High-density (HD) electrodes have been introduced in research and diagnostic electromyography. Recent advances in technology offer an opportunity for using the HDEMG signal as biofeedback in stroke rehabilitation. The purpose of this case study was to test the feasibility of using two 5 × 13 electrode arrays for providing real-time HDEMG biofeedback and the preliminary outcome of combining HDEMG biofeedback with robotic wrist exercises over 4 weeks in a person who suffered a stroke 26 months earlier. The isometric wrist flexion/extension task required to keep the paretic agonist activity within variable preset limits with minimal activation of the antagonists. The participant was able to utilize the provided biofeedback interface and after eight sessions significantly decreased co-activation in the antagonist wrist extensor muscles during isometric wrist flexion. The HDEMG biofeedback seems feasible and may be used alone or in combination with robotic therapy for increasing the selectivity of muscle activation after stroke.
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http://dx.doi.org/10.1097/MRR.0000000000000454 | DOI Listing |
Int J Rehabil Res
March 2021
System Software Laboratory, University of Maribor, Faculty of Electrical Engineering and Computer Science, Koroska cesta, Maribor, Slovenia.
High-density (HD) electrodes have been introduced in research and diagnostic electromyography. Recent advances in technology offer an opportunity for using the HDEMG signal as biofeedback in stroke rehabilitation. The purpose of this case study was to test the feasibility of using two 5 × 13 electrode arrays for providing real-time HDEMG biofeedback and the preliminary outcome of combining HDEMG biofeedback with robotic wrist exercises over 4 weeks in a person who suffered a stroke 26 months earlier.
View Article and Find Full Text PDFBMC Musculoskelet Disord
October 2020
Department of Kinesiology, Faculty of Physiotherapy, University School of Physical Education in Wrocław, Al.I.J. Paderewskiego 35, P4, 51-612, Wrocław, Poland.
Background: The aim of this study was to determine whether computer-aided training (CAT) of motor tasks would increase muscle activity and change its spatial distribution in a patient with a bilateral upper-limb congenital transverse deficiency. We believe that our study makes a significant contribution to the literature because it demonstrates the usefulness of CAT in promoting the neuromuscular adaptation in people with congenital limb deficiencies and altered body image.
Case Presentation: The patient with bilateral upper-limb congenital transverse deficiency and the healthy control subject performed 12 weeks of the CAT.
J Electromyogr Kinesiol
December 2019
Centre of Precision Rehabilitation for Spinal Pain (CPR Spine), School of Sport, Exercise and Rehabilitation Sciences, College of Life and Environmental Sciences, University of Birmingham, Birmingham, UK. Electronic address:
We investigate whether visual feedback on the spatial distribution of upper trapezius muscle activity can prolong time to task failure of sustained shoulder abduction. Surface electromyographic signals were acquired with a 13x5 grid of high-density electromyography (HDEMG) electrodes from the right upper trapezius muscle of 12 healthy volunteers as they performed sustained isometric shoulder abduction at 20% of their maximum voluntary contraction torque (MVC) until volitional exhaustion. Data were collected in two sessions; one with HDEMG visual feedback on the spatial distribution of upper trapezius activity and one without feedback.
View Article and Find Full Text PDFEur J Appl Physiol
September 2010
Center for Sensory-Motor Interaction (SMI), Department of Health Science and Technology, Aalborg University, Aalborg East, Denmark.
The aim of this study was to investigate the spatio-temporal effects of advanced biofeedback by inducing active and passive pauses on the trapezius activity pattern using high-density surface electromyography (HD-EMG). Thirteen healthy male subjects performed computer work with superimposed feedback either eliciting passive (rest) or active (approximately 30% MVC) pauses based on fuzzy logic design and a control session with no feedback. HD-EMG signals of upper trapezius were recorded using a 5 x 13 multichannel electrode grid.
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