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45 protocols using trigno wireless system

1

Cervical Muscle Activation Assessment

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Activation of the cervical muscles will be recorded by surface electromyography during the CCFT, MIVC, and muscle endurance test. Wireless surface sensors (TrignoTM Wireless System, Delsys Inc., Boston, MA, USA) will be firmly fixed with adhesive tape, bilaterally over the following: 1, sternal head, 1/3 distal of the muscle belly of the sternocleidomastoid muscle (SCM) [48 (link)]; 2, the anterior scalene muscles, third portion of the muscle belly, parallel to the clavicular head of the SCM [48 (link)]; 3, the muscle belly of the splenius capitis muscles [49 (link)]; and 4, midpoint between the acromion and C7, parallel to the fibers of the descending upper trapezius muscle [50 ].
The EMG Works® version 4.1.5 (Delsys Inc.) software will be used to acquire and display the electromyographic signals during the acquisition. Raw electromyographic signals will be processed by a custom MATLAB® routine responsible for filtering them at a frequency band of 20–500 Hz, using a 4th order Butterworth filter, and the root mean square (RMS) of the filtered signal for the acquisition time will be calculated in each test.
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2

Comprehensive Lower Limb EMG Analysis

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Surface electromyography (EMG) data were recorded for the gastrocnemius medialis (GM), soleus (SOL), peroneus longus (PL), tibialis anterior (TA), vastus lateralis (VL), and semitendinosus (SEMI) muscles of the dominant lower limb at 2000 Hz using the Wireless EMG System (Trigno TM Wireless System, DELSYS Inc., Natick, MA, USA). The electrodes were located following the SENIAM guidelines [18 (link)]. Initial contact and foot-off were identified using two foot-switch sensors (402, Interlink Electronics Inc., Camarillo, CA, USA) embedded in the insole of each shoe and connected to the four channels of the wireless EMG system.
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3

Synchronized Perturbation and EMG Measurement

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The perturbation onset and the EMG were synchronized through an accelerometer (Trigno™ Wireless System -Delsys, Inc. Boston, MA, USA -148.15 Hz) positioned in the force plate by a time vector. The perturbation start time was determined by the moment at which the acceleration was greater than the mean plus two standard deviations of the baseline.
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4

Wireless EMG and Force Plate Analysis

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A Trigno™ Wireless System (Delsys, Inc. Boston, MA, USA -Hz) and a force plate (AccuGait, Advanced Mechanical Technologies, Boston, MA, USA -200 Hz) were used to acquire the EMG and CoP parameters, respectively. Trigno sensors were positioned on the biceps femoris (BF), vastus medialis (VM), MG and tibialis anterior (TA) of the dominant lower limb for the posture (CG) and of the most affected limb (PDGdetermined by UPDRS items) (Barbieri et al., 2016; (link)Beretta et al., 2015) (link) following the SENIAM recommendations (Hermens et al., 2000) (link).
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5

Electromyography and Goniometry in Exercise

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Prior to exercise, the right upper-limb was prepared for EMG. The skin over the biceps brachii, brachioradialis, and anterior deltoid was shaved, abraded, and cleansed with alcohol. Wireless surface electrodes were placed on the skin (Trigno Wireless System, Delsys, Natick, USA; sampling rate: 2148 Hz; bandwidth frequency: 20–450 Hz). The biceps brachii electrode was placed along the longitudinal midline and over the distal-most portion of the muscle when the elbow angle was 90°. For brachioradialis and anterior deltoid, electrodes were placed over the most distal portion of the muscle bellies as determined by palpation. All electrodes were secured to the skin with tape. The EMG signals were acquired with electrode manufacturer’s software (Delsys EMGworks Analysis 4.7.9).
An electrogoniometer was used to measure elbow joint angle during exercise (Biometrics Ltd, Ladysmith, USA; sampling rate: 519 Hz; gain: 1400 dB). The goniometer consisted of two endblocks connected by a wire that had strain gauges mounted around it, with the wire protected by an outer spring. Using double-sided tape, the proximal and distal endblocks were secured to the medial sides of the humerus and forearm, respectively. The mid-point of the spring was positioned at the medial epicondyle of the humerus.
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6

Spinal and Abdominal Muscle Activity Measurement Using Bilateral Surface EMG

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Bilateral surface EMG was performed for six spinal and abdominal muscle groups: rectus abdominis (RA) (3 cm lateral to umbilicus)36 (link), oblique externus (OE) (15 cm lateral to umbilicus)37 (link), erector spinae at L3 (ESL3) (3 cm lateral to the L3 spinous process)36 (link), erector spinae at Th9 (EST9) (5 cm lateral to the T9 spinous process)38 (link), erector spinae at Th1 (EST1) (5 cm lateral to the T1 spinous process)38 (link), and latissimus dorsi (LD) (lateral to T9 over the muscle belly)37 (link). The activities of the muscles were recorded using a wireless EMG system (Trigno Wireless System, DELSYS, Boston, MA, USA). Each electrode had an inter-electrode spacing of 10 mm. The EMG signals were bandpass filtered (20–450 Hz), amplified (with a 300-gain preamplifier), and sampled at 1000 Hz. To prepare the skin for electrode placement, natural oil and other contaminants were removed from the skin surface with an alcohol swab. The starting point was initiated with the verbal cue “go” when the examiner manually pressed the electrical trigger once10 (link),39 (link). After participants completed the tasks and returned to a resting posture for approximately 1 s, the examiner manually pressed the electrical trigger twice with the verbal cue “end” to define the end of the movement10 (link),39 (link).
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7

Postural Control Evaluation Using Wireless EMG

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Wireless EMG sensors (Trigno EMG sensors, DELSYS, Boston, MA, United States) were placed on the bilateral medial gastrocnemius (MG) and SL muscles according to the SENIAM recommendations1, after the skin was gently abrased and cleaned with alcohol, as these two muscles are mainly involved in postural control (Masani et al., 2003 (link); Heroux et al., 2014 (link)). The sensors were placed as far as anatomically possible from each other to minimize the potential risk of cross-talk between the EMG recordings (Hansen et al., 2005 (link)). EMG signals were amplified and filtered (band pass filter of 20–450 Hz) using a bio-amplifier (Trigno Wireless System, DELSYS, Boston, MA, United States), and sampled at 2000 Hz. Force signals were also recorded using a force plate (Tec Gihan, Kyoto, Japan) at a sampling rate of 1000 Hz to compute the COP position. A customized LabVIEW program (National Instruments, Austin, TX, United States) was used to display the horizontal lines and COP position on the PC monitor.
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8

Lower Limb Muscle Activity Characterization

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Surface EMG signals were recorded from five muscles of the right lower limb: tibialis anterior (TA) muscle, gastrocnemius medialis (GA) muscle, rectus femoris (RF) muscle, biceps femoris (BF) muscle, and gluteus maximus (GM) muscle by using a wireless SEMG system (Trigno Wireless System, DELSYS, USA) during the knee joint extension and flexion movement with maximum voluntary isometric contraction. The wireless surface EMG electrodes were placed longitudinally with respect to the underlying muscle fiber arrangement and were located according to the recommendations of SENIAN (Hermens et al., 2000 (link)). The frequency range and the amplifier gain were set from 20 to 450 Hz and 80 dB, respectively. In order to remove motion artifacts, the low cut frequency was set at 20 Hz (De Luca et al., 2010 (link)). The SEMG signals were stored on a personal computer through an A/D converter (PowerLab, ADInstruments, New Zealand) with a sampling frequency of 1,000 Hz.
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9

Dynamic Bike Fitting and Muscle Activation

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We used a special bike (Retül Müve SL Dynamic Fit Bike) and a dynamic bike fitting system (Retül bike fitting system, Boulder, CO, USA) to control the standard cycling position while allowing us to change the KFOF parameter only. The Delsys Trigno Wireless System (Delsys Inc., Natick, MA, USA) was used to record muscle activation in the lower limb. The surface electrodes had four silver bar contacts (5 × 1 mm) spaced 10 mm apart in a rectangular configuration. Before the riding tests, the electrodes were placed at the vastus lateralis (VL), vastus medialis (VM), semimembranosus (SEMI), biceps femoris (BF), gluteus maximus (GM), tensor fascia lata (TFL), medial gastrocnemius (MG), and tibialis anterior (TA) of the right leg according to the method described in the previous study [18 (link)]. A portable metabolic system (COSMED K4b2) and a chest strap of the heart rate monitor (POLAR) were used to collect data on oxygen consumption (VO2) and heart rate during the cycling exercise testing.
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10

Multimodal Assessment of Trunk Isometric Strength

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The trunk isometric strength was measured using a handheld dynamometer (MicroFET2, HOGGAN Health Industries, Inc., UT, USA) by employing the manual muscle testing technique. A surface wireless EMG system (Trigno Wireless System, Delsys Inc., Boston, MA, USA) was used to record muscle activation levels while performing the experimental tasks. The center of the electrode sensor for the rectus abdominis (RA) was placed 3 cm lateral and 2 cm superior to the umbilicus, and that for the erector spinae (ES) was placed at the L3 level and 3 cm lateral from the spinous processes.14 (link)
The sampling rate of EMG was 1 kHz, and the acquired data was digitally band-pass filtered between 20 Hz and 450 Hz, full-wave rectified, and smoothed using a low-pass filter (time constant of 100 ms; Butterworth 8 order). The postural stability of participants during the experimental tasks was measured using a stationary force plate (Kistler 9260AA6, KistlerInstrumente AG, Winterthur, Switzerland). The EMG system and force plate were synchronized using a 32-channel 16-bit A/D board (NI USB-6218, National Instruments Co., USA).
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