Biomedical Engineering and Bioengineering Commons^™

Engineering Synthetic Feedback To Promote Recovery Of Self-Feeding Skills In People With Sensory Deficits Due To Stroke, Alexis Krueger

Master's Theses (2009 -)

Kinesthesia refers to sensations of limb position and movement, and deficits of upper limb kinesthetic feedback are common after stroke, impairing stroke survivors’ ability to perform the fundamental reaching and stabilization behaviors needed for daily functions like self-feeding. I attempt to mitigate the negative impact of post-stroke kinesthesia deficits by evaluating the utility of vibrotactile sensory substitution to restore closed-loop kinesthetic feedback of the upper limb. As a first step, this study evaluated performance in healthy individuals during fundamental reaching, stabilization, and tracking behaviors while using supplemental vibrotactile feedback encoding either limb state information or goal-aware error information. First, I …

Supraspinal Control Of Unilateral Locomotor Performance: An Fmri Study Using A Custom Pedaling Device, Brett Arand

Master's Theses (2009 -)

This study aimed to develop a novel unilateral pedaling device, validate its function, and use it in an fMRI study of bilateral vs. unilateral locomotor control. The new device is MRI compatible and allows for conventional coupled bilateral pedaling, along with decoupled unilateral pedaling. It was designed with an assistance mechanism to simulate the presence of the non-contributing leg while pedaling unilaterally. During coupled bilateral pedaling, the two legs work in unison: while one leg is extending in the downstroke, it provides support to lift the other leg back up as it is flexing in the upstroke. The device uses …

Abnormal Neuromuscular Fatigue And Motor Performance Of The Knee Extensors Post Stroke, Henry Kuhnen

Master's Theses (2009 -)

Stroke causes paresis in leg muscles, such as the knee extensors, that significantly impairs motor control and function during tasks such as walking. Reduced endurance and increased kinematic asymmetries during walking over time indicate paretic musculature may fatigue more quickly than non-paretic musculature. The primary purpose of this study was to identify abnormalities in neuromuscular fatigue (reduction in force over time) of the paretic knee extensors and associate them with motor performance.

We investigated the effects of repeated six second isometric submaximal (30% of maximum voluntary contraction) knee extensor fatiguing contractions on task failure and motor performance in ten chronic …

Comparison Of An Ankle-Foot-Orthosis And Neuroprosthesis During Level And Non-Level Walking For Individuals Post-Stroke, Michelle Beverly Gallagher

Master's Theses (2009 -)

This study used gait analysis to compare the efficacy of the two foot drop treatments (ankle-foot-orthosis and neuroprosthesis) and to contrast the stimulation control of the two different neuroprosthesis sensors during level and non-level ambulation of post-stroke individuals.

Eight subjects completed two gait analysis sessions, once while using a study-provided articulated AFO and the other while using a WalkAide. After four weeks of acclimation to the device, each subject performed two minute walking trials on a level, inclined and declined treadmill. Kinematic and heart rate data were collected for all sessions. Plantar pressure and WalkAide tilt, heel loading, and stimulation …

Role Of Tendon Vibration In Multijoint Reflex Coupling In The Hemiparetic Arm Post Stroke, Bani Gadhoke

Master's Theses (2009 -)

Post stroke hemiparesis causes reflex coupling in multiple muscles of the arm, leading to atypical movements that hamper motor control. In particular, people post-stroke can become unstable while holding the arm at the end of a planar motion. Recently, we have found that tendon vibration of the wrist flexors improves the stability of the arm during a hold task. The objective of the current study was to identify the effects of vibration applied to the wrist flexors on the biceps and triceps stretch reflexes, generated using a tendon tapper. In people post-stroke, tendon tap perturbations of the biceps and triceps …

Design And Validation Of An Mr Conditional Upper Extremity Evaluation System To Study Brain Activation Patterns After Stroke, Rubing Xu

Master's Theses (2009 -)

Stroke is the third leading cause of death and second most frequent cause of disability in the United States. Stroke rehabilitation methods have been developed to induce the cortical reorganization and motor-relearning that leads to stroke recovery. In this thesis, we designed and developed an MR conditional upper extremity reach and grasp movement evaluation system for the stroke survivors to study their kinematic performances in reach and grasp movement and the relationship between kinematic metrics and the recovery level measured by clinical assessment methods. We also applied the system into the functional MRI experiments to identify the ability to study …