Real-time actuation of a dielectric elastomer actuator neuroprosthesis for facial paralysis

Q1 Engineering Smart Materials in Medicine Pub Date : 2023-06-21 DOI:10.1016/j.smaim.2023.06.003
Stefania Konstantinidi , Carlotta Imholz , Thomas Martinez , Amine Benouhiba , Armando Walter , Yoan Civet , Nicole Lindenblatt , Yves Perriard
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Abstract

Facial paralysis is a highly burdening condition, resulting in a patient's inability to move his mimic musculature on one or both sides of his face. This condition compromises the patient's communication and facial expressions, and thus dramatically reduces his quality of life. The current treatment for chronic facial paralysis relies on a complex reconstructive surgery. This publication proposes a novel, less invasive approach for dynamic facial reanimation. The use of a smart material, namely a Dielectric Elastomer Actuator (DEA) is proposed for facial motion restoration, thus avoiding the traditional two-stage free muscle transfer procedure and allowing for a faster recovery of the patient. DEAs are a type of electroactive polymers, showing promising properties similar to natural muscles such as the fact that they are soft, lightweight and allow for large displacements. As a result, a study of the facial muscles and neural interfaces, notably the ones responsible for mouth movement, was performed, in order to implement a realistic setup. In this paper, a non-invasive neural interface based on myoelectric signal is used in order to establish a real-time control of the actuator. Visible motion of a skin model is produced in real time, by synchronizing the actuator to the activity of a healthy muscle, with a maximal delay of 108 ​ms resulting from the signal processing and a delay of less than 30 ​ms related to the actuation of the DEA. This shows that the usage of DEA combined with a neural interface presents a promising approach for treatment of facial paralysis.

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介电弹性体致动器神经假体用于面瘫的实时驱动
面瘫是一种负担很重的疾病,导致患者无法移动面部一侧或两侧的模拟肌肉组织。这种情况损害了患者的沟通和面部表情,从而大大降低了他的生活质量。目前慢性面瘫的治疗依赖于复杂的重建手术。该出版物提出了一种新颖的、侵入性较小的动态面部复活方法。建议使用智能材料,即介电弹性体致动器(DEA)进行面部运动恢复,从而避免了传统的两阶段自由肌肉转移程序,并允许患者更快地恢复。DEAs是一种电活性聚合物,显示出类似于天然肌肉的良好性能,例如它们柔软、重量轻,可以进行大位移。因此,为了实现逼真的设置,对面部肌肉和神经界面进行了研究,尤其是负责口腔运动的肌肉和神经接口。本文采用了一种基于肌电信号的无创神经接口来建立对执行器的实时控制。皮肤模型的可见运动是通过使致动器与健康肌肉的活动同步而实时产生的,最大延迟为108​ms,并且延迟小于30​ms与缉毒局的启动有关。这表明DEA与神经接口相结合的使用为治疗面瘫提供了一种很有前途的方法。
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来源期刊
Smart Materials in Medicine
Smart Materials in Medicine Engineering-Biomedical Engineering
CiteScore
14.00
自引率
0.00%
发文量
41
审稿时长
48 days
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