Biomedical Instrumentation Electrophysiology (ENG-EMG) Carlos E. Davila, Electrical Engineering Dept. Southern Methodist University
Electroneurogram (ENG) Nerve response along nerve periphery is then measured. Measured by stimulating a peripheral nerve with electric shock. Can be used to determine nerve conduction velocity:
5 ENG (cont.) hypothenar muscle + _ biphasic stimulate ulnar nerve
EE 5340/7340, SMU Electrical Engineering Department, © 2005 ENG(cont.) right ulnar neuropathy in elbow (Aminoff) 10 6 2 L mV R peak amplitude 10 6 2 R latency L ms 0 10 20 30 40 50 EE 5340/7340, SMU Electrical Engineering Department, © 2005 6
EE 5340/7340, SMU Electrical Engineering Department, © 2005 Electromyogram (EMG) signal generated by muscle cells amplitude: 0.1-5 mV freq range: 0-10,00 Hz measurement: needle electrodes single motor unit (SMU): smallest area of muscle tissue that can be activated by a volitional effort SMU generates a triphasic potential having a amplitude of 20-2000 mV lasting 3-15 ms. Firing rate of SMU 6-30 per second. EE 5340/7340, SMU Electrical Engineering Department, © 2005 7
EE 5340/7340, SMU Electrical Engineering Department, © 2005 Electromyogram (EMG) Recruitment SMU SMU SMU SMU SMU contraction effort can’t distinguish individual SMU’s interference pattern EE 5340/7340, SMU Electrical Engineering Department, © 2005 8
EE 5340/7340, SMU Electrical Engineering Department, © 2005 EMG Affected by Disease In neuropathy, diseased nerves degenerate, then regenerate. Regenerated nerves conduct more slowly than healthy ones. This produces a desynchronization in the EMG pattern. EE 5340/7340, SMU Electrical Engineering Department, © 2005 9
EE 5340/7340, SMU Electrical Engineering Department, © 2005 Evoked EMG Measurements/ENG hypothenar muscle healthy + _ 10 ms pathology stimulate ulnar nerve EE 5340/7340, SMU Electrical Engineering Department, © 2005 10