scholarly journals Developing a Low-cost, smart, handheld electromyography biofeedback system for telerehabilitation with Clinical Evaluation

2021 ◽  
Vol 10 ◽  
pp. 100056
Author(s):  
Mazen M. Yassin ◽  
Abubakr M. Saber ◽  
Mohamed N. Saad ◽  
Ashraf M. Said ◽  
Ayman M. Khalifa
Author(s):  
Wataru Hashiguchi ◽  
Junya Morita ◽  
Takatsugu Hirayama ◽  
Kenji Mase ◽  
Kazunori Yamada ◽  
...  
Keyword(s):  
Low Cost ◽  

PLoS ONE ◽  
2014 ◽  
Vol 9 (8) ◽  
pp. e105790 ◽  
Author(s):  
Arpan Acharya ◽  
Salil Vaniawala ◽  
Parth Shah ◽  
Rabindra Nath Misra ◽  
Minal Wani ◽  
...  

Author(s):  
L. Enrique Sucar ◽  
Ron Leder ◽  
Jorge Hernandez ◽  
Israel Sanchez ◽  
Gildardo Azcarate

2018 ◽  
Vol 65 (4) ◽  
pp. 129-136
Author(s):  
TARO MURAI ◽  
TAKESHI TAMURA ◽  
TADASHI NAKABAYASHI ◽  
HIROYA ITO ◽  
YOSHIHIKO MANABE ◽  
...  
Keyword(s):  

2020 ◽  
Vol 4 (1) ◽  
pp. e000655
Author(s):  
Sonia E. Sosa Saenz ◽  
Mary Kate Hardy ◽  
Megan Heenan ◽  
Z. Maria Oden ◽  
Rebecca Richards-Kortum ◽  
...  

ObjectiveEvaluate a novel continuous temperature monitor in a low-resource neonatal ward.DesignWe developed a low-cost continuous neonatal temperature monitor (NTM) for use in low-resource settings. Accuracy of NTM was initially assessed in the laboratory. Clinical evaluation then was performed in a neonatal ward in a central hospital in Malawi; eligible neonates (<1 week of age) were recruited for continuous temperature monitoring with NTM and a Philips Intellivue MP30 Patient Monitor.Interventions and outcome measuresThe temperature probes of NTM and the reference patient monitor were attached to the infant’s abdomen, and core temperature was continuously recorded for up to 3 hours. Axillary temperatures were taken every hour. We compared temperatures measured using NTM, the patient monitor and the axillary thermometer.ResultsLaboratory temperature measurements obtained with NTM were within 0.059°C (range: −0.035°C to 0.195°C) of a reference thermometer. A total of 39 patients were recruited to participate in the clinical evaluation of NTM; data from four patients were excluded due to faulty hardware connections. The mean difference in measured temperatures between the NTM and the Intellivue MP30 was −0.04°C (95% CI −0.52°C to 0.44°C).ConclusionNTM meets ISO 80601-2-56 standards for accuracy and is an appropriate, low-cost continuous temperature monitor for neonatal wards in low-resource settings.Trial registration numbersNCT03965312 and NCT03866122.


2013 ◽  
Vol 22 (4) ◽  
pp. 291-307
Author(s):  
Gabriel Sanmartín ◽  
Julián Flores ◽  
Verónica Robles-García ◽  
Pablo Arias ◽  
Javier Cudeiro

This work details a virtual-reality (VR) system developed to evaluate alterations in hand movements and central rhythm formation in Parkinsonian and elderly subjects. One feature of VR systems that is essential for use in clinical evaluation and to warrant presence is the lack of behavioral distortion from real-world execution. Herein, we present a technical description of our VR and its validation to evaluate rhythmic motor patterns when experimental subjects perform a finger tapping test. Execution of the test was performed at different rates in the VR system, and compared to the gold-standard real-world testing. The VR system proved to be as valid and reliable as real-world testing to characterize arrythmokinetic profiles present in Parkinsonian and elderly subjects (compared to young subjects), at the different rates of execution. VR served as a complementary tool in a research setting to isolate subjects from unnaturalistic environments during clinical evaluation, such as labrooms or brain scans, since it did not bias behavior from real-world evaluation in a basic clinical test.


2016 ◽  
Vol 14 (2) ◽  
pp. 575-581
Author(s):  
F. Noveletto ◽  
P. Bertemes Filho ◽  
A.V. Soares

ISRN Stroke ◽  
2014 ◽  
Vol 2014 ◽  
pp. 1-13 ◽  
Author(s):  
Alakananda Banerjee ◽  
Bhawna Khattar ◽  
Anirban Dutta

Functional electrical stimulation (FES) facilitates ambulatory function after paralysis by activating the muscles of the lower extremities. The FES-assisted stepping can either be triggered by a heel-swich, or by an electromyogram-(EMG-) based gait event detector. A group of six chronic (>6 months poststroke) hemiplegic stroke survivors underwent transcutaneous FES-assisted training for 1 hour on stepping task with EMG biofeedback from paretic tibialis anterior (TA) and medial gastrocnemius (GM) muscles, where the stimulation of the paretic TA or GM was triggered with surface EMG from the same muscle. During the baseline, postintervention, and 2-day-postintervention assessments, a total of 5 minutes of surface EMG was recorded from paretic GM and TA muscles during volitional treadmill walking. Two-way ANOVA showed significant effects in terms of P values for the 6 stroke subjects, 0.002, the 3 assessments, 0, and the interaction between subjects and assessments, 6.21E-19. The study showed a significant improvement from baseline in paretic GM and TA muscles coordination during volitional treadmill walking. Moreover, it was found that the EMG-triggered FES-assisted therapy for stand-to-walk transition helped in convergence of the deviation in centroidal angular momentum from the normative value to a quasi-steady state during the double-support phase of the nonparetic. Also, the observational gait analysis showed improvement in ankle plantarflexion during late stance, knee flexion, and ground clearance of the foot during swing phase of the gait.


Sensors ◽  
2021 ◽  
Vol 21 (5) ◽  
pp. 1806
Author(s):  
Octavio Marin-Pardo ◽  
Coralie Phanord ◽  
Miranda Rennie Donnelly ◽  
Christopher M. Laine ◽  
Sook-Lei Liew

Stroke is a leading cause of long-term disability in the United States. Recent studies have shown that high doses of repeated task-specific practice can be effective at improving upper-limb function at the chronic stage. Providing at-home telerehabilitation services with therapist supervision may allow higher dose interventions targeted to this population. Additionally, muscle biofeedback to train patients to avoid unwanted simultaneous activation of antagonist muscles (co-contractions) may be incorporated into telerehabilitation technologies to improve motor control. Here, we present the development and feasibility of a low-cost, portable, telerehabilitation biofeedback system called Tele-REINVENT. We describe our modular electromyography acquisition, processing, and feedback algorithms to train differentiated muscle control during at-home therapist-guided sessions. Additionally, we evaluated the performance of low-cost sensors for our training task with two healthy individuals. Finally, we present the results of a case study with a stroke survivor who used the system for 40 sessions over 10 weeks of training. In line with our previous research, our results suggest that using low-cost sensors provides similar results to those using research-grade sensors for low forces during an isometric task. Our preliminary case study data with one patient with stroke also suggest that our system is feasible, safe, and enjoyable to use during 10 weeks of biofeedback training, and that improvements in differentiated muscle activity during volitional movement attempt may be induced during a 10-week period. Our data provide support for using low-cost technology for individuated muscle training to reduce unintended coactivation during supervised and unsupervised home-based telerehabilitation for clinical populations, and suggest this approach is safe and feasible. Future work with larger study populations may expand on the development of meaningful and personalized chronic stroke rehabilitation.


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