A Maximal Isokinetic Pedalling Exercise for EMG.pdf

(666 KB) Pobierz
doi:10.1016/j.jelekin.2007.11.013
ARTICLE IN PRESS
Available online at www.sciencedirect.com
Journal of Electromyography and Kinesiology xxx (2008) xxx–xxx
www.elsevier.com/locate/jelekin
A maximal isokinetic pedalling exercise for EMG
normalization in cycling
Eneko Fern´ndez-Pe˜a a,b , Francesco Lucertini a , Massimiliano Ditroilo a,b, *
a Istituto di Ricerca sull’Attivit` Motoria, Universit` degli Studi di Urbino ‘‘Carlo Bo”, Via I Maggetti, 26/2, 61029 Urbino, Italy
b Scuola Regionale dello Sport – Coni, Comitato Regionale Marchigiano, Ancona, Italy
Received 26 April 2007; received in revised form 27 November 2007; accepted 27 November 2007
Abstract
An isometric maximal voluntary contraction (iMVC) is mostly used for the purpose of EMG normalization, a procedure described in
the scientific literature in order to compare muscle activity among different muscles and subjects. However, the use of iMVC has certain
limitations. The aims of the present study were therefore to propose a new method for the purpose of EMG amplitude normalization in
cycling and assess its reliability. Twenty-three cyclists performed 10 trials of a maximal isokinetic protocol (MIP) on a cycle ergometer,
then another four sub-maximal trials, whilst the EMG activity of four lower limbs muscles was registered. During the 10 trials power
output (CV = 2.19) and EMG activity (CV between 4.46 and 8.70) were quite steady. Furthermore, their maximal values were reached
within the 4th trial. In sub-maximal protocol EMG activity exhibited an increase as a function of exercise intensity.
MIP entails a maximal dynamic contraction of the muscles involved in the pedalling action and the normalization session is
performed under the same biomechanical conditions as the following test session. Thus, it is highly cycling-specific.
MIP has good logical validity and within-subject reproducibility. Three trials are enough for the purpose of EMG normalization in
cycling.
2007 Elsevier Ltd. All rights reserved.
Keywords: Surface electromyography; Maximal dynamic exercise; Sub-maximal dynamic exercise; Reproducibility; SRM ergometer
1. Introduction
malization is required in order to: (i) make a between-
and within-subject comparison of activation level in work-
ing muscles ( Bolgla and Uhl, 2007; Lehman and McGill,
1999; Mirka, 1991 ), (ii) facilitate comparison between
two different muscles, or right and left side muscles of the
same subject ( Lehman and McGill, 1999 ), (iii) allow for
comparisons between different joint angles, namely differ-
ent specific positions throughout the range of motion of
a joint ( Mirka, 1991 ), (iv) compare results with similar data
from other studies ( Soderberg and Knutson, 2000 ).
Most published studies have used an isometric maximal
voluntary contraction (iMVC) for the purpose of EMG
normalization ( Arokoski et al., 1999; Lobbezoo et al.,
1993; Smith et al., 2004 ). Although this method has been
demonstrated to be reliable ( Dankaerts et al., 2004; Kollm-
itzer et al., 1999 ), it is strongly dependent on the specific
joint angles used during the iMVC. In fact, an EMG signal
Surface electromyography (EMG) is a non-invasive
method used to obtain information on muscle activity.
Absolute EMG amplitude level is of interest, for instance,
in clinical studies, since patients usually can not perform
maximum contractions ( van Die¨n et al., 2003 ), or to make
differences in EMG activity between a pain and a non-pain
group come to light ( Danoff, 1986 ). However, absolute
EMG values depend on many factors unrelated to the level
of muscle activation (e.g. van Die¨n et al., 2003 ). It is
widely accepted that a procedure of EMG amplitude nor-
* Corresponding author. Address: Istituto di Ricerca sull’Attivit`
Motoria, Universit` degli Studi di Urbino ‘‘Carlo Bo”, Via I Maggetti,
26/2, 61029 Urbino, Italy. Tel.: +39 0722 303413; fax: +39 0722 303401.
E-mail address: m.ditroilo@uniurb.it (M. Ditroilo).
1050-6411/$ - see front matter 2007 Elsevier Ltd. All rights reserved.
doi:10.1016/j.jelekin.2007.11.013
Please cite this article in press as: Fern´ndez-Pe˜a E et al., A maximal isokinetic pedalling exercise for EMG ..., J Electromyogr Ki-
nesiol (2008), doi:10.1016/j.jelekin.2007.11.013
211523211.002.png
ARTICLE IN PRESS
2
E. Fern´ ndez-Pe˜a et al. / Journal of Electromyography and Kinesiology xxx (2008) xxx–xxx
collected during an iMVC performed at a reference joint
angle should be used only for normalization of muscle
activity recorded at the same specific joint angle, otherwise
a considerable error can occur ( Enoka and Fuglevand,
1993; Mirka, 1991 ). A second potential limitation is the
assumption that subjects can actually perform an effort
involving maximal force generation, especially if they are
not trained and well motivated.
The use of normalization to sub-maximal isometric con-
traction is present in studies conducted with the patient
population and when assessing low level of muscle activity
( Dankaerts et al., 2004; Hunt et al., 2003 ). This method
was found to be even more reliable, compared to iMVC,
in between-days repeated measures, although the correct
determination of relative sub-maximal loads for every mus-
cle is dicult ( Dankaerts et al., 2004 ). Moreover, the EMG
associated with a dynamic activity has also been proposed
as reference value (e.g. Prilutsky et al., 1998 ).
The problem of a correct selection of an EMG normal-
ization procedure is essential. A recent paper ( Rouffet and
Hautier, 2007 ) has widely addressed this issue. The authors
underlined that while executing a specific task, physiologi-
cal modifications in the neural drive should be reflected in
the EMG signal. Other authors pointed out that when deal-
ing with sports movements the electromyogram should be
the expression of the dynamic involvement of specific mus-
cles ( Clarys and Cabri, 1993 ). In cycling, EMG is often per-
formed in order to assess the muscular intervention during
the pedalling action. For the normalization purpose it is
therefore pivotal to choose a meaningful reference contrac-
tion so that its activation is regulated by the same neuro-
muscular pattern as the pedalling action. This means that
the task parameters of the reference contraction (e.g. move-
ment amplitude, joint position, speed, etc.) should repro-
duce, as much as possible, the pedalling action ( Latash,
1998 ).
Despite the above considerations, several studies exam-
ining cycling have improperly implemented EMG normal-
ization using an iMVC as a reference contraction, and then
expressing the dynamic EMG activity as a percentage of it
( Ericson, 1986; Ericson et al., 1985; Hautier et al., 2000;
Marsh and Martin, 1995; Neptune et al., 1997 ). In 2002,
Hunter et al. published a paper comparing four normaliza-
tion protocols: three of them involved an iMVC, the fourth
a dynamic pedalling action against a constant load, which
was repeatedly increased until the subject could no longer
complete a full revolution of the pedal. The authors found
that the iMVC test performed on an isometric leg extension
dynamometer yielded the highest iEMG amplitude values
and concluded suggesting that, for this reason, the use of
iMVC as a normalization procedure for dynamic cycling
activity would be better. This assumption, however, has
been recently questioned since the reference EMG signals
collected during iMVC can hardly represent the maximal
neural drive obtained during cycling ( Rouffet and Hautier,
2007 ). Furthermore, other authors compared the EMG
amplitude signal during iMVC and maximal dynamic
cycling contractions ( Hautier et al., 2000; Rouffet and Hau-
tier, 2007 ) and found that the electrical activity of some of
the analysed muscles were not significantly different
between the two methods, or even higher when the
dynamic contraction was used.
More recently, alternative dynamic methods for the
EMG normalization in cycling have been proposed. Takai-
shi et al. (1998) set the integrated EMG corresponding to
the lowest cadence (45 rpm) as reference value, while Hug
et al. (2004b) normalized the vastus lateralis EMG activity
with a 40 W intensity exercise. However, it could be argued
that due to the low intensity chosen, the muscular recruit-
ment pattern could be quite different from a pedalling
action at higher intensity; furthermore, the vastus lateralis
activity at 40 W intensity is probably not different from
baseline.
Neptune and Herzog (2000) , assessing the adaptation of
muscle coordination when traditional and elliptical chain-
rings were adopted, used the highest EMG value observed
across all trials for normalization purposes. Since the
experimental design entailed a variation of pedalling bio-
mechanical conditions (e.g. instantaneous crank angular
velocity), the normalization procedure chosen could not
represent all the different tests performed.
Hug et al. (2004a) and Laplaud et al. (2006) normalized
the EMG of a graded pedalling exercise as a percentage of
the highest intensity step. Interestingly, Taylor and Bronks
(1995) showed that the reference EMG amplitude value (a
maximal ‘‘unfatigued” EMG value obtained by rapidly
increasing the resistance until the subject could no longer
maintain the fixed cadence) was about twice than the one
reached during the last step of the graded exercise. It could
be maintained therefore that when the EMG reference
value is the latter, a normalization to a sub-maximal
dynamic contraction is performed and the limit of this
procedure, as previously reported, is the determination of
equivalent sub-maximal efforts for different muscles
( Dankaerts et al., 2004; Marras and Davis, 2001 )and
subjects.
Several methods have been proposed for the purpose of
EMG amplitude normalization in cycling but, based on the
above evidence, the best reference contraction to use is still
controversial. Methods grounded on iMVC or sub-maxi-
mal dynamic contractions have evidenced limitations.
Accordingly, the main aim of this paper was to present a
maximal isokinetic protocol (MIP) as a new method for
the purpose of EMG normalization in cycling. Briefly,
this protocol should produce a maximal dynamic contrac-
tion of the muscles involved in the pedalling action.
Furthermore, the normalization session is performed under
the same biomechanical conditions as the following test
session, thus making the protocol highly specific. It is
therefore hypothesized that the cyclists do not need to
learn the required task as it is inherent in their pedalling
patterns.
The second aim of this investigation was to detect the
intra-individual variability of the method proposed.
Please cite this article in press as: Fern´ndez-Pe˜a E et al., A maximal isokinetic pedalling exercise for EMG ..., J Electromyogr Ki-
nesiol (2008), doi:10.1016/j.jelekin.2007.11.013
211523211.003.png
ARTICLE IN PRESS
E. Fern´ ndez-Pe˜a et al. / Journal of Electromyography and Kinesiology xxx (2008) xxx–xxx
3
2. Methods
exercises, while the subject was pedalling at 50 W, the load was
increased and as soon as a steady pedalling cadence of 80 rpm was
reached, data were collected for 20 s. Trials were separated by a
2 min active rest period. The 80% intensity was too demanding to
be maintained for at least 20 s, hence it was not included in the
SMP.
2.1. Subjects
Twenty-three recreational and competitive healthy male
cyclists (age 29.3 ± 9.0 yr, height 177.5 ± 7.4 cm, weight
71.6 ± 9.8 kg) volunteered and gave their written informed con-
sent to participate in the study, which was previously approved by
the Human Ethics Committee of the University of Urbino (Italy).
All the cyclists used to train about 10 h per week with a quite
homogeneous training programme. Competitive cyclists, unlike
recreational ones, competed during weekends at Masters level.
They all had covered an average of 9000 km during the last sea-
son. None of them had previous experience in riding an isokinetic
cycle ergometer, and they were asked to refrain from exhausting
exercise 24 h before testing.
2.3. Recording of EMG and angular crank position
Following the recommendations of the SENIAM project
( Freriks et al., 1999 ), EMG of four muscles of the right leg was
recorded during the MIP and the SMP. The selected muscles were
vastus lateralis (VL), biceps femoris (BF), tibialis anterior (TA)
and gastrocnemius lateralis (GL). Skin was shaved, slightly
abraded with sandpaper and cleaned with alcohol. Ag/AgCl
bipolar electrodes (Blue Sensor N-00-S, Ambu Medicotest A/S,
Ølstykke, Denmark) were placed over the muscle belly of selected
muscles at an interelectrode distance of 20 mm. To avoid artefacts
from lower limb movements, the wires connecting electrodes were
well secured with tape.
Signal was amplified at a gain of 600. Common mode rejection
rate and input impedance were respectively 95 dB and 10 GX.
Raw electromyographic data were band-pass filtered using a
fourth order Butterworth filter, with cut-off frequencies of 10 and
350 Hz. Fig. 1 depicts an individual example of the raw EMG
signals as a function of time, related to the four analysed muscles.
In order to measure the instantaneous angular position of the
crank, a rotational encoder (EL40B, Eltra, Sarego (VI), Italy)
with a resolution of 2000 pulses per turn was coupled to the left
crank of the ergometer by a chain drive. Since the gear ratio
between the gear wheel of the left crank and the sprocket of the
encoder was 53/15, the total resolution of the system was 7066.7
pulses per pedal cycle ( Picture 1 ).
The EMG and angular position of the crank signals were
synchronized, sampled at 1000 Hz and stored on a PC using a
16 bit A/D converter data acquisition system (APLabDAQ,
APLab, Rome, Italy).
2.2. Exercise protocol
An SRM ergometer (Schoberer Rad Meßtechnik SRM
GmbH, J¨ lich, Germany) was used for all tests, mounted with the
two flywheels and in the ninth gear. The SRM crankset, equipped
with strain gauges, directly measured the torque produced by the
force applied to the pedals perpendicularly to the crank length.
The ergometer was customized with subject’s own bicycle’s mea-
sures and clipless pedals. A display was available close to the
handlebars of the ergometer to let the cyclists check their pedal-
ling cadence.
2.2.1. Warm up
Cyclists performed a 10 min warm up at a recommended
cadence of 80 rpm. The power constantly increased from 75 to
200 W during the first 6 min (25 W min 1 ), the intensity was then
set to 125 W for the next 2 min and increased to 200 and 250 W
for the last 2 min. Depending on the performance level of the
subjects, the warm up intensity could be increased by no more
than 25 W per step.
2.2.2. Maximal isokinetic protocol (MIP)
MIP was performed in the isokinetic mode of the ergometer, at
a fixed pedalling frequency of 80 rpm. This mode allows the
subject to pedal without resistance up to the fixed cadence, while
resistance is automatically and proportionally increased when the
subject tries to overcome it. Prior to the maximal effort, cyclists
pedalled at 80 rpm and low intensity (50–100 W) and at the signal
they started to pedal as forcefully as possible for 6 s, while a
vigorous verbal encouragement was given. They were instructed
to remain seated and to hold the hands on the low part of the
handlebars during the trial. Every cyclist completed a total of ten
6 s all-out sprints. A full recovery was ensured by a 3 min rest
period between sprints, in which they were allowed to drink water
and pedal at a low intensity.
2.2.3. Sub-maximal protocol (SMP)
After the MIP, cyclists rested for 10 min, pedalling at 50 W at
a freely chosen cadence. They were then asked to perform four
sub-maximal exercises at 0%, 20%, 40% and 60% of the maximum
power output obtained during the MIP. In order to perform the
0% exercise, the brake was turned off. It is however useful to know
that, due to the friction of the moving parts, the workload was
actually about 30–35 W. Concerning the other sub-maximal
Fig. 1. Raw EMG signals from a single, representative trial recorded
during the maximal isokinetic protocol. The window corresponding to a
pedal cycle is also shown. VL = vastus lateralis; BF = biceps femoris;
TA = tibalis anterior; GL = gastrocnemius lateralis.
Please cite this article in press as: Fern´ndez-Pe˜a E et al., A maximal isokinetic pedalling exercise for EMG ..., J Electromyogr Ki-
nesiol (2008), doi:10.1016/j.jelekin.2007.11.013
211523211.004.png
ARTICLE IN PRESS
4
E. Fern´ ndez-Pe˜a et al. / Journal of Electromyography and Kinesiology xxx (2008) xxx–xxx
Picture 1. A rotational encoder was coupled to the left crank of the SRM ergometer in order to measure the instantaneous angular position of the crank
and synchronize it with the EMG activity.
2.4. Data processing
of the right crank from top dead center (TDC at 0) to the next
TDC. The mean RMS was calculated averaging the RMS values
of the eight pedal cycles completed in every MIP trial, and aver-
aging the complete pedal cycles of the last 10 s (about 13 pedal
cycles) in every SMP trial.
For MIP assessment, the highest EMG activity achieved for
each muscle was set to 100% and the other trials were calculated
as a percentage of the highest. In contrast, for SMP assessment,
the EMG activity of all muscles corresponding to PO B was set to
100% and the values obtained during the submaximal exercises
(0%, 20%, 40% and 60% of PO B ) were expressed as a percentage
Torque applied to the crankset during the MIP was recorded
at 200 Hz for power output calculation purposes. Average power
output of each maximal trial (PO) was calculated as the product
of the average torque over the 6 s (in Nm) and the actual average
cadence (in rad/s). For each subject, the best PO (PO B ) was set to
represent 100% and the other trials were calculated as a per-
centage of PO B .
Raw EMG data were processed by root mean square (RMS)
determination for each complete cycle, defined as a full revolution
Fig. 2. Example of individual muscle activity, as a function of crank angle, obtained at five different intensities for the vastus lateralis (A), biceps femoris
(B), tibialis anterior (C) and gastrocnemius lateralis (D).
Please cite this article in press as: Fern´ndez-Pe˜a E et al., A maximal isokinetic pedalling exercise for EMG ..., J Electromyogr Ki-
nesiol (2008), doi:10.1016/j.jelekin.2007.11.013
211523211.005.png
ARTICLE IN PRESS
E. Fern´ ndez-Pe˜a et al. / Journal of Electromyography and Kinesiology xxx (2008) xxx–xxx
5
of the former. An example of individual EMG patterns obtained
for the four analysed muscles is represented in Fig. 2 . The raw
data were root mean squared with a moving window length of
100 ms.
assistance of a reliability spreadsheet ( Hopkins, 2007 ). The CV is
p
1 Þ , where SD is the standard deviation
of the change scores of natural log of the measure. The ICC is
defined as (V v)/V, where V is the between-subject variance
averaged over the two trials analysed, and v is the square of the
standard error of measurement.
2.5. Statistical analysis
In order to evaluate the within-subject reproducibility of PO
and EMG for the four muscles analysed, the variables were
checked for normality and homoscedasticity and were log-trans-
formed when these assumptions were violated. Thereafter the
intra-subject standard error of measurement (SEM), the coe-
cient of variation (CV) and the intra-class correlation coecient
(ICC) were calculated as proposed by Hopkins (2000) with the
3. Results
Fig. 3 shows PO (mean ± SD) reached during the 10 tri-
als. The PO B (100%) was achieved during the 4th trial. The
PO values were, however, very close to each other, ranging
from 98.0 to 100.0, thus indicating a quite high reproduc-
ibility of the variable, with no observable learning or fati-
gue effect. The PO B obtained ranged from 664.6 to
1013.9 W (data not shown).
EMG activity (mean ± SD) is shown for VL ( Fig. 4 A),
BF ( Fig. 4 B), TA ( Fig. 4 C) and GL ( Fig. 4 D), registered
during the 10 trials. For each of the muscles included in
the analysis, the 100% activity was achieved within the
3rd trial, although BF ( Fig. 4 B) and GL ( Fig. 4 D) tend
to decrease thereafter.
Reliability measures from consecutive pairs of trials are
summarized in Table 1 . SEM and CV are presented as a
mean value, whilst for ICC maximal and minimal values
are shown. PO has the lowest CV (2.19), indicating very
good consistency between repeated measures. Among the
EMG activities, VL and TA show, respectively, the lowest
(CV = 4.46) and the highest variability (CV = 8.70). ICCs
in all the variables analysed, ranging from 0.922 to 0.994,
are considerably high.
Fig. 3. Power output (mean ± SD) reached during the 10 trials of the
maximal isokinetic protocol. The best power output was set equal to 100
and the other trials’ were calculated as a percentage of the best one.
Fig. 4. EMG activity (mean ± SD) for vastus lateralis (A), biceps femoris (B), tibialis anterior (C) and gastrocnemius lateralis (D) registered during the 10
trials of the maximal isokinetic protocol. The highest EMG activity was set equal to 100 and the other trials’ were calculated as a percentage of the best
one.
Please cite this article in press as: Fern´ndez-Pe˜a E et al., A maximal isokinetic pedalling exercise for EMG ..., J Electromyogr Ki-
nesiol (2008), doi:10.1016/j.jelekin.2007.11.013
defined as 100 ð e SD = 2
211523211.001.png
Zgłoś jeśli naruszono regulamin