Abstract
Functional electrical stimulation (FES) is a potential neurorehabilitative intervention to enable functional movements in persons with neurological conditions that cause mobility impairments. However, the quick onset of muscle fatigue during FES is a significant challenge for sustaining the desired functional movements for more extended periods. Therefore, a considerable interest still exists in the development of sensing techniques that reliably measure FES-induced muscle fatigue. This study proposes to use ultrasound (US) imaging-derived echogenicity signal as an indicator of FES-induced muscle fatigue. We hypothesized that the US-derived echogenicity signal is sensitive to FES-induced muscle fatigue under isometric and dynamic muscle contraction conditions. Eight non-disabled participants participated in the experiments, where FES electrodes were applied on their tibialis anterior (TA) muscles. During a fatigue protocol under either isometric and dynamic ankle dorsiflexion conditions, we synchronously collected the isometric dorsiflexion torque or dynamic dorsiflexion angle on the ankle joint, US echogenicity signals from TA muscle, and the applied stimulation intensity. The experimental results showed an exponential reduction in the US echogenicity relative change (ERC) as the fatigue progressed under the isometric () and dynamic () conditions. The experimental results also implied a strong linear relationship between US ERC and TA muscle fatigue benchmark (dorsiflexion torque or angle amplitude), with values of and under isometric and dynamic conditions, respectively. The findings in this study indicate that the US echogenicity signal is a computationally efficient signal that strongly represents FES-induced muscle fatigue. Its potential real-time implementation to detect fatigue can facilitate an FES closed-loop controller design that considers the FES-induced muscle fatigue.
Highlights
UNC/NCSU Joint Department of Biomedical Engineering, North Carolina State University, UNC/NCSU Joint Department of Biomedical Engineering, The University of North Carolina at Chapel Hill, Chapel Hill, NC 27514, USA
The experimental results from the first task on Sub01 are presented in Figure 3, where the monotonically increasing Functional electrical stimulation (FES) pulse width and ankle dorsiflexion torque are normalized to their corresponding peak values during the entire task
The threshold pulse width amplitude of each individual was taken as the amplitude that produced the first significant increase of the dorsiflexion torque, while the pulse width saturation was taken as the amplitude that no longer generated a significant increase of dorsiflexion torque
Summary
UNC/NCSU Joint Department of Biomedical Engineering, North Carolina State University, UNC/NCSU Joint Department of Biomedical Engineering, The University of North Carolina at Chapel Hill, Chapel Hill, NC 27514, USA. The Department of Bioengineering, School of Engineering, University of Pittsburgh, The Center for Ultrasound Molecular Imaging and Therapeutics, Department of Medicine and Heart and Vascular Institute, University of Pittsburgh School of Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA. The Department of Mechanical Engineering and Materials Science, School of Engineering, University of Pittsburgh, Pittsburgh, PA 15260, USA. The McGowan Institute for Regenerative Medicine, University of Pittsburgh Medical Center, University of Pittsburgh, Pittsburgh, PA 15219, USA. Functional electrical stimulation (FES) is a potential neurorehabilitative intervention to enable functional movements in persons with neurological conditions that cause mobility impairments
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