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INNOVATIVE METHODOLOGY
1NeuroMuscular Research Center, 2Department of Electrical and Computer Engineering, and 3Department of Biomedical Engineering, Boston University, Boston, Massachusetts
Submitted 4 January 2006; accepted in final form 25 May 2006
| ABSTRACT |
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5 MUs per contraction. Both the accuracy and the yield should increase as the algorithms are developed further. With this technique it is possible to investigate the behavior of MUs in muscles that are not easily studied by needle sensors. We found that the inverse relationship between the recruitment threshold and the firing rate previously reported for muscles innervated by spinal nerves is also present in the orbicularis oculi and the platysma, which are innervated by cranial nerves. However, these two muscles were found to have greater and more widespread values of firing rates than those of large limb muscles. | INTRODUCTION |
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In many cases it is desirable to study and/or use the information contained in the timing of the discharges of individual motor units, such as in investigations for furthering the understanding of how motor units are controlled by the CNS in generating force or for assessing the degree of dysfunction in upper motoneuron diseases such as cerebral palsy, Parkinson's disease, amyotrophic lateral sclerosis (ALS), stroke, and other disorders. This may be achieved by "decomposing" the EMG signal. The concept is depicted in Fig. 1. A decomposed EMG signal provides all the information available in the EMG signal. The timing information provides a complete description of the interpulse interval, firing rate, and synchronization characteristics. The morphology of the shapes of the MU action potentials provides information concerning the anatomy and health of the muscle fibers.
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There have been numerous and varied approaches to extracting action potentials from neural and muscle activity over the past three decades. The mid-to-late 1960s produced a flurry of computer-based activity directed at identifying the individual action potentials and discharge times of neural activity by shape discrimination. Dominant among these pioneering attempts were the works of Gerstein and Clark (1964)
, Simon (1965)
, Keehn (1966)
, and Glaser and Marks (1966)
. Applications to separate the EMG signals did not appear until a full decade later (Andreassen 1983
; De Figueiredo and Gerber 1983
; De Luca and Forrest 1972
; De Luca et al. 1982a
,b
; Guiheneuc et al. 1989
; LeFever and De Luca 1978
; Mambrito and De Luca 1984
; McGill et al. 1985
). This initial flurry was followed by sustained interest during the past two decades (Broman 1988
; Christodoulou and Pattichis 1999
; Fang et al., 1999
; Hochstein et al. 2002
; Iani et al. 1994
; Jongen et al. 1996
; Loudon et al. 1992
; Nawab et al. 2004a
,b
; Stashuk and de Bruin 1988
; Türker et al. 1989
; Zennaro et al. 2001
; among many others). To date all the above approaches and techniques that have been able to identify individual MU action potentials in the superimposed EMG signal and provide useful physiological information have used indwelling sensors to detect the signal. These types of sensors have obvious disadvantages arising from their invasive nature.
In this report we describe a successful attempt at accurately decomposing EMG signals detected from surface sensors.
| BACKGROUND |
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Throughout this communication, the decomposition accuracy for the ith decomposable motor unit train is defined as
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Recently, we made significant improvements to the algorithms, rendering a considerably more powerful version that we have labeled Precision Decomposition II (PD II). The new algorithms are based on our own Artificial Intelligence knowledge-based approach specifically designed to manage signal-processing algorithms that perform two main categories of functions: 1) they identify differences in shapes and track changes in the shapes of the action potentials under a variety of conditions and 2) they resolve complex superpositions. The algorithms have been described in publications by Nawab and Lesser (1992)
, Winograd and Nawab (1995)
, Hochstein et al. (2002)
, and Nawab et al. (2004a
,b
). We succeeded in automatically decomposing iEMG signals from the quadrifilar needle sensor (De Luca et al. 1982a
) and later with quadrifilar wire sensors (De Luca and Adam 1999
) with typically 10 MU action potential trains with an accuracy of typically 85% with a processing time eightfold that of the acquisition time. In one extraordinary case we were able to decompose automatically an iEMG signal containing 14 MU action potential trains, of which the most significant eight could be detected with an accuracy of 98% (Nawab et al. 2004a
).
The quadrifilar needle sensor has the advantage that it can be repositioned after an insertion or, if necessary, relocated, thereby increasing the probability of obtaining a quality signal that can be decomposed. The fine-wire version may be placed in deep muscles located under an overlying layer of muscle and it usually provides no discomfort once inserted; however, it has some disadvantages. Once inserted it cannot be precisely relocated within the muscle. One can pull the wire out fractions of a millimeter, although this procedure can be done only once or twice and with little control over the precise placement of the sensor.
Both versions of sensors have inherent limitations:
Many of the disadvantages and limitations of indwelling sensors can be mitigated by developing technology that uses a sensor to detect the surface EMG (sEMG) signal and algorithms that can decompose the sEMG signal. Such an approach presents difficult challenges because the sEMG signal is more complex than that detected by the relatively more selective indwelling sensors.
The notion of decomposing the sEMG signal has been considered by many for two decades (e.g., Masuda et al. 1985
) for the obvious reason that it can be used by nonclinical researchers interested in motor control. Kleine et al. (2000)
were able to decompose up to five concurrently active MUs obtained in a multistep, highly user interactive template-matching procedure from surface EMG signals detected with a 128-channel sensor during a low-level (5%) maximal voluntary contraction (MVC). In the past two years, there has been increased interest in the problem of decomposing the sEMG signal. Östlund et al. (2004)
and Holobar and Zazula (2004)
investigated the problem with various signal-processing techniques, but the few results presented were restricted to contraction levels of
10% MVC, included no direct measure of accuracy, and assumed stationary MU action potential shapes and uncorrelated discharge behavior. Gazzoni et al. (2004)
described a technique that automatically decomposes
10 simulated MU trains and detects, in select cases, two to three MU trains from real sEMG signals, but makes no attempt at decomposing superimposed action potentials. The PD I technique that we used two decades ago (LeFever and De Luca 1978
) was similarly tested, with perfect results, on simulated EMG signals, but failed miserably when applied to real EMG signals. We argued the essential importance of testing decomposition techniques on real EMG signals in Mambrito and De Luca (1984)
. Most recently, Garcia et al. (2005)
presented a semiautomatic decomposition algorithm to extract the average firing rates of one to two MUs from EMG signals detected with a surface electrode array. No accuracy measures for these results were given, but the authors provide a success rate of 19/26 complete firing trains for a set of synthetic EMG signals composed of
10 MU action potential trains.
In this report we describe a technology that is capable of decomposing several simultaneous MU action potential trains from real sEMG signals. Although it is in the early stages of development, we can demonstrate its efficacy. In some cases the present version of this new technology yields an accuracy similar to that obtained by our early algorithms of PD I using indwelling sensors. We refer to our new technique for the decomposition of sEMG signals as Precision Decomposition III (PD III). When fully developed, PD III should find applications in neurology, ergonomics, sports medicine, physical medicine, and space medicine.
| METHODS |
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We chose a sensor design that was similar to that of the original needle sensor, but with larger dimensions. As shown in Fig. 2A, the sensor consists of four cylindrical probes (0.5 mm diameter) with blunted ends that protrude from the housing so that when pressed against the skin they make a surface indentation. The probes are placed at the corners of a 3.6 x 3.6-mm square. The diameter of the probes was chosen to be as small as possible without piercing the skin when pressed forcefully. As in the intramuscular sensors mentioned above, each probe provides a detection surface. The leads are connected to the inputs of differential amplifiers. The four detection surfaces provide six differential combinations or channels. Signals from four of these channels are amplified and filtered with a bandwidth of 250 Hz to 2.0 kHz to remove any movement artifact at the low end of the spectrum and any excessively long tails of the action potentials. The signals are then stored. This arrangement is shown in Fig. 2B. We found that for the sEMG signals the use of four differential channels improved the accuracy of the decomposition in PD III, whereas for iEMG signal decomposition in PD II, three differential channels were sufficient.
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Acquisition of sEMG signal
Three volunteers with no known neurological disorders participated in the tests. All subjects read and signed an informed consent form approved by the Institutional Review Board of Boston University. To detect the signal, the surface sensor array was pressed against the skin above the muscle of interest. No skin preparation or conductive gel was required. Sufficient pressure was applied to provide good electrical contact as evidenced by the best signal-to-noise ratio of the detected signals. (In our system, this is accomplished by viewing the detected signal on a computer screen in real time.) We detected signals from various muscles from the face, neck, and in limbs. Here we report on two muscles of the head and neck, the orbicularis oculi and the platysma, and on one limb muscle, the tibialis anterior. The head and neck muscles were chosen because they are not conveniently or comfortably assayed with a needle sensor and because their architecture differs from that of the more commonly studied limb muscles that have unified origins and insertions. The tibialis anterior was chosen as a typical representative of limb muscles. The sensor array was placed in the following locations. In the tibialis anterior, it was placed in the distal third (lengthwise) of the muscle; in the orbicularis oculi, it was placed on the lateral aspect of the superior eye lid; and in the platysma, it was placed on the lateral aspect of the neck, halfway between mandible and clavicle.
In the tibialis anterior, we recorded the torque output of the muscle and provided it as feedback to the subject so that a constant-force isometric contraction was generated during the detection of the sEMG signal to be decomposed. This was done by placing the limb in an apparatus that restrained the movement of the limb and was instrumented with a high-stiffness force gauge (model MB-250; Interface, Scottsdale, AZ). The torque output of the muscle generated during the contraction was expressed as a percentage of the maximal torque generated before the contraction. The subjects were asked to maintain a constant force at 2050% MVC. In the muscles of the head and neck, where it was not possible to record the torque, the feedback to the subject was provided by the root-mean-squared (RMS) value of the EMG signal detected with a standard sEMG differential sensor (DE 2.1; Delsys, Boston, MA) placed adjacent to the array. This differential sensor consists of a parallel-bar configuration having detection surfaces that are 1 mm wide, 10 mm long, and spaced 10 mm apart. This sensor detects a global sEMG signal that is representative of the overall activity of the muscle being monitored. The global sEMG signal was detected with a bandwidth of 20450 Hz and the RMS was calculated and smoothed using hardware circuitry. When processed in this fashion, the time-varying RMS value provides a reasonable analog to the force produced by the muscle (Basmajian and De Luca 1985
; Lawrence and De Luca 1983
). The time-varying value of the RMS of the global sEMG signal, or the estimated force, was expressed as a percentage of the value obtained during a maximal contraction. In the contraction of the orbicularis oculi, the subject was requested to squint with one eye and to attempt to maintain the global RMS constant. In the platysma, the subject was requested to tense the neck musculature and to maintain the global RMS constant.
Challenges of sEMG decomposition
Any approach for decomposing EMG signals must be able to deal with four major complexities that occur within the signal. These complexities are shown in Fig. 3: 1) Superposition of action potentials from different MUs, 2) Large dynamic range of the amplitudes among the action potentials of different MUs of interest, 3) Shape changes across the different action potentials of each MU (arising from slight movement between the sensor and muscle fibers and/or intracellular processes), and 4) Similarity of shape at various times among the action potentials of different MUs. These phenomena may also act in concert with each other to make the decomposition task all the more difficult.
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The PD III algorithms used to decompose the sEMG signal are modified versions of those previously developed by us for the PD II system (Hochstein et al., 2002
; Nawab et al. 2002a
,b
, 2004a
,b
). The algorithms in both PD II and PD III are designed to address the difficulties inherent in trying to separate overlapping action potentials at various points in the EMG signal by using an Artificial Intelligence framework called IPUS ("Integrated Processing and Understanding of Signals") Lesser et al. 1995
; Nawab and Lesser 1992
; Winograd and Nawab 1995
). Although other signal-processing approaches have also been investigated for performing EMG decompositions, the IPUS approach has provided significantly more accurate results on intramuscular EMG data (Nawab et al. 2004a
,b
). The PD III system represents our initial attempt at incorporating the IPUS approach into the decomposition of surface EMG signals.
As illustrated in Fig. 5, the PD III system consists of four processing stages. It takes as input an sEMG signal, x(t), and produces as its final output a set {yM(j) (t)|j = 1, 2, ... , NM} of N action potential trains. PD III first applies a digital IIR band-pass filter (see the APPENDIX for details) to the input EMG signal, x(t), and passes the result, xB(t), through a maximum a posteriori probability (MAP) receiver (LeFever and De Luca 1982
) designed to avoid false positives in the classification of action potential detections (see the APPENDIX for details). The MAP receiver may also be viewed as producing estimates {yM(j)(t)|j = 1, 2, ... , NM} of NM action potential trains. The corresponding decomposition error is evaluated as the square of the error signal, eM(t) = xB(t)
j=1NM yM(j)(t). This error arises primarily because in trying to avoid false positives the MAP receiver 1) often splits off a motor unit train into two or more trains because of shape differences among various action potentials of the original train and 2) often fails to find a classification for signal data that is composed of complex superpositions of several different action potentials. Subsequent stages of processing are aimed at reducing these two types of decomposition error.
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The fourth PD III stage in Fig. 5 is designed to compensate for the ineffectiveness of the MAP receiver in signal regions involving complex superpositions. In such regions, significant interference between two or more action potentials makes the resultant data very different from any other data encountered in the input signal. In such cases, the MAP receiver declares the data as belonging to a new MU train but never finds a matching action potential later in the signal. Such "degenerate" trains are abandoned and their corresponding data are reanalyzed by PD III's fourth stage. The reanalysis is aimed at identifying the nondegenerate trains from the MAP receiver that are consistent with the data in the superposition regions. This reanalysis begins with an iterative correlation strategy (see the APPENDIX for details) to assign probabilities of occurrence to each nondegenerate train in each superposition region. These iterative correlation results then undergo a utility maximization process (Von Neumann and Morgenstern 1944
) to convert the probabilities of occurrence into decisions about which MU trains are actually consistent with the superposition data.
Interactive Editor
The results of the automatic decomposition could be improved by using the Interactive Editor to identify and correct wrongly assigned action potentials. Figure 6 shows an actual screen-shot of the pop-up window that appears in response to a click on a gap in the bar plot on the top, where each bar indicates a firing time of a motor unit. The pop-up window and its associated functions allow the user to compare the signal data in that gap with the various templates to determine whether there is sufficient evidence to indicate that the program made a mistake. In this particular instance, the operator judged that the signal data matched the visual characteristics of the motor unit with the gap in its bar plot. Consequently, the user was able to modify the decomposition results as indicated by the same MU's bar plot at the bottom of Fig. 6. By using the interactive editor, it is possible to obtain decomposition accuracies that approach 100%.
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| RESULTS |
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The remainder of the decomposition of the trapezoid contraction is presented in Fig. 8. This is the result of the edited version, which required 12 h of expert user interaction. The automatic decomposition was obtained in 8 min with an accuracy of 90.4%. Figure 8A presents all the firings of six MUs throughout the complete duration of the 25-s-long contraction. (We refer to this as the Bar Plot.) The dark line represents the force produced by the subject. The arrows on the force axis indicate the recruitment threshold of the MUs. Figure 8B presents the interpulse interval, plotted vertically for each firing of all the MUs. (We refer to this as the Dot Plot.) This presentation is useful for visually identifying the errors in the decomposition, which are seen as dots that fall either noticeably below or above the average firing interval. Figure 8C presents the time-varying mean firing rates of each MU. The time-varying mean firing rates are obtained by passing the impulse trains corresponding to the firing trains of the top plot through a unit-area Hanning filter of 1.0-s duration. The decreasing firing rate value as a function of time during the constant force contraction is consistent with similar previous observations by De Luca et al. (1996)
. The shapes of the action potentials of the MUs for all four channels are presented in Fig. 8D. The shapes fluctuated throughout the contraction. The thick line represents the mean value of the amplitude of the action potentials and the thin, dashed lines above and below represent the SD.
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Proof of accuracy and consistency
When one proposes to decompose a signal whose composition is not known a priori, it is incumbent on the proponent to prove that the decomposition is performed accurately. In our case it is also necessary to provide evidence that the rudimentary PD III decomposition technique provides information similar to that of the more established PD II technique, which decomposes the iEMG signal detected with indwelling sensors. One obvious approach for proving accuracy would be to construct mathematically a signal of known components (MU action potential trains) and then proceed to decompose the synthesized signal into the constituent action potentials and check the veracity of the outcome. Over two decades ago Mambrito and De Luca (1984)
showed that if the shapes of the action potentials remain invariant throughout the contraction, this approach is not sufficiently challenging, even when white noise having an amplitude 20% of the average amplitude of the action potentials was added to the signal. The challenges presented by real signals and identified in the preceding section represent important complexities that must be dealt with. Additionally, the algorithms must be able to cope with other unforeseen signal components that are occasionally presented by real data as a result of abrupt displacements of the sensor with respect to the source of the action potentials. Consequently, we used the "two-source" technique that we first introduced in 1984.
We placed a surface sensor array (Fig. 2A) on the skin above the tibialis anterior muscle and a quadrifilar needle sensor was inserted directly beneath the array sensor, approximately 1 cm into the muscle. It was expected that some of the motor units would contribute signals to both sensors and others to only one sensor, depending on the proximity of the muscle fibers to the separate sensors. The EMG signal from each sensor was automatically decomposed by the respective decomposition algorithm and then independently further processed with the assistance of the Interactive Editor. The firing times of the motor units from both sensors are shown in Fig. 10. Note that three of the five MUs decomposed from the iEMG signal were also found in the sEMG. The expanded time sequence in the middle indicates that the MUs are firing at precisely the same time. This was so for 97.6%, or 996 sEMG-detected out of 1,021 iEMG-detected firings of the three MU action potential trains. This proves that the rudimentary PD III can obtain the same information from the sEMG signal as the PDII obtains from the iEMG signal. The precise coincidence of all the action potentials in three trains extracted from the two signals also proves that both the PD II and the PD III decomposition algorithms are able to accurately decompose the signals because the probability that both algorithms make exactly the same errors in both signals is extremely small.
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| DISCUSSION |
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50% MVC. The algorithms were able to automatically identify the recruitment and the derecruitment of MUs. This is an important feature of our system that is particularly relevant for physiological studies where the presence of new MUs imparts physiological meaning. No other reported attempt at decomposing the sEMG signal has made such claims. However, the MU yield in a contraction was low; it was typically less than five, compared with typically eight for iEMG signals, as previously reported in Nawab et al. (2004 a
In addition to demonstrating a technical success, the decomposed data reveal two interesting physiological implications. The first concerns the behavior of the firing rates. It is noteworthy, that during a contraction the hierarchical organization of the firing rates of the orbicularis oculi and platysma, which are innervated by the VII cranial nerve, appears similar to that of the tibialis anterior, which is innervated by the L4, L5, and S1 spinal nerves. In particular, values of the mean firing rates of MUs are inversely proportional to their recruitment thresholds, such that earlier-recruited, low-threshold MUs maintain higher firing rates than later-recruited, higher-threshold units. (The occasional crossover between adjacent firing rates seen in Figs. 8 and 9 can be attributed to noise components in the common drive to the motoneuron pool.) The layered appearance of the plots of the firing rates versus force of successively recruited MUs led us to refer to this phenomenon as "onion skin" (De Luca and Erim 1994
; De Luca et al. 1982a
). This characteristic can be seen in data reported by other investigators who have signal processing knowledge (Freund et al. 1975
; Hoffer et al. 1987
; Masakado et al. 1995
; McGill et al. 2005
; Person and Kudina 1972
; Rose and McGill 2001
; Stashuk and De Bruin 1988
). Some (Gydikov and Kosarov 1974
; Moritz et al. 2005
; Taylor and Enoka 2004
) have argued against the hierarchical arrangement of the firing rates based on simulation studies or by combining the firing rate versus time curves of several subjects and/or contractions and emphasizing the lack of the hierarchical arrangement. Clearly the latter approach introduces intrasubject variations and cannot be used to describe the relative behavior of firing rates present within a contraction.
The second implication is that the dynamic range of the firing rate of MUs innervated from the cranial nerves (i.e., the orbicularis oculi and the platysma) is similar to that of the small muscles of the hand, which are innervated by the cervical nerves. De Luca et al. (1982a)
reported that the firing rates of the first dorsal interosseous reached values of 41 pps; Kukulka and Clamann (1981)
and Bigland-Ritchie et al. (1983)
reported those of the adductor pollicis to reach 32 and 35 pps, respectively. These firing rate values are in contrast to those observed in large limb muscles, as exemplified by the tibialis anterior in this study and various other muscles in previously reported studies (Adam and De Luca 2005
; De Luca and Erim 1994
; De Luca et al. 1982a
,b
). In the two examples provided in Fig. 9, values of the firing rates of the orbicularis oculi and the platysma have a considerably greater spread among MUs of different recruitment threshold compared with the behavior of the MUs in the tibialis anterior (Fig. 8). Also the firing rates reach greater values in the orbicularis oculi and the platysma. For example, during the 50% MVC contractions, the firing rates of the platysma reach values of 35 pps, whereas those in the tibialis anterior reach about 17 pps. Although speculative, the higher dynamic range and absolute values of the firing rates of the orbicularis oculi and the platysma might be explained by a lack of recurrent inhibition by the Renshaw system. Its absence has been reported by Windhorst (1996)
in the nearby oculomotor and masticatory muscles.
| APPENDIX: SIGNAL PROCESSING DETAILS |
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First stage of PD III
Second stage of PD III
INPUT TO MAP RECEIVER. The input to the MAP receiver stage is a segmented version of xB(t), the filtered input signal. Each signal segment is established by virtue of its signal amplitudes being, on average, above a threshold that is determined adaptively by the decomposition system in accordance with a set of dynamic range criteria for the amplitudes of the decomposable MU trains. The segmented signal is then used to initiate and update action potential templates for each hypothesized MU. These templates are, in turn, used by the MAP receiver to help classify signal components that are detected by amplitude peaks in the segmented signal. The task of the MAP receiver is to associate a hypothesized MU with each detected signal component.
BASICS OF MAP RECEIVER.
Denoting the ith MU by the symbol ui, the MAP receiver assigns a particular MU, say, uk, to the signal component such that
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is the data vector for the detected pulse. In the presence of white Gaussian noise with variance
2, the MAP decision criterion may be stated as
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TEMPLATE INITIATION.
An EMG signal segment d is declared as an initiation of a new motor unit train if for each preexisting template s, the value
that minimizes |d
s|2 is such that |1
| > 0.5 or |d
s|2/|s|2 > 0.5.
TEMPLATE UPDATE. When the MAP receiver determines a match between segment data d and a preexisting template s(old), the segment data are used to update the template in accordance with the recursive relation: s(new) = s(old) + d. The initial template and all of its subsequent updates are saved for later use by the decomposition system.
Third stage of PD III
TEMPLATE SELECTION. When comparing two trains to determine whether they are both split off from a single train, the decomposition system selects the pair of templates (one from each train) that are closest in time to each other.
PROBABILITY ESTIMATION.
In comparing template sj with template sk we estimate the probability that they are both from the same train as Pj,k =
(sj · sk)/(|sj||sk|), where the · symbol denotes the dot-product operation;
=
for 0
1,
1/
for
> 1,
= 0 for
< 0, and
= (sj · sk)/(sj · sj).
Fourth stage of PD III
The basic strategy is that a representative template for each MU train is correlated against the entire filtered signal. The representative template is selected as the one that was most recently updated. The goal is to determine locations where the "maximal amplitude" MU, i.e., the one whose representative template attains the greatest amplitude from among all the motor units, may be present. To achieve this goal, the receiver first determines the locations where the correlation function of the maximal MU has a local maximum that is greater than the correlation values at that point of all the other MUs. At each of the determined locations, an estimate of the probability that the maximal MU's action potential actually occurred at the point is obtained as
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is the scale factor that minimizes the value of |d
p|2, and
=
if 0
1;
= 1/
if
> 1; and
= 0 if
< 0.
Conceptually,
represents the degree to which d and p are co-linear and (d
p) represents the orthogonal component of the modeling error. A probability threshold is also established by the decomposition system as the largest probability value obtained by correlating the maximal-amplitude MU's template with the templates of the remaining MUs. At all the locations where the estimated probability is above the probability threshold, the template of the maximal MU (appropriately scaled) is subtracted from the sEMG signal to obtain the input signal for the next iteration. The next iteration is the same as the previous one except for the removal from consideration of the maximal MU of the previous iteration, thus leading to the declaration of another MU as the maximal MU for that iteration. Once all the iterations are complete, a utility maximization procedure is used for converting probabilities of occurrence into decisions about which MU may be actually responsible for which action potential contribution in the signal data.
| GRANTS |
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| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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Address for reprint requests and other correspondence: C. J. De Luca, NeuroMuscular Research Center, 19 Deerfield Street, Boston, MA 02215 (E-mail: cjd{at}bu.edu)
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