IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society
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IEEE Trans Neural Syst Rehabil Eng · Sep 2002
Comparative Study Clinical TrialDevelopment of an indoor rowing machine with manual FES controller for total body exercise in paraplegia.
Concept 2 indoor rowing machine (Concept 2 Inc., USA) was modified for functional electrical stimulation (FES) rowing exercise in paraplegia. A new seating system provides trunk stability and constrains the leg motion to the sagittal plane. A 4-channel electrical stimulator activates the quadriceps and hamstrings in Drive and Recovery phases of the rowing cycle, respectively. ⋯ It uses the voluntary thumb presses to control the timing of the stimulation to the paralyzed leg muscles. The manual control system was intuitive and easy to learn and resulted in well-coordinated rowing. Evaluation of the modified rower by paraplegic volunteers showed that it is effective, safe, and affordable exercise alternative for paraplegics.
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IEEE Trans Neural Syst Rehabil Eng · Sep 2002
Comparative StudyImproving signal reliability for on-line joint angle estimation from nerve cuff recordings of muscle afferents.
Closed-loop functional electrical stimulation (FES) applications depend on sensory feedback, thus, it is important to continuously investigate new methods to obtain reliable feedback signals. The objective of the present paper was to examine the feasibility of using an artificial neural network (ANN) to predict joint angle from whole nerve cuff recordings of muscle afferent activity within a physiological range of motion. Furthermore, we estimated how small changes in joint angle that can be detected from the nerve cuff recordings. ⋯ On average the mean prediction errors were less than 2.0 degrees (a total excursion of 20 degrees) and we were able to predict joint angles from muscle afferent activity with accuracy close to the best-estimated angular resolution. The angular resolution was found to depend on the initial joint angle and the actual step size taken and we found that there was a low probability of detecting joint angle changes less than 1.5 degrees. We thus suggest that muscle afferent activity is applicable as feedback in real-time closed-loop control, when the motion speed is restricted and when the movement is limited to a portion of the joint's physiological range.
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IEEE Trans Neural Syst Rehabil Eng · Sep 2002
Control of leg-powered paraplegic cycling using stimulation of the lumbo-sacral anterior spinal nerve roots.
We investigated leg-powered cycling in a recumbent tricycle for a paraplegic using functional electrical stimulation (FES) with the lumbo-sacral anterior root stimulator implant (LARSI). A female complete T9 paraplegic had a stimulator for the anterior L2 to S2 spinal roots (bilaterally) implanted in 1994. She was provided with equipment for daily FES cycling exercise at home. ⋯ With this system, she has cycled 1.2 km at a time on gently undulating road. We found that spinal root stimulation gives sufficient control over the muscles in the legs to produce a fluid cycling gait. We propose that root stimulation for leg cycling exercise may be a practicable and valuable function for paraplegics following spinal cord injury.