Cai - Emg Study

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Electromyographical Analysis of Selected Lower

Extremity Muscles During the Star Excursion Balance


Test in Individuals with Chronic Ankle Instability
Takeshi Kitamura, WSU MSAT

EMG Analysis
One-way ANOVA + Post-hoc tests
Independent variables:
Grouped subjects by FAI, Coper, and Control

Dependent variables:
Ave. Mean % of EMG (Peroneus Longus, Tibialis Anterior,
Gluteus Medius) during Y-Balance test (Anterior, Posterior-

Lateral, and Posterior Medial directions)

EMG results
FAI

12

Av. Mean %
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22

Per Longus
29.8
26.8
26.3
32.9
32.9
34.4
31.4
33.3
31
42.8
36.5
38
38.5
25.2
46
29.9
25.1
25.2
41.4
40.8
33.4
39.9

Coper
ANT
Tib Ant
34.6
34.2
26.9
33.4
37.6
34.9
36.5
45.4
37.3
31.7
31.1
37.8
46.2
28.7
30.4
36.4
39.6
40.4
42.1
29.2
34.5
36

Glute Med
27.2
22.1
26.1
30.7
30.2
22.2
29.4
27.9
34.5
26.7
23.1
23.8
30.1
26.6
27.7
34.3
31.8
26.1
36.8
22.9
31.9
19.3

Control

Per Longus
30.1
29
25.2
36.3
40.3
150
35.3
33.2
37.6
55.4
39.5
44
46
30.5
51.3
30.6
27.6
37.3
67
50.4
41.3
40.9

4
PL
Tib Ant
38.1
38
28.6
36.3
44.9
35.6
47.7
38.9
48.3
43.5
32.4
37.6
46.9
32.8
35.8
44.3
44.6
47.7
40.1
32.4
37.2
44.1

Glute Med
32.1
20.6
28.6
28.3
32.7
27.6
38.6
35
38.8
35.1
28.1
29.9
40.9
45.2
38.8
47.3
41.1
43.6
44.3
26.5
37.2
23.1

Per Longus
26.3
27.9
25
32.7
38.4
81.3
33
35.2
36.6
34.8
34.2
46.2
38.5
27.7
48.1
31.9
27
33
45.6
49
35.7
41.7

PM
Tib Ant
36
38.7
33
32.6
43.2
39.5
42.2
42.4
44.2
36.5
36.1
37.9
46.9
33.3
34
44.8
39.2
45.2
40.4
32.2
32.5
44.1

Glute Med
27.2
21.1
25.1
28.1
28.3
25.3
32.7
31.1
32.3
25
24.1
25
35.1
28.4
29.6
34.3
40.1
29.7
31.3
28.7
31.8
25.4

Noraxon Report

Noraxon Report
Patient

Patient

Record

Project
First Name
Last Name
Sex

T TEST
Justin
Valdez
Male

Name
Date Measured
Number of periods

Mean, %

Channel Curves

Av. Mean, %

Mean
Frequency, Hz

100

50

50

24.7

31

55.6

T2
11/7/2013 11:05 AM
3

Mean, %

Av. Mean, %

Mean
Frequency, Hz

23.2

40.8

54

22.3

29.2

80.8

13.1

22.9

33.2

LT TIB.ANT., %

RT TIB.ANT., %
100

100

50

50

16.6

37.3

69.1

0
LT GLUT. MED., %

RT GLUT. MED., %
100

100

50

50

s0

Name
Date Measured
Number of periods

Channel Curves

100

Parameter
Mean, %
Av. Mean, %
Mean Frequency, Hz

T TEST
Desirae
Cruse
Male

LT PERONEUS, %

RT PERONEUS, %

0
Periods 1 Begin
Markers

Record

EMG samples
Project
First Name
Last Name
Sex

Y-balance EMG
10/17/2013 11:35 AM
3

29.5
2 Begin 5.1
1 Marker 5.0
5

3 Begin 10.4
2 Marker 10.2
10

RT PERONEUS, %
24.74.06
312.57
55.64.82

34.5

31.6

3 ...

0
Periods 1 Begin
Markers
s0

15

RT TIB.ANT.

RT GLUT. MED.
16.63.33
37.32.09
69.13.08

FAI (ANT)

29.52.08
34.50.699
31.61.92

Parameter
Mean, %
Av. Mean, %
Mean Frequency, Hz

2 Begin 5.1

3 Begin 9.0

10

LT PERONEUS, %

LT TIB.ANT.
23.27.32
40.82.32
540.429

Coper (ANT)

LT GLUT. MED.
22.35.67
29.23.37
80.811.3

13.11.38
22.90.562
33.21.76

EMG: Anterior Reach


Descriptives
N

Mean

Std. Deviation

Std. Error

95% Confidence Interval for Mean


Lower Bound

FAI
EMG (Peroneus Longus)

EMG (Tibialis Anterior)

EMG (Gluteus Medius)

Minimum

Maximum

Upper Bound

12

34.6250

7.23491

2.08854

30.0282

39.2218

25.10

46.00

Coper

33.0000

4.72398

1.92856

28.0425

37.9575

26.80

40.80

Control

32.0000

5.30911

2.65456

23.5520

40.4480

25.20

38.00

Total

22

33.7045

6.15935

1.31318

30.9736

36.4354

25.10

46.00

FAI

12

36.3083

5.50627

1.58952

32.8098

39.8069

26.90

46.20

Coper

35.2833

5.37937

2.19612

29.6380

40.9286

29.20

45.40

Control

34.3750

4.01943

2.00972

27.9792

40.7708

28.70

37.80

Total

22

35.6773

5.06697

1.08028

33.4307

37.9238

26.90

46.20

FAI

12

28.8917

5.06529

1.46222

25.6733

32.1100

19.30

36.80

Coper

25.5000

3.60278

1.47083

21.7191

29.2809

22.10

30.70

Control

27.9250

3.49988

1.74994

22.3559

33.4941

23.80

31.90

22

27.7909

4.52495

.96472

25.7847

29.7972

19.30

36.80

Total

EMG: Anterior Reach


Tests of Normality
Group

Kolmogorov-Smirnov
Statistic

FAI
EMG (Peroneus Longus)

EMG (Tibialis Anterior)

Shapiro-Wilk

Sig.
12

Statistic

df

Sig.

.200

.937

12

.460

.956

.788

Coper

.217

.200

Control

.205

.986

.935

.979

12

.979

FAI

.144

12

.200

Coper

.362

.014

.817

.083

Control

.262

.895

.407

12

.200

.976

12

.962

.869

.222

.990

.959

FAI
EMG (Gluteus Medius)

.125

df

.124

Coper

.265

.200

Control

.163

*. This is a lower bound of the true significance.


a. Lilliefors Significance Correction

**EMG data is normally distributed for FAI, Coper, Control (p > .05)

EMG: Anterior Reach

Peroneus Longus

Tibialis Anterior
*1 outlier & extreme outlier (Coper)
due to measurement error

Gluteus Medius

EMG: Anterior Reach

EMG: Anterior Reach


ANOVA
Sum of Squares
Between Groups
EMG (Peroneus Longus)

12.384

Within Groups

771.923

19

40.628

Total

796.690

21

12.494

6.247

Within Groups

526.665

19

27.719

Total

539.159

21

46.102

23.051

Within Groups

383.877

19

20.204

Total

429.978

21

Between Groups
EMG (Gluteus Medius)

Mean Square

24.767

Between Groups
EMG (Tibialis Anterior)

df

Sig.
.305

.741

.225

.800

1.141

.340

**No statistically significant differences in EMG between groups

EMG: Posterior-Lateral Reach

EMG: Posterior-Lateral Reach


Tests of Normality
Group

Kolmogorov-Smirnov
Statistic

EMG (Peroneus Longus)

EMG (Tibialis Anterior)

Shapiro-Wilk

Sig.

Statistic

df

Sig.

.950

12

.637

FAI

.189

12

.200

Coper

.371

.010

.628

.001

Control

.220

.958

.766

FAI

.275

12

.013

.858

12

.046

.897

.357

Coper

.229

.200

Control

.327

.891

.388

12

.200

.952

12

.665

.970

.891

.978

.889

FAI
EMG (Gluteus Medius)

df

.186

Coper

.188

.200

Control

.217

*. This is a lower bound of the true significance.


a. Lilliefors Significance Correction

***EMG (PL) for Coper & EMG (TA) for FAI are NOT normally distributed (p < .05)

EMG: Posterior-Lateral Reach

Peroneus Longus
*1 extreme outlier (Coper)
due to measurement error

Tibialis Anterior

Gluteus Medius

EMG: Posterior-Lateral Reach

EMG: Posterior-Lateral Reach


ANOVA
Sum of Squares
Between Groups
EMG (Peroneus Longus)

EMG (Tibialis Anterior)

EMG (Gluteus Medius)

df

Mean Square

925.408

462.704

Within Groups

12853.230

19

676.486

Total

13778.638

21

Between Groups

113.589

56.795

Within Groups

583.849

19

30.729

Total

697.438

21

Between Groups

334.871

167.435

Within Groups

846.789

19

44.568

1181.660

21

Total

Sig.
.684

.517

1.848

.185

3.757

.042

***Statistically significant difference in Gluteus Medius EMG between groups


F(2,19) = 3.757, p < .05

EMG: Posterior-Lateral Reach


Multiple Comparisons
Tukey HSD
Dependent Variable

(I) Group

(J) Group

Mean Difference

Std. Error

Sig.

(I-J)
FAI

EMG (Peroneus Longus)

Coper

Control

FAI

EMG (Tibialis Anterior)

Coper

Control

FAI

EMG (Gluteus Medius)

Coper

Control

Coper

95% Confidence Interval


Lower Bound

Upper Bound

-13.27500

13.00467

.573

-46.3127

19.7627

3.78333

15.01650

.966

-34.3653

41.9320

FAI

13.27500

13.00467

.573

-19.7627

46.3127

Control

17.05833

16.78896

.576

-25.5932

59.7098

Control

FAI

-3.78333

15.01650

.966

-41.9320

34.3653

Coper

-17.05833

16.78896

.576

-59.7098

25.5932

Coper

5.21667

2.77168

.171

-1.8247

12.2580

Control

2.94167

3.20046

.635

-5.1890

11.0723

FAI

-5.21667

2.77168

.171

-12.2580

1.8247

Control

-2.27500

3.57823

.802

-11.3653

6.8153

FAI

-2.94167

3.20046

.635

-11.0723

5.1890

Coper

2.27500

3.57823

.802

-6.8153

11.3653

Coper

8.51667

3.33796

.049

.0368

16.9966

-.85833

8.9334

Control

3.85434

.973

-10.6501

FAI

-8.51667

3.33796

.049

-16.9966

-.0368

Control

-9.37500

4.30929

.101

-20.3225

1.5725

.85833

3.85434

.973

-8.9334

10.6501

9.37500

4.30929

.101

-1.5725

20.3225

FAI
Coper

*. The mean difference is significant at the 0.05 level.

EMG: Posterior-Medial Reach


Descriptives
N

Mean

Std. Deviation

Std. Error

95% Confidence Interval for Mean


Lower Bound

FAI
EMG (Peroneus Longus)

EMG (Tibialis Anterior)

EMG (Gluteus Medius)

Minimum

Maximum

Upper Bound

12

36.2333

6.84415

1.97574

31.8848

40.5819

25.00

48.10

Coper

42.0667

20.83983

8.50783

20.1966

63.9367

26.30

81.30

Control

35.6500

7.77882

3.88941

23.2722

48.0278

27.70

46.20

Total

22

37.7182

12.00260

2.55896

32.3965

43.0398

25.00

81.30

FAI

12

40.6333

4.77519

1.37848

37.5993

43.6673

33.00

46.90

Coper

36.9000

4.04079

1.64965

32.6594

41.1406

32.20

42.40

Control

36.4750

4.49768

2.24884

29.3182

43.6318

32.50

42.20

Total

22

38.8591

4.76442

1.01578

36.7467

40.9715

32.20

46.90

FAI

12

30.0250

4.87668

1.40778

26.9265

33.1235

24.10

40.10

Coper

26.9167

3.42369

1.39772

23.3237

30.5096

21.10

31.10

Control

29.4750

3.51129

1.75565

23.8878

35.0622

25.00

32.70

22

29.0773

4.34587

.92654

27.1504

31.0041

21.10

40.10

Total

EMG: Posterior-Medial Reach


Tests of Normality
Group

Kolmogorov-Smirnov
Statistic

EMG (Peroneus Longus)

EMG (Tibialis Anterior)

Shapiro-Wilk

Sig.

Statistic

df

Sig.

.978

12

.974

FAI

.120

12

.200

Coper

.296

.110

.793

.051

Control

.247

.955

.745

FAI

.205

12

.177

.913

12

.235

.934

.613

Coper

.190

.200

Control

.260

.910

.483

12

.200

.936

12

.454

.950

.744

.928

.580

FAI
EMG (Gluteus Medius)

df

.162

Coper

.200

.200

Control

.246

*. This is a lower bound of the true significance.


a. Lilliefors Significance Correction

**EMG data is normally distributed for FAI, Coper, Control (p > .05)

EMG: Posterior-Medial Reach

Peroneus Longus
*1 outlier (Coper)
due to measurement error

Tibialis Anterior

Gluteus Medius

EMG: Posterior-Medial Reach

EMG: Posterior-Medial Reach


ANOVA
Sum of Squares
Between Groups
EMG (Peroneus Longus)

78.511

Within Groups

2868.290

19

150.963

Total

3025.313

21

83.539

41.770

Within Groups

393.154

19

20.692

Total

476.693

21

39.420

19.710

Within Groups

357.198

19

18.800

Total

396.619

21

Between Groups
EMG (Gluteus Medius)

Mean Square

157.023

Between Groups
EMG (Tibialis Anterior)

df

Sig.
.520

.603

2.019

.160

1.048

.370

**NO statistically significant differences in EMG between groups

EMG Analysis: Summary


There is a statistically significant difference in Gluteus Medius
EMG between FAI and Coper groups during Posterior-Lateral
reach (ANOVA = 0.042, Post-hoc = 0.049, p=0.05)
Limitations: small sample size (N = 22), measurement error

(e.g. EMG electrode placement, manual muscle testing)

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