TY - JOUR
T1 - Development of an EMG-controlled serious game for rehabilitation
AU - Ghassemi, Mohammad
AU - Triandafilou, Kristen
AU - Barry, Alex
AU - Stoykov, Mary Ellen
AU - Roth, Elliot J
AU - Mussa-Ivaldi, Ferdinando
AU - Kamper, Derek G.
AU - Ranganathan, Rajiv
N1 - Funding Information:
This work was supported in part by the National Institutes of Health (NICHD-NCMRR) under Grant 1R01HD075813-01A1.
Publisher Copyright:
© 2019 IEEE.
PY - 2019
Y1 - 2019
N2 - A majority of the seven million stroke survivors in the U.S. have hand impairments, adversely affecting performance of a variety of activities of daily living, because of the fundamental role of the hand in performing functional tasks. Disability in stroke survivors is largely attributable to damaged neuronal pathways, which result in inappropriate activation of muscles, a condition prevalent in distal upper extremity muscles following stroke. While conventional rehabilitation methods focus on the amplification of existing muscle activation, the effectiveness of therapy targeting the reorganization of pathological activation patterns is often unexplored. To encourage modulation of activation level and exploration of the activation workspace, we developed a novel platform for playing a serious game through electromyographic control. This system was evaluated by a group of neurologically intact subjects over multiple sessions held on different days. Subjects were assigned to one of two groups, training either with their non-dominant hand only (unilateral) or with both hands (bilateral). Both groups of subjects displayed improved performance in controlling the cursor with their non-dominant hand, with retention from one session to the next. The system holds promise for rehabilitation of control of muscle activation patterns.
AB - A majority of the seven million stroke survivors in the U.S. have hand impairments, adversely affecting performance of a variety of activities of daily living, because of the fundamental role of the hand in performing functional tasks. Disability in stroke survivors is largely attributable to damaged neuronal pathways, which result in inappropriate activation of muscles, a condition prevalent in distal upper extremity muscles following stroke. While conventional rehabilitation methods focus on the amplification of existing muscle activation, the effectiveness of therapy targeting the reorganization of pathological activation patterns is often unexplored. To encourage modulation of activation level and exploration of the activation workspace, we developed a novel platform for playing a serious game through electromyographic control. This system was evaluated by a group of neurologically intact subjects over multiple sessions held on different days. Subjects were assigned to one of two groups, training either with their non-dominant hand only (unilateral) or with both hands (bilateral). Both groups of subjects displayed improved performance in controlling the cursor with their non-dominant hand, with retention from one session to the next. The system holds promise for rehabilitation of control of muscle activation patterns.
KW - EMG
KW - Rehabilitation
KW - Serious game
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U2 - 10.1109/TNSRE.2019.2894102
DO - 10.1109/TNSRE.2019.2894102
M3 - Article
C2 - 30668478
AN - SCOPUS:85060913664
VL - 27
SP - 283
EP - 292
JO - IEEE Transactions on Neural Systems and Rehabilitation Engineering
JF - IEEE Transactions on Neural Systems and Rehabilitation Engineering
SN - 1534-4320
IS - 2
ER -