Researchers identify barriers to use of surface electromyography in neurorehabilitation

Press Release:

Kessler Foundation researchers have identified several practical and technical barriers to the widespread use of surface electromyography (sEMG) in clinical neurorehabilitation. Based on their holistic analysis of these factors, the researchers suggest a collaborative, interdisciplinary, and unified approach to enable rehabilitation professionals to routinely use sEMG. The article, “Use of Surface EMG in Clinical Rehabilitation of Individuals With SCI: Barriers and Future Considerations” (doi: 10.3389/fneur.2020.578559), was published December 18, 2020, in Frontiers in Neurology. It is available open access at

The authors are Rakesh Pilkar, PhD, Kamyar Momeni, PhD, Arvind Ramanujam, Manikandan Ravi, Erica Garbarini, and Gail F. Forrest, PhD, affiliated with the Center for Mobility and Rehabilitation Engineering Research and the Tim and Caroline Reynolds Center for Spinal Stimulation at Kessler Foundation.

sEMG is a noninvasive technology that detects, records, and interprets the electrical activity of muscles. The quantifiable information on myoelectric output recorded by sEMG is extremely useful in assessing impairment and potentially determining patient-specific and effective interventions for individuals with spinal cord injury (SCI). However, while sEMG is commonly used in neurorehabilitation research, its integration into clinical practice has been limited, according to lead author Dr. Pilkar, senior research scientist at the Center for Mobility and Rehabilitation Engineering Research.

In their analysis, the research team determined several factors that prevent widespread use of sEMG in clinical practice. “One major obstacle is integrating the time-consuming aspects of sEMG into the already demanding schedule of physical therapists, occupational therapists, and other clinicians,” explained Dr. Pilkar. “Also, clinicians are often unfamiliar with technical aspects of sEMG data processing and may not have been exposed to or trained in certain aspects of this technology,” he added.

The research team also identified technical challenges such as transferring the frequent research updates to the sEMG systems used in a clinical setting; lack of user-friendly interfaces; and the need for a standardized, multidisciplinary approach to the handling and interpretation of data. An additional consideration, specific to research in SCI, is that reading and interpreting EMGs for this population requires an additional skillset, as the physiological and structural state of the spinal cord affect how data are interpreted.

To overcome these obstacles, Kessler researchers propose a series of actions to facilitate the use of sEMG by rehabilitation professions. First, including hands-on sEMG experience in educational and professional training programs, and exposing trainees to non-clinical experts in complementary fields such as engineers, technicians, and data scientists. Second, developing simpler, more user-friendly technology interfaces, as well as offering open-access user tutorials to make it easier for clinicians to integrate and use sEMG. Third, codifying a means to regularly transfer research-based knowledge about sEMG and its relevance to SCI rehabilitation from researchers to clinicians will empower rehabilitation professionals to use sEMG with more confidence.

“Addressing these barriers will improve our ability to objectively assess neuromuscular outcomes,” Dr. Pilkar predicted, “which is fundamental to developing interventions that improve motor function and mobility in individuals with deficits caused by SCI.”


SaleBestseller No. 1
Electromyography and Neuromuscular Disorders: Clinical-Electrophysiologic-Ultrasound Correlations
  • Hardcover Book
  • Preston MD, David C. (Author)
  • English (Publication Language)
  • 808 Pages - 04/27/2020 (Publication Date) - Elsevier (Publisher)
SaleBestseller No. 2
Easy EMG: A Guide to Performing Nerve Conduction Studies and Electromyography
  • Weiss MD, Lyn D (Author)
  • English (Publication Language)
  • 304 Pages - 04/08/2022 (Publication Date) - Elsevier (Publisher)
SaleBestseller No. 3
Atlas of Nerve Conduction Studies and Electromyography
  • Hardcover Book
  • Leis, A. Arturo (Author)
  • English (Publication Language)
  • 336 Pages - 03/12/2013 (Publication Date) - Oxford University Press (Publisher)
SaleBestseller No. 4
Clinical Electromyography: Nerve Conduction Studies. Fourth edition
  • Hardcover Book
  • Oh, Shin J (Author)
  • English (Publication Language)
  • 1142 Pages - 05/15/2024 (Publication Date) - Electromyography, Emg, Nerve Conduction Study (Publisher)
Bestseller No. 5
Comprehensive Electromyography: With Clinical Correlations and Case Studies
  • Ferrante, Mark A. (Author)
  • English (Publication Language)
  • 538 Pages - 05/10/2018 (Publication Date) - Cambridge University Press (Publisher)
SaleBestseller No. 6
Electromyography and Neuromuscular Disorders: Clinical-Electrophysiologic Correlations (Expert Consult - Online and Print)
  • Hardcover Book
  • Preston MD, David C. (Author)
  • English (Publication Language)
  • 664 Pages - 12/05/2012 (Publication Date) - Saunders (Publisher)
SaleBestseller No. 7
Electromyography in Clinical Practice
  • Hardcover Book
  • Katirji MD FACP, Bashar (Author)
  • English (Publication Language)
  • 480 Pages - 10/23/2018 (Publication Date) - Oxford University Press (Publisher)
SaleBestseller No. 8
Practical Approach to Electromyography: An Illustrated Guide for Clinicians
  • Hardcover Book
  • Siao MD, Peter (Author)
  • English (Publication Language)
  • 336 Pages - 01/27/2011 (Publication Date) - Demos Medical (Publisher)
Bestseller No. 9
Anatomical Guide for the Electromyographer: The Limbs and Trunk
  • Aldo O. Perotto (Author)
  • English (Publication Language)
  • 377 Pages - 08/02/2011 (Publication Date) - Charles C Thomas Pub Ltd (Publisher)
SaleBestseller No. 10
Functional Electromyography: Provocative Maneuvers in Electrodiagnosis
  • Hardcover Book
  • Fishman, Loren M. (Author)
  • English (Publication Language)
  • 187 Pages - 11/11/2010 (Publication Date) - Springer (Publisher)

I get commissions for purchases made through links on this website. As an Amazon Associate I earn from qualifying purchases.