Therefore, the number of motor modules may be underestimated and the structure altered with the standard spatial synergy model based on the non-negative matrix factorization (NMF). In experimental studies regarding the upper limb, typically 8 to 16 EMG probes are used depending on the application, although the number of muscles involved in motor generation is higher. The muscle synergy approach is used to evaluate motor control and to quantitatively determine the number and structure of the modules underlying movement. The findings from this study can be used to inform the development of technology-aided rehabilitation programs to improve upper extremity function in people with chronic motor incomplete tetraplegia.Ĭlinical trials registration number: NCT04000256 The experiences of people with cervical spinal cord injury can be elicited as part of the intervention design process to systematically develop protocols for future feasibility trials. These themes and subthemes were used to describe guiding principles to inform future intervention design. Qualitative analysis revealed three major themes: (1) devices must be flexible to meet diverse needs (2) intervention protocols must be individualized to address unique needs and contexts of users (3) intervention protocols should be developed and updated by a skilled clinician. Interviews were analyzed using a qualitative approach to explore the experience using and understand features that support motivation to use of rehabilitation technology. After a 30–45 min trial for each device, participants engaged in a semi-structured interview. Seven participants with chronic upper extremity impairment due to spinal cord injury/dysfunction trialed five rehabilitation technology devices. This qualitative study aims to understand how people with chronic motor incomplete cervical spinal cord injury view rehabilitation technology to improve upper extremity function and neuromuscular recovery to inform future intervention development. Despite the widespread availability, the development of technology-based interventions that incorporate perspectives of the people who will use them is lacking. Technology-aided rehabilitation is well established in the field of neurologic rehabilitation. In conclusion, the residual motor function, pain and joints restriction, and spasticity at the upper limb are the most important clinical features to use for a wearable REMO® for hand rehabilitation training. Finally, severe impairment of upper limb motor function (Fugl-Meyer Upper Extremity > 10 points) combined with no pain and no restrictions of upper limb joints predicted the control of at least one movement. Results indicated that mild upper limb motor impairment (Fugl-Meyer Upper Extremity ≥ 18 points) predicted the control of ten movements and no flexor carpi muscle spasticity predicted the control of five movements. 117 stroke patients were tested: 65% of patients were able to control ten movements, 19% of patients could control nine to one movement, and 16% could control no movements. The aim of this study was to define the clinical features of stroke survivors able to perform ten, five, or no hand movements for rehabilitation training. In our study, we tested an innovative wearable (REMO®) that detected the residual surface-electromyography of forearm muscles to control a rehabilitative PC interface. In a neurorehabilitation setting, the implementation of wearable sensors provides new possibilities for enhancing hand motor recovery. After stroke, upper limb motor impairment is one of the most common consequences that compromises the level of the autonomy of patients.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |