• Title/Summary/Keyword: Functional Electrical Stimulation

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Steady-State Visual Evoked Potential (SSVEP)-based Rehabilitation Training System with Functional Electrical Stimulation (안정상태 시각유발전위 기반의 기능적 전기자극 재활훈련 시스템)

  • Sohn, R.H.;Son, J.;Hwang, H.J.;Im, C.H.;Kim, Y.H.
    • Journal of Biomedical Engineering Research
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    • v.31 no.5
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    • pp.359-364
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    • 2010
  • The purpose of the brain-computer (machine) interface (BCI or BMI) is to provide a method for people with damaged sensory and motor functions to use their brain to control artificial devices and restore lost ability via the devices. Functional electrical stimulation (FES) is a method of applying low level electrical currents to the body to restore or to improve motor function. The purpose of this study was to develop a SSVEP-based BCI rehabilitation training system with FES for spinal cord injured individuals. Six electrodes were attached on the subjects' scalp ($PO_Z$, $PO_3$, $PO_4$, $O_z$, $O_1$ and $O_2$) according to the extended international 10-20 system, and reference electrodes placed at A1 and A2. EEG signals were recorded at the sampling rate of 256Hz with 10-bit resolution using a BIOPAC system. Fast Fourier transform(FFT) based spectrum estimation method was applied to control the rehabilitation system. FES control signals were digitized and transferred from PC to the microcontroller using Bluetooth communication. This study showed that a rehabilitation training system based on BCI technique could make successfully muscle movements, inducing electrical stimulation of forearm muscles in healthy volunteers.

Effects of Weight-Bearing Training with Elastic Bands on less - Affected Side during Functional Electronic Stimulation on Walking and Balance in Stroke Patients (기능적 전기자극시 비 마비측에 탄력밴드를 적용한 체중지지훈련이 뇌졸중 환자의 보행과 균형에 미치는 영향)

  • Jeong, Chae-min;Woo, Young-Keun;Won, Jong-im;Kim, Su-Jin
    • PNF and Movement
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    • v.20 no.3
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    • pp.417-430
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    • 2022
  • Purpose: The purpose of this study was to examine the effect of weight-bearing training with an elastic band during functional electrical stimulation (FES) on walking and balance functions in stroke patients. Methods: Twenty patients with chronic stroke were divided into an experimental group assigned to weight-bearing training with an elastic band during functional electrical stimulation (FES; n=10) and a control group assigned to weight-bearing training alone during FES (n=10). The patients in both groups attended physical therapy sessions five times a week for four consecutive weeks. The experimental group underwent weight-bearing training with an elastic band during FES five times a week for four weeks. The control group underwent weight-bearing training during FES. Balance parameters were measured before and after the intervention using the Balancia program. Moreover, all patients were evaluated using the Berg Balance Scale (BBS), the Time Up and Go Test (TUGT), and the Wisconsin Gait Scale (WGS) before and after each intervention. Results: The results showed that weight-bearing training with elastic bands during FES and weight-bearing training during FES had a significant effect on the affected side's weight-bearing ratio, BBS, TUGT, and WGS in both groups (p <0.05). Additionally, the results showed that the changes observed in the two groups indicate significant differences in path length, average speed, BBS score, TUGT time, and WGS score between the groups (p < 0.05). Conclusion: In patients with stroke, weight-bearing training with an elastic band during FES affected on walking and balance. Therefore, it is an optional intervention for the balance and walking ability of stroke patients.

Functional Electrical Stimulation: Part II (기능적 전기 자극: Part II - 척수손상인의 기능적 보행을 중심으로 -)

  • Lee, Jae-Ho
    • Physical Therapy Korea
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    • v.2 no.2
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    • pp.85-97
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    • 1995
  • When applying FES to patients, proper evaluation must be performed prior to treating patient. Patients with thoracic lesions between $T_4{\sim}T_{12}$ are suitable for FES. However, these patients must have excitability of the leg muscles. Thus, excitability testing is an essential part of the screening program(stimulation at 80V gives a response). Before standing or walking is attempted the patients must perform restrengthening exercise, so that the Quadriceps muscle group minimum strength is 40 Nm (corresponding to a manual grade of F+ to G). After that walking and standing can be attempted. The effects of FES are as follows: prevents pressure sores; development and maintenance of muscle properties; prevents disuse atrophy and contractures.

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A Study on the High Sensitivity Electrical Muscle Stimulation (EMS) Pad Using E-TEXTILE (E-TEXTILE을 이용한 고감성 전기 근육 자극(EMS)패드의 연구)

  • Yeun, Eun-Ji;Kim, Joo-Yong
    • Science of Emotion and Sensibility
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    • v.24 no.3
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    • pp.81-90
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    • 2021
  • EMSCT (Electrical Muscle Stimulation Conductive Textile) is an electrical muscle stimulation pad that can compensate for ease of use and comfort, which are disadvantages of conventional hydrogel pads used in electrical muscle stimulation (EMS). With the concentration with SWCNT (Single-Walled Carbon Nanotube) and the number of impregnation processes, EMSCT was tested by giving conductivity to five fabrics (radirons, neoprene, spandex cushions, poly100%, and vergamo). The padding process with SWCNT was performed, and the alternating current measurement indicated that the most similar alternating current with hydrogel was the Vergamo fabric of SWCNT:=2:1. Furthermore, the usability evaluation of convenience, usability, and psychological satisfaction results in increased usability of EMSCT compared with conventional hydrogel pads.

The Effects of Biofeedback Fusion Postural Control Training using Functional Electrical Stimulation on the Muscle Activity and Balance Ability of the Stroke Patient (기능적 전기 자극을 이용한 생체되먹임 융합 자세조절 훈련이 뇌졸중 환자의 근활성도와 균형 능력에 미치는 영향)

  • Kim, Je-Ho;Uhm, Yo-Han
    • Journal of Digital Convergence
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    • v.17 no.12
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    • pp.319-327
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    • 2019
  • The muscle activity and balance ability of the acute stroke patient has been checked by the functional electrical stimulation using biofeedback fusion postural control training in this study. Functional electrical stimulation using biofeedback fusion postural control training have been implemented on 15 trainees and general biofeedback fusion postural control training have been implemented on another 15 trainees for 30 minutes at 5 times per week during 8 weeks, and vastus lateralis, vastus medialis, rectus femoris and biceps femoris have been measured using the biceps femoris to evaluate the muscle activity of the lower extremity. The moving surface area, whole path length and limited of stability have been measured using biorecue to measure the balance ability. There was statistically meaningful difference on the vastus lateralis, vastus medialis, rectus femoris and biceps femoris in the muscle activity of the lower extremity and there was statistically meaningful difference on surface area, whole path length and limited of stability in the balancing ability. Based on above, it is realized that the functional electrical stimulation using biofeedback fusion postural control training is more effective than the general biofeedback fusion postural control training on the improvement of the muscle activity of the lower extremity and the balance ability.

Stimulus Artifact Suppression Using the Stimulation Synchronous Adaptive Impulse Correlated Filter for Surface EMG Application

  • Yeom, Ho-Jun;Park, Ho-Dong;Chang, Young-Hui;Park, Young-Chol;Lee, Kyoung-Joung
    • Journal of Electrical Engineering and Technology
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    • v.7 no.3
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    • pp.451-458
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    • 2012
  • The voluntary EMG (vEMG) signal from electrically stimulated muscle is very useful for feedback control in functional electrical stimulation. However, the recorded EMG signal from surface electrodes has unwanted stimulation artifact and M-wave as well as vEMG. Here, we propose an event-synchronous adaptive digital filter for the suppression of stimulation artifact and M-wave in this application. The proposed method requires a simple experimental setup that does not require extra hardware connections to obtain the reference signals of adaptive digital filter. For evaluating the efficiency of this proposed method, the filter was tested and compared with a least square (LS) algorithm using previously measured data. We conclude that the cancellation of both primary and residual stimulation artifacts is enhanced with an event-synchronous adaptive digital filter and shows promise for clinical application to rehabilitate paretic limbs. Moreover because this algorithm is far simpler than the LS algorithm, it is portable and ready for real-time application.

Effects of Rehabilitation Exercise Combined with Electrical Muscle Stimulation on Pain, Muscle Strength, and Function in Soldiers Undergoing Knee Meniscectomy

  • Yong-Jun Yu;Won-Seob Shin
    • Physical Therapy Rehabilitation Science
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    • v.12 no.2
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    • pp.140-148
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    • 2023
  • Objective: Meniscal injuries are a common and high-risk condition among military personnel, leading to difficulties in performing missions.The objective of this study is to investigate the effects of combining electrical muscle stimulation therapy with exercise therapy during rehabilitation on pain, muscle strength, and function in patients after meniscectomy. Design: A two-group pretest-posttest design Methods: A total of 30 subjects were included in this study. They were randomly assigned to either the experimental group (n=15), which received knee extensor strengthening exercise along with electrical muscle stimulation, or the control group (n=15), which received only knee extensor strengthening exercise. Pre-test was conducted prior to the intervention, which consisted of 30 minutes of treatment five times a week for a total of 20 sessions. Post-test was performed after a 4-week period. Pain, strength, and function were assessed before and after the intervention. Results: The results of the study showed that there was a significant difference in pain reduction and muscle strength improvement in the experimental group, and a significant difference was also found between the experimental group and the control group in terms of functional evaluation. Conclusions: The combination of exercise therapy and electrical muscle stimulation therapy resulted in greater improvements in pain, strength, and function assessment, contributing to improved overall function.

The Cortical Activation by Functional Electrical Stimulation, Active and Passive Movement (능동 및 수동 운동과 기능적 전기자극에 의한 대뇌 피질의 활성화)

  • Kwon, Yong-Hyun;Jang, Sung-Ho;Han, Bong-Soo;Choi, Jin-Ho;Lee, Mi-Young;Chang, Jong-Sung
    • Physical Therapy Korea
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    • v.12 no.2
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    • pp.73-80
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    • 2005
  • We investigated the activation of the cerebral cortex during active movement, passive movement, and functional electrical stimulation (FES), which was provided on wrist extensor muscles. A functional magnetic resonance imaging study was performed on 5 healthy volunteers. Tasks were the extension of right wrist by active movement, passive movement, and FES at the rate of .5 Hz. The regions of interest were measured in primary motor cortex (M1), primary somatosensory cortex (SI), secondary somatosensory cortex (SII), and supplementary motor area (SMA). We found that the contralateral SI and SII were significantly activated by all of three tasks. The additional activation was shown in the areas of ipsilateral S1 (n=2), and contralateral (n=1) or ipsilateral (n=2) SII, and bilateral SMA (n=3) by FES. Ipsilateral M1 (n=1), and contralateral (n=1) or ipsilateral SII (n=1), and contralateral SMA (n=1) were activated by active movement. Also, Contralateral SMA (n=3) was activated by passive movement. The number of activated pixels on SM1 by FES ($12{\pm}4$ pixels) was smaller than that by active movement ($18{\pm}4$ pixels) and nearly the same as that by passive movement ($13{\pm}4$ pixels). Findings reveal that active movement, passive movement, and FES had a direct effect on cerebral cortex. It suggests that above modalities may have the potential to facilitate brain plasticity, if applied with the refined-specific therapeutic intervention for brain-injured patients.

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Simulation Application for Functional Electrical Stimulator (기능적 전기 자극 시뮬레이션 응용프로그램)

  • Jeon, Hyo Chan
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.10 no.1
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    • pp.59-64
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    • 2016
  • In this study, the application was developed for the simulation of functional electrical stimulation. It functions to calculate the electrical energy which is transmitted to the patient, to visualize the electrical stimulation waveform, Therapy, Burst and Pulse section as setup of time period requested. The application was verified by comparing the oscilloscope and the graph of the application. XML schema was developed to utilize the contents of simulation which consist of the standard codes that are identified by OID. Using the application, medical experts will be able to research and share the contents of simulation.