University of Twente Student Theses
Determining the most suitable location for electrode placement to assess respiratory muscle activation with surface electromyography in COPD patients using chronic nocturnal non-invasive ventilation at home.
Schrover, T.E.P. and Tabak, N. and Uiters, J.W.H. (2023) Determining the most suitable location for electrode placement to assess respiratory muscle activation with surface electromyography in COPD patients using chronic nocturnal non-invasive ventilation at home.
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| Abstract: | Rationale: This study aims to assess the suitability of different electrode locations using sEMG of respiratory muscles for monitoring patients with COPD using chronic nocturnal non-invasive ventilation at home. The main research question is to identify the most optimal sEMG electrode location to measure muscle activation during respiration. Methods: The research started with a comprehensive literature review. After the initial literary review, two experiments were conducted. These experiments involved measuring sEMG activity in previously identified locations on the respiratory muscles of individuals. The first experiment that was conducted was done on two healthy individuals so the researchers could become acquainted with the equipment, and it aimed to narrow down the variables involved. The second experiment focused on an individual with COPD on NIV and aimed to draw more specific conclusions for the research. The collected data was analyzed using a high-pass filter and RMS modification. Conclusions were drawn based on the reviewed data. Results: After an initial review of the literature, certain respiratory muscles were found unsuitable for the study. This decision was based on practical considerations and the lack of evidence supporting their suitability as described in literature. From this search, it was determined that the following muscles would undergo further testing: two locations on the parasternal intercostals, two locations on the diaphragm, one location on the scalene, and two locations on the sternocleidomastoid. As a result of the first experiment, certain locations were excluded from the second experiment, as they proved to not give a reliable signal. Only three locations remained for testing in the second experiment: one placement on the diaphragm, one placement on the parasternal intercostal muscles, and one placement on the sternocleidomastoid. The second experiment gave positive results for all muscles tested, particularly the diaphragm leads placed bilaterally on the anterior axillary line. Conclusion: This study provides valuable insights into the suitability of different respiratory muscles for sEMG monitoring of COPD patients. The diaphragm and parasternal intercostals with established electrode placement protocols can provide reliable sEMG signal for respiratory activation monitoring. Further research is needed to explore the practical implementation and validate these findings in clinical settings. |
| Item Type: | Essay (Bachelor) |
| Faculty: | TNW: Science and Technology |
| Subject: | 44 medicine, 50 technical science in general |
| Programme: | Technical Medicine BSc (50033) |
| Link to this item: | https://purl.utwente.nl/essays/98218 |
| Export this item as: | BibTeX EndNote HTML Citation Reference Manager |
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