Myoelectric manifestations of fatigue at low contraction levels in subjects with and without chronic pain.

The aim of the present study was to investigate differences in myoelectric responses to fatigue development between cases with chronic neck-shoulder pain (n=10) and healthy controls (n=10) during a low force level sustained contraction. Subjects performed a 15-min isometric shoulder elevation at a force level of 40 N (sustained contraction), preceded and followed by a step contraction, consisting of five force levels from 20 to 100 N. EMG recordings were made with a two-dimensional electrode array on the upper trapezius of the dominant side. Root-mean-square (RMS(G)), median power frequency (FMED(G)), conduction velocity (CV), number of motor unit action potentials per second (MUAP Rate) and MUAP shape properties were estimated. Changes over time and differences between the groups were statistically evaluated with a linear mixed model. During the sustained contraction, cases showed less increase in RMS(G) than controls (controls: 58.5%, cases: 33.0%). FMED(G) and CV decreased in controls (FMED(G): -6.3%, CV: -5.3%) and stayed constant (FMED(G)) or slightly increased (CV, 3.15%) in cases. Overall, cases showed a less pronounced myoelectric response to the fatiguing task than controls, which may be related to additional recruitment of higher-threshold MUs. A possible explanation might be that cases were already (chronically) fatigued before the experiment started.

Simulation analysis of the ability of different types of multi-electrodes to increase selectivity of detection and to reduce cross-talk.

Selectivity of different one- and two-dimensional multi-electrodes and their ability to reduce cross-talk were analyzed. Signals from an individual motor unit (MU) were calculated as a single convolution of intracellular action potential (IAP) first temporal derivative and spatially filtered MU impulse response. It was shown that the uptake area (irrespective of the way it was defined) could not characterize electrode properties reliably because its estimate depended on the source parameters. Due to the different decline of individual phases of MU signals with depth, electrode should provide higher spatial and temporal resolution of the main phases for better selectivity and greater suppression of the terminal phases for cross-talk reduction. A two-dimensional normal double differentiating (NDD) electrode provided almost the same or slightly lower selectivity but weaker reduction of cross-talk than a longitudinal double differentiating (LDD) electrode. A transversal double differentiating (TDD) electrode provided a lower selectivity and weaker reduction of cross-talk than a LDD electrode. A new, BiTDD multi-electrode (performing difference between signals detected by two TDD electrodes) provided the best selectivity and reduction of cross-talk. To obtain the smallest cross-talk, a BiTDD electrode should be positioned above the end-plate region, while LDD, TDD, or NDD electrodes-above the ends of muscle that produced it. Signal differentiation improved selectivity but increased cross-talk.