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  <front>
    <journal-meta>
      <journal-title-group>
        <journal-title>February</journal-title>
      </journal-title-group>
    </journal-meta>
    <article-meta>
      <title-group>
        <article-title>Epidermal Sensing of Muscle Compensation</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Pei-Shin Hwang∗</string-name>
          <email>b06901013@ntu.edu.tw</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Yi-Ting Wu∗</string-name>
          <email>b07901095@ntu.edu.tw</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Polly Huang</string-name>
          <email>pollyhuang@ntu.edu.tw</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Department of Electrical Engineering, National Taiwan University</institution>
        </aff>
      </contrib-group>
      <pub-date>
        <year>2021</year>
      </pub-date>
      <volume>17</volume>
      <issue>2021</issue>
      <abstract>
        <p>Towards efective and injury-free body building, we seek to explore the use of Electromyography (EMG) sensor for the detection of muscle compensation, a phenomenon often observed in physical exercises due to malcompliance or fatigue.</p>
      </abstract>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>MOTIVATING APPLICATION</title>
      <p>
        Weight training is one of the most popular modern exercises to build
muscle strength and resistance. It benefits not only the physical but
also mental health, where stronger muscles allow body movement
at a higher caliber, and being in shape raises also self-confidence
and social attention. Muscle building appears straightforward,
involving lifting, pulling, or pressing of weights, and more repetitions
or heavier weights result in more robust muscles. The dilemma is
however that incorrect postures or lifting excessive weights might
compromise the training efectiveness and, in the worst case, lead
to injuries [
        <xref ref-type="bibr" rid="ref6">6</xref>
        ]. One common cause of injuries is muscle
compensation – the phenomenon in which one overuses muscles that are not
subject to training when the target muscles are exhausted and can
no longer complete the training independently. Figure 1 shows
how the ill positioned elbow may activate the upper trapezius to
compensate the load supposedly for the bicep. Given the dificulty
spotting muscle compensation with bare eyes, these types of
exercise malcompliance often go unnoticed.
      </p>
      <p>
        To this end, we find opportunities in utilizing electromyography
(EMG) signals collected from widespread body surface to assess
muscle compensation. EMG signaling is a common and efective
method to evaluate muscle performance. Past works have focused
the use of EMG signals from a few targeted muscles and in the
laboratory settings [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ]. With the rise of multi-point epidermal EMG
sensors that are soft and bendable [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ], it is no longer far fetched to
observe muscle interactions in everyday training. As a motivating
application and a feasibility study, we share in this abstract a
preliminary investigation of a wearable IoT that might grow capable
of identifying specific patterns between EMG signals and issuing
feedback in sign of muscle compensation.
∗Both authors contributed equally to this research.
      </p>
      <p>Copyright 2021 for this paper by its authors. Use permitted under Creative Commons
License Attribution 4.0 International (CC BY 4.0).</p>
    </sec>
    <sec id="sec-2">
      <title>RELATED WORK</title>
      <p>
        The surface EMG (sEMG) refers to the sensing of biopotentials
extracted from the electrodes on skin surface, and it has been used
widely for sports analysis, physical rehabilitation and as means
of human-computer interface. In particular, Ke Ma et al. [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ]
proposed an sEMG-based trunk compensation detection (sEMG-bTCD)
mechanism, which was validated by the sEMG signals collected
from nine superficial trunk muscles of the stroke participants
during their rehabilitation therapy. Liu et al. [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ] devised a miniature,
mobile EMG patch to monitor muscle fatigue during isotonic
contraction. The system was shown capable of computing the median
frequency of sEMG signal in real time and displayed the level of
muscle fatigue through a smartphone APP. Moreover, Biagetti et al.
[
        <xref ref-type="bibr" rid="ref2">2</xref>
        ] presented a wireless system for sEMG and accelerometer signal
acquisition to detect, monitor and recognize the human activity
being performed.
3
      </p>
    </sec>
    <sec id="sec-3">
      <title>SYSTEM PROTOTYPE</title>
      <p>Our hardware consists of a microcontroller, two muscle sensors,
and a Bluetooth module. We use an Arduino Uno 1 as the
microcontroller for the prototype. The EMG signal is extracted from
Myoware 3-lead muscle sensors 2. We choose this particular muscle
sensor because it provides not only raw EMG signals but also
rectiifed and integrated EMG signals, which works well with Arduino’s
analog-to-digital converter. The gain of signal rectification is
adjustable on-board. We also connect an additional HC-06 Bluetooth
module 3 for data transmission.
4</p>
    </sec>
    <sec id="sec-4">
      <title>PRELIMINARY RESULT</title>
      <p>A small number of participants are invited to the prototype trial.
As depicted in Figure 3, each participant is instructed to perform
the bicep curl with dumbbells of specific weights. Within the
participants’ capabilities, 5 weights, 2 kilograms apart are lifted. The
1https://store.arduino.cc/usa/arduino-uno-rev3
2http://www.advancertechnologies.com/p/myoware.html
3https://components101.com/wireless/hc-06-bluetooth-module-pinout-datasheet
participants perform each set of exercise with constant speed within
a 20 second duration. Figure 2 shows the rectified sEMG signals
of one participant lifting 6kg and 8kg weights. The blue lines
display the signals of the bicep muscles, on which five clusters that
correspond to five sets of bicep curl are clearly visible. The red
lines display the signals of upper trapezius muscles. As the
participant lifts a 6kg weight, this signal remains at a relatively low and
stable level. On the contrary, when lifting an 8kg weight, one can
observe apparent peaks in the signal, which implies the substantial
use of the trapezius muscles. This showcases the plausibility of an
EMG-based wearable for muscle compensation assessment.</p>
      <p>Furthermore, Figure 4 shows the normalized peak values of
trapezius muscles of eight diferent participants. The peak EMG
amplitude signals of the trapezius muscles in each exercise
cluster are divided by the mean EMG amplitude signal during rest.
As the weight increases, this normalized ratio increases as well.
Generally, a surge of ratio occurs at 6kg and above, whereas
individual diferences can be observed. (1) The yellow and sky blue
lines, which increase slightly and stably, are collected from athletic
participants. (2) The brown and grey lines, which show a surge at
4kg but remain flat through 6kg, are the only data collected from
male participants. (3) The dark blue line shows a unique pattern–
not increasing much through 8kg but shooting up at 10kg, which
suggests that the participant might have no strength left at all for
lifting the 10kg weight. These distinctions imply the distinctive
physical abilities of individual participants, thus various extents of
muscle compensation.</p>
      <p>As for further utilization of the results, we find that there is no
binary classification but rather multiple levels of muscle
compensation. It is also more sensible to take into account the change of
(i.e, the slope) of signal ratios as well as the sheer amplitudes in
characterizing types of muscle compensation.</p>
    </sec>
    <sec id="sec-5">
      <title>5 WORK IN PROGRESS</title>
      <p>We are currently pursuing work in two dimensions. First is
computerization of the process to quantify the level of muscle
compensation and to characterize the risk of posture deformation, excessive
weight, or fatigue. In the meantime, we seek to stream line the
computation tasks on board the epidermal wearable to enable real-time
user feedback. This may require an upgrade to Raspberry Pi or
processors of higher computation capability.</p>
    </sec>
  </body>
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