Electromyography and clinical neurophysiology (Electromyogr Clin Neurophysiol)

Journal description

Incorporated into Clinical Neurophysiology (1388-2457)

Current impact factor: 0.00

Impact Factor Rankings

Additional details

5-year impact 0.00
Cited half-life 0.00
Immediacy index 0.00
Eigenfactor 0.00
Article influence 0.00
Website Electromyography & Clinical Neurophysiology website
Other titles Electromyography and clinical neurophysiology
ISSN 0301-150X
OCLC 2246609
Document type Journal / Magazine / Newspaper

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: The aim of this study was to provide a data base for the measurement of various parameters of the pupil light reflex in normal subjects using a fast video pupillometry device (262 frames/sec). One hundred healthy subjects took part in the study aged 44.31+/-18.11 years. Subjects were divided in two (2) groups according to age: 18-50 years of age (group 1) and 51-81 years of age (group 2). All subjects were examined between 09.00 and 15.00 and the re-test examination was repeated exactly 24 hours later. All variables showed satisfactory test-retest reliability (Pearson test-retest showed values over 0. 70 for all parameters besides Time for Maximum Constriction (T3. 0.62) and Recovery (R%: 0.57)). The Latency of pupil reaction to light (Ti) was not affected by Age. Baseline Pupil Radius (RI) after 2 min of dark adaptation was statistically smaller in the elderly group p < 0.001; Maximum Constriction Velocity (VCmax), Maximum Constriction Acceleration (ACmax) and Amplitude (AMP) were significantly smaller in the elderly group (p < 0.001) when compared to group 1. When all parameters were studied their correlation showed a statistical significant difference for R1, R2, VCmax, ACmax and AMP when related to Age. However when Age was taken into account through the use of partial correlation, the relation between R1, R2 and AMP remained unaltered, but the relations between R1 and VCmax and ACmax were dramatically reduced from -0.39 to -0.21 and from -0.45 to -0.09 respectively indicating that the relation observed between Ri and VCmax and ACmax was due mainly to the Age of the subjects. The results suggest that age influences Baseline Pupil Size, Maximum Constriction Velocity (VCmax) and Acceleration (ACmax), while the Latency of the light reflex remains unaltered.
    Electromyography and clinical neurophysiology 07/2015; 47(1):11-22.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Background and purpose: Slumped sitting is known to increase disc pressure and aggravate chronic low back pain. In addition, it has been recognized that co-contraction of the deep spine-stabilizing muscles enhances lumbar segmental stability and the sacro-iliac joint. The purpose of this study was to compare the electromyographic (EMG) activity of the trunk muscles and the muscle thickness of the transverse abdominis (TrA) during slumped sitting with the same parameters during co-contraction and investigate how co-contraction influences spinal curvature. Subjects and methods: Nine healthy male volunteers participated in the study. EMG signals were recorded during both sitting postures. In order to measure the muscle thickness of the TrA, ultrasound images were captured. While the subjects performed both sitting postures, spinal curvature was measured using a hand-held device. Results: Significantly more activity of the trunk muscles, with the exception of the rectus abdominis muscle, and significantly greater muscle thickness of the TrA were observed during co-contraction of the trunk muscles than during slumped sitting. Co-contraction also resulted in significantly increased lumbar lordosis and a greater sacral angle when compared to slumped sitting. Conclusion: In this study, it was demonstrated that the instructions given to the subjects on co-contraction of the trunk muscles during sitting increased muscle activity with the exception of the rectus abdominis muscle, muscle thickness of the TrA, and lumbar lordosis.
    Electromyography and clinical neurophysiology 07/2013; 50(3-4):187-92. DOI:10.3233/BMR-130419
  • [Show abstract] [Hide abstract]
    ABSTRACT: With the objective to know the electromyographic activity normal parameters of the deltoid (anterior portion) and pectoralis major (clavicular portion) muscles in the different modalities of military press exercises with middle grip, we analyzed 24 male volunteers using a two-channel electromyograph TECA TE 4, and Hewllet Packard surface electrodes. It was observed high inactivity levels for PMC in almost all the modalities and the concentration in the active cases, mainly, in the weak potential, while DA presented very high levels of much strong action potentials in all the modalities assessed.
    Electromyography and clinical neurophysiology 01/2011; 50(5):203-11.
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Coordination Dynamics Therapy (CDT) has been shown to be able to partly repair CNS injury. The repair is based on a movement-based re-learning theory which requires at least three levels of description: the movement or pattern (and anamnesis) level, the collective variable level, and the neuron level. Upon CDT not only the actually performed movement pattern itself is repaired, but the entire dynamics of CNS organization is improved, which is the theoretical basis for (re-) learning transfer. The transfer of learning for repair from jumping on springboard and exercising on a special CDT and recording device to urinary bladder functions is investigated at the neuron level. At the movement or pattern level, the improvement of central nervous system (CNS) functioning in human patients can be seen (or partly measured) by the improvement of the performance of the pattern. At the collective variable level, coordination tendencies can be measured by the so-called 'coordination dynamics' before, during and after treatment. At the neuron level, re-learning can additionally be assessed by surface electromyography (sEMG) as alterations of single motor unit firings and motor programs. But to express the ongoing interaction between the numerous neural, muscular, and metabolic elements involved in perception and action, it is relevant to inquire how the individual afferent and efferent neurons adjust their phase and frequency coordination to other neurons to satisfy learning task requirements. With the single-nerve fibre action potential recording method it was possible to measure that distributed single neurons communicate by phase and frequency coordination. It is shown that this timed firing of neurons is getting impaired upon injury and has to be improved by learning The stability of phase and frequency coordination among afferent and efferent neuron firings can be related to pattern stability. The stability of phase and frequency coordination at the neuron level can therefore be assessed integratively at the (non-invasive) collective variable level by the arrhythmicity of turning (coordination dynamics) when a patient is exercising on a special CDT device. Upon jumping on springboard and exercising on the special CDT device, the intertwined neuronal networks, subserving movements (somatic) and urinary bladder functions (autonomic and somatic) in the sacral spinal cord, are synchronously activated and entrained to give rise to learning transfer from movements to bladder functions. Jumping on springboard and other movements primarily repair the pattern dynamics, whereas the exactly coordinated performed movements, performed on the special CDT device for turning, primarily improve the preciseness of the timed firing of neurons. The synchronous learning of perceptuomotor and perceptuobladder functioning from a dynamical perspective (giving rise to learning transfer) can be understood at the neuron level. Especially the activated phase and frequency coordination upon natural stimulation under physiologic and pathophysiologic conditions among a and gamma-motoneurons, muscle spindle afferents, touch and pain afferents, and urinary bladder stretch and tension receptor afferents in the human sacral spinal cord make understandable that somatic and parasympathetic functions are integrated in their functioning and give rise to learning transfer from movements to bladder functions. The power of this human treatment research project lies in the unit of theory, diagnostic/measurement, and praxis, namely that CNS injury can partly be repaired, including urinary bladder functions, and the repair can partly be understood even at the neuron level of description in human.
    Electromyography and clinical neurophysiology 11/2010; 50(7-8):339-95.
  • [Show abstract] [Hide abstract]
    ABSTRACT: The usual presentation of herpes zoster (HZ) is a self-limiting vesicular rash, often accompanied by post-herpetic neuralgia. However, HZ can give rise to other complications, that have unusual presentations and serious sequelae like segmental motor paralysis of the limbs that is a relatively rare complication. A 68-year-old man presented with foot drop on the right side had a history of HZ infection on and around the knee and the popliteal fossa. He was treated with acyclovir by a dermatologist and 10 days after the inital symptoms he developed weakness on the right ankle and on the muscles distal to the knee. In a few days foot drop has developed and he was unable to walk without help. Three months later he was admitted to the neurology out patient clinic. On his electrophysiological examination common peroneal nerve could not be stimulated on the right side. The distal latency of the tibial nerve has prolonged, CMAP amplitude has diminished and the nerve conduction velocity has slowed down. Latency of the sural nerve has prolonged with a small SNAP amplitude and a slow nerve conduction velocity on the right side. Electromyography revealed denervation on the muscles inervated by tibialis anterior and common peroneal nerves distal to the knee. The double mononeuropathy of the tibial and common peroneal nerves secondary to HZ was not found in the published data. HZ should be considered as a possible cause of the paralysis of peripheral nerves and more attention should be paid to it.
    Electromyography and clinical neurophysiology 11/2010; 50(7-8):322-5.
  • [Show abstract] [Hide abstract]
    ABSTRACT: PROPOSE: Compare the symmetry of the activity and masticatory muscles in individuals with TMD and asymptomatic. The study included 50 women, while 31 had temporomandibular disorders (TMD) and 19 were asymptomatic (control group), aged between 19 and 40 years. The volunteers were subjected to clinical examination of the diagnostic criteria in research with TMD (RDC/TMD) with the aim of diagnosing volunteers with or without TMD, and evaluate the electromyographic activity of the right temporalis muscle (TR) and left (TL), right masseter (MR) and left (ML), in situations of rest, isometric contraction of the muscles of the jaw elevators. We obtained the rates of activity and asymmetry in each situation and for the collection and TMD control groups. For the index of activity for the rest there was significant difference (p = 0.0008) between the control group and the TMD group, with predominance of temporal muscle, was not observed difference between groups for the index of activity during the isometric contraction (p = 0.1069). For the index of asymmetry no difference between groups during rest, for the masseter muscles (p = 0.4182) and the temporal (p = 0.7614), and also during the isometry for both masseter muscles (p = 0.8691) and for time (p = 0.6643). The control group showed prevalence of TMD and temporal muscle during rest, which did not occur in the isometry, and no difference for the index of asymmetry between the groups for the masseter and temporal muscles.
    Electromyography and clinical neurophysiology 11/2010; 50(7-8):333-8.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Visual processing in migraine has been targeted indicating that the visual pathways are involved in the migraine pathophysiology. We aimed to assess the nature of visual evoked potential (VEP) changes in migraine patients and to evaluate the role of VEP in the diagnosis of migraine. We examined 31 female and 10 male patients with a migraine headache diagnosis according to the criteria of the International Headache Society. Control subjects had neither migraine and other types of primary headache nor familial history. VEP were elicited using a checkerboard by monocular and binocular pattern reversal stimulation. The latencies of N75, P100 and N145 and peak-to-peak amplitude of N75-P100 were measured. We compared VEP latencies and amplitudes of the monocular and binocular stimulation within each population. The N75 and P100 latencies were found to be significantly longer in the study group than the control group (p = 0.014 and p = 0.034, respectively) while the amplitudes in the study group were lower (p = 0.014). N145 latency was found to be longer in patients with longer duration of disease (p < 0.05). P100 latency was found to be significantly longer in patients with aura than the patients without aura (p = 0.029). N75 latency, recorded by left monocular stimulation, was elongated and the amplitude was diminished with left hemicranial headache. Measurement of VEP latency and amplitude is a valuable and reliable test for the diagnosis of migraine. Our results reflect a persisting dysfunction of precortical visual processing which might be relevant in the pathogenesis of migraine.
    Electromyography and clinical neurophysiology 09/2010; 50(6):303-8.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Hearing level in some children may be abnormal due to conductive or sensorineural causes. In Kuwait, the hearing screening test is not conducted for newborns at public hospitals. We evaluated the hearing level of 159 Kuwaiti school children (age 6-12 years) at the Audiology Clinic of Ahmadi hospital to determine the extent and causes of hearing loss in these children. Each child was evaluated by otoscopic examination, tympanogram, acoustic reflex threshold (ART), audiogram, and distortion product oto-acoustic emission (DPOAE). 120 children were found to have normal ear conditions, while 39 children had abnormal results. The abnormalities were 21 children with ear wax, 16 children with secretory otitis media (SOM), and 2 children with sensorineural hearing loss (SNHL). In the children with ear wax, 3 had normal hearing level, while 18 had mild conductive hearing loss in the 250-500 Hz frequency range. In the children with SOM, 3 had normal hearing level, 9 had mild conductive hearing loss in the 250-500 Hz frequency range, while 4 had moderate conductive hearing loss in the 250-2000 Hz frequency range. The children with SNHL had moderate hearing loss in the 4000-8000 Hz frequency range. Wax in the ear canal and SOM were the main factors associated with hearing loss in these Kuwaiti school children. It is necessary to establish a national program of school entry hearing screening in Kuwait.
    Electromyography and clinical neurophysiology 09/2010; 50(6):309-18.
  • [Show abstract] [Hide abstract]
    ABSTRACT: The aim of the present study was to analyze the electromyographic (EMG) signals of the rectus femoris (RF), vastus lateralis (VL), tibialis anterior (TA) and soleus (SO) muscles in young healthy adults with and without the use of an experimental ankle-foot-orthosis (AFO) designed for patients with hemiparesis. Twenty-eight individuals with an average age of 22 +/- 3.63 years participated in the study. An electromyograph, surface electrodes and two force plates were used. There was a non-significant increase in the TA activity with the use of the AFO (6.04 +/- 2.81) when compared to non-use (5.91 +/- 2.49) (p > 0.5); the same was true for the other muscles evaluated. There was a positive correlation (r = 0.37) between TA and SO activity (p < 0.05). The results demonstrate that the AFO did not affect the gait pattern of healthy young adults.
    Electromyography and clinical neurophysiology 09/2010; 50(6):295-301.
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Severe cervical Spinal Cord Injury (SCI) leads to quadriplegia, and autonomic dysfunctions. Bladder/bowel continence, cardiovascular performance, and breathing are impaired besides movements. Even though there are no fully restorative treatments for SCI, I report about a patient, who suffered a severe cervical, motoric complete SCI, in whom urinary bladder functions were fully repaired by functional and structural repair (limited regeneration of the cord) upon 2.5 years of Coordination Dynamics Therapy (CDT). On the repair of the blood circulation (no occurrence of pressure ulcers any more), breathing and motor functions was reported earlier. The mechanism that underlies this important repair of urinary bladder functions is the learning transfer from movements to bladder functions. The human bladder repair is analyzed at the neuron level, the collective variable level (System Theory of Pattern Formation), the movement, and the clinical diagnostic level.
    Electromyography and clinical neurophysiology 04/2010; 50(3-4):155-79.
  • [Show abstract] [Hide abstract]
    ABSTRACT: The study of brain activity has been studied with the use of various techniques like electroencephalography (EEG), magnetic resonance imaging (MRI), positron emission topography (PET) and magneto-encephalography (MEG). These techniques are unsuitable because of restriction of moving of subject's body while playing "shogi (Japanese Chess)" matching However, optical topography (OT) is possible to measure. Therefore, brain activity is here studied with use of OT. The measurement and analyses of the activity of brain is carried out by cerebral blood flow with use of OT. The equipment of OP is 16-channel maximum OMM-2000 device (Shimadzu, Tokyo, Japan). Two subjects play the game, and the cerebral blood flow of only one subject is measured, since the capacity of the equipment is limited. When the subject does decision-making for a matter of chance during the game, the right side of frontal part (Fp2) proves more activity than that of left side (Fp1), and proves that the activity of both parts of visual field (O1, O2) communicates each other. The present study with use of OT is highly useful for observing brain activity during play of shogi game.
    Electromyography and clinical neurophysiology 04/2010; 50(3-4):137-48.
  • [Show abstract] [Hide abstract]
    ABSTRACT: The present study investigated the influence of a regular Physical Therapy program with emphasis on proprioceptive stimulation, on the center pressure trajectory and muscle adjustments necessary to maintain balance on orthostatic position. After medical assessment, 29 subjects (63.06 +/- 2.84 years) were submitted to electromyographic and baropodometric evaluation and, subsequently, to a program of 12 weeks of physical therapy intervention focusing on proprioceptive stimulation. The oscillation of the pressure center (Pressure platform-MatScanTekscan) was evaluated concomitantly to electromyographic signal envelopment and median frequency assessment of anterior tibial and gastrocnemius muscles (signal conditioner module--MCS 1000-V2-LYNX ). The Wilcoxon test was used for comparison of means, with the significance level of 5%. The pressure center trajectory unipodal position with open eyes (UO) decreased significantly after physical therapy intervention. In this position, there was a reduction of the electromyographic signal envelopment and an increase on median frequency of the gastrocnemius muscle, while the anterior tibial muscle showed increased median frequency after intervention. For the unipodal position with closed eyes (UC), the anterior tibial muscle showed significant electromyographic signal envelopment decrease and increase of median frequency, which also increased for the gastrocnemius muscle. It is concluded that the physical therapy intervention promoted decrease of body oscillation, recruitment improvement and adjustment of the gastrocnemius and anterior tibial muscles, contributing to the postural balance improvement in orthostatic position on senior population.
    Electromyography and clinical neurophysiology 03/2010; 50(2):113-9.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Lack of sensitivity in clinical evaluation and imaging techniques often result in the potential misdiagnosis of the nerve root compromise in patients with non specific low back pain (NSLBP). H-reflex is reliable, valid, and sensitive electrophysiological procedure in detecting neural impingement in patients with low back pain of neurological origin and, thus, could be used to detect nerve root compromise in NSLBP To date, this has not been studied. The purpose of this study was to estimate the proportion of patients with NSLPB and neural compromise using the soleus H-reflex. Soleus H-reflex was measured bilaterally in 30 NSLBP patients with no radicular symptoms during prone lying and standing upright relaxed postures. Five traces were measured and averaged. Side-to-side amplitude (HIH) ratios were then calculated. Inference statistic estimated the proportion and 95% confidence intervals of patients with NSLBP and neural involvement. Soleus H-reflex asymmetry was detected in 17% and 20% of patients with NSLBP during lying and standing, respectively. In some patients, NSLBP may be associated with small degree of nerve root compromise, although the neural compromise is insufficient to cause distal radiculopathy. For these patients, treatment strategies to address such possible underlying mechanism of pain should be considered.
    Electromyography and clinical neurophysiology 03/2010; 50(2):67-73.