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Electromyograph
Aditya Johan Romadhon, SST.Ft, M.Fis
Introduction
Electromyography (EMG), the recording of electrical
activity in muscle
The motor unit is the one which controls the action of
muscles and EMG measures the electric action potential
generated by these motor unit in the muscles (MUAP)
EMG recordings can be performed by means of
intramuscular (needle) or non-invasive (surface) electrodes
The intramuscular EMG signal is normally taken under
trained person and as it is invasive it is more
uncomfortable in patients
The other option is to use the surface electrodes (surface
EMG) in which the electrodes are placed on the surface of
the skin where the signals are to be measured
Neuropathy & myopathy characteristic
There are some well-defined
characteristic of EMG signals
corresponding to Neuropathic
diseases
The muscle signal whose action
potential amplitude is twice as
that of a normal muscle signal
and increase in duration of the
action potential, which
decreases the frequency of the
overall signal
On the other hand, myopathy
diseases also have some well-
defined EMG characteristics
and patterns
Most notable are decrease in
duration and area to amplitude
ratio of the action potential
Motor Unit Action Potential
Myopathic potential, short-duration, low-amplitude, polyphasic potential (C)
Neuropathic potential, long-duration, high amplitude polyphasic potential (shown twice) (B)
Normal triphasic potential (A)
The action potential signals varies between healthy and unhealthy patients, patients suffering from
myopathy or neuropathy have different set of signals (amplitude, duration and increased
polyphascity)
EMG as biofeedback therapy
Electromyographic biofeedback (EMG-BFB) uses electrodes placed on a patient's
muscles to generate a feedback signal (in vision or sound) in response to muscle
activation
Synergistic Contraction
EMG as Biofeedback Assessment
In the PFPS population, the EMG onset of VL occurred before that of VMO in
both the step up and step down phases of the stair-stepping task (p <.05). In
contrast, no such differences occurred in the onsets of EMG activity of VMO and
VL in either phase of the task for the control subjects
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Electromyograph

  • 2. Introduction Electromyography (EMG), the recording of electrical activity in muscle The motor unit is the one which controls the action of muscles and EMG measures the electric action potential generated by these motor unit in the muscles (MUAP) EMG recordings can be performed by means of intramuscular (needle) or non-invasive (surface) electrodes The intramuscular EMG signal is normally taken under trained person and as it is invasive it is more uncomfortable in patients The other option is to use the surface electrodes (surface EMG) in which the electrodes are placed on the surface of the skin where the signals are to be measured
  • 3. Neuropathy & myopathy characteristic There are some well-defined characteristic of EMG signals corresponding to Neuropathic diseases The muscle signal whose action potential amplitude is twice as that of a normal muscle signal and increase in duration of the action potential, which decreases the frequency of the overall signal On the other hand, myopathy diseases also have some well- defined EMG characteristics and patterns Most notable are decrease in duration and area to amplitude ratio of the action potential
  • 4. Motor Unit Action Potential Myopathic potential, short-duration, low-amplitude, polyphasic potential (C) Neuropathic potential, long-duration, high amplitude polyphasic potential (shown twice) (B) Normal triphasic potential (A) The action potential signals varies between healthy and unhealthy patients, patients suffering from myopathy or neuropathy have different set of signals (amplitude, duration and increased polyphascity)
  • 5.
  • 6. EMG as biofeedback therapy Electromyographic biofeedback (EMG-BFB) uses electrodes placed on a patient's muscles to generate a feedback signal (in vision or sound) in response to muscle activation
  • 8. EMG as Biofeedback Assessment In the PFPS population, the EMG onset of VL occurred before that of VMO in both the step up and step down phases of the stair-stepping task (p <.05). In contrast, no such differences occurred in the onsets of EMG activity of VMO and VL in either phase of the task for the control subjects
  • 9.
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  • 11.