Non-parametric Functional Muscle Network as a Robust Biomarker of Fatigue

Abstract

The possibility of muscle fatigue detection using surface electromyography has been explored and multiple biomarkers, such as median frequency, have been suggested. However, there are contradictory reports in the literature which results in an inconsistent understanding of the biomarkers of fatigue. Thus, there is an unmet need for a statistically robust sEMG-based biomarker for fatigue detection. This paper, for the first time, demonstrates the superior capability of a non-parametric muscle network to reliably detect fatigue-related changes. Seven healthy volunteers completed a lower limb exercise protocol, which consisted of 30s of a sit-to-stand exercise before and after the completion of fatiguing leg press sets. A non-parametric muscle network was constructed, using Spearmans power correlation and showed a very reliable decrease in network metrics associated with fatigue (degree, weighted clustering coefficient (WCC)). The network metrics displayed a significant decrease at the group level (degree, WCC: p < 0.001), individual subject level (degree: p < 0.035 WCC: p < 0.004) and particular muscle level (degree: p < 0.017). Regarding the decrease in mean degree connectivity at particular muscles, all seven subjects followed the group trend. In contrast to the robust results achieved by the proposed non-parametric muscle network, classical spectrotemporal measurements showed heterogeneous trends at the particular muscle and individual subject levels. Thus, this paper for the first time shows that non-parametric muscle network is a reliable biomarker of fatigue and could be used in a broad range of applications.