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Tennis Elbow Diagnosis Using Equivalent Uniform Voltage to Fit the Logistic and the Probit Diseased Probability Models.

Lee TF, Lin WC, Wang HY, Lin SY, Wu LF, Guo SS, Huang HJ, Ting HM, Chao PJ - Biomed Res Int (2015)

Bottom Line: TV50 is the threshold equivalent uniform voltage predicting a 50% risk of disease.The fitted DP parameters were TV50 = 153.0 mV (CI: 136.3-169.7 mV), γ 50 = 0.84 (CI: 0.78-0.90) and TV50 = 155.6 mV (CI: 138.9-172.4 mV), m = 0.54 (CI: 0.49-0.59) for logistic and probit models, respectively.When the EUV ≥ 153 mV, the DP of the patient is greater than 50% and vice versa.

View Article: PubMed Central - PubMed

Affiliation: Medical Physics and Informatics Laboratory of Electronics Engineering, National Kaohsiung University of Applied Sciences, 415 Chien Kung Road, San-Min District, Kaohsiung 80778, Taiwan.

ABSTRACT
To develop the logistic and the probit models to analyse electromyographic (EMG) equivalent uniform voltage- (EUV-) response for the tenderness of tennis elbow. In total, 78 hands from 39 subjects were enrolled. In this study, surface EMG (sEMG) signal is obtained by an innovative device with electrodes over forearm region. The analytical endpoint was defined as Visual Analog Score (VAS) 3+ tenderness of tennis elbow. The logistic and the probit diseased probability (DP) models were established for the VAS score and EMG absolute voltage-time histograms (AVTH). TV50 is the threshold equivalent uniform voltage predicting a 50% risk of disease. Twenty-one out of 78 samples (27%) developed VAS 3+ tenderness of tennis elbow reported by the subject and confirmed by the physician. The fitted DP parameters were TV50 = 153.0 mV (CI: 136.3-169.7 mV), γ 50 = 0.84 (CI: 0.78-0.90) and TV50 = 155.6 mV (CI: 138.9-172.4 mV), m = 0.54 (CI: 0.49-0.59) for logistic and probit models, respectively. When the EUV ≥ 153 mV, the DP of the patient is greater than 50% and vice versa. The logistic and the probit models are valuable tools to predict the DP of VAS 3+ tenderness of tennis elbow.

No MeSH data available.


Related in: MedlinePlus

EMG signal processing flowchart. EMG: electromyographic; EUV: equivalent uniform voltage; DP: diseased probability.
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fig4: EMG signal processing flowchart. EMG: electromyographic; EUV: equivalent uniform voltage; DP: diseased probability.

Mentions: In order to provide robust algorithm for treating the sEMG signal, a nonparametric histogram method is used [17, 18]. In this study, we call it EMG absolute voltage-time histograms (AVTH). The total period for an EMG signal is normalized. The concept of AVTH is similar to the concept of dose-volume histogram (DVH) [17]; it is used widely in radiation treatment planning. The horizontal axis of AVTH plot is the voltage intensity of signal; it presented the absolute value of the normalized EMG signal (0-1V), while its vertical axis represents the cumulative histogram in complement, that is, one minus cumulative histogram [18]. An EMG signal processing flowchart is illustrated in Figure 4.


Tennis Elbow Diagnosis Using Equivalent Uniform Voltage to Fit the Logistic and the Probit Diseased Probability Models.

Lee TF, Lin WC, Wang HY, Lin SY, Wu LF, Guo SS, Huang HJ, Ting HM, Chao PJ - Biomed Res Int (2015)

EMG signal processing flowchart. EMG: electromyographic; EUV: equivalent uniform voltage; DP: diseased probability.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4561943&req=5

fig4: EMG signal processing flowchart. EMG: electromyographic; EUV: equivalent uniform voltage; DP: diseased probability.
Mentions: In order to provide robust algorithm for treating the sEMG signal, a nonparametric histogram method is used [17, 18]. In this study, we call it EMG absolute voltage-time histograms (AVTH). The total period for an EMG signal is normalized. The concept of AVTH is similar to the concept of dose-volume histogram (DVH) [17]; it is used widely in radiation treatment planning. The horizontal axis of AVTH plot is the voltage intensity of signal; it presented the absolute value of the normalized EMG signal (0-1V), while its vertical axis represents the cumulative histogram in complement, that is, one minus cumulative histogram [18]. An EMG signal processing flowchart is illustrated in Figure 4.

Bottom Line: TV50 is the threshold equivalent uniform voltage predicting a 50% risk of disease.The fitted DP parameters were TV50 = 153.0 mV (CI: 136.3-169.7 mV), γ 50 = 0.84 (CI: 0.78-0.90) and TV50 = 155.6 mV (CI: 138.9-172.4 mV), m = 0.54 (CI: 0.49-0.59) for logistic and probit models, respectively.When the EUV ≥ 153 mV, the DP of the patient is greater than 50% and vice versa.

View Article: PubMed Central - PubMed

Affiliation: Medical Physics and Informatics Laboratory of Electronics Engineering, National Kaohsiung University of Applied Sciences, 415 Chien Kung Road, San-Min District, Kaohsiung 80778, Taiwan.

ABSTRACT
To develop the logistic and the probit models to analyse electromyographic (EMG) equivalent uniform voltage- (EUV-) response for the tenderness of tennis elbow. In total, 78 hands from 39 subjects were enrolled. In this study, surface EMG (sEMG) signal is obtained by an innovative device with electrodes over forearm region. The analytical endpoint was defined as Visual Analog Score (VAS) 3+ tenderness of tennis elbow. The logistic and the probit diseased probability (DP) models were established for the VAS score and EMG absolute voltage-time histograms (AVTH). TV50 is the threshold equivalent uniform voltage predicting a 50% risk of disease. Twenty-one out of 78 samples (27%) developed VAS 3+ tenderness of tennis elbow reported by the subject and confirmed by the physician. The fitted DP parameters were TV50 = 153.0 mV (CI: 136.3-169.7 mV), γ 50 = 0.84 (CI: 0.78-0.90) and TV50 = 155.6 mV (CI: 138.9-172.4 mV), m = 0.54 (CI: 0.49-0.59) for logistic and probit models, respectively. When the EUV ≥ 153 mV, the DP of the patient is greater than 50% and vice versa. The logistic and the probit models are valuable tools to predict the DP of VAS 3+ tenderness of tennis elbow.

No MeSH data available.


Related in: MedlinePlus