Publications by authors named "Sandesh G Bhat"

Traumatic adult brachial plexus injury is a debilitating injury. Myoelectric exoskeletons are functional tools for restoring elbow flexion. Electromyography signals are used for exoskeleton control, but a characterization specific to the traumatic adult brachial plexus injury population has yet to be performed.

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Background: Longevity is increasing worldwide due to improvements in healthcare and living standards. Aging is often associated with disability and multiple health concerns. To address these challenges, effective interventions are essential.

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Human walking is an extremely complex neuromuscular activity whose simplicity disappears when an attempt is made to provide a quantitative description of the process. The dynamical systems theory provides a framework for analyzing the stability and chaotic nature of dynamical systems, employing Floquet multipliers (FM) and long and short-term Lyapunov exponents (LE), respectively. This report compares FM and LE from three methods: method A (false nearest neighbors and numerical approximation), method B (false nearest neighbors and semi-analytical technique) and method C (singular value decomposition and semi-analytical technique).

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Article Synopsis
  • The introduction highlights the challenges in recovering from neuromuscular injuries, including reliance on heavy and bulky orthotic devices, leading to the development of a powered myoelectric elbow orthosis.
  • The orthosis features innovative mechanisms like a solenoid brake and a lightweight battery design to improve functionality and reduce strain on the affected limb.
  • Results showed a significant improvement in elbow movement and reduced compensatory shoulder movements, allowing the user to perform previously impossible tasks, thus enhancing quality of life for users with neuromuscular conditions.
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Background: Peripheral nerve injuries and central neurologic conditions can result in extensive disabilities. In cases with unilateral impairment, assessing the asymmetry between the upper extremity has been used to assess outcomes of treatment and severity of injury. A wide variety of validated and novel tests and sensors have been utilized to determine the upper extremity asymmetry.

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Article Synopsis
  • The modified British Medical Research Council muscle grading system is subjective and flawed, prompting the exploration of a new objective measure for elbow function in patients with brachial plexus injuries.
  • A study involved 11 patients with reconstructed brachial plexus and 10 healthy individuals, using a custom device to measure elbow flexion torque and analyze latency and torque output.
  • Results showed that while patients could match elbow torque latency to healthy individuals, they struggled with regulating torque, indicating the new measure effectively assesses post-surgery elbow control.
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Nerve transfer or grafting surgery to restore elbow flexion in peripheral nerve injuries has been an effective technique, but alters neuromuscular control compared with healthy individuals. This study compared neuromuscular control in the elbow flexors of 11 unimpaired control subjects and 11 adult patients with traumatic brachial plexus injury who underwent a nerve transfer or grafting procedure to the biceps motor branch to restore elbow flexion. The subjects performed a series of trials to generate a specific percentage of their maximum elbow torque.

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