TY - GEN
T1 - Estimating Voluntary Activation of the Elbow and Wrist Muscles in Chronic Hemiparetic Stroke Using Twitch Interpolation Methodology
AU - Garmirian, Lindsay R.P.
AU - Acosta, Ana Maria
AU - Hill, Nayo M.
AU - Dewald, Jules P.A.
N1 - Publisher Copyright:
© 2018 IEEE.
PY - 2018/10/26
Y1 - 2018/10/26
N2 - 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.
AB - 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.
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U2 - 10.1109/EMBC.2018.8512791
DO - 10.1109/EMBC.2018.8512791
M3 - Conference contribution
C2 - 30440852
AN - SCOPUS:85056662776
T3 - Proceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS
SP - 2244
EP - 2247
BT - 40th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2018
PB - Institute of Electrical and Electronics Engineers Inc.
T2 - 40th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2018
Y2 - 18 July 2018 through 21 July 2018
ER -