Surface electrode placement affects the EMG recordings of the quadriceps muscles

Abstract Objectives This study examined the EMG activities of the medial and lateral vasti muscles with four different surface electrode positions during isometric knee extension and knee perturbation. Design Repeated measures design. Setting Orthopaedic rehabilitation laboratory of a university. Participants Eight able-bodied non-athletic male volunteers. Main outcome measures The relative onset time difference in milliseconds of vastus medialis obliquus (VMO) and vastus lateralis (VL) during knee perturbation, and the normalized EMG amplitude in root-mean-square ratio of VMO:VL during submaximal isometric knee extension were analyzed using repeated measures ANOVA. Results Different electrode positions on VL resulted in different VMO-VL onset time ( p = 0.002 ) and normalized VMO:VL activity ratios ( p = 0.002 , 0.014). Conclusions The position of surface electrodes has significantly affected the EMG readings of the vasti muscles. This finding has vital clinical implications for the application of EMG measurement and biofeedback training for the rehabilitation of the vasti muscles.

[1]  J. Boucher,et al.  Quadriceps femoris muscle activity in patellofemoral pain syndrome , 1992, The American journal of sports medicine.

[2]  W. Campbell,et al.  Essentials of Electrodiagnostic Medicine , 1998 .

[3]  W. Hanten,et al.  Exercise effect on electromyographic activity of the vastus medialis oblique and vastus lateralis muscles. , 1990, Physical therapy.

[4]  J. Cram,et al.  Introduction to Surface Electromyography , 1998 .

[5]  Josef Kollmitzer,et al.  Reliability of surface electromyographic measurements , 1999, Clinical Neurophysiology.

[6]  Michael T. Gross,et al.  Comparison of Vastus Medialis Obliquus:Vastus Lateralis Muscle Integrated Electromyographic Ratios Between Healthy Subjects and Patients with Patellofemoral Pain , 1991 .

[7]  G. Karst,et al.  Onset timing of electromyographic activity in the vastus medialis oblique and vastus lateralis muscles in subjects with and without patellofemoral pain syndrome. , 1995, Physical therapy.

[8]  Comparing fatigue and the rate of recovery between vastus medialis obliquus and vastus lateralis , 2002 .

[9]  Gender differences in musculoskeletal injury rates: a function of symptom reporting? , 1998 .

[10]  L. Herrington The Role of Vastus Medialis Oblique in Patellofemoral Pain Syndrome , 1998 .

[11]  D. Stegeman,et al.  Influence of motoneuron firing synchronization on SEMG characteristics in dependence of electrode position. , 2001, Journal of applied physiology.

[12]  Gabriel Y F Ng,et al.  Patellar Taping Does Not Affect the Onset of Activities of Vastus Medialis Obliquus and Vastus Lateralis Before and After Muscle Fatigue , 2005, American journal of physical medicine & rehabilitation.

[13]  R. Lysens,et al.  Reflex response times of vastus medialis oblique and vastus lateralis in normal subjects and in subjects with patellofemoral pain syndrome. , 1996, The Journal of orthopaedic and sports physical therapy.

[14]  W. Post Patellofemoral pain: results of nonoperative treatment. , 2005, Clinical orthopaedics and related research.

[15]  B. Brouwer,et al.  Comparison of five isometric exercises in the recruitment of the vastus medialis oblique in persons with and without patellofemoral pain syndrome. , 1998, The Journal of orthopaedic and sports physical therapy.

[16]  J. Hoffman,et al.  American Journal of Physical Medicine and Rehabilitation , 2007 .

[17]  J. Perry,et al.  Quadriceps function. An anatomical and mechanical study using amputated limbs. , 1968, The Journal of bone and joint surgery. American volume.

[18]  W. Gilleard,et al.  The effect of patellar taping on the onset of vastus medialis obliquus and vastus lateralis muscle activity in persons with patellofemoral pain. , 1998, Physical therapy.

[19]  John H Warfel,et al.  The Extremities: Muscles and Motor Points , 1985 .

[20]  G L Soderberg,et al.  A guide for use and interpretation of kinesiologic electromyographic data. , 2000, Physical therapy.

[21]  M. Voight,et al.  Comparative reflex response times of vastus medialis obliquus and vastus lateralis in normal subjects and subjects with extensor mechanism dysfunction , 1991, The American journal of sports medicine.

[22]  Henry L. Lew,et al.  Vastus medialis obliquus and vastus lateralis activity in open and closed kinetic chain exercises in patients with patellofemoral pain syndrome: an electromyographic study. , 2001, Archives of physical medicine and rehabilitation.

[23]  Antonio Pedotti,et al.  Motor strategies in landing from a jump: the role of skill in task execution , 2004, Experimental Brain Research.

[24]  J. Perry,et al.  Timing and intensity of vastus muscle activity during functional activities in subjects with and without patellofemoral pain. , 1996, Physical therapy.

[25]  Mark S. Schwartz,et al.  Biofeedback: A Practitioner's Guide , 1987 .

[26]  Jenny McConnell,et al.  A Systematic Review of Physical Interventions for Patellofemoral Pain Syndrome , 2001, Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine.

[27]  J M Medeiros,et al.  EMG activity of the vastus medialis oblique and the vastus lateralis in their role in patellar alignment. , 1983, American journal of physical medicine.

[28]  I. Caruso,et al.  An electromyographic investigation of subluxation of the patella. , 1979, The Journal of bone and joint surgery. British volume.

[29]  D. Hewson,et al.  Evolution in impedance at the electrode-skin interface of two types of surface EMG electrodes during long-term recordings. , 2003, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[30]  J. Perry,et al.  Isolation of the Vastus Medialis Oblique Muscle During Exercise , 1999, The American journal of sports medicine.

[31]  C. Jensen,et al.  The influence of electrode position on bipolar surface electromyogram recordings of the upper trapezius muscle , 2004, European Journal of Applied Physiology and Occupational Physiology.

[32]  J. Mcconnell Management of patellofemoral problems. , 1996, Manual therapy.

[33]  R Merletti,et al.  Effect of ankle joint position on electrically evoked surface myoelectric signals of the tibialis anterior muscle. , 1993, Archives of physical medicine and rehabilitation.