A comparison of electromyography techniques: surface versus intramuscular recording

This review is a comprehensive guide for electromyography (EMG) researchers, providing a comparison of skin EMG recording (surface EMG: sEMG and high-density sEMG: HD-sEMG) and intramuscular EMG recording (multi-motor unit-MMU and single motor unit electromyography-SMU). We delve into the nuances of techniques, highlighting their strengths and limitations in quantifying muscle activation during dynamic and static conditions. We first examine how EMG signals change with time, focussing on the interplay between motor unit synchronisation and signal amplitude. The review then explores the impact of electrode placement on signal quality. We further discuss the challenges of signal cancellation, crosstalk from neighbouring muscles, and motion artifacts, which can significantly affect signal integrity. Finally, we address the temporal changes in electrode impedance and its implications for data interpretation. Our analysis proposes that specific research objectives should guide the choice amongst sEMG, HD-sEMG, SMU and MMU. MMU, which records the peak counts of individual motor unit action potentials from a localised muscle area, is particularly suited for studying deep or small muscles during static and dynamic activities. Its high sensitivity to motor unit recruitment and discharge rates minimises the impact of factors such as signal cancellation and motion artefacts. Conversely, sEMG is well-suited for short-duration, isometric assessments of large, superficial muscles. HD-sEMG helps study single motor unit properties under isometric conditions. SMU is particularly suited for studying neuronal networks between stimulated sites and motor neurons. This review aims to provide researchers with the information to select the most appropriate EMG technique for their investigations.