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Journal of Healthcare Engineering
Volume 5, Issue 3, Pages 275-292
http://dx.doi.org/10.1260/2040-2295.5.3.275
Research Article

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

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

1NearLab, Department of Electronics, Information, and Bioengineering, Politecnico di Milano, NeuroEngineering and Medical Robotics Laboratory, Piazza Leonardo da Vinci 32, 20133, Milano, Italy
2Physical Medicine and Rehabilitation Unit, Scientific Institute of Lissone, Institute of Care and Research, Salvatore Maugeri Foundation IRCCS, Lissone, Italy
3Control Systems Group, Technische Universität Berlin, Einsteinufer 17, D-10587 Berlin, Germany
4Villa Beretta Rehabilitation Center, Valduce Hospital, Via Nazario Sauro 17, 23845 Costa Masnaga, Lecco, Italy

Received 1 September 2013; Accepted 1 June 2014

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.

Linked References

  1. S. Ferrante, A. Pedrocchi, G. Ferrigno, and F. Molteni, “Cycling induced by functional electrical stimulation improves the muscular strength and the motor control of individuals with post-acute stroke. Europa Medicophysica-SIMFER 2007 Award Winner,” Eur J Phys Rehabil Med, vol. 44, no. 2, pp. 159–67, 2008. View at Google Scholar
  2. J. Szecsi, C. Krewer, F. Müller, and A. Straube, “Functional electrical stimulation assisted cycling of patients with subacute stroke: kinetic and kinematic analysis,” Clin Biomech (Bristol, Avon), vol. 23, no. 8, pp. 1086–94, 2008. View at Google Scholar
  3. E. Ambrosini, S. Ferrante, T. Schauer, G. Ferrigno, F. Molteni, and A. Pedrocchi, “Design of a symmetry controller for cycling induced by electrical stimulation: preliminary results on post-acute stroke patients,” Artif Organs, vol. 34, no. 8, pp. 663–7, 2010. View at Google Scholar
  4. E. Ambrosini, S. Ferrante, A. Pedrocchi, G. Ferrigno, and F. Molteni, “Cycling induced by electrical stimulation improves motor recovery in postacute hemiparetic patients: a randomized controlled trial,” Strok, vol. 42, no. 4, pp. 1068–73, 2011 Apr. View at Google Scholar
  5. E. Ambrosini, S. Ferrante, G. Ferrigno, F. Molteni, and A. Pedrocchi, “Cycling induced by electrical stimulation improves muscle activation and symmetry during pedaling in hemiparetic patients,” IEEE Trans Neural Syst Rehabil Eng, vol. 20, no. 3, pp. 320–30, 2012. View at Google Scholar
  6. T. W. Janssen, J. M. Beltman, P. Elich, P. A. Koppe, H. Konijnenbelt, A. de Haan et al., “Effects of electric stimulation-assisted cycling training in people with chronic stroke,” Arch Phys Med Rehabil, vol. 89, no. 3, pp. 463–9, 2008. View at Google Scholar
  7. G. Alon, V. M. Conroy, and T. W. Donner, “Intensive training of subjects with chronic hemiparesis on a motorized cycle combined with functional electrical stimulation (FES): a feasibility and safety study,” Physiother Res Int, vol. 16, no. 2, pp. 81–91, 2011. View at Google Scholar
  8. G. P. Braz, M. Russold, and G. M. Davis, “Functional electrical stimulation control of standing and stepping after spinal cord injury: a review of technical characteristics,” Neuromodulation, vol. 12, no. 3, pp. 180–90, 2009 Jul. View at Google Scholar
  9. J. J. Chen, N. Y. Yu, D. G. Huang, B. T. Ann, and G. C. Chang, “Applying fuzzy logic to control cycling movement induced by functional electrical stimulation,” IEEE Trans Rehabil Eng, vol. 5, no. 2, pp. 158–69, 1997. View at Google Scholar
  10. M. Gföhler and P. Lugner, “Dynamic simulation of FES-cycling: influence of individual parameters,” IEEE Trans Neural Syst Rehabil Eng, vol. 12, no. 4, pp. 398–405, 2004. View at Google Scholar
  11. K. J. Hunt, B. Stone, N.-O. Negård, T. Schauer, M. H. Fraser, A. J. Cathcart et al., “Control strategies for integration of electric motor assist and functional electrical stimulation in paraplegic cycling: utility for exercise testing and mobile cycling,” IEEE Trans Neural Syst Rehabil Eng, vol. 12, no. 1, pp. 89–101, 2004. View at Google Scholar
  12. T. A. Perkins, N. Donaldson, R. Fitzwater, G. F. Phillips, and D. E. Wood, “Leg powered paraplegic cycling system using surface Functional Electrical Stimulation,” Artif Organs, vol. 26, no. 3, pp. 297–298, 2002. View at Google Scholar
  13. J. S. Petrofsky, “New algorithm to control a cycle ergometer using electrical stimulation,” Med Biol Eng Comput, vol. 41, no. 1, pp. 18–27, 2003. View at Google Scholar
  14. J. S. Petrofsky, C. A. Phillips, J. Almeyda, R. Briggs, W. Couch, and W. Colby, “Aerobic Trainer with Physiological Monitoring for Exercise in Paraplegic and Quadriplegic Patients,” Journal of Clinical Engineering, vol. 10, no. 4, pp. 307–16, 1985. View at Google Scholar
  15. D. J. Pons, C. L. Vaughan, and G. G. Jaros, “Cycling device powered by the electrically stimulated muscles of paraplegics,” Med Biol Eng Comput, vol. 27, no. 1, pp. 1–7, 1989. View at Google Scholar
  16. S. Ferrante, A. Pedrocchi, and G. Ferrigno, “Biomimetic neuroprostheses: Human-Like Control Strategies to Improve Training Rehabilitative Exercises Using Functional Electrical Stimulation,” in Progress in Biological Cybernetics Research, Daan A. De Jong, 2008. View at Google Scholar
  17. L. R. Sheffler and J. Chae, “Neuromuscular electrical stimulation in neurorehabilitation,” Muscle Nerve, vol. 35, no. 5, pp. 562–90, 2007. View at Google Scholar
  18. A. S. Gorgey, E. Mahoney, T. Kendall, and G. A. Dudley, “Effects of neuromuscular electrical stimulation parameters on specific tension,” Eur J Appl Physiol, vol. 97, no. 6, pp. 737–44, 2006. View at Google Scholar
  19. L. Mesin, E. Merlo, R. Merletti, and C. Orizio, “Investigation of motor unit recruitment during stimulated contractions of tibialis anterior muscle,” J Electromyogr Kinesiol, vol. 20, no. 4, pp. 580–9, 2010. View at Google Scholar
  20. A. J. Bergquist, J. M. Clair, O. Lagerquist, C. S. Mang, Y. Okuma, and D. F. Collins, “Neuromuscular electrical stimulation: implications of the electrically evoked sensory volley,” Eur J Appl Physiol, vol. 111, no. 10, pp. 2409–26, 2011 Oct. View at Google Scholar
  21. B. M. Doucet, A. Lam, and L. Griffin, “Neuromuscular electrical stimulation for skeletal muscle function,” Yale J Biol Med, vol. 85, no. 2, pp. 201–15, 2012. View at Google Scholar
  22. L.-W. Chou and S. A. Binder-Macleod, “The effects of stimulation frequency and fatigue on the force-intensity relationship for human skeletal muscle,” Clin Neurophysiol, vol. 118, no. 6, pp. 1387–96, 2007. View at Google Scholar
  23. J. R. De Kroon, M. J. Ijzerman, J. Chae, G. J. Lankhorst, and G. Zilvold, “Relation between stimulation characteristics and clinical outcome in studies using electrical stimulation to improve motor control of the upper extremity in stroke,” J Rehabil Med, vol. 37, no. 2, pp. 65–74, 2005. View at Google Scholar
  24. V. M. Pomeroy, L. King, A. Pollock, A. Baily-Hallam, and P. Langhorne, “Electrostimulation for promoting recovery of movement or functional ability after stroke,” Cochrane Database Syst Rev, no. 2:CD003241, 2006. View at Google Scholar
  25. L. Comolli, S. Ferrante, A. Pedrocchi, M. Bocciolone, G. Ferrigno, and F. Molteni, “Metrological characterization of a cycle-ergometer to optimize the cycling induced by functional electrical stimulation on patients with stroke,” Med Eng Phys, vol. 32, no. 4, pp. 339–48, 2010. View at Google Scholar
  26. S. Ferrante, E. Ambrosini, P. Ravelli, E. Guanziroli, F. Molteni, G. Ferrigno et al., “A biofeedback cycling training to improve locomotion: a case series study based on gait pattern classification of 153 chronic stroke patients,” J Neuroeng Rehabil, vol. 8:47, 2011. View at Google Scholar
  27. H. J. Hermens, B. Freriks, C. Disselhorst-Klug, and G. Rau, “Development of recommendations for SEMG sensors and sensor placement procedures,” J Electromyogr Kinesiol, vol. 10, no. 5, pp. 361–74, 2000. View at Google Scholar
  28. N. Sharma, C. M. Gregory, and W. E. Dixon, “Predictor-based compensation for electromechanical delay during neuromuscular electrical stimulation,” IEEE Trans Neural Syst Rehabil Eng, vol. 19, no. 6, pp. 601–11, 2011. View at Google Scholar
  29. S. A. Kautz and D. A. Brown, “Relationships between timing of muscle excitation and impaired motor performance during cyclical lower extremity movement in post-stroke hemiplegia,” Brain, vol. 121, Pt 3, pp. 515–26, 1998. View at Google Scholar
  30. P. E. Crago, P. H. Peckham, and G. B. Thrope, “Modulation of muscle force by recruitment during intramuscular stimulation,” IEEE Trans Biomed Eng, vol. 27, no. 12, pp. 679–84, 1980. View at Google Scholar
  31. J. Glinsky, L. Harvey, and P. Van Es, “Efficacy of electrical stimulation to increase muscle strength in people with neurological conditions: a systematic review,” Physiother Res Int, vol. 12, no. 3, pp. 175–194, 2007. View at Google Scholar
  32. E. Ambrosini, S. Ferrante, T. Schauer et al., “A myocontrolled neuroprosthesis integrated with a passive exoskeleton to support upper limb activities,” Journal of Electromyography and Kinesiology, vol. 24, no. 2, pp. 307–17, 2014. View at Google Scholar
  33. B. Stapelfeldt, G. Mornieux, R. Oberheim, A. Belli, and A. Gollhofer, “Development and evaluation of a new bicycle instrument for measurements of pedal forces and power output in cycling,” Int J Sports Med, vol. 28, no. 4, pp. 326–32, 2007. View at Google Scholar