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European Journal of Translational Myology

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https://www.readbyqxmd.com/read/28078075/a-design-method-for-fes-bone-health-therapy-in-sci
#1
Brian Andrews, James Shippen, Monica Armengol, Robin Gibbons, William Holderbaum, William Harwin
FES assisted activities such as standing, walking, cycling and rowing induce forces within the leg bones and have been proposed to reduce osteoporosis in spinal cord injury (SCI). However, details of the applied mechanical stimulus for osteogenesis is often not reported. Typically, comparisons of bone density results are made after costly and time consuming clinical trials. These studies have produced inconsistent results and are subject to sample size variations. Here we propose a design process that may be used to predict the clinical outcome based on biomechanical simulation and mechano-biology...
September 15, 2016: European Journal of Translational Myology
https://www.readbyqxmd.com/read/28078074/fes-in-europe-and-beyond-current-translational-research
#2
Christine Azevedo Coste, Winfried Mayr, Manfred Bijak, Antonio Musarò, Ugo Carraro
Capacity of adult neural and muscle tissues to respond to external Electrical Stimulation (ES) is the biological basis for the development and implementation of mobility impairment physiotherapy protocols and of related assistive technologies, e.g, Functional Electrical Stimulation (FES). All body tissues, however, respond to electrical stimulation and, indeed, the most successful application of FES is electrical stimulation of the heart to revert or limit effects of arrhythmias (Pace-makers and Defibrillators)...
September 15, 2016: European Journal of Translational Myology
https://www.readbyqxmd.com/read/28078073/soft-encapsulation-of-flexible-electrical-stimulation-implant-challenges-and-innovations
#3
Adrien Debelle, Laura Hermans, Maxime Bosquet, Sam Dehaeck, Laurent Lonys, Benoit Scheid, Antoine Nonclercq, Anne Vanhoestenberghe
In this document we discuss the main challenges encountered when producing flexible electrical stimulation implants, and present our approach to solving them for prototype production. We include a study of the optimization of the flexible PCB design, the selection of additive manufacturing materials for the mold, and the chemical compatibility of the different materials. Our approach was tested on a flexible gastro-stimulator as part of the ENDOGES research program.
September 15, 2016: European Journal of Translational Myology
https://www.readbyqxmd.com/read/28078072/multisensor-classification-system-for-triggering-fes-in-order-to-support-voluntary-swallowing
#4
Benjamin Riebold, Holger Nahrstaedt, Corinna Schultheiss, Rainer O Seidl, Thomas Schauer
In dysphagia the ability of elevating the larynx and hyoid is usually impaired. Electromyography (EMG) and Bioimpedance (BI) measurements at the neck can be used to trigger functional electrical stimulation (FES) of swallowing related muscles. Nahrstaedt et al.(1) introduced an algorithm to trigger the stimulation in phase with the voluntary swallowing to improve the airway closure and elevation speed of the larynx and hyoid. However, due to non-swallow related movements like speaking, chewing or head turning, stimulations might be unintentionally triggered...
September 15, 2016: European Journal of Translational Myology
https://www.readbyqxmd.com/read/28078071/electrical-stimulation-to-reduce-the-overload-in-upper-limbs-during-sitting-pivot-transfer-in-paraplegic-a-preliminary-study
#5
Ana Claudia G Lopes, Claudia Ochoa-Diaz, Roberto S Baptista, Lucas O Fonseca, Charles Fattal, Christine Azevedo Coste, Antônio P L Bó, Emerson Fachin-Martins
Transfer is a key ability and allows greater interact with the environment and social participation. Conversely, paraplegics have great risk of pain and injury in the upper limbs due to joint overloads during activities of daily living, like transfer. The main goal of this study is to verify if the use of functional electrical stimulation (FES) in the lower limbs of paraplegic individuals can assist the sitting pivot transfer (SPT). The secondary objective is to verify if there is a greater participation of the lower limbs during lift pivot phase...
September 15, 2016: European Journal of Translational Myology
https://www.readbyqxmd.com/read/28078070/stem-cells-and-tissue-niche-two-faces-of-the-same-coin-of-muscle-regeneration
#6
Bianca Maria Scicchitano, Gigliola Sica, Antonio Musarò
Capacity of adult muscle to regenerate in response to injury stimuli represents an important homeostatic process. Regeneration is a highly coordinated program that partially recapitulates the embryonic developmental program. However, muscle regeneration is severely compromised in several pathological conditions. It is likely that the restricted tissue repair program under pathological conditions is due to either progressive loss of stem cell populations or to missing signals that limit the damaged tissues to efficiently activate a regenerative program...
September 15, 2016: European Journal of Translational Myology
https://www.readbyqxmd.com/read/28078069/skeletal-muscle-microalterations-in-patients-carrying-malignant-hyperthermia-related-mutations-of-the-e-c-coupling-machinery
#7
Manuela Lavorato, Pawan K Gupta, Philip M Hopkins, Clara Franzini-Armstrong
We have compared the ultrastructure of skeletal muscle biopsies from patients that have survived a [Malignant Hyperthermia, MH] episode and siblings that test positive for MH susceptibility with those from siblings that tested negatives. The aim is to establish whether life long exposure to the MH-related mutation effects may result in subtle abnormalities even in the absence of active episodes and/or clinically detectable deficiencies. Although a specific ultrastructural signature for MH mutants cannot be demonstrated, an MH related pattern of minor alterations does exist...
September 15, 2016: European Journal of Translational Myology
https://www.readbyqxmd.com/read/28078068/efficacy-of-emg-bioimpedance-triggered-functional-electrical-stimulation-on-swallowing-performance
#8
Corinna Schultheiss, Thomas Schauer, Holger Nahrstaedt, Rainer O Seidl, Jehoschua Bieler
In order to support swallowing, the efficacy of functional electrical stimulation for different stimulation settings of the submental musculature has been investigated. The stimulation was administrated at rest and synchronously to voluntary initiated swallows. The onset of a swallow was detected in real-time by a combined electromyography/ bioimpedance measurement at the neck in order to trigger the stimulation. The amplitude and speed of larynx elevation caused by the FES has been assessed by the observed change in bioimpedance whereas a reduction of bioimpedance corresponds to an increase in larynx elevation...
September 15, 2016: European Journal of Translational Myology
https://www.readbyqxmd.com/read/28078067/%C3%AE-linolenic-acid-reduces-tnf-induced-apoptosis-in-c2c12-myoblasts-by-regulating-expression-of-apoptotic-proteins
#9
Felicia Carotenuto, Dario Coletti, Paolo Di Nardo, Laura Teodori
Impaired regeneration and consequent muscle wasting is a major feature of muscle degenerative diseases. Nutritional interventions such as adjuvant strategy for preventing these conditions are recently gaining increasing attention. Ingestion of n3-polyunsaturated fatty acids has been suggested as having a positive impact on muscle diseases. We recently demonstrated that a diet enriched with plant derived n3-fatty acid, α-linolenic acid (ALA), exerts potent beneficial effects in preserving skeletal muscle regeneration in models of muscle dystrophy...
September 15, 2016: European Journal of Translational Myology
https://www.readbyqxmd.com/read/28078066/use-it-or-lose-it-tonic-activity-of-slow-motoneurons-promotes-their-survival-and-preferentially-increases-slow-fiber-type-groupings-in-muscles-of-old-lifelong-recreational-sportsmen
#10
Simone Mosole, Ugo Carraro, Helmut Kern, Stefan Loefler, Sandra Zampieri
: Histochemistry, immuno-histochemistry, gel electrophoresis of single muscle fibers and electromyography of aging muscles and nerves suggest that: i) denervation contributes to muscle atrophy, ii) impaired mobility accelerates the process, and iii) lifelong running protects against loss of motor units. Recent corroborating results on the muscle effects of Functional Electrical Stimulation (FES) of aged muscles will be also mentioned, but we will in particular discuss how and why a lifelong increased physical activity sustains reinnervation of muscle fibers...
September 15, 2016: European Journal of Translational Myology
https://www.readbyqxmd.com/read/28078065/clinical-features-of-neuromuscular-disorders-in-patients-with-n-type-voltage-gated-calcium-channel-antibodies
#11
Andreas Totzeck, Petra Mummel, Oliver Kastrup, Tim Hagenacker
Neuromuscular junction disorders affect the pre- or postsynaptic nerve to muscle transmission due to autoimmune antibodies. Members of the group like myasthenia gravis and Lambert-Eaton syndrome have pathophysiologically distinct characteristics. However, in practice, distinction may be difficult. We present a series of three patients with a myasthenic syndrome, dropped-head syndrome, bulbar and respiratory muscle weakness and positive testing for anti-N-type voltage-gated calcium channel antibodies. In two cases anti-acetylcholin receptor antibodies were elevated, anti-P/Q-type voltage-gated calcium channel antibodies were negative...
September 15, 2016: European Journal of Translational Myology
https://www.readbyqxmd.com/read/27990247/bci-triggered-functional-electrical-stimulation-therapy-for-upper-limb
#12
Cesar Marquez-Chin, Aaron Marquis, Milos R Popovic
We present here the integration of brain-computer interfacing (BCI) technology with functional electrical stimulation therapy to restore voluntary function. The system was tested with a single man with chronic (6 years) severe left hemiplegia resulting from a stroke. The BCI, implemented as a simple "brain-switch" activated by power decreases in the 18 Hz - 28 Hz frequency range of the participant's electroencephalograpic signals, triggered a neuroprosthesis designed to facilitate forward reaching, reaching to the mouth, and lateral reaching movements...
June 13, 2016: European Journal of Translational Myology
https://www.readbyqxmd.com/read/27990246/feasibility-of-using-lokomat-combined-with-functional-electrical-stimulation-for-the-rehabilitation-of-foot-drop
#13
Christian B Laursen, Jørgen F Nielsen, Ole K Andersen, Erika G Spaich
This study investigated the clinical feasibility of combining the electromechanical gait trainer Lokomat with functional electrical therapy (LokoFET), stimulating the common peroneal nerve during the swing phase of the gait cycle to correct foot drop as an integrated part of gait therapy. Five patients with different acquired brain injuries trained with LokoFET 2-3 times a week for 3-4 weeks. Pre- and post-intervention evaluations were performed to quantify neurophysiological changes related to the patients' foot drop impairment during the swing phase of the gait cycle...
June 13, 2016: European Journal of Translational Myology
https://www.readbyqxmd.com/read/27990245/feedback-error-learning-controller-for-functional-electrical-stimulation-assistance-in-a-hybrid-robotic-system-for-reaching-rehabilitation
#14
Francisco Resquín, Jose Gonzalez-Vargas, Jaime Ibáñez, Fernando Brunetti, José Luis Pons
Hybrid robotic systems represent a novel research field, where functional electrical stimulation (FES) is combined with a robotic device for rehabilitation of motor impairment. Under this approach, the design of robust FES controllers still remains an open challenge. In this work, we aimed at developing a learning FES controller to assist in the performance of reaching movements in a simple hybrid robotic system setting. We implemented a Feedback Error Learning (FEL) control strategy consisting of a feedback PID controller and a feedforward controller based on a neural network...
June 13, 2016: European Journal of Translational Myology
https://www.readbyqxmd.com/read/27990244/electrically-and-hybrid-induced-muscle-activations-effects-of-muscle-size-and-fiber-type
#15
Kelly Stratton, Pouran D Faghri
The effect of three electrical stimulation (ES) frequencies (10, 35, and 50 Hz) on two muscle groups with different proportions of fast and slow twitch fibers (abductor pollicis brevis (APB) and vastus lateralis (VL)) was explored. We evaluated the acute muscles' responses individually and during hybrid activations (ES superimposed by voluntary activations). Surface electromyography (sEMG) and force measurements were evaluated as outcomes. Ten healthy adults (mean age: 24.4 ± 2.5 years) participated after signing an informed consent form approved by the university Institutional Review Board...
June 13, 2016: European Journal of Translational Myology
https://www.readbyqxmd.com/read/27990243/human-fes-cooperative-control-for-wrist-movement-a-preliminary-study
#16
Kai Gui, Hiroshi Yokoi, Dingguo Zhang
Functional electrical stimulation (FES) sometimes applies to patients with partial paralysis, so human voluntary control and FES control both exist. Our study aims to build a cooperative controller to achieve human-FES cooperation. This cooperative controller is formed by a classical FES controller and an impedance controller. The FES controller consists of a back propagation (BP) neural network-based feedforward controller and a PID-based feedback controller. The function of impedance controller is to convert volitional force/torque, which is estimated from a three-stage filter based on EMG, into additional angle...
June 13, 2016: European Journal of Translational Myology
https://www.readbyqxmd.com/read/27990242/effect-of-stochastic-modulation-of-inter-pulse-interval-during-stimulated-isokinetic-leg-extension
#17
Efe Anil Aksöz, Marco Laubacher, Stuart Binder-Macleod, Kenneth J Hunt
Recumbent cycling exercise achieved by functional electrical stimulation (FES) of the paralyzed leg muscles is effective for cardiopulmonary and musculoskeletal conditioning after spinal cord injury, but its full potential has not yet been realized. Mechanical power output and efficiency is very low and endurance is limited due to early onset of muscle fatigue. The aim of this work was to compare stochastic modulation of the inter-pulse interval (IPI) to constant-frequency stimulation during an isokinetic leg extension task similar to FES-cycling...
June 13, 2016: European Journal of Translational Myology
https://www.readbyqxmd.com/read/27990241/android-platform-for-realtime-gait-tracking-using-inertial-measurement-units
#18
Pablo Aqueveque, Sergio Sobarzo, Francisco Saavedra, Claudio Maldonado, Britam Gómez
One of the most important movements performed by the humans is gait. Biomechanical Gait analysis is usually by optical capture systems. However, such systems are expensive and sensitive to light and obstacles. In order to reduce those costs a system based on Inertial Measurements Units (IMU) is proposed. IMU are a good option to make movement analisys indoor with a low post-processing data, allowing to connect those systems to an Android platform. The design is based on two elements: a) The IMU sensors and the b) Android device...
June 13, 2016: European Journal of Translational Myology
https://www.readbyqxmd.com/read/27990240/paired-associative-stimulation-using-brain-computer-interfaces-for-stroke-rehabilitation-a-pilot-study
#19
Woosang Cho, Nikolaus Sabathiel, Rupert Ortner, Alexander Lechner, Danut C Irimia, Brendan Z Allison, Guenter Edlinger, Christoph Guger
Conventional therapies do not provide paralyzed patients with closed-loop sensorimotor integration for motor rehabilitation. Paired associative stimulation (PAS) uses brain-computer interface (BCI) technology to monitor patients' movement imagery in real-time, and utilizes the information to control functional electrical stimulation (FES) and bar feedback for complete sensorimotor closed loop. To realize this approach, we introduce the recoveriX system, a hardware and software platform for PAS. After 10 sessions of recoveriX training, one stroke patient partially regained control of dorsiflexion in her paretic wrist...
June 13, 2016: European Journal of Translational Myology
https://www.readbyqxmd.com/read/27990239/towards-parameters-and-protocols-to-recommend-fes-cycling-in-cases-of-paraplegia-a-preliminary-report
#20
Juliana Araujo Guimarães, Lucas Oliveira da Fonseca, Clarissa Cardoso Dos Santos-Couto-Paz, Antônio Padilha Lanari Bó, Charles Fattal, Christine Azevedo-Coste, Emerson Fachin-Martins
Functional Electrical Stimulation assisted cycling (FES-Cycling) is increasingly becoming an alternative option recommended to people with spinal cord injury struggling with paraplegia and interested in practicing sports. In order to propose preconditions to guide FES-Cycling recommendation, we aimed to investigate some features and their potential relationships with responsiveness to Neuromuscular Electrical Stimulation (NMES). Fourteen volunteers attended a public recruitment forum to be assessed about their responsiveness through the 16-sessions of NMES...
June 13, 2016: European Journal of Translational Myology
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