基于跑步机运动电流变化的偏瘫患者脑卒中后步态康复FES控制系统的研制

Jing Ye, Y. Nakashima, Takao Watanabe, M. Seki, Bo Zhang, Quanquan Liu, Yuki Yokoo, Yo Kobayashi, Q. Cao, M. Fujie
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引用次数: 9

摘要

考虑到有很大比例的中风幸存者存在持续的缺陷,目前的干预措施恢复正常运动功能的能力有限。我们提出了一种用于脑卒中恢复期偏瘫患者步态康复的步态训练系统。它包括一个功能电刺激(FES)装置,用于即时影响步态模式以改善步态质量,以及一个带有两条分离带的跑步机。FES的刺激触发可以由被试的步态相位自动控制,包括站立相位和摇摆相位。通过观察受试者在跑步机皮带上行走过程中跑步机电机的电流值变化来估计和识别步态相位。在本文中,我们通过偏瘫模拟实验初步验证了所提出方法的可行性。此外,在步态过程中,预期的FES刺激成功刺激了偏瘫侧的胫骨前肌(TA)和股四头肌。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Development of a novel FES control system based on treadmill motor current variation for gait rehabilitation of hemiplegic patients after stroke
In consideration of a large proportion of stroke survivors with persistent deficits, current interventions have limited ability to restore normal motor function. We propose a gait training system for gait rehabilitation of hemiplegic patients with convalescent stroke. It consists of a functional electrical stimulation (FES) device which is used to influence the gait pattern instantly to improve the quality of the gait, and a treadmill with two separated belts. The stimulus triggers from the FES could be controlled automatically by the subject's gait phase determination, including stance phase and swing phase. Gait phase could be estimated and recognized through observing current value variation of the treadmill motor during the subject's walking on the treadmill belts. In this paper, we have preliminarily tested the feasibility of the proposed method through hemiplegic simulation experiments. Also, Tibialis Anterior (TA) and quadriceps on the hemiplegic side were successfully stimulated by the expected FES stimuli during gait.
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