Deans' stroke musings: MUNDUS project: MUltimodal Neuroprosthesis for daily Upper limb Support

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Sunday, September 5, 2021

MUNDUS project: MUltimodal Neuroprosthesis for daily Upper limb Support

What does your doctor think of this?

MUNDUS project: MUltimodal Neuroprosthesis for daily Upper limb Support

2013, Journal of NeuroEngineering and Rehabilitation

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20 Pages

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Biomedical Engineering,

Treatment Outcome,

Neural Prostheses,

Humans,

Brain Computer Interfaces

RESEARCH Open Access
MUNDUS project: MUltimodal Neuroprosthesis fordaily Upper limb Support
Alessandra Pedrocchi
1*
, Simona Ferrante
1
, Emilia Ambrosini
1
, Marta Gandolla
1
, Claudia Casellato
1
, Thomas Schauer
2
,Christian Klauer
2
, Javier Pascual
3
, Carmen Vidaurre
3
, Margit Gföhler
4
, Werner Reichenfelser
4
, Jakob Karner
4
,Silvestro Micera
5,6
, Andrea Crema
5
, Franco Molteni
7
, Mauro Rossini
7
, Giovanna Palumbo
7
, Eleonora Guanziroli
7
,Andreas Jedlitschka
8
, Marco Hack
8
, Maria Bulgheroni
9
, Enrico d
’
Amico
9
, Peter Schenk
10
, Sven Zwicker
10
,Alexander Duschau-Wicke
10
, Justinas Miseikis
10
, Lina Graber
10
and Giancarlo Ferrigno
1

Abstract

Background:
MUNDUS is an assistive framework for recovering direct interaction capability of severely motor impaired people based on arm reaching and hand functions. It aims at achieving personalization, modularity and maximization of the user’s direct involvement in assistive systems. To this, MUNDUS exploits any residual control of the end-user and can be adapted to the level of severity or to the progression of the disease allowing the user to voluntarily interact with the environment. MUNDUS target pathologies are high-level spinal cord injury (SCI) and neurodegenerative and genetic neuromuscular diseases, such as amyotrophic lateral sclerosis, Friedreich ataxia, and multiple sclerosis (MS). The system can be alternatively driven by residual voluntary muscular activation, head/eye motion, and brain signals.MUNDUS modularly combines an antigravity lightweight and non-cumbersome exoskeleton, closed-loop controlled Neuromuscular Electrical Stimulation for arm and hand motion, and potentially a motorized hand orthosis, for grasping interactive objects.
Methods:
The definition of the requirements and of the interaction tasks were designed by a focus group with expertsand a questionnaire with 36 potential end-users.Five end-users (3 SCI and 2 MS) tested the system in the configuration suitable to their specific level of impairment. They performed two exemplary tasks: reaching different points in the working volume and drinking. Three experts evaluated over a 3-level score (from 0, unsuccessful, to 2, completely functional) the execution of each assisted subaction.
Results:
The functionality of all modules has been successfully demonstrated. User’s intention was detected with a 100% success. Averaging all subjects and tasks, the minimum evaluation score obtained was 1.13±0.99 for the release of the handle during the drinking task, whilst all the other sub-actions achieved a mean value above 1.6. All users, but one, subjectively perceived the usefulness of the assistance and could easily control the system. Donning time ranged from 6 to 65 minutes, scaled on the configuration complexity.
Conclusions:
The MUNDUS platform provides functional assistance to daily life activities; the modules integration depends on the user’s need, the functionality of the system have been demonstrated for all the possible configurations, and preliminary assessment of usability and acceptance is promising.

Images from the project: