Peaks or threshold-crossing: a comparative analysis of neuromuscular jitter measurement methods

Introduction: Commercial electromyographic recording systems usually include two different methods for jitter measurement, based on peaks or threshold-crossing. There is reported evidence that the measurements obtained with both methods from discharges recorded with concentric needle electrodes offe...

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Autores: Valle, César, Malanda Trigueros, Armando, Garnés Camarena, Óscar, Stashuk, Daniel W., Azkona, Gurutzi, Rodríguez Falces, Javier, Navallas Irujo, Javier
Formato: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2025
País:España
Recursos:Universidad Pública de Navarra
Repositorio:Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
OAI Identifier:oai:academica-e.unavarra.es:2454/55929
Acesso em linha:https://hdl.handle.net/2454/55929
Access Level:acceso embargado
Palavra-chave:Concentric needle electrode
Jitter
Motor unit potential
Single fiber action potential
Single-fiber electromyography
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spelling Peaks or threshold-crossing: a comparative analysis of neuromuscular jitter measurement methodsValle, CésarMalanda Trigueros, ArmandoGarnés Camarena, ÓscarStashuk, Daniel W.Azkona, GurutziRodríguez Falces, JavierNavallas Irujo, JavierConcentric needle electrodeJitterMotor unit potentialSingle fiber action potentialSingle-fiber electromyographyIntroduction: Commercial electromyographic recording systems usually include two different methods for jitter measurement, based on peaks or threshold-crossing. There is reported evidence that the measurements obtained with both methods from discharges recorded with concentric needle electrodes offer comparable results, but this evidence is scarce. This study aimed to replicate such studies and extract conclusions related to the use of the two methods. Methods: 129 EMG recordings were obtained from 12 patients using concentric needle electrodes (0.02 mm2), filtered at 1000 Hz and oversampled to 200 kHz. The recordings were aligned using either peak or threshold-crossing methods. Jitter was measured using both methods and obtained as mean consecutive differences (MCD). Statistical analyses included Anderson-Darling, Wilcoxon, and linear regression tests. Results: Of the 129 recordings, 49 (38 %) were excluded for presenting contaminated waveforms. MCD values were similar in the two methods, with a median difference of ¿0.92 µs. The Wilcoxon test confirmed this difference (p = 0.0002). The regression yielded a high coefficient of determination (R2 = 0.994) and a slope of 0.989. Conclusion: No significant differences were found between the two jitter measurement methods. Variations were only a few µs, not enough to affect pathological jitter diagnosis. Both methods are valid for clinical use.This work has been funded by the Department of Health of the Government of Navarra (project GN2022/29) and by the Spanish Ministry of Science and Innovation (project PID2022-136620OB-I00), with payments made to the Public University of Navarra.ElsevierIngeniería Eléctrica, Electrónica y de ComunicaciónIngeniaritza Elektrikoa, Elektronikoa eta Telekomunikazio IngeniaritzaUniversidad Pública de Navarra / Nafarroako Unibertsitate Publikoa2025info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfhttps://hdl.handle.net/2454/55929reponame:Academica-e. Repositorio Institucional de la Universidad Pública de Navarrainstname:Universidad Pública de NavarraInglésinfo:eu-repo/grantAgreement/Gobierno de Navarra/GN2022/29info:eu-repo/grantAgreement/AEI/Plan Estatal de Investigación Científica y Técnica y de Innovación 2021-2023/PID2022-136620OB-I00© 2025 Elsevier Ltd. This manuscript version is made available under the CC-BY-NC-ND 4.0https://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/embargoedAccessoai:academica-e.unavarra.es:2454/559292026-06-17T12:41:47Z
dc.title.none.fl_str_mv Peaks or threshold-crossing: a comparative analysis of neuromuscular jitter measurement methods
title Peaks or threshold-crossing: a comparative analysis of neuromuscular jitter measurement methods
spellingShingle Peaks or threshold-crossing: a comparative analysis of neuromuscular jitter measurement methods
Valle, César
Concentric needle electrode
Jitter
Motor unit potential
Single fiber action potential
Single-fiber electromyography
title_short Peaks or threshold-crossing: a comparative analysis of neuromuscular jitter measurement methods
title_full Peaks or threshold-crossing: a comparative analysis of neuromuscular jitter measurement methods
title_fullStr Peaks or threshold-crossing: a comparative analysis of neuromuscular jitter measurement methods
title_full_unstemmed Peaks or threshold-crossing: a comparative analysis of neuromuscular jitter measurement methods
title_sort Peaks or threshold-crossing: a comparative analysis of neuromuscular jitter measurement methods
dc.creator.none.fl_str_mv Valle, César
Malanda Trigueros, Armando
Garnés Camarena, Óscar
Stashuk, Daniel W.
Azkona, Gurutzi
Rodríguez Falces, Javier
Navallas Irujo, Javier
author Valle, César
author_facet Valle, César
Malanda Trigueros, Armando
Garnés Camarena, Óscar
Stashuk, Daniel W.
Azkona, Gurutzi
Rodríguez Falces, Javier
Navallas Irujo, Javier
author_role author
author2 Malanda Trigueros, Armando
Garnés Camarena, Óscar
Stashuk, Daniel W.
Azkona, Gurutzi
Rodríguez Falces, Javier
Navallas Irujo, Javier
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Ingeniería Eléctrica, Electrónica y de Comunicación
Ingeniaritza Elektrikoa, Elektronikoa eta Telekomunikazio Ingeniaritza
Universidad Pública de Navarra / Nafarroako Unibertsitate Publikoa
dc.subject.none.fl_str_mv Concentric needle electrode
Jitter
Motor unit potential
Single fiber action potential
Single-fiber electromyography
topic Concentric needle electrode
Jitter
Motor unit potential
Single fiber action potential
Single-fiber electromyography
description Introduction: Commercial electromyographic recording systems usually include two different methods for jitter measurement, based on peaks or threshold-crossing. There is reported evidence that the measurements obtained with both methods from discharges recorded with concentric needle electrodes offer comparable results, but this evidence is scarce. This study aimed to replicate such studies and extract conclusions related to the use of the two methods. Methods: 129 EMG recordings were obtained from 12 patients using concentric needle electrodes (0.02 mm2), filtered at 1000 Hz and oversampled to 200 kHz. The recordings were aligned using either peak or threshold-crossing methods. Jitter was measured using both methods and obtained as mean consecutive differences (MCD). Statistical analyses included Anderson-Darling, Wilcoxon, and linear regression tests. Results: Of the 129 recordings, 49 (38 %) were excluded for presenting contaminated waveforms. MCD values were similar in the two methods, with a median difference of ¿0.92 µs. The Wilcoxon test confirmed this difference (p = 0.0002). The regression yielded a high coefficient of determination (R2 = 0.994) and a slope of 0.989. Conclusion: No significant differences were found between the two jitter measurement methods. Variations were only a few µs, not enough to affect pathological jitter diagnosis. Both methods are valid for clinical use.
publishDate 2025
dc.date.none.fl_str_mv 2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2454/55929
url https://hdl.handle.net/2454/55929
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv info:eu-repo/grantAgreement/Gobierno de Navarra/GN2022/29
info:eu-repo/grantAgreement/AEI/Plan Estatal de Investigación Científica y Técnica y de Innovación 2021-2023/PID2022-136620OB-I00
dc.rights.none.fl_str_mv © 2025 Elsevier Ltd. This manuscript version is made available under the CC-BY-NC-ND 4.0
https://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/embargoedAccess
rights_invalid_str_mv © 2025 Elsevier Ltd. This manuscript version is made available under the CC-BY-NC-ND 4.0
https://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv embargoedAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
instname:Universidad Pública de Navarra
instname_str Universidad Pública de Navarra
reponame_str Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
collection Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
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repository.mail.fl_str_mv
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