• 대한물리치료과학회지
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• 제18권3호
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• pp.63-69
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• 2011

Purpose : The purpose of study is activation of lumbar multifidus muscle by needle EMG during shoulder flexion in chronic low back pain patients. The subject were consisted of 10 women patients with chronic low back pain and healthy asymtomatic subject 10 women. Methods : 10 women patients with chronic low back pain and healthy asymptomatic subject 10 women is voluntary participated for the research. Subjects were positioned in standing. The needle EMG were measured activation of multifidus. Needle electrode was used to 28 gauge. The shoulder flexion movement used to activate the multifidus was then measured. Results : Results of the analysis showed that asymptomatic subjects had significantly larger multifidus muscle activation compared with CLBP subjects during shoulder flexion. Conclusion : This study will be used as multifidus measurement method of patient with chronic LBP. The multifidus muscle in chronic LBP patient clinical significance. Most of chronic LBP patients have multifidus contraction pattern. Therefore chronic LBP patients necessary multifidus activation measurement with needle EMG.

• Annals of Clinical Neurophysiology
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• 제6권2호
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• pp.85-91
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• 2004

Background: Needle electromyography (EMG) and motor evoked potential (MEP) of the genioglossus (tongue) are difficult to perform in evaluations of the craniobulbar region in amyotrophic lateral sclerosis (ALS). Therefore, we investigated the yields of needle EMG and MEP recorded from the upper trapezius, since it receives innervation from the lower medulla and upper cervical cord. Methods: Needle EMG and MEP of the upper trapezius were obtained in 17 consecutive ALS patients. The needle EMG parameters recorded included abnormal spontaneous activity and motor unit action potential (MUAP) morphology. An upper motor neuron (UMN) lesion was presumed when either response to cortical stimulation was absent, or the central conduction time was delayed (>mean+2SD). Results: Of the five patients with bulbar-onset ALS, four had abnormalities in the upper trapezius and four in the tongue by needle EMG. In contrast, of the 12 patients with limb-onset ALS, 11 had abnormalities in the upper trapezius, and only five in the tongue. When MEP was performed, it was found that three of the five patients with bulbar symptoms and three of the six patients with isolated limb involvement had abnormal MEP findings. Conclusions: Electrophysiological studies of the upper trapezius are more sensitive those of the tongue in patients without bulbar symptoms. Thus, needle EMG and MEP of the upper trapezius are alternative tools for assessing bulbar and rostral neuraxial involvement in the diagnosis of ALS.

• International journal of advanced smart convergence
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• 제12권3호
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• pp.211-220
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• 2023

Surface electromyography (sEMG) is a noninvasive method used to capture electrically muscle activity, which can be easily measured even during exercise. The basic unit of muscle activity is the motor unit, and because an sEMG signal is a superposition of motor unit action potentials, analysis of muscle activity using sEMG should ideally be done from the perspective of motor unit activity. However, conventional techniques can only evaluate sEMG signals based on abstract signal features, such as root-mean-square (RMS) and mean-power-frequency (MPF), and cannot detect individual motor unit activities from an sEMG signal. On the other hand, needle EMG can only capture the activity of a few local motor units, making it extremely difficult to grasp the activity of the entire muscle. Therefore, in this study, a method to visualize the activities of motor units in a single-channel sEMG signal by relocating wavelet coefficients obtained by redundant discrete wavelet analysis is proposed. The information obtained through this method resides in between the information obtained through needle EMG and the information obtained through sEMG using conventional techniques.

• Korean Journal of Acupuncture
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• 제29권4호
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• pp.634-642
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• 2012

Objectives : The aim of the study is to find out whether effect of acupuncture is depending on the diameter of needle, which is a possible component of dose of acupuncture needling. Methods : To compare acupuncture effects in different diameters of needle, we measured the changes in muscle fatigue recovery using surface electromyogram(sEMG) in healthy 8 volunteers. Muscle fatigue was induced by 20 times sit-up for 1 min. Immediately after induction of muscle fatigue, acupuncture needle was inserted into ST36 or ST25 for 10 min by diameters of 0.20 mm, 0.30 mm, or 0.40 mm needles. The sEMG recording was followed by acupuncture for 30 min. As a control group, sEMG was recorded for the same period at rest after muscle fatigue induction. Results : In both of ST 36 and ST 25, stimulation with 0.4 mm diameter needle showed significant rapid recovery followed by short period of muscle fatigue increase. Stimulation with 0.2 mm diameter significantly suppressed the increase of muscle fatigue. Conclusions : These data suggest that acupuncture effect is, at least in part, dependent on diameter of needle. Therefore, diameter of needle is also considered to achieve effective outcome of acupuncture.

• Annals of Clinical Neurophysiology
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• 제20권2호
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• pp.66-70
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• 2018

Electrodiagnostic studies such as nerve conduction studies (NCS) and needle electromyography (EMG) provide important and complementary information for evaluating patients with suspected neuromuscular disorders. NCS and needle EMG are reasonably safe diagnostic investigations and are generally associated with only mild transient discomfort when performed by experienced physicians. However, there is the risk of complications in some patients, because NCS involve the administration of electric current and EMG involves inserting a needle percutaneously into muscle tissue. This article reviews the potential risks of NCS and needle EMG.

• Annals of Clinical Neurophysiology
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• 제10권1호
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• pp.62-65
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• 2008

We report a patient with amyotrophic lateral sclerosis (ALS) who developed a pneumothorax after needle electromyography (EMG), probably of the intercostal muscles. Needle EMG on intercostal muscles has a high risk of pneumothorax, not only because electromyographers are unfamiliar to its technique, but also due to its close anatomical location to the pleural cavity. In our patient, advanced intercostal muscle atrophy due to disease process would have increased the risk further.

• Journal of Acupuncture Research
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• 제15권2호
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• pp.319-329
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• 1998

The purpose of this study was finding the pain inhibitory effect of acupuncture based on rataining time at LI -4. The pain at dentes incisor was evoked by noxious electric stimulation and digastric electromyogram(dEMG) changes based on time interval were measured. To do this, the opioid antagonist was administered intraperitoneally and four groups were made for convenience. Without naloxone, dEMG was changed by either retaining the needle for 40 minutes (Group I) or by lifting and thrusting the needle (Group II). With naloxone administration, dEMG was changed by either retaining the needle for 40 minutes (Group III) or by lifting and thrusting the needle (Group IV). The results are as following 1. The pain inhibitory effect of acupuncture at LI -4 was expressed best in Group I. 2. The pain inhibitory effect was somewhat expressed in Group II but the effect was smaller than Group I. 3 .In Groups III and IV, the pain inhibitory effect was not expressed. The overall result should be the foundation for the further studies to figure out the underlying mechanism of acupuncture. In addition, it is assumed that the results will be useful for optimal retaining time of acupucture for its maximal effect.

• 대한의용생체공학회:의공학회지
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• 제17권3호
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• pp.319-326
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• 1996

Clinical myography(EMG) is a technique for diagnosing neuromuscular disorders by analyzing the electrical signal that can be records by needle electrode during a muscular contraction. The EMG signal arises from electrical discharges that accompany the generation of force by groups of muscular fiber, and the analysis of EMG signal provides symptoms that can distinguish disorder of mLecle from disor- ders of nerve. One of the methods for analysis of EMG signal is to separate the individual discharge-the motor unit action potentials(MVAPS) - from EMG signal. But we can only observe the EMG signal that is a superimposed version of time delayed MUAPS. To obtain the information about MUAP(, i.e., position, firing number, magnitude etc), first of all, a method that can separate each MUAP from the EMG signal must be developed Although the methods for MUAP separation have been proposed by many researcherl they have required heavy computational burden. In this paper, we proposed a new method that has less computational burden and performs more reliable separation of superimposed EMG signal using wavelet filter which has multiresolution analysis as major property. As a result, we develope the separation algorithm of superimposed EMG signal which has less computational burden than any other researchers and exacutes exact separation process. The performance of this method has been discussed in the automatic resolving procedure which is neccessary to identify every firing of every motor unit from the EMG pattern.

• 대한후두음성언어의학회지
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• 제11권2호
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• pp.178-184
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• 2000

Laryngeal evoked EMG is the objective and quantitative method to measure the innervation of laryngeal muscle. If there is a mobility disorder of vocal cords, the cause and location of neural lesion co be understood by the laryngeal evoked EMG and if there is a vocal cord paralysis, the degree of recovery and the policy of treatment can be determined by it. Recently, the studies of reinnervation after recurrent laryngeal nerve injury have been actively carried out. Laryngeal evoked EMC is useful to these studies. The aim of study is to know whether noninvasive methods for stimulating the recurrent laryngeal nerve and for recording of compound action potential(CAP) using surface electrode are as useful as the invasive method using needle electrode. We obtained EMG of laryngeal muscle by various stimulating and recording methods : 1) Direct nerve stimulation by placing nerve cuff electrode made out of silastic tube and platinum wire and recording by insertion of hook wire electrode into posterior cricoarytenoid(PCA) and thyroarytenoid(TA) muscles, respectively. 2) Recording of compound action potential by surface electrode after stimulation of recurrent laryngeal nerve by the insertion of 27 gauge of needle electrode. 3) Recording of compound action potential by surface electrode after stimulating the recurrent laryngeal nerve by transcutaneous blunt rod electrode at tracheoesophageal groove. The amplitude, duration and latency of the CAP evoked by recurrent laryngeal nerve stimulation were compared among the three groups. The amplitude of CAP was smallest in the group recorded from posterior cricoarytenoid and hyroarytenoid muscle, and that recorded by surface electrode after stimulation by needle electrode was largest. The difference in amplitude between the group by hook wire recording and the two groups by surface electrode recording was significant statistically. There is no significant difference in duration and latency among three groups. Since the waveform of CAP from all three methods has similar duration, latency, we concluded that noninvasive method is a useful as invasive methods.

• 대한의용생체공학회:의공학회지
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• 제15권3호
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• pp.281-288
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• 1994

In this paper, a new decomposition method of the interference EMG signal using MAMDF filtering and digital signal processor. The efficient software and hardware signal processing techniques are employed. The MAMDF filter is employed in order to estimate the presence and likely location of the respective templates which may include in the observed mixture, and high-resolution waveform alignment is employed in order to provide the optimal combination set and time delays of the selected templates. The TMS320C25 digital signal processor chip is employed in order to execute the intensive calculation part of the software. The method is verified through a simulation with real templates which are obtain ed from needle EMG. As a result, the proposed method provides an overall speed improvement of 32-40 times.