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IEEE Trans Neural Syst Rehabil Eng ; 24(12): 1373-1383, 2016 12.
Article in English | MEDLINE | ID: mdl-26584496

ABSTRACT

Functional electrical stimulation (FES) can be used to activate the dysfunctional lower limb muscles of individuals with neurological disorders to produce cycling as a means of rehabilitation. However, previous literature suggests that poor muscle control and nonphysiological muscle fiber recruitment during FES-cycling causes lower efficiency and power output at the cycle crank than able-bodied cycling, thus motivating the investigation of improved control methods for FES-cycling. In this paper, a stimulation pattern is designed based on the kinematic effectiveness of the rider's hip and knee joints to produce a forward torque about the cycle crank. A robust controller is designed for the uncertain, nonlinear cycle-rider system with autonomous, state-dependent switching. Provided sufficient conditions are satisfied, the switched controller yields ultimately bounded tracking of a desired cadence. Experimental results on four able-bodied subjects demonstrate cadence tracking errors of 0.05 ±1.59 and 5.27 ±2.14 revolutions per minute during volitional and FES-induced cycling, respectively. To establish feasibility of FES-assisted cycling in subjects with Parkinson's disease, experimental results with one subject demonstrate tracking errors of 0.43 ± 4.06 and 0.17 ±3.11 revolutions per minute during volitional and FES-induced cycling, respectively.


Subject(s)
Bicycling , Electric Stimulation Therapy/methods , Movement Disorders/physiopathology , Movement Disorders/rehabilitation , Muscle Contraction , Muscle, Skeletal/physiopathology , Adult , Computer Simulation , Hip Joint/physiopathology , Humans , Knee Joint/physiopathology , Male , Models, Biological , Physical Exertion , Therapy, Computer-Assisted/methods
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