Phantom Movement Research Articles

Clinical Characteristics Associated with the PLP-PLS Index, a New Potential Metric to Phenotype Phantom Limb Pain.

Phantom limb pain (PLP) is highly prevalent after amputation. However, the influence of non-painful sensations (PLS) remains unclear. This study examines the PLP-PLS index as a novel tool to differentiate PLP from PLS and explores the association of clinical factors with the index. We conducted a cross-sectional analysis of baseline data from 112 participants in a previous factorial trial in patients with unilateral traumatic lower limb amputation. Linear regression models were used to examine the associations between the index and various demographic, psychological and clinical factors. Logistic and Poisson regression, and e-value calculation were utilized for sensitivity analyses. Adjusted multivariable linear regression models demonstrated significant associations of phantom movement sensation (β: -1.532; 95% CI: -2.615 to -0.449; p = 0.006) and time since amputation (β: 0.005; 95% CI: 0.0006 to 0.0101; p = 0.026) with the PLP-PLS index. These findings were confirmed by multivariable logistic regression (phantom movement sensation OR: 0.469; 95% CI: 0.200 to 1.099, p = 0.082; time since amputation OR: 1.003; 95% CI: 1.00003 to 1.007; p = 0.048) and sensitivity analyses. Time since amputation and phantom movement sensation likely reflect distinct phenotypes and potential mechanisms for PLP and PLS. The PLP-PLS index is a promising clinical tool for selecting therapies to prevent/treat PLP and for measuring treatment effects to modulate phantom pain. These findings emphasize the importance of understanding the mechanisms underlying PLP and PLS for improving clinical management and guiding future research.

Primary Motor Area Activity in Phantom Limb Imagery of Traumatic Unilateral Lower Limb Amputees With Phantom Limb Pain.

Estimates of the worldwide increase in amputees raises the awareness to solve long-standing problems. Understanding the functional brain modifications after a lower limb amputation (LLA) is one of the first steps towards proposing new rehabilitation approaches. Functional modifications in the central nervous system due the amputation could be involved in prosthesis use failures and Phantom Limb Pain (PLP), increasing costs and overwhelming the health services. This study analyses orphan primary motor area (M1-Orphan) hemodynamic and metabolic behaviour, which previously controlled the limb that was amputated, in comparison with the M1-Preserved, responsible for the intact limb (IL) during phantom limb imagery moving during Mirror Therapy (MT), compared to Isolated Intact Limb Movement Task (I-ILMT). A case-control study with unilateral traumatic LLA with moderate PLP who measured [oxy-Hb] and [deoxy-Hb] in the M1 area by Functional Near InfraredSpectroscopy (fNIRS) during the real (I-ILMT) and MT task. Sixty-five patients, with 67.69% of men, young (40.32 ± 12.91), 65.63% amputated due motorcycle accidents, 4.71 ± 7.38 years ago, predominantly above the knee (57.14%). The M1 activation in the orphan cortex did not differ from the activation in the intact cortex during MT (P > .05). The perception of the Phantom limb moving or intact limb moving is metabolically equivalent in M1, even in the absence of a limb. In other words, the amputation does not alter the brain metabolism in control of phantom movement.

Phantom Movement Training Without Classifier Performance Feedback Improves Mobilization Ability While Maintaining EMG Pattern Classification

Voluntary phantom movements are systematically associated with muscle contractions in the residual limb. These latter are specific to the type of movement and can be classified by pattern recognition algorithms. However, phantom mobility generates fatigue that could impact classification metrics. This study explored whether daily phantom movement training at home with no other feedback than inherent somatosensory information can impact the classification success rate. Kinematics and muscle activity were compared between before and after a two-month home training in six major upper limb amputees. Surface EMG patterns were classified to quantify a potential change in the features space with training. Our results showed that this type of training induces faster, smoother, and richer phantom mobility. However, classification metrics did not change with training. When including the new types of movements achievable after training, accuracy did not decrease, indicating that muscle activation patterns associated with these movements were sufficiently different not to interfere with the already existing movement classes. Thus, although phantom training with only somatosensory feedback increases the overall phantom movement capacity, it does not increase the classification success rate. Yet, it is possible that paired with other forms of feedback, phantom training could improve this success rate.

A phantom-based analysis for tracking intra-fraction pancreatic tumor motion by ultrasound imaging during radiation therapy.

PurposeIn this study, we aim to further evaluate the accuracy of ultrasound tracking for intra-fraction pancreatic tumor motion during radiotherapy by a phantom-based study.MethodsTwelve patients with pancreatic cancer who were treated with stereotactic body radiation therapy were enrolled in this study. The displacement points of the respiratory cycle were acquired from 4DCT and transferred to a motion platform to mimic realistic breathing movements in our phantom study. An ultrasound abdominal phantom was placed and fixed in the motion platform. The ground truth of phantom movement was recorded by tracking an optical tracker attached to this phantom. One tumor inside the phantom was the tracking target. In the evaluation of the results, the monitoring results from the ultrasound system were compared with the phantom motion results from the infrared camera. Differences between infrared monitoring motion and ultrasound tracking motion were analyzed by calculating the root-mean-square error.ResultsThe 82.2% ultrasound tracking motion was within a 0.5 mm difference value between ultrasound tracking displacement and infrared monitoring motion. 0.7% ultrasound tracking failed to track accurately (a difference value > 2.5 mm). These differences between ultrasound tracking motion and infrared monitored motion do not correlate with respiratory displacements, respiratory velocity, or respiratory acceleration by linear regression analysis.ConclusionsThe highly accurate monitoring results of this phantom study prove that the ultrasound tracking system may be a potential method for real-time monitoring targets, allowing more accurate delivery of radiation doses.

Methodology and hardware for assessing the quantitative characteristics of pet images in the study of dynamic objects

The description of the original phantom design for assessing the quantitative characteristics of PET images in the study of dynamic objects is given. The phantom movement is controlled by the breath synchronization system, which records the phantom movement amplitude and the duration of the movement cycle. A curve was obtained that simulates human breathing, the parameters of which (amplitude and period) correspond to those obtained in the study of the chest. The values of the ecovery coefficients and contrast are obtained taking into account the sizes of the spheres, as well as the static and dynamic types of movement of phantoms. An assessment of the discrepancy between the recovery coefficients and the contrast values for the spheres installed inside the phantom in the static and dynamic states has been made. With a decrease in the diameter (respectively, and volume) of the sphere, an increase in the difference in values (between the static and dynamic positions of the phantom) of the recovery coefficient is observed. The optimal values of the recovery coefficients obtained using the QClear reconstruction algorithm have been determined. Recommendations for the use of the developed device in the study of dynamic objects are described. It is advisable to use the installation presented in this work to control the quality of the qualitative and quantitative characteristics of diagnostic images obtained both on PET/CT scanners and during studies using SPECT/CT (single-photon emission tomograph combined with a computed tomograph).

Global imaging with high resolution region of interest using fusion data based on dual-field of view detection system.

X-ray micro-computed tomography (CT) is an important tool for high-resolution three-dimensional imaging. But one limitation of micro-CT is the compromise between resolution and fields of view (FOV). In this paper, we develop an x-rays dual-FOV optical coupling detection (DFOCD) system for global imaging with high-resolution region of interest (ROI). In DFOCD system, the beam splitter separates lights to form two sub-optical paths, two objectives with different FOV and magnification are used in the two sub-optical paths for dual-FOV imaging. Then a data fusion method is proposed to register and fuse dual-FOV data. Reconstructed images are obtained based on back projection filtering algorithm using fusion data. Dual-FOV data are collected simultaneously in DFOCD system, which precludes artifacts in fusion images from phantom movement or changes in two acquisitions on common micro-CT, and also saves scanning time. Simulation and experimental results show that details in ROI and global morphology of phantoms are correctly reconstructed. Bright ring artifacts of ROI caused by truncated data are corrected in reconstruction images. Therefore, global imaging with high-resolution ROI of samples can be obtained by single scan experiment using DFOCD system and data fusion method, which is expected to expand the application of micro-CT.

Cortical representations of phantom movements in lower limb amputees.

Understanding how sensorimotor cortex (SMC) organization relates to limb loss has major clinical implications, as cortical activity associated with phantom hand movements has been shown to predict phantom pain reports. Critically, earlier studies have largely focused on upper limb amputees; far less is known regarding SMC activity in lower limb amputees, despite the fact that this population comprises the majority of major limb loss cases. We aimed to characterize BOLD fMRI responses associated with phantom and sound limb movements to test the hypothesis that SMC organization is preserved in individuals with lower limb loss. Individuals with unilateral or bilateral lower limb loss underwent fMRI scans as they performed simple movements of their sound or phantom limbs. We observed that voluntary movements of the sound and phantom ankles were associated with BOLD signal changes in medial and superior portions of the precentral and postcentral gyri. In both hemispheres, contralateral limb movements were associated with greater signal changes compared to ipsilateral limb movements. Hand and mouth movements were associated with distinct activation patterns localized to more lateral SMC regions. We additionally tested whether activations associated with phantom movements related to self-report assessments indexing phantom pain experiences, nonpainful phantom sensations and phantom movement capabilities. We found that responses during phantom ankle movements did not correlate with any of the composite phantom limb indices in our sample. Our collective results reveal that SMC representations of the amputated limb persist and that traditional somatotopic organization is generally preserved in individuals suffering from lower limb loss.

Sensory stimulation enhances phantom limb perception and movement decoding

Objective. A major challenge for controlling a prosthetic arm is communication between the device and the user’s phantom limb. We show the ability to enhance phantom limb perception and improve movement decoding through targeted transcutaneous electrical nerve stimulation in individuals with an arm amputation. Approach. Transcutaneous nerve stimulation experiments were performed with four participants with arm amputation to map phantom limb perception. We measured myoelectric signals during phantom hand movements before and after participants received sensory stimulation. Using electroencephalogram (EEG) monitoring, we measured the neural activity in sensorimotor regions during phantom movements and stimulation. In one participant, we also tracked sensory mapping over 2 years and movement decoding performance over 1 year. Main results. Results show improvements in the participants’ ability to perceive and move the phantom hand as a result of sensory stimulation, which leads to improved movement decoding. In the extended study with one participant, we found that sensory mapping remains stable over 2 years. Sensory stimulation improves within-day movement decoding while performance remains stable over 1 year. From the EEG, we observed cortical correlates of sensorimotor integration and increased motor-related neural activity as a result of enhanced phantom limb perception. Significance. This work demonstrates that phantom limb perception influences prosthesis control and can benefit from targeted nerve stimulation. These findings have implications for improving prosthesis usability and function due to a heightened sense of the phantom hand.

Protective and Risk Factors for Phantom Limb Pain and Residual Limb Pain Severity.

The exact mechanisms underlying the development and maintenance of phantom limb pain (PLP) are still unclear. This study aimed to identify the factors affecting pain intensity in patients with chronic, lower limb, traumatic PLP. This is a cross-sectional analysis of patients with PLP. We assessed amputation-related and pain-related clinical and demographic variables. We used univariate and multivariate models to evaluate the associated factors modulating PLP and residual limb pain (RLP) intensity. We included 71 unilateral traumatic lower limb amputees. Results showed that (1) amputation-related perceptions were experienced by a large majority of the patients with chronic PLP (sensations: 90.1%, n=64; residual pain: 81.7%, n=58); (2) PLP intensity has 2 significant protective factors (phantom limb movement and having effective treatment for PLP previously) and 2 significant risk factors (phantom limb sensation intensity and age); and (3) on the other hand, for RLP, risk factors are different: presence of pain before amputation and level of amputation (in addition to the same protective factors). These results suggest different neurobiological mechanisms to explain PLP and RLP intensity. While PLP risk factors seem to be related to maladaptive plasticity, since phantom sensation and older age are associated with more pain, RLP risk factors seem to have components leading to neuropathic pain, such as the amount of neural lesion and previous history of chronic pain. Interestingly, the phantom movement appears to be protective for both phenomena.

ANALYTİCAL MODEL OF OBJECT’S MOVEMENT AT TECHNOLOGICAL PROCESS OF CONTOUR MİLLİNG METALS

Introduction. The article deals with the actual problem that arises in the machining of metals, that is, the creation of an analytical accompanying description of technological processes of cutting. The influence of basic directions of metalworking physics on the precision of manufacturing precision parts of devices is considered. After analyzing the whole list of problems related to the analytical description of the metal machining process, it is necessary to determine a number of theoretical foundations of metalworking. Thus, it is proved that taking into account the real coordinates of the trajectories of the objects of the technological process of metal machining gives the possibility of improving the accuracy of machining of the workpiece. Main part. We solve the problem of motion of a solid body (tool) in a solid body (parts), that is, we have a typically negative technology. The process of negative technology is the destruction of excess material down to the surface of the workpiece. For milling processing, a number of conceptual trajectories are introduced, which are considered normalized. Since all tools and parts or workpieces have their own pandanic zone, the phenomenon of equidistance is always taken into account in the trajectories of object movement. Analyzing all types of metalworking, one can draw a fairly strong conclusion, namely that the excess material is destroyed in three main ways. The elementary methods of a substance destruction and the corresponding movements of the instrument are determined, that is: linear destruction; annular destruction; disk-shaped destruction. The negative technological process is carried out on condition that the hardness of the tool and its dynamic properties exceed the similar parameters of the workpiece material. In this case, the pandal volume of the destroyed material is much greater than the volume of the destroyed part of the workpiece material. This is due to the significant increase in the roughness of the individual particles of the destroyed material. For analytical research, we accept a number of conditions that reject secondary attributes. The simulation of the reciprocal movement of the cutting tool and the details of contour milling are performed. The formalized models of contour milling machining created describe the phantom movement of the tool and the workpiece during the manufacture of the workpiece. Conclusions. Idealized formalized motion models of technological objects during contour milling are considered. These models provide an opportunity to investigate the underlying causes of error generation as they represent idealized trajectories with respect to actual technological operations. Despite these studies of tool contouring, there are phenomena that accompany metalworking as concomitant and also need attention. This is pandanic area of cutting tool. Further necessary research is the creation of models of motion of this pandan zone in the space of the workpiece, which gives the opportunity to improve the trajectory of the contour movement of the cutting tool, and thus increase the precision of manufacturing precision parts.

Evaluation of the 4D RADPOS dosimetry system for dose and position quality assurance of CyberKnife.

The Synchrony respiratory motion tracking of the CyberKnife system purports to provide real-time tumor motion compensation during robotic radiosurgery. Such a complex delivery system requires thorough quality assurance. In this work, RADPOS applicability as a dose and position quality assurance tool for CyberKnife treatments is assessed quantitatively for different phantom types and breathing motions, which increase in complexity to more closely resemble clinical situations. Two radiotherapy treatment experiments were performed where dose and position were measured with the RADPOS probe housed within a Solid Water phantom. For the first experiment, a Solid Water breast phantom was irradiated using isocentric beam delivery while stationary or moving sinusoidally in the anterior/posterior direction. For the second experiment, a phantom consisting of a Solid Water tumor in lung equivalent material was irradiated using isocentric and non-isocentric beam delivery while either stationary or moving. The phantom movement was either sinusoidal or based on a real patient's breathing waveform. For each experiment, RADPOS dose measurements were compared to EBT3 GafChromic film dose measurements and the CyberKnife treatment planning system's (TPS) Monte Carlo and ray-tracing dose calculation algorithms. RADPOS position measurements were compared to measurements made by the CyberKnife system and to the predicted breathing motion models used by the Synchrony respiratory motion compensation. For the static and dynamic (i.e., sinusoidal motion) cases of the breast experiment, RADPOS, film and the TPS agreed at the 2.0% level within 1.1 σ of estimated combined uncertainties. RADPOS position measurements were in good agreement with LED and fiducial position measurements, where the average standard deviation (SD) of the differences between any two of the three position datasets was ≤0.5mm for all directions. For the 10mm peak to peak amplitude sinusoidal motion of the breast experiment, the average Synchrony correlation errors were ≤0.2mm, indicative of an accurate predictive model. For all the cases of the lung experiment, RADPOS and film measurements agreed with each other at the 2.0% level within 1.5 σ of estimated experimental uncertainties provided that the measurements were corrected for imaging dose. The measured dose for RADPOS and film were 4.0% and 3.4% higher, respectively, than the TPS for the most complex dynamic cases (i.e., irregular motion) considered for the lung experiment. Assessment of the Synchrony correlation models by RADPOS showed that model accuracy declined as motion complexity increased; the SD of the differences between RADPOS and model position data measurements was ≤0.8mm for sinusoidal motion but increased to ≤2.6mm for irregular patient waveform motion. These results agreed with the Synchrony correlation errors reported by the CyberKnife system. RADPOS is an accurate and precise QA tool for dose and position measurements for CyberKnife deliveries with respiratory motion compensation.

The importance of somatosensory feedback for phantom limb mobility revealed by differences in phantom movement kinematics between above- and below-elbow amputees

After amputation, hand and wrist phantom limb movements (PLM) are experienced as effortfull, slower and smaller than healthy limb movements. Our hypothesis is that this is caused by the altered somatosensory feedback coming from the residual limb muscle contractions that are associated to PLM. If this is true, one can expect to find differences between below- and above-elbow amputees since the latter ones still have many muscles left that were involved in hand and wrist movements, such that the sensory feedback is close to that before the amputation. To test this hypothesis, we compared PLM kinematics between above- and below-elbow amputees. Six above- and 8 below-elbow amputees performed phantom hand and wrist PLM. The kinematics of the PLM was indirectly obtained via the intact limb that synchronously mimicked the PLM at a comfortable velocity, using a Cyberglove for hand movements and an inertial measurement unit for wrist movements. For each patient and each type of PLM, we determined the number of executed cycles, the duration of the cycles and the velocity. Our results show that after above-elbow amputation the number of different types of PLM was higher, PLM repetitions were more numerous before blocking caused by fatigue, cycle duration was shorter and velocity was higher. In conclusion, below-elbow amputees have more facilities for PLM execution (i.e., they perceive their PLM as faster and less tiring) than above-elbow amputees. This confirms our hypothesis that the more the somatosensory feedback is altered with respect to intact limb feedback, the slower and more effortfull are PLM.

Motor sequence learning and intermanual transfer with a phantom limb

Amputees with phantom limb sometimes report vivid experiences of moving their phantom. Is phantom movement only “imaginary”, or, instead, it has physiological properties comparable to those pertaining to real movements? To answer this question, we took advantage of the intermanual transfer of sequence learning, occurring when one hand motor skills improve after training with the other hand. Ten healthy controls and two upper-limb amputees (with and without phantom-movement) were recruited. They were asked to perform with the right (intact) hand a fingers-thumb opposition sequence either in Naïve condition or after an active (Real condition) or a mental (Imagery condition) training with the left (phantom) hand. In healthy controls, the results showed different effects after active training (i.e., faster movement duration (MD) with stable accuracy) and after mental training (i.e., increased accuracy with stable MD). Opposite results between moving-phantom case and static-phantom case were found. In the Real condition, after an “active” training with her phantom hand, the moving-phantom case showed a faster performance of the intact hand. This transfer effect was not different from that found in healthy controls, actually performing the active training with an existing hand (Real condition), but, crucially, it was significantly different from both Imagery and Naïve conditions of controls. Contrariwise, in the static phantom case, the performance during the Real condition was significantly different from the Real condition of healthy controls and it was not significantly different from their Imagery and Naïve conditions. Importantly, a significant difference was found when the transfer effect in Real condition was compared between the two phantom cases. Taken together, these findings provide the first evidence that a phantom limb can learn motor skills and transfer them to the intact limb.

Effect of Scatter Limitation Correction with Misregistration between Computed Tomography and Positron Emission Tomography on Scatter Correction: A Physical Phantom Study.

This study aimed to evaluate the advantage of scatter limitation correction with misregistration between μ-map in the computed tomography attenuation correction and positron emission tomography in PET/CT study. We used torso phantom including simulated tumor and arms phantom. The CT scan was performed by changing the position of arms phantom after PET scan. Arms phantom movement was out-side direction, in-side direction, and top-side direction by 1-12 cm, respectively. The standardized uptake value (SUV) of simulated tumor and background (B.G.) were evaluated for three specific parameters. Two scatter corrections were performed with scatter correction (SC), and scatter limitation correction (SLC). The SUVmax of simulated tumor was increased by 2.80% (SC), and 2.78% (SLC) on out-side arms movement. In the SUVmax, SC and SLC were decreased by 28.6%, 9.04% on in-side arms, respectively. SUVmax of the SC, and SLC were increased on top-side arms. The scatter fraction factor (SFF) of SC and SLC were 0.25, 0.25 on out-side 5 cm and were 0.732, 0.391 on in-side 5 cm and were 0.785, 0.434 on top-side 12 cm, respectively. SLC improved the overestimation of the SUVmax by SC. However, it is necessary to pay attention, in order not to be improved completely. The finding results indicated that SFF was setting 0.40-0.45 in our institute PET/CT system.

MO-FG-CAMPUS-JeP3-04: Feasibility Study of Real-Time Ultrasound Monitoring for Abdominal Stereotactic Body Radiation Therapy

Purpose: Ultrasound is ideal for real-time monitoring in radiotherapy with high soft tissue contrast, non-ionization, portability, and cost effectiveness. Few studies investigated clinical application of real-time ultrasound monitoring for abdominal stereotactic body radiation therapy (SBRT). This study aims to demonstrate the feasibility of real-time monitoring of 3D target motion using 4D ultrasound. Methods: An ultrasound probe holding system was designed to allow clinician to freely move and lock ultrasound probe. For phantom study, an abdominal ultrasound phantom was secured on a 2D programmable respiratory motion stage. One side of the stage was elevated than another side to generate 3D motion. The motion stage made periodic breath-hold movement. Phantom movement tracked by infrared camera was considered as ground truth. For volunteer study three healthy subjects underwent the same setup for abdominal SBRT with active breath control (ABC). 4D ultrasound B-mode images were acquired for both phantom and volunteers for real-time monitoring. 10 breath-hold cycles were monitored for each experiment. For phantom, the target motion tracked by ultrasound was compared with motion tracked by infrared camera. For healthy volunteers, the reproducibility of ABC breath-hold was evaluated. Results: Volunteer study showed the ultrasound system fitted well to the clinical SBRT setup. The reproducibility for 10 breath-holds is less than 2 mm in three directions for all three volunteers. For phantom study the motion between inspiration and expiration captured by camera (ground truth) is 2.35±0.02 mm, 1.28±0.04 mm, 8.85±0.03 mm in LR, AP, SI directly, respectively. The motion monitored by ultrasound is 2.21±0.07 mm, 1.32±0.12mm, 9.10±0.08mm, respectively. The motion monitoring error in any direction is less than 0.5 mm. Conclusion: The volunteer study proved the clinical feasibility of real-time ultrasound monitoring for abdominal SBRT. The phantom and volunteer ABC studies demonstrated sub-millimeter accuracy of 3D motion movement monitoring.

Phantom hand and wrist movements in upper limb amputees are slow but naturally controlled movements

After limb amputation, patients often wake up with a vivid perception of the presence of the missing limb, called “phantom limb”. Phantom limbs have mostly been studied with respect to pain sensation. But patients can experience many other phantom sensations, including voluntary movements. The goal of the present study was to quantify phantom movement kinematics and relate these to intact limb kinematics and to the time elapsed since amputation. Six upper arm and two forearm amputees with various delays since amputation (6months to 32years) performed phantom finger, hand and wrist movements at self-chosen comfortable velocities. The kinematics of the phantom movements was indirectly obtained via the intact limb that synchronously mimicked the phantom limb movements, using a Cyberglove® for measuring finger movements and an inertial measurement unit for wrist movements. Results show that the execution of phantom movements is perceived as “natural” but effortful. The types of phantom movements that can be performed are variable between the patients but they could all perform thumb flexion/extension and global hand opening/closure. Finger extension movements appeared to be 24% faster than finger flexion movements. Neither the number of types of phantom movements that can be executed nor the kinematic characteristics were related to the elapsed time since amputation, highlighting the persistence of post-amputation neural adaptation. We hypothesize that the perceived slowness of phantom movements is related to altered proprioceptive feedback that cannot be recalibrated by lack of visual feedback during phantom movement execution.

State marionettes, phantom organisations or genuine movements? The paradoxical emergence of rural social movements in post-socialist Russia

Of all the rural social movements in the world, those in post-socialist Russia have been considered to be among the weakest. Nevertheless, triggered by the neo-liberal reforms in the countryside, state attention to agriculture and rising land conflicts, new social movement organisations with a strong political orientation are emerging in Russia today. This sudden burst of civil activity, however, raises questions as to how genuine and independent the emerging organisations are. Our research shows that many rural movements, agricultural associations, farm unions and rural political parties lack constituency, support the status quo and/or are actually counterfeits (what we call ‘phantom movement organisations’). With this analysis, we aim to explain the nature of social movements in the post-Soviet countryside and offer an original contribution to the theory on and practice of rural social movements.

Comparison of SEMG signals of healthy and amputee subject for elbow movement

Surface Electromyography Signals (SEMG) technologies have prominent acceptability for controlling prosthetic devices among amputee. However, most of them are based on SEMG analysis of healthy subjects. There is the need to study SEMG of the residual muscles of the amputees who had lost their limbs more than ten years ago in comparison to the healthy subjects. In the present investigation, elbow movements from single location near elbow of a healthy subject were studied and the results were compared with an amputee (distal to the elbow). This research is useful for correlating phantom movement and SEMG activities in the stump muscles even when the limb-loss period is significant. It was observed that extension movement in the amputee achieved higher values of Vrms than flexion movement. Pronation and supination showed no significant changes in SEMG. These observations were almost similar with those observed from a healthy subject.

Study of the Respiratory Monitoring System by Using the MEMS Acceleration Sensor

In this study, we developed and evaluated the patient respiration training method which can help to avoid the problems for the limitation of RGRT applicable patient cases. By using the MEMS (micro-electro-mechanical- system) acceleration sensor, we measured movement of motion phantom. We had compared the response of MEMS with commercially introduced real time patient monitoring (RPM) system. We measured the response of the MEMS with 1 dimensional motion phantom movement for 2.5, 3.0, 3.5 second of period and the 2.0, 3.0, 4.0 cm of the amplitudes. The measured period error of the MEMS system was 0.6∼6.0% compared with measured period using RPM system. We found that the shape of MEMS signals were similar with RPM system. From this study, we found the possibility of MEMS as patient training system.

Dynamic sequence respiratory gated perfusion pulmonary SPECT without external tracking device

The purpose of this study was to develop and evaluate a new method for respiratory gated pulmonary perfusion SPECT (RGPS) based on dynamic acquisition without using an external tracking device (ETD) or list-mode data acquisition. In the phantom study, our method used a dynamic sequence technique, which was specified by sequences of 50-ms acquisition during 30 s per view of SPECT instead of using an ETD. For this purpose, we created a computer program that identified respiratory phases by calculating the center of activity (COA) in each dynamic frame image. We compared RGPS using the dynamic sequence acquisition (RGPS-DS) and RGPS using ETD (RGPS-ETD) in phantom studies employing a cylinder phantom filled with technetium-99m solution attached to an instrument providing a simple harmonic motion. In the patient study, RGPS-DS was applied to data collected from 3 patients during a routine study of Tc-MAA pulmonary perfusion SPECT. In the phantom study, the calculation of COA indicated a good agreement between RGPS-DS and RGPS-ETD. With an oscillatory phantom movement amplitude of 30 mm, the amplitudes determined by RGPS-DS and RGPS-ETD (28.36 and 27.58 mm, respectively) were identical on considering a pixel size of 4.66 mm for reconstructed SPECT images. In the patient study, applicability of our method to patient data was demonstrated. We have showed the feasibility of our method to obtain RGPS without ETD, and conclude that RGPS-DS may be an innovative and efficient technique in respiratory gated pulmonary perfusion SPECT. Further studies with a larger number of patients should demonstrate the accuracy of our method.