Respiratory failure & ventilation

Acquisition of respiratory surface EMG: a systematic literature review of electrode configurations and methodological reporting

Crit CarePublished Systematic literature review

Authors' conclusion

This review reveals substantial diversity of diaphragm sEMG setups, reflecting differences in clinical contexts and study populations. The setups for extra-diaphragmatic muscles were more consistent and methodologically grounded.

Study context

Population
Studies reporting original respiratory surface electromyography (sEMG) data in adults during spontaneous breathingarticles included
Participants
240 participants
Outcome
Respiratory sEMG setups and reporting quality
Methodological detailsMEDLINE ALL, Embase and Web of Science searched on 19 September 2024, Methodology extracted per International Society of Electrophysiology and Kinesiology reporting guidelines
  • MEDLINE ALL, Embase and Web of Science searched on 19 September 2024
  • Methodology extracted per International Society of Electrophysiology and Kinesiology reporting guidelines

Main finding

As reported in the abstract

Diaphragm most studied respiratory muscle
61%
Unique diaphragm setups out of 160 descriptions
48
Diaphragm setups with small inter-electrode distances
n = 138, 86%
Large IED setups applied in ICU populations
n = 8, 36%
Large IED setups applied in COPD populations
n = 5, 23%
Reporting quality low; median recommended items documented out of 10
5

Original publication

Acquisition of respiratory surface EMG: a systematic literature review of electrode configurations and methodological reporting. Crit Care. Published 7 November 2025. doi:10.1186/s13054-025-05696-x

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