Engineering Commons^™

Investigating The Combined Effects Of Whole Body Vibration And Vestibular Stimulation On Spasticity And Dystonia In Cerebral Palsy, Peter A. Michael

Dissertations

This study identifies and addresses three voids and potential shortcomings associated with the classification, assessment and management of Cerebral Palsy (CP). These concerns should not undermine the significant advancement that has been made in this specific branch of rehabilitation, but addressing them is necessary. Cerebral Palsy is a group of motor impairments due to hypoxic-ischemic brain damage around the time of birth and very commonly manifests as excessive muscle tone and poor motor control. There are classifications within CP including spasticity and dystonia.

First, a level of discrepancy is present in the classification of CP between the clinical and research …

The Effect Of Mechanical Vestibular Stimulation On Muscle Tone And Spasticity In Individuals With Neurological Impairment, Ghaith J. Androwis

Dissertations

In the desire to better understand spasticity mainly in Cerebral Palsy (CP) and to examine vestibular stimulation as a future intervention for .muscle tone reduction, and to be able to describe the change in level of spasticity in subjects with disability and describe interventions effects, a series of experiments are done on children with spasticity. In addition to understanding the otoliths in the vestibular system and their projections, properties and pathways a more important major objective of this work is to validate the changes in otoliths signal caused by vestibular stimulation based on the Equilibrium Point Hypothesis and the inclusion …

Cerebral Spasticity Modeled As Disorded Equilibrium Point Control, Darnell Simon

Dissertations

Spasticity is a highly complex phenomenon, which has not been defined in precise and quantifiable terms. Although the muscle stretch reflex is thought to play an important role in spasticity generation, the pathophysiologic basis of spasticity is not completely understood. A valid measure of spasticity is one that is chosen within the context of a theory describing the physiological mechanisms underlying the control of posture and movement in healthy individuals and possible impairments of these mechanisms leading to motor disorders. This research’s goal was to determine the role of stretch reflex threshold in the regulation of impaired motor control through …

Development Of A Device For Whole Body Stimulation Of The Otoliths, Jon Edward Weimer

Theses

Over the past few decades, research has been conducted to explore the effects of microgravity on human musculature, As seen in astronauts upon their return to Earth after prolonged spaceflight, extensive muscle atrophy due to adaptation to conditions of microgravity many times decreases a person's ability to walk or even stand, With an understanding of the anatomical mechanisms that provide postural control, the proper stimulation, resulting in a reduction in spasticity, could be provided by simulating these conditions of microgravity.

In order to simulate microgravity, a device has been developed that is capable of providing whole body stimulation of the …

Finger Joint Impedance Control Applications To Investigate Spasticity, David Naisby Paglia

Theses

In order to investigate how spasticity disrupts the capabilities of the human body, a better understanding of how joint impedance control operates in healthy individuals is necessary. In this investigation, a second order rotary torque model was implemented to investigate the impedances at the metacarpophalangeal (MCP) joint of the index finger. The model was fit to approximately 25 milliseconds of force and displacement data to determine the mechanical impedances at the finger tip. Ranges of damping and stiffness were optimized over a range of mean finger tip force (0-12 N) for extension. The equilibrium-point hypothesis was examined when compared to …

Inverse Dynamic Modeling For Characterization Of Spasticity, Katharine Markel Swift

Theses

Spasticity affects subjects with cerebral palsy, stroke, multiple sclerosis, and traumatic brain injury. The need to develop a deeper understanding of spasticity is driven by the existing limited understanding and the lack of satisfactory interventions for this disabling phenomenon.

An inverse model is implemented to describe the motion in the pendulum knee drop test. Inverse kinematic modeling is implemented to investigate the pathophysiology of spasticity.

Using the equilibrium point hypothesis as a conceptual framework to explain disabled and non-disabled neuromuscular control, it has been demonstrated that the equilibrium point of the passive knee is dynamic and exhibits a pseudo-exponential trajectory …

A Computational Model Of Spasticity Based On A Decoupling Of The Alpha And Gamma Efferents, Bruno A. Mantilla

Theses

It is generally accepted that spasticity results from changes in the excitability of the stretch reflex. This change lowers the threshold of the motoneurons of the spinal cord where the integration of a signal from velocity/position sensors is processed and then fed back to the contracting muscle (alphaextrafusal and gamma-intrafusal fibers). The stretch reflex depends on the initial length of the muscle, the stretch velocity and voluntary activity. The exact sequence of the triggering events remains unknown, is poorly understood and as a result is controversial. The clinical classification scales are mainly subjective and by definition, inaccurate.

This computational model …