TY - JOUR
T1 - Automated FES for upper limb rehabilitation following stroke and spinal cord injury
AU - Hodkin, Edmund F.
AU - Lei, Yuming
AU - Humby, Jonathan
AU - Glover, Isabel S.
AU - Choudhury, Supriyo
AU - Kumar, Hrishikesh
AU - Perez, Monica A
AU - Rodgers, Helen
AU - Jackson, Andrew
N1 - Funding Information:
Manuscript received October 26, 2017; revised February 20, 2018; accepted March 1, 2018. Date of publication March 29, 2018; date of current version May 8, 2018. This work was supported in part by the Wellcome Trust under Grant 106343 and Grant 106149 and in part by EPSRC under Grant EP/P51083X/1. (Corresponding author: Edmund F. Hodkin.) E. F. Hodkin, J. Humby, I. S. Glover, and A. Jackson are with the Institute of Neuroscience, Newcastle University, Newcastle upon Tyne NE2 4HH, U.K. (e-mail: [email protected]; [email protected]).
Publisher Copyright:
© 2001-2011 IEEE.
PY - 2018/5
Y1 - 2018/5
N2 - Neurorehabilitation aims to induce beneficial neural plasticity in order to restore function following injury to the nervous system. There is an increasing evidence that appropriately timed functional electrical stimulation (FES) can promote associative plasticity, but the dosage is critical for lasting functional benefits. Here, we present a novel approach to closed-loop control of muscle stimulation for the rehabilitation of reach-to-grasp movements following stroke and spinal cord injury (SCI). We developed a simple, low-cost device to deliver assistive stimulation contingent on users' self-initiated movements. The device allows repeated practice with minimal input by a therapist, and is potentially suitable for home use. Pilot data demonstrate usability by people with upper limb weakness following SCI and stroke, and participant feedback was positive. Moreover, repeated training with the device over 1-2 weeks led to functional benefits on a general object manipulation assessment. Thus, automated FES delivered by this novel device may provide a promising and readily translatable therapy for upper limb rehabilitation for people with stroke and SCI.
AB - Neurorehabilitation aims to induce beneficial neural plasticity in order to restore function following injury to the nervous system. There is an increasing evidence that appropriately timed functional electrical stimulation (FES) can promote associative plasticity, but the dosage is critical for lasting functional benefits. Here, we present a novel approach to closed-loop control of muscle stimulation for the rehabilitation of reach-to-grasp movements following stroke and spinal cord injury (SCI). We developed a simple, low-cost device to deliver assistive stimulation contingent on users' self-initiated movements. The device allows repeated practice with minimal input by a therapist, and is potentially suitable for home use. Pilot data demonstrate usability by people with upper limb weakness following SCI and stroke, and participant feedback was positive. Moreover, repeated training with the device over 1-2 weeks led to functional benefits on a general object manipulation assessment. Thus, automated FES delivered by this novel device may provide a promising and readily translatable therapy for upper limb rehabilitation for people with stroke and SCI.
KW - Associative plasticity
KW - closed-loop
KW - functional electrical stimulation
KW - rehabilitation
KW - spinal cord injury
KW - stroke
UR - http://www.scopus.com/inward/record.url?scp=85044767228&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85044767228&partnerID=8YFLogxK
U2 - 10.1109/TNSRE.2018.2816238
DO - 10.1109/TNSRE.2018.2816238
M3 - Article
C2 - 29752242
AN - SCOPUS:85044767228
SN - 1534-4320
VL - 26
SP - 1067
EP - 1074
JO - IEEE Transactions on Neural Systems and Rehabilitation Engineering
JF - IEEE Transactions on Neural Systems and Rehabilitation Engineering
IS - 5
ER -