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Low-Intensity Focused Ultrasound Stimulation on Fingertip Can Evoke Fine Tactile Sensations and Different Local Hemodynamic Responses 低强度聚焦超声波刺激指尖可诱发细微触觉和不同的局部血流动力学反应
IF 4.8 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-18 DOI: 10.1109/TNSRE.2024.3493925
Liuni Qin;Mingyang Dou;Lili Niu;Laixin Huang;Fei Li;Shichun Bao;Xinping Deng;Guanglin Li;Yanjuan Geng
Low-intensity focused ultrasound stimulation (LIFUS) has been proved effective in eliciting vibrotactile in addition to warm, cold and nociceptive pain when applied to human peripheral endings. However, if it can evoke fine tactile sensations has been rarely investigated by far despite the importance of fine tactile feedback in motor control. To explore this issue, 14 healthy volunteers were recruited in this study. A psychophysical experiment was firstly conducted to determine the appropriate range of pulse repetition frequency (PRF) and acoustic intensity (AI). Then, participants were asked to perceive and discriminate different tactile stimulations under LIFUS, so as to evaluate if multiple fine tactile sensations could be reliably elicited by modulating the PRF and AI. For objective assessment, the local blood perfusion volume (BPV) response beneath stimulated fingertip was recorded and characterized. Our results showed that four types of tactile sensations, including tapping, vibrating, electrical, and pressure could be reliably elicited by modulating the PRF and AI within a specific range, and there was a significant impact of PRF and AI on both participants’ tactile discrimination and amplitude features of BPV response. This study would facilitate the application of LIFUS to some human-machine interaction scenarios, and shed valuable insights on the physiological mechanisms of peripherally applied ultrasound stimulation.
事实证明,低强度聚焦超声波刺激(LIFUS)应用于人体外周末梢时,除了能引起温痛、冷痛和痛觉外,还能有效地引起振动触觉。然而,尽管精细触觉反馈在运动控制中具有重要作用,但迄今为止,关于它能否唤起精细触觉的研究却很少。为了探讨这一问题,本研究招募了 14 名健康志愿者。首先进行了心理物理实验,以确定合适的脉冲重复频率(PRF)和声强(AI)范围。然后,要求参与者在 LIFUS 下感知和分辨不同的触觉刺激,以评估通过调节 PRF 和 AI 是否能可靠地激发多种精细触觉。为了进行客观评估,我们记录并描述了受刺激指尖下的局部血液灌注量(BPV)反应。结果表明,在特定范围内调节 PRF 和 AI 可以可靠地诱发四种触觉,包括敲击、振动、电和压力,而且 PRF 和 AI 对参与者的触觉辨别力和 BPV 反应的振幅特征都有显著影响。这项研究有助于将 LIFUS 应用于某些人机交互场景,并对外周超声刺激的生理机制提出了宝贵的见解。
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引用次数: 0
Semi-Autonomous Continuous Robotic Arm Control Using an Augmented Reality Brain-Computer Interface 利用增强现实脑机接口实现半自主连续机械臂控制
IF 4.8 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-18 DOI: 10.1109/TNSRE.2024.3500217
Kirill Kokorin;Syeda R. Zehra;Jing Mu;Peter Yoo;David B. Grayden;Sam E. John
Noninvasive augmented-reality (AR) brain-computer interfaces (BCIs) that use steady-state visually evoked potentials (SSVEPs) typically adopt a fully-autonomous goal-selection framework to control a robot, where automation is used to compensate for the low information transfer rate of the BCI. This scheme improves task performance but users may prefer direct control (DC) of robot motion. To provide users with a balance of autonomous assistance and manual control, we developed a shared control (SC) system for continuous control of robot translation using an SSVEP AR-BCI, which we tested in a 3D reaching task. The SC system used the BCI input and robot sensor data to continuously predict which object the user wanted to reach, generated an assistance signal, and regulated the level of assistance based on prediction confidence. Eighteen healthy participants took part in our study and each completed 24 reaching trials using DC and SC. Compared to DC, SC significantly improved (paired two-tailed t-test, Holm-corrected $alpha lt 0.05$ ) mean task success rate ( ${p} lt 0.0001$ , $mu =36.1$ %, 95% CI [25.3%, 46.9%]), normalised reaching trajectory length ( ${p} lt 0.0001$ , $mu = -26.8$ %, 95% CI [−36.0%, −17.7%]), and participant workload ( ${p} =0.02$ , $mu = -11.6$ , 95% CI [−21.1, −2.0]) measured with the NASA Task Load Index. Therefore, users of SC can control the robot effectively, while experiencing increased agency. Our system can personalise assistive technology by providing users with the ability to select their preferred level of autonomous assistance.
使用稳态视觉诱发电位(SSVEPs)的无创增强现实(AR)脑机接口(BCIs)通常采用完全自主的目标选择框架来控制机器人,其中自动化用于补偿BCI的低信息传输速率。这种方案可以提高任务性能,但用户可能更喜欢直接控制(DC)机器人的运动。为了让用户在自主辅助和手动控制之间取得平衡,我们开发了一种共享控制(SC)系统,使用 SSVEP AR-BCI 对机器人平移进行连续控制,并在三维伸手任务中进行了测试。SC 系统使用 BCI 输入和机器人传感器数据持续预测用户想要触及的物体,生成辅助信号,并根据预测置信度调节辅助水平。18 名健康的参与者参加了我们的研究,每人使用 DC 和 SC 完成了 24 次伸手试验。与DC相比,SC明显提高了平均任务成功率(配对双尾t检验,Holm校正的α值为0.05)({p} lt 0.0001$ , $mu =36.1$ %, 95% CI [25.3%, 46.9%])、归一化到达轨迹长度(${p} lt 0.0001$ , $mu = -26.8$ %, 95% CI [-36.0%, -17.7%])以及使用美国宇航局任务负荷指数测量的参与者工作量(${p} =0.02$ , $mu = -11.6$ , 95% CI [-21.1, -2.0])。因此,SC 用户可以有效地控制机器人,同时体验到更多的自主性。我们的系统可以为用户提供个性化的辅助技术,让他们能够选择自己喜欢的自主辅助水平。
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引用次数: 0
The Neural Basis of the Effect of Transcutaneous Auricular Vagus Nerve Stimulation on Emotion Regulation Related Brain Regions: An rs-fMRI Study 经皮耳廓迷走神经刺激对情绪调节相关脑区影响的神经基础:rs-fMRI研究
IF 4.8 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-13 DOI: 10.1109/TNSRE.2024.3497893
Yujiao Zhang;Pan Lin;Ruimin Wang;Jiang Zhou;Xiaoquan Xu;Jianwei Wang;Sheng Ge
Transcutaneous auricular vagus nerve stimulation (taVNS) is a promising neurostimulation approach for emotion regulation. This research aimed to clarify the underlying neural basis responsible for taVNS’s impact on emotional regulation related brain regions. Thirty-two healthy volunteers were allocated into a taVNS group, which received electrical stimulation at the concha area of the ear, and a sham group, which received earlobe stimulation. Resting-state functional magnetic resonance imaging data were collected from both the taVNS and sham groups pre- and post-stimulation. To evaluate the alterations in neural activity and connectivity resulting from auricular electrical stimulation, degree centrality and functional connectivity analyses were used. The results indicated that taVNS modulated the neural activity of several brain regions, including the bilateral precuneus, temporal gyrus, precentral gyrus, and postcentral gyrus, whereas earlobe stimulation did not produce such effects. taVNS may improve emotion regulation by modulating neural activation and functional connectivity in key brain regions, then facilitating the integration of emotional responses, memories, and experiences. Thus, these brain regions may serve as potential therapeutic targets for taVNS in treating disorders associated with emotional dysregulation. These findings provide insight into the neural basis through which taVNS influences emotion regulation and hold potential for the development of neuromodulation-based therapeutic strategies for emotional disorders.
经皮耳廓迷走神经刺激(taVNS)是一种很有前景的情绪调节神经刺激方法。本研究旨在阐明 taVNS 对情绪调节相关脑区产生影响的潜在神经基础。32名健康志愿者被分为taVNS组(在耳廓部位接受电刺激)和假刺激组(接受耳垂刺激)。在刺激前和刺激后,均收集了 taVNS 组和假组的静息态功能磁共振成像数据。为了评估耳穴电刺激对神经活动和连通性造成的改变,研究人员使用了度中心性和功能连通性分析。结果表明,taVNS 可调节多个脑区的神经活动,包括双侧楔前回、颞回、前中央回和后中央回,而耳垂刺激则不会产生这种效果。因此,这些脑区可能是 taVNS 治疗情绪失调相关疾病的潜在治疗目标。这些发现让人们深入了解了 taVNS 影响情绪调节的神经基础,并为开发基于神经调节的情绪失调治疗策略提供了潜力。
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引用次数: 0
An Asynchronous Training-free SSVEP-BCI Detection Algorithm for Non-Equal Prior Probability Scenarios. 非等先验概率情况下的异步免训练 SSVEP-BCI 检测算法。
IF 4.8 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-12 DOI: 10.1109/TNSRE.2024.3496727
Junsong Wang, Yuntian Cui, Hongxin Zhang, Haolin Wu, Chen Yang

SSVEP-based brain-computer interface (BCI) systems have received a lot of attention due to their relatively high Signal to Noise Ratio (SNR) and less training requirements. Most of the existing steady-state visual evoked potential (SSVEP) detection algorithms treat the prior probability of each alternative target being selected as equal. In this study, the prior probability distribution of alternative targets was introduced into the SSVEP recognition algorithm, and an asynchronous training-free SSVEP-BCI detection algorithm for non-equal prior probability scenarios was proposed. This algorithm is based on the Spatio-temporal equalization multi-window technique (STE-MW) and introduces the Maximum A Posteriori criterion (MAP), which makes full use of prior information to improve the performance of the asynchronous training-free BCI system. In addition, we proposed a mutual information-based performance evaluation metric called Mutual information rate (MIR) specifically for non-equal prior probability scenarios. This evaluation framework is designed to provide a more accurate estimation of the information transmission performance of BCI systems in such scenarios. A 10-target simulated vehicle control offline experiment involving 17 subjects showed that the proposed method improved the average MIR by 6.48%. Online free control experiments involving 12 subjects showed that the proposed method improved the average MIR by 14.93%, and significantly reduced the average instruction time. The proposed algorithm is more suitable for practical engineering application scenarios that are asynchronous and training-free; the extremely high accuracy is guaranteed while maintaining a low false alarm rate, which can be applied to asynchronous BCI systems that require high stability.

基于稳态视觉诱发电位的脑机接口(BCI)系统因其相对较高的信噪比(SNR)和较少的训练要求而受到广泛关注。现有的稳态视觉诱发电位(SSVEP)检测算法大多将每个备选目标被选中的先验概率视为相同。本研究在 SSVEP 识别算法中引入了备选目标的先验概率分布,并提出了一种非等先验概率情况下的异步免训练 SSVEP-BCI 检测算法。该算法基于时空均衡多窗口技术(STE-MW),并引入了最大后验准则(MAP),充分利用先验信息来提高异步免训练 BCI 系统的性能。此外,我们还提出了一种基于互信息的性能评估指标,称为互信息率(MIR),专门用于非等先验概率情况。该评估框架旨在对 BCI 系统在此类情况下的信息传输性能进行更准确的评估。由 17 名受试者参与的 10 个目标模拟车辆控制离线实验表明,所提出的方法将平均 MIR 提高了 6.48%。由 12 名受试者参与的在线自由控制实验表明,所提出的方法将平均 MIR 提高了 14.93%,并显著缩短了平均指令时间。所提出的算法更适用于异步、免训练的实际工程应用场景;在保证极高准确率的同时,还能保持较低的误报率,可应用于对稳定性要求较高的异步生物识别系统。
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引用次数: 0
Dyslexia Analysis and Diagnosis Based on Eye Movement. 基于眼动的阅读障碍分析和诊断。
IF 4.8 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-11 DOI: 10.1109/TNSRE.2024.3496087
R Vaitheeshwari, Chen Chih-Hsuan, Chia-Ru Chung, Hsuan-Yu Yang, Shih-Ching Yeh, Eric Hsiao-Kuang Wu, Mukul Kumar

Dyslexia is a complex reading disorder characterized by difficulties in accurate or fluent word recognition, poor spelling, and decoding abilities. These challenges are not due to intellectual, visual, or auditory deficits. The diagnosis of dyslexia is further complicated by symptom variability, influenced by cultural and personal factors. This study leverages Virtual Reality (VR) advancements, eye movement tracking, and machine learning to create a virtual reading environment that captures eye movement data. This data extracts features such as eye movement metrics, word vectors, and saliency maps. We introduce a novel fusion model that integrates various machine learning algorithms to objectively and automatically assess dyslexia using physiological data derived from user interactions. Our findings suggest that this model significantly enhances the accuracy and efficiency of dyslexia diagnosis, marking an important advancement in educational technology and providing robust support for individuals with dyslexia. Although the sample size was limited to 10 dyslexic and 4 control participants, the results offer valuable insights and lay the groundwork for future studies with larger cohorts.

阅读障碍是一种复杂的阅读障碍,其特点是难以准确或流利地认字、拼写和解码能力差。这些困难并不是由于智力、视觉或听觉缺陷造成的。受文化和个人因素的影响,诵读困难的诊断因症状多变而变得更加复杂。本研究利用虚拟现实(VR)技术的进步、眼动跟踪和机器学习,创建了一个可捕捉眼动数据的虚拟阅读环境。这些数据可提取眼动指标、单词向量和突出图等特征。我们介绍了一种新颖的融合模型,该模型整合了各种机器学习算法,可利用从用户互动中获得的生理数据客观、自动地评估阅读障碍。我们的研究结果表明,该模型大大提高了诵读困难诊断的准确性和效率,标志着教育技术的重要进步,并为诵读困难患者提供了强有力的支持。虽然样本量仅限于 10 名阅读障碍患者和 4 名对照组参与者,但研究结果提供了宝贵的见解,并为今后开展更大规模的研究奠定了基础。
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引用次数: 0
Decoding a Cognitive Performance State from Behavioral Data in the Presence of Auditory Stimuli. 从听觉刺激下的行为数据中解码认知表现状态
IF 4.8 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-11 DOI: 10.1109/TNSRE.2024.3495704
Saman Khazaei, Rose T Faghih

Objective: Cognitive performance state is an unobserved state that refers to the overall performance of cognitive functions. Deriving an informative observation vector as well as the adaptive model and decoder would be essential in decoding the hidden performance.

Methods: We decode the performance from behavioral observation data using the Bayesian state-space approach. Forming an observation from the paired binary response with the associated continuous reaction time may lead to an overestimation of the performance, especially when an incorrect response is accompanied by a fast reaction time. We apply the marked point process (MPP) framework such that the performance decoder takes the correct/incorrect responses and the reaction time associated with correct responses as an observation. We compare the MPP-based performance with two other decoders in which the pairs of binary and continuous signals are taken as the observation; one decoder considers an autoregressive (AR) model for the performance state, and the other one employs an autoregressive-autoregressive conditional heteroskedasticity (AR-ARCH) model which incorporates the time-varying and adaptive innovation term within the model.

Results: To evaluate decoders, we use the simulated data and the n-back experimental data in the presence of multiple music sessions.

Conclusion: The Bayesian state-space approach is a promising way to decode the performance state. With respect to individual perspective, the estimated MPP-based and ARCH-based performance states outperform the AR-based estimation. Based on the aggregated data analysis, the ARCH-based performance decoder outperforms the other decoders.

Significance: Performance decoders can be employed in educational settings and smart workplaces to monitor one's performance and contribute to developing a feedback controller in closed-loop architecture to improve cognitive performance.

目的:认知表现状态是指认知功能的整体表现,是一种无法观测到的状态。在解码隐藏的表现时,获得信息丰富的观察向量以及自适应模型和解码器至关重要:我们使用贝叶斯状态空间方法从行为观察数据中解码性能。根据成对的二元反应和相关的连续反应时间形成观察结果,可能会导致对表现的高估,尤其是当错误的反应伴随着快速的反应时间时。我们采用标记点过程(MPP)框架,使性能解码器将正确/不正确的反应以及与正确反应相关的反应时间作为观察结果。我们将基于 MPP 的性能与其他两种解码器进行了比较,其中一种解码器将二进制信号和连续信号对作为观察指标;一种解码器考虑了性能状态的自回归(AR)模型,而另一种解码器则采用了自回归-自回归条件异方差(AR-ARCH)模型,该模型在模型中加入了时变和自适应创新项:为了评估解码器,我们使用了模拟数据和多音乐会话情况下的 n-back 实验数据:贝叶斯状态空间方法是一种很有前途的解码表演状态的方法。就个体角度而言,基于 MPP 和 ARCH 的性能状态估计优于基于 AR 的估计。根据汇总数据分析,基于 ARCH 的性能解码器优于其他解码器:意义:性能解码器可用于教育环境和智能工作场所,以监测个人性能,并有助于开发闭环架构的反馈控制器,从而提高认知性能。
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引用次数: 0
A Gluteus-Specific Muscle Synergy Recruited During the First Recovery Step Following a Backward Pitch Perturbation 在向后俯仰扰动后的第一个恢复步骤中,招募了臀部特异性肌肉协同作用。
IF 4.8 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-11 DOI: 10.1109/TNSRE.2024.3495514
Huijie Lin;Xiping Ren;Christoph Lutter;Haidan Liang;Fengxue Qi;Qining Yang;Maeruan Kebbach;Martin Schlegel;Sven Bruhn;Rainer Bader;Thomas Tischer
The central nervous system momentarily activates a set of specific muscle synergies to maintain balance when external mechanical perturbations induce walking instability, which is critically involved in preventing falls. The activation patterns and composition of the muscle synergies recruited in the perturbed leg have not been fully characterized, and even less so for the recovery step. Here, we addressed this research gap by measuring the surface electromyographic data of the relevant muscles during a backward-pitched perturbed walk, and then extracting muscle synergy-related parameters using a non-negative matrix factorization algorithm. Our findings indicated that 1) a common set of four muscle synergies was activated in normal, perturbated and first recovery steps; 2) a specific muscle synergy controlled hip movement was recruited in the first recovery step; and 3) the main temporal activation phases of several muscle synergies were prolonged in the perturbed or the first recovery step. These results emphasize the potential significance of exploring the neurological control strategies of muscle synergy in fall prevention.
当外部机械扰动引起行走不稳时,中枢神经系统会瞬间激活一组特定的肌肉协同作用以保持平衡,这对防止跌倒至关重要。目前尚未完全确定受扰动腿部肌肉协同作用的激活模式和组成,而恢复步骤的肌肉协同作用的激活模式和组成则更少。在此,我们通过测量后倾扰动行走过程中相关肌肉的表面肌电数据,然后使用非负矩阵因式分解算法提取肌肉协同相关参数,填补了这一研究空白。我们的研究结果表明:(1) 在正常步、扰动步和第一个恢复步中,有一组共同的四种肌肉协同作用被激活;(2) 在第一个恢复步中,一种控制髋关节运动的特定肌肉协同作用被招募;(3) 在扰动步或第一个恢复步中,几种肌肉协同作用的主要时间激活阶段被延长。这些结果强调了探索肌肉协同作用的神经控制策略在预防跌倒中的潜在意义。
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引用次数: 0
A Swing-Assist Controller for Enhancing Knee Flexion in a Semi-Powered Transfemoral Prosthesis 用于增强半动力跨股假肢膝关节屈曲的摆动辅助控制器
IF 4.8 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-11 DOI: 10.1109/TNSRE.2024.3495517
David M. Marsh;Marco Puliti;Michael Goldfarb
This work proposes a new swing controller for semi-powered low impedance transfemoral prostheses that resolves the issue of potentially competing inputs between artificial assistive power and user-sourced power. Rather than add power as an exogeneous input, the control approach uses power to modify the homogeneous portion of the shank dynamics, and therefore need not construct or curate an input that is coordinated with user input. The implemented controller requires a single control parameter at a given walking speed, where the value of that parameter is a function of walking speed, as determined by an adaptive algorithm, such that peak knee angles are commensurate with walking-speed-dependent behaviors of individuals without any negative gait pathologies. The controller and parameter selection algorithm are described in the paper, and subsequently validated in walking experiments with three participants with unilateral transfemoral amputation. The experiments demonstrate that the proposed controller increases peak knee angle and minimum toe clearance during swing phase without increasing hip compensatory actions, relative to the users’ daily-use devices.
这项研究为半动力低阻抗经股动假肢提出了一种新的摆动控制器,解决了人工辅助动力和用户输入动力之间可能存在竞争的问题。这种控制方法不是将动力作为外来输入添加,而是利用动力来修改柄部动态的同质部分,因此无需构建或策划与用户输入相协调的输入。实施的控制器在给定的步行速度下只需要一个控制参数,该参数的值是步行速度的函数,由自适应算法决定,这样膝关节的峰值角度就与没有任何不良步态病症的人的步行速度行为相称。文中介绍了控制器和参数选择算法,并随后在三名单侧经股截肢者的行走实验中进行了验证。实验证明,相对于用户日常使用的设备,所提出的控制器在摆动阶段增加了膝关节角度峰值和脚趾间隙最小值,而没有增加髋关节的补偿动作。
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引用次数: 0
Synergy-Based Estimation of Balance Condition During Walking Tests 基于协同作用的步行测试平衡状态估算。
IF 4.8 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-11 DOI: 10.1109/TNSRE.2024.3495530
Kaitai Li;Heyuan Wang;Xuesong Ye;Congcong Zhou
In the area of human-machine interface research, the continuous estimation of the Center of Pressure (COP) in the human body can assess users’ balance conditions, thereby effectively enhancing the safety and diversity of studies. This paper aims to present a novel method for continuous synergy-based estimation of human balance states during walking, and simultaneously analyze the impact of various factors on the estimation results. Specifically, we introduce muscle synergy coherence features and analyze the variations of these features in different balance conditions. Furthermore, we fuse temporal features extracted by a bidirectional long short-term memory (BILSTM) network with spatial features derived from the analysis of muscle synergy coherence to continuously estimate the mediolateral COP and Ground Reaction Force (GRF) during human walking tests. Then, we analyze the influence of different electromechanical delay compensation (EMD) time, the number of synergies, and different walking speeds on the estimation results. Finally, we validate the estimation capability of the proposed method on data collected in real-world walking tests. The results indicate a significant correlation between the proposed muscle synergy coherence features and balance conditions. The network structure combining muscle synergy coherence features and BILSTM features enables accurate continuous estimation of COP ( $mathbf {R}^{mathbf {{2}}}= ,, 0.87~pm ~0.07$ ) and GRF ( $mathbf {R}^{mathbf {{2}}}= ,, 0.83~pm ~0.09$ ) during walking tests. Our research introduces a novel approach to the continuous estimation of balance conditions in human walking, with potential implications in various applications within human-machine engineering, such as exoskeletons and prosthetics.
在人机界面研究领域,对人体压力中心(COP)的连续估计可以评估使用者的平衡状况,从而有效提高研究的安全性和多样性。本文旨在提出一种基于协同作用的连续估算人体行走时平衡状态的新方法,并同时分析各种因素对估算结果的影响。具体来说,我们引入了肌肉协同一致性特征,并分析了这些特征在不同平衡条件下的变化。此外,我们将双向长短期记忆(BILSTM)网络提取的时间特征与肌肉协同相干性分析得出的空间特征进行融合,以连续估计人体行走测试中的内外侧 COP 和地面反作用力(GRF)。然后,我们分析了不同机电延迟补偿(EMD)时间、协同次数和不同步行速度对估算结果的影响。最后,我们在实际行走测试中收集的数据上验证了所提方法的估算能力。结果表明,所提出的肌肉协同一致性特征与平衡条件之间存在明显的相关性。结合肌肉协同相干特征和 BILSTM 特征的网络结构能够在步行测试中准确地连续估计 COP(R2=0.87±0.07)和 GRF(R2=0.83±0.09)。我们的研究为连续估计人类行走时的平衡状况引入了一种新方法,对外骨骼和假肢等人机工程领域的各种应用具有潜在影响。
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引用次数: 0
Changes in Spatiotemporal Variability of Muscular Response under the Influence of Post-stroke Spasticity. 中风后痉挛影响下肌肉反应时空变异性的变化
IF 4.8 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-08 DOI: 10.1109/TNSRE.2024.3486026
Tian Xie, Yan Leng, Ruxin He, Chuhuai Wang, Rong Song

Spasticity is characterized by involuntary muscle activation due to the hyperexcitability of the stretch reflex. However, the temporal pattern and spatial heterogeneity of motor unit recruitment in this activation are not fully understood. The aim of this study was to investigate changes in spatiotemporal variability in spastic muscle responses to passive stretch after stroke. We acquired high-density surface electromyography (HD-sEMG) signals from the biceps brachii in 21 stroke survivors, 10 age-matched old healthy controls, and 10 young healthy controls at velocities of 10°/s, 60°/s, 120°/s, and 180°/s. The average and distribution of fuzzy entropy extracted from HD-sEMG signals were used to characterize the spatiotemporal variability of muscle activation. Our results showed that the temporal variability of stroke survivors was significantly lower than that of old controls, while the latter was significantly lower than that of young controls. As velocity increased, only stroke survivors showed decreased activation variability and increased activation levels in specific region, and the distributions were similar across velocities. Notably, the activation variability and the size of regions with high activation levels were significantly negatively and positively correlated with the severity of spasticity, respectively. These findings provide entropy-based evidence for the contribution of greater silencing of motoneurons responsible for reflex inhibition to the synchronous recruitment of more motor units.

痉挛的特点是拉伸反射过度兴奋导致肌肉不自主激活。然而,人们对这种激活中运动单位招募的时间模式和空间异质性并不完全了解。本研究旨在调查中风后痉挛肌肉对被动拉伸反应的时空变异性变化。我们以 10°/秒、60°/秒、120°/秒和 180°/秒的速度采集了 21 名中风幸存者、10 名年龄匹配的老年健康对照者和 10 名年轻健康对照者肱二头肌的高密度表面肌电图(HD-sEMG)信号。从 HD-sEMG 信号中提取的模糊熵的平均值和分布用于描述肌肉激活的时空变异性。结果显示,中风幸存者的时变性明显低于老年对照组,而后者则明显低于年轻对照组。随着速度的增加,只有中风幸存者的激活变异性降低,特定区域的激活水平增加,且不同速度下的分布相似。值得注意的是,激活变异性和高激活水平区域的大小分别与痉挛的严重程度呈显著负相关和正相关。这些发现提供了基于熵的证据,证明负责反射抑制的运动神经元的更大沉默有助于同步招募更多的运动单位。
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IEEE Transactions on Neural Systems and Rehabilitation Engineering
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