Biomedical Engineering and Bioengineering Commons^™

Development Of A Closed-Loop Force Reduction Mechanism In A Gait Rehabilitation Device, Jeffrey Frankart

Theses and Dissertations

Elliptical trainers are prescribed in rehabilitative exercise but difficult to implement in populations with significant functional gait deficits. Typical elliptical machines do not mimic normal gait and therefore require modifications for clinical rehabilitation. This research builds on previous modifications of an elliptical trainer designed to simulate level-surface walking. This design differed from a commercial version. It included articulated footplates and an electromechanically-driven virtual-cam to control footplate position. Ankle dorsiflexion elicited lower-extremity muscle spasticity which produced an unwanted gait variant during stroke patient testing. Spasticity is a hyperexcitable stretch reflex causing inefficient gait. This project’s purpose was to develop an autonomous …

Pedaling-Related Brain Activation In People Post-Stroke: An Fmri Study, Nutta-On Promjunyakul

Dissertations (1934 -)

This study aimed to enhance our understanding of supraspinal control of locomotion in stroke survivors and its relationship to locomotor impairment. We focused mainly on the locomotor component of walking, which involves rhythmic, reciprocal, flexion and extension movements of multiple joints in both legs. Functional magnetic resonance imaging (fMRI) was used to record human brain activity while pedaling was used as a model of locomotion. First, we examined the spatiotemporal characteristics of hemodynamic responses recorded with fMRI and found that they were different in stroke survivors and control subjects. However, these differences were not substantial enough to require altering the …

Virtual Reality Visual Feedback And Its Effect On Brain Excitability, Soha Saleh

Dissertations

This dissertation examines manipulation of visual feedback in virtual reality (VR) to increase excitability of distinct neural networks in the sensorimotor cortex. The objective is to explore neural responses to visual feedback of motor activities performed in complex virtual environments during functional magnetic resonance imaging (fMRI), and to identify sensory manipulations that could further optimize VR rehabilitation of persons with hemiparesis. In addition, the effects of VR therapy on brain reorganization are investigated. An MRI-compatible VR system is used to provide subjects with online visual feedback of their hand movement. First, the author develops a protocol to analyze variability in …

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 …