Wearable robotic braces have the potential to improve rehabilitative therapies for patients suffering from musculoskeletal (MSK) conditions. Ideally, a quantitative assessment of health would be incorporated into rehabilitative devices to monitor patient recovery. The purpose of this work is to develop a model to distinguish between the healthy and injured arms of elbow trauma patients based on electromyography (EMG) data. Surface EMG recordings were collected from the healthy and injured limbs of 30 elbow trauma patients while performing 10 upper-limb motions. Forty-two features and five feature sets were extracted from the data. Feature selection was performed to improve the class separation and to reduce the computational complexity of the feature sets. The following classifiers were tested: linear discriminant analysis (LDA), support vector machine (SVM), and random forest (RF). The classifiers were used to distinguish between two levels of health: healthy and injured (50% baseline accuracy rate). Maximum fractal length (MFL), myopulse percentage rate (MYOP), power spectrum ratio (PSR) and spike shape analysis features were identified as the best features for classifying elbow muscle health. A majority vote of the LDA classification models provided a cross-validation accuracy of 82.1%. The work described in this paper indicates that it is possible to discern between healthy and injured limbs of patients with MSK elbow injuries. Further assessment and optimization could improve the consistency and accuracy of the classification models. This work is the first of its kind to identify EMG metrics for muscle health assessment by wearable rehabilitative devices.

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High-density electromyography (HD-EMG) arrays allow for the study of muscle activity in both time and space by recording electrical potentials produced by muscle contractions. HD-EMG array measurements are susceptible to noise and artifacts and frequently contain some poor-quality channels. This paper proposes an interpolation-based method for the detection and reconstruction of poor-quality channels in HD-EMG arrays. The proposed detection method identified artificially contaminated channels of HD-EMG for signal-to-noise ratio (SNR) levels 0 dB and lower with ≥99.9% precision and ≥97.6% recall. The interpolation-based detection method had the best overall performance compared with two other rule-based methods that used the root mean square (RMS) and normalized mutual information (NMI) to detect poor-quality channels in HD-EMG data. Unlike other detection methods, the interpolation-based method evaluated channel quality in a localized context in the HD-EMG array. For a single poor-quality channel with an SNR of 0 dB, the F1 scores for the interpolation-based, RMS, and NMI methods were 99.1%, 39.7%, and 75.9%, respectively. The interpolation-based method was also the most effective detection method for identifying poor channels in samples of real HD-EMG data. F1 scores for the detection of poor-quality channels in real data for the interpolation-based, RMS, and NMI methods were 96.4%, 64.5%, and 50.0%, respectively. Following the detection of poor-quality channels, 2D spline interpolation was used to successfully reconstruct these channels. Reconstruction of known target channels had a percent residual difference (PRD) of 15.5 ± 12.1%. The proposed interpolation-based method is an effective approach for the detection and reconstruction of poor-quality channels in HD-EMG.