Extramuscular Recording of Spontaneous EMG Activity and Transcranial Electrical Elicited Motor Potentials in Horses: Characteristics of Different Subcutaneous and Surface Electrode Types and Practical Guidelines.
Abstract: Adhesive surface electrodes are worthwhile to explore in detail as alternative to subcutaneous needle electrodes to assess myogenic evoked potentials (MEP) in human and horses. Extramuscular characteristics of both electrode types and different brands are compared in simultaneous recordings by also considering electrode impedances and background noise under not mechanically secured (not taped) and taped conditions. Methods: In five ataxic and one non-ataxic horses, transcranial electrical MEPs, myographic activity, and noise were simultaneously recorded from subcutaneous needle (three brands) together with pre-gelled surface electrodes (five brands) on four extremities. In three horses, the impedances of four adjacent-placed surface-electrode pairs of different brands were measured and compared. The similarity between needle and surface EMGs was assessed by cross-correlation functions, pairwise comparison of motor latency times (MLT), and amplitudes. The influence of electrode noise and impedance on the signal quality was assessed by a failure rate (FR) function. Geometric means and impedance ranges under not taped and taped conditions were derived for each brand. Results: High coherencies between EMGs of needle-surface pairs degraded to 0.7 at moderate and disappeared at strong noise. MLTs showed sub-millisecond simultaneous differences while sequential variations were several milliseconds. Subcutaneous MEP amplitudes were somewhat lower than epidermal. The impedances of subcutaneous needle electrodes were below 900 Ω and FR = 0. For four brands, the FR for surface electrodes was between 0 and 80% and declined to below 25% after taping. A remaining brand (27G DSN2260 Medtronic) revealed impedances over 100 kΩ and FR = 100% under not taped and taped conditions. Conclusions: Subcutaneous needle and surface electrodes yield highly coherent EMGs and TES-MEP signals. When taped and allowing sufficient settling time, adhesive surface-electrode signals may approach the signal quality of subcutaneous needle electrodes but still depend on unpredictable conditions of the skin. The study provides a new valuable practical guidance for selection of extramuscular EMG electrodes. This study on horses shares common principles for the choice of adhesive surface or sc needle electrodes in human applications such as in intraoperative neurophysiological monitoring of motor functions of the brain and spinal cord.
Copyright © 2020 Journée, Journée, Reed, Berends, de Bruijn and Delesalle.
Publication Date: 2020-07-17 PubMed ID: 32765207PubMed Central: PMC7379335DOI: 10.3389/fnins.2020.00652Google Scholar: Lookup
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Summary
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This research study is about an exploration of adhesive surface electrodes as a new way to assess myogenic evoked potentials in humans and horses, and provides a comparison to traditional subcutaneous needle electrodes.
Objective and Methodology of the Study
- The core objective of the study was to compare the use of adhesive surface electrodes with that of subcutaneous needle electrodes to assess myogenic evoked potentials (MEPs) in humans and horses. The researchers wanted to understand the variations in extramuscular characteristics of both types of electrodes and compare results between different brands.
- The study involved six horses (five ataxic and one non-ataxic) in which transcranial electrical MEPs, myographic activity, and noise were simultaneously recorded using three brands of subcutaneous needle electrodes and five brands of pre-gelled surface electrodes on their four extremities. The electrodes were evaluated under conditions where they were taped and not taped.
- The researchers also measured and compared the impedances of four adjacent surface-electrode pairs from different brands in three horses.
- The similarity between the needle and surface electromyography (EMG) was measured using cross-correlation functions, pairwise comparison of motor latency times (MLT), and amplitudes. The influence of electrode noise and impedance on the signal quality was measured using a failure rate (FR) function.
Results of the Study
- The study found high coherencies between EMGs of needle-surface pairs that degraded to 0.7 at moderate noise levels and disappeared at high noise levels. There were also sub-millisecond variations in MLTs recorded simultaneously while sequential variations were several milliseconds.
- The study found that subcutaneous MEP amplitudes were somewhat lower than epidermal ones and the impedances of subcutaneous needle electrodes were below 900 Ω with FR equal to 0.
- For four brands, the FR for surface electrodes fluctuated between 0 and 80% and declined to below 25% after taping. However, a remaining brand revealed impedances over 100 kΩ and FR equaled 100% even under not taped and taped conditions.
Conclusions of the Study
- Both types of electrodes—subcutaneous needle and surface electrodes—record highly coherent EMGs and TES-MEP signals. Under conditions where they are taped and given adequate settling time, adhesive surface-electrode signals can have similar quality to that of subcutaneous needle electrodes despite some unpredictability due to skin conditions.
- This research not only grants valuable insights into electrode selection for extramuscular EMG studies in horses, but also shares common principles applicable to human studies such as intraoperative neurophysiological monitoring of brain and spinal cord motor functions.
Cite This Article
APA
Journée SL, Journée HL, Reed SM, Berends HI, de Bruijn CM, Delesalle CJG.
(2020).
Extramuscular Recording of Spontaneous EMG Activity and Transcranial Electrical Elicited Motor Potentials in Horses: Characteristics of Different Subcutaneous and Surface Electrode Types and Practical Guidelines.
Front Neurosci, 14, 652.
https://doi.org/10.3389/fnins.2020.00652 Publication
Researcher Affiliations
- Equine Diagnostics, Wyns, Netherlands.
- Research Group of Comparative Physiology, Department of Virology, Parasitology and Immunology, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.
- Department of Neurosurgery, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
- Department of Orthopedics, Amsterdam University Medical Center, Amsterdam, Netherlands.
- Rood & Riddle Equine Hospital, Lexington, KY, United States.
- M.H. Gluck Equine Research Center, Department of Veterinary Science, University of Kentucky, Lexington, KY, United States.
- Department of Orthopedics, Amsterdam University Medical Center, Amsterdam, Netherlands.
- Wolvega Equine Clinic, Oldeholtpade, Netherlands.
- Research Group of Comparative Physiology, Department of Virology, Parasitology and Immunology, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.
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Citations
This article has been cited 2 times.- Gadella MC, Dulfer SE, Absalom AR, Lange F, Scholtens-Henzen CHM, Groen RJM, Wapstra FH, Faber C, Tamási K, Sahinovic MM, Drost G. Comparing Motor-Evoked Potential Characteristics of NEedle versus suRFACE Recording Electrodes during Spinal Cord Monitoring-The NERFACE Study Part I.. J Clin Med 2023 Feb 10;12(4).
- Journée SL, Journée HL, Berends HI, Reed SM, Bergmann W, de Bruijn CM, Delesalle CJG. Trapezius Motor Evoked Potentials From Transcranial Electrical Stimulation and Transcranial Magnetic Stimulation: Reference Data, Characteristic Differences and Intradural Motor Velocities in Horses.. Front Neurosci 2022;16:851463.
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