The results of this study showed that an α priori accepted threshold value may cause erroneous results in EMG analysis. In an incremental type of exercise where the EMG amplitudes increase in parallel with increasing workloads, the threshold values used in one increment may not be applicable to other workloads. Also in situations where different muscle groups are monitored, a range of threshold levels may be selected when searching the response of different muscle groups against increasing workloads. In the scientific literature, it is common to see different threshold determination strategies (from naked eye to more sophisticated computerized algorithms) for EMG signal analyses (Bogey, 1992; Di Fabio, 1987; Duncan, 2000; Ebig, 1997; Hodges, 1996). Some investigators simply choose the threshold visually (Ebig, 1997) and claim that the expertise of the investigator is an important factor for visual determination. However, di Fabio et al (Di Fabio, 1987) had shown high inter-rater variability in visual burst detection. Their findings indicate that visual detection strategy may cause misinterpretation of the data. More important than that, in case of high inter-rater variability it might be difficult to reevaluate the results. Another strategy in evaluating EMG signals is to use a previously determined fixed threshold value (Zhou, 1995). This might be applicable where the amplitude of the electrical activity of the muscle does not show a great variability through the time domain. In an incremental type of exercise, muscle electrical activity typically increases proportionally with workload which might be accompanied with the change in the amplitude of the noise signal. Throughout an incremental activity, the active muscles’ electrical activity also increases with time. As the size principle dictates, in an incremental physical activity more muscle fibers are recruited through the activity period. At the beginning of the exercise small sized fibers are more active whereas larger fibers are recruited through the course of the activity. With increasing load the subjects inevitably reach the state of fatigue which can be defined as the insufficiency of keeping therequested pace. Since the motor neuron discharge is expected to increase with time in an incremental exercise, fatigue might be also be caused by the ionic disturbance in the close vicinity of the sarcolemma. This disturbance might manifest itself as inefficient repolarization of the active muscles. In a periodic activity such as walking, running or cycling, generally a muscle group does not show full activity throughout the activity cycle. So although clear electrical activity bursts can be seen in the beginning of the exercise, with the development of fatigue, the burst duration might increase or burst like activities might occur because of the inefficient relaxation of the fatigued fibers. In such situations the physiological electrical activity in the muscle may not be captured by the calculations based on a predetermined fixed threshold value. Deriving the threshold level from the baseline electrical activity is an alternative approach. Some investigators determined the threshold level with multiple orders of magnitude of the baseline electrical activity (Johnson, 1993; Vaes, 2001). Other investigators used different algorithms in which the threshold determination is based on the 1, 2, 3 or even 10 standard deviations beyond mean of baseline activity (Hug, 2009; Lynch, 1996). Another approach is to define the threshold according to the amplitude of the EMG signal which we used in our study. A predefined percentage of the EMG RMS envelope amplitude is used to determine the threshold value (Dorel, 2008). Since the ratio is kept constant, even when the amplitude of the EMG signal increases, the threshold level will also increase. In our study we use two criteria for determining the suitability of different threshold levels. First, it was accepted that the estimated number of bursts should show significant correlation to the actual number of bursts. It is also important to keep in mind that despite the statistically significant correlation between actual and estimated burst number, calculations performed with the threshold value may overestimate or underestimate the actual number of bursts. If the selected threshold value is low enough then possible interfering noise can be accepted as a separate burst in which case the total number of bursts for a defined time frame may be overestimated. Another possibility is that the selected threshold could be high enough to crop some bursts which may result with underestimating the burst number. Second criterion is the slope of the regression line which should be close to the line of identity. With this approach, the closest regression line to the line of identity may guide the investigators to the most suitable threshold choice. In a complex activity like cycling different muscle groups contribute the action with different rates. This contribution may be with respect to the duration or the amplitude of the muscle activity among various muscle groups (Dorel, 2008; Hug, 2009). Because the threshold value determines just the onset and offset values, amplitudes higher than the threshold level are not affected. In our study peak amplitudes detected by different threshold values do not show a significant difference consistent with previous similar studies. The amount of increase in the amplitude of GL and VM is found to be higher than that of GM and SOL. Electrical activity of the muscles will increase in response to increase in the workload and the change in the electrical activity of the muscle with respect to noise may affect the successful determination of the threshold. If there is any source of noise, the amplitude of the noise may also increase during the incremental test. If the increase in the electrical activity of the muscle is higher than the increase in the amplitude of the noise than the burst pattern can be discriminated by the threshold with ease. So the number of bursts that are detected with the threshold could be close to the actual number of bursts (Tables 1b, 2b, 3b and 4b). |