Well then write up a protocol on its use. Or are you that fucking lazy and incompetent that you won't actually help stroke survivors? This article is the best effort you can do?
Post-Stroke Rehabilitation Monitoring Using Wireless Surface Electromyography: A Case Study
Abstract:
Post-stroke
rehabilitation monitoring provides key insights which can be used for
development of customized treatment plans for patients. Rehabilitation
monitoring systems available today are limited to observational
measurements performed over a short period of time. Long term monitoring
of stroke patients is necessary to keep track of stroke recovery and
assess the patient’s response to the therapist’s treatment technique.
This work is a case study that focuses on investigating the effects on
muscle recruitment in bicep and calf muscles with and without orthotic
intervention. A wireless surface Electromyography (sEMG) device is
developed for monitoring muscle recruitment. Monitoring is done on a
hemiplegic subject, before and after the physiotherapy treatment
sessions, over duration of four months. An increase in sEMG peak
frequency was observed after therapy in the absence of orthotic
intervention while there was reduction in the peak frequency post
therapy with orthotic intervention. Functional Independence Measurement
scale, used to assess a patient’s level of disability as well as change
in patient status in response to medical intervention is used as a
reference measure to validate the sEMG device. The substantial changes
in muscle recruitment due to regular therapy and orthotic intervention
found in the study supports the use of the developed sEMG device as a
surrogate to existing devices
Date of Conference:
11-13 June 2018
Date Added to IEEE Xplore:
20 August 2018
ISBN Information:
Publisher:
IEEE
Conference Location:
Rome, Italy, Italy
I. Introduction
Worldwide, stroke is ranked as the leading cause of disability [1] . Due to stroke, coordination and muscle recruitment are commonly impaired. Up to 88% of people affected by stroke suffer hemiparesis with disorders of gait and balance, which persists even in the chronic phase [2] . Individuals suffering stroke actively overcome sensorimotor issues and asymmetry by using supportive or assistive equipments for increasing their gait ability. Quantifying normative patterns of muscle recruitment and coordination during common clinical tests can provide the neuromuscular demand required for common tasks and provide baselines for evaluating stroke patients. Currently, two main mechanisms contribute to stroke recovery. The first mechanism relates to functional recovery due to compensation based on improved use and refinement of remaining motor functions [3] , [4] . The second postulated mechanism assumes real recovery, i.e. restoration of lost brain functions due to learning-dependent reorganization of the brain [5] . Consequently, significant efforts are focused on gait retraining during rehabilitation following a stroke and efforts to develop and improve locomotor retraining programs are a major focus of rehabilitation research. Electromyographic (EMG) recordings provide a window into the central nervous system to evaluate muscle recruitment and coordination. After stroke, EMG recordings have been used to evaluate synergistic patterns of muscle activity, control assistive devices and guide biofeedback training. Despite improvements in measuring equipment since the discovery of EMG [6] , much of the research in this area is limited to observational measurements performed over short periods of time in laboratory settings. A study with a proper follow-up of patients over long periods could only help capture the temporal changes in muscle activity using EMG. Such long-term follow-up is not easy especially when dealing with subjects affected by stroke or hemiparesis. However, such long-term monitoring of sEMG can help observe sympathetic arousal patterns and previously missed out trends which could help in tracking the progress of patients. Monitoring a stroke patient can also uncover otherwise unperceived coping difficulties.More at link.
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