Automated FES for Upper Limb Rehabilitation Following Stroke and Spinal Cord Injury

IEEE Transactions on Neural Systems and Rehabilitation Engineering : a Publication of the IEEE Engineering in Medicine and Biology Society
Edmund F HodkinAndrew Jackson

Abstract

Neurorehabilitation aims to induce beneficial neural plasticity in order to restore function following injury to the nervous system. There is an increasing evidence that appropriately timed functional electrical stimulation (FES) can promote associative plasticity, but the dosage is critical for lasting functional benefits. Here, we present a novel approach to closed-loop control of muscle stimulation for the rehabilitation of reach-to-grasp movements following stroke and spinal cord injury (SCI). We developed a simple, low-cost device to deliver assistive stimulation contingent on users' self-initiated movements. The device allows repeated practice with minimal input by a therapist, and is potentially suitable for home use. Pilot data demonstrate usability by people with upper limb weakness following SCI and stroke, and participant feedback was positive. Moreover, repeated training with the device over 1-2 weeks led to functional benefits on a general object manipulation assessment. Thus, automated FES delivered by this novel device may provide a promising and readily translatable therapy for upper limb rehabilitation for people with stroke and SCI.

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Citations

Apr 19, 2020·Biomedizinische Technik. Biomedical Engineering·Jannatul NaeemManfred Bijak
Oct 18, 2019·Sensors·Kai YangSteve Beeby
Aug 10, 2020·Computers in Biology and Medicine·Muhammad Ahmed KhanSadasivan Puthusserypady
Aug 17, 2021·Technology and Health Care : Official Journal of the European Society for Engineering and Medicine·Jessica K Camacho-ZavalaJavier Perez-Orive

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