1
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Li C, Wang T, Zhou S, Sun Y, Xu Z, Xu S, Shu S, Zhao Y, Jiang B, Xie S, Sun Z, Xu X, Li W, Chen B, Tang W. Deep Learning Model Coupling Wearable Bioelectric and Mechanical Sensors for Refined Muscle Strength Assessment. RESEARCH (WASHINGTON, D.C.) 2024; 7:0366. [PMID: 38783913 PMCID: PMC11112600 DOI: 10.34133/research.0366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/30/2024] [Accepted: 04/02/2024] [Indexed: 05/25/2024]
Abstract
Muscle strength (MS) is related to our neural and muscle systems, essential for clinical diagnosis and rehabilitation evaluation. Although emerging wearable technology seems promising for MS assessment, problems still exist, including inaccuracy, spatiotemporal differences, and analyzing methods. In this study, we propose a wearable device consisting of myoelectric and strain sensors, synchronously acquiring surface electromyography and mechanical signals at the same spot during muscle activities, and then employ a deep learning model based on temporal convolutional network (TCN) + Transformer (Tcnformer), achieving accurate grading and prediction of MS. Moreover, by combining with deep clustering, named Tcnformer deep cluster (TDC), we further obtain a 25-level classification for MS assessment, refining the conventional 5 levels. Quantification and validation showcase a patient's postoperative recovery from level 3.2 to level 3.6 in the first few days after surgery. We anticipate that this system will importantly advance precise MS assessment, potentially improving relevant clinical diagnosis and rehabilitation outcomes.
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Affiliation(s)
- Chengyu Li
- Beijing Institute of Nanoenergy and Nanosystems,
Chinese Academy of Sciences, Beijing 101400, China
- School of Nanoscience and Technology,
University of Chinese Academy of Sciences, Beijing 100049, China
| | - Tingyu Wang
- Beijing Institute of Nanoenergy and Nanosystems,
Chinese Academy of Sciences, Beijing 101400, China
- School of Nanoscience and Technology,
University of Chinese Academy of Sciences, Beijing 100049, China
| | - Siyu Zhou
- Department of Orthopaedics,
Peking University Third Hospital, Beijing 100191, China
- Engineering Research Center of Bone and Joint Precision Medicine,
Ministry of Education, Beijing, China
- Beijing Key Laboratory of Spinal Disease Research, Beijing, China
| | - Yanshuo Sun
- Beijing Institute of Nanoenergy and Nanosystems,
Chinese Academy of Sciences, Beijing 101400, China
- School of Nanoscience and Technology,
University of Chinese Academy of Sciences, Beijing 100049, China
| | - Zijie Xu
- Beijing Institute of Nanoenergy and Nanosystems,
Chinese Academy of Sciences, Beijing 101400, China
- School of Nanoscience and Technology,
University of Chinese Academy of Sciences, Beijing 100049, China
| | - Shuxing Xu
- Beijing Institute of Nanoenergy and Nanosystems,
Chinese Academy of Sciences, Beijing 101400, China
- School of Nanoscience and Technology,
University of Chinese Academy of Sciences, Beijing 100049, China
| | - Sheng Shu
- Beijing Institute of Nanoenergy and Nanosystems,
Chinese Academy of Sciences, Beijing 101400, China
- School of Nanoscience and Technology,
University of Chinese Academy of Sciences, Beijing 100049, China
| | - Yi Zhao
- Department of Orthopaedics,
Peking University Third Hospital, Beijing 100191, China
- Engineering Research Center of Bone and Joint Precision Medicine,
Ministry of Education, Beijing, China
- Beijing Key Laboratory of Spinal Disease Research, Beijing, China
| | - Bing Jiang
- Beijing Institute of Nanoenergy and Nanosystems,
Chinese Academy of Sciences, Beijing 101400, China
- Center on Nanoenergy Research, School of Physical Science and Technology,
Guangxi University, Nanning 530004, China
| | - Shiwang Xie
- Beijing Institute of Nanoenergy and Nanosystems,
Chinese Academy of Sciences, Beijing 101400, China
- School of Nanoscience and Technology,
University of Chinese Academy of Sciences, Beijing 100049, China
| | - Zhuoran Sun
- Department of Orthopaedics,
Peking University Third Hospital, Beijing 100191, China
- Engineering Research Center of Bone and Joint Precision Medicine,
Ministry of Education, Beijing, China
- Beijing Key Laboratory of Spinal Disease Research, Beijing, China
| | - Xiaowei Xu
- Guangdong Provincial People’s Hospital,
Guangdong Academy of Medical Sciences, Guangzhou, China
| | - Weishi Li
- Department of Orthopaedics,
Peking University Third Hospital, Beijing 100191, China
- Engineering Research Center of Bone and Joint Precision Medicine,
Ministry of Education, Beijing, China
- Beijing Key Laboratory of Spinal Disease Research, Beijing, China
| | - Baodong Chen
- Beijing Institute of Nanoenergy and Nanosystems,
Chinese Academy of Sciences, Beijing 101400, China
- School of Nanoscience and Technology,
University of Chinese Academy of Sciences, Beijing 100049, China
| | - Wei Tang
- Beijing Institute of Nanoenergy and Nanosystems,
Chinese Academy of Sciences, Beijing 101400, China
- School of Nanoscience and Technology,
University of Chinese Academy of Sciences, Beijing 100049, China
- Center on Nanoenergy Research, School of Physical Science and Technology,
Guangxi University, Nanning 530004, China
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2
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de-la-Torre R, Oña ED, Victores JG, Jardón A. SpasticSim: a synthetic data generation method for upper limb spasticity modelling in neurorehabilitation. Sci Rep 2024; 14:1646. [PMID: 38238475 PMCID: PMC10796340 DOI: 10.1038/s41598-024-51993-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2023] [Accepted: 01/11/2024] [Indexed: 01/22/2024] Open
Abstract
In neurorehabilitation, assessment of functional problems is essential to define optimal rehabilitation treatments. Usually, this assessment process requires distinguishing between impaired and non-impaired behavior of limbs. One of the common muscle motor disorders affecting limbs is spasticity, which is complicated to quantify objectively due to the complex nature of motor control. Thus, the lack of heterogeneous samples of patients constituting an acceptable amount of data is an obstacle which is relevant to understanding the behavior of spasticity and, consequently, quantifying it. In this article, we use the 3D creation suite Blender combined with the MBLab add-on to generate synthetic samples of human body models, aiming to be as sufficiently representative as possible to real human samples. Exporting these samples to OpenSim and performing four specific upper limb movements, we analyze the muscle behavior by simulating the six degrees of spasticity contemplated by the Modified Ashworth Scale (MAS). The complete dataset of patients and movements is open-source and available for future research. This approach advocates the potential to generate synthetic data for testing and validating musculoskeletal models.
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Affiliation(s)
- Rubén de-la-Torre
- Department of Systems Engineering and Automation, Universidad Carlos III de Madrid, Avda. de la Universidad 30, Leganés, 28911, Madrid, Spain
| | - Edwin Daniel Oña
- Department of Systems Engineering and Automation, Universidad Carlos III de Madrid, Avda. de la Universidad 30, Leganés, 28911, Madrid, Spain.
| | - Juan G Victores
- Department of Systems Engineering and Automation, Universidad Carlos III de Madrid, Avda. de la Universidad 30, Leganés, 28911, Madrid, Spain
| | - Alberto Jardón
- Department of Systems Engineering and Automation, Universidad Carlos III de Madrid, Avda. de la Universidad 30, Leganés, 28911, Madrid, Spain
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3
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Sznajder J, Barć K, Kuźma-Kozakiewicz M. Low intensity exercise training in patients with amyotrophic lateral sclerosis - factors influencing eligibility and compliance to the clinical trial. Neurol Res 2023:1-9. [PMID: 36976932 DOI: 10.1080/01616412.2023.2194184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/30/2023]
Abstract
BACKGROUND To date, there are no evidence-based recommendations for physical therapy in amyotrophic lateral sclerosis (ALS). The reason is a low number of related clinical trials (CTs), restricted sample sizes and a high dropout rate. It may influence the profile of the participants, while the final results might not translate to the general ALS population. OBJECTIVE To analyze factors affecting the ALS patients' enrollment and retention to the study, and to describe a profile of participants as compared to the eligible group. METHODS A total of 104 ALS patients were offered participation in a CT of low-intensity exercises at home. Forty-six patients were recruited. Demographic and clinical data (El Escorial criteria, site of onset, diagnosis delay, disease duration, amyotrophic lateral sclerosis functional rating scale - revised [ALSFRS-R], Medical Research Council [MRC], hand-held dynamometry) were analyzed every 3 months. RESULTS Male gender, younger age and a higher ALSFRS predicted enrollment, while male gender, higher ALSFRS-R and MRC predicted retention in the study. A long commute to the study site and a fast disease progression were the main reasons influencing both enrollment and retention. Despite a high dropout rate, study participants were representative for the general ALS population. CONCLUSION The above demographic, clinical and logistic factors need to be considered when designing studies in ALS population.
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Affiliation(s)
- J Sznajder
- Department of Rehabilitation, Józef Piłsudski University of Physical Education in Warsaw, Warsaw, Poland
- Department of Neurology, University Clinical Centre of Medical University of Warsaw, Warsaw, Poland
| | - K Barć
- Department of Neurology, University Clinical Centre of Medical University of Warsaw, Warsaw, Poland
| | - M Kuźma-Kozakiewicz
- Department of Neurology, University Clinical Centre of Medical University of Warsaw, Warsaw, Poland
- Department of Neurology, Medical University of Warsaw, Warsaw, Poland
- Neurodegenerative Diseases Research Group, Medical University of Warsaw, Warsaw, Poland
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4
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Moeller T, Moehler F, Krell-Roesch J, Dežman M, Marquardt C, Asfour T, Stein T, Woll A. Use of Lower Limb Exoskeletons as an Assessment Tool for Human Motor Performance: A Systematic Review. SENSORS (BASEL, SWITZERLAND) 2023; 23:3032. [PMID: 36991743 PMCID: PMC10057915 DOI: 10.3390/s23063032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Revised: 03/06/2023] [Accepted: 03/07/2023] [Indexed: 06/19/2023]
Abstract
Exoskeletons are a promising tool to support individuals with a decreased level of motor performance. Due to their built-in sensors, exoskeletons offer the possibility of continuously recording and assessing user data, for example, related to motor performance. The aim of this article is to provide an overview of studies that rely on using exoskeletons to measure motor performance. Therefore, we conducted a systematic literature review, following the PRISMA Statement guidelines. A total of 49 studies using lower limb exoskeletons for the assessment of human motor performance were included. Of these, 19 studies were validity studies, and six were reliability studies. We found 33 different exoskeletons; seven can be considered stationary, and 26 were mobile exoskeletons. The majority of the studies measured parameters such as range of motion, muscle strength, gait parameters, spasticity, and proprioception. We conclude that exoskeletons can be used to measure a wide range of motor performance parameters through built-in sensors, and seem to be more objective and specific than manual test procedures. However, since these parameters are usually estimated from built-in sensor data, the quality and specificity of an exoskeleton to assess certain motor performance parameters must be examined before an exoskeleton can be used, for example, in a research or clinical setting.
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Affiliation(s)
- Tobias Moeller
- Institute of Sports and Sports Science, Karlsruhe Institute of Technology, 76131 Karlsruhe, Germany
| | - Felix Moehler
- Institute of Sports and Sports Science, Karlsruhe Institute of Technology, 76131 Karlsruhe, Germany
| | - Janina Krell-Roesch
- Institute of Sports and Sports Science, Karlsruhe Institute of Technology, 76131 Karlsruhe, Germany
| | - Miha Dežman
- Institute for Anthropomatics and Robotics, High Performance Humanoid Technologies (H2T), Karlsruhe Institute of Technology, 76131 Karlsruhe, Germany
| | - Charlotte Marquardt
- Institute for Anthropomatics and Robotics, High Performance Humanoid Technologies (H2T), Karlsruhe Institute of Technology, 76131 Karlsruhe, Germany
| | - Tamim Asfour
- Institute for Anthropomatics and Robotics, High Performance Humanoid Technologies (H2T), Karlsruhe Institute of Technology, 76131 Karlsruhe, Germany
| | - Thorsten Stein
- Institute of Sports and Sports Science, Karlsruhe Institute of Technology, 76131 Karlsruhe, Germany
| | - Alexander Woll
- Institute of Sports and Sports Science, Karlsruhe Institute of Technology, 76131 Karlsruhe, Germany
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5
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Morone G, Riener R, Mazzoleni S. Integrating robot-assisted therapy into neurorehabilitation clinical practice: Where are we now? Where are we heading? NeuroRehabilitation 2022; 51:537-539. [PMID: 36502344 DOI: 10.3233/nre-228025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Affiliation(s)
- Giovanni Morone
- Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy.,San Raffaele Institute of Sulmona, Sulmona, Italy
| | - Robert Riener
- Department of Health Sciences and Technology, Sensory-Motor Systems Lab, Institute of Robotics and Intelligent Systems, ETH Zurich, Zurich, Switzerland.,Spinal Cord Injury Center, Balgrist University Hospital, University of Zurich, Zurich, Switzerland
| | - Stefano Mazzoleni
- Department of Electrical and Information Engineering, Politecnico di Bari, Bari, Italy.,The BioRobotics Institute, Scuola Superiore Sant'Anna, Pisa, Italy
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6
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AI-driven rehabilitation and assistive robotic system with intelligent PID controller based on RBF neural networks. Neural Comput Appl 2022. [DOI: 10.1007/s00521-021-06785-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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7
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Zhang X, Tang Y, Wang P, Wang Y, Wu T, Li T, Huang S, Zhang J, Wang H, Ma S, Wang L, Xu W. A review of recent advances in metal ion hydrogels: mechanism, properties and their biological applications. NEW J CHEM 2022. [DOI: 10.1039/d2nj02843c] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
The mechanisms, common properties and biological applications of different types of metal ion hydrogels are summarized.
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Affiliation(s)
- Xin Zhang
- School of Chemistry and Materials Science, Ludong University, Yantai 264025, China
| | - Yuanhan Tang
- School of Chemistry and Materials Science, Ludong University, Yantai 264025, China
| | - Puying Wang
- School of Chemistry and Materials Science, Ludong University, Yantai 264025, China
| | - Yanyan Wang
- School of Chemistry and Materials Science, Ludong University, Yantai 264025, China
| | - Tingting Wu
- School of Chemistry and Materials Science, Ludong University, Yantai 264025, China
| | - Tao Li
- School of Chemistry and Materials Science, Ludong University, Yantai 264025, China
| | - Shuo Huang
- School of Chemistry and Materials Science, Ludong University, Yantai 264025, China
| | - Jie Zhang
- School of Chemistry and Materials Science, Ludong University, Yantai 264025, China
| | - Haili Wang
- School of Chemistry and Materials Science, Ludong University, Yantai 264025, China
| | - Songmei Ma
- School of Chemistry and Materials Science, Ludong University, Yantai 264025, China
| | - Linlin Wang
- Department of Food Engineering, Shandong Business Institute, Yantai 264670, P. R. China
| | - Wenlong Xu
- School of Chemistry and Materials Science, Ludong University, Yantai 264025, China
- Collaborative Innovation Center of Shandong Province for High Performance Fibers and Their Composites, Ludong University, Yantai 264025, China
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8
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Wang C, Qu X, Zheng Q, Liu Y, Tan P, Shi B, Ouyang H, Chao S, Zou Y, Zhao C, Liu Z, Li Y, Li Z. Stretchable, Self-Healing, and Skin-Mounted Active Sensor for Multipoint Muscle Function Assessment. ACS NANO 2021; 15:10130-10140. [PMID: 34086454 DOI: 10.1021/acsnano.1c02010] [Citation(s) in RCA: 32] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Assessment of muscle function is an essential indicator for estimating elderly health, evaluating motor function, and instructing rehabilitation training, which also sets urgent requirements for mechanical sensors with superior quantification, accuracy, and reliability. To overcome the rigidity and vulnerability of traditional metallic electrodes, we synthesize an ionic hydrogel with large deformation tolerance and fast self-healing ability. And we propose a stretchable, self-healing, and skin-mounted (Triple S) active sensor (TSAS) based on the principles of electrostatic induction and electrostatic coupling. The skin modulus-matched TSAS provides outstanding sensing properties: maximum output voltage of 78.44 V, minimal detection limit of 0.2 mN, fast response time of 1.03 ms, high signal-to-noise ratio and excellent long-term service stability. In training of arm muscle, the functional signals of biceps and triceps brachii muscles as well as the joint dexterity of bending angle can be acquired simultaneously through TSAS. The signal can also be sent wirelessly to a terminal for analysis. With the characteristics of high sensitivity, reliability, convenience, and low-cost, TSAS shows its potential to be the next-generation procedure for real-time assessment of muscle function and rehabilitation training.
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Affiliation(s)
- Chan Wang
- CAS Center for Excellence in Nanoscience, Beijing Key Laboratory of Micro-nano Energy and Sensor, Beijing Institute of Nanoenergy and Nanosystems, Chinese Academy of Sciences, Beijing 101400, China
- School of Nanoscience and Technology, University of Chinese Academy of Sciences, Beijing 100049, China
| | - Xuecheng Qu
- CAS Center for Excellence in Nanoscience, Beijing Key Laboratory of Micro-nano Energy and Sensor, Beijing Institute of Nanoenergy and Nanosystems, Chinese Academy of Sciences, Beijing 101400, China
- School of Nanoscience and Technology, University of Chinese Academy of Sciences, Beijing 100049, China
| | - Qiang Zheng
- CAS Center for Excellence in Nanoscience, Beijing Key Laboratory of Micro-nano Energy and Sensor, Beijing Institute of Nanoenergy and Nanosystems, Chinese Academy of Sciences, Beijing 101400, China
- School of Nanoscience and Technology, University of Chinese Academy of Sciences, Beijing 100049, China
| | - Ying Liu
- CAS Center for Excellence in Nanoscience, Beijing Key Laboratory of Micro-nano Energy and Sensor, Beijing Institute of Nanoenergy and Nanosystems, Chinese Academy of Sciences, Beijing 101400, China
- School of Nanoscience and Technology, University of Chinese Academy of Sciences, Beijing 100049, China
| | - Puchuan Tan
- CAS Center for Excellence in Nanoscience, Beijing Key Laboratory of Micro-nano Energy and Sensor, Beijing Institute of Nanoenergy and Nanosystems, Chinese Academy of Sciences, Beijing 101400, China
- Beijing Advanced Innovation Centre for Biomedical Engineering, Key Laboratory for Biomechanics and Mechanobiology of Ministry of Education, School of Biological Science and Medical Engineering, Beihang University, Beijing 100191, China
| | - Bojing Shi
- CAS Center for Excellence in Nanoscience, Beijing Key Laboratory of Micro-nano Energy and Sensor, Beijing Institute of Nanoenergy and Nanosystems, Chinese Academy of Sciences, Beijing 101400, China
- Beijing Advanced Innovation Centre for Biomedical Engineering, Key Laboratory for Biomechanics and Mechanobiology of Ministry of Education, School of Biological Science and Medical Engineering, Beihang University, Beijing 100191, China
| | - Han Ouyang
- CAS Center for Excellence in Nanoscience, Beijing Key Laboratory of Micro-nano Energy and Sensor, Beijing Institute of Nanoenergy and Nanosystems, Chinese Academy of Sciences, Beijing 101400, China
- Beijing Advanced Innovation Centre for Biomedical Engineering, Key Laboratory for Biomechanics and Mechanobiology of Ministry of Education, School of Biological Science and Medical Engineering, Beihang University, Beijing 100191, China
| | - Shengyu Chao
- CAS Center for Excellence in Nanoscience, Beijing Key Laboratory of Micro-nano Energy and Sensor, Beijing Institute of Nanoenergy and Nanosystems, Chinese Academy of Sciences, Beijing 101400, China
- School of Nanoscience and Technology, University of Chinese Academy of Sciences, Beijing 100049, China
| | - Yang Zou
- CAS Center for Excellence in Nanoscience, Beijing Key Laboratory of Micro-nano Energy and Sensor, Beijing Institute of Nanoenergy and Nanosystems, Chinese Academy of Sciences, Beijing 101400, China
- School of Nanoscience and Technology, University of Chinese Academy of Sciences, Beijing 100049, China
| | - Chaochao Zhao
- CAS Center for Excellence in Nanoscience, Beijing Key Laboratory of Micro-nano Energy and Sensor, Beijing Institute of Nanoenergy and Nanosystems, Chinese Academy of Sciences, Beijing 101400, China
- Department of Biomedical Engineering, School of Medical Engineering, Foshan University, Foshan, 528225, China
| | - Zhuo Liu
- CAS Center for Excellence in Nanoscience, Beijing Key Laboratory of Micro-nano Energy and Sensor, Beijing Institute of Nanoenergy and Nanosystems, Chinese Academy of Sciences, Beijing 101400, China
- Beijing Advanced Innovation Centre for Biomedical Engineering, Key Laboratory for Biomechanics and Mechanobiology of Ministry of Education, School of Biological Science and Medical Engineering, Beihang University, Beijing 100191, China
| | - Yusheng Li
- Department of Orthopedics, Xiangya Hospital, Central South University, Changsha 410008, China
| | - Zhou Li
- CAS Center for Excellence in Nanoscience, Beijing Key Laboratory of Micro-nano Energy and Sensor, Beijing Institute of Nanoenergy and Nanosystems, Chinese Academy of Sciences, Beijing 101400, China
- School of Nanoscience and Technology, University of Chinese Academy of Sciences, Beijing 100049, China
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9
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Fidan M, Bayrak A, Karli U. A novel adaptable isometric strength analysis and exercise development system design. Proc Inst Mech Eng H 2021; 235:913-926. [PMID: 33971770 DOI: 10.1177/09544119211015562] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
In this study, a low-cost and adaptable isometric strength measurement and exercise development system are described. The implemented system consists of mechanical structure, force measurement sensor, electronic circuit, and computer software. Isometric-isotonic (via spring resistance) strength analysis and various exercise programs can be applied with the system. The developed system has a lower cost compared to its counterparts in the literature and has a structure that can be adapted to different machines and measuring methods. The operability and reliability of the isometric strength measurement and exercise development system have been proven by calibration tests.
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Affiliation(s)
- Murat Fidan
- Department of Electrical and Electronic Engineering, Faculty of Engineering, Bolu Abant Izzet Baysal University, Bolu, Turkey
| | - Alper Bayrak
- Department of Electrical and Electronic Engineering, Faculty of Engineering, Bolu Abant Izzet Baysal University, Bolu, Turkey
| | - Umid Karli
- Department of Coaching Education, Faculty of Sports Sciences, Bolu Abant Izzet Baysal University, Bolu, Turkey
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10
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Orejel Bustos A, Belluscio V, Camomilla V, Lucangeli L, Rizzo F, Sciarra T, Martelli F, Giacomozzi C. Overuse-Related Injuries of the Musculoskeletal System: Systematic Review and Quantitative Synthesis of Injuries, Locations, Risk Factors and Assessment Techniques. SENSORS (BASEL, SWITZERLAND) 2021; 21:2438. [PMID: 33916269 PMCID: PMC8037357 DOI: 10.3390/s21072438] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Revised: 03/24/2021] [Accepted: 03/30/2021] [Indexed: 12/19/2022]
Abstract
Overuse-related musculoskeletal injuries mostly affect athletes, especially if involved in preseason conditioning, and military populations; they may also occur, however, when pathological or biological conditions render the musculoskeletal system inadequate to cope with a mechanical load, even if moderate. Within the MOVIDA (Motor function and Vitamin D: toolkit for risk Assessment and prediction) Project, funded by the Italian Ministry of Defence, a systematic review of the literature was conducted to support the development of a transportable toolkit (instrumentation, protocols and reference/risk thresholds) to help characterize the risk of overuse-related musculoskeletal injury. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) approach was used to analyze Review papers indexed in PubMed and published in the period 2010 to 2020. The search focused on stress (overuse) fracture or injuries, and muscle fatigue in the lower limbs in association with functional (biomechanical) or biological biomarkers. A total of 225 Review papers were retrieved: 115 were found eligible for full text analysis and led to another 141 research papers derived from a second-level search. A total of 183 papers were finally chosen for analysis: 74 were classified as introductory to the topics, 109 were analyzed in depth. Qualitative and, wherever possible, quantitative syntheses were carried out with respect to the literature review process and quality, injury epidemiology (type and location of injuries, and investigated populations), risk factors, assessment techniques and assessment protocols.
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Affiliation(s)
- Amaranta Orejel Bustos
- Interuniversity Centre of Bioengineering of the Human Neuromusculoskeletal System (BOHNES), Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, 00135 Rome, Italy; (A.O.B.); (V.B.); (V.C.); (L.L.)
| | - Valeria Belluscio
- Interuniversity Centre of Bioengineering of the Human Neuromusculoskeletal System (BOHNES), Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, 00135 Rome, Italy; (A.O.B.); (V.B.); (V.C.); (L.L.)
| | - Valentina Camomilla
- Interuniversity Centre of Bioengineering of the Human Neuromusculoskeletal System (BOHNES), Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, 00135 Rome, Italy; (A.O.B.); (V.B.); (V.C.); (L.L.)
| | - Leandro Lucangeli
- Interuniversity Centre of Bioengineering of the Human Neuromusculoskeletal System (BOHNES), Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, 00135 Rome, Italy; (A.O.B.); (V.B.); (V.C.); (L.L.)
| | - Francesco Rizzo
- Joint Veterans Defence Center, Army Medical Center, 00184 Rome, Italy; (F.R.); (T.S.)
| | - Tommaso Sciarra
- Joint Veterans Defence Center, Army Medical Center, 00184 Rome, Italy; (F.R.); (T.S.)
| | - Francesco Martelli
- Department of Cardiovascular and Endocrine-Metabolic Diseases and Aging, Italian National Institute of Health, 00161 Rome, Italy;
| | - Claudia Giacomozzi
- Department of Cardiovascular and Endocrine-Metabolic Diseases and Aging, Italian National Institute of Health, 00161 Rome, Italy;
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11
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de-la-Torre R, Oña ED, Balaguer C, Jardón A. Robot-Aided Systems for Improving the Assessment of Upper Limb Spasticity: A Systematic Review. SENSORS (BASEL, SWITZERLAND) 2020; 20:E5251. [PMID: 32937973 PMCID: PMC7570987 DOI: 10.3390/s20185251] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/04/2020] [Revised: 09/02/2020] [Accepted: 09/12/2020] [Indexed: 12/13/2022]
Abstract
Spasticity is a motor disorder that causes stiffness or tightness of the muscles and can interfere with normal movement, speech, and gait. Traditionally, the spasticity assessment is carried out by clinicians using standardized procedures for objective evaluation. However, these procedures are manually performed and, thereby, they could be influenced by the clinician's subjectivity or expertise. The automation of such traditional methods for spasticity evaluation is an interesting and emerging field in neurorehabilitation. One of the most promising approaches is the use of robot-aided systems. In this paper, a systematic review of systems focused on the assessment of upper limb (UL) spasticity using robotic technology is presented. A systematic search and review of related articles in the literature were conducted. The chosen works were analyzed according to the morphology of devices, the data acquisition systems, the outcome generation method, and the focus of intervention (assessment and/or training). Finally, a series of guidelines and challenges that must be considered when designing and implementing fully-automated robot-aided systems for the assessment of UL spasticity are summarized.
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Affiliation(s)
| | | | | | - Alberto Jardón
- Department of Systems Engineering and Automation, University Carlos III of Madrid, Avda. de la Universidad 30, 28911 Leganés, Spain; (R.d.-l.-T.); (E.D.O.); (C.B.)
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