EMG normalization method based on grade 3 of manual muscle testing: Within- and between-day reliability of normalization tasks and application to gait analysis.

Electromyography (EMG) is an important parameter in Clinical Gait Analysis (CGA), and is generally interpreted with timing of activation. EMG amplitude comparisons between individuals, muscles or days need normalization. There is no consensus on existing methods. The gold standard, maximum voluntary...

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Publicado en:Gait & Posture pp. 6 - 13
Autores principales: Tabard-Fougère, Anne, Rose-Dulcina, Kevin, Pittet, Vincent, Dayer, Romain, Vuillerme, Nicolas, Armand, Stéphane
Formato: research Journal Article
Publicado: Elsevier B.V. Feb2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2018
      pid: 1004
      pub: Elsevier B.V.
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        10.1016/j.gaitpost.2017.10.026
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        atl: EMG normalization method based on grade 3 of manual muscle testing: Within- and between-day reliability of normalization tasks and application to gait analysis.
      aug:
        au:
          Tabard-Fougère, Anne
          Rose-Dulcina, Kevin
          Pittet, Vincent
          Dayer, Romain
          Vuillerme, Nicolas
          Armand, Stéphane
        affil: Willy Taillard Laboratory of Kinesiology, Geneva University Hospitals and Geneva University, Geneva, Switzerland
      sug:
        subj:
          Muscle, Skeletal Physiology
          Isometric Contraction Physiology
          Gait Physiology
          Electromyography Methods
          Quadriceps Muscles Physiology
          Reproducibility of Results
          Lower Extremity Physiology
          Human
          Male
          Therapeutic Exercise Methods
          Adult
          Exercise
          Buttocks Physiology
          Female
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Scales
          Adult: 19-44 years
          Male
          Female
      ab: Electromyography (EMG) is an important parameter in Clinical Gait Analysis (CGA), and is generally interpreted with timing of activation. EMG amplitude comparisons between individuals, muscles or days need normalization. There is no consensus on existing methods. The gold standard, maximum voluntary isometric contraction (MVIC), is not adapted to pathological populations because patients are often unable to perform an MVIC. The normalization method inspired by the isometric grade 3 of manual muscle testing (isoMMT3), which is the ability of a muscle to maintain a position against gravity, could be an interesting alternative. The aim of this study was to evaluate the within- and between-day reliability of the isoMMT3 EMG normalizing method during gait compared with the conventional MVIC method. Lower limb muscles EMG (gluteus medius, rectus femoris, tibialis anterior, semitendinosus) were recorded bilaterally in nine healthy participants (five males, aged 29.7±6.2years, BMI 22.7±3.3kgm-2) giving a total of 18 independent legs. Three repeated measurements of the isoMMT3 and MVIC exercises were performed with an EMG recording. EMG amplitude of the muscles during gait was normalized by these two methods. This protocol was repeated one week later. Within- and between-day reliability of normalization tasks were similar for isoMMT3 and MVIC methods. Within- and between-day reliability of gait EMG normalized by isoMMT3 was higher than with MVIC normalization. These results indicate that EMG normalization using isoMMT3 is a reliable method with no special equipment needed and will support CGA interpretation. The next step will be to evaluate this method in pathological populations.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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