Browsing by Keyword "functional electrical stimulation"
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Item Analysis of the movements generated by a multi-field functional electrical stimulation device for upper extremity rehabilitation(2022-10) Martín-Odriozola, Aitor; Rodríguez-de-Pablo, Cristina; Caceres-Salegi, Ane; García-Calleja, Andrea; Marín-Ojea, Juan Ignacio; Hernández, Erik; Imatz-Ojanguren, Eukene; Keller, Thierry; Zabaleta-Rekondo, Haritz; Martín‐Odriozola, Aitor; Rodríguez‐de‐Pablo, Cristina; Caceres‐Salegi, Ane; García‐Calleja, Andrea; Marín‐Ojea, Juan Ignacio; Imatz‐Ojanguren, Eukene; Zabaleta‐Rekondo, Haritz; Medical Technologies; Tecnalia Research & InnovationBackground: The most common chronic sequela after stroke is the loss of arm function, and functional electrical stimulation (FES) applied to the forearm muscles is one of the options to treat it. Surface multi-field electrodes have emerged, showing a great potential to improve the selectivity of the stimulation, delay muscle fatigue, and provide easier donning and doffing. The muscular selectivity takes on special relevance in the rehabilitation of the upper extremity as hand dexterity requires a wide diversity of specific muscle actions. Methods: This pilot study analyses the movements generated in the wrist and fingers using a commercial multi-field technology-based FES device (Fesia Grasp). The study included five patients with hemiplegic subacute stroke, in which scanning of all cathodes of the electrode was carried out daily for 5 days, in two different forearm positions, with the resulting movements being labeled by experienced therapists. Results: The aim of this pilot study was to determine if there were differences between subjects and between forearm positions in terms of produced movements. Movements of the wrist (two movements) and the fingers (six movements) could be achieved in two different forearm positions. Conclusions: The multi-field electrode of Fesia Grasp enables to generate a wide range of movements of the hand in different positions. This fact could allow to produce more physiological movement patterns during the rehabilitation process with FES, which could have a beneficial effect on the recovery of patients with neurological diseases.Item Stimulation Discomfort Comparison of Asynchronous and Synchronous Methods with Multi-Field Surface Electrodes(2013-06) Imatz-Ojanguren, Eukene; Hoffmann, Ulrich; Veneman, Jan; Malešević, Nebojša; Keller, Thierry; Tecnalia Research & InnovationFunctional Electrical Stimulation (FES) is a technique that artificially stimulates motor nerves in order to restore motor/sensory functions for assistive and therapeutic applications. Recently, multi-field surface electrodes for transcutaneous electrical stimulation have been suggested to overcome problems of single channel surface stimulation. This study compares sensation perceived by 15 healthy subjects on upper limb when two different stimulation methods are applied by means of multi-field electrodes. Asynchronous and synchronous stimulation methods are compared for four different cases: activation of two neighbor fields, three neighbor fields, two distant fields and three distant fields. Two descriptors rated from 1 to 5 are used to describe discomfort: superficial discomfort and deep discomfort. Results expressed no differences in superficial discomfort for any case, but showed significant differences in deep discomfort for distant field activations. In these cases, synchronous stimulation resulted in higher perceived deep discomfort than asynchronous stimulation and affected its efficacy.