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European Journal of AppliedPhysiology ISSN 1439-6319 Eur J Appl PhysiolDOI 10.1007/s00421-012-2498-2
Uneven spatial distribution of surfaceEMG: what does it mean?
Alessio Gallina, Roberto Merletti &Marco Gazzoni
1 23
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ORIGINAL ARTICLE
Uneven spatial distribution of surface EMG: what does it mean?
Alessio Gallina • Roberto Merletti •
Marco Gazzoni
Received: 19 June 2012 / Accepted: 10 September 2012
� Springer-Verlag 2012
Abstract The aim of this work is to show how changes in
surface electromyographic activity (sEMG) during a repet-
itive, non-constant force contraction can be detected and
interpreted on the basis of the amplitude distribution pro-
vided by high-density sEMG techniques. Twelve healthy
male subjects performed isometric shoulder elevations,
repeating five times a force ramp profile up to 25 % of the
maximal voluntary contraction (MVC). A 64-electrode
matrix was used to detect sEMG from the trapezius muscle.
The sEMG amplitude distribution was obtained for the force
levels in the range 5–25 % MVC with steps of 5 % MVC.
The effect of force level, subject, electrode position and
ramp repetition on the sEMG amplitude distribution was
tested. The sEMG amplitude was significantly smaller in the
columns of the electrode grid over the tendons (repeated
measures ANOVA, p \ 0.01). The barycentre of the dis-
tribution of sEMG amplitude was subject-specific (Kruskal–
Wallis test, p \ 0.01), and shifted caudally with the increase
of force levels and cranially with the repetition of the motor
task (both p \ 0.01, repeated measures ANOVA). The
results are discussed in terms of motor unit recruitment in
different muscle sub-portions. It is concluded that the sEMG
amplitude distribution obtained by multichannel techniques
provides useful information in the study of muscle activity,
and that changes in the spatial distribution of the recruited
motor units during a force varying isometric contraction
might partially explain the variability observed in the acti-
vation pattern of the upper trapezius muscle.
Keywords Electromyography � Muscle �Motor unit recruitment � Methods
Abbreviations
EMG Electromyography
sEMG Surface electromyography
MU Motor unit
MVC Maximal voluntary contraction
IZ Innervation zone
RMS Root mean square
ANOVA Analysis of variance
Introduction
For the assessment of upper limb and shoulder girdle
movements, the study of the activity of the trapezius
muscle is of paramount importance because of its role in
the stabilization of the scapula. In this muscle, subject-
specific patterns of activation, in terms of timing and
contraction intensity, were reported during standardized
motor tasks and functional activities such as industrial
work (Balogh et al. 1999; Mork and Westgaard 2005) and
musical performance (Fjellman-Wiklund et al. 2004).
These inter-individual differences in muscle activation may
be due to the activation of specific portions of the muscle.
The selective activation of muscle sub-portions was
observed within some muscles (English and Segal 1993)
and it was confirmed (1) in multi-functional muscles
depending on the direction of the exerted force (Wickham
and Brown 2012), (2) in painful conditions (Tucker et al.
2009), and (3) under voluntary control when a feedback on
muscle activation was provided to the subject (Holtermann
et al. 2009).
Communicated by Toshio Moritani.
A. Gallina (&) � R. Merletti � M. Gazzoni
Laboratory for Engineering of the Neuromuscular System
(LISiN), Politecnico di Torino, Torino, Italy
e-mail: [email protected]
123
Eur J Appl Physiol
DOI 10.1007/s00421-012-2498-2
Author's personal copy
The trapezius muscle has different lines of action, being
able to apply forces to the scapula in various directions
(Johnson et al. 1994). Selective activation of independent
muscle sub-portions was reported for this muscle (Holter-
mann et al. 2009, Falla and Farina 2008a). These works
used intramuscular EMG or sets of bipolar detection sys-
tems that allow to detect the activity of a limited muscle
volume. To map the whole muscle activity with higher
spatial resolution, it is possible to use high-density sEMG
technique (HD-EMG) with tens of electrodes spaced no
more than one centimeter (reviewed in Merletti et al.
2010). Some studies in literature investigated with this
technique the topography of the EMG distribution in the
trapezius muscle (Kleine et al. 2000; Holtermann and
Roeleveld 2006) showing heterogeneous distribution of the
muscle activity.
The aim of this study was to further investigate the EMG
activity of the trapezius muscle by means of HD-EMG
covering a larger portion of the muscle and with a higher
density of the electrodes with respect to previous works to
verify (1) how the anatomical characteristics of the muscle
influence the EMG amplitude distribution, (2) if the EMG
amplitude distribution during a task is subject-specific, and
(3) how the EMG amplitude distribution changes in the
trapezius along the repetition of a simple isometric force-
varying motor task.
Methods
Subjects
Twelve healthy male subjects participated in the study
[age (mean ± SD): 29.8 ± 6.1, height: 181.7 ± 6.0 cm,
weight: 75.2 ± 8.0 kg]. All the subjects were pain-free at
the time of the experiment, and reported no complaints of
pain in the neck-shoulder region in the previous month.
Subjects provided a written, informed consent before
beginning the experimental session, and the study was
approved by the local ethics committee.
Protocol
Subjects were seated upright in a custom-made chair
designed for shoulder elevation measures. A strap with a
plastic protection for the shoulder was secured on the subject
right shoulder and connected to a load cell fixed to the floor.
The subject performed three maximal voluntary contrac-
tions (MVC) of 5 s each, separated by a 2-min rest in
between. A visual feedback of the exerted force was pro-
vided to the subject. The maximum of the three force mea-
sures was considered the reference MVC. The subject was
asked to perform five force-varying isometric contractions
using a visual feedback on force, following a triangular
profile from 0 % MVC up to 25 % MVC in 15 s with 4-s rest
in between. The force level below 25 % MVC was selected
to simulate the force demand during daily activities and the
number of ramps was limited to five to avoid fatigue. To
familiarize the subject with the requested task and the
feedback, a training session of at least 10 min was provided.
During the training, the subject was asked whether he was
feeling comfortable with the strap; not much variations of
the length of the strap were allowed in order to make the
subject to feel as comfortable as possible during the force
exertion. The position and orientation of the scapula were
not constrained by the experimental set-up.
Surface EMG acquisition
Surface EMG signals were detected using a two-dimen-
sional grid of 64 electrodes (SPES-MEDICA, 1-mm
diameter, 8-mm interelectrode distance). The electrodes
were arranged in a grid of five columns (cranio-caudal
direction) and 13 rows (medio-lateral direction), with the
first corner electrode [1, 5] missing. The electrode grid was
Fig. 1 Position of the electrode grid on the trapezius muscle. The
electrode grid was positioned on the basis of some anatomical
reference points: the acromion, the C7 vertebra and the position of the
innervation zones. The position of the innervation zone (light greyarea) was identified using a linear electrode array in two different
locations (dark grey circles) of the muscle. The electrode grid was
positioned between the innervation zone and the spine. The fourth
row of the electrode grid was aligned with the line connecting C7 to
acromion; the missing electrode was positioned cranially and
laterally. The electrode [1 1] (i.e. first row, first column) is the most
cranial and medial
Eur J Appl Physiol
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placed on the trapezius muscle with the rows in the
direction of the muscle fibers as described in the following
(Fig. 1); to avoid the innervation zones (IZ) under the
detection area, the position of the main IZ was identified by
visual inspection of the signals detected using a linear
electrode array covering the entire muscle, as described by
Barbero et al. (2011). The IZ position was identified on the
line linking the acromion and C7 vertebra and on a parallel
line 5 cm caudal with respect to the previous one. The
electrode grid was placed medially with respect to the
identified IZ with the fourth row positioned on the line
linking acromion and C7, to align the muscle fibers with
the rows of the matrix (Farina et al. 2008). The region of
the skin where the matrix was located was slightly abraded
with abrasive paste. The matrix was fixed to the skin by
adhesive tape and a reference electrode was placed at the
wrist. Surface EMG signals were acquired in monopolar
configuration, amplified 500 times, band-pass filtered
(-3 dB bandwidth, 10–500 Hz), sampled at 2,048 samples/s
and converted to digital data by a 12 bit A/D converter
(EMG-USB amplifier, LISiN and OT-Bioelettronica, Italy).
Single differential spatial filtering was performed by soft-
ware along the matrix rows, resulting in a 13 9 4 single
differential channels, and signals were digitally band-pass
filtered at 20–400 Hz. Channels with contact problems or
short circuits were identified through visual inspection of
the raw EMG signals; both bad channels and the missing
channel in the top-lateral position of the matrix were
reconstructed by interpolation of the neighbouring chan-
nels. The force signal was recorded using a load cell
connected to the shoulder strap, conditioned using the
EMG-USB amplifier and low-pass filtered at 8 Hz. Raw
EMG signals collected from one subject are shown in
Fig. 2.
Data processing
Signals recorded during the ascending phase of the five
ramps have been considered (15 s each). The root mean
square (RMS) was calculated for each single differential
channel on epochs of 1.25 s (corresponding to a 2 % MVC
force step in the ideal conditions of a perfect linear force
ramp) centred on the time instants corresponding to 5, 10,
15, 20, and 25 % MVC. The barycentre of the RMS dis-
tribution has been calculated over the two lateral columns
for the analysis of cranio-caudal distribution of EMG
amplitude. RMS values of the two lateral columns
(2 9 13) were averaged (1 9 13), and the barycentre was
processed along the resulting vector.
Statistical analysis
Statistical analysis was performed with the software
Sigmaplot 12. Before each statistical test, the assumption
of normality of the data was checked using the Shapiro–
Wilk test.
The analysis of medio-lateral differences in the ampli-
tude distribution has been performed on the mean ampli-
tude values estimated on the columns of the matrix. The
repeated measures analysis of variance (ANOVA) was
performed, considering force level and matrix column as
factors.
Fig. 2 Example of raw SD
EMG signals (subject number
11, 4th ramp). The epoch shown
is in correspondence of the peak
of force (25 % MVC). The
differential spatial filter was
applied along the matrix rows
that are aligned with the fiber
direction. The innervation zone
is lateral to the electrode grid
(i.e. below the fourth column in
this plot). Two action potentials
belonging to two different
motor units are clearly visible in
the cranial (left of the matrix,
rows 1–5) and in the caudal
portion (right of the matrix).
Action potentials have lower
amplitude in the medial position
(1st column) than the lateral one
(4th column)
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To test if the cranio-caudal distribution of EMG activity
is dependent on the subject, the effect of the subject on the
average position of the barycentre was tested with the
Kruskal–Wallis test.
The influence of the force level and of the ramp repe-
tition on the cranio-caudal position of the barycentre was
tested using the repeated measure ANOVA test (repeated
measures on subjects, factors: force level and ramp ordinal
number). Holm–Sidak post hoc test was applied when
appropriate.
The level of significance was set to p = 0.05 for all the
statistical analysis.
Results
The assumptions of normal distribution and equality of
variance were verified for the medio-lateral amplitude dis-
tribution and for the cranio-caudal distribution (p \ 0.05)
while the average position of the barycentre showed a non-
gaussian distribution.
Influence of medio-lateral position on sEMG amplitude
distribution
Figure 3 shows the influence of the medio-lateral position
and the interaction with the force level on RMS distribu-
tion; data are represented as mean ± standard deviation.
Statistical test (repeated measures ANOVA) stated that
RMS values were significantly dependent on both column
(p \ 0.01, F = 60.21) and force level (p \ 0.01, F =
79.33); moreover, the interaction between force and col-
umn was significant (p \ 0.01, F = 21.29). According to
Holm–Sidak post hoc test, all columns (p \ 0.01) and all
force levels (p \ 0.05) were significantly different from
each other.
Effect of the subject on the cranio-caudal sEMG
amplitude distribution
Figure 4a shows the RMS distribution of four representa-
tive subjects; each map represents the average of RMS
calculated on all ramps and force levels for one subject.
Statistical analysis (Kruskal–Wallis test) proved that there
is a main effect of the subject on the position of the
barycentre (p \ 0.01, H = 46.41).
Effect of task repetition and force level
on the cranio-caudal semg amplitude distribution
Figure 4 shows examples of the shift of the barycentre in
representative subjects during force increase (B) and rep-
etition of consecutive ramps (C). The position of the
barycentre of all subjects at different force levels and in
different ramps is shown in Fig. 5. A repeated measures
ANOVA showed that the position of the barycentre was
significantly affected by both force level (p \ 0.01,
F = 11.25) and the number of the ramp (p \ 0.01,
F = 6.45). No interactions were detected among these two
factors (p = 0.2). The barycentre at 5 % MVC was sig-
nificantly more cranial than 15, 20 and 25 %; similarly, at
10 % was significantly more cranial than both 20 and 25 %
MVC (Holm–Sidak post hoc test, p \ 0.05). For what
concerns, the effect of the repetition of ramps, the bary-
centre in the first ramp was significantly more caudal than
that of the fourth and the fifth ramp (Holm–Sidak post hoc
test, p \ 0.05).
Discussion
Large inter-subject variability of sEMG patterns and
localized sEMG activity within the muscle were described
in literature during occupational activities in the trapezius
muscle.
The aim of this study was to investigate the EMG activity
of the trapezius muscle during low level ramp contractions
by means of HD-EMG to verify (1) how the anatomical
characteristics of the muscle influence the EMG amplitude
distribution, (2) if the EMG amplitude distribution during a
task is subject-specific, and (3) how the EMG amplitude
distribution changes in the trapezius along the repetition of
a simple isometric force-varying motor task.
Fig. 3 RMS values of the EMG activity as a function of force level
and medio-lateral position of the detection system. The data are
reported as mean and standard deviation on all subjects (N = 12).
Columns of the electrode grid are represented on the X axis (1 is the
most medial), whereas the Y axis contains the RMS amplitude values.
A main effect of both column and force level was proven with
statistical test (repeated measures ANOVA, p \ 0.01)
Eur J Appl Physiol
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The original findings of this study are that, regardless of
the subject examined, the channels in the lateral portion of
the electrode grid (i.e. far from the tendon) showed the
highest EMG amplitude, and are the most affected by the
force level. The cranio-caudal distribution of EMG was
subject-specific, and shifts of the barycentre of this distri-
bution occurred during force increase (caudal direction)
and consecutive ramps (cranial direction).
In the following a more detailed analysis of the results is
reported.
Influence of medio-lateral position on sEMG amplitude
distribution
The amplitude of the EMG signal detected by an electrode
grid positioned between the innervation zone and the spine,
increases moving from medial to lateral position for all
force levels (Fig. 3). A significant interaction was found
between force level and medio-lateral distribution of the
amplitude of the sEMG signal. This means that, consider-
ing the absolute RMS values, the increase of the amplitude
related to force production is more represented in the lat-
eral channels than in medial ones. Considering that (1) the
trapezius muscle fibers run in medio-lateral direction,
almost parallel to the rows of the electrode grid (then
changes in the amplitude among the columns would be
related to anatomical characteristics of the active MUs
rather than changes in the recruited MU pool), and (2) the
electrode grid was placed medially to the innervation zone,
but the position of the tendon has not been considered, it is
possible that the medial portion of the electrode grid was
placed on the tendon. Above the tendons, the muscle fiber
action potentials extinguish with a consequent dominance
of non-travelling components (end of fiber effects) in
the monopolar sEMG signal (Merletti et al. 2001). Spatial
filters, such as single differential, attenuate the contribu-
tion from non-travelling components and EMG signal
amplitude decreases in correspondence of the tendons
(Merletti et al. 2001). The signals plotted in Fig. 2 show
action potentials with the lowest peak amplitude in the
most medial columns, supporting this hypothesis. If the
approximate direction of the muscle fibers is known,
bi-dimensional surface EMG techniques allow in deter-
mining the presence of tendons under the detection area,
possibly reducing the errors of amplitude estimation due to
anatomical factors.
Effect of the subject on the cranio-caudal sEMG
amplitude distribution
The position of the barycentre was significantly dependent
on the subject. As the rows of the matrix were parallel to
the trapezius muscle fibers, each row detected the activity
of a pool of MUs only partly intermingled between rows
(i.e. cranial-caudal direction). Shifts of the EMG activity
related to recruitment of MUs in discrete portion of the
muscle are predominantly represented in the cranio-caudal
direction (Farina et al. 2008; Madeleine et al. 2006; Kleine
et al. 2000). In this study, the barycentre calculated over
the two (averaged) lateral columns, was used to describe
the distribution of active MUs under the detection system;
Fig. 4 Maps of EMG amplitude distribution. a The maps averaged
over all conditions of four subjects. b The caudal shift of the
barycentre at different force levels in the first ramp in a representative
subject. c The cranial shift of the barycentre at a given force level
(15 % MVC) in consecutive ramps in a representative subject. In all
maps, the 64 RMS values were interpolated with a factor of 10
(processing was done on the real data). The colorbar of each map
shows the range of amplitude values of the map. The horizontal blackline is the barycentre, always calculated over the two lateral columns;
the dashed rectangle was drawn to facilitate the observation of the
shift of the barycentre
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this was preferred over computing the barycentre of the
whole map, as we have previously shown that force-related
EMG changes are less represented in the medial columns
of the grid. Literature is consistent about individual, sub-
ject-dependent patterns of activation of the trapezius
muscle in time (Balogh et al. 1999; Mork and Westgaard
2005; Fjellman-wiklund et al. 2004; Mathiassen and
Aminoff 1997), possibly due to the redundancy of muscles
with similar motor functions in this area, such as the
levator scapulae, the rhomboideus major and the rhom-
boideus minor. On the basis of the results of our work, the
findings of the articles quoted above could also be
explained by a subject-specific distribution of motor unit
activation within the trapezius muscle, as it can be noticed
in the maps in Fig. 4a. The activation of discrete portions
of a muscle during motor tasks is widely discussed in the
literature (English and Segal 1993) and selective activation
of muscle sub-portions has often been reported (Holter-
mann et al. 2009; Wickham and Brown 2012; Watanabe
et al. 2011); persons may take advantage of this uneven
recruitment for developing individual motor strategies. In
fact, localized amplitude peaks in the map correspond to
the activity of a MU pool whose territory is limited to a
portion of the muscle (Vieira et al. 2011; Zhou et al. 2011;
Staudenmann et al. 2009), and this can reflect that MUs
within a muscle are recruited to exert force in a specific
direction (Desmedt and Godaux 1981). It can be speculated
that subjects with different distribution of muscle activity
produced forces in different directions, even if this could
not be verified in this experiment. A number of other
factors might have influenced our results. The placement of
the electrode grid was performed according to anatomical
landmarks easy to detect; it is unlikely that cranio-caudal
misplacements are responsible for this variability. Possible
confounding factors can be related to the difficulty to
control and standardize the position of the scapula, and of
the shoulder considering that the only constrain was rep-
resented by the length of the strap that connected the
shoulder to the load cell regulated according to the subject
comfort. Slight differences in scapula rotation, as well as
elevation or protraction due to individual postures might
have been responsible for the activation of different sub-
portions of the muscle (Johnson et al. 1994). Moreover,
compensations (i.e. left trunk bending) were visually
checked by one operator, but it may not have been possible
to detect minimal movements. However, the assessment
of motor behaviour in common life situations, such as
workplace and rehabilitation settings, have to cope with
individual postures and compensations. Yet, it is important
to note that the inter-subject variability of the EMG
Fig. 5 Position of the barycentre as a function of the force level (leftpanel) and consecutive ramps (right panel). In both plots, the
barycentres is expressed as rows. Each line is a different subject.
Circles represent the mean position of the barycentre at each force
level processed on the ramps. In the right panel, instead, the ramp
number is represented in the abscissa, the data are reported as mean of
the position of the barycentre calculated on the force levels (N = 5).
In both panels, squared markers were used to identify the position of
the barycentre averaged across subjects. Standard deviation is not
shown for clarity. A caudal shift of the barycentre can be observed
when force increases; on the contrary, the barycentre moves cranially
as a function of the number of ramp (repeated measures ANOVA,
p \ 0.01 for both)
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distribution observed in this group of subjects may not be
present in other tasks, such as those involving open kinetic
chain.
Effect of force level on the cranio-caudal sEMG
amplitude distribution
Variations in the cranio-caudal distribution of EMG
amplitude were analyzed during force increase and in
consecutive ramps (Figs. 4b, c, 5). Both factors influenced
the shift of the barycentre, but their interaction was not
significant. Force production requires recruitment of MUs,
which may be localized in a discrete muscle region
(Desmedt and Godaux 1981; English and Segal 1993; Zhou
et al. 2011). In this work, the barycentre of EMG amplitude
was found to shift caudally with the increase of force.
Other authors analyzed variations of sEMG in the cranial-
caudal sub-portions of the trapezius muscle in force-
varying contractions (Holtermann and Roeleveld 2006;
Kleine et al. 2000; Troiano et al. 2008). Holtermann and
Roeleveld (2006) reported inhomogenieites in the activa-
tion of the trapezius muscle at different force levels, but the
position of the newly recruited MUs was not analyzed in
detail. The other studies reported no changes in cranio-
caudal distribution of EMG amplitude in ramps up to 50 %
MVC. The different results may be explained by the
smaller portion of muscle investigated in these studies
(interelectrode distance between the most cranial and the
most caudal electrode: 32 mm in Troiano et al. (2008),
60 mm in Kleine et al. (2000), and 96 mm in the present
work). Instead, the results similar to ours have been
obtained by Holtermann et al. (2008) who analyzed the
conduction velocity in the cranial and the transverse por-
tions of the trapezius muscle. No significant changes of
muscle fiber conduction velocity in the cranial portion were
found during 0–90 % MVC ramps, whereas it was evident
in the transverse portion of the muscle. As conduction
velocity is expected to increase with fresh MUs recruit-
ment, the results of Holtermann et al. (2008), together with
ours, suggest that MUs are preferentially recruited in the
transverse portion of the muscle when force exerted is
increased in the interval 0–25 % MVC. However, these
results cannot be generalized to higher force contractions
as Kleine observed shift of the sEMG distribution in the
cranial direction comparing 50 and 100 % MVC. The
observed caudal shift of the barycenter during force
increase may appear contradictory: given the fact that MUs
of different sub-portions of the trapezius muscle may be
recruited independently (Holtermann et al. 2009; Falla and
Farina 2008a, b), the recruitment of upper portions of the
trapezius muscle would have produced a force vector more
in line with scapula elevation. However, Palmerud et al.
(1998) showed that transverse fibers of the trapezius
muscle, together with rhomboid, may vicariate the role of
the upper trapezius in isometric tasks that require shoulder
elevation. Another possible interpretation is that tracking a
profile on the screen is an unusual task, and a precise
modulation of the force exerted is required. Subjects might
have taken advantage of co-contraction of synergic and
antagonist muscles, stiffening the joint for obtaining a
better performance (Osu et al. 2002).
Effect of task repetition on the cranio-caudal sEMG
amplitude distribution
During consecutive ramps, the subjects showed different
cranio-caudal amplitude distributions, with the barycentre
moving cranially during the exercise (Figs. 4c, 5). The
magnitude of the shift was lower than that due to force
increase. Subjects with the barycentre of EMG activity
toward the cranial portion of the trapezius in the first ramp
showed almost no shifts during the repetitions. Instead, the
subjects with the barycentre of EMG activity localized
caudally at the beginning of the task showed marked cra-
nial shifts of the amplitude map barycentre during the
contraction, meaning a progressive shift of muscle activity
in the direction of the cranial portion of the trapezius. This
phenomenon could be explained as a consequence of the
optimization of the MU recruitment with practice. In fact,
lower activity of antagonist and synergic muscles was
observed in expert drummers with respect to novices (Fujii
et al. 2009; Furuya and Kinoshita 2008) and was proven to
occur during motor task learning (Osu et al. 2002). Agonist
and antagonist co-contraction is frequent in the first stages
of motor learning process, to increase joint stiffness and
decrease the influence of external perturbations. This
activity decreases in parallel with the learning process
(Fujii et al. 2009; Furuya and Kinoshita 2008). In this
experiment, the cranial portion of the trapezius may be
considered the agonist of the movement, whereas the
caudal portion (transverse fibers) may act as stabilizer of
the scapula. Despite a training session of at least 5 min
with the force feedback, the subjects have not been able to
learn in a definitive way the required motor task. The
changes in EMG activity distribution that mainly occur
between the first and second ramp are probably due to a
fast recall of the strategy learned during the 10-min training
(that occurred about 20 min before the start of the mea-
sures). However, the collected data are not sufficient to
verify this hypothesis that remains speculative. No signif-
icant interactions were found on the effects of force level
and ramp number on the barycentre position. This means
that learning effects observed in consecutive ramps did not
occur at a preferential force level.
Eur J Appl Physiol
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Conclusions
This work contributes to clarify some of the factors
underlying the subject-specific patterns of activation of the
trapezius muscle reported in literature during standardized
motor tasks and functional activities. The present study
shows that this variability could be related, to some extent,
to changes of the spatial location of the recruited MUs due
to the level of exerted force and the adaptation to the task.
The influence of other factors possibly related to inter-
subject variability (e.g. the direction of the exerted force
and the position of the scapula) still has to be investigated.
From a methodological point of view, the results of this
work suggest that HD-EMG can help in identifying some
of the factors at the origin of the variability of trapezius
muscle sEMG patterns during daily or work activities.
Acknowledgments This work was financially supported by Fond-
azione Cassa di Risparmio di Torino, Italy, and Compagnia di San
Paolo, Torino, Italy.
Conflict of interest The authors declare that they have no conflict
of interest.
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