Estimating Voluntary Activation of the Elbow and Wrist Muscles in Chronic Hemiparetic Stroke Using Twitch Interpolation Methodology

Lindsay R.P. Garmirian, Ana Maria Acosta, Nayo M. Hill, Jules P.A. Dewald

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

One of the cardinal motor deficits that occurs after stroke is paresis, a decrease in the voluntary activation of muscles. Paresis leads to a decrease in voluntary joint strength, impacting stroke survivors' ability to perform activities of daily living (ADLs). Quantifying this decrease in voluntary activation is important when designing rehabilitation interventions to address movement impairments and restore the ability to perform ADLs. Twitch interpolation is an experimental technique developed to quantify muscle voluntary activation [1]. This method has been used widely across pathologies but often limited to assessment of the voluntary activation of the plantar flexors, given the ease of activating these muscles through stimulation of the tibial nerve [2]. The complex innervation of elbow and wrist musculature imposes practical difficulties when applying the twitch interpolation technique to these joints [1]. Therefore, only a few studies have used this technique to examine the pathological [3]-[5] upper extremity, with little quantitative data documenting the degree of paresis present in the upper limb after stroke. The goal of this study is to evaluate the feasibility of applying twitch interpolation to quantify voluntary activation of the elbow and wrist flexors and extensors in chronic stroke survivors.

Original languageEnglish (US)
Title of host publication40th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2018
PublisherInstitute of Electrical and Electronics Engineers Inc.
Pages2244-2247
Number of pages4
ISBN (Electronic)9781538636466
DOIs
StatePublished - Oct 26 2018
Event40th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2018 - Honolulu, United States
Duration: Jul 18 2018Jul 21 2018

Publication series

NameProceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS
Volume2018-July
ISSN (Print)1557-170X

Other

Other40th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2018
CountryUnited States
CityHonolulu
Period7/18/187/21/18

ASJC Scopus subject areas

  • Signal Processing
  • Biomedical Engineering
  • Computer Vision and Pattern Recognition
  • Health Informatics

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