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Sleepwake estimation using only anterior tibialis electromyography data 英文参考文献
Hwangetal.BioMedicalEngineeringOnLine2012,11:26
/content/11/1/26
RESEARCH
OpenAccess
Sleep/wakeestimationusingonlyanteriortibialis
electromyographydata
SuHwanHwang1,GihSungChung1,JeongSuLee1,JaeHyukShin1,So-JinLee2,Do-UnJeong3andKwangSukPark4*
*Correspondence:pks@bmsil.snu.
ac.kr
4DepartmentofBiomedical
Engineering,CollegeofMedicine,
SeoulNationalUniversity,Seoul,
Abstract
Background:Insleepefficiencymonitoringsystem,actigraphyisthesimplestand
mostcommonlyuseddevice.However,lowspecificitytowakefulnessofactigraphy
RepublicofKorea
Fulllistofauthorinformationis
availableattheendofthearticle
wasrevealedinpreviousstudies.Inthisstudy,weassumedthatsleep/wake
estimationusingactigraphyandelectromyography(EMG)signalswouldshow
differentpatterns.Furthermore,eachEMGpatternintwostates(sleep,wakeduring
sleep)wasanalysed.Finally,weproposedtwotypesofmethodfortheestimationof
sleep/wakepatternsusingonlyEMGsignalsfromanteriortibialismusclesandthe
resultswerecomparedwithPSGdata.
Methods:Sevenhealthysubjectsandfivepatients(2obstructivesleepapnea,3
periodiclimbmovementdisorder)participatedinthisstudy.Nighttime
polysomnography(PSG)recordingswereconducted,andelectrooculogram,EMG,
electroencephalogram,electrocardiogram,andrespirationdatawerecollected.Time
domainanalysisandfrequencydomainanalysiswereappliedtoestimatethesleep/
wakepatterns.Eachmethodwasbasedonchangesinamplitudeorspectrum(total
power)ofanteriortibialiselectromyographysignalsduringthetransitionfromthe
sleepstatetothewakestate.Toobtaintheresults,leave-one-out-cross-validation
techniquewasadopted.
Results:Totalsleeptimeoftheeachgroupwasabout8hours.Forhealthysubjects,
themeanepoch-by-epochresultsbetweentimedomainanalysisandPSGdatawere
99%,71%,80%and0.64(sensitivity,specificity,accuracyandkappavalue),
respectively.Forfrequencydomainanalysis,thecorrespondingvalueswere99%,
73%,81%and0.67,respectively.Absoluteandrelativedifferencesbetweensleep
efficiencyindexfromPSGandourmethodswere0.8and0.8%(forfrequency
domainanalysis).Inpatientswi
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