Using Orientation Sensors to Control a FES System for Upper-Limb Motor Rehabilitation
Contralaterally controlled functional electrical stimulation (CCFES) is a recent therapy aimed at improving the recovery of impaired limbs after stroke. For hemiplegic patients, CCFES uses a control signal from the non-impaired side of the body to regulate the intensity of electrical stimulation delivered to the affected muscles of the homologous limb on the opposite side of the body. CCFES permits an artificial muscular contraction synchronized with the patient’s intentionality to carry out functional tasks, which is a way to enhance neuroplasticity and to promote motor learning. This work presents an upper extremity motor rehabilitation system based on CCFES, using orientation sensors for control. Thus, the stimulation intensity (current amplitude) delivered to the paretic extremity is proportional to the degree of joint amplitude of the unaffected extremity. The implemented controller uses a control strategy that allows the delivered electrical stimulation intensity, to be comparable to the magnitude of movement. It was carried out a set of experiments to validate the overall system, for executing five bilateral mirror movements that include human wrist and elbow joints. Obtained results showed that movements voluntary signals acquired from right upper-limb were replicated successfully on left upper-limb using the FES system.
KeywordsMotor rehabilitation Joint angle estimation Orientation sensors Contralaterally controlled functional electrical stimulation
Authors want to thank to the Universidad Antonio Nariño in Colombia for supporting this work under project number 2016217 and the CNPq for productivity and postdoctoral fellowship.
- 1.World Report on Disability, World Health Organization (WHO) (2011)Google Scholar
- 5.Doucet, B.M., Lamb, A., Griffin, L.: Neuromuscular electrical stimulation for skeletal muscle function. Yale J. Biol. Med. 85, 201–215 (2012)Google Scholar
- 6.Popovic, D.B., Sinkjærc, T., Popovic, M.B.: Electrical stimulation as a means for achieving recovery of function in stroke patients. NeuroRehabilitation 25, 45–58 (2009)Google Scholar
- 7.Knutson, J.S., Harley, M.Y., Hisel, T.Z., Makowski, N.S., Fu, M.J., Chae, J.: Contralaterally controlled functional electrical stimulation for stroke rehabilitation. In: Proceedings of IEEE Engineering and Medicine and Biology Society, pp. 314–317 (2012)Google Scholar