Startseite EMG analysis of the thenar muscles as a model for EMG-triggered larynx stimulation
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EMG analysis of the thenar muscles as a model for EMG-triggered larynx stimulation

  • Beatrice Reinhardt , Lutz Leistritz , Bernd Faenger , Ellen Hansen , Hans-Christoph Scholle und Andreas Müller
Veröffentlicht/Copyright: 22. Februar 2007
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Biomedical Engineering / Biomedizinische Technik
Aus der Zeitschrift Band 52 Heft 1

Abstract

Paralysis of one or both sides of the larynx musculature compromises breathing and speech function. Currently there is no surgical remedy to restore adequate function of the larynx. A plausible alternative solution is triggered electrical stimulation of the paralysed larynx site using a laryngeal pacemaker. Triggering of the pacemaker succeeds via constant EMG measurement of the muscle activity of the healthy larynx side. The EMG data analysis described in this work is one possible approach for regulating pacemaker triggering. In this study we used EMG data from the thenar muscles as a model to calculate a trigger point.

Keywords: electrostimulation; EMG; larynx pacemaker; thenar muscles; trigger
Corresponding author: Dipl.-Biol. Bernd Faenger, Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, FB Motorik, Pathophysiologie und Biomechanik, Universitätsklinikum der Friedrich-Schiller-Universität Jena, Erfurter Str. 35, 07740 Jena, Germany Phone: +49-03641-296365

References

[1] Benninger MS, MS, Gillen JB, Altman JS. Changing etiology of vocal fold immobility. Laryngoscope1998; 108: 1346–1350.10.1097/00005537-199809000-00016Suche in Google Scholar

[2] Bergmann K, Warzel H, Eckhardt HU, Hopstock U, Hermann V, Gerhardt HJ. Long-term implantation of a system of electrical stimulation of paralyzed laryngeal muscles in dogs. Laryngoscope1988; 98: 455–459.10.1288/00005537-198804000-00020Suche in Google Scholar

[3] Bosch K. Elementare Einführung in die angewandte Statistik, 5, verbesserte Auflage. Braunschweig: Vieweg Verlag 1995.Suche in Google Scholar

[4] Broniatowski M, Kaneko S, Jacobs G, Nose Y, Tucker HM. Laryngeal pacemaker. II. Electronic pacing of reinnervated posterior cricoarytenoid muscles in the canine. Laryngoscope1985; 95: 1194–1198.10.1288/00005537-198510000-00008Suche in Google Scholar

[5] Broniatowski M, Tucker HM, Kaneko S, Jacobs G, Nose Y. Laryngeal pacemaker. Part I. Electronic pacing of reinnervated strap muscles in the dog. Otolaryngol Head Neck Surg1986; 94: 41–44.10.1177/019459988609400107Suche in Google Scholar

[6] Broniatowski M, Tucker HM, Nose Y. The future of electronic pacing in laryngeal rehabilitation. Am J Otolaryngol1990; 11: 51–62.10.1016/0196-0709(90)90170-ZSuche in Google Scholar

[7] Dipietro LF, Palazzolo JJ, Krebs HI, Volpe BT, Hogan N. Customized interactive robotic treatment for stroke: EMG-triggered therapy. IEEE Trans Neural Syst Rehab Eng2005; 13: 325–334.10.1109/TNSRE.2005.850423Suche in Google Scholar

[8] Friedrich G. External vocal fold medialization: surgical experiences and modifications. Laryngorhinootologie1998; 77: 7–17.Suche in Google Scholar

[9] Goldfarb D, Keane WM, Lowry LD. Laryngeal pacing as a treatment for vocal fold paralysis. J Voice1994; 8: 179–185.10.1016/S0892-1997(05)80310-8Suche in Google Scholar

[10] Goldstein EA, Heaton JT, Kobler JB, Stanley GB, Hillman RE. Design and implementation of hands-free electro-larynx device controlled by neck strap muscle electromyographic activity. IEEE Trans Biomed Eng2004; 51: 325–332.10.1109/TBME.2003.820373Suche in Google Scholar PubMed

[11] Guggenmoos-Holzmann I, Wernecke K-D. Medizinische Statistik. Berlin: Blackwell Wissenschafts-Verlag 1995.Suche in Google Scholar

[12] Kim KM, Choi HS, Kim GR, Hong WP, Chun YM, Park YJ. Laryngeal pacemaker using a temperature sensor in the canine. Laryngoscope1987; 97: 1207–1210.10.1288/00005537-198710000-00016Suche in Google Scholar PubMed

[13] Kojima H, Omori K, Shoji K, et al. Laryngeal pacing in unilateral vocal cord paralysis. An experimental study. Arch Otolaryngol Head Neck Surg1990; 116: 74–78.10.1001/archotol.1990.01870010078022Suche in Google Scholar PubMed

[14] Meurer A, Bodem F, Heine J. Ensemble averaging and multiple statistical testing of EMG activities of cyclically repeated body motions. A tool for muscle function analysis in experimental and clinical orthopaedics. Biomed Tech2003; 48: 235–240.10.1515/bmte.2003.48.9.235Suche in Google Scholar PubMed

[15] Micera S, Vannozzi G, Sabatini AM, Dario P. Improving detection of muscle activation intervals. IEEE Eng Med Biol Mag2001; 20: 38–46.10.1109/51.982274Suche in Google Scholar PubMed

[16] Müller A, Paulsen FP. Impact of vocal cord paralysis on cricoarytenoid joint. Ann Otol Rhinol Laryngol2002; 111: 896–901.10.1177/000348940211101006Suche in Google Scholar PubMed

[17] Otto RA, Templer J, Davis W, Homeyer D, Stroble M. Coordinated electrical pacing of vocal cord abductors in recurrent laryngeal nerve paralysis. Otolaryngol Head Neck Surg1985; 93: 634–638.10.1177/019459988509300512Suche in Google Scholar PubMed

[18] Putsche P, Leistritz L, Leistritz S. [Use of the Hilbert operator for determining absorption differences between retinal blood vessels and their surroundings] (in German). Biomed Tech1997; 42 (Suppl): 426–427.10.1515/bmte.1997.42.s2.426Suche in Google Scholar PubMed

[19] Shahid S, Walker J, Lyons GM, Byrne CA, Nene AV. Application of higher order statistics techniques to EMG signals to characterize the motor unit action potential. IEEE Trans Biomed Eng2005; 52: 1195–1209.10.1109/TBME.2005.847525Suche in Google Scholar PubMed

[20] Zealear DL, Billante CL, Chongkolwatana C, Herzon GD. The effects of chronic electrical stimulation on laryngeal muscle reinnervation. ORL J Otorhinolaryngol Relat Spec2000; 62: 87–95.10.1159/000027723Suche in Google Scholar PubMed

[21] Zealear DL, Billante CR, Chongkolwatana C, Rho YS, Hamdan AL, Herzon GD. The effects of chronic electrical stimulation on laryngeal muscle physiology and histochemistry. ORL J Otorhinolaryngol Relat Spec2000; 62: 81–86.10.1159/000027722Suche in Google Scholar PubMed

[22] Zealear DL, Billante CR, Courey MS, et al. Reanimation of the paralyzed human larynx with an implantable electrical stimulation device. Laryngoscope2003; 113: 1149–1156.10.1097/00005537-200307000-00010Suche in Google Scholar PubMed

[23] Zealear DL, Rainey CL, Herzon GD, Netterville JL, Ossoff RH. Electrical pacing of the paralyzed human larynx. Ann Otol Rhinol Laryngol1996; 105: 689–693.10.1177/000348949610500904Suche in Google Scholar PubMed

[24] Zealear DL, Swelstad MR, Sant'Anna GD, et al. Determination of the optimal conditions for laryngeal pacing with the Itrel II implantable stimulator. Otolaryngol Head Neck Surg2001; 125: 183–192.10.1067/mhn.2001.118246Suche in Google Scholar PubMed

Published Online: 2007-02-22
Published in Print: 2007-02-01

©2007 by Walter de Gruyter Berlin New York

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https://doi.org/10.1515/BMT.2007.023
Schlagwörter für diesen Artikel
electrostimulation; EMG; larynx pacemaker; thenar muscles; trigger

Artikel in diesem Heft

  1. Ralph Mueller and Herbert Witte join the Associate Editor team of Biomedizinische Technik/Biomedical Engineering
  2. Technological innovations in information engineering demand sustained updating and upgrading in biosignal processing applications: a continual renaissance
  3. Predicting initiation and termination of atrial fibrillation from the ECG
  4. Predicting the QRS complex and detecting small changes using principal component analysis
  5. The role of independent component analysis in the signal processing of ECG recordings
  6. Implantable cardioverter defibrillator algorithms: status review in terms of computational cost
  7. Assessment of dynamic changes in cerebral autoregulation
  8. Corrected body surface potential mapping
  9. Autonomic cardiac control in animal models of cardiovascular diseases. I. Methods of variability analysis
  10. Autonomic cardiac control in animal models of cardiovascular diseases II. Variability analysis in transgenic rats with α-tropomyosin mutations Asp175Asn and Glu180Gly
  11. Fetal ECG extraction during labor using an adaptive maternal beat subtraction technique
  12. Heart rate variability in the fetus: a comparison of measures
  13. Estimation of spontaneous baroreflex sensitivity using transfer function analysis: effects of positive pressure ventilation
  14. Mobile nocturnal long-term monitoring of wheezing and cough
  15. Vigilance monitoring – review and practical aspects
  16. Coupled oscillators for modeling and analysis of EEG/MEG oscillations
  17. Auditory evoked potentials for the assessment of depth of anaesthesia: different configurations of artefact detection algorithms
  18. NeuMonD: a tool for the development of new indicators of anaesthetic effect
  19. Recording of focal direct current (DC) changes in the human cerebral cortex using refined non-invasive DC-EEG methodology
  20. Comparing a template approach and complex bandpass filtering for single-trial analysis of auditory evoked M100
  21. Wavelet-based analysis of MMN responses in children
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  23. EMG analysis of the thenar muscles as a model for EMG-triggered larynx stimulation
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  31. List of reviewers engaged in the Special Issues on Biosignal Processing
  32. Stellungnahme zu „In vitro Langzeitkultur von humanem Knochen unter physiologischen Lastbedingungen“; Biomed Tech 2004; 49: 364–367
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