Please use this identifier to cite or link to this item:
http://hdl.handle.net/10397/95051
Title: | Corticomuscular integrated representation of voluntary motor effort in robotic control for wrist-hand rehabilitation after stroke | Authors: | Guo, Z Zhou, S Ji, K Zhuang, Y Song, J Nam, C Hu, X Zheng, Y |
Issue Date: | Apr-2022 | Source: | Journal of neural engineering, Apr. 2022, v. 19, no. 2, 26004 | Abstract: | Objective. The central-to-peripheral voluntary motor effort (VME) in the affected limb is a dominant force for driving the functional neuroplasticity on motor restoration post-stroke. However, current rehabilitation robots isolated the central and peripheral involvements in the control design, resulting in limited rehabilitation effectiveness. This study was to design a corticomuscular coherence (CMC) and electromyography (EMG)-driven control to integrate the central and peripheral VMEs in neuromuscular systems in stroke survivors. Approach. The CMC-EMG-driven control was developed in a neuromuscular electrical stimulation (NMES)-robot system, i.e. CMC-EMG-driven NMES-robot system, to instruct and assist the wrist-hand extension and flexion in persons after stroke. A pilot single-group trial of 20 training sessions was conducted with the developed system to assess the feasibility for wrist-hand practice on the chronic strokes (16 subjects). The rehabilitation effectiveness was evaluated through clinical assessments, CMC, and EMG activation levels. Main results. The trigger success rate and laterality index of CMC were significantly increased in wrist-hand extension across training sessions (p < 0.05). After the training, significant improvements in the target wrist-hand joints and suppressed compensation from the proximal shoulder-elbow joints were observed through the clinical scores and EMG activation levels (p < 0.05). The central-to-peripheral VME distribution across upper extremity (UE) muscles was also significantly improved, as revealed by the CMC values (p < 0.05). Significance. Precise wrist-hand rehabilitation was achieved by the developed system, presenting suppressed cortical and muscular compensation from the contralesional hemisphere and the proximal UE, and improved distribution of the central-and-peripheral VME on UE muscles. |
Keywords: | Corticomuscular coherence Hand functions Robotic control Stroke rehabilitation Voluntary motor effort |
Publisher: | Institute of Physics Publishing | Journal: | Journal of neural engineering | ISSN: | 1741-2560 | EISSN: | 1741-2552 | DOI: | 10.1088/1741-2552/ac5757 | Rights: | © 2022 The Author(s). Published by IOP Publishing Ltd Original content from this work may be used under the terms of the Creative Commons Attribution 4.0 licence (https://creativecommons.org/licenses/by/4.0/). Any further distribution of this work must maintain attribution to the author(s) and the title of the work, journal citation and DOI. The following publication Guo, Z., Zhou, S., Ji, K., Zhuang, Y., Song, J., Nam, C., ... & Zheng, Y. (2022). Corticomuscular integrated representation of voluntary motor effort in robotic control for wrist-hand rehabilitation after stroke. Journal of Neural Engineering, 19(2), 026004 is available at https://doi.org/10.1088/1741-2552/ac5757. |
Appears in Collections: | Journal/Magazine Article |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
Guo_Corticomuscular_integrated_representation.pdf | 16.17 MB | Adobe PDF | View/Open |
Page views
65
Last Week
1
1
Last month
Citations as of May 5, 2024
Downloads
74
Citations as of May 5, 2024
SCOPUSTM
Citations
11
Citations as of May 3, 2024
WEB OF SCIENCETM
Citations
10
Citations as of May 2, 2024
Google ScholarTM
Check
Altmetric
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.