Biomedical Engineering and Bioengineering Commons^™

Tactile-Star: A Novel Tactile Stimulator And Recorder System For Evaluating And Improving Tactile Perception, Giulia Ballardini, Giorgio Carlini, Robert A. Scheidt, Ilana Nisky, Maura Casadio

Biomedical Engineering Faculty Research and Publications

Many neurological diseases impair the motor and somatosensory systems. While several different technologies are used in clinical practice to assess and improve motor functions, somatosensation is evaluated subjectively with qualitative clinical scales. Treatment of somatosensory deficits has received limited attention. To bridge the gap between the assessment and training of motor vs. somatosensory abilities, we designed, developed, and tested a novel, low-cost, two-component (bimanual) mechatronic system targeting tactile somatosensation: the Tactile-STAR—a tactile stimulator and recorder. The stimulator is an actuated pantograph structure driven by two servomotors, with an end-effector covered by a rubber material that can apply two different …

The Arm Movement Detection (Amd) Test: A Fast Robotic Test Of Proprioceptive Acuity In The Arm, Leigh A. Mrotek, Maria Bengtson, Tina M. Stoeckmann, Lior Botzer, Claude Ghez, John Mcguire, Robert A. Scheidt

Biomedical Engineering Faculty Research and Publications

Background

We examined the validity and reliability of a short robotic test of upper limb proprioception, the Arm Movement Detection (AMD) test, which yields a ratio-scaled, objective outcome measure to be used for evaluating the impact of sensory deficits on impairments of motor control, motor adaptation and functional recovery in stroke survivors.

Methods

Subjects grasped the handle of a horizontal planar robot, with their arm and the robot hidden from view. The robot applied graded force perturbations, which produced small displacements of the handle. The AMD test required subjects to respond verbally to queries regarding whether or not they detected …

Erratum To: Supplemental Vibrotactile Feedback Control Of Stabilization And Reaching Actions Of The Arm Using Limb State And Position Error Encodings, Alexis Krueger, Psiche Giannoni, Valay Shah, Maura Casadio, Robert A. Scheidt

Biomedical Engineering Faculty Research and Publications

The original article contained omissions mistakenly carried forward by the Production department handling this journal; these omissions related to missing ‘λ’ symbols throughout the article body, thus inaccurately representing the meaning of the associated text.

The article has now been updated to include these symbols in the appropriate sections of text to accurately reflect the conveyed implications.

Supplemental Vibrotactile Feedback Control Of Stabilization And Reaching Actions Of The Arm Using Limb State And Position Error Encodings, Alexis Krueger, Psiche Giannoni, Valay Shah, Maura Casadio, Robert A. Scheidt

Biomedical Engineering Faculty Research and Publications

Deficits of kinesthesia (limb position and movement sensation) commonly limit sensorimotor function and its recovery after neuromotor injury. Sensory substitution technologies providing synthetic kinesthetic feedback might re-establish or enhance closed-loop control of goal-directed behaviors in people with impaired kinesthesia.

Structurofunctional Resting-State Networks Correlate With Motor Function In Chronic Stroke, Benjamin Kalinosky, Reivian B. Barillas, Brian D. Schmit

Biomedical Engineering Faculty Research and Publications

Purpose

Motor function and recovery after stroke likely rely directly on the residual anatomical connections in the brain and its resting-state functional connectivity. Both structural and functional properties of cortical networks after stroke are revealed using multimodal magnetic resonance imaging(MRI). Specifically, functional connectivity MRI (fcMRI) can extract functional networks of the brain at rest, while structural connectivity can be estimated from white matter fiber orientations measured with high angular-resolutiondiffusion imaging (HARDI). A model that marries these two techniques may be the key to understanding functional recovery after stroke. In this study, a novel set of voxel-level measures …

Effect Of Tendon Vibration On Hemiparetic Arm Stability In Unstable Workspaces, Megan O. Conrad, Bani Gadhoke, Robert A. Scheidt, Brian D. Schmit

Biomedical Engineering Faculty Research and Publications

Sensory stimulation of wrist musculature can enhance stability in the proximal arm and may be a useful therapy aimed at improving arm control post-stroke. Specifically, our prior research indicates tendon vibration can enhance stability during point-to-point arm movements and in tracking tasks. The goal of the present study was to investigate the influence of forearm tendon vibration on endpoint stability, measured at the hand, immediately following forward arm movements in an unstable environment. Both proximal and distal workspaces were tested. Ten hemiparetic stroke subjects and 5 healthy controls made forward arm movements while grasping the handle of a two-joint robotic …

Increased Lower Limb Spasticity But Not Strength Or Function Following A Single-Dose Serotonin Reuptake Inhibitor In Chronic Stroke, Krishnaj Gourab, Brian D. Schmit, T. George Hornby

Biomedical Engineering Faculty Research and Publications

Objective: To investigate the effects of single doses of a selective serotonin reuptake inhibitor (SSRI) on lower limb voluntary and reflex function in individuals with chronic stroke.

Design: Double-blind, randomized, placebo-controlled crossover trial.

Setting: Outpatient research setting.

Participants: Individuals (N=10; 7 men; mean age ± SD, 57±10y) with poststroke hemiplegia of >1 year duration who completed all assessments.

Interventions: Patients were assessed before and 5 hours after single-dose, overencapsulated 10-mg doses of escitalopram (SSRI) or placebo, with 1 week between conditions.

Main Outcome Measures: Primary assessments included maximal ankle and knee isometric strength, and velocity-dependent (30°/s–120°/s) plantarflexor stretch reflexes under …

Using Swing Resistance And Assistance To Improve Gait Symmetry In Individuals Post-Stroke, Sheng-Che Yen, Brian D. Schmit, Ming Wu

Biomedical Engineering Faculty Research and Publications

A major characteristic of hemiplegic gait observed in individuals post-stroke is spatial and temporal asymmetry, which may increase energy expenditure and the risk of falls. The purpose of this study was to examine the effects of swing resistance/assistance applied to the affected leg on gait symmetry in individuals post-stroke. We recruited 10 subjects with chronic stroke who demonstrated a shorter step length with their affected leg in comparison to the non-affected leg during walking. They participated in two test sessions for swing resistance and swing assistance, respectively. During the adaptation period, subjects counteracted the step length deviation caused by the …

Perception Of Lower Extremity Loads In Stroke Survivors, Virginia W. Chu, T. George Hornby, Brian D. Schmit

Biomedical Engineering Faculty Research and Publications

Objective: This study aimed to improve our understanding of static and dynamic lower extremity sensory perception and the impact of sensory impairments on the control of walking in stroke survivors.

Methods: Using a custom, real-time unloading system, we tested load perception at heel strike, mid stance and push off in 10 stroke survivors and compared their performance to 10 age-matched and 5 young adult control subjects. Dynamic load perception was based on a judgment of which leg was bearing more load, which was altered on a step by step basis. We also examined lower extremity static load perception, coordination, proprioception, …

A Robotic Test Of Proprioception Within The Hemiparetic Arm Post-Stroke, Lucia Simo, Lior Botzer, Claude Ghez, Robert A. Scheidt

Biomedical Engineering Faculty Research and Publications

Background: Proprioception plays important roles in planning and control of limb posture and movement. The impact of proprioceptive deficits on motor function post-stroke has been difficult to elucidate due to limitations in current tests of arm proprioception. Common clinical tests only provide ordinal assessment of proprioceptive integrity (eg. intact, impaired or absent). We introduce a standardized, quantitative method for evaluating proprioception within the arm on a continuous, ratio scale. We demonstrate the approach, which is based on signal detection theory of sensory psychophysics, in two tasks used to characterize motor function after stroke.

Methods: Hemiparetic stroke survivors and neurologically intact …

Effect Of Tilt Sensor Versus Heel Loading On Neuroprosthesis Stimulation Reliability And Timing For Individuals Post-Stroke During Level And Non- Level Treadmill Walking, M. Barbara Silver-Thorn

Biomedical Engineering Faculty Research and Publications

Study background: Non-level walking may adversely affect stimulation of neuroprostheses as initial programming is performed during level walking. The objectives of this study were to assess stimulation reliability of tilt and heel sensor-based neuroprosthesis stimulation during level and non-level walking, examine stimulation initiation and termination timing during level and non-level walking, and determine whether heel or tilt sensor-based stimulation control is more robust for non-level ambulation. Methods: Eight post-stroke individuals with drop foot who were able to actively ambulate within the community were selected for participation. Each subject acclimated to the neuroprosthesis and walked on a treadmill randomly positioned in …

White Matter Structural Connectivity Is Associated With Sensorimotor Function In Stroke Survivors, Benjamin Kalinosky, Sheila M. Schindler-Ivens, Brian D. Schmit

Biomedical Engineering Faculty Research and Publications

Purpose

Diffusion tensor imaging (DTI) provides functionally relevant information about white matter structure. Local anatomical connectivity information combined with fractional anisotropy (FA) and mean diffusivity (MD) may predict functional outcomes in stroke survivors. Imaging methods for predicting functional outcomes in stroke survivors are not well established. This work uses DTI to objectively assess the effects of a stroke lesion on white matter structure and sensorimotor function.

Methods

A voxel-based approach is introduced to assess a stroke lesion's global impact on motor function. Anatomical T1-weighted and diffusion tensor images of the brain were acquired for nineteen subjects (10 post-stroke and 9 …

Motivating Rehabilitation By Distorting Reality, James L. Patton, Yejun Wei, Chris Scharver, Robert V. Kenyon, Robert A. Scheidt

Biomedical Engineering Faculty Research and Publications

We have found, through a series of recent experiments, encouraging evidence that the neuro-motor system is motivated to change motor patterns when exposed to visuo-motor tasks. We have also shown that the learning of these tasks can be heightened with forces and/or visual distortions that appropriately manipulate the error. This process does not require intense concentration and it is often considered a game. We describe the next generation of robotic large-workspace, three dimensional haptics/graphics systems for rehabilitation