Title
Functional Evaluation Of Triceps Surae During Heel Rise Test: From Emg Frequency Analysis To Machine Learning Approach
Abstract
Soleus muscle flap as coverage tissue is a possible surgical solution adopted to cover the wounds due to open fractures. Despite this procedure presents many clinical advantages, relatively poor information is available about the loss of functionality of triceps surae of the treated leg. In this study, a group of patients who underwent a soleus muscle flap surgical procedure has been analyzed through the heel rise test (HRT), in order to explore the triceps surae residual functionalities. A frequency band analysis was performed in order to assess whether the residual heads of triceps surae exhibit different characteristics with respect to both the non-treated lower limb and an age-matched control group. Then, an in-depth analysis based on a machine learning approach was proposed for discriminating between groups by generalizing across new unseen subjects. Experimental results showed the reliability of the proposed analyses for discriminating between-group at a specific time epoch and the high interpretability of the proposed machine learning algorithm allowed the temporal localization of the most discriminative frequency bands. Findings of this study highlighted that significant differences can be recognized in the myoelectric spectral characteristics between the treated and contralateral leg in patients who underwent soleus flap surgery. These experimental results may support the clinical decision-making for assessing triceps surae performance and for supporting the choice of treatment in plastic and reconstructive surgery.
Year
DOI
Venue
2021
10.1007/s11517-020-02286-7
MEDICAL & BIOLOGICAL ENGINEERING & COMPUTING
Keywords
DocType
Volume
Heel rise test, Frequency band analysis, Soleus flap procedure, EMG, Machine learning, Support vector machine, Lasso
Journal
59
Issue
ISSN
Citations 
1
0140-0118
0
PageRank 
References 
Authors
0.34
0
8
Name
Order
Citations
PageRank
Francesco Ferracuti16512.28
sandro fioretti21810.96
Emanuele Frontoni324847.04
Sabrina Iarlori4374.87
Alessandro Mengarelli588.15
Michele Riccio600.34
luca romeo7219.59
Verdini, F.8164.99