Quantitative analysis of movements in facial nerve palsy with surface electromyography and kinematic analysis

Demeco, Andrea; Marotta, Nicola; Moggio, Lucrezia; Pino, Ilaria; Marinaro, Cinzia; Barletta, Marianna; Petraroli, Annalisa; Palumbo, Arrigo; Ammendolia, Antonio

doi:10.1016/j.jelekin.2020.102485

Cited by 27 publications

(30 citation statements)

References 19 publications

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“…The sEMG was performed with a wireless EMG device (FREE1000 BTS Bioengineering, Milano, Italy) using bipolar surface electrodes (diameter, 0.8 cm; interelectrode distance, 2 cm; pregelled disposable, surface Ag/AgCl Ambu Neuroline 720 electrodes (Ambu, Neuroline, Ballerup, Denmark) [22][23][24][25]. The sEMG electrodes were placed by an experienced physician on the Rectus Femoris (RF), Vastus Medialis (VM), Biceps Femoris (BF), and Medial Hamstring (MH) muscles.…”

Section: Electromyographymentioning

confidence: 99%

Electromyographic Assessment of Anterior Cruciate Ligament Injury Risk in Male Tennis Players: Which Role for Visual Input? A Proof-of-Concept Study

et al. 2021

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Anterior cruciate ligament (ACL) injury incidence is often underestimated in tennis players, who are considered as subjects conventionally less prone to knee injuries. However, evaluation of the preactivation of knee stabilizer muscles by surface electromyography (sEMG) showed to be a predictive value in the assessment of the risk of ACL injury. Therefore, this proof-of-concept study aimed at evaluating the role of visual input on the thigh muscle preactivation through sEMG to reduce ACL injury risk in tennis players. We recruited male, adult, semiprofessional tennis players from July to August 2020. They were asked to drop with the dominant lower limb from a step, to evaluate—based on dynamic valgus stress—the preactivation time of the rectus femoris (RF), vastus medialis, biceps femoris, and medial hamstrings (MH), through sEMG. To highlight the influence of visual inputs, the athletes performed the test blindfolded and not blindfolded on both clay and grass surfaces. We included 20 semiprofessional male players, with a mean age 20.3 ± 4.8 years; results showed significant early muscle activation when the subject lacked visual input, but also when faced with a less-safe surface such as clay over grass. Considering the posteromedial–anterolateral relationship (MH/RF ratio), tennis players showed a significant higher MH/RF ratio if blindfolded (22.0 vs. 17.0% not blindfolded; p < 0.01) and percentage of falling on clay (17.0% vs. 14.0% in grass; p < 0.01). This proof-of-principle study suggests that in case of absence of visual input or falling on a surface considered unsafe (clay), neuro-activation would tend to protect the anterior stress of the knee. Thus, the sEMG might play a crucial role in planning adequate athletic preparation for semiprofessional male athletes in terms of reduction of ACL injury risk.

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Section: Electromyographymentioning

confidence: 99%

Electromyographic Assessment of Anterior Cruciate Ligament Injury Risk in Male Tennis Players: Which Role for Visual Input? A Proof-of-Concept Study

et al. 2021

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“…In this context, surface EMG (sEMG) integrated with inertial measurement unit (IMU) provides an insight into how the neuromuscular system behaves [39]. More in detail, it is possible to determine the timing of muscles excitation, describing when a muscle "turns on" [39,40] and to record muscle activity of the quadriceps and hamstrings to determine the recruitment pattern and the time of pre-activation as the time of initial contraction in preparation of landing [41,42]. Moreover, bioelectrical impedance analysis (BIA) represents an accurate method in the assessment of athletes body composition when compared with reference techniques (dual X-ray absorptiometry (DXA)) [43].…”

Section: Introductionmentioning

confidence: 99%

Neuromuscular Impairment of Knee Stabilizer Muscles in a COVID-19 Cluster of Female Volleyball Players: Which Role for Rehabilitation in the Post-COVID-19 Return-to-Play?

et al. 2022

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COVID-19 athletes reported persistent and residual symptoms many weeks after initial infection, including cough, fatigue, and neuromuscular disorders. Poor neuromuscular control may cause inefficient movement strategies increasing anterior cruciate ligament load. This is particularly relevant in female athletes, who show a 3-time higher risk than male counterparts. Aim is to evaluate the impairment in thigh muscles activation, body composition, and physical performance after COVID-19 in volleyball athletes. We recruited a cohort of female professional players from the same team. We assessed the pre-activation time of Rectus Femoris (RF), Vastus Medialis (VM), Medial Hamstring (MH), and Lateral Hamstring (LH) before (T0) and after (T1) COVID-19 infection, bioelectrical impedance analysis (BIA), and jump tests. We included 12 athletes with COVID-19 infection diagnosis in January 2021. At T1 we found a significant (p < 0.05) delay (ms) of the activation time of RF (426 ± 188 vs. 152 ± 106); VM (363 ± 192 vs. 140 ± 96); BF (229 ± 60 vs. 150 ± 63); MH (231 ± 88 vs. 203 ± 89), and a significant reduction of body composition at BIA. The neuromotor imbalance of the knee stabilizer muscle in female athletes after COVID-19 infection determines a deficit of knee stabilization. Physicians should consider neuromuscular and metabolic sequelae to identify athletes at higher risk of injury and set up specific neuromuscular rehabilitation protocols.

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“…A variety of electrophysiological tests have been developed over the past years to measure the severity of nerve damage in patients with facial nerve palsy and temporomandibular disorders [ 15 , 16 , 17 ]. In this scenario, the best method for detecting degenerative damage to the facial nerve and also for detecting regeneration after nerve reconstruction is currently electromyography (EMG) of the facial muscles, derived with bipolar electrodes [ 18 , 19 ]. In this case, it is not the nerve itself that is examined but its target organ [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

A Telerehabilitation Approach to Chronic Facial Paralysis in the COVID-19 Pandemic Scenario: What Role for Electromyography Assessment?

Sire

Marotta

Agostini

et al. 2022

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There is a lack of data on patient and diagnostic factors for prognostication of complete recovery in patients with peripheral facial palsy. Thus, the aim of this study was to evaluate the role of a telerehabilitave enhancement through the description of a case report with the use of short-wave diathermy and neuromuscular electrical stimulation combined to facial proprioceptive neuromuscular facilitation (PNF) rehabilitation in unrecovered facial palsy, in a COVID-19 pandemic scenario describing a paradigmatic telerehabilitation report. A 43-year-old woman underwent a facial rehabilitation plan consisting of a synergistic treatment with facial PNF rehabilitation, short-wave diathermy, and neuromuscular electrical stimulation (12 sessions lasting 45 min, three sessions/week for 4 weeks). Concerning the surface electromyography evaluation of frontal and orbicularis oris muscles, the calculated ratio between amplitude of the palsy side and normal side showed an improvement in terms of movement symmetry. At the end of the outpatient treatment, a daily telerehabilitation protocol with video and teleconsultation was provided, showing a further improvement in the functioning of a woman suffering from unresolved facial paralysis. Therefore, an adequate telerehabilitation follow-up seems to play a fundamental role in the management of patients with facial palsy.

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Quantitative analysis of movements in facial nerve palsy with surface electromyography and kinematic analysis

Cited by 27 publications

References 19 publications

Electromyographic Assessment of Anterior Cruciate Ligament Injury Risk in Male Tennis Players: Which Role for Visual Input? A Proof-of-Concept Study

Electromyographic Assessment of Anterior Cruciate Ligament Injury Risk in Male Tennis Players: Which Role for Visual Input? A Proof-of-Concept Study

Neuromuscular Impairment of Knee Stabilizer Muscles in a COVID-19 Cluster of Female Volleyball Players: Which Role for Rehabilitation in the Post-COVID-19 Return-to-Play?

A Telerehabilitation Approach to Chronic Facial Paralysis in the COVID-19 Pandemic Scenario: What Role for Electromyography Assessment?

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