利用压力敏感意图识别的上肢运动功能康复系统。

IF 14.1 1区 材料科学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Zhiwei Hu, Yongchao Yin, Xiaoli Yang, Hanyang Zhang, Ling Xing, Shiwu Zhang, Xinglong Gong, Ming Wu, Guolin Yun, Shuaishuai Sun
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引用次数: 0

摘要

功能电刺激(FES)提高了脑卒中患者的日常生活和康复效果,但在意图识别、个体适应性和闭环控制方面面临挑战。为了解决这些问题,提出了一种用于上肢运动功能的重建系统,该系统采用高压敏感液态金属磁流变弹性体(LMMRE)来检测肌肉表面压力。它可以动态调节基于肌肉力量信号的功能性电刺激,使中风患者的手腕运动能够连续执行。该系统显著改善了患者的活动能力,手腕升降角度从14°增加到47°,升降速度几乎翻了一番。临床试验证实了该系统在促进运动恢复和减少肌肉痉挛方面的卓越功效。此外,与传统电刺激相比,功能性近红外光谱显示,在LMMRE-FES治疗期间,大脑活动增强,损伤神经通路重建加快。该系统在推进中风康复方面具有巨大的潜力,为优化家庭护理的便携式可穿戴设备铺平了道路。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Upper Limb Motor Function Rehabilitation System Leveraging Pressure-Sensitive Intent Recognition.

Functional electrical stimulation (FES) enhances daily living and rehabilitation outcomes for stroke patients but faces challenges in intention recognition, individual adaptability, and closed-loop control. To address these, a reconstruction system is presented for upper limb motor function, employing highly pressure-sensitive liquid metal magnetorheological elastomers (LMMRE) to detect muscle surface pressure. It can dynamically modulate functional electrical stimulation based on muscle force signals, enabling continuous execution of wrist movements for stroke patients. The system markedly improves patient mobility, with wrist lifting angles increased from 14° to 47°, and lifting speed nearly doubled. Clinical trials confirm the system's superior efficacy in promoting motor recovery and reducing muscle spasms. Moreover, functional near-infrared spectroscopy highlights enhanced brain activity and promotes reconstruction of damaged neural pathways during LMMRE-FES therapy compared with the conventional electrical stimulation. This system holds immense potential for advancing stroke rehabilitation, paving the way for portable, wearable devices optimized for home-based care.

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来源期刊
Advanced Science
Advanced Science CHEMISTRY, MULTIDISCIPLINARYNANOSCIENCE &-NANOSCIENCE & NANOTECHNOLOGY
CiteScore
18.90
自引率
2.60%
发文量
1602
审稿时长
1.9 months
期刊介绍: Advanced Science is a prestigious open access journal that focuses on interdisciplinary research in materials science, physics, chemistry, medical and life sciences, and engineering. The journal aims to promote cutting-edge research by employing a rigorous and impartial review process. It is committed to presenting research articles with the highest quality production standards, ensuring maximum accessibility of top scientific findings. With its vibrant and innovative publication platform, Advanced Science seeks to revolutionize the dissemination and organization of scientific knowledge.
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