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Surface Electrode Array Based Control of the Wrist and Hand

机译:基于表面电极阵列的手腕和手

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摘要

Surface stimulation is a non-invasive method of muscle activation which uses adhesive electrodes placed on the surface of the patient skin above the location of the desired muscles to be activated. One application is in stroke rehabilitation where a controller is used to provide assistive stimulation to a patient completing a finite duration task with the impaired limb. Effectiveness of treatment is strongly related to the precision and accuracy of the stimulation applied, and the feasibility of advanced control approaches has been established in two recent clinical trials using iterative learning control algorithms. Commercially available large surface electrodes are not suitable for precise control of the hand and wrist due to their weak selectivity and simultaneous activation of several opposing muscles. An alternative is the use of electrode arrays where individual array element selection enables more precise control of muscle activation. Locating the optimal stimulation sites is critical to the effective application of surface electrode array stimulation and this paper develops a method for optimal selection of the stimulation sites. To overcome practical difficulties the method utilises the concept of 'Virtual Elements'.
机译:表面刺激是肌肉激活的非侵入方法,其使用粘合电极放置在患者皮肤表面上方的所需肌肉的位置被激活。一个应用程序处于笔划康复,其中控制器用于向患者提供与受损的肢体完成有限持续时间任务的患者提供辅助刺激。治疗的有效性与所应用的刺激的精度和准确性强烈有关,并且在最近的两个临床试验中建立了先进的控制方法的可行性,使用迭代学习控制算法。由于它们的选择性弱和同时激活了几个相对的肌肉,可商购的大表面电极不适用于手腕和手腕的精确控制。替代方案是使用电极阵列,其中各个阵列元素选择能够更精确地控制肌肉激活。定位最佳刺激位点对表面电极阵列刺激的有效应用至关重要,本文开发了一种最佳选择刺激位点的方法。为了克服实际困难,该方法利用“虚拟元素”的概念。

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