Synergy-Based FES for Post-Stroke Rehabilitation of Upper-Limb Motor Functions

功能性电刺激 物理医学与康复 康复 冲程(发动机) 运动学 任务(项目管理) 功能性运动 肘部 工作(物理) 物理疗法 上肢 医学 计算机科学 刺激 工程类 外科 机械工程 物理 内科学 系统工程 经典力学
作者
Chuanxin M. Niu,Yong Bao,Cheng Zhuang,Si Li,Tong Wang,Lijun Cui,Qing Xie,Ning Lan
出处
期刊:IEEE Transactions on Neural Systems and Rehabilitation Engineering [Institute of Electrical and Electronics Engineers]
卷期号:27 (2): 256-264 被引量:63
标识
DOI:10.1109/tnsre.2019.2891004
摘要

Functional electrical stimulation (FES) is capable of activating muscles that are under-recruited in neurological diseases, such as stroke. Therefore, FES provides a promising technology for assisting upper-limb motor functions in rehabilitation following stroke. However, the full benefits of FES may be limited due to lack of a systematic approach to formulate the pattern of stimulation. Our preliminary work demonstrated that it is feasible to use muscle synergy to guide the generation of FES patterns.In this paper, we present a methodology of formulating FES patterns based on muscle synergies of a normal subject using a programmable multi-channel FES device. The effectiveness of the synergy-based FES was tested in two sets of experiments. In experiment one, the instantaneous effects of FES to improve movement kinematics were tested in three patients post ischemic stroke. Patients performed frontal reaching and lateral reaching tasks, which involved coordinated movements in the elbow and shoulder joints. The FES pattern was adjusted in amplitude and time profile for each subject in each task. In experiment two, a 5-day session of intervention using synergy-based FES was delivered to another three patients, in which patients performed task-oriented training in the same reaching movements in one-hour-per-day dose. The outcome of the short-term intervention was measured by changes in Fugl-Meyer scores and movement kinematics. Results on instantaneous effects showed that FES assistance was effective to increase the peak hand velocity in both or one of the tasks. In short-term intervention, evaluations prior to and post intervention showed improvements in both Fugl-Meyer scores and movement kinematics. The muscle synergy of patients also tended to evolve towards that of the normal subject. These results provide promising evidence of benefits using synergy-based FES for upper-limb rehabilitation following stroke. This is the first step towards a clinical protocol of applying FES as therapeutic intervention in stroke rehabilitation.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
月亮褪色了完成签到 ,获得积分20
1秒前
萱棚完成签到 ,获得积分10
1秒前
2秒前
Cao完成签到 ,获得积分10
2秒前
ENG完成签到,获得积分10
4秒前
alick完成签到,获得积分10
6秒前
刘刘完成签到,获得积分10
7秒前
Tom完成签到,获得积分10
8秒前
Villanellel发布了新的文献求助10
9秒前
程艳完成签到 ,获得积分10
10秒前
MINGHUI完成签到,获得积分10
11秒前
11秒前
子车半烟完成签到,获得积分10
11秒前
13秒前
淳于安筠完成签到,获得积分10
13秒前
雨晴完成签到,获得积分10
16秒前
jbq发布了新的文献求助10
16秒前
joshar完成签到,获得积分10
16秒前
17秒前
量子星尘发布了新的文献求助10
19秒前
blueblue完成签到,获得积分10
21秒前
落后秋烟完成签到,获得积分10
23秒前
大橙子发布了新的文献求助10
24秒前
LMY完成签到 ,获得积分10
24秒前
Betty完成签到 ,获得积分10
24秒前
NexusExplorer应助jbq采纳,获得10
25秒前
渔渔完成签到 ,获得积分10
25秒前
26秒前
Tangyartie完成签到 ,获得积分10
26秒前
skbkbe完成签到 ,获得积分10
27秒前
陈俊雷完成签到 ,获得积分0
28秒前
阿苗完成签到,获得积分10
29秒前
神勇的天问完成签到 ,获得积分10
30秒前
30秒前
advance完成签到,获得积分10
30秒前
李cc发布了新的文献求助10
31秒前
蒋念寒发布了新的文献求助10
32秒前
Sindy完成签到,获得积分10
32秒前
彭于晏应助HH采纳,获得30
34秒前
34秒前
高分求助中
【提示信息,请勿应助】关于scihub 10000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 3000
徐淮辽南地区新元古代叠层石及生物地层 3000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Handbook of Industrial Diamonds.Vol2 1100
Global Eyelash Assessment scale (GEA) 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 550
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4038184
求助须知:如何正确求助?哪些是违规求助? 3575908
关于积分的说明 11373872
捐赠科研通 3305715
什么是DOI,文献DOI怎么找? 1819255
邀请新用户注册赠送积分活动 892662
科研通“疑难数据库(出版商)”最低求助积分说明 815022