O laser de baixa intensidade tem sido utilizado atualmente como terapia alternativa para alívio da dor em disfunções musculares e articulares por induzirem um efeito analgésico, antiinflamatório e biomodulador das funções fisiológicas celulares. O objetivo desse estudo foi avaliar o efeito do laser de GaAlAs (780nm) na dor à palpação dos músculos masseter e temporal anterior e articulação temporomandibular (ATM), amplitude dos movimentos mandibulares e atividade eletromiográfica dos músculos masseter e temporal anterior em pacientes com disfunção temporomandibular (DTM). As aplicações foram feitas no músculo temporal e masseter e na ATM 2 vezes/semana (durante 4 semanas). 48 pacientes com dor miofascial e artralgia distribuídos aleatoriamente entre tratamento real e placebo e entre doses energéticas de 25 J/cm² e 60 J/cm² foram avaliados utilizando-se uma Escala Analógica Visual (VAS) e um paquímetro digital antes, imediatamente após a última aplicação e 30 dias após o tratamento com laser. A eletromiografia de superfície foi realizada em máximo apertamento voluntário em rolos de algodão e máximo apertamento voluntário em posição intercuspidal antes e após a laserterapia. Os resultados mostraram que não houve diferença estatística significante na atividade eletromiográfica na comparação entre os grupos antes e após o tratamento com laser. Em relação à dor na palpação, houve diferença significante antes e após o tratamento em todos os grupos. A diminuição dos níveis de dor muscular foi mais acentuada nas pontas ativas, entretanto, não houve diferença estatística significante entre o grupo real e placebo. A dor articular mostrou melhora significante apenas na palpação do pólo lateral da ATM direita nos grupos ativos. A amplitude dos movimentos mostrou melhora no grupo ativo, principalmente, na dose de 60 J/cm². Em conclusão, o laser de baixa intensidade não promoveu mudanças na atividade eletromiográfica. Embora tenha sido encontrada uma superioridade da terapia laser em relação aos grupos placebos, não houve diferença estatística significante entre todos os grupos. / Low intensity laser have been used currently as an alternative pain-relief therapy for muscle and joint pain since it induces analgesic, anti-inflammatory and biomodulation effects of the physiological cell functions. The purpose of this study was to evaluate the effect of GaAlAs laser (780nm) on pain to palpation of the masseter and anterior temporalis muscles and the temporomandibular joint (TMJ), amplitude of the mandibular movements and electromyographic activity of the masseter and anterior temporalis muscles in patients with temporomandibular disorders (TMD). The laser was applied on the temporalis, masseter muscles and TMJ twice a week (during four weeks). Forty-eight patients with miofascial pain and arthralgia were randomly assigned between real and placebo treatment and between the energetic doses of 25 J/cm² and 60 J/cm², and were evaluated using Visual Analogue Scale (VAS) and digital paquimeter before, immediately after the final application, and 30 days after the laser treatment. Surface electromyography was performed with maximum voluntary clench on cotton rolls and maximum voluntary clench in intercuspal before and after laser therapy. The results show there were no significant statistical differences in the electromyographic activity between the groups before and after laser treatment. As to the pain at palpation, there was a significant difference before and after treatment in every group. There were sharper reductions in muscle pain level for the active probes; however, there was no significant statistical difference between the real and placebo groups. Joint pain showed significant improvement only in the palpation of the lateral pole of right TMJ in the active groups. The amplitude of the movements showed improvement in the active group, mainly, in the dose of 60 J/cm². As conclusion, low intensity laser did not promote any changes in the electromyographic activity. Although this study has found a superiority of laser therapy over placebo, there were no statistically significant differences between all groups.

A estimulação magnética transcraniana (EMT) aplicada com diferentes orientações da bobina causa variações na amplitude e na latência dos potenciais evocados motores (PEM) dos músculos da mão. No entanto, as propriedades dos PEM são afetadas também pelos sistemas de detecção, e.g. localização e tamanho dos eletrodos de aquisição, e pela anatomia do músculo analisado, e.g. arquitetura dos tecidos muscular e adiposo. Neste estudo, verificamos como variam a distribuição espacial, a amplitude pico a pico, a latência, a velocidade de condução da fibra muscular e a frequência mediana do espectro de potência dos PEM em função da orientação da bobina de EMT. Utilizamos uma matriz bidimensional de eletrodos de superfície (grade com 13 linhas e 5 colunas) para aquisição do sinal de eletromiografia de superfície (EMGs) do músculo abdutor curto do polegar (ACP) em oito orientações da bobina de EMT em relação à linha sagital, que conecta o ínio ao násio. Duas abordagens distintas foram adotadas para comparação da amplitude em função da orientação da bobina: na primeira abordagem, calculamos a amplitude pico a pico média dos PEM compreendidos em uma região ativa do músculo localizada espacialmente a partir da matriz de EMGs, na segunda abordagem extraímos a amplitude do PEM no sinal diferencial de dois grupos de eletrodos simulando um sistema de EMGs em configuração bipolar, comumente utilizado nos procedimentos em EMT. Em ambos os métodos, identificamos amplitudes máximas para orientações da bobina em ângulos de 45° e 90°, corroborando os achados da literatura. A latência, frequência mediana e velocidade de condução dos PEM não apresentaram variações significativas com a orientação da bobina. Os mapas de distribuição espacial dos PEM indicam uma atividade muscular localizada na porção distal do músculo ACP para todos os ângulos de aplicação da EMT, demonstrando que os eletrodos convencionais de EMGs podem não estar idealmente localizados sobre a região do músculo ativada pela EMT. Por fim, identificamos que um sistema de neuronavegação pode facilitar a localização da estrutura cerebral a ser estimulada e aumentar a precisão no posicionamento da bobina. Adicionamos uma ferramenta para cálculo da orientação da bobina em função da linha sagital média de cada sujeito ao neuronavegador InVesalius Navigator, a ser utilizado nos próximos experimentos. / Transcranial magnetic stimulation (TMS) pulses with different coil orientations causes changes in amplitudes and latencies of motor evoked potentials (MEP) in muscles of the hand. Nonetheless, the properties of MEP are also affected by the systems of detection, e.g. placement and size of acquisition electrodes; and by the target muscle anatomy, e.g. architecture of fat and muscles tissues. In this study, we assessed the effect of TMS coil orientation on MEP spatial distribution, peak-to-peak amplitude, latency, conduction velocity of muscle fiber and median frequency, from the abductor pollicis brevis (APB) muscle. A grid of electrodes (13 lines and 5 columns) was used to detect the surface electromyography (sEMG) signals from the APB at eight different TMS coil orientations in respect to the midsagital line, connecting the inium and nasium. Two distinct approaches were adopted to compare the amplitude according to the coil orientation: first, we calculated the mean amplitude of MEP in the electrodes of the matrix over an active region of the muscle. Second, we extracted the amplitude of MEP in a single differential signal from two groups of matrix electrodes simulating a conventional sEMG bipolar configuration, commonly used in TMS experiments. In both cases, the maximum MEP amplitudes were induced at coil orientations of 45° and 90°, confirming the past findings in literature. However, we could not identify significant differences in latency, median frequency and conduction velocity of MEP according to different stimulus orientation. Maps of spatial distribution showed a localized muscle activity at the distal portion of the APB muscle for all the coil orientations, indicating that conventional bipolar sEMG electrodes may not be rightly placed over the active portion of the muscle recruited by TMS. Finally, we considered that a neuronavigation system could facilitate the localization of brain internal structures to apply TMS stimulus and improve the accuracy of coil handling and positioning over the stimulation point. Thereafter, we developed a computational tool to the InVesalius Navigator, to track the TMS coil position and orientation in respect to the subjects midsagital line to be used in future experiments.

1 Abstract The purpose of this study was to describe the degree of bilateral asymmetry of lower limbs' muscle activity in the dance movement Cha-cha-cha and to determine the cause of bilateral asymmetries of lower limbs' muscle activity. Differences in muscle activity of contralateral lower limbs might be caused by the factor of bilaterally asymmetrical movement patterns, the factor of neural pathways or the factor of training. We hypotetize that comparing the direction of bilateral asymmetry in muscle activity between asymmetrical dance movement and its mirror alternative can determine the cause of bilateral asymmetry in muscle activity of lower limbs within the movement. We studied 14 volunteers (7 men, 7 women), all were actively dancing at competitive level. We tested the muscle activity of musculus vastus lateralis (VL), musculus biceps femoris (BF), musculus tibialis anterior (TA) a musculus gastrocnemius lateralis (GL) using surface electromyography. The dance movement Cha-cha-cha was bilaterally asymmetrical in the muscle activity of VL, TA and GL. Direction of lower limbs' muscle activity indicates, that TA, being a muscle responsible for foot movement, might be affected by the factor of neural pathways and brain laterality, while VL and GL might be more affected by the factor of training. Key...

Title: Analysis of upper limbs muscles involvement during playing the drums. Objectives: The aim of this thesis is to compile information about playing the drums and summerize the most frequent musculosceletal disorders of upper extremities of these musicians. The main aim is analyzing and comparing the involvement of muscles or muscles groups of the right upper limb while drumming. Methods: The theoretical part follows up the given issue as a research and theoretical overview of the current findings based on czech and foreign literature. The practical part is dedicated to evaluation of surface electromyography and 3D kinematics analyses of movements while drumming under specified conditions of one single proband. Results: Results of measurement demonstrate that m. biceps brachii is the most active muscle during playing on hi-hat, snare drum and floor tom with forte dynamics and m. extenzor carpi uln. is is the most muscle active during play with piano dynamics. Wrist flexors were the least active during all measurements. M. extenzor carpi rad. was measured too and its activity was on second place. A close relation between changes of muscles activity and changes of angles of the elbow and wrist have not been established in this study. This research was implemented only with one proband so the...

Title: Corrected arm hang as a compensatory element in physioterapy Objective: The main objective of this master thesis is to measure and compare the level of engagement of muscles stabilizing the scapula during arm hang and supported exercise. Methods: Our study included nine probands whose measurement results were evaluated quantitatively. The age of probands at the time of measurement was from 18 to 25 years. A condition for inclusion in the investigated group was absence of subjective symptoms, functional impairment, traumatic injury, orthopedic defects or diseases of the upper limb. All probands were active athletes. Biomonitor ME 6000 manufacturer Mega Electronics Ltd. was used for recording the electrical activity of the muscles. The obtained data were processed by the Megawin software. All measurements for the purposes of the study took place in the laboratory of biomechanics FTVS UK. The resulting data were compared intraindividual and interindividual. Results: The results demonstrated that middle and lower portions of m. Trapezius is more active in the corrected arm hang. In contrast, the supported exercise leads to greater activity of m. Serratus anterior and lower activity of upper portion of m. Trapezius. Keywords: arm hang, supported exercise, surface electromyography, stabilization...

Bibliographical record: KUDLÁČEK, Jiří. EMG study: Nordic hamstring exercises vs. isometric training. Prague: Charles Univerzity, 2nd Faculty of Medicine, Department of Rehabilitation and Sports Medicine, 2020, 79p. Supervisor MUDr. Kryštof Slabý. Abstract This thesis is an EMG study, which examines an electric activity of knee flexors and m. quadriceps femoris during 3 types of exercises: Nordic hamstring exercise, single leg sliding leg curl, and isometric contraction. The theoretical part summarizes anatomy, physiology, and kinesiology of the musculoskeletal system, as well as the principle of surface EMG. In the experimental part, the EMG study was conducted on 20 healthy individuals aged 20 to 30 years-old. Each patient underwent an applied kinesiology procedure and subsequently went through an 16 channel surface EMG technique. The aim of this work is to compare the maximal and average value of the EMG amplitude of particular muscles during each exercise. While providing Nordic hamstring exercise and single leg slide, the light was shed on a question of whether there is a statistically significant difference between activation of m. biceps femoris and m. semitendinosus in terms of EMG values. The following phase of the thesis scrutinized the timing of hamstring muscles during Nordic hamstring...

Title: Strategy of postural stabilisation using unstable surface and water barrel. Objectives: The aim of this study is to investigate the level of muscle actiavtion of choosen muscles during lunge on unstable surface or with using water barrel. Investigation of the postural strategy used during lunge orn unstable surface or with the water barrel and creation of methodology for measurment and data analysis. Methods: Into this pilot study, there were picked 5 people (athletes). Data for outcomes where used from 3 athletes. The measurement of level of muscle activation were done by surface electromyography over gluteus medius muscle and musculi multifidii bilaterally.For data procession was used software Origin 2012 Postural stability was measured through force plates by Kistler and gained data were procesed by using software programmes Bioware, MS Excel and Matlab. For data analysis from EMG measurement was used simple comparasion of outcomes. Stabilometry outcomes were analysed by statistical methode t-test. Results: The results indicate greater level of muscle activation during lunge with aquabag than lunge on unstable surface for most of the measured muscles. The only exception, where level of muscle activity was higher, was multifidi muscle on rear leg. Another outcome proved that the postural...

Title: Strategy of postural stabilisation using unstable surface and water barrel. Objectives: The aim of this study is to investigate the level of muscle actiavtion of choosen muscles during lunge on unstable surface or with using water barrel. Investigation of the postural strategy used during lunge orn unstable surface or with the water barrel and creation of methodology for measurment and data analysis. Methods: Into this pilot study, there were picked 5 people (athletes). Data for outcomes where used from 3 athletes. The measurement of level of muscle activation were done by surface electromyography over gluteus medius muscle and musculi multifidii bilaterally.For data procession was used software Origin 2012 Postural stability was measured through force plates by Kistler and gained data were procesed by using software programmes Bioware, MS Excel and Matlab. For data analysis from EMG measurement was used simple comparasion of outcomes. Stabilometry outcomes were analysed by statistical methode t-test. Results: The results indicate greater level of measured trunk muscles activation during lunge with aquabag than lunge on unstable surface. Another thing which was found is that there was higher activation of Gluteus medius muscle on dominant lower extremity when performin lunge on unstable...

Monitoring of physical exercise is an important task to evaluate and adapt exercise to provide better exercise results. The Inno-X™ device, developed by Innowearable, is a device that can be used for such monitoring. It collects data using an accelerometer and sEMG sensor. To optimize Inno-X™, this Thesis investigates how raw data from the sensors can be used to classify physical exercises and fatigue levels using machine learning. The exercises that were monitored and evaluated were cycling and squats. The workflow includes data collection, preprocessing, feature extraction and finetuning of the models. Participants engage in standardized exercise protocols to ensure reliable data. Under preprocessing, the data is scaled and filtered followed by feature extraction where time-domain and frequency-domain attributes are analyzed. Three classifiers, Random Forest (RF), Support Vector Machine (SVM), and Long Short-Term Memory (LSTM), are evaluated for their performance in fatigue detection and exercise classification. Results reveal reliable accuracy across all classifiers, with SVM demonstrating the most effective performance in fatigue detection, with an accuracy of 79.5%. The classification accuracy for the executed exercises surpassed 97% for all three employed models. In conclusion, this Thesis offers insights into the application of machine learning for exercise classification and fatigue prediction. The established data processing pipeline and the performance of the chosen classifiers indicate a potential application of these methods into real-world scenarios for precise exercise monitoring and fatigue management. / Detta examensarbete fokuserar främst på användningen av avancerademaskininlärningstekniker. Fokuspunkterna inkluderar klassificering av övningaroch förutsägelse av muskeltrötthet under träningspass, med hjälp av data somsamlats in från Inno-X-enheten av Innowearable AB.Studien innebär noggrann bearbetning, med insamling, förbehandling,extrahering av funktioner och klassificering. Deltagarna deltar i standardiseradeträningsprotokoll. Uppgifterna genomgår noggrann förbehandling, följt avfunktionsextraktion, där tidsdomän- och frekvensdomänattribut analyseras.Anmärkningsvärda funktioner som medeleffekt, total effekt, medelfrekvens,medelfrekvens och maxfrekvens bidrar till effektiviteten hosmaskininlärningsmodellerna.Tre klassificerare, Random Forest (RF), Support Vector Machine (SVM) och LongShort-Term Memory (LSTM), utvärderas för deras prestanda vidträningsklassificering och upptäckt av trötthet. Resultaten visar tillförlitlignoggrannhet för alla klassificerare, där SVM uppvisar den mest effektivaprestandan när det gäller att upptäcka trötthet för cykling och knäböj.Sammanfattningsvis ger denna avhandling insikt in i tillämpningen avmaskininlärning för träningsklassificering och förutsägelse av trötthet. Denetablerade pipelinen för databehandling och den rimliga prestandan hos de valdaklassificerarna indikerar en potentiell tillämpning av dessa metoder i verkligascenarier för exakt träningsövervakning och hantering av trötthet.

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