SynthesisCritical care (London, England)2025
Acquisition of respiratory surface EMG: a systematic literature review of electrode configurations and methodological reporting.
Synthesis in Critical care (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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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.
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Who cites it
2 citing papers in PubMed.
- Off-State dyspnea induced by diaphragmatic-chest wall asynchrony in Parkinson's disease: A novel observation and review of the literature.Journal of Parkinson's disease · 2026Review
- Continuous and noninvasive respiratory effort monitoring: a narrative review of emerging techniques.Journal of intensive care · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMechanical ventilation provides life-saving support to patients with respiratory failure, but inadequately tailored settings can lead to respiratory muscle dysfunction and poor patient outcomes. Surface electromyography (sEMG) offers a non-invasive modality to monitor respiratory muscle function. However, variability in acquisition setups limits the comparability of study findings and hinders broad clinical implementation. Therefore, we systematically appraised setup rationales and reporting quality in respiratory sEMG literature.
methodsThe MEDLINE ALL, Embase, and Web of Science databases were systematically searched on 19 September 2024 for studies reporting original respiratory sEMG data in adults during spontaneous breathing. sEMG methodology was extracted in accordance with the reporting guidelines of the International Society of Electrophysiology and Kinesiology and analyzed by target muscle and medical domain.
results240 out of 402 unique articles were included. The diaphragm was the most studied respiratory muscle (61%) with 48 unique setups out of 160 descriptions. Diaphragm setups with small inter-electrode distances (IEDs) were most common (n = 138, 86%). Large IED setups were predominantly applied in ICU (n = 8, 36%) and COPD (n = 5, 23%) populations. Setups for non-diaphragmatic respiratory muscles typically featured one or two dominant positions grounded in methodological studies. Reporting quality was low with a median of 5 out of 10 recommended items documented.
conclusionThis review reveals substantial diversity of diaphragm sEMG setups, reflecting differences in clinical contexts and study populations. The setups for extra-diaphragmatic muscles were more consistent and methodologically grounded. Muscle- and context-specific guidelines are essential to improve consistency and support clinical implementation of respiratory sEMG.
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Registered trials
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