开发用于站立平衡训练的功能性电刺激疗法加视觉反馈平衡训练闭环控制器

IF 1.7 4区 医学 Q3 ENGINEERING, BIOMEDICAL Medical Engineering & Physics Pub Date : 2024-09-16 DOI:10.1016/j.medengphy.2024.104238
Jae W. Lee , Emerson Grabke , Kelvin Chow , Kristin E. Musselman , Kei Masani
{"title":"开发用于站立平衡训练的功能性电刺激疗法加视觉反馈平衡训练闭环控制器","authors":"Jae W. Lee ,&nbsp;Emerson Grabke ,&nbsp;Kelvin Chow ,&nbsp;Kristin E. Musselman ,&nbsp;Kei Masani","doi":"10.1016/j.medengphy.2024.104238","DOIUrl":null,"url":null,"abstract":"<div><div>Individuals with incomplete spinal cord injury (iSCI) demonstrate impaired upright balance, resulting in increased fall risk. Task-specific visual feedback balance training (VFBT) has previously been shown to improve upright balance. In addition, therapies using functional electrical stimulation (FES) have been shown to improve various motor functions. Combining VFBT with FES therapy (FES+VFBT) may synergistically improve balance control for those with iSCI. Here we developed the FES+VFBT system that delivered physiologically relevant electrical stimulations to soleus (SOL) and tibialis anterior (TA) muscles during VFBT. Ten young able-bodied individuals participated. Kinematic, kinetic, SOL and TA electromyography (EMG) data during quiet standing and limits-of-stability test were used to design the controller for the FES+VFBT system. To evaluate the performance of the designed controller, the controller outputs, which represented stimulation intensities, were compared with the recorded SOL and TA EMG during the four tasks associated with VFBT (i.e., bullseye, hunting, colour-matching, and ellipse tasks). Except for the bullseye task, the designed controller outputs were highly correlated with the recorded EMG, suggesting that the controller could generate electrical stimulations in a physiological manner. We expect that the addition of FES therapy to VFBT could contribute to improving standing balance for individuals with iSCI.</div></div>","PeriodicalId":49836,"journal":{"name":"Medical Engineering & Physics","volume":"132 ","pages":"Article 104238"},"PeriodicalIF":1.7000,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Development of a closed-loop controller for functional electrical stimulation therapy plus visual feedback balance training for standing balance training\",\"authors\":\"Jae W. Lee ,&nbsp;Emerson Grabke ,&nbsp;Kelvin Chow ,&nbsp;Kristin E. Musselman ,&nbsp;Kei Masani\",\"doi\":\"10.1016/j.medengphy.2024.104238\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Individuals with incomplete spinal cord injury (iSCI) demonstrate impaired upright balance, resulting in increased fall risk. Task-specific visual feedback balance training (VFBT) has previously been shown to improve upright balance. In addition, therapies using functional electrical stimulation (FES) have been shown to improve various motor functions. Combining VFBT with FES therapy (FES+VFBT) may synergistically improve balance control for those with iSCI. Here we developed the FES+VFBT system that delivered physiologically relevant electrical stimulations to soleus (SOL) and tibialis anterior (TA) muscles during VFBT. Ten young able-bodied individuals participated. Kinematic, kinetic, SOL and TA electromyography (EMG) data during quiet standing and limits-of-stability test were used to design the controller for the FES+VFBT system. To evaluate the performance of the designed controller, the controller outputs, which represented stimulation intensities, were compared with the recorded SOL and TA EMG during the four tasks associated with VFBT (i.e., bullseye, hunting, colour-matching, and ellipse tasks). Except for the bullseye task, the designed controller outputs were highly correlated with the recorded EMG, suggesting that the controller could generate electrical stimulations in a physiological manner. We expect that the addition of FES therapy to VFBT could contribute to improving standing balance for individuals with iSCI.</div></div>\",\"PeriodicalId\":49836,\"journal\":{\"name\":\"Medical Engineering & Physics\",\"volume\":\"132 \",\"pages\":\"Article 104238\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2024-09-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Medical Engineering & Physics\",\"FirstCategoryId\":\"5\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1350453324001395\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"ENGINEERING, BIOMEDICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medical Engineering & Physics","FirstCategoryId":"5","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1350453324001395","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ENGINEERING, BIOMEDICAL","Score":null,"Total":0}
引用次数: 0

摘要

不完全脊髓损伤(iSCI)患者的直立平衡能力受损,导致跌倒风险增加。此前已有研究表明,针对特定任务的视觉反馈平衡训练(VFBT)可改善直立平衡。此外,使用功能性电刺激(FES)的疗法也被证明可以改善各种运动功能。将 VFBT 与功能性电刺激疗法相结合(FES+VFBT)可协同改善 iSCI 患者的平衡控制能力。在此,我们开发了 FES+VFBT 系统,该系统可在 VFBT 过程中向比目鱼肌(SOL)和胫骨前肌(TA)提供与生理相关的电刺激。十名身体健康的年轻人参与了这项研究。他们利用安静站立和极限稳定测试期间的运动学、动力学、比目鱼肌和胫骨前肌肌电图(EMG)数据设计了 FES+VFBT 系统的控制器。为了评估所设计控制器的性能,将控制器输出(代表刺激强度)与四项与 VFBT 相关的任务(即牛眼、狩猎、颜色匹配和椭圆形任务)中记录的 SOL 和 TA 肌电图进行了比较。除牛眼任务外,设计的控制器输出与记录的肌电图高度相关,表明控制器能以生理方式产生电刺激。我们预计,在 VFBT 的基础上增加 FES 治疗,将有助于改善 iSCI 患者的站立平衡能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

摘要图片

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Development of a closed-loop controller for functional electrical stimulation therapy plus visual feedback balance training for standing balance training
Individuals with incomplete spinal cord injury (iSCI) demonstrate impaired upright balance, resulting in increased fall risk. Task-specific visual feedback balance training (VFBT) has previously been shown to improve upright balance. In addition, therapies using functional electrical stimulation (FES) have been shown to improve various motor functions. Combining VFBT with FES therapy (FES+VFBT) may synergistically improve balance control for those with iSCI. Here we developed the FES+VFBT system that delivered physiologically relevant electrical stimulations to soleus (SOL) and tibialis anterior (TA) muscles during VFBT. Ten young able-bodied individuals participated. Kinematic, kinetic, SOL and TA electromyography (EMG) data during quiet standing and limits-of-stability test were used to design the controller for the FES+VFBT system. To evaluate the performance of the designed controller, the controller outputs, which represented stimulation intensities, were compared with the recorded SOL and TA EMG during the four tasks associated with VFBT (i.e., bullseye, hunting, colour-matching, and ellipse tasks). Except for the bullseye task, the designed controller outputs were highly correlated with the recorded EMG, suggesting that the controller could generate electrical stimulations in a physiological manner. We expect that the addition of FES therapy to VFBT could contribute to improving standing balance for individuals with iSCI.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Medical Engineering & Physics
Medical Engineering & Physics 工程技术-工程:生物医学
CiteScore
4.30
自引率
4.50%
发文量
172
审稿时长
3.0 months
期刊介绍: Medical Engineering & Physics provides a forum for the publication of the latest developments in biomedical engineering, and reflects the essential multidisciplinary nature of the subject. The journal publishes in-depth critical reviews, scientific papers and technical notes. Our focus encompasses the application of the basic principles of physics and engineering to the development of medical devices and technology, with the ultimate aim of producing improvements in the quality of health care.Topics covered include biomechanics, biomaterials, mechanobiology, rehabilitation engineering, biomedical signal processing and medical device development. Medical Engineering & Physics aims to keep both engineers and clinicians abreast of the latest applications of technology to health care.
期刊最新文献
Open laminectomy plus posterolateral fusion versus open laminectomy plus transforaminal lumbar interbody fusion surgical approaches for fusing degenerated L4-L5 segment: A comparative finite element study The effect of the length of chimney's protrusion on the hemodynamics of abdominal aorta stent graft after endovascular aneurysm repair Effect of plantar fascia stiffness on plantar windlass mechanism and arch: Finite element method and dual fluoroscopic imaging system verification An in vitro experimental study on the synergistic pathogenicity analysis of pulsatile tinnitus involving venous flow velocity, sigmoid sinus wall dehiscence and sinus malformation Cadaveric validation of markerless tracking using weightbearing computed tomography versus conventional computed tomography imaging techniques
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1