Abstract: Functional electrical stimulation (FES) is a commonly used technique in rehabilitation and often associated with rapid muscle fatigue which becomes the limiting factor in its applications. The objective of this study is to investigate the effects on the onset of fatigue of conventional synchronous stimulation, as well as asynchronous stimulation that mimic voluntary muscle activation targeting different motor units which are activated sequentially or randomly via multiple pairs of stimulation electrodes. We investigate three different approaches with various electrode configurations, as well as different patterns of stimulation applied to the gastrocnemius muscle: Conventional Synchronous Stimulation (CSS), Asynchronous Sequential Stimulation (ASS) and Asynchronous Random Stimulation (ARS). Stimulation was applied repeatedly for 300 ms followed by 700 ms of no-stimulation with 40 Hz effective frequency for all protocols. Ten able-bodied volunteers (28±3 years old) participated in this study. As fatigue indicators, we focused on the analysis of Normalized Fatigue Index (NFI), Fatigue Time Interval (FTI) and pre-post Twitch-Tetanus Ratio (ΔTTR). The results demonstrated that ASS and ARS give higher NFI and longer FTI confirming less fatigue for asynchronous stimulation. In addition, ASS and ARS resulted in higher ΔTTR than conventional CSS. In this study, we proposed a randomly distributed stimulation method for the application of FES and investigated its suitability for reducing muscle fatigue compared to previously applied methods. The results validated that asynchronous stimulation reduces fatigue, and indicates that random stimulation may improve fatigue resistance in some conditions.
Abstract: To increase the temperature contrast in thermal
images, the characteristics of the electrical conductivity and thermal
imaging modalities can be combined. In this experimental study, it is
objected to observe whether the temperature contrast created by the
tumor tissue can be improved just due to the current application
within medical safety limits. Various thermal breast phantoms are
developed to simulate the female breast tissue. In vitro experiments
are implemented using a thermal infrared camera in a controlled
manner. Since experiments are implemented in vitro, there is no
metabolic heat generation and blood perfusion. Only the effects and
results of the electrical stimulation are investigated. Experimental
study is implemented with two-dimensional models. Temperature
contrasts due to the tumor tissues are obtained. Cancerous tissue is
determined using the difference and ratio of healthy and tumor
images. 1 cm diameter single tumor tissue causes almost 40 °mC
temperature contrast on the thermal-breast phantom. Electrode
artifacts are reduced by taking the difference and ratio of background
(healthy) and tumor images. Ratio of healthy and tumor images show
that temperature contrast is increased by the current application.
Abstract: It was expected to benefit patient with hemiparesis after stroke by extensive arm rehabilitation, to partially regain forearm and hand function. This paper propose a robotic rehabilitation arm in assisting the hemiparetic patient to learn new ways of using and moving their weak arms. In this study, the robotic arm was driven by a somatosensory stimulated brain computer interface (BCI), which is a new modality BCI. The use of somatosensory stimulation is not only an input for BCI, but also a electrical stimulation for treatment of hemiparesis to strengthen the arm and improve its range of motion. A trial of this robotic rehabilitation arm was performed in a stroke patient with pure motor hemiparesis. The initial trial showed a promising result from the patient with great motivation and function improvement. It suggests that robotic rehabilitation arm driven by somatosensory BCI can enhance the rehabilitation performance and progress for hemiparetic patients after stroke.
Abstract: Retinal prostheses have been successful in eliciting
visual responses in implanted subjects. As these prostheses progress,
one of their major limitations is the need for increased resolution. As
an alternative to increasing the number of electrodes, virtual
electrodes may be used to increase the effective resolution of current
electrode arrays. This paper presents a virtual electrode technique
based upon time-offsets between stimuli. Two adjacent electrodes are
stimulated with identical pulses with too short of pulse widths to
activate a neuron, but one has a time offset of one pulse width. A
virtual electrode of twice the pulse width was then shown to appear in
the center, with a total width capable of activating a neuron. This can
be used in retinal implants by stimulating electrodes with pulse
widths short enough to not elicit responses in neurons, but with their
combined pulse width adequate to activate a neuron in between them.
Abstract: The neural stimulation has been gaining much interest in neuromodulation research and clinical trials. For efficiency, there is a need for variable electrical stimulation such as current and voltage stimuli as well as wireless framework. In this regard, we develop the wireless neural stimulator capable of voltage and current stimuli. The system consists of ZigBee which is a wireless communication module and stimulus generator. The stimulus generator with 8-bits resolution enable both mono-polar and bi-polar waveform in voltage (-3.3~3.3V) and current(-330~330µA) stimulus mode which is controllable. The experimental results suggest that the proposed neural stimulator can play a role as an effective approach for neuromodulation.
Abstract: We evaluated the effect of sensory (direct current
(DC), 600μA) and motor (monophasic current, pulse duration 300μs,
100 Hz, 2.5-3mA) intensities of cathodal electrical stimulation (ES)
current to release VEGF and biomechanical properties of wound. 54
male Sprague-dawley rats were randomly assigned into one control
and two experimental groups. A full thickness skin incision was
made on animals- dorsal region. The experimental groups received
ES for 1h/day and every other day. VEGF expression was measured
in skin on the 7th day after surgical incision and tensile strength was
measured on 21st day. On the 7th day, the values of skin VEGF in the
sensory group were significantly greater than those of the other
groups (p < 0.05). Sensory and Motor intensity stimulation, can not
improve the biomechanical properties of the repaired wounds.
It seems the mechanical environment induced by sensory and
motor intensity of electrical stimulation, could not simulate the role
of normal daily stress and strain to maturation of collagen fibers and
their cross links. Further work is needed to determine the relationship
between VEGF expression after ES and its effect on tensile strength
of healed wound.
Abstract: Training with Functional Electrical Stimulation (FES)
has both physiological and psychological benefits for spinal cord
injured subjects. Commonly used methods for quantification of
spasticity have shown controversial reliability. In this study we
propose a method for quick determination of spasticity in spinal cord
injured subjects on a cycling and measurement system. 23 patients
did training sessions on an instrumented mobile FES cycle three
times a week over two months as part of their clinical rehabilitation
program. Spasticity (MAS) and the legs resistance to the pedaling
motion were assessed before and after the FES training and
measurements were done on the subjects ability to pedal with our
without motor assistance. Measurements with test persons with
incomplete spastic paraplegia have shown that spasticity is decreased
after a 30 min cycling training with functional electrical stimulation
(FES).
Abstract: With getting older in the whole population, the
prevalence of stroke and its residual disability is getting higher and
higher recently in Taiwan. The functional electrical stimulation
cycling system (FESCS) is useful for hemiplegic patients. Because
that the muscle of stroke patients is under hybrid activation. The raw
electromyography (EMG) represents the residual muscle force of
stroke subject whereas the peak-to-peak of stimulus EMG indicates the
force enhancement benefiting from ES. It seems that EMG signals
could be used for a parameter of feedback control mechanism. So, we
design the feedback control protocol of FESCS, it includes
physiological signal recorder, FPGA biomedical module, DAC and
electrical stimulation circuit. Using the intensity of real-time EMG
signal obtained from patients, as a feedback control method for the
output voltage of FES-cycling system.