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The form of the collection of bio-signals is becoming increasingly integrated and smart to meet the demands of the age of smart healthcare and the Fourth Industrial Revolution. In addition, the movement patterns of human muscles are also becoming more complex due to diversification of the human living environment. An analysis of the movement patterns of normal people’s muscles contracting with age and that of patients who are being treated in a hospital, including the disabled, will help improve life patterns, medical treatment patterns, and quality of life. In this study, the researchers developed a smart electromyogram (EMG) sensor which can improve human life patterns through EMG range and pattern recognition, which is beyond the conventional simple EMG measurement level. The developed sensor has a high gain of 10,000 times or more, noise of 500 uVrms or less, and common mode rejection ratio (CMRR) of 100 dB or more for EMG level and pattern recognition. The pattern recognition time of the sensor is 30 s. All the circuits developed in this study have a phase margin of 75 degrees or more for stability. Standard 0.25 μm complementary metal oxide semiconductor (CMOS) technology was used for the integrated circuit design. The system error rate was confirmed to be 1% or less through a clinical trial conducted on five males in their 40s and three females in their 30s for the past two years. The muscle activities of all subjects of the clinical trial were improved by about 21% by changing their life patterns based on EMG pattern recognition.