Journal of rehabilitation welfare engineering & assistive technology (재활복지공학회논문지)

Rehabilitation Engineering And Assistive Technology Society of Korea (한국재활복지공학회)
권호 표지
DOI QR코드

DOI QR Code

EMG Signal Analysis of Upper Extremity Motor Function using Balance-handle Device

밸런스 핸들 장치를 이용한 상지 운동 기능의 근전도 신호 분석

  • 이충근 (한국산업기술대학교 컴퓨터공학과) ;
  • 송기호 (한국산업기술대학교 컴퓨터공학과) ;
  • 안재용 (한국산업기술대학교 컴퓨터공학과) ;
  • 신성욱 (한국산업기술대학교 컴퓨터공학과) ;
  • 정성택 (한국산업기술대학교 컴퓨터공학과)
  • Received : 2016.10.11
  • Accepted : 2016.11.25
  • Published : 2016.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

Rehabilitation of upper limb motor function of hemiplegic patient must maintain interest and demand a device for a quantitative evaluation of rehabilitation training. In this paper, we developed the device that is composed of arm cradle, handle, and balance ball for rehabilitation exercise. We have performed experiment for validity as to whether to use the rehabilitation device when tilting the upper extremity training device developed to measure changes in the EMG signal to the main upper limb muscles for 7 healthy volunteers. We have analyzed muscle activation signals on agonist and antagonist as a reference in the muscle contraction and relaxation in the upper limb extension and flexion when the balance-handle device is tilted to front-rear and left-right. The experimental results showed that a tendency of muscle activation of biceps, triceps, and deltoid used in upper limb motor function of hemiplegic patients from extension and flexion evaluation items of Fugl-Meyer Assessment(FMA). These results may be helpful for rehabilitation training for upper limb motor function of hemiplegic patients by utilizing a developed unit.

편마비 환자의 상지 운동 기능 재활 치료에 대한 지속적인 관심과 훈련의 정량적인 평가를 위한 다양한 장치가 요구되고 있다. 이러한 문제를 해결하기 위해서 본 논문에서는 거치대와 핸들, 밸런스 볼을 결합한 밸런스 핸들 장치를 개발하였다. 피험자 7명을 대상으로, 개발된 상지 훈련 장치를 기울일 때 주요 상지 근육에 대한 근전도 신호의 변화를 측정하여 재활 훈련 장치로 사용이 가능한지에 대한 유효성을 검토하였다. 밸런스 핸들 장치를 앞뒤로 기울였을 때의 상지 신전 굴곡 운동 동작과 좌우 기울임을 이용한 상지 운동 동작에서 근 수축과 이완이 기준이 되는 주동근과 길항근에서 근 활성화 신호를 분석하였다. 실험결과, Fugl-Meyer Assessment(FMA)의 신전 굴곡 운동 평가 항목에서 편마비 환자의 상지 운동 기능 평가에 이용되는 이두근, 삼두근, 삼각근에서 근 활성화 경향을 보였다. 이러한 결과를 바탕으로 개발된 장치를 활용하여 편마비 환자의 상지 재활 훈련에 도움이 될 수 있다고 볼 수 있다.

Keywords

References

  1. T. Yokoya, S. Demura, and S. Sato, "Fall risk characteristics of the elderly in an exercise class," Journal of Physiological Anthropology, vol. 27, no. 1, pp. 25-32, 2008. https://doi.org/10.2114/jpa2.27.25
  2. C. Luke, K Dodd, and K. Brock, "Outcomes of the Bobath concept on upper limb recovery following stroke," Clinical Rehabilitation, vol. 18, no. 8, pp. 888-898, 2004. https://doi.org/10.1191/0269215504cr793oa
  3. S. Wolf, P. Catlin, and M. Ellis, "Assessing wolf motor function test as outcome measure for research in patients after stroke," Stroke, vol. 32, no. 7, pp. 1635-1639, 2001. https://doi.org/10.1161/01.STR.32.7.1635
  4. R. M. Scully and M. R. Barnes, "Physical Therapy," J. B. Lippincott Company, 1988.
  5. J. I. Won, "Necessity of Community-Based Rehabilitation System after Stroke," Journal of The Korea Contents Association, vol. 8, no. 1, pp. 16-26, 2008. https://doi.org/10.5392/JKCA.2008.8.1.016
  6. Y. S. Bang, H. Y. Kim, M. K. Lee, "Factors Affecting the Upper Limb Function in Stroke Patients," Journal of The Korea Contents Association, vol. 9, no. 7, pp. 202-210, 2009. https://doi.org/10.5392/JKCA.2009.9.7.202
  7. G. M. Nys, M. J. Van Zandvoort, P. L. De Kort, B. P. Jansen, H. B. Van der Worp, L. J. Kappelle, and E. H. F. Dehhan, "Domain-specific recovery after first-ever stroke: A follow-up study of 111 cases," Journal of the International Neuropsychological Society, vol. 11, issue 07, pp. 795-806, 2005.
  8. E. Y. Park, I. S. Shin, J. H. Kim, "Meta-analysis of the Variables related to Depression in Korean Patients with a Stroke," Journal of Korean Academy of Nursing, vol. 42, no. 2, pp. 537-548, 2012. https://doi.org/10.4040/jkan.2012.42.4.537
  9. Y. W. Kwon, J. M. Lee, J. J. Jeon, J. H. Choi, D. Y. Kwon, K. W. Lee, "Comparison of Functional Recovery Status according to Rehabilitation Therapy in Stroke Patients," Journal of Korean Academy of Rehabilitation Medicine, vol. 26, no. 4, pp. 370-373, 2002.
  10. A. R. Fugl-Meyer, L. Jaasko, I. Leyman, S. Olsson, S. Steglind, "The poststroke hemiplegic patient. 1. A method for evaluation of physical performance," Scand. J. Rehabil. Med., vol. 7, no. 1, pp. 13-31, 1975.
  11. K. H. Song, C. K. Lee, J. Y. An, K. Y. Kwon, S. W. Shin, S. T. Chung, "Development of Handle Type Interface and Emulator for Upper Extremity Rehabilitation," The 2016 Summer Conference of IEIE, pp. 1067-1070, 2016.
  12. W. R. Hur, B. Song, "Effects of Foot and Ankle Mobilization on Balance Abilities for Patient with Stroke," Journal of Special Education & Rehabilitation Science, vol. 55, no. 6, pp. 339-358, 2016. https://doi.org/10.15870/jsers.2016.06.55.2.339
  13. S. H. An, D. S. Park, "Discriminative Ability and Predictive Validity of Postural Assessment Scale for Stroke as Independent Ambulation for Chronic Stroke Patients," Journal of Special Education & Rehabilitation Science, vol. 55, no. 2, pp. 293-306, 2016. https://doi.org/10.15870/jsers.2016.06.55.2.293
  14. M. J. Park, J. Y. Kang, "ICF Core Sets for Measuring Functional Status of Acute Stroke Patients," Journal of Muscle and Joint Health, vol. 19, no. 2, pp. 107-119, 2012. https://doi.org/10.5953/JMJH.2012.19.2.107
  15. B. Gialanella, R. Santoro, and C. Ferlucci, "Predicting outcom after stroke: the role of basic activities of daily living predicting outcome after stroke," Eur. J. Phy. Rehab. Med., vol. 49, no. 5, pp. 629-637. 2013.
  16. S. W. Shin, S. H. Jeong, S. T. Chung, C. J. Lim, "Balance ball controller and Rehabilitation Contents Development using Smart Multisensor," Journal of The Korean Society for Computer Game, vol. 27, no. 3, pp. 135-141, 2014.
  17. J. Y. An, Y. G. Kim, S. T. Chung, "A Research on Measurements and Contents of the Cervical Range of Motion Based on Inertial Measurement Unit," Korean Society For Computer Game, vol. 28, no. 3, pp. 143-150, 2015.
  18. J. H. Kim, M. H. Oh, J. S. Lee, H. S. Ahn, "The Effects of Training Using Virtual Reality Games on Stroke Patients'Functional Recovery," The Journal of Korean Society of Occupational Therapy, vol. 19, no. 3, pp. 101-114, 2011.
  19. P. S. Buyn, M. Y. Chon, "The Effects of Rehabilitation Training Using Video Game on Improvement Range of Motion for Upper-Extremity, Shoulder Pain and Stress in Stroke Patients with Hemiplegia," Journal of Muscle and Joint Health, vol. 19, no. 1, pp. 46-56, 2012. https://doi.org/10.5953/JMJH.2012.19.1.046
  20. H. W. Jung, Y. K. Park," Desinging and Materialization of Rhythm Game for Rehabilitation Training of Hempilegic Stroke," Journal of The Korean Society for Computer Game, vol. 26, no. 2, pp. 123-131, 2013.
  21. Y. H. Kim, K. S. Tae, S. J. Song, "Evaluation of Upper-Limb Motor Recovery after Brain Injury: The Clinical Assessment and Electromyographic Analysis," Physical Therapy Korea, vol. 12, no. 1, pp. 91-99, 2005.
  22. D. G. Kamper, W. Z. Rymer, "Impairment of voluntary control of finger motion following stroke: Role of inappropriate muscle coactivation," Muscle Nerve, vol. 24, no. 5, pp. 673-681. 2001. https://doi.org/10.1002/mus.1054
  23. M. C. Huang, S. H. Lee, S. C. Yeh, R. C. Chan, A. Rizzo, W. Xu, and L. Shan-Hui, "Intelligent Frozen Shoulder Rehabilitation," IEEE Intelligent Systems, vol. 29, no. 3, pp. 22-28, 2014. https://doi.org/10.1109/MIS.2014.35
  24. K. J. Sullivan, J. K. Tilson, S. Y. Cen, D. K. Rose, J. Hershberg, A. Correa, and P. W. Duncan, "Fugl-meyer assessment of sensorimotor function after stroke standardized training procedure for clinical practice and clinical trials," Stroke, vol. 42, no. 2, pp. 427-432. 2011. https://doi.org/10.1161/STROKEAHA.110.592766
  25. Y. W. Jin, "The Scientific Research of Rehabilitation Training Program Participants in Stroke Patients," Journal of Life Science, vol. 20, no. 11, pp. 1704-1710, 2010. https://doi.org/10.5352/JLS.2010.20.11.1704
  26. M. A. Murphy, K. S. Sunnerhagen, B. Johnels, and C. Willen, "Three-dimensional kinematic motion analysis of a daily activity drinking from a glass: A pilot study," Journal of NeuroEngineering and Rehabilitation, vol. 3, pp. 18-28, 2006. https://doi.org/10.1186/1743-0003-3-18
  27. S. Y. Yun, T. Y. Lee, S. Y. Park, J. B. Yi, J. H. Kim, "Muscle Activity and a Kinematic Analysis of Drinking Motion," The Journal of Korean Society of Occupational Therapy, vol. 16, no. 1, pp. 77-88, 2008.
  28. P. F, Vint, S. P. McLean, and G. M. Harron, "Eletromechanical delay in isometric actions initiated from nonresting levels," Medicine and Science in Sports and Exercise, vol. 33, no. 6, pp. 978-983, 2001. https://doi.org/10.1097/00005768-200106000-00018