Ankle Dorsiflexion Strength Monitoring by Combining Sonomyography and Electromyography

Ankle dorsiflexion produced by Tibialis Anterior (TA) muscle contraction plays a significant role during human walking and standing balance. The weakened function or dysfunction of the TA muscle often impedes activities of daily living (ADL). Powered ankle exoskeleton is a prevalent technique to treat this pathology, and its intelligent and effective behaviors depend on human intention detection. A TA muscle contraction strength monitor is proposed to evaluate the weakness of the ankle dorsiflexion. The new method combines surface electromyography (sEMG) signals and sonomyography signals to estimate ankle torque during a voluntary isometric ankle dorsiflexion. Changes in the pennation angle (PA) are derived from the sonomyography signals. The results demonstrate strong correlations among the sonomyography-derived PA, the sEMG signal, and the measured TA muscle contraction force. Especially, the TA muscle strength monitor approximates the TA muscle strength measurement via a weighted summation of the sEMG signal and the PA signal. The new method shows an improved linear correlation with the muscle strength, compared to the correlations between the muscle strength and sole sEMG signal or sole PA signal, where the R-squared values are improved by 4.21 % and 1.99 %, respectively.

[1]  H. Devries MUSCLES ALIVE-THEIR FUNCTIONS REVEALED BY ELECTROMYOGRAPHY , 1976 .

[2]  Kohei Watanabe,et al.  Normalized EMG to normalized torque relationship of vastus intermedius muscle during isometric knee extension , 2009, European Journal of Applied Physiology.

[3]  R. Stein,et al.  The relation between the surface electromyogram and muscular force. , 1975, The Journal of physiology.

[4]  Richard B. Stein,et al.  Does Functional Electrical Stimulation for Foot Drop Strengthen Corticospinal Connections? , 2010, Neurorehabilitation and neural repair.

[5]  Qinghua Huang,et al.  Continuous Monitoring of Sonomyography, Electromyography and Torque Generated by Normal Upper Arm Muscles During Isometric Contraction: Sonomyography Assessment for Arm Muscles , 2008, IEEE Transactions on Biomedical Engineering.

[6]  T. Fukunaga,et al.  Determination of fascicle length and pennation in a contracting human muscle in vivo. , 1997, Journal of applied physiology.

[7]  Vivian Weerdesteyn,et al.  Effect of Peroneal Electrical Stimulation Versus an Ankle-Foot Orthosis on Obstacle Avoidance Ability in People With Stroke-Related Foot Drop , 2011, Physical Therapy.

[8]  S. Gandevia,et al.  Measurement of muscle contraction with ultrasound imaging , 2003, Muscle & nerve.

[9]  Jianrong Tan,et al.  A Novel Design of Serial Variable Stiffness Actuator Based on an Archimedean Spiral Relocation Mechanism , 2018, IEEE/ASME Transactions on Mechatronics.

[10]  Qiang Zhang,et al.  Design and Modeling of a Compact Rotary Series Elastic Actuator for an Elbow Rehabilitation Robot , 2017, ICIRA.

[11]  E. Culham,et al.  Lower-extremity muscle force and balance performance in adults aged 65 years and older. , 1999, Physical therapy.

[12]  R. Mann,et al.  Biomechanics of walking, running, and sprinting , 1980, The American journal of sports medicine.

[13]  Winnie Jensen,et al.  Simultaneous and Proportional Force Estimation in Multiple Degrees of Freedom From Intramuscular EMG , 2012, IEEE Transactions on Biomedical Engineering.

[14]  J. Fridén,et al.  Functional and clinical significance of skeletal muscle architecture , 2000, Muscle & nerve.

[15]  T Moritani,et al.  Intramuscular and surface electromyogram changes during muscle fatigue. , 1986, Journal of applied physiology.

[16]  Zhiyu Sheng,et al.  Observer Design for a Nonlinear Neuromuscular System with Multi-rate Sampled and Delayed Output Measurements , 2019, 2019 American Control Conference (ACC).

[17]  Levi J. Hargrove,et al.  A Comparison of Surface and Intramuscular Myoelectric Signal Classification , 2007, IEEE Transactions on Biomedical Engineering.

[18]  T. Abe,et al.  Time course for strength and muscle thickness changes following upper and lower body resistance training in men and women , 2000, European Journal of Applied Physiology.

[19]  D. Lloyd,et al.  An EMG-driven musculoskeletal model to estimate muscle forces and knee joint moments in vivo. , 2003, Journal of biomechanics.

[20]  Hans-Jochen Heinze,et al.  Functional electrical stimulation through direct 4-channel nerve stimulation to improve gait in multiple sclerosis: a feasibility study , 2015, Journal of NeuroEngineering and Rehabilitation.

[21]  M. Cornwall,et al.  The Influence of Tibialis Anterior Muscle Activity on Rearfoot Motion during Walking , 1994, Foot & ankle international.

[22]  D. Reinkensmeyer,et al.  Review of control strategies for robotic movement training after neurologic injury , 2009, Journal of NeuroEngineering and Rehabilitation.

[23]  Alexandra Graf,et al.  Association between ultrasound measurements of muscle thickness, pennation angle, echogenicity and skeletal muscle strength in the elderly , 2013, AGE.