An official website of the United States government
Functional electrical stimulation (FES) is a vital method in neurorehabilitation used to reanimate paralyzed muscles, enhance the size and strength of atrophied muscles, and reduce spasticity. FES often leads to increased muscle fatigue, necessitating careful monitoring of the patient’s response. Ultrasound (US) imaging has been utilized to provide valuable insights into FES-induced fatigue by assessing changes in muscle thickness, stiffness, and strain. Current commercial FES electrodes lack sufficient US transparency, hindering the observation of muscle activity beneath the skin where the electrodes are placed. US-compatible electrodes are essential for accurate imaging and optimal FES performance, especially given the spatial constraints of conventional US probes and the need to monitor muscle areas directly beneath the electrodes. This study introduces specially designed body-conforming US-compatible FES (US-FES) electrodes constructed with a silver nanowire/polydimethylsiloxane (AgNW/PDMS) composite. We compared the performance of our body-conforming US-FES electrode with a commercial hydrogel electrode. The findings revealed that our US-FES electrode exhibited comparable conductivity and performance to the commercial one. Furthermore, US compatibility was investigated through phantom and in vivo tests, showing significant compatibility even during FES, unlike the commercial electrode. The results indicated that US-FES electrodes hold significant promise for the real-time monitoring of muscle activity during FES in clinical rehabilitative applications.
more »
« less
An Ultrasound Imaging Based Observer for Estimating NMES-Induced Muscle Fatigue: Theory and Simulation
Abstract Neuroprosthetic devices that use transcutaneous neuromuscular electrical stimulation (NMES) are potential interventions to restore skeletal muscle function in people with neurological disorders. As commonly noted, how to assess the NMES-induced muscle fatigue is a critical problem. This is because the capability of fatigue assessment is a necessary precursor for optimally modulating the NMES dosage to improve the control performance of a neuroprosthesis and ensure user’s safety. To effectively estimate the NMES-induced muscle fatigue, this paper proposes a novel state observer that combines a mathematical predictive fatigue model and intermittent feedback from ultrasound-derived strain images. The strain images quantify muscle contractility during NMES. Principal component regression (PCR) is used to derive a relationship between the strain images and instantaneous muscle force production. Lyapunov stability analysis was performed to obtain the convergence property of the designed observer. A globally uniformly ultimately bounded (GUUB) result was obtained. Simulations based on pre-recorded data from a human experiment were also conducted to demonstrate the performance of the designed observer.
more »
« less
- Award ID(s):
- 1646009
- PAR ID:
- 10321599
- Date Published:
- Journal Name:
- Proceedings of the ASME 2020 Dynamic Systems and Control Conference
- Volume:
- 1
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
More Like this
-
-
Abstract Muscle fatigue can reduce performance potentially affecting an organism's fitness. However, some aspects of fatigue could be overcome by employing a latch-mediated spring actuated (LaMSA) system where muscle activity is decoupled from movement. We estimated the effects of muscle fatigue on different aspects of mandible performance in six species of ants, two whose mandibles are directly actuated by muscles and four that have LaMSA “trap-jaw” mandibles. We found evidence that the LaMSA system of trap-jaw ants may prevent some aspects of performance from declining with repeated use, including duration, acceleration, and peak velocity. However, inter-strike interval increased with repeated strikes suggesting that muscle fatigue still comes into play during the spring loading phase. In contrast, one species with directly actuated mandibles showed a decline in bite force over time. These results have implications for design principles aimed at minimizing the effects of fatigue on performance in spring and motor actuated systems.more » « less
-
Functional electrical stimulation (FES) is a potential neurorehabilitative intervention to enable functional movements in persons with neurological conditions that cause mobility impairments. However, the quick onset of muscle fatigue during FES is a significant challenge for sustaining the desired functional movements for more extended periods. Therefore, a considerable interest still exists in the development of sensing techniques that reliably measure FES-induced muscle fatigue. This study proposes to use ultrasound (US) imaging-derived echogenicity signal as an indicator of FES-induced muscle fatigue. We hypothesized that the US-derived echogenicity signal is sensitive to FES-induced muscle fatigue under isometric and dynamic muscle contraction conditions. Eight non-disabled participants participated in the experiments, where FES electrodes were applied on their tibialis anterior (TA) muscles. During a fatigue protocol under either isometric and dynamic ankle dorsiflexion conditions, we synchronously collected the isometric dorsiflexion torque or dynamic dorsiflexion angle on the ankle joint, US echogenicity signals from TA muscle, and the applied stimulation intensity. The experimental results showed an exponential reduction in the US echogenicity relative change (ERC) as the fatigue progressed under the isometric (R2=0.891±0.081) and dynamic (R2=0.858±0.065) conditions. The experimental results also implied a strong linear relationship between US ERC and TA muscle fatigue benchmark (dorsiflexion torque or angle amplitude), with R2 values of 0.840±0.054 and 0.794±0.065 under isometric and dynamic conditions, respectively. The findings in this study indicate that the US echogenicity signal is a computationally efficient signal that strongly represents FES-induced muscle fatigue. Its potential real-time implementation to detect fatigue can facilitate an FES closed-loop controller design that considers the FES-induced muscle fatigue.more » « less
-
Leveraging living muscle as an efficient and adaptive actuator for soft robots has been of increasing interest over the past decade, with a focus on proof‐of‐concept demonstrations of function. Reproducible design and scalable manufacturing of biohybrid machines requires methods to increase the stroke output of strain‐limited muscle actuators and enable accurate and precise quality control and performance monitoring. Compliant mechanical elements, termed flexures, are designed to enhance muscle contractile stroke to ≈5× previously reported values and decode contraction dynamics with high spatiotemporal resolution. Combining rigid and flexible elements within a linear elastic flexure enables us to outperform the sensitivity of gold standard elastomeric beam‐based measurements of muscle contraction at both low‐ and high‐frequency stimulations. Flexures are leveraged to make quantitative comparisons of force, work, and power outputs in muscle actuators, driving us to discover a new observation of frequency‐dependent fatigue in muscle, and also develop a novel method for tuning muscle contractile dynamics in a frequency‐independent manner. By enhancing the contractile stroke of muscle actuators and precisely tuning contractile dynamics and endurance with unprecedented precision, this study sets the stage for leveraging flexures to improve robust, reproducible, and predictive design and manufacturing of next‐generation biohybrid robots.more » « less
-
ABSTRACT Muscle shortening underpins most skeletal motion and ultimately animal performance. Most animal muscle generates its greatest mechanical output over a small, homogeneous range of shortening magnitudes and speeds. However, homogeneous muscle shortening is difficult to achieve for swimming fish because the whole body deforms like a bending beam: as the vertebral column flexes laterally, longitudinal muscle strain increases along a medio-lateral gradient. Similar dorsoventral strain gradients have been identified as the vertebral column flexes dorsally during feeding in at least one body location in one fish. If fish bodies also deform like beams during dorsoventral feeding motions, this would suggest the dorsal body (epaxial) muscles must homogenize both dorsoventral and mediolateral strain gradients. We tested this hypothesis by measuring curvature of the anterior vertebral column with XROMM and muscle shortening in 14 epaxial subregions with fluoromicrometry during feeding in rainbow trout (Oncorhynchus mykiss). We compared measured strain with the predicted strain based on beam theory's curvature–strain relationship. Trout flexed the vertebrae dorsally and laterally during feeding strikes, yet when flexion in both planes was included, the strain predicted by beam theory was strongly and significantly correlated with measured strain (P<0.01, R2=0.60). Beam theory accurately predicted strain (slope=1.15, compared with ideal slope=1) across most muscle subregions, confirming that epaxial muscles experience dorsoventral and mediolateral gradients in longitudinal strain. Establishing this deformation–curvature relationship is a crucial step to understanding how these muscles overcome orthogonal strain gradients to produce powerful feeding and swimming behaviours.more » « less
- Free Publicly Accessible Full Text
-
Accepted Manuscript1.0
- Conference Paper:
- https://doi.org/10.1115/DSCC2020-3196
