Reliability of Electromyographic Assessment of Biceps Brachii and Triceps Brachii in Cricketers

J Chiropr Med. 2018 Sep;17(3):151-159. doi: 10.1016/j.jcm.2018.04.001. Epub 2018 Aug 28.

Abstract

Objective: The purpose of this study is to determine the intraexaminer and interexaminer reliability of electromyographic assessment of biceps brachii (BB) and triceps brachii (TB) muscles in cricketers.

Methods: Sixteen healthy male cricketers (ages 14-35 years) recruited from Jamia Millia Islamia, New Delhi, India were tested on 2 occasions that were held 1 week apart. On the first occasion, only examiner 1 performed the testing; on the second occasion, examiner 1, examiner 2, and examiner 3 all performed testing. While testing for surface electromyography (sEMG) activity of BB and TB muscles, participants were asked to produce maximal voluntary isometric contraction (MVIC), which was to be held for 5 seconds against the resistance provided by an examiner. Participants performed 3 MVICs per muscle per examiner, with a rest interval of 3 minutes between consecutive contractions. Intraclass correlation coefficient, standard error of measurement, and minimum detectable change were calculated to determine the reliability of repeated sEMG measurements.

Results: Nonsignificant differences were observed for the 2 trials completed by examiner 1 (paired t test) and testing done by all 3 examiners (repeated measures analysis of variance) at P < .05 for both BB and TB. Intraclass correlation coefficient values ranged from .84 to .86 for BB and .89 to .98 for TB. Standard error of measurement (minimum detectable change) was .052 (.144) mV and .041 (.114) mV for BB intraexaminer and interexaminer reliability testing, respectively, and .018 (.051) mV and .043 (.119) mV for TB intraexaminer and interexaminer reliability testing. Ninety-five percent of the mean differences between almost all of the repeated measurements were found to lie within the agreement intervals estimated by Bland-Altman plots.

Conclusion: This preliminary study suggests that sEMG is a reliable tool with excellent intraexaminer and interexaminer reliability for assessing the activity of BB and TB muscles in male cricketers. These findings suggest that sEMG can be used to assess MVIC activity of these muscles in clinical settings, as well as in research area.

Keywords: Electromyography; Reproducibility of Results; Upper Extremity.