=Paper= {{Paper |id=Vol-3200/paper26 |storemode=property |title=Information Technology for Identification of Electric Stimulating Effects Parameters |pdfUrl=https://ceur-ws.org/Vol-3200/paper26.pdf |volume=Vol-3200 |authors=Volodymyr Fedorchenko,Igor Prasol,Olha Yeroshenko }} ==Information Technology for Identification of Electric Stimulating Effects Parameters == https://ceur-ws.org/Vol-3200/paper26.pdf
Information Technology for Identification of Electric Stimulating
Effects Parameters
Volodymyr Fedorchenko, Igor Prasol and Olha Yeroshenko
Kharkiv National University of Radio Electronics, Nauky Ave. 14, Kharkiv, 61166, Ukraine


                  Abstract
                  A wide range of modern therapeutic devices based on various physical principles, widely used in
                  medicine, cosmetology, sports. Among them, electric massage devices occupy a worthy place,
                  alternative to classic manual massage. Therapeutic electromassage procedures are popular,
                  convenient and beneficial for the recovery of the body. They are widely used in the treatment of
                  chronic diseases of the circulatory system, musculoskeletal system, internal organs, etc. The
                  restoration of damaged muscles is especially effective, provided that the parameters of
                  stimulating effects are chosen correctly. Therefore, in this work, it is proposed to use an
                  information method for studying the neuromuscular system based on electromyography.
                  The parameters of the stimulating effect do not always optimally correspond to a specific patient
                  or a selected area of the body, which leads to insufficient effectiveness of therapeutic procedures,
                  prolongation of rehabilitation. Elimination of shortcomings is possible due to the adjustment of
                  the parameters of electrical stimuli depending on the data of myographic studies of a particular
                  patient.
                  Based on the data obtained by EMG, specific parameters of stimulating effects (electrical
                  impulses) are selected, such as amplitude, frequency, duty cycle, etc., which makes it possible to
                  implement a technical device for carrying out rehabilitation procedures. Therefore, an
                  electromassage apparatus is proposed, built on the basis of a modern microcontroller, which
                  allows, on the basis of EMG data, to change stimulating impulses of exposure in a fairly wide
                  range, thereby realizing an individual approach to each patient and increasing the efficiency of
                  therapeutic procedures.

                  Keywords 1
                  Biomedical parameters, electromyostimulator, total electromyography, electromyogram,
                  neuromuscular system, musculoskeletal system, time-frequency analysis


1. Introduction                                                                                   The effectiveness of the use of electrotherapy
                                                                                              devices is largely based on the use of methods and
                                                                                              means of diagnostic support, which would give
   In the modern world, the number of factors
                                                                                              objective information about the patient's
negatively affecting human health is becoming
                                                                                              condition, contributing to the successful solution
more and more.The human body ceases to have
                                                                                              of the problem localization of zones of influence
time to heal itself.All this requires a search for
                                                                                              for electrostimulation, correct setting and
new combinations of recovery methods., when
                                                                                              achievement of treatment goals.
medical devices are used in conjunction with drug
                                                                                                  In order to improve the quality and speed of
methods, implementing various types of
                                                                                              treatment, system development required, in which
electrotherapy.


III International Scientific And Practical Conference “Information
Security And Information Technologies”, September 13–19, 2021,
Odesa, Ukraine
EMAIL:             volodymyr.fedorchenko@nure.ua            (A. 1);
igor.prasol@nure.ua (A. 2); olha.yeroshenko@nure.ua(A. 3)
ORCID: 0000-0001-7359-1460 (A. 1); 0000-0003-2537-7376
(A. 2); 0000-0001-6221-7158 (A. 3)
              ©️ 2021 Copyright for this paper by its authors. Use permitted under Creative
              Commons License Attribution 4.0 International (CC BY 4.0).

              CEUR Workshop Proceedings (CEUR-WS.org)
automation will be provided, allowingprovide the
most effective treatment result.
   The ultimate goal of creating an automated
electrotherapy system is to develop modeling
methodsand research of control systems and
devices percutaneous electroneurostimulation,
characterized by adaptation to changes in
biological objects.
   The novelty is the development of a
methodology for analyzing the functions of             Figure 1: Dependence of the signal amplitude
electrostimulating devices, which makes it             and the excitation threshold of the
possible to minimize negative effects during the       neuromuscular structure( а) - muscle fiber, б) –
stimulation procedure.                                 muscle, 1) subthreshold stimulus, 2) threshold
                                                       stimulus, 3) submaximal suprathreshold
2. Electrostimulation                                  stimulus, 4) maximum suprathreshold stimulus)

    Electrical stimulation in this approach causes         The dependence of the amplitude of muscle
minimal changes in the treated area of the skinand     contraction on the strength of the stimulus occurs
nearby tissues, which allows to increase the           according to the law of power relations:
efficiency of the treatment process.                       • Each excitatory tissue has its own
    Skeletal muscle electrical stimulation, which      functional reserve.
are the basis of the musculoskeletal system, gives         • Each excitatory tissue has its own
a positive healing, preventive and training effects.   functional boundary.
    During electrical stimulation of the                   With the help of electrical stimulation, you can
neuromuscular system, a rational choice of modes       temporarily change the muscle composition. In all
is importantand a combination of tonic and kinetic     cases, the strength of the electrical stimulation
contractions, which significantly affect the           current depends on its density per unit area of the
increase in mass, development of strength,             electrodes, resistance value on the electrode-skin
increased excitability and muscle performance [1,      section, excitability of those muscles, which are
2].                                                    subject     to    stimulation      and     individual
    Electrical    stimulation     is   successfully    characteristics of the human body. The most
combined with traditional drug therapy. To             important factor that determines the shape of
enhance metabolic and trophic processes, muscle        muscle contraction is the frequency of irritation.
tissue stimulation is performed using targeted         Single muscle contractions are possible only with
stimulation and contraction of a specific muscle       a low frequency of irritation. At a high frequency
group.                                                 of stimulation, the muscle contracts tetanically.
    An important property of neuromuscular             For human skeletal muscles, the optimum
structures when irritated by electric currents, the    frequency of stimulation is different. The
dependence of excitability on the rate of change       optimum frequency of irritation also changes
in the amplitude of the stimulating signal [1].        when the state of the body changes (fitness, time
    Depending on the signal amplitude and the          of day, previous load, etc.). Pulse electric current
excitation threshold of the neuromuscular              used in electrostimulation has a wide variety of
structure, the following electrostimulation modes      characteristics (frequency, shape, pulse duration,
are distinguished: subthreshold, threshold and         character of the current, the ratio of the periods of
suprathreshold(fig. 1) [3-5].                          stimulation and pauses, etc.), which leads to a
                                                       great variety of options for conducting electrical
                                                       stimulation of the locomotor system. Optimal
                                                       electrical stimulation is only possible if, when the
                                                       repetition rate and shape of stimulating signals
                                                       correspond to the physiological properties of
                                                       neuromuscular structures.

                                                       3. Characteristics              of         muscle
                                                          contraction
    The strength and speed of contraction are              • Relative strength - the ratio of maximum
important characteristics of a muscle. The             strength to anatomical diameter.
equations expressing these characteristics were            The greatest work and power is achieved at
empirically obtained by A. Hill and subsequently       medium loads [4-6].
confirmed by the kinetic theory of muscle
contraction (Deshcherevsky's model).                   4. Electromyographic                        signal
    Hill's equation, which relates the strength and
speed of muscle contraction, has the following
                                                          processing method
form [6-8]:
                                                           For a qualitative and quantitative assessment
    (P+a)(v+b) = (P0+a)b = a(vmax+b),          (1)
                                                       of the state of the human neuromuscular system
where v – muscle shortening rate; P – muscle
                                                       using electromyogram (EMG) the information
force or load applied to it; vmax - maximum speed      method of time-frequency analysis based on
of muscle shortening; P0 - strength developed by a     spectrograms can be used (fig. 2, fig. 3) [6-12].
muscle in isometric contraction mode; a, b -               This method is implemented on the basis of the
constants.                                             fast windowed Fourier transform. In this case, the
    The total power developed by the muscle is         signal is divided into time intervals ("windows")
determined by the formula:                             of short duration, within which it can be
           Ngen = (P+a)v = b(P0-P).            (2)     considered stationary. Time intervals are called
    The muscle efficiency remains constant (about      quasi-stationary segments, and the approach to
40%) in the range of strength values from 0,2 P0       processing is analysis over short intervals [13-30].
to 0,8 P0. In the process of muscle contraction, a     The original signal on the selected segment is
certain amount of heat is released. This value is      multiplied by the window function and undergoes
                                                       a fast Fourier transform in accordance with the
called heat production.
                                                       expression:
    Heat production depends only on the change in
                                                             STFT = ∫ [x(t)⋅ω∗ (t –τ)] ⋅ e−2jftπ dt,  (4)
muscle length and does not depend on the load.
                                                       where x(t) – original signal, ω(t) – window
Constants a and b have constant values for a given     function, kτ – time shift amount, k – the ordinal
muscle. Constant a has the dimension of force, a       number of the window shift, f – frequency, t –
and b - velocity. Constant b is highly temperature     time, ω∗ (t) – complex conjugate window function
dependent. The constant a is in the range of values    [13-14].
from 0,25 P0 to 0,4 P0. Based on these data, the           Next, we obtain a portion of the spectrogram
maximum rate of contraction for a given muscle         for the analyzed window by squaring the real part
is estimated. [7-13]:                                  (amplitude) of the windowed Fourier transform:
               vmax = b•( P0 / a).             (3)                    X(t) = | STFT(τk,f)|2.          (5)
    Muscle strength depends on the morphological           To conduct a quantitative analysis of EMG
properties and physiological state of the muscle:      signals, it is necessary to calculate the following
    • The original muscle length (resting length).     parameters of the time-frequency representation
                                                       of the total EMG: lower and upper cutoff
The more the muscle is stretched at rest, the
                                                       frequency, median frequency, effective spectrum
stronger the contraction (Frank-Starling law).
                                                       width and a number of others [13-41].
    • Muscle diameter or cross section. Allocate           The average signal amplitude is also calculated
two diameters:                                         by the formula:
       - anatomical diameter - muscle cross                                 1
                                                                    𝐴ср =       ∑|𝐴 [𝑖 ]|,            (6)
section.                                                                    𝑁
       - physiological        diameter     -     the   where A [i] - amplitude of the i-th sample of the
perpendicular section of each muscle fiber. The        registered signal, N – signal counts.
larger the physiological section, the more strength        The lower and upper cutoff frequencies
the muscle has.                                        determine the effective spectrum width, i.e., the
    There are two types of muscle strength:            frequency range in which at least 90% of the
                                                       signal power is concentrated [17-20]. The median
    • Absolute strength - the ratio of maximum
                                                       is the frequency dividing the area under the energy
strength to physiological diameter.                    spectral density curve into two equal parts [16].
    Determination of frequency parameters is
performed automatically based on the results of
calculating the spectrogram of the EMG signal.
For this, the value of the EMG signal energy in
each cell of the spectrogram is calculated:
              𝐸 [𝑖, 𝑗] = 𝐴[𝑖, 𝑗]2 ,          (7)
            [  ]
where A i, j - the amplitude of the
electromyogram in the i-th row and j-th column.
    Next, we determine the median frequencyfm .
For this, a column with a serial number j is
allocated, which corresponds to the spectral
energy density of the signal at the j-th moment of
time.
    Signal energy concentrated in effective          Figure 3: Corresponding spectrogramof the
spectrum widthEэфф [j] is more than 90%,             muscle m. biceps brachii
calculated by the formula:
                         𝐹                               Let us represent the parameters of the EMG
        𝐸эфф [𝑗] = 0,95 ∑ 𝐸 [𝑘, 𝑗].          (8)     signal in the form of a certain finite set
                        𝑘=1                                       𝐴𝑚 = {𝑎𝑖 }(𝑖 = ̅̅̅̅̅̅
                                                                                  1, 𝑚),            (9)
   Lower cutoff frequencyfнj is determined from      where А - the designation of this set; m –
the condition: the difference between the sum of     cardinality multitudes; аi – elements of the set.
the elements of the column with indices from fнj         The elements of the set can be amplitudes,
                    1                                frequencies of the spectrum components, phase
tо fmj and the value Eэфф [j] minimal modulo.        shifts, etc.
                     2
    Upper cutoff frequencyfвj is determined from         Let us represent the parameters of stimulating
the condition: the difference between the sum of     influences also in the form of a finite set
the elements of the column with indices from fmj                  𝐵𝑛 = {𝑏𝑖 }(𝑖 = ̅̅̅̅̅
                                                                                  1, 𝑛),           (10)
                   1                                 where B - the designation of this set; n –
tо fвj and the value Eэфф [j] minimal modulo.        cardinality multitudes; bi – elements of the set.
                     2
    These processing parameters make it possible         The elements of the set can be the amplitude
to fully assess the frequency content of the EMG     and frequency of stimuli, the type of modulation,
signal.                                              modulation parameters, time intervals, etc.
                                                         Thus, the task is to determine such a
                                                     transformation      ω,    which      provides     an
                                                     unambiguous display of the elements of the
                                                     number А to the corresponding elements В
                                                                            𝜔
                                                                      𝐴 →𝐵 ,                       (11)
                                                                        𝑚     𝑛
                                                        EMG signal processing allows for ongoing
                                                     monitoring the effectiveness of therapeutic effects
                                                     due to the optimal selection parameters of
                                                     stimulating effects.

                                                     5. Conclusions

                                                         Quantitative    analysis     of  the    total
Figure 2: Electromyogramof the muscle m. biceps      electromyogram of the trained and untrained
brachii                                              muscle m. biceps brachii revealed the following
                                                     patterns:
                                                         – the average amplitude of the EMG signal for
                                                     trained subjects reaches the highest values
                                                     345,62±148,10 μV, for the untrained equals
                                                     189,27±84,00 μV;
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lowest values 111,44±27,62 Hz for trained                  10.20998/2411-0558.2019.13.15
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