bolgla and controlled, smooth movements in order to minimise the variability
Uhl, 2005; Yang and Winter, 1984). Previous studies (Ekstorm of the EMG signal (Konrad et al., 2001).
A.E. Hibbs et al. / Journal of Electromyography and Kinesiology 21 (2011) 102–111 105

Table 2
The MVIC exercises performed (based on Brandon (2006)).

Exercise Muscle targeted Description Repetition rate Duration (s) Diagram


Resisted sit up RA Lie on floor with knees bent to 90°with back in neutral Continuous 10
position, place weight on chest and hold with folded
arms across chest. Subject attempts to perform a sit up.
Weight should be sufficient enough to prevent any
substantial movement of the upper body
Resisted back extension GM, L, MF Using a horizontal extension bench, lie with hips over Continuous 10
edge of bench and feet fixed under bar. Flex hips so head
is near ground. With a weight in arms attempt to extend
the back. The weight should be sufficiently heavy to
prevent substantial upper body movement
Resisted trunk rotation EO, IO In a seated position on the floor with legs straight out in Continuous 10
front and arms across chest. Subject rotates upper body
while external resistance is placed on shoulder to
prevent substantial upper body twisting

Resisted hang LD Hang from a wall bar with arms straight. Facing wall, Continuous 10
secure feet (use external resistance pulling down on
ankles) so no movement upwards can be achieved.
Attempt to pull body upwards using shoulders and arms

Resisted hip flexion RF Subject sits on bench with thighs fixed and knees bent at Continuous 10
80°. Subject attempts extension of knee and flexion of
hip maximally

2.3. Data processing EMG activity during the MVIC exercises. An average (mean) value
was obtained from three repetitions of each exercise for each
Raw sEMG signals for both MVIC and the core exercises were muscle.
bandpass filtered at 20–450 Hz and analysed using Acknowledge
software program (Biopac Systems Inc., Goleta, CA). A Root Mean 2.4. Statistical analysis
Square (RMS) method with a moving average window of 50 ms
was adopted. To identify the start and end of the repetitions for 2.4.1. Intra-subject variability derived from a single subject
the dynamic exercises (for the MVIC and static exercises, the mid- The within day coefficient of variation (CV) was established
dle 5 s were used) onset and offset values were calculated using using the intra-subject data. CV measures were used as this calcu-
the equation below (Hatton et al., 2008; Edwards et al., 2008; Di lation of reliability standardises the standard deviation (SD) to the
Fabio, 1987; Hodges and Bui, 1996) (see Fig. 1). The onset of the mean and so removes the variability of the data due to the magni-
repetitions was accepted when the muscle activity exceeded the tude of the mean (Reed et al., 2002). As it is proposed that greater
mean resting value by more than three standard deviations for SDs will be seen when greater mean muscle activity during the
over 30 ms and the cessation of the repetition established when core exercises are performed due to the differing techniques used
the activity fell below the mean resting value by more than 3 stan- and the subsequent greater demands placed on the core muscula-
dard deviations for over 30 ms (Edwards et al., 2008). ture resulting in the higher activation levels. The CV was estab-
lished using the equation stated below for each day (day 1 sets
Onset=Offset value ¼ Mean þ ð3  Standard DeviationÞ 1–3, day 2 sets 4–7, day 3 sets 8–10). The greatest minimum to
maximum CV difference occurring on any of these days was ex-
Peak and ARV EMG values were obtained for both the MVIC (to
pressed as an indication of within day variation and the difference
enable normalisation of the EMG signals) and core exercises. Peak
between these values, used as an indication of between day varia-
values were established by calculating the peak EMG activity dur-
tion (Yang and Winter, 1983).
ing a 5 s period for each of the three MVIC repetitions for each
muscle. ARV EMG values were established by calculating the aver- CV ¼ ðSD=meanÞ  100
age muscle activity per second for each muscle during each MVIC
exercise. These values were used to normalise the EMG data during
the core exercises. 2.4.2. Intra-subject variability derived from multiple subjects
To establish peak and ARV EMG values during the core exer- The variability of the summary measures were calculated using
cises, three repetitions of each exercise were analysed. The EMG the log-transformed CV (Bamman et al., 1997) for each type of core
data was normalised by expressing the peak EMG value as a per- exercise to assess the variability of the scores (the normalised EMG
centage of the peak EMG value for a subject’s highest correspond- values) as a percentage of their mean for each of the core muscles.
ing MVIC trial and for each muscle. The highest normalised EMG This was then subjected to back-transformation of the RMS error
data value from the three repetitions was then used in all subse- (Hopkins, 2000) as stated below (Yang and Winter, 1983):
quent analysis as the peak EMG value. To calculate the ARV EMG, CV ¼ 100  ðOx  1Þ%
the sum of the EMG area under the curve was divided by the total
number of data points between the onset and offset times, to give (where O = ERMS).
an ARV in volts for the repetition (Hatton et al., 2008; Edwards Two-way mixed consistency ICC values (using SPSS version
et al., 2008). This was normalised as a percentage of the maximum 12.0) were computed on the sEMG data using peak and ARV values
106 A.E. Hibbs et al. / Journal of Electromyography and Kinesiology 21 (2011) 102–111

Table 3
Description of core exercises (* based on Brandon (2006)).

Exercise Description Repetition rate Duration Diagram


(s)
Side bridge/plank* Lie on one side, ensuring top hip is ‘stacked’ above the bottom hip. Push up Hold for 60 s 60
(static) until there is a straight bodyline through feet, hips and head

Birddog* Hands below shoulders and knees below hips. Position back in neutral, slowly 2 s change sides–3 s 60
(asymmetrical) slide back one leg and slide forward the opposite arm until level with back. hold in position
Ensure back does not extend and shoulders and pelvis do not tilt sideways.
Bring leg and arm back to start position and swap sides

Bent leg curl-up Lie on floor with knees bent to 90°and feet resting on floor. Position back in the 2 s hip flexion (up)–2 s 60
(dynamic low- neutral position and arms folded across chest, raise head, shoulders and upper hip extension (down)
threshold) back off the floor, hold and return to start position

Overhead squat Using wooden stick, place hands shoulder width apart on stick. Raise the bar 2 s hip flexion (down)– 60
(dynamic high- above head and straighten arms. Feet shoulder width apart, squat down as low no hold–2 s hip
threshold) as possible while maintaining balance, keeping bar, head and back vertical. extension (up)
Straighten legs and repeat

Medicine ball, sit- Sit up with knees bent and lean back at 45°. Feet off floor, keeping back in 2 s move from left to 60
hold-twist neutral, using a 4 kg medicine ball, twist waist and shoulders to one side with right and return (4 s
(asymmetrical) ball held out in front of you. Return to forward and repeat to other side total)

from the core exercises. ICC values were calculated using ICC (3, 1) for the uncontrollable quasi-random nature of the EMG signal but
and the equation below (Shrout and Fleiss, 1979): removes EMG signals that show great variation within subjects due
to for example, difficult electrode placement. These values that
BMS  EMS
ICC ð3; 1Þ ¼ show a large variation between trials would make the identifica-
BMS þ ðk  1ÞEMS tion of any significant changes in performance in subsequent anal-
where BMS, between-subjects mean square; EMS, error mean ysis impossible.
square; k is the number of repetitions). The interrelationship between the peak and ARV EMG variables
To establish the measurement error between the trials, consec- were analysed by calculating the standard deviations and r values
utive pairs of trials were examined (trials 1 and 2 and trials 2 and (Pearsons correlation coefficient) (Atkinson and Nevill, 1998) for
3). All three trials were then compared to establish total measure- each muscle and exercise type.
ment error (CV). If this three trial CV value was below 26% this was
reported, if the value was above 26%, the two trial CV value that 3. Results
showed the lowest variation was reported. This was adopted be-
cause, based on previous work on the arm (Ekstorm et al., 2005) 3.1. Variability of peak and ARV EMG during MVC exercises
and leg muscles (Bamman et al., 1997; Knutson et al., 1994), an
acceptable limit of variation for sEMG to enable further data to Between-trial and between-day variability during the MVC
be collected on any muscle or exercise would be a CV value of be- exercises derived from a single subject are shown in Table 4. CVs
low 26% and an ICC value of >0.7. These limits were chosen to allow are shown for the muscles in the exercises that elicited a maximum
A.E. Hibbs et al. / Journal of Electromyography and Kinesiology 21 (2011) 102–111 107

Table 4
Within-subject CV between day (mean) and within day variation (min and max range) derived from a single subjects (n = 1) during the MVIC exercises. Min = minimum %CV
within a day (3 trials), Max = maximum %CV within a day (3 trials).

MVIC exercise RA EO IO MF LD GM LG RF
Resisted sit up ARV 28 (20–43) 12 (3–50) 89 (10–71) 15 (3–31) 51 (3–61)
Peak 14 (7–19) 15 (9–21) 47 (5–66) 93 (22–70)
Resisted back extension ARV 38 (12–50) 18 (2–23) 12 (6–11) 8 (5–9) 48 (2–23)
Peak 11 (5–11) 35 (4–47) 6 (3–9) 49 (3–23)
Resisted trunk rotation (right) ARV 46 (3–22) 46 (3–22)
Peak 19 (3–9) 57 (7–33)
Resisted trunk rotation (left) ARV
Peak 48 (13–48)
Resisted hang ARV 37 (2–27) 23 (3–7)
Peak 20 (11–21) 31 (0–24) 29 (6–13)
Resisted hip flexion ARV 26 (5–29)
Peak 24 (8–25)

Table 5
Within-subject CV (log-transformed) and 95% confidence levels (in brackets) derived from multiple subjects (n = 10) during the MVIC exercises. Values are shown for muscles in
exercises that elicited a maximum in more than 3 subjects.

MVIC exercise RA EO IO MF LD GM LG RF
Resisted sit up ARV 21 (19–52) 20a (17–36) 19b (18–38) 13b (6–15)
Peak 28a (16–33) 23 (13–36) 24 (23–50) 8b (6–25)
Resisted back extension ARV 8a (8–17) 19 (16–38) 27a (14–29) 19 (10–25)
Peak 11 (6–15) 33a or b (14–38) 15 (13–26) 12 (8–28)
Resisted trunk rotation (right) ARV 17 (14–29)
Peak 19 (13–27)
Resisted trunk rotation (left) ARV 8 (4–11)
Peak 3 (2–9)
Resisted hang ARV 27b (13–29) 7 (14–30)
Peak 17 (15–30) 19 (5–21)
Resisted hip flexion ARV 24 (18–30)
Peak 23b (19–28)
a
Used only 2 of 3 trials (trials 1 and 2).
b
Used only trials 2 and 3 following pairwise correlation comparison tests.

in three or more of the data sets performed. Between-trials CVs 3.3. Interrelationship between ARV and Peak EMG variables during
ranged from 0% to 70% for peak muscle activity and from 2% to core exercises
61% for ARV muscle activity. Between-day CVs ranged from 6% to
57% for peak EMG muscle activity (excluding LG during the sit The average CV for peak EMG across all the exercises and mus-
up [CV = 93%]) and from 8% to 51% for ARV EMG (excluding LD dur- cles was 45% and 35% for peak EMG and ARV EMG, respectively,
ing the sit up [CV = 89%]). For both peak and ARV EMG, the lowest and was found to be a significant difference (P < 0.05).
variability occurred for RF and MF muscles and the highest oc- Across the exercises the ARV EMG standard deviations ranged
curred for LD and LG muscles. from 3 to 67.9, while an absolute standard deviation range of
Between-trials variability derived from multiple subjects are 3.4–54.7 was observed for peak EMG (Table 9). When all the mus-
shown in Table 5. Peak EMG CV ranged from 7% to 27% while cles were averaged, the standard deviation for the static exercise
ARV EMG CV ranged from 8% to 33%. (side bridge) was 15.2 for ARV EMG and 15 for peak EMG compared
with the high intensity exercises (overhead squat and medicine
ball sit twist) of 19.5 and 17 (ARV EMG and peak EMG, respec-
3.2. Variability of peak and ARV EMG during core exercises tively), which suggests that static exercises are less variable,
although these differences were found to just miss the required
Between-trials and between-day variability during the core significance level (P = 0.05). The dynamic, asymmetrical, high-
exercises derived from a single subject are shown in Table 6. Be- threshold exercises resulted in the highest standard deviation val-
tween-trials CV ranged from 1% to 65% for peak EMG and from ues (medicine ball sit twist; ARV EMG 19 v peak EMG 17.8, respec-
0% to 56% for ARV EMG (excluding EO during the weighted squat tively, Table 9), while the asymmetrical, low-threshold exercises
(CV = 88%). Between-day CV ranged from 7% to 66% for peak EMG (birddog and bent leg curl-up; ARV EMG 17.4, peak EMG 15.8) re-
(excluding RA during the weighted squat CV = 77%) and from 7% sulted in the lowest standard deviation values which implies that
to 54% for ARV EMG (excluding LG during the side bridge dynamic, high-threshold exercises are more variable than low-
CV = 61%). LG and EO muscles showed the largest variation be- threshold exercises. However these differences were again found
tween trials and between days for both peak and ARV EMG mea- to just miss the required significance level between the two EMG
sures. The RF, GM and MF muscles were most repeatable muscle methods (low-threshold: P = 0.51; high-threshold P = 0.58). Some
activity both between-days and between-trials. exercises reported a high SD despite showing an acceptable level
Between-trials variability derived from multiple subjects are of within subject variability. This implies that there is greater be-
shown in Table 7. Peak EMG CV (Table 7) ranged from 5% to 28%, tween subject variability than within subject variability.
while ARV EMG CV% ranged from 2% to 28%. A poor correlation was observed between peak and ARV EMG
Within subject ICC values during the core exercises are shown for the static and dynamic high-threshold exercises (r < 0.56),
in Table 8. Values over 0.7 were deemed to be sufficiently reliable. while the other exercises reported strong correlations between
108 A.E. Hibbs et al. / Journal of Electromyography and Kinesiology 21 (2011) 102–111

Table 6
Within-subject CV between days (mean) and within day (min and max range) derived from a single subject (n = 1) during the core stability and core strength exercises.

RA EO IO MF LD GM LG RF
Side bridge ARV 27 (2–9) 25 (5–53) 13 (2–16) 34 (16–34) 18 (1–18) 20 (3–15) 61 (0–24) 4 (4–5)
Peak 47 (4–16) 22 (7–47) 36 (6–47) 22 (5–25) 21 (12–23) 28 (6–18) 66 (1–17) 10 (8–14)
Bird dog ARV 35 (5–38) 26 (5–56) 20 (1–36) 9 (3–8) 23 (7–32) 11 (6–13) 44 (2–14) 16 (6–11)
Peak 7 (1–6) 24 (8–51) 17 (4–17) 7 (2–12) 20 (8–12) 13 (2–22) 36 (2–5) 20 (13–31)
Bent leg curl-up ARV 12 (8–12) 47 (10–53) 15 (3–18) 41 (3–46) 11 (5–11) 13 (2–19) 50 (1–18) 7 (3–8)
Peak 20 (8–23) 25 (6–50) 21 (1–17) 17 (1–22) 17 (7–14) 11 (4–19) 17 (12–23) 12 (2–9)
Overhead squat ARV 11 (4–13) 45 (2–88) 21 (3–47) 15 (4–16) 28 (3–17) 11 (2–16) 51 (6–18) 21 (15–27)
Peak 77 (37–46) 33 (5–59) 22 (7–15) 10 (1–12) 33 (6–18) 14 (4–18) 41 (4–10) 22 (18–27)
Med. ball sit twist ARV 15 (8–21) 29 (2–54) 12 (0–15) 24 (1–17) 11 (3–9) 11 (4–13) 54 (1–20) 11 (5–16)
Peak 29 (11–12) 46 (8–65) 20 (1–15) 61 (2–65) 23 (3–28) 26 (3–29) 29 (2–44) 10 (2–12)

Min = minimum %CV within a day (3 trials), Max = maximum %CV within a day (3 trials).

Table 7
Within-subject CV (log-transformed) derived from multiple subjects (n = 10) during the core stability and strength exercises (95% confidence levels shown in brackets).

Exercise RA EO IO MF LD GM LG RF
Side bridge ARV 23 (16–42) 17 (12–31) 13 (9–25) 14 (10–26) 5 (3–8) 2 (1–3) 23 (16–42) 9 (6–16)
Peak 13 (9–23) 8 (6–15) 5 (3–8) 10 (7–18) 9 (6–17) 13 (9–25) 8 (6–15) 9 (6–17)
Bird dog ARV 22 (16–34) 16 (11–25) 6 (4–9) 16 (11–25) 5 (3–7) 17 (12–26) 14 (10–22) 11 (8–17)
Peak 17 (13–27) 15 (11–23) 10 (7–16) 9 (7–15) 23 (17–36) 13 (10–21) 16 (12–25) 12 (9–18)
Bent leg curl-up ARV 22 (16–35) 10 (7–16) 5 (3–7) 11 (8–17) 2 (1–3) 5 (3–7) 7 (5–12) 13 (10–21)
Peak 10 (7–16) 8 (6–13) 13 (10–21) 23 (17–36) 7 (5–12) 9 (6–14) 12 (9–19) 14 (11–23)
Overhead squat ARV 28b (19–51) 16 (12–26) 11 (8–17) 22 (16–34) 17 (13–28) 9 (6–14) 8 (6–13) 7 (5–10)
Peak 18 (13–29) 28 (19–50) 22 (16–34) 6 (4–9) 22a (15–40) 14 (11–23) 9 (7–15) 11 (8–17)
Med. ball sit twist ARV 21 (16–33) 11 (8–17) 11 (5–12) 21 (15–32) 7b (5–12) 7 (5–12) 19 (14–29) 8 (6–13)
Peak 14 (10–22) 15 (11–23) 15 (11–23) 16 (11–25) 13a (9–23) 24 (18–39) 16a (11–25) 13 (9–20)
a
Used only 2 of 3 trials (trials 1 and 2).
b
Used only trials 2 and 3 following pairwise correlation comparison tests.

the EMG methods (r > 0.70) (Table 9). This suggests that peak EMG and the IO during the birddog exercise; ICC > 0.7). However, some
and ARV EMG values are related during certain types of core stabil- muscles analysed during the core stability exercises did result in
ity training exercises but not others. Peak EMG and ARV EMG val- lower ICC values than those previously reported (ICC < 0.7). This
ues were observed to be highly correlated for RA (0.96), GM (0.77), maybe due to the more complex exercise movements being per-
LG (0.97), MF (0.75) and EO (0.93) (Table 9). However a poor cor- formed and the greater number of core muscles being analysed,
relation was found between the measures for the other muscles with not all of these muscles being continually involved in all the
(IO = 0.10; LD = 0.46; RF = 0.68). exercises which would result in a greater variability in the data.
Despite this, many of the exercises and muscles did result in
acceptable levels of ICC and CV. Generally, the ICC and CV% values
4. Discussion in this study indicate that for the muscles analysed the MVIC and
core exercises performed were sufficiently repeatable to
A functionally relevant and reliable measure is important to acceptable levels that have previously been reported to be accept-
sports practitioners in order to understand the demands placed able in EMG studies (Atkinson and Nevill, 1998; Pfeiffer et al.,
on the core musculature during exercises. It has been recognised 2006).
that ARV and peak EMG activity are important parameters in the In general our data show that level of the variability was influ-
assessment of EMG data (De Luca, 1997; Hatton et al., 2008; Ed- enced by the exercise being undertaken. It was found that low-
wards et al., 2008; Burdon, 2006). This is the first study to compare threshold exercises were more repeatable exercises than high-
these measures during core exercises. threshold exercises. This interpretation is supported by previous
Three studies have evaluated the repeatability of sEMG data studies that have found for example, that sitting tasks are more
collection on the core musculature when performing core stability variable than prone tasks (Jackson et al., 2008), cycling tasks are
and core strength exercises (Edwards et al., 2008; Liemohn et al., more variable than climbing stairs (Pfeiffer et al., 2006) and studies
2005; Knutson et al., 1994). Behm (Knutson et al., 1994) found ICCs that have observed high CV average values of over 80% during
for the isometric side bridge support exercise of 0.96 and 0.98 for highly dynamic taekwondo kicks (Aggeloussis et al., 2007). Overall
the dynamic birddog exercise, which can be classed as excellent. the ARV EMG variable was significantly (P < 0.05) less variable
Liemohn et al. (2005) observed ICCs for the front support bridge (average CV 35%) when compared with peak EMG muscle activity
exercise of 0.90 and values ranging from 0.71 to 0.95 for other (average CV 45%), therefore ARV EMG is the least variable measure
low-threshold core stability exercises. Similarly, Edwards et al. of muscle activity produced during core training exercises. The
(2008) observed a high repeatability (ICC > 0.9) for the vastus more variable peak EMG values could be due to inconsistencies
medialis and vastus lateralis muscles during a sit-to-stand move- in balance correction muscle activity which would result in unpre-
ment. The current study has reported similar ICCs values for some dictable, short but large bursts of muscular activity to bring the
muscles during similar low-threshold core stability exercises (for centre of mass back into a balanced position (for example, during
example, LD during the side bridge and bent leg curl-up exercises the medicine ball sit twist exercise where there is an unstable base
A.E. Hibbs et al. / Journal of Electromyography and Kinesiology 21 (2011) 102–111 109

of support along with a highly dynamic movement) (McGill, 1999).

(0.68–0.79)

(0.35–0.47)
(0.65–0.79)

(0.54–0.68)
(0.60–0.74)

(0.15–0.24)
(0.59–0.70)
In some subjects this occurs and reached peak values whereas in

(0.17–0.3)
(0.07–0.2)

(0.05–0.2)
others it did not, subsequently increasing the variation in muscle
activity seen between subjects.
As there is a dearth of previous research using the ARV EMG

0.76
0.68
0.72
0.12
0.68
0.42

0.23
0.60

0.10
0.20
RF method during core exercises it is not possible to directly compare
the ARV EMG muscle activity during core exercises with previous
work. Data for peak EMG activity of selected core muscles is avail-
0.24 (0.31–0.3)
0.38 (0.32–0.49)
0.52 (0.45–0.61)

0.18 (0.12–0.29)
0.72 (0.67–0.76)
0.28 (0.21–0.39)
0.40 (0.35–0.49)

0.97 (0.90–0.98)

0.67 (0.6–00.76)
able but differences in the experimental parameters of different

0.56a (0.48–0.6)
studies can affect the data recorded; e.g. bandwidth selection, elec-
trode placement, repetition rate and the use of different MVC exer-
cises (Merletti, 1999). However, despite the possible differences
LG

between our study and other studies, there are similarities in the
peak EMG values. For example, during the side bridge exercise in
the current study, the RA muscle elicited a muscular contraction
0.17 (0.2–0.29)
0.06 (0.1–0.12)

of 43% of the MVIC compared to 48% (McGill, 2002) and 50% (Axler
0.99 (0.94–0.99)
0.48 (0.43–0.54)
0.65 (0.58–0.69)

0.95 (0.87–0.97)
0.91 (0.84–0.97)

0.94 (0.88–0.96)
0.70 (0.62–0.79)
0.56 (0.50–0.60)

and McGill, 1997) stated in previous studies. The side bridge also
resulted in similar activation levels (47% and 47%) to previous re-
search (40% and 58%) (Behm et al., 2002) for the LG muscle and
GM

the MF muscle, respectively, during the birddog exercise. Therefore


there is evidence that the relative magnitudes reported in the cur-
rent study are similar to previous studies.
0.97b (0.89–0.97)
0.24a (0.18–0.28)
0.93 (0.87–0.97)

0.97 (0.91–0.99)
0.59 (0.49–0.63)

0.51 (0.45–0.59)
0.94 (0.90–0.98)
0.85 (0.80–0.89)

0.48 (0.40–0.52)

The asymmetrical low-threshold exercise (Birddog) had the


1.00 (0.96–1.0)

strongest relationship between the ARV EMG and peak EMG vari-
ables (r = 0.81) due to the low variation in the CV values for the
ARV EMG and peak EMG variables. In comparison, the static exer-
LD

cise (side bridge) resulted in the weakest relationship between the


ARV EMG and peak EMG (r = 0.46) (although these differences
were found to lie just outside the level of significance, P < 0.05).
(0.32–0.54)
(0.56–0.87)
(0.63–0.84)

(0.54–0.71)
(0.20–0.39)
(0.30–0.53)
(0.50–0.64)

(0.70–0.82)
(0.57–0.70)
(0.60–0.78)

This is despite this exercise reporting the lowest SD between sub-


jects for the muscles. This difference maybe due to the nature of
the exercise and the two EMG data reduction methods, with one
Within-subject ICC during the core stability and core strength exercises (95% confidence limits are shown in brackets).

0.44
0.76
0.76
0.29
0.36
0.58
0.65
0.79
0.62
0.68

measuring activity over time and the other peak activity. The side
MF

bridge exercise recruits many core muscles throughout the dura-


tion of the exercise (high ARV EMG activity) but not to a great level
(0.15–0.36)
(0.75–0.89)

(0.72–0.91)
(0.86–0.99)
(0.63–0.82)
(0.69–0.89)
(0.52–0.69)
(0.78–0.96)
(0.28–0.43)
(0.73–0.97)

(low peak EMG activity) which would result in the poor correlation
between these two EMG data reduction methods. This suggests
that for core exercises (although not resulting in a significant dif-
ference here) the intensity of the exercise performed may influence
0.21
0.84

0.82
0.97
0.74
0.81
0.64
0.86
0.36
0.90
IO

the resultant muscular activity and subsequently how this muscu-


lar activity should be reported when using EMG measurements.
It was found that peak and ARV EMG are related (i.e. r > 0.70) for
0.22 (0.28–0.21)

0.33 (0.35–0.10)

five of the eight muscles and three of the five types of exercises
0.02b (0.01–0.13)
0.68 (0.61–0.78)
0.63 (0.51–0.76)
0.84 (0.73–0.89)

0.84 (0.71–0.89)
0.64 (0.50–0.71)

0.11 (0.09–0.19)

0.07 (0.03–0.20)

(r > 0.70). Peak and ARV EMG measures also identified the same
exercise that elicited the highest muscle activity for four of the
eight muscles (e.g. EO – Medicine ball sit twist, LG, Overhead squat).
This suggests that peak and ARV EMG are in some way related,
EO

however, this relationship is affected by the type of exercise per-


formed and the muscle being analysed. Differences were observed
0.16 (0.12–0.21)

0.31 (0.38–0.12)
0.02 (0.03–0.23)

0.04 (0.08–0.19)

between peak and ARV EMG for overall resultant muscle activity
0.22b (0.18–0.36)
0.74 (0.68–0.77)

0.24 (0.16–0.38)
0.32 (0.25–0.39)
0.50 (0.43–0.59)

during exercises. For example, a peak EMG value of 73% MVIC


0.18 (0.1–0.32)

was observed for the GM muscle during the birddog exercise, while
ARV EMG resulted in 56% MVIC of maximal activation. In contrast,
during the static exercise, ARV EMG measured a higher level of acti-
Used only 2 of 3 trials (trials 1 and 2).
RA

vation for the GM compared to the peak EMG value (47% vs. 33%
MVIC) (Table 9). The results suggest that due to the different de-
mands on the body (Brandon, 2006), high-threshold activities gen-
Peak

Peak

Peak

Peak

Peak
ARV

ARV

ARV

ARV

ARV

erally result in greater peak EMG activity (a result of the larger


Used only trials 2 and 3.

forces and faster movements that the muscles have to overcome),


while the lower threshold activities result in a greater ARV EMG
Med. Ball sit twist

activity (due to the postural corrections and longer muscle activa-


Bent leg curl-up

Overhead squat

tions to maintain stability during slower movements). Therefore


Side bridge

by reporting the average rectified EMG value, that has largely been
Bird dog
Exercise

overlooked in past studies, alongside the peak EMG value, a greater


Table 8

appreciation can be gained about the type and extent of muscle


a

activity produced during well-used core stability training exercises.


110 A.E. Hibbs et al. / Journal of Electromyography and Kinesiology 21 (2011) 102–111

Table 9
Interrelationship between peak EMG and ARV EMG as %MVIC for the eight muscles for each core stability and core strength exercise. Also shown are the SD values (in brackets)
and the Pearson’s correlations coefficients between Peak and ARV EMG measures.

RA EO IO MF LD GM LG RF r
Side bridge ARV 34 (5.8) 70 (14) 33 (14.5) 47 (29) 9 (4.5) 47 (29.6) 36 (11.2) 37 (12.9) 0.46
Peak 43 (11.2) 71 (24.8) 58 (29) 47 (9.9) 36 (13.3) 33 (11.9) 47 (16.5) 9 (3.7)
Bird dog ARV 8 (3.0) 31 (9.0) 73 (67.9) 54 (15.7) 51 (20.4) 56 (11.2) 37 (10.4) 46 (12) 0.81
Peak 8 (3.4) 38 (8.0) 58 (49.9) 56 (6.7) 37 (10.0) 73 (21.9) 54 (14.0) 51 (10.7)
Bent leg curl-up ARV 49 (13.2) 49 (24.5) 28 (9.8) 29 (28.4) 15 (11.4) 38 (24.7) 12 (9.1) 25 (7.0) 0.77
Peak 90 (26.1) 79 (31.6) 69 (24.1) 38 (10.6) 12 (5.4) 28 (13.4) 29 (11.9) 15 (5.5)
Overhead squat ARV 10 (4.6) 24 (9.4) 34 (13.9) 81 (25.1) 62 (50.2) 50 (18.0) 60 (21.6) 57 (17.1) 0.74
Peak 20 (4.8) 28 (5.6) 36 (11.2) 50 (10.5) 60 (31.8) 36 (13.7) 81 (31.6) 62 (20.5)
Med. ball sit twist ARV 43 (20.2) 84 (30.24) 37 (21.1) 17 (6.5) 51 (25.5) 39 (19.5) 15 (9.7) 89 (19.6) 0.56
Peak 63 (10.7) 107 (20.3) 72 (54.7) 39 (16.4) 15 (6.5) 37 (17.4) 17 (8.0) 51 (8.2)
r 0.96 0.93 0.10 0.75 0.46 0.77 0.97 0.68

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McGill S. Low back disorders: evidence-based prevention and full-time in February 2009 from the English Institute of Sport (EIS) where he had
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McGill SM et al. Coordination of muscle activity to assure stability of the lumbar and NW Regional teams (2002–2009).
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quantitative assays. Clin Diagn Lab Immunol 2002;9(6):1235–9. tion, and has previously worked for the English
Santana J. Sport-specific conditioning: the serape effect – a kinesiological model for Institute of Sport. He is also the current Strength and
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Bull 1979;86(2):420–8.
Stanton R, Reaburn PR, Humphries B. The effect of short-term Swiss ball training on
core stability and running economy. J Strength Cond Res 2004;18(3):522–8.
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varies between regions of these muscles and between body positions. Gait
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Vezina MJ, Hubley-Kozey CL. Muscle activation in therapeutic exercises to improve David Hodgson has a BEng in Mechanical Engineer-
trunk stability. Arch Phys Med Rehabil 2000;81(10):1370–9. ing from the University of Leeds, and has worked at
Warden S, Wajswelner H, Bennell K. Comparison of AB shaper and conventionally Teesside University since 2002 as a Senior Research
performed abdominal exercises using surface electromyography. Med Sci Support Technician within the School of Health &
Sports Exerc 1999;31:1656–64. Social Care. During this time he has contributed to a
Winter D, Fuglevand A, Archer S. Cross-talk in surface electromyography: wide variety of research projects in the area of Bio-
theoretical and practical estimates. J Electromyogr Kinesiol 1994;4:15–26. mechanics, with a focus on instrumentation and data
Yang J, Winter D. Electromyography reliability in maximal and submaximal
collection techniques. He has co-authored publica-
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tions in Gait & Posture and the Journal of Orthopaedic
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Surgery and Research, as well as abstracts at several
their sensitivity as diagnostic tools in gait analysis. Arch Phys Med Rehabil
1984;65:517–21. international conferences.

A.E. Hibbs is a BASES Accredited Sports Biomechanist


and has worked at the English Institute of Sport for I. R. Spears is a Reader in Biomechanics at Teesside
the past 7 years providing sports biomechanics and University with a specialism in computer simula-
performance analysis support to elite athletes and tions. His biomechanics-based models have been
professional sporting teams. She is completing her developed with public and private partners to
PhD in core stability and core strength currently and address biomechanical problems in dentistry, ortho-
has recently started lecturing at Northumbria Uni- paedics and sports.
versity in the UK. Angela has also been published in
this area in the Sports Medicine journal with a review
of the current theories and research beliefs regarding
the training and assessment of core stability and core
strength in elite athletes.

All in-text references underlined in blue are linked to publications on ResearchGate, letting you access and read them immediately.

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