The design of control systems for limb prostheses seems likely to benefit from an understanding of how sensorimotor integration is achieved in the intact system. Traditional BMIs guess what movement parameters are encoded by brain activity and then decode them to drive prostheses directly. Modeling the known structure and emergent properties of the biological decoder itself is likely to be more effective in bridging from normal brain activity to functionally useful limb movement. In this study, we have extended a model of spinal circuitry (termed SLR for spinal-like regulator; see Raphael, G., Tsianos, G. A., & Loeb G. E. 2010, Spinal-like regulator facilitates control of a two-degree-of-freedom wrist. The Journal of Neuroscience, 30(28), 9431-9444.) to a planar elbow-shoulder system to investigate how the spinal cord contributes to the control of a musculoskeletal system with redundant and multiarticular musculature and interaction (Coriolis) torques, which are common control problems for multisegment linkages throughout the body. The SLR consists of a realistic set of interneuronal pathways (monosynaptic Ia-excitatory, reciprocal Ia-inhibitory, Renshaw inhibitory, Ib-inhibitory, and propriospinal) that are driven by unmodulated step commands with learned amplitudes. We simulated the response of a planar arm to a brief, oblique impulse at the hand and investigated the role of cocontraction in learning to resist it. Training the SLR without cocontraction led to generally poor performance that was significantly worse than training with cocontraction. Further, removing cocontraction from the converged solutions and retraining the system achieved better performance than the SLR responses without cocontraction. Cocontraction appears to reshape the solution space, virtually eliminating the probability of entrapment in poor local minima. The local minima that are entered during learning with cocontraction are favorable starting points for learning to perform the task when cocontraction is abruptly removed. Given the control system's ability to learn effectively and rapidly, we hypothesize that it will generalize more readily to the wider range of tasks that subjects must learn to perform, as opposed to BMIs mapped to outputs of the musculoskeletal system.
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http://dx.doi.org/10.1016/B978-0-444-53815-4.00006-6 | DOI Listing |
Biomed Tech (Berl)
January 2025
Department of Mechanical Engineering, Faculty of Engineering, Imperial College London, London, UK.
Globally, the prevalence of stroke is significant and increasing annually. This growth has led to a demand for rehabilitation services that far exceeds the supply, leaving many stroke survivors without adequate rehabilitative care. In response to this challenge, this study introduces a portable exoskeleton system that integrates neural control mechanisms governing human arm movements.
View Article and Find Full Text PDFACS Appl Mater Interfaces
January 2025
College of Computer Science and Technology, Xi'an University of Science and Technology, Xi'an 710054, China.
Soft and stretchable strain sensors are crucial for applications in human-machine interfaces, flexible robotics, and electronic skin. Among these, capacitive strain sensors are widely used and studied; however, they face challenges due to material and structural constraints, such as low baseline capacitance and susceptibility to external interference, which result in low signal-to-noise ratios and poor stability. To address these issues, we propose a U-shaped electrode flexible strain sensor based on liquid metal elastomer (LME).
View Article and Find Full Text PDFJ Appl Biomech
February 2025
Assistive and Restorative Technology Laboratory, Department of Physical Medicine and Rehabilitation, Rehabilitation Medicine Research Center, Mayo Clinic, Rochester, MN, USA.
Reaching is a common daily activity requiring a range of humeral elevation that contributes to rotator cuff compression. The purpose of this study was to estimate supraspinatus and infraspinatus tendon compression risk relative to the acromion and coracoacromial ligament during reaching by manual wheelchair users with spinal cord injury. A cross-sectional design was used to evaluate 8 participants (7 males, median [range] age 36 y [23-61]).
View Article and Find Full Text PDFJ Neuroeng Rehabil
November 2024
Articares Pte Ltd, 67, Ayer Rajah Crescent, #07-11/12, Singapore, 139950, Singapore.
Background: We evaluated the feasibility, safety, and efficacy of a 2D-planar robot for minimally supervised home-based upper-limb therapy for post-stroke hemiparesis.
Methods: The H-Man, end effector robot, combined with web-based software application for remote tele-monitoring were evaluated at homes of participants. Inclusion criteria were: strokes > 28 days, Fugl-Meyer Motor Assessment (FMA) > 10-60/66, presence of a carer and absence of medical contraindications.
Orthop Surg
January 2025
Department of Orthopedics, West China Hospital, Orthopedic Research Institute, Sichuan University, Chengdu, Sichuan, China.
Objective: Osteosarcoma at the first metacarpal is extremely rare. Reconstructing the metacarpal after tumor resection is essential, as the thumb accounts for approximately 40%-50% of hand function. Although autografts, arthroplasty, and transposition have been reported as reconstruction options, their use is limited by complications such as secondary injury, nonunion, and displacement.
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