IEEE transactions on rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society最新文献

{"title":"A new rehabilitation training system for postural balance control using virtual reality technology.","authors":"N G Kim,&nbsp;C K Yoo,&nbsp;J J Im","doi":"10.1109/86.808952","DOIUrl":"https://doi.org/10.1109/86.808952","url":null,"abstract":"<p><p>A new rehabilitation training system, designated as a virtual cycling system, was developed to improve postural balance control by combining virtual reality (VR) technology with a bicycle. Several parameters including path deviation, path deviation velocity, cycling time, and head movement were extracted and evaluated to quantify the extent of control. The system was effective as a training device and, in addition, the technology might have a wider applicability to the rehabilitation field.</p>","PeriodicalId":79442,"journal":{"name":"IEEE transactions on rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society","volume":"7 4","pages":"482-5"},"PeriodicalIF":0.0,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/86.808952","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21468301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endoneural selective stimulating using wire-microelectrode arrays.","authors":"J P Smit,&nbsp;W L Rutten,&nbsp;H B Boom","doi":"10.1109/86.808943","DOIUrl":"https://doi.org/10.1109/86.808943","url":null,"abstract":"<p><p>In acute experiments eight 5- to 24-wire-microelectrode arrays were inserted into the common peroneal nerve of the rat, to investigate whether the electrodes could selectively stimulate motor units of the extensor digitorum longus (EDL) muscle. Twitch-force-recruitment curves were measured from the EDL for each array electrode. The curves were plotted on a double-logarithmic scale and parameterized by the low-force slope (which represents the power p in the power-law relationship of force F versus stimulus current I, or F approximately I(p)) and the threshold current. The slopes and threshold currents measured with array electrodes did not differ significantly from those obtained with randomly inserted single wire-microelectrodes. This indicates that, although involving a more invasive insertion procedure, electrode arrays provide neural contacts with low-force recruitment properties similar to those of single wires. Array results revealed partial blocking of neural conduction, similar to that reported with microneurographic insertion with single needles. The efficiency of the array was defined as the fraction of array electrodes selectively contacting a motor unit and evoking the corresponding threshold force. Efficiency thus expresses the practical value of the used electrode array in terms of the total number of distinct threshold forces that can be stimulated by selecting the appropriate electrodes. The eight arrays were capable of evoking threshold forces selectively with an average efficiency of 0.81 (or 81%).</p>","PeriodicalId":79442,"journal":{"name":"IEEE transactions on rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society","volume":"7 4","pages":"399-412"},"PeriodicalIF":0.0,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/86.808943","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21465598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Frequency component selection for an EEG-based brain to computer interface.","authors":"M Pregenzer,&nbsp;G Pfurtscheller","doi":"10.1109/86.808944","DOIUrl":"https://doi.org/10.1109/86.808944","url":null,"abstract":"<p><p>A new communication channel for severely handicapped people could be opened with a direct brain to computer interface (BCI). Such a system classifies electrical brain signals online. In a series of training sessions, where electroencephalograph (EEG) signals are recorded on the intact scalp, a classifier is trained to discriminate a limited number of different brain states. In a subsequent series of feedback sessions, where the subject is confronted with the classification results, the subject tries to reduce the number of misclassifications. In this study the relevance of different spectral components is analyzed: 1) on the training sessions to select optimal frequency bands for the feedback sessions and 2) on the feedback sessions to monitor changes.</p>","PeriodicalId":79442,"journal":{"name":"IEEE transactions on rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society","volume":"7 4","pages":"413-9"},"PeriodicalIF":0.0,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/86.808944","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21465599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EMG and metabolite-based prediction of force in paralyzed quadriceps muscle under interrupted stimulation.","authors":"O Levin,&nbsp;J Mizrahi","doi":"10.1109/86.788467","DOIUrl":"https://doi.org/10.1109/86.788467","url":null,"abstract":"<p><p>A major issue associated with functional electrical stimulation (FES) of a paralyzed limb is the decay with time of the muscle force as a result of fatigue. A possible means to reduce fatigue during FES is by using interrupted stimulation, in which fatigue and recovery occur in sequence. In this study, we present a model which enables us to evaluate the temporal force generation capacity within the electrically activated muscle during first stimulation fatigue, i.e., when the muscle is activated from unfatigued initial conditions, and during postrest stimulation, i.e., after different given rest durations. The force history of the muscle is determined by the activation as derived from actually measured electromyogram (EMG) data, and by the metabolic fatigue function expressing the temporal changes of muscle metabolites, from existing data acquired by in vivo 31P MR spectroscopy in terms of the inorganic phosphorus variables, Pi or H2PO4-, and by the intracellular pH. The model was solved for supra-maximal stimulation in isometric contractions separated by rest periods, and compared to experimentally obtained measurements. EMG data were fundamental for prediction of the ascending force during its posttetanic response. On the other hand, prediction of the decaying phase of the force was possible only by means of the metabolite-based fatigue function. The prediction capability of the model was assessed by means of the error between predicted and measured force profiles. The predicted force obtained from the model in first stimulation fatigue fits well with the experimental one. In postrest stimulation fatigue, the different metabolites provided different prediction capabilities of the force, depending on the duration of the rest period. Following rest duration of 1 min, Pi provided the best prediction of force; H2PO4- extended the prediction capacity of the model to up to 6 min and pH provided a reliable prediction for rest durations longer than 12 min. The results presented shed light on the roles of EMG and of metabolites in prediction of the force history of a paralyzed muscle under conditions where fatigue and recovery occur in sequence.</p>","PeriodicalId":79442,"journal":{"name":"IEEE transactions on rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society","volume":"7 3","pages":"301-14"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/86.788467","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21360913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A simulation study of reflex instability in spasticity: origins of clonus.","authors":"J M Hidler,&nbsp;W Z Rymer","doi":"10.1109/86.788469","DOIUrl":"https://doi.org/10.1109/86.788469","url":null,"abstract":"<p><p>Clonus is defined as an involuntary rhythmic muscle contraction that generally occurs in people who have sustained lesions involving descending motor pathways in the neuraxis, and is usually accompanied by other signs of reflex hyperexcitability such as spasticity. This paper hypothesizes that clonus arises when two conditions occur simultaneously: 1) the reflex pathway contains long delay times (implying innervation of distal limb muscles, exacerbated when these muscles display slow twitch properties) and 2) the excitability of the motoneurons is enhanced. This paper tested this dual hypothesis by developing a computer model representing the ankle reflex pathway. This model included the ankle muscles, afferent and efferent pathways, and a monosynaptic spinal link between spindle afferents and motoneurons. Simulations show that as the motoneuron current threshold was reduced (reflecting increased excitability of spinal motoneurons), normal reflex responses became unstable and oscillations developed similar to those observed in spastic patients. In parallel, when we choose reflex delay times typical for distal leg muscles in man, system stability is poor, and oscillations occur readily with increasing motoneuron excitability. As simulated pathway delays are reduced, oscillatory behavior is also reduced, and usually damps out. Conversely, as simulated reflex delays are increased, oscillations increase in amplitude and do not decay. Finally, these two phenomena interact, so that increasing motoneuron excitability will induce reflex oscillations for intermediate loop delays. These findings support the hypothesis that unstable oscillatory behavior, such as the oscillations observed in clonus, will occur when the motoneuron excitability increases in a reflex pathway containing long delays. This change in excitability is mediated by a reduction in motoneuron firing threshold, rather than by an increase in feedback gain. Furthermore, we demonstrate that sustained oscillations occur readily through self reexcitation, which reduces the need to propose that a \"central oscillator\" must be involved in generating clonus.</p>","PeriodicalId":79442,"journal":{"name":"IEEE transactions on rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society","volume":"7 3","pages":"327-40"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/86.788469","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21362113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implantable transducer for two-degree of freedom joint angle sensing.","authors":"M W Johnson,&nbsp;P H Peckham,&nbsp;N Bhadra,&nbsp;K L Kilgore,&nbsp;M M Gazdik,&nbsp;M W Keith,&nbsp;P Strojnik","doi":"10.1109/86.788471","DOIUrl":"https://doi.org/10.1109/86.788471","url":null,"abstract":"<p><p>An implantable joint angle transducer (IJAT) was developed to provide command-control and feedback-control information for chronic use with functional neuromuscular stimulation (FNS) neuroprostheses. The IJAT uses Hall effect sensors to transduce joint angle. A titanium encapsulated array of Hall effect sensors and support circuitry is surgically implanted in one bone, and a similarly encapsulated permanent magnet in an opposing bone, across a joint. The IJAT provides consistent, reliable, high quality signals that reflect joint movement from midsized two-degree-of-freedom joints. IJAT's were implanted using a chronic in vivo dog model to demonstrate the feasibility of implantation and periodic measurement techniques, and to validate modeling techniques used for prediction of function and calibration. The flexion resolution ranged from 0.4 to 3.0 degrees over a range of 115 degrees. The maximum deviation from a linear response was 9 degrees. The resolution and linearity depend on several transducer and joint geometry parameters, and can be predicted prior to implantation and calibrated after implantation. The results of this study 1) defined the most appropriate hermetic capsule designs for the IJAT sensor and magnet, 2) defined the best orientation of the magnetic field to optimize device function, 3) provided a computer model of the IJAT to aid in placement, calibration, and evaluation of the device, 4) verified the surgical techniques used to implant the device, and 5) verified the long-term functionality and the biocompatibility of the device.</p>","PeriodicalId":79442,"journal":{"name":"IEEE transactions on rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society","volume":"7 3","pages":"349-59"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/86.788471","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21362116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stability of the interface between neural tissue and chronically implanted intracortical microelectrodes.","authors":"X Liu,&nbsp;D B McCreery,&nbsp;R R Carter,&nbsp;L A Bullara,&nbsp;T G Yuen,&nbsp;W F Agnew","doi":"10.1109/86.788468","DOIUrl":"https://doi.org/10.1109/86.788468","url":null,"abstract":"<p><p>The stability of the interface between neural tissue and chronically implanted microelectrodes is very important for obtaining reliable control signals for neuroprosthetic devices. Stability is also crucial for chronic microstimulation of the cerebral cortex. However, changes of the electrode-tissue interface can be caused by a variety of mechanisms. In the present study, intracortical microelectrode arrays were implanted into the pericruciate gyrus of cats and neural activities were recorded on a regular basis for several months. An algorithm based on cluster analysis and interspike interval analysis was developed to sort the extracellular action potentials into single units. We tracked these units based on their waveform and their response to somatic stimulation or stereotypical movements by the cats. Our results indicate that, after implantation, the electrode-tissue interface may change from day-to-day over the first 1-2 weeks, week-to-week for 1-2 months, and become quite stable thereafter. A stability index is proposed to quantify the stability of the electrode-tissue interface. The reasons for the pattern of changes are discussed.</p>","PeriodicalId":79442,"journal":{"name":"IEEE transactions on rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society","volume":"7 3","pages":"315-26"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/86.788468","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21362112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A model for human skin impedance during surface functional neuromuscular stimulation.","authors":"S J Dorgan,&nbsp;R B Reilly","doi":"10.1109/86.788470","DOIUrl":"https://doi.org/10.1109/86.788470","url":null,"abstract":"<p><p>A new mathematical model for the bulk electrical impedance of human skin is presented. In particular this model describes the impedance of skin during surface functional neuromuscular stimulation (FNS) with square stimulation pulses. Experimental data are presented that illustrate the nonlinear dynamic properties of human skin during current and voltage controlled stimulation. Model predictions are compared to experimental data, measured under both constant voltage and constant current transcutaneous stimulation. It is found that this model captures a variety of nonlinear time-varying effects observed in the skin impedance when stimulating with either protocol. This model may be used as part of large neuromusculoskeletal models or in the more accurate modeling of transcutaneous FNS, which is currently the most common clinical implementation of FNS.</p>","PeriodicalId":79442,"journal":{"name":"IEEE transactions on rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society","volume":"7 3","pages":"341-8"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/86.788470","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21362114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feature extraction and quantification of the variability of dynamic performance profiles due to the different sagittal lift characteristics.","authors":"K A Khalaf,&nbsp;M Parnianpour,&nbsp;P J Sparto,&nbsp;K Barin","doi":"10.1109/86.788465","DOIUrl":"https://doi.org/10.1109/86.788465","url":null,"abstract":"<p><p>Investigation of manual material handling (MMH) tasks, such as lifting, requires the quantification of the various kinematic and kinetic parameters of performance for assessment of the functional capacity and/or task demand profiles. Traditional statistical descriptive analyses usually involve computing the summary statistics (maximum, minimum, mean, and/or range) of the resulting performance parameters over the cycle duration (i.e., lifting/lowering cycle). Consequently, the significant information content of the time-varying signals is diminished, limiting the sensitivity of subsequent hypothesis testing procedures. The present study developed a methodology for representing and quantifying performance data variability of the kinematic and kinetic motion profiles due to the different lift characteristics (load, mode, and speed) during MMH tasks while capturing the temporal characteristics. Using a database of motion profiles from a manual lifting experiment, the Karhunen-Loeve Expansion (KLE) feature extraction technique was shown to be quite effective for representing the various motion profiles. The number of basis vectors (eigenvectors) and corresponding coefficients needed for accurate representation were substantially smaller than the original data set, resulting in data compression. Moreover, the effects of lift characteristics were investigated using analysis of variance techniques that recognize the vectorial constitution of the waveforms. The application of these techniques will enable the quantification of highly phasic profiles and enhance the ability to document the effect of intervening measures such as educational or physical training/exercise on the kinematic and kinetic patterns of performance. Additionally, the differential influence of lift characteristics on the variability of performance during different phases of lifting and lowering provides added resolution in the analysis of MMH tasks.</p>","PeriodicalId":79442,"journal":{"name":"IEEE transactions on rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society","volume":"7 3","pages":"278-88"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/86.788465","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21360911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Laparoscopic implant instrument for the placement of intramuscular electrodes in the diaphragm.","authors":"H Aiyar,&nbsp;T A Stellato,&nbsp;R P Onders,&nbsp;J T Mortimer","doi":"10.1109/86.788472","DOIUrl":"https://doi.org/10.1109/86.788472","url":null,"abstract":"<p><p>We have developed an endoscopic instrument that will allow a surgeon to safely, dependably and accurately place intramuscular (IM) electrodes in the diaphragm. This instrument has been used to implant 28 IM electrodes in the diaphragms of eleven acute and four chronic dogs. All electrodes achieved full activation of the diaphragm muscle, producing tidal volumes up to 130% V(TCRIT), the critical volume necessary for basal ventilatory support, with unilateral stimulation. The surgeon is able to control the angle of the IM electrode insertion needle, which enables the needle to approach the diaphragm at an angle that is parallel to the surface of the muscle. This insures good control over the depth of needle penetration into the muscle, which greatly reduces the risk of accidentally passing the needle through the diaphragm and entering the thorax. Endoscopic placement of IM electrodes into the diaphragm opens opportunities to provide cost effective negative pressure ventilation to patients who are unable to effect sufficient ventilation by central nervous system (CNS) control of respiration.</p>","PeriodicalId":79442,"journal":{"name":"IEEE transactions on rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society","volume":"7 3","pages":"360-71"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/86.788472","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21362115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}