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A model of the upper extremity using FES for stroke rehabilitation

A model of the upper extremity using FES for stroke rehabilitation
A model of the upper extremity using FES for stroke rehabilitation
A model of the upper extremity is developed in which the forearm is constrained to lie in a horizontal plane and electrical stimulation is applied to the triceps muscle. Identification procedures are described to estimate the unknown parameters using tests that can be performed in a short period of time. Examples of identified parameters obtained experimentally are presented for both stroke patients and unimpaired subjects. A discussion concerning the identification's repeatability, together with results confirming the accuracy of the overall representation, is given. The model has been used during clinical trials in which electrical stimulation is applied to the triceps muscle of a number of stroke patients for the purpose of improving both their performance at reaching tasks and their level of voluntary control over their impaired arm. Its purpose in this context is threefold: Firstly, changes occurring in the levels of stiffness and spasticity in each subject's arm can be monitored by comparing frictional components of models identified at different times during treatment. Secondly, the model is used to calculate the moments applied during tracking tasks that are due to a patient's voluntary effort, and it therefore constitutes a useful tool with which to analyze their performance. Thirdly, the model is used to derive the advanced controllers that govern the level of stimulation applied to subjects over the course of the treatment. Details are provided to show how the model is applied in each case, and sample results are shown.
0148-0731
031011-12pp
Freeman, C. T.
ccdd1272-cdc7-43fb-a1bb-b1ef0bdf5815
Hughes, A.M.
11239f51-de47-4445-9a0d-5b82ddc11dea
Burridge, J. H.
0110e9ea-0884-4982-a003-cb6307f38f64
Chappell, P. H.
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Lewin, P. L.
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Rogers, E
611b1de0-c505-472e-a03f-c5294c63bb72
Freeman, C. T.
ccdd1272-cdc7-43fb-a1bb-b1ef0bdf5815
Hughes, A.M.
11239f51-de47-4445-9a0d-5b82ddc11dea
Burridge, J. H.
0110e9ea-0884-4982-a003-cb6307f38f64
Chappell, P. H.
2d2ec52b-e5d0-4c36-ac20-0a86589a880e
Lewin, P. L.
78b4fc49-1cb3-4db9-ba90-3ae70c0f639e
Rogers, E
611b1de0-c505-472e-a03f-c5294c63bb72

Freeman, C. T., Hughes, A.M., Burridge, J. H., Chappell, P. H., Lewin, P. L. and Rogers, E (2009) A model of the upper extremity using FES for stroke rehabilitation. Journal of Biomechanical Engineering, 131 (3), 031011-12pp. (doi:10.1115/1.3005332).

Record type: Article

Abstract

A model of the upper extremity is developed in which the forearm is constrained to lie in a horizontal plane and electrical stimulation is applied to the triceps muscle. Identification procedures are described to estimate the unknown parameters using tests that can be performed in a short period of time. Examples of identified parameters obtained experimentally are presented for both stroke patients and unimpaired subjects. A discussion concerning the identification's repeatability, together with results confirming the accuracy of the overall representation, is given. The model has been used during clinical trials in which electrical stimulation is applied to the triceps muscle of a number of stroke patients for the purpose of improving both their performance at reaching tasks and their level of voluntary control over their impaired arm. Its purpose in this context is threefold: Firstly, changes occurring in the levels of stiffness and spasticity in each subject's arm can be monitored by comparing frictional components of models identified at different times during treatment. Secondly, the model is used to calculate the moments applied during tracking tasks that are due to a patient's voluntary effort, and it therefore constitutes a useful tool with which to analyze their performance. Thirdly, the model is used to derive the advanced controllers that govern the level of stimulation applied to subjects over the course of the treatment. Details are provided to show how the model is applied in each case, and sample results are shown.

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Published date: 7 January 2009
Organisations: Health Sciences

Identifiers

Local EPrints ID: 67213
URI: http://eprints.soton.ac.uk/id/eprint/67213
ISSN: 0148-0731
PURE UUID: 79fafbf0-b823-4edc-8ace-55f8465bd442
ORCID for A.M. Hughes: ORCID iD orcid.org/0000-0002-3958-8206
ORCID for J. H. Burridge: ORCID iD orcid.org/0000-0003-3497-6725
ORCID for P. L. Lewin: ORCID iD orcid.org/0000-0002-3299-2556
ORCID for E Rogers: ORCID iD orcid.org/0000-0003-0179-9398

Catalogue record

Date deposited: 10 Aug 2009
Last modified: 14 Mar 2024 02:51

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Contributors

Author: C. T. Freeman
Author: A.M. Hughes ORCID iD
Author: J. H. Burridge ORCID iD
Author: P. H. Chappell
Author: P. L. Lewin ORCID iD
Author: E Rogers ORCID iD

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