You are on page 1of 5

2012 IEEE Conference on Sustainable Utilization and Development in Engineering and Technology (STUDENT)

Universiti Tunku Abdul Rahman, Kuala Lumpur, Malaysia. 6 - 9 October 2012

Variability in surface electromyography of right arm biceps brachii muscles between


male adolescent, vicenarian and tricenarian with distinct electrode placement

Nizam Uddin Ahamed Kenneth Sundaraj R. Badlishah Ahmad


School of Mechatronic Engineering, School of Mechatronic School of Computer &
Universiti Malaysia Perlis, Kangar, Engineering, Universiti Malaysia Communication Engineering,
Perlis, Malaysia Perlis, Kangar, Pedis, Malaysia Universiti Malaysia Pedis, Kangar,
Perlis, Malaysia
ahamed1557@hotmail.com kenneth@unimap.edu.my badli@unimap.edu.my

S.A.M Matiur Rahaman Md. Anamul Islam Md. Asraf Ali


College of Computer Science and School of Computer & School of Computer &
Information System, Najran Communication Engineering, Communication Engineering,
University, Kingdom of Saudi Arabia Universiti Malaysia Perlis, Universiti Malaysia Perlis, Kangar,
Kangar, Perlis, Malaysia Pedis, Malaysia
sammatiurrahman@yahoo.com ziltu57@gmail.com asrafbabu@hotmail.com

Abstract- The aim of this paper was to verify and measure the from Merletti et al. focused on a more clear idea about the
variability in surface electromyography (sEMG) of upper arm recent progress of EMG signal detection and processing
biceps brachii muscle during isometric contraction. Nine healthy techniques[5].
right arm dominated males from three age-groups (adolescents,
According to the researches definition and the classification
vicenarian, and tricenarian) were selected for the study.
of gerontological study; the adolescents age range is within 13
Electrodes were placed horizontally on three individual locations
of the subjects' biceps brachii muscle, i.e., on the muscle belly of
to 19 years, then vicenarian is between 20 to 29 and lastly,
the biceps brachii, and on the upper and lower portion of the tricenarian is within 30 to 39 years[6-10]. So, far researchers
muscle belly. Average EMG (mean), standard deviation (SD), and investigated about the muscle characteristics, variability and
coefficient of variations (CV, %) were calculated to verify the coordination on different age groups. For example, Narici et
consistency of the different age groups' muscle activities. al. discussed about the muscle changes on different ages [9,
Moreover, EMG mean values were analyzed with two-way 11]. Kasprisin et al. studied the variability of EMG on
repeated measures analysis of variances (ANOVA) to monitor brachioradialis and biceps brachii muscle during two types of
significant intra- and inter-muscle coordination. An online, three­
contractions[I2]. Their experiment was done on vicenerian
channel connected and touch-proof wireless sensor was used to
and tricenerian subjects. Tracy et al. evaluated the reliability
record the EMG signal. The results revealed muscle variability
and consistency as well as the significant superiority on the
of sub maximal contractions with the knee extensor muscles in
biceps brachii muscle. This findings attempt to fulfill the gaps young and old adults[13]. Granata et al. measured intra­
left by previous experiments based on EMG variability, subject's session and inter-session variability in the EMG signals from
age variation, electrode placement, muscle contractions, etc. and the lower limb muscles. The comparison was done between
to identify areas for further researche in the fields of the healthy-normal children and adult subjects[I4]. EMG
rehabilitation, sports, and other biomedical concerns. force variability was done by Vaillancourt et al. and their
ageing variations were young, old and 0Ider-old[15]. Pincivero
Keywords- Age, biceps brachii, EMG, electrode, variability,
et al. evaluated the gender and muscle differences in
wireless sensor
electromyographic signal during maximal voluntary
contractions of the quadriceps femoris [16]. However, so far
I. INTRODUCTION variability of EMG related many individual investigations
performed on different age group subjects, sensors type,
Since the long time, surface electromyography (sEMG) has
biceps muscle, different types of contractions, variations of
been the leading and the right way to record and analyze the
protocols etc.[17, 18].
human muscle activity and obviously applicable for the biceps
Another important issue in this paper is the electrode
brachii muscle [1]. It is only the possible technique to get the
placement on different muscle locations and their outcomes.
right signal during the proper contraction of the muscle [2].
We have reviewed and gathered some good recommendations
The effect of EMG signal analysis varies on different ageing
based on the results of inter electrode placement. Like,
subject's muscle and also depend on the electrode as well as
Merletti, Zipp, Hermens, Rainoldi, Jensen, Wong et al.
the placement locations on the muscle [3]. Because, it is a one
discussed and recommended about the effect of inter electrode
of the complicated physiological signals that present
placement on various muscle in the human body [19-26]. One
information about the central and peripheral properties of the
human neuromuscular system [4]. However, one latest article more key point for this study is isometric contraction. For

978-1-4673-1705-4/12/$31.00 ©2012 IEEE


24
isometric contraction, there is no change in the length of the talk and connection detachment. All recording and analysis of
contracting muscle[27]. In our experiment, subject holds the the EMG signals were completed according to the
hand-held dynamometer with a fixed elbow position and there recommendations provided by SENIAM (Surface
was no movement during data recording. Biceps brachii muscle Electromyography for the Noninvasive Assessment of
has an optimum length at which the maximum isometric force Muscles) and ISEK (International Society of
can be produced[28]. Electrophysiology and Kinesiology) [22, 29].
However, in this paper, we tried to quantify the variability A touch proof, wireless, Bluetooth-enabled, three-channel
of EMG signal in three different age groups BB muscle and EMG signal recorded device, SHIMMER™ Model SH-SHIM­
compared the results among intra- and inter- muscle. In this KIT-004 (Real-time Technologies Ltd., Ireland), was used to
experiment, we have selected nine healthy subjects (three record the electromyography signals from each subject's BB.
subjects for each group), used three-channel connected Two channels (one negative and another positive) were used
wireless EMG sensor, performed the isometric contraction as active, while the third one was used as the reference
with a fixed elbow position, selected three electrode placement channel. This device has double functionality because it has
site, adjusted the sampling rate at 100 Hz and chosen only both an IEEE 802.15.4 wireless communication (contains a
dominate arm (right arm BE). Lastly, some good results chipcon CC2420 radio transceiver and a gigaAnt 2.4 GHz

revealed from this study and we further analyzed with the Rufa antenna) and a Bluetooth® radio modules. The built-in
offline data. frequency range of the device is 5 to 482 Hz with an EMG
The paper is organized as follows: section II analyzes the amplifier gain of 682 dB. The raw EMG signal was recorded
methods, the equipment and the experimental protocol for data at a sampling frequency of 100 Hz. There was a set of EMG
recording, section III presents and compares the results, section sensor and one Bluetooth-enabled laptop computer was used
IV presents the overall discussion of the study, while section V in the experiment. The distance between the EMG daughter
concludes the paper. board device (sensor connected to the muscle) placement area
on the body and the laptop was 2 feet.

II. METHODS

Nine right arms dominated male subjects with standard


BMI, participated in the study. All the subjects were
knowledgeable of the methods before providing informed
consent and agreed to take part in the experiment. They have
no history of muscle disorders on BB. Table I shows the
demographic characteristics of all the participants.

TABLE I. DEMOGRAPHIC DATA OF THE SUBJECTS.

Groups Age Weight Height BMI


(years) (kg) (em)
Adolescents IS.4±6 6S±3 167±3 23.0±2
Vicenarian 2S.3±4 71±7 170±7 22.9±4
Tricenarian 3S.2±7 67±4 166±4 21.0±S Figure I. EMG signals were recorded from a tricenerian subject. a) hand­
dynamometer, b) bluetooth enabled laptop, c) wireless EMG sensor, d)

To assess the muscle strength, we used the electronic hand electrode placed at lower part of muscle belly, e) reference electrode, 1) online
EMG signal operated by the Gill software.
dynamometer (Camry, China, model: EH101-37, weight
capacity: 90 kg\200 LB, precision ± 1 kg). During the test and
Three silver-silver chloride surface electrodes were placed
data collection, subject was requested to seat on the chair and
on the right arm biceps brachii to record EMG signals. Three
his right was on the table. The position of the arm during the
electrode placement locations were chosen to evaluate the
data recording was 90°. This angle measurement was
EMG variability: i) over the muscle belly (M); ii) the lower
considered as, from the shoulder to elbow and then elbow to
part of the muscle belly (L) between the biceps muscle
palm which was calculated by a digital inclinometer (Figure
endplate region and the distal tendon insertion; and iii) the
1). Subject was gripped the dynamometer and produced force
placement of two electrodes over the medial belly of each long
with maximum voluntary contraction. Figure 1 shows the full
and short head (U), parallel to the muscle fibers and below the
experimental setup for data collection. The average grasping
proximal bicep tendon [21, 30]. Figure 2 demonstrates
range was 20 kg. Data was recorded three times from each
electrode placement on a subject during data collection. As
subject and there was a 5 minutes rest between each
shown in the figure, the distance between the center of the
experiment. Subject was requested to remove their shirt,
electrodes located at U and M and between the electrodes at M
wristwatch, and any other ornaments from his right arm.
and L is 4 cm, whereas the distance between the center of the
Additionally, since the EMG recording system was wireless
electrodes at U and L is 8 cm, with 2 cm between each pair.
and Bluetooth related, any air conditioning, mobile phones
The fixed reference electrode was placed on the bony region
and fans were switched off to avoid unnecessary signals, cross
located below the elbow and slightly over the joint (i.e. on the

25
back of the right ann). It should be noted that data was different muscles. Here, vicenerian's muscle belly (7.60%)
collected for all three locations at different times; not at the shows the most consistent than the other locations, whereas
same times for each placement location. EMG signals in tricenerian lower portion have highest
variability (29.1S%). If we consider individual age group
EMG result variability, the consistency order of adolescents
muscle is middle of the muscle, then upper and lastly lower
portion (9.97%, 13.9S% and 14.47%). Same steady order
found in tricenerian's biceps brachii muscle; such as muscle
belly (14.38%), upper (26.99%) and lower (29.1S%). Last age
group which is vicenarian generates small variation among the
muscle variability; here middle part (7.60%) shows high
dependability than lower (14.02%) and upper (18.01%)
section.

TABLE II. THE VARIABILITY (CV%), AVERAGE EMG VALUE (MEAN) AND
STANDAARD DEVIATION FOR THE EACH LOCATION OF THREE AGE GROUPS.

Age Group Electrode Mean SD CV (%) Total


Placement CV (%)
Lower (L) 2.35 0.34 14.47
Adolescents Middle (M) 3.41 0.34 9.97 38.39
(A) UDDer (U) 3.01 0.42 13.95
Figure 2. Electrodes placement on three locations of the biceps brachii Lower (L) 3.21 0.45 14.02
muscle. Vicenarian Middle (M) 4.21 0.32 7.60 39.63
(V) Upper (U) 3.61 0.65 18.01
The electromyography amplitude (mV) measurements from Lower (L) 2.23 0.65 29.15
Tricenarian Middle (M) 3.13 0.45 14.38 70.52
the three electrode locations on each subject's BB muscle
(T) Upper (U) 2.89 0.78 26.99
were recorded during isometric contraction. The average EMG
value (Mean), standard deviation (SO) and coefficient of
Finally, the significant values among the intra- and inter­
variation (CV; standard deviation divided by the mean then
muscle reflect in Table III. Among the nine results on intra
multiplied one hundred) were calculated for the EMG signal
muscle activity; four results show the main effect (p<O.OS) and
from each electrode location on the BB muscle. Two-way
reaming five have no interaction with each other p>O.OS. On
repeated measures analysis of variance (electrode placement X
the other hand, twenty seven differentiate results found among
age group) was used to evaluate the intra- and inter-muscle
the inter muscle investigation. Here, eleven results show the
activity. The average (mean) value was considered for this
interactions between each other (p<O.OS), while other sixteen
analysis and the significant level was set at 9S%, i.e. pSO.OS
results have no significant value (p>O.OS).
for all the assessments. The statistical software was used for
this analysis was Minitab (MINITAB® Release 14.12.0).
IV. DISCUSSION

III. RESULTS Perfect, authentic and computationally capable means of


identifying the EMG signal variability has been the subject of
We have summarized all the results of EMG signal in two
significant research effort in current years. Since the long
tables (Table II & III) and illustrates in a figure (Figure 3). .
time, surface electromyography (sEMG) is a painless (non­
Table II presents the mean, SO and the coefficient of variation
invasive) technique to record the data and it has an extensive
(CV%) of the three age groups three distinct muscle locations,
application in medical science, sports, rehabilitation,
whereas Table III described the significant values of intra- and
kinesiology, fatigue studies, ergonomics etc. [31-33]. So far,
inter-muscle activity; i.e. whether p value is less than or
numbers of previous studies have been conducted to uncover
greater than O.OS.
the effects of bicep brachii muscles; where researcher uses
First, we are considering the EMG average (mean) and SO
more than a single electrode to place on the muscle. The main
value for all groups different muscle locations. Middle of the
r�ason of this paper was to find the changes of EMG signal on
muscle of the three groups produced the highest EMG signal
dIfferent muscle location and those are monitored on three
than the other two locations (A: 3.41 mY, V: 4.21mV and T:
different age groups. The mean, standard deviation, coefficient
3.13mV). Then the upper portion and lastly, the lower part of
of variation and significant difference based on average value
the muscle belly generated most amplitude (mV) during
were calculated to show the reliability within the different
contraction. The subjects from vicenerian show the maximum
muscle.
amplitudes in three locations than other two age groups same
location.
After that, the most important results of this investigation
were to measure the variability of the EMG signal from

26
TABLE III. THE SIGNIFICANT VALUE (p<0.05 OR 1'>0.05 ) AMONG THE significant differences were found from the three age groups.
INTRA- AND INTER- MUSCLE ACTIVITY OF THE THREE AGE GROUPS.
For instance, there was a relation between A(L) vs.V(L), A(L)
Intra- muscle p-value vs.V(M), A(L) vs.T(U), A(M) vs.V(U), A(M) vs.T(M), A(U)
A(L) vs. A(M) 11<0.05 vs.V(U), A(U) vs.T(L), A(U) vs.T(M), VeL) vs.T(M), V(M)
A(L) vs. A(U) 11>0.05
vs.T(M), and V(U) vs.T(L). Remaining results were not
A(M) vs A(U) 11<0.05
Vel) vs. V(M) p>0.05 significantly related with each other. From Table III, it is also
Vel) vs. V(U) 11>0.05 obvious that, majority of the adolescents muscles are
V(M) vs. V(U) 0<0.05 significantly related to other groups muscle.
T(L) vs. T(M) p>0.05 Finally, these findings have vital implications for future
T(L) vs. T(U) 0>0.05
research as the variability and significant value measurement of
T(M) vs. T(U) 11<0.05
Inter-muscle
other upper arm muscles. We hope, our results will helpful for
A(L) vs. Vel) 11<0.05 rehabilitation, sports science and other biomedical concerns
A(L) vs. T(L) p>0.05 related to biceps brachii muscle. Some limitations were sought
A(L) vs. V(M) 11<0.05 in our research, like number of age groups as well as subjects
A(L) vs. V(U) 11>0.05
were few, only used three channels connected data acquisition
A(L) vs. T(M) 0>0.05
system (sensor), chosen right hand and single muscle
A(L) vs. T(U) 11<0.05
A(M) vs. Vel) p>0.05 contraction.
A(M) vs. V(M) p>0.05
A(M) vs. V(U) 0<0.05
A(M) vs. T(L) 11>0.05
A(M) vs. T(M) 0<0.05 30

A(M) vs. T(U) p>0.05 >
2- 25
A(U) vs. Vel) p>0.05 "
A(U) vs. V(M) p>0.05 ..§ 20
. ;:=!
A(U) vs. V(U) 0<0.05 ;;

A(U) vs. T(L) 11<0.05 r: !5


0

A(U) vs. T(M) 0<0.05 c; 10


A(U) vs. T(U)
Vel) vs. T(L)
p>0.05
p>0.05
� 0
:.J
Vel) vs. T(M) 11<0.05 0
Vel) vs. T(U) 0>0.05
A {L) T(1))
V(M) vs. T(L) 11>0.05
V(M) vs. T(M) 0<0.05
V(M) vs. T(U) p>0.05
V(U) vs. T(L) 0<0.05 Figure 3. The coefficient of variation (CV%) in mean amplitude value of
V(U) vs. T(M) p>0.05 biecps bracii EMG acivity during contraction.

V(U) vs. T(U) p>0.05


The significant values arc highlighted by bold fonl.
V. CONCLUSION

It has been observed that, muscle belly in all three groups The electromyography (EMG) data collected by the wireless
have the more consistency (CV %) EMG values that other two sensor enhanced the knowledge on biceps brachii muscle
electrode placement locations. Among these, adolescents activity at different locations. Even though there were certain
muscle belly has the steadier (7.60%) than others. According limitations, we strongly believe that the results presented here
to the highest order of variability, upper part of muscle belly are adequately applicable because all the generated EMG data
(U) is maximum, then lower part (L) and lastly middle of the were evaluated using the same measurement technique. In
muscle (M). Then, if we consider the variability of three age summary, our study discovered that muscle activity varies with
groups, tricenarian (T) has greater variability (70.52%) than electrode placement locations and wireless sensor and also,
other two groups. Whereas as, adolescents (A) and vicenarian with the age of the individuals.
(V) has low dissimilarity (38.39% and 39.63% respectively).
Figure 2 also illustrates the muscle variability with respect of REFERENCES

CV. [1] C. Cescon, P. Rebecchi, and R. MerJetti, "Effect of electrode array


From our experiment, we discovered that, vicenarian position and subcutaneous tissue thickness on conduction velocity
estimation in upper trapezius muscle," Journal of Eleclromyography and
generates the maximum amplitude than adolescents and
Kinesiology, vol. 18, pp. 628-636,2008.
tricenarian (total 11.03mV, 8.77mV and 8.25m V
[2] L. M. Eaton and E. H. Lambert, "Electromyography and electric
respectively). Also, some significant relations were found stimulation of nerves in diseases of motor unit," Journal of Ihe American
during the measurement of intra- and inter-muscle Medical Associalion, vol. 163, pp. 1117-1124, March 30,1957 1957.
coordination. Like, there was a main effect among adolescents [3] W. Li and K. Sakamoto, "The Influence of Location of Electrode on
L and M, then M and U, but not L and U. Next, there was a Muscle Fiber Conduction Velocity and EMG Power Spectrum during
Voluntary Isometric Contraction Measured with Surface Array
relation between vicenarian M and U and lastly, within
Electrodes," Applied Human Science, vol. 15, pp. 25-32,1996.
tricenarian M and U. On the other hand, some inter muscle

27
[4] I. Campanini, A. Merlo, P. Degola, R. Merletti, G. Vezzosi, and D. [19] R. Merletti, A. Rainoldi, and D. Farina, "Surface Electromyography for
Farina, "Effect of electrode location on EMG signal envelope in leg Noninvasive Characterization of Muscle," Exercise and Sport Sciences
muscles during gait," Journal of Electromyography and Kinesiology, Reviews, vol. 29, pp. 20-25,2001.
vol. 17, pp. 515-526,2007. [20] P. Zipp, "Recommendations for the standardization of lead positions in
[5] R. Merletti, M. Aventaggiato, A. Botter, A. Holobar, H. Marateb, and T. surface electromyography," European Journal of Applied Physiology
M. M. Vieira, "Advances in surface EMG: recent progress in clinical and Occupational Physiology, vol. 50, pp. 41-54,1982.
research applications.," Critical Reviews in Biomedical Engineering, [21] H. J. Hermens, B. Freriks, C. Disselhorst-Klug, and G. Rau,
vol. 38, pp. 347-79,2010. "Development of recommendations for SEMG sensors and sensor
[6] P. M. Lewinsohn, G. N. Clarke, J. R. Seeley, and P. Rohde, "Major placement procedures," Journal of Eleclromyography and Kinesiology,
Depression in Community Adolescents: Age at Onset, Episode Duration, vol. 10, pp. 361-374,2000.
and Time to Recurrence," Journal of the American Academy of Child [22] H. J. Hermens, B. Freriks, R. Merletti, D. Stegerman, J. Block, and G. R.
&amp; Adolescent Psychiatry, vol. 33, pp. 809-818,1994. e. aI. , "SENIAM: European recommendations for surface
[7] C. Boldeman, R. Branstrom, H. Dal, S. Kristjansson, Y. Rodvall, B. electromyography Roessingh Research and Development, Enschede,"
Jansson, and H. Ullen, "Tanning habits and sunburn in a Swedish hllp://www.seniam.org/' 1999.
population age 13-50 years," European Journal of Cancer, vol. 37, pp. [23] A. Rainoldi, G. Melchiorri, and I. Caruso, "A method for positioning
2441-2448,2001. electrodes during surface EMG recordings in lower limb muscles,"
[8] K. Nishihara, Y. Chiba, Y. Suzuki, H. Moriyama, N. Kanemura, T. Ito, Journal of Neuroscience Methods, vol. 134, pp. 37-43,2004.
K. Takayanagi, and T. Gomi, "Effect of position of electrodes relative to [24] c. Jensen, O. Vasseljen Jr, and R. H. Westgaard, "Estimating maximal
the innervation zone onsurface EMG," Journal of Medical Engineering EMG amplitude for the trapezius muscle: On the optimization of
& Technology, vol. 34, pp. 141-147,2010. experimental procedure and electrode placement for improved reliability
[9] M. V. Narici, N. Maffulli, and C. N. Maganaris, "Ageing of human and increased signal amplitude," Journal of Electromyography and
muscles and tendons," Disability and Rehabilitation, vol. 30, pp. 1548- Kinesiology, vol. 6, pp. 51-58,1996.
1554,2008. [25] Y.-M. Wong and G. Y. F. Ng, "Surface electrode placement affects the
[10] I. Shrira and N. Christenfeld, "Disentangling the Person and the Place as EMG recordings of the quadriceps muscles," Physical Therapy in Sport,
Explanations for Regional Differences in Suicide," Suicide and Life­ vol. 7, pp. 122-127,2006.
Threatening Behavior, vol. 40, pp. 287-297, 2010. [26] L. Mesin, R. Merletti, and A. Rainoldi, "Surface EMG: The issue of
[ I I] M. V. Narici, C. Maganaris, and N. Reeves, "Myotendinous alterations electrode location," Journal of Electromyography and Kinesiology, vol.
and effects of resistive loading in old age," Scandinavian Journal of 19, pp. 719-726,2009.
Medicine & Science in Sports, vol. 15, pp. 392-401,2005. [27] J. A. Faulkner, "Terminology for contractions of muscles during
[12] J. E. Kasprisin and M. D. Grabiner, "EMG variability during maximum shortening, while isometric, and during lengthening," Journal ofApplied
voluntary isometric and anisometric contractions is reduced using spatial Physiology, vol. 95, pp. 455-459, August 1,2003 2003.
averaging," Journal of Electromyography and Kinesiology, vol. 8, pp. [28] 1. Contraction, .. http://www.teachpe. com/anatomy/ types_oCmuscle
45-50,1998. _contractions .php," (Accessed on 15th March, 2012).
[13] B. L. Tracy and R. M. Enoka, "Older adults are less steady during [29] R. Merletti, "Standards for Reporting EMG Data," Journal of
submaximal isometric contractions with the knee extensor muscles," Electromyography and Kinesiology, vol. 9, pp. III-IV, 1999.
Journal of Applied Physiology, vol. 92, pp. 1004-1012, March 1,2002
[30] M. F. Sargon, D. Tuncali, and H. <;:elik, "An unusual origin for the
2002.
accessory head of biceps brachii muscle," Clinical Anatomy, vol. 9, pp.
[14] K. P. Granata, D. A. Padua, and M. F. Abel, "Repeatability of surface 160-162,1996.
EMG during gait in children," Gait &amp; Posture, vol. 22, pp. 346-
[31] B. Kalpakcioglu, F. Candir, M. Bernateck, C. Gutenbrunner, and M. J.
350,2005.
Fischer, "Does local immersion in thermo-neutral bath influence surface
[ IS] D. E. Vaillancourt, L. Larsson, and K. M. Newell, "Effects of aging on EMG measurements? Results of an experimental trial," Journal of
force variability, single motor unit discharge patterns, and the structure Electromyography and Kinesiology, vol. 19, pp. e550-e553,2009.
of 10,20, and 40 Hz EMG activity," Neurobiology of Aging, vol. 24, pp.
[32] G. Drost, D. F. Stegeman, B. G. M. van Engelen, and M. J. Zwarts,
25-35,2003.
"Clinical applications of high-density surface EMG: A systematic
[16] D. M. Pincivero, R. C. Green, 1. D. Mark, and R. M. Campy, "Gender review," Journal of Electromyography and Kinesiology, vol. 16, pp.
and muscle differences in EMG amplitude and median frequency, and 586-602,2006.
variability during maximal voluntary contractions of the quadriceps
[33] N. U. Ahamed, K. Sundaraj, R. B. Ahmad, S. Nadarajah, P. T. Shi, and
femoris," Journal of Eleclromyography and Kinesiology, vol. 10, pp.
S. M. Rahman, "Recent Survey of Automated Rehabilitation Systems
189-196,2000.
Using EMG Biosensors," Journal of Physical Therapy Science, vol. 23,
[17] D. A. Gabriel, "Changes in kinematic and EMG variability while pp. 945-948,20 I I .
practicing a maximal performance task," Journal of Eleclromyography
and Kinesiology, vol. 12, pp. 407-412,2002.
[18] R. M. Enoka, "Eccentric contractions require unique activation strategies
by the nervous system," Journal of Applied Physiology, vol. 81, pp.
2339-2346, December I, 1996 1996.

28

You might also like