An Automatic Identification Procedure to Promote the use of FES-Cycling Training for Hemiparetic Patients

Ambrosini, Emilia; Ferrante, Simona; Schauer, Thomas; Ferrigno, Giancarlo; Molteni, Franco; Pedrocchi, Alessandra

doi:https://doi.org/10.1260/2040-2295.5.3.275

Journal of Healthcare Engineering

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Research Article | Open Access

Volume 5 | Article ID 163457 | https://doi.org/10.1260/2040-2295.5.3.275

An Automatic Identification Procedure to Promote the use of FES-Cycling Training for Hemiparetic Patients

Emilia Ambrosini,^1,2Simona Ferrante,¹Thomas Schauer,³Giancarlo Ferrigno,¹Franco Molteni,⁴and Alessandra Pedrocchi¹

Received01 Sept 2013

Accepted01 Jun 2014

Abstract

Cycling induced by Functional Electrical Stimulation (FES) training currently requires a manual setting of different parameters, which is a time-consuming and scarcely repeatable procedure. We proposed an automatic procedure for setting session-specific parameters optimized for hemiparetic patients. This procedure consisted of the identification of the stimulation strategy as the angular ranges during which FES drove the motion, the comparison between the identified strategy and the physiological muscular activation strategy, and the setting of the pulse amplitude and duration of each stimulated muscle. Preliminary trials on 10 healthy volunteers helped define the procedure. Feasibility tests on 8 hemiparetic patients (5 stroke, 3 traumatic brain injury) were performed. The procedure maximized the motor output within the tolerance constraint, identified a biomimetic strategy in 6 patients, and always lasted less than 5 minutes. Its reasonable duration and automatic nature make the procedure usable at the beginning of every training session, potentially enhancing the performance of FES-cycling training.

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Copyright © 2014 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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