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2015 2nd International Conference on Biomedical Engineering (ICoBE), 30-31 March 2015, Penang

Electromyography (EMG) based Signal Analysis for


Physiological Device Application in Lower Limb
Rehabilitation

Nurhazimah Nazmi, Mohd Azizi Abdul Rahman*, Makoto Mizukawa


Saiful Amri Mazlan, Hairi Zamzuri Department of Electrical Engineering
Malaysia Japan International Institute of Technology Shibaura Insitute of Technology
Universiti Teknologi Malaysia Tokyo, Japan
Kuala Lumpur, Malaysia mizukawa@sic.shibaura-it.ac.jp
nurhazimah2@live.utm.my
azizi.kl@utm.my*

Abstract—Electromyography (EMG) is an experiment-based between micro-size ferrous particle, base liquid and some
method for evaluating and recording a series of electrical signals additives. MR fluid is very sensitive rheological properties of
that emanate from body muscles. The electrical manifestation of magnetic field [1]. Fig. 1 illustrates the scenario in
neuromuscular activation generated in muscles during rehabilitation activities by using a stepper.
contraction and/or relaxation is known as EMG signals. In this
paper, a preliminary study is conducted in order to improve the
fitness of post-stroke survivors with a minimal supervision from
therapists in physiological activity especially on the lower limb
rehabilitation. Therefore, a pattern recognition technique is
required to extract the important features of an EMG signal to MR
control the physiological devices (PDs), for instance, cycling-like Damper
and stepping-like machines in a lower limb rehab application. A
new approach for feature extraction vectors in a recognition
system will be proposed using Discrete Wavelet Transform
(DWT) and Fuzzy C-Means (FCM) algorithms. In addition to Fig. 1. The scenario in rehabilitation activities
this, a Principle Component Analysis (PCA) method will be
utilized to reduce the dimension of data in prior to computing the
classification accuracy using the Adaptive Neuro-Fuzzy Inference The MR device is used as actuator within the PDs. So, the
System (ANFIS). current (e.g., range between 0.1A - 0.9A) generated from the
magnetic field will be induced to PDs. Furthermore, there are
Keywords—Electromyography (EMG), Signal Processing, two processes need to be done before the induced process
Physiological Device, Rehabilitation. which are:
• The fusion of Electrocardiography (ECG) and
I. INTRODUCTION Electromyography (EMG) signals.
• Interface system.
A. Overview
Thus, the result obtained from the fusion of ECG and EMG
Physical therapy in rehabilitation assists individuals to in term of voltage will be used as an input for interface system
improve and recover as much independence as possible from to control the performance level of rehabilitation exercise. Fig.
muscle injuries. The World Health Organization had described 2 represents the overview of the rehabilitation process of
rehabilitation as ‘the combined and coordinated use of medical, controlling the PDs. This paper will focus on the analysis of
social, educational and vocational measures for training and EMG signals.
retraining the individual to the highest level of functional
ability’. Physiological device (PDs) such as cycling and stepper B. Electromyography (EMG)
are the instruments for physical activities during rehabilitation. Basically, EMG signals are formed by the electrical
Magnetorheological (MR) is a class of smart materials in manifestation of the neuromuscular activation generated in
which the mechanical properties such as stiffness, viscosity and muscles during contraction or relaxation [2]. Physical therapies
hardness will change when subjected to a magnetic field. MR in rehabilitation are usually done for post-stroke survivors
fluid needs to vary the stiffness (i.e., Hard, Medium and Soft since the burden of stroke had caused difficulties in nerve or
modes) in MR device to monitor the level of rehabilitation muscle disabilities in which affecting their daily routines.
progress. MR fluid is a fluid suspension made from a mixture According to National Stroke Association of Malaysia

978-1-4799-1749-5/15/$31.00 ©2015 IEEE


Fig. 2. An overview of the physiological activity in rehabilitation

(NASAM), stroke is the third largest cause of death in • Evolutionary Computing (EC) + Swarm Intelligence
Malaysia. Stroke is estimated to hit six Malaysians, every hour (SI).
and approximately 40 thousand people in a year. In addition, In this study, we aim at improving existing approaches of
three out of four individuals would survive beyond the acute the feature extraction to achieve at least 99% accuracy of the
phase of stroke due to advancement of acute management of EMG signal as compared to the work done in [11] and to
stroke [3]. identify the types of muscle contractions to provide an input
Stroke rehabilitation center provides a physiological signal for the PDs. As a result, we expect that the proposed
activities treatment and therapy for stroke survivors under the framework would help give a better response and appropriate
supervision of therapists. The meaningful interpretation of the to be applied for controlling the PDs during physical therapy
EMG signal is usually performed by a well-trained personnel activity in rehab.
[4]. Nonetheless, the progress for stroke survivors to recover The rest of this paper is organized as follows. Section II
had been delayed due to the limited number of therapists in discusses previous work done by the researcher in the context
Malaysia. Thus, an approach for improving fitness in the post- of feature extraction, dimensionality reduction and
stroke rehab application is suggested. classification. In Section III, detail of the proposed approach is
In this study, the PDs are expected to maximize patient’s explained. Finally, we conclude this paper in section IV.
training time. Therefore, analysis of EMG signals is conducted
to overcome the fear of pain and re-injury. Luca clarified that II. LITERATURE REVIEW
EMG signal is a complicated signal influenced by the EMG signals reflect the electric current generated by the
anatomical and physiological properties of muscles and the ionic flow across the membrane of the muscle fibers that
control scheme of the nervous system [2]. In general, the propagates through the intervening tissues to reach the
analysis of EMG signals had been widely used in many detection surface of an electrode located [7]. According to
applications including clinical and biomedical engineering, Surface Electromyography for the Non-Invassive Assessment
prosthesis or rehabilitation devices and etc [5]. There are many of Muscles (SENIAM), a good electrode-skin contact is
techniques for analyzing the EMG waveform such as: important to obtain accurate surface EMG recordings in terms
• Wavelet analysis [6]. of amplitude characteristics, smaller artifacts, less risk of
• Higher Order Statistic (HOS) [7]. imbalance between the electrodes and less noises.
• Fuzzy Logic (FL) [5]. As mentioned in section I, several researchers had explored
• Artificial Neural Network (ANN) [8]. some advance techniques of EMG signal analysis because
However, Xie et al. claimed that soft computing (SC) EMG signals are complex. Zhou et al. identified that the
techniques have been proposed to be applied in EMG-related median frequency of EMG is 69.5 Hz, while the ECG median
pattern classification and regression problems [9]. Therefore frequency is around 22.1 Hz [12]. In order to remove the
SC methods are a combination of the following approaches unnecessary ECG artifact from surface EMG signals, the
[10]: authors suggested fifth-order Butterworth high-filtering with
• ANN + FL. cutoff frequencies of 40 Hz where the remaining EMG
decreased to 98% and remaining ECG decreased to 27%.
Moreover, Reaz et al. clarified that full-wave rectification more C. Classification
preferred by researchers as it considers the absolute values of Recently, many researchers were interested in an effective
each data point [13]. means of classifying EMG signal patterns. The classifiers that
A. Feature Extraction usually used in previous studies for EMG applications are as
follows [22]:
For feature extraction, a raw EMG signal is represented as a
• ANN.
feature vector and used as an input to the classifier. The feature
extraction provides pattern information by having particular • FL.
variables or parameters in signal processing. The success of a • Linear Discriminant Analysis (LDA).
pattern classification system relies upon the choice of features • Self-Organizing Map (SOM).
used to represent the raw EMG signals [14]. A time-frequency • Support Vector Machines (SVM).
analysis had received substantial attention rather than • Choi Williams Distribution (CWD).
independent time and frequency analysis of highly fluctuated An ANN approach is suitable for modeling nonlinear data
waveforms. The examples of time-frequency approaches are due to it is able to cover the distinctions among different
[15]: conditions [6]. ANN had been successfully classified four hand
• Choi Williams Distribution (CWD). motions (left, right, up and down) with the average success rate
• Wavelet Transforms (WT). is 88.4% [24]. However, the precision of ANN output is always
• Short-Time Fourier Transform (STFT). limited to least square errors [9]. Although studied within the
• Wavelet Packet Transform (WPT). Fuzzy Logic systems expert utilizes the IF-THEN rules are
WT is an efficient mathematical tool to analyze a highly capable to emulate human decision making more closely than
fluctuated signal like EMG [16]. WT had good resolution and the other classifiers, there are critiques concerning the fuzzy
high performance for visualization of neuropathy (e.g., logic algorithms. The fuzzy logic algorithms are claimed to be
muscular disease) and myopathy (e.g., nerve damage) activities a complicated technique to determine the correct set of fuzzy
compared to STFT [17]. WT consists of continuous and rules and membership functions to describe system behavior
discrete forms. Discrete wavelet transforms (DWT) is a special [9]. The authors also clarified that FL approaches require more
form of WT whereas it provide an effective processing of the system memory and processing time as the use of fuzzy logic
signal in time and frequency domains [10]. DWT had been limits system knowledge more in the rule base than in the
used as feature extraction in real-time signals of hand motion membership function base of fixed geometric-shaped
commands [11] and differentiating types of muscle movements membership functions.
[8]. On the other hand, Khusaba and Al-Jumaily proposed a Neuro-fuzzy systems are a combination of ANN and FL
novel approach of feature extraction which combined the techniques. These methods have been widely explored in EMG
Wavelet Packet Transforms (WPT) that extracts the features of pattern recognition. Works done by Khushaba and Al-Jumaily
the EMG signal from multiple channels with the Fuzzy C- produce about 99% classification accuracy by using multilayer
Means (FCM) in order to determine those wavelet features that perception (MLP) to classify human forearm motions [16].
are maximized the classification [16]. Adaptive Neuro-fuzzy inference system (ANFIS) is a kind of
FCM is one of clustering techniques, which had been used neural network structure based on Takagi–Sugeno fuzzy
very successfully in many applications especially in pattern inference system. It has the potential to capture the benefits of
classification. A Fuzzy logic approach has been proven to be both techniques in a single framework by integrates both neural
used in data analysis, decision making and other fields in the networks and fuzzy logic principles. Sugeno fuzzy model-
biomedical sciences [16]. Explicitly, an FCM algorithm yields based Adaptive Neuro-fuzzy system had been used to classify
excellent classification accuracy in pattern recognition as seven distinct movements in a longer test duration lasting for
mentioned by Kocyigit and Korurek [18]. The FCM algorithm about three hours, achieving in an average accuracy of 86%
attempts to cluster the pattern by minimizing an objective [4]. The study on real-time intelligent pattern recognition
function dependent of cluster locations [19]. algorithm for surface EMG signal provides 97% average
accuracy using ANFIS approach [23]. Table I shows the
B. Dimensionality Reduction comparison of EMG signal analysis by past researchers.
To prevent classification overload, extraction features’
variables or parameters were reduced in the dimension by TABLE I: COMPARISON OF EMG SIGNAL ANALYSIS
using different dimension reduction methods [6]. The purpose
Author Features Extraction Classifier Accuracy
of dimensionality reduction methods is to decrease the burden
of the classifier and computational time. Other than that, [16] WPT + Fuzzy C-Means MLP 99%
Principle Component Analysis (PCA) is a well-known method [4] RMS ANFIS 86%
than other methods of dimension reduction [20]. Englehart et [23] WT ANFIS 97%
al. proved that PCA greatly improves the classification [11] DWT ANFIS 92%
accuracy in myoelectric-controlled prosthesis application when
[8] DWT FCNN 98%
wavelet-based feature set is reduced in dimension by PCA
[21].
Fig. 3. The proposed system

In order to find the initial association rules, twenty healthy


III. PROPOSED FRAMEWORK male and female volunteers (e.g., aged between 40-50) need to
In this research, the raw EMG signals collected from undergo simple tasks such as aggressive and mild. Fig. 4 shows
surface electrode attached on gastrocnemius and soleus muscle the experimental procedures of the proposed process with the
of the leg are analyzed using Synergy on Nicolet EDX 6 guidelines by SENIAM. An unfiltered (exception: amplifier
Channels EMG System, Natus. This paper focus on post-stroke bandpass) and unprocessed signal detecting the superposed
patients only and the medical history data act as a reference. Motor Unit Action Potentials (MUAPs) are called a raw EMG
Fig. 3 shows the proposed system which consists of four signal. The raw EMG transmitted waveforms is displayed on
stages: the screen. Then, the raw data EMG will be recorded and saved
• Signal pre-processing in a comma-separated values (CSV) format.
• Feature extraction
• Dimensionality reduction
• Classification
A. The Proposed Process
1) Data acquisition: Initially, experiments will be
conducted by recording the data related to muscle contraction
using the EMG instrument (e.g., Synergy on Nicolet EDX 6
Channels EMG System, Natus). The instrument is 6 Channel Fig. 5. Raw EMG signal of healthy people in a relaxed state
amplifier 10.3” L x 8” W x 1.5” H (26 x 20.3 x 4 cm), 1.6lb
(0.7 kg) includes: In this paper, the intial data provided by [25] is used to prove
• Input impedance: 1000 M (± 10%, < 30pF) our proposed system. The data recorded from tibialis anterior
• Noise level typical (RMS): 0.7μV muscle of a healthy male, 44 years old in a relaxed state for ten
• Common mode rejection: >110dB seconds with sampling frequency, 4000 Hz. Fig. 5 shows the
• Filters: high pass (30 Hz - 20 kHz), low pass (0.1 Hz - raw EMG signal of the volunteers.
2 kHz) 2) Pre-processing: The collected data commonly contain
noises. Corrupted EMG signals are the major problem in the
analysis. A signal enhancement (pre-processing) consists two
steps: filtering and rectification is applied to extract
unintended features (e.g., ECG noise contained in the EMG
signal, unintended features and etc.). In this paper, fifth-order
Butterworth high-pass filtering with cutoff frequencies of 40
Hz is applied for substantial cancellation of ECG artifact in
EMG signal using MATLAB software (see Fig.6).

Fig. 6. Fifth-order Butterworth high-pass filtering on the ECG artifact removal


with cutoff frequencies of 40 Hz
Fig. 4. The experimental procedures
Then, the filtered of EMG signal is rectified using full- IV. CONCLUSION
wave rectification (see Fig. 7). Despite of that, the processed This paper presented a preliminary work on the
data will be compared to the existing medical history data of classification pattern of muscle contraction activities. The
patients collected form Hospital Kuala Lumpur (HKL) and information is acquired in order to control PDs in rehabilitation
validate the data through the experiment. exercise (e.g., cycling and stepper) for post-stroke patients.
Basically, the aim of this paper is to improve the existing
approach of the feature extraction in a pattern system by using
DWT and FCM. Then, Principle Component Analysis (PCA) is
utilized to reduce the size of data before computing the
classification accuracy with Adaptive Neuro-Fuzzy Inference
System (ANFIS). Therefore, the proposed approach as
discusses in Section III, we expect to enhance the accuracy of
the EMG signal in order to implement the result as an input
signal to control the PDs.
Fig. 7. Full-wave rectification of EMG signal
ACKNOWLEDGMENT
3) Feature Extraction: The DWT are used to extract the The work presented in this study is funded by Ministry of
features of rectified data of EMG and then the FCM algorithm Education Malaysia and Universiti Teknologi Malaysia under
are employed to vary on feature suitability for classification. research university grant. VOTE NO: 01K16.
FCM will minimize an objective function dependent of cluster
locations. REFERENCES
4) Dimensionality Reduction: PCA is used to reduce the [1] I. Ismail, S. A. Mazlan, H. Zamzuri, and A. G. Olabi, “Fluid
dimensionality of the features retained after removing the particle separation of magnetorheological fluid in squeeze
nondistinguishing feature. mode,” Japanese Journal of Applied Physics, vol. 51, p. 067301,
5) Classification: ANFIS approach will be used to classify May 2012.
the pattern of muscle activities. The result of pattern muscle [2] C. J. D. Luca, “Electromyography. Encyclopedia of medical
contractions will consider as an input of the interface stage to devices and instrumentation,” (John G. Webster, Ed.) John
Wiley Publisher, 98-109, 2006.
control the signal. Fig. 8 shows the expected result of EMG [3] N. A. Aziz and A. A. Raymond, “Managing Further
signals during tonic isometric voluntary contraction at 10% Rehabilitation in Longer-Term Stroke Patients in the
(weak), 40% (moderate) and 70% (strong) of maximal Community : A New Approach,” vol. 3, no. 1, pp. 1–6, 2008.
voluntary contraction for gastrocnemius and soleus muscle. [4] A. Balbinot and G. Favieiro, “A neuro-fuzzy system for
characterization of arm movements,” Sensors (Basel,
Switzerland), vol. 13, pp. 2613–30, Jan. 2013.
[5] R. H. Chowdhury, M. B. I. Reaz, M. A. B. M. Ali, A. a. a.
Bakar, K. Chellappan, and T. G. Chang, “Surface
electromyography signal processing and classi¿cation
techniques.,” Sensors (Basel, Switzerland), vol. 13, pp. 12431–
66, Jan. 2013.
[6] D. K. Kumar, N. D. Pah, and A. Bradley, “Wavelet analysis of
surface electromyography to determine muscle fatigue.,” IEEE
transactions on neural systems and rehabilitation engineering : a
Fig. 8. Expected results of classification (a) weak contraction, (b) moderate
contraction and (c) strong contraction
publication of the IEEE Engineering in Medicine and Biology
Society, vol. 11, pp. 400–6, Dec. 2003.
As declared before, the range of induced current in the MR [7] S. Shahid, J. Walker, G. M. Lyons, C. A. Byrne, and A. Nene,
“Application of higher order statistics techniques to EMG
device is from 0.1A to 0.9A. Table II represents the simplified signals to characterize the motor unit action potential,” no. Vl,
outcome from this study. From the table, we can determine if pp. 1–16, Jan. 2005.
the contractions of the muscle are higher, then the range of
[8] B. KarlȚk, Y. Kocyigit, and M. Korurek, “Differentiating types
induced current to the PDs should be low and vice versa. of muscle movements using a wavelet based fuzzy clustering
neural network,” Expert Systems, vol. 26, pp. 49–59, Feb. 2009.
TABLE II: THE PERCENTAGE OF CONTRACTIONS OF MUSCLE AND THEIR
CURRENT RANGE [9] H. B. Xie, T. Guo, S. Bai, and S. Dokos, “Hybrid soft
computing systems for electromyographic signals analysis: a
Contractions (%) Current Range (A) review,” Biomedical engineering online, vol. 13, p. 8, Jan. 2014.
[10] S. S. Ray and S. K. Pal, “RNA secondary structure prediction
10 (Weak) 0.6 - 0.9
using soft computing.,” IEEE/ACM transactions on
40 (Moderate) 0.3 - 0.6 computational biology and bioinformatics / IEEE, ACM, vol.
70 (Strong) 0.1 - 0.3 10, no. 1, pp. 2–17, 2013.
[11] M. Khezri and M. Jahed, “A neurofuzzy inference system for [19] M. A. Balafar, “Fuzzy C-mean based brain MRI segmentation
sEMG based identi¿cation of hand motion commands,” IEEE algorithms,” Arti¿cial Intelligence Review, vol. 41, pp. 441–
Transactions on Industrial Electronics, vol. 58, pp. 1952–1960, 449, Mar. 2012.
May 2011. [20] M. A. Oskoei and H. Hu, “Myoelectric control systems: a
[12] P. Zhou, B. Lock, and T. a. Kuiken, “Real time ECG artifact survey,” Biomedical Signal Processing and Control, vol. 2, pp.
removal for myoelectric prosthesis control.,” Physiological 275–294, Oct. 2007.
measurement, vol. 28, pp. 397–413, Apr. 2007. [21] K. Englehart, B. Hudgins, P. A. Parker, and S. Member, “A
[13] M. B. I. Raez, M. S. Hussain, and F. Mohd-Yasin, “Techniques wavelet based continuous classi¿cation scheme for
of EMG signal analysis: detection, processing, classi¿cation and multifunction myoelectric control,” vol. 48, no. 3, pp. 302–311,
applications.,” Biological procedures online, vol. 8, pp. 11–35, 2001.
Jan. 2006. [22] A. Phinyomark, P. Phukpattaranont, and C. Limsakul, “Feature
[14] B. Hudgins, P. Parker, S. Member, N. Robert, and S. Member, reduction and selection for EMG signal classi¿cation,” Expert
“A new strategy for multifunction myoelectric control,” vol. 40, Systems with Applications, vol. 39, pp. 7420–7431, June 2012.
no. I, pp. 82– 94, 1993. [23] M. Khezri and M. Jahed, “Real-time intelligent pattern
[15] A. N. Norali, M. H. M. Som, and J. Kangar-arau, “Surface recognition algorithm for surface EMG signals.,” Biomedical
electromyography signal processing and application : a review,” engineering online, vol. 6, p. 45, Jan. 2007.
no. October, pp. 11–13, 2009. [24] R. Ahsan, M. I. Ibrahimy, and O. O. Khalifa, “Neural network
[16] R. N. Khushaba and A. Al-Jumaily, “Fuzzy wavelet packet classi¿er for hand motion detection from emg signal,” pp. 536–
based feature extraction method for multifunction myoelectric 541, 2011.
control,” International Journal of Biomedical Sciences 2 (3), [25] A. L. Goldberger, L. A. N. Amaral, L. Glass, J. M. Hausdorff, P.
186-194, June, 2007. C. Ivanov, R. G. Mark, J. E. Mietus, G. B. Moody, C.-K. Peng,
[17] M. R. Canal, “Comparison of wavelet and short time fourier and H. E. Stanley, “PhysioBank, PhysioToolkit, and PhysioNet:
transform methods in the analysis of EMG signals,” Journal of Components of a new research resource for complex
Medical Systems, vol. 34, pp. 91–94, Oct. 2008. physiologic signals,” Circulation, vol. 101, no. 23, pp. e215–
[18] Y. Kocyigit, and M. Korurek, “EMG signal classification using e220, 2000 (June 13). Circulation Electronic Pages:
wavelet transform and fuzzy clustering algorithms,” Proceeding http://circ.ahajournals.org/cgi/content/full/101/23/e215
of ELECO 2003 Bursa, Turkey, pp. 1–3, 2003. PMID:1085218; doi: 10.1161/01.CIR.101.23.e215.

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