Method of assessing intentional muscular disability

Surgery – Truss – Perineal

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128 21M, A61B 505

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active

041483030

ABSTRACT:
A method is disclosed for detecting the intentional disabling of muscles which includes the steps of measuring the neuromuscular activation in a disabled muscle and comparing the neuromuscular activation of the muscle with that of a control muscle when performing a specified work task. To perform this comparison, an integrated electromyogram (emg) of a muscle which is synergist to the disabled muscle is compared with the integrated emg of a synergist control muscle wherein the control muscle corresponds to the disabled muscle but is on the opposite side of the human body or is the same muscle in a control population. Where only one muscle of a given type exists, the integrated emg thereof is compared with the norm of a matched population when performing the work task.
The intentional disabling of muscles can also be detected by measuring the neuromuscular activation of a muscle which is antagonist to a disabled muscle and comparing this neuromuscular activation with that of a control muscle wherein the control muscle corresponds to the antagonist of the disabled muscle but is on the opposite side of the human body or is the same muscle in a control population.

REFERENCES:
patent: 3905355 (1975-09-01), Brudny
patent: 3916876 (1975-10-01), Freeman
Garland et al., "Tech. Note: State Variable Filter for EMG Processing," Med. & Biol. Eng., V 10, pp. 559-560, 1972.
"Clinical Manifestations of Muscle Disease," Chapter 343, Harrison's Principles of Internal Medicine, McGraw-Hill, 1974, pp. 1905-1910.
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"The Peripheral Nervous System and Electromyography," in Medical Engineering by C. Ray, Yearbook Publishers Chicago, 1974, p. 457.
"EMG and Electrodiagnosis in Invalidness Assessment," Sommella & Serra, Electromyography, vol. 9, Nov.-Dec. 1969, pp. 433-445.
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"EMG Evaluation of Nerve Injuries in Hospitalized Patients"--Marinacci, A. A., Electromyography, vol. 6, Aug.-Oct. 1966.
"Radicolopathy and the EMG in Disability Applicants"--Jebsen, R. H. et al., Archives of Physical Medicine & Rehabilitation, vol. 54, Oct. 1973, pp. 471-474.
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