Evidence map›Paper›PMID 39704690›Full record

ArticleJournal of neurophysiology2025

Improving localization and measurements of M-waves using high-density surface electromyography.

Ernesto H Bedoy, Efrain A Guirola Diaz, Ashley N Dalrymple, Isaiah Levy, Thomas Hyatt, Darcy M Griffin, George F Wittenberg, Douglas J Weber

Abstract read
In one paragraph

Article in Journal of neurophysiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ernesto H BedoyCenter for Neuroscience, University of Pittsburgh, Pittsburgh, Pennsylvania, United States.ORCID 0000-0003-3052-7877
Efrain A Guirola DiazDepartment of Neuroscience, University of Pittsburgh, Pittsburgh, Pennsylvania, United States.
Ashley N DalrympleDepartment of Mechanical Engineering, Carnegie Mellon University, Pittsburgh, Pennsylvania, United States.ORCID 0000-0001-8566-7178
Isaiah LevyDepartment of Physical Medicine and Rehabilitation, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, United States.
Thomas HyattDepartment of Mechanical Engineering, Carnegie Mellon University, Pittsburgh, Pennsylvania, United States.ORCID 0009-0009-8280-630X
Darcy M GriffinCenter for Neural Basis of Cognition, University of Pittsburgh and Carnegie Mellon University, Pittsburgh, Pennsylvania, United States.
George F WittenbergCenter for Neuroscience, University of Pittsburgh, Pittsburgh, Pennsylvania, United States.ORCID 0000-0001-5603-1197
Douglas J WeberCenter for Neural Basis of Cognition, University of Pittsburgh and Carnegie Mellon University, Pittsburgh, Pennsylvania, United States.ORCID 0000-0002-9782-3497

Funding

The effect of spinal cord stimulation on spinal reflex gain and dorsal column sensory pathway and their correlation with phantom limb painUH3NS100541 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FISHER, LEE E, WEBER, DOUGLAS J · 2017 to 2022
$4.6M
HHS | NIH | BRAIN Initiative (The BRAIN Initiative) UH3NS100541NINDS NIH HHS UH3 NS100541
6 · The paper itself

Abstract

Surface electromyography (sEMG) is useful for studying muscle function and controlling prosthetics, but cross talk from nearby muscles often limits its effectiveness. High-density surface EMG (HD-sEMG) improves spatial resolution, allowing for the isolation of M-waves in the densely packed forearm muscles. This study assessed HD-sEMG for localizing M-waves and evaluated the impact of spatial filters on cross talk reduction. We administered peripheral nerve stimulation to activate forearm muscles in five participants. We analyzed cross talk by correlating the shape of M-waves between electrodes and used ultrasound to confirm muscle identity and location. At low-stimulation intensities, we successfully isolated M-waves with minimal cross talk without spatial filtering. Higher recruitment levels produced significant cross talk, which was reduced by applying bipolar or tripolar spatial filters. M-waves from the monopolar HD-sEMG montage showed high correlations between electrodes (r = 0.97 transversely; r = 0.95 longitudinally), while bipolar and tripolar montages showed lower correlations (bipolar: r = 0.41 transversely; r = 0.19 longitudinally; tripolar: r = 0.17 transversely; r = 0.01 longitudinally). The tripolar filter significantly reduced cross talk (51.10% amplitude decay one electrode away) compared with no filter (10.32% amplitude decay one electrode away), effectively reducing cross talk to negligible levels at distances ≥2.55 cm. Ultrasound was crucial for distinguishing true activation from artifacts caused by converging signals along muscle boundaries. Spatially filtered HD-sEMG accurately detects and isolates M-waves in the forearm, and ultrasound imaging is useful for verifying the location and identity of the muscles underlying the HD-sEMG grids.

Indexed as

ElectromyographyMuscle, SkeletalAdultFemaleForearmHumansMaleUltrasonographyYoung Adultcross talkhigh-density electromyographyM-wavesperipheral nerve stimulationultrasound

Identifiers

PMID39704690
PMCPMC12161122

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.