• Title/Summary/Keyword: Needle EMG

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Abnormal spontaneous electromyographic activity in myasthenia gravis causing a diagnostic confusion: a case report and literature review

  • Kim, Sohyeon;Kang, Minsung;Park, Jin-Sung;Seok, Hung Youl
    • Annals of Clinical Neurophysiology
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    • v.24 no.2
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    • pp.73-78
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    • 2022
  • Some cases of myasthenia gravis (MG) with abnormal spontaneous activity (ASA) in needle electromyography (EMG) have been reported, but the associated clinical characteristics remain to be fully elucidated. We report the case of a 36-year-old male with MG in whom ASA was observed. This study highlights that ASA may appear in needle EMG in patients with severe MG who predominantly have bulbar and/or respiratory involvement. Care is needed because this often accompanies myopathic features and can be misdiagnosed as myopathy.

Speed improvement of EMG signal decomposition for clinical diagnosis (임상진단을 위한 근신호 분리의 속도 개선)

  • Kim, G. H.;Kim, J. W.;Kim, K. S.;Cho, I. J.;Lee, J.;Kim, H. S,
    • 제어로봇시스템학회:학술대회논문집
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    • 1990.10a
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    • pp.559-563
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    • 1990
  • A new speed improvement method for quantitative superimposed EMG signal analysis to diagnose the neuromuscular dysfunction is described. The improvement is achieved through the use of efficient software and hardware signal processing techniques. The software approch is composed of the MANDF filter and HRWA algorithm which provides the optimal set and time delays of-selected templates. The hardware employs a TMS32OC25 DSP chip to execute the intensive calculation part. The purposed method is verified through a simulation with real templates which are obtained from needle EMG. As a results, the proposed method provides an overall speed improvement of 32-40 times.

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Pattern Extraction of EMG Signal of Spinal Cord Injured Patients via Multiscaled Nonlinear Processing (다중스케일 비선형 처리를 통한 척수 손상 환자의 근전도 신호 패턴 추출)

  • Lee, Y. S.;Lee, J.;Kim, H. D.;Park, I. S.;Ko, H. Y.;Kim, S. H.
    • Journal of Biomedical Engineering Research
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    • v.22 no.3
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    • pp.249-257
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    • 2001
  • The voluntary contracted EMG signal of spinal cord injured patients is very small because the information from central nervous system is not sufficiently transmitted to $\alpha$ motor neuron or muscle fiber. Therefore the acquisited EMG signal from needle or surface electrodes can not be identified obvious voluntary contraction pattern by muscle movement. In this paper we propose the extraction technique of voluntary muscle contraction and relaxation pattern from EMG signal of spinal cord injured patient whose EMG signal is composed of the linear sum of mo색 unit action potentials with two noise sources, additive noise assumed to be white Gaussian noise and high frequency discharge assumed to be not motor unit action potential but impulsive noise. In order to eliminate impulsive noise and additive noise from voluntary contracted EMG signal, we use the FatBear filter which is a nonarithmetic piecewise constant filter, and multiscale nonlinear wavelet denoising processing, respectively. The proposed technique is applied to the EMG signal acquisited from transverse myelitis patients to extract voluntary muscle contraction pattern.

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Temperature in Nerve Conduction and Electromyography (신경전도와 근전도검사에서의 체온)

  • Kim, Doo-Eung
    • Annals of Clinical Neurophysiology
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    • v.8 no.2
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    • pp.125-134
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    • 2006
  • Among the various physiological factors that affect nerve conduction velocity (NCV), temperature is the most important. Because the influence of temperature is the most important source of error. It is known from animal experiments that conduction is eventually completely blocked at low temperatures, the myelinated A fibers being the first affected and the thin fibers of group C the last. Many studies showed that the NCV decreases linearly with lowering temperature within the physiological range. The distal motor latency increased by $0.2msec/^{\circ}C$ drop in temperature between $25^{\circ}C$and $35^{\circ}C$ in the median, ulnar and peroneal nerves. The temperature affect the neuromuscular transmission; The miniature endplate potential (MEPP) and endplate potential (EPP) are increase with increasing temperature. In myasthenia gravis, the reduction in the decremental response is observed following cooling. The lowering temperature make increase the amplitude of sensory compound action potential; make enlarge the surface area of compound muscle action potential with very little increase in amplitude; make diminish the fibrillation potential and increase the myotonia in needle electromyography (EMG). Because of these findings mentioned above, the skin temperature should be routinely monitored and controlled during nerve conduction tests and needle EMG and should be taken into account when interpreting the findings.

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A Study on the EMG Signal Variation by the Acupuncture (침자극에 따른 근전신호변화에 관한 연구)

  • Kim, H.K.;Lee, M.K.;Park, Y.B.;Huh, W.
    • Proceedings of the KOSOMBE Conference
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    • v.1995 no.05
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    • pp.215-220
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    • 1995
  • In this paper, we study myoelectric signal variation through kyungrak needle stimulation. The signal are detected from two kyunrak route of arm; before and after stimulation of a needle, and before and after needle rotation. The detected signals are analyzed at frequency domain to search a characteristic parameters. At the rotation method, spectrum denity of the signals varies large but spectrum is not detected before and after rotation. We can not see any relation bet ween spectrum variation and rotational direction. As the results, when the same stimulation method is used at two different kyungrak route respectively, it is found that the variation of the myoelectric signal is not same.

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The Decomposition of EMG signals using Template Matiching Method in the frequency domain (주파수 템플릿 정합법을 사용한 EMG 신호 분해)

  • Park, S.H.;Lee, Y.W.;Go, H.W.;Ye, S.Y.;Eom, S.H.;Nam, K.G.;Jun, K.R.
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.11
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    • pp.55-58
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    • 1997
  • In this paper, we study a signal processing method which extracts each MUAP(motor unit action potential) from EMG(Electromyogram) interference pattern or clinical diagnostic purposes. First of all, differential digital filtering is selected or eliminating the spike components of the MUAP's from the background noise. And, the algorithm identifies the spikes over the certanin threshold by template matching in frequency domain. After missing or false firing actor is cut off at the IPI(inter pulse interval) histogram, we averages the MUAP waveforms from the raw signal using the identified spikes as triggers, and Finally, measures their amplitudes, durations, and numbers of phases. Specially, We introduce algorithm performed by template matching in the frequency domain. A typical 3-s signal recorded from the biceps brachii muscle using a conventional needle electrode during a isometric contraction is used. Finally, the method decomposed five simultaneous active MUAP's from original EMG signal.

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Clinical Features and Electrophysiological Findings of Acute Brachial Plexitis (급성상완신경총염의 임상 소견과 전기생리학적 소견)

  • Jo, Hee Young;Kim, Dae-Seong
    • Annals of Clinical Neurophysiology
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    • v.10 no.1
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    • pp.43-47
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    • 2008
  • Background: Acute brachial plexitis is an acute idiopathic inflammatory disease affecting brachial plexus, which is characterized by initial severe pain in shoulder followed by profound weakness of affected arm. This is a retrospective study to evaluate the clinical and electrophysiological profile of acute brachial plexitis. Methods: Sixteen patients with acute brachial plexitis were sampled. The electrodiagnostic studies included motor and sensory nerve conduction studies (NCSs) of the median and ulnar, sensory NCSs of medial and lateral antebrachial cutaneous nerves, and needle electromyography (EMG) of selected muscles of upper extremities and cervical paraspinal muscles. The studies were performed on both sides irrespective of the clinical involvement. Results: In most of our patient, upper trunk was predominantly affected (14 patients, 87.50%). Only two patients showed either predominant lower trunk affection or diffuse affection of brachial plexus. All had an acute pain followed by the development of muscle weakness of shoulder girdle after a variable interval ($7{\pm}8.95$ days). Ten patients (62.50%) had severe disability. In NCSs, the most frequent abnormality was abnormal lateral antebrachial cutaneous sensory nerve action potentials (SNAPs). On needle EMG, all the patients showed abnormal EMG findings in affected muscles. Conclusions: In this study, pain was the presenting feature in all patients, and the territory innervated by upper trunk of the brachial plexus was most frequently involved. The most common NCS abnormality was abnormal SNAP in lateral antebrachial cutaneous nerve. Our findings support that the electrodiagnostic test is useful in localizing the trunk involvement in acute brachial plexitis.

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The Case Report on Improved Change of Lumbosacral Radiculopathy Using Acupuncture Therapy and Cox Technique - In the Point of Needle Electromyogram - (침치료 및 Cox 수기요법을 이용한 요천추 신경근병증 환자의 치험 2례 - 침근전도 검사상의 호전을 중심으로 -)

  • Jung, Min-Gyu;Hwang, Hyung-Joo;Park, Young-Hoi;Keum, Dong-Ho
    • Journal of Korean Medicine Rehabilitation
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    • v.19 no.4
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    • pp.203-217
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    • 2009
  • Objectives : We have evaluated the effects of conservative treatment on two patients who were diagnosed to lumbosacral radiculopathy. Methods : Two patients were diagnosed as lumbosacral radiculopathy through needle electromyoram. We used acupuncture therapy, Cox technique to the patients. We measured visual analog scale(VAS) and needle electromyogram before and after treatment. Results : After treating acupuncture therapy, Cox technique in the cases, We find out that the patients were improved, and changed of needle electromyogram result. Conclusions : These results suggest that Cox thechnique and acupuncture therapy were effective to lumbosacral radiculopathy and reduced the low back pain and the leg myasthenic.

A EMG Signal Processing Algorithm for SMUAP Pattern Classification (SMUAP의 패턴분류를 위한 근 신호처리 알고리듬)

  • Lee, Jin;Jo, Il-Jun;Byun, Youn-Shik;Hong, Woan-Hue;Kim, Sung-Hwan
    • Journal of the Korean Institute of Telematics and Electronics
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    • v.26 no.7
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    • pp.106-111
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    • 1989
  • A new EMG signal processing algorithm for SMUAP pattern classification is proposed. It checks the combination and regularity of ISI using a spike counter as a decision making routine, and performs SMUAP waveform alignment in frequency domain and selects spikes through FIR filtering. As a result, with the EMG signals recorded during 5 seconds at 10-50% MVC force level, the SMUAP ranged from five to nine units were classified and identification rate is greater than 55 percent using a concentric needle electrode. In the IBM PC/AT the processing time typically required 2 minutes.

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Basic Physiological Research on the Wing Flapping of the Sweet Potato Hawkmoth Using Multimedia

  • Nakajima, Isao;Yagi, Yukako
    • Journal of Multimedia Information System
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    • v.7 no.2
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    • pp.189-196
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    • 2020
  • We have developed a device for recording biological data by inserting three electrodes and a needle with an angular velocity sensor into the moth for the purpose of measuring the electromyogram of the flapping and the corresponding lift force. With this measurement, it is possible to evaluate the moth-physiological function of moths, and the amount of pesticides that insects are exposed to (currently LD50-based standards), especially the amount of chronic low-concentration exposure, can be reduced the dose. We measured and recorded 2-channel electromyography (EMG) and angular velocity corresponding to pitch angle (pitch-like angle) associated with wing flapping for 100 sweet potato hawkmoths (50 females and 50 males) with the animals suspended and constrained in air. Overall, the angular velocity and amplitude of EMG signals demonstrated high correlation, with a correlation coefficient of R = 0.792. In contrast, the results of analysis performed on the peak-to-peak (PP) EMG intervals, which correspond to the RR intervals of ECG signals, indicated a correlation between ΔF fluctuation and angular velocity of R = 0.379. Thus, the accuracy of the regression curve was relatively poor. Using a DC amplification circuit without capacitive coupling as the EMG amplification circuit, we confirmed that the baseline changes at the gear change point of wing flapping. The following formula gives the lift provided by the wing: angular velocity × thoracic weight - air resistance - (eddy resistance due to turbulence). In future studies, we plan to attach a micro radio transmitter to the moths to gather data on potential energy, kinetic energy, and displacement during free flight for analysis. Such physiological functional evaluations of moths may alleviate damage to insect health due to repeated exposure to multiple agrochemicals and may lead to significant changes in the toxicity standards, which are currently based on LD50 values.