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Real-time classification of non-weight bearing lower-limb movements using EMG to facilitate phantom motor execution: Engineering and case study application on phantom limb pain

Eva Lendaro (Institutionen för elektroteknik, Medicinska signaler och system) ; Enzo Mastinu (Institutionen för elektroteknik, Medicinska signaler och system) ; Bo Håkansson (Institutionen för elektroteknik, Medicinska signaler och system) ; Max Jair Ortiz-Catalan (Institutionen för elektroteknik, Medicinska signaler och system)
Frontiers in Neurology (1664-2295). Vol. 8 (2017), p. Article number 470.
[Artikel, refereegranskad vetenskaplig]

Phantom motor execution (PME), facilitated by myoelectric pattern recognition (MPR) and virtual reality (VR), is positioned to be a viable option to treat phantom limb pain (PLP). A recent clinical trial using PME on upper-limb amputees with chronic intractable PLP yielded promising results. However, further work in the area of signal acquisition is needed if such technology is to be used on subjects with lower-limb amputation. We propose two alternative electrode configurations to conventional, bipolar, targeted recordings for acquiring surface electromyography. We evaluated their performance in a real-time MPR task for non-weight-bearing, lower-limb movements. We found that monopolar recordings using a circumferential electrode of conductive fabric, performed similarly to classical bipolar recordings, but were easier to use in a clinical setting. In addition, we present the first case study of a lower-limb amputee with chronic, intractable PLP treated with PME. The patient's Pain Rating Index dropped by 22 points (from 32 to 10, 68%) after 23 PME sessions. These results represent a methodological advancement and a positive proof-of-concept of PME in lower limbs. Further work remains to be conducted for a high-evidence level clinical validation of PME as a treatment of PLP in lower-limb amputees.

Nyckelord: Electromyography; Myoelectric control; Neurorehabilitation; Pattern recognition; Phantom limb pain; Phantom motor execution; Virtual reality

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Denna post skapades 2017-10-04. Senast ändrad 2017-10-05.
CPL Pubid: 252283


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