• 제목/요약/키워드: Functional electrical stimulation (FES)

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기능적 전기자극이 뇌졸중 환자의 보행에 미치는 영향 (Effects of Functional Electrical Stimulation on Gait Patterns in Stroke Patient)

  • 김용욱;원종혁;정보인
    • 한국전문물리치료학회지
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    • 제7권3호
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    • pp.72-80
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    • 2000
  • This study was to investigate the effects of a functional electrical stimulation (FES) on temporal parameters (stride length, step width and cadence) of gait patterns in a patient with right hemiparesis. A single-subject reversal (ABAB) design was used. The subject was a 25-year-old male who had foot drop and circumduction gait pattern. An ink foot-print method was used to assess the temporal parameters of gait between the baseline phase and the intervention phase. FES was applied at 8 m walkway, three times a week for 5 weeks. The results showed that stride length was increased by 4.04 cm and that step width was decreased by 3.93 cm in the intervention phase. There was no difference in cadence between the baseline phase and intervention phase.

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Nonlinear FES Control of Knee Joint by Inversely Compensated Feedback System

  • Eom Gwang-Moon;Lee Jae-Kwan;Kim Kyeong-Seop;Watanabe Takashi;Futami Ryoko
    • International Journal of Control, Automation, and Systems
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    • 제4권3호
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    • pp.302-307
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    • 2006
  • The aim of applying Functional Electrical Stimulation (FES) is to restore a person's motor function by directly supplying the controlled electrical currents to the site of the paralyzed muscles. However, most clinically utilized FES systems have adapted an open-loop control scheme. Recently the closed-loop control scheme has been considered for setting up the FES system, but due to the inherent nonlinearities in the musculoskeletal system, the nonlinearities were not fully compensated and it caused the oscillatory responses for tracking the output variables. In this study, a nonlinear controller model that has two inverse compensation units is proposed with the compromising feedback linearization method and this will eventually be used to design the FES control system for stimulating a knee joint musculoskeletal system.

아급성기 뇌졸중 환자의 보행동안 청각적 피드백과 기능적 전기 자극 적용이 균형, 보행 및 하지 기능에 미치는 영향 (Study on Effects of Auditory Feedback and Application of Functional Electrical Stimulation During Gait on Balance, Gait and Lower Extremity Function in Patients with Subacute Stroke)

  • 남민주;정용범;김창걸;김명권
    • 대한물리의학회지
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    • 제18권3호
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    • pp.55-64
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    • 2023
  • PURPOSE: Examine the effects of auditory feedback and functional electrical stimulation on balance, walking ability, and lower extremity function of subacute stroke patients. METHODS: Twenty-seven subjects diagnosed with subacute stroke within six months were randomly divided into three groups: test group 1, which performed walking exercises with auditory feedback and functional electrical stimulation; test group 2, which performed walking exercises only with functional electrical stimulation; control group applied only functional electrical stimulation, with nine subjects each. RESULTS: There were significant pre- to post-intervention differences in BBS in the gait training group with auditory feedback and functional electrical stimulation treatment, and significant pre- to post-intervention differences in BBS, sit-to-stand time, and average step speed in the gait training group with functional electrical stimulation, but no statistically significant differences in between-group comparisons. CONCLUSION: Gait training with auditory feedback and functional electrical stimulation can improve the balance and gait performance in stroke patients. Therefore, in the future, gait training with auditory feedback and functional electrical stimulation therapy may be suggested as a gait rehabilitation training tool for stroke patients.

전기자극에 의한 골격근의 근육피로를 고려한 근육모델 (Muscle Model including Muscle Fatigue Dynamics of Stimulated Skeletal Muscle)

  • 임종광;남문현
    • 대한전기학회논문지:전력기술부문A
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    • 제48권11호
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    • pp.1476-1478
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    • 1999
  • A musculotendon model is proposed to predict muscle force during muscle fatigue due to the continuous functional electrical stimulation(FES). Muscle fatigue dynamics can be modeled as the electrical admittance of muscle fibers and included in activation dynamics based on the{{{{ { Ca}^{2+ } }}}} kinetics. The admittance depends on the fatigue variable that monotonically increase or decrease if electrical pulse exists or not, and on the stimulation parameters and the number of applied pulses. In the response of the change in activation the normalized Hill-type contraction dynamics connected with activation dynamics decline the muscle shortening velocity and thus its force under muscle fatigue. The computer simulation shows that the proposed model can express the muscle fatigue and its recovery without changing any stimulation parameters.

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FES 보행을 위한 휴대용 보행 이벤트 검출 시스템 (Portable Gait-Event Detection System for FES Locomotion)

  • 공세진;김철승;박관용;엄광문
    • 대한전기학회논문지:시스템및제어부문D
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    • 제55권5호
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    • pp.248-253
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    • 2006
  • The purpose of this study is to develop a portable gait-event detection system which is necessary for the cycle-to-cycle FES(functional electrical stimulation) control of locomotion. To make the system portable, we made following modifications in the gait signal measurement system. That is, 1) to make the system wireless using Bluetooth communication, 2) to make the system small-sized and battery-powered by using low power consumption ${\mu}$ P(ATmega8535L). The gait-events were analyzed in off-line at the main computer using ANN(Artificial Neural Network). The Proposed system showed no mis-detection of the gait-events of normal subject and hemiplegia subjects. The performance of the system was better than the previous wired-system.

인체 주관절에서 전기자극 가진에 의한 근전위 응답 (Electromyo-potential Response to Electric Stimulus Excitation at a Human Antebrachial Joint)

  • 홍종한;김진오;이동찬;박광훈
    • 한국소음진동공학회논문집
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    • 제23권1호
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    • pp.9-16
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    • 2013
  • This paper experimentally deals with the excitation by functional electrical stimulus(FES) and the response of electromyo-potential at the muscles of antebrachial joint in a human body. The excitation of FES, which results in the contraction of the muscles and thus the flection of the joint, shows that the flection angle of the joint is proportional to the magnitude of the stimulus current. The response of electromyo-potential measured according to the FES shows the linearly-proportional relation between the joint torque and the electromyo-potential. The results can be used for active motion of joint rehabilitation.

기능적 전기자극을 병행한 거울치료가 만성 뇌졸중 환자의 균형 및 보행능력에 미치는 영향에 관한 융합적 연구 (A Convergence Study on the Effects of functional electrical stimulation with mirror therapy on balance and gait ability in chronic stroke patients.)

  • 김동훈;김경훈
    • 한국융합학회논문지
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    • 제9권10호
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    • pp.109-120
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    • 2018
  • 본 연구의 목적은 기능적 전기자극을 병행한 거울치료가 만성 뇌졸중 환자의 균형과 보행능력에 미치는 영향을 알아보기 위함이다. 선정기준에 따라 만성 뇌졸중 환자를 35명을 대상으로 세군으로 실시하였다. FMT군은 기능적 전기자극을 병행한 거울치료(n=11), MT군은 거울치료를 시행하였고(n=12), CON군(n=12)은 일반적인 물리치료를 시행하였다. 훈련은 1일 30분, 1주 5번, 총 4주간 시행하였다. 중재 전 훈련 4주 후에 균형과 보행능력을 검사실시하였다. 훈련결과 기능적 전기자극을 병행한 거울치료 훈련군이 버그균형척도, 신체의 이동거리, 활보장, 분속수, 그리고 평균보행속도에서는 거울치료군과 대조군에 비해 통계학적으로 유의한 차이를 보였다. 그러므로 기능적 전기자극 치료와 거울치료 융합은 뇌졸중 환자의 균형과 보행능력을 위한 효과적인 중재로 활용 될 수 있으며, 다양한 뇌졸중 환자를 위한 지속적인 융합중재개발이 요구된다.

편마비 환자의 보행훈련 시 기능적 전기자극 병용이 척수신경원의 흥분성 변화에 미치는 효과 (The Effect on Change of Spinal Neuron Excitability during Gait Training of Hemiplegia Patients by the Functional Electrical Stimulation)

  • 강양훈;윤세원;서삼기;박경순;김용억;김태열
    • The Journal of Korean Physical Therapy
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    • 제19권1호
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    • pp.11-22
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    • 2007
  • Purpose: The purpose of this study were to analysis the effect on change of spinal neuron excitability during gait training of hemiplegia patients by the functional electrical stimulation. Methods: Thirty six hemiplegia patients participated in this study. Stimulation conditions of FES were pulse rate 35pps, pulse width $250{\mu}s$, and on-time 0.3 second, treatment hour was 30 min. and treatment period was once a day for five days a week through six weeks. For functional evaluations before and after treatment, Modified Ashworth Scale (MAS), active range of motion (AROM), Hmax threshold, H/Mmax ratio were measured and the following conclusions were obtained. Results: Functional evaluation showed significant changes in experimental group as MAS(p<0.01), AROM(p<0.001), compared to control group. In spinal neuron excitability evaluation, change of Hmax threshold was significantly reduced in both non weight bearing (p<0.001) and bearing condition (p<0.05), H/Mmax ratio was significantly reduced in non weight bearing (p<0.05) and bearing condition (p<0.05). Conclusion: In conclusion, application of FES to hemiplegia patients in recovery stage during gait training improved mitigation of muscular spasticity, balance adjustment and moving ability and it was interpreted that it was caused by mitigation of muscular spasticity by the spinal neuron excitability.

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