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EEG based cortical investigation for the limit of stability analysis in transfemoral amputees: A comparison with able-bodied individuals

Khajuria Aayushi, Joshi Deepak

Biocybernetics and Biomedical Engineering

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2022

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Vol. 42, no. 1

362--374

EN

Background: The evidences for demonstrating the contributions of the cerebral cortex in human postural control is increasing. However, there remain little insights about the cortical correlates of balance control in lower-limb amputees. The present study aimed to investigate the cortical activity and balance performance of transfemoral amputees in comparison to healthy individuals during a continuous balance task (CBT). Methods: The postural stability of the participants was defined with limit of stability parameter. Electroencephalography (EEG) data were recorded in synchronization with the center of pressure (CoP) data from eighteen individuals (including eight unilateral transfemoral amputees). We anticipated that, due to the limb loss, the postural demand of transfemoral amputees increases which significantly modulates the spectral power of intrinsic cortical oscillations. Findings: Using the independent components from the sensorimotor areas and supplementary motor area (SMA), our results present a well-pronounced drop of alpha spectral power at sensorimotor area contralateral to sound limb of amputees in comparison to SMA and the sensorimotor area contralateral to prosthetic limb. Following this, we found significantly higher (p < 0.05) limit of stability (LOS) at their sound limb than at the prosthetic limb. Healthy individuals have similar contribution from both the limbs and the EEG alpha spectral power was similar across the three regions of the cortex during the balance control task as expected. Overall, a decent correlation was found between the LOS and alpha spectral power in both amputee and healthy individuals (Pearson’s correlation coefficient > 0.5). Interpretation: By externally stimulating the highlighted cortical regions, neuroplasticity might be promoted which helps to reduce the training time for the efficient rehabilitation of amputees. Additionally, this new knowledge might benefit in the designing and development of innovative interventions to prevent falls due to lower limb amputation.

2

Muscle torque production and kinematic properties in post-stroke patients: a pilot cross-sectional study

Kowal Mateusz, Kołcz Anna, Dymarek Robert, Paprocka-Borowicz Małgorzata, Gnus Jan

Acta of Bioengineering and Biomechanics

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2020

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Vol. 22, no. 1

11--20

EN

Stroke-related hemiplegia is an important factor influencing parameters of gait. So far, limited papers have assessed temporo-spatial capabilities and their correlations with gait parameters in the early post-stroke stage. This pilot study evaluated the temporospatial parameters of gait and assessed the maximal isometric and isokinetic torque production of the plantar flexor and dorsiflexor muscles. Methods: 15 patients with lower limb spasticity and 15 healthy controls were included. Stroke severity was assessed using the Modified Ashworth Scale and the Barthel Index. Gait cadence, gait speed, and gait cycle were assessed using inertial sensors during a Timed Up and Go test. Maximal isometric and isokinetic torque production of the ankle plantar flexor and dorsiflexor muscles were assessed using an isokinetic dynamometer device. Results: Post-stroke patients had statistically significantly lower gait cadence than healthy participants (17%, p < 0.05). Statistically significantly lower values of vertical acceleration were also noted during a sit-to-stand movement task (42%, p < 0.05). Plantar flexion torque of the affected limb was significantly different during isometric (63%, p ≤ 0.01) and isokinetic work for 30o /s (49%, p = 0.04), 60o /s (58%, p = 0.01) and 20 °/s (53%, p = 0.01). Dorsiflexor muscles’ torque production was significantly different in isometric activity (38%, p = 0.04). A statistically significant positive correlation occurred between the absolute peak torque of the dorsiflexor muscles in both static and speed phases of gait (Rs = 0.65, p = 0.04). Conclusions: Despite the low intensity of spasticity and early phase after stroke, differences in the muscle torque production and temporo-spatial parameters, as well as the correlations between them, were noticeable.

3

Zakresy ruchów kręgosłupa podczas terapii poznawczo – ruchowej w przestrzeni wirtualnej w rehabilitacji pacjentów z wybranymi uszkodzeniami ośrodkowego układu nerwowego – wyniki wstępne

Małecka Elżbieta, Garbowska Iga, Dyba Monika, Szostek Joanna, Boratyn Monika, Wodarski Piotr, Jurkojć Jacek, Bieniek Andrzej, Guzik-Kopyto Agata, Pasek Jarosław

Aktualne Problemy Biomechaniki

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2019

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z. 17

59--67

PL

Uszkodzenia ośrodkowego układu nerwowego (OUN) wiążą się z upośledzeniem określonych funkcji poznawczo – ruchowych w organizmie człowieka. Następstwa uszkodzenia mózgu mogą objawiać się czasową bądź trwałą niepełnosprawnością i/lub ograniczeniami neurobehawioralnymi. Poszukiwanie nowych metod diagnostyki i rehabilitacji OUN często prowadzi do wykorzystania Technologii Wirtualnej Rzeczywistości. Terapia wirtualna jest interaktywna w czasie rzeczywistym i pozwala na ruch w trzech wymiarach. Celem pracy była ocena ilościowa i jakościowa zakresów ruchomości wybranych odcinków kręgosłupa podczas wykonywania ćwiczeń ruchowo-poznawczych w wirtualnej rzeczywistości. Badania przeprowadzono z udziałem 5 osób z uszkodzeniami OUN, które poddano 2-tygodniowej rehabilitacji. Oceny terapii dokonano na podstawie zmian ruchomości poszczególnych odcinków kręgosłupa przed i po terapii. Wyniki potwierdzają nowe możliwości diagnostyczne tradycyjnej terapii połączonej z Technologią Wirtualnej Rzeczywistości.

EN

Central nervous system (CNS) damage is associated with the impairment of certain cognitive - motor functions in the human body. The consequences of brain damage can be manifested by temporary or permanent disability and / or neurobehavioral restrictions. The search for new methods of CNS diagnostics and rehabilitation often leads to the use of Virtual Reality Technologies. Virtual therapy is interactive in real time and allows traffic in three dimensions. The aim of the study was the quantitative and qualitative assessment of ranges of mobility of selected spinal segments during exercise and cognitive exercises in virtual reality. The research was carried out with the participation of 5 people with CNS damage, which underwent 2-week rehabilitation. The assessment of therapy was made on the basis of changes in the mobility of individual spine sections before and after therapy. The results confirm the new diagnostic possibilities of traditional therapy combined with the Virtual Reality Technology.

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Wspomaganie komunikacji w procesie neurorehabilitacji z wykorzystaniem śledzenia wzroku i analizy sygnałów EEG

Spaleniak P., Kurowski A., Kostek B.

Zeszyty Naukowe Wydziału Elektrotechniki i Automatyki Politechniki Gdańskiej

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2017

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Nr 57

127--130

PL

W pracy przedstawiono charakterystykę systemu do wspomagania komunikacji w procesie neurorehabilitacji osób w stanie ograniczonej świadomości. Przygotowana aplikacja komputerowa wykorzystuje metodę śledzenia wzroku wspomaganą analizą sygnału EEG. W pracy podano genezę powstania systemu, scharakteryzowano zaimplementowane ćwiczenia oraz pozostałe funkcjonalności, a także zamieszczono wyniki wstępnych badań dokonanych w kilku polskich ośrodkach terapeutycznych.

EN

The paper presents the characteristics of a system dedicated to communication support in the process of neurorehabilitation of persons in a state of limited consciousness. The prepared computer application uses eye tracking method supported by the EEG signal analysis. The paper presents the origin of the system, the implemented exercises and other system functionalities, as well as the results of the preliminary research carried out in several therapeutic centers.

5

A neuromechanical modeling of spinal cord injury locomotor system for simulating the rehabilitation effects

Abedi M., Moghaddam M. M., Firoozabadi M.

Biocybernetics and Biomedical Engineering

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2016

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Vol. 36, no. 1

193--204

EN

Gait recovering after spinal cord injury (SCI) is a regular attempt in neurorehabilitation. For this purpose, various clinical techniques have been proposed until now. However, the feasibility of these techniques has not been theoretically investigated so much. This has been mainly for difficulties of gait modeling in SCI patients. Involving these problems, recently neuromechanical models of gait locomotion have been proposed for examining rehabilitation methods. However, these models were so simple that could not properly express rehabilitation effects. Notably, lesion intensity is a concern that was never attended in prior simulations. Due to this limitation, in this paper a new neuromechanical model is proposed that classifies patients based on intensity of trauma. Explicitly, the complete, severe and non-severe incomplete SCIs are imitated and effects of related clinical rehabi-litations are explored. Remarkably, the model indicates an incredible performance in explaining the rehabilitation effects through presenting the compliant results with clinical information. The suitability of this model is mainly for the applied neuromuscular plan that consists of a combined plan of central pattern generator (CPG) and neural reflexes that controls a double segment limb. The validity of this model is further proved by comparing the kinematic and kinetic results to the experimental data.