ABSTRACT
Functional electrical stimulation (FES) is a well established method in the rehabilitation of stroke patients. Indeed, a bilateral movement such as cycling induced by FES would be crucial for these patients who had an unilateral motor impairment and had to recover an equivalent use of limbs. The aim of this study was to develop a low-cost meteorologically qualified cycle-ergometer, optimized for patients with stroke. A commercial ergometer was instrumented with resistive strain gauges and was able to provide the torque produced at the right and left crank, independently. The developed system was integrated with a stimulator, obtaining a novel FES cycling device able to control in real-time the movement unbalance. A dynamic calibration of the sensors was performed and a total torque uncertainty was computed. The system was tested on a healthy subject and on a stroke patient. Results demonstrated that the proposed sensors could be successfully used during FES cycling sessions where the maximum torque produced is about 9Nm, an order of magnitude less than the torque produced during voluntary cycling. This FES cycling system will assist in future investigations on stroke rehabilitation by means of FES and in new exercise regimes designed specifically for patients with unilateral impairments.
Subject(s)
Bicycling , Electric Stimulation Therapy/instrumentation , Electric Stimulation Therapy/methods , Exercise Therapy/instrumentation , Exercise Therapy/methods , Stroke Rehabilitation , Biomechanical Phenomena , Calibration , Case-Control Studies , Electric Stimulation , Electric Stimulation Therapy/economics , Equipment Design , Evoked Potentials, Motor/physiology , Exercise Therapy/economics , Hemiplegia/physiopathology , Hemiplegia/rehabilitation , Humans , Motor Activity/physiology , Muscle Strength , Physical Endurance , Stroke/physiopathology , Time Factors , TorqueABSTRACT
Fourier spectrometers are sensitive to many kinds of disturbance. This focus is mainly on those connected to mechanical vibrations, assessing the relationships between the mechanical inputs and the deriving effects on the spectra. Mechanical vibrations have two main effects on the spectra, the addition of signals due to direct sensitivity to vibrations of the detectors (e.g., through piezoelectric effect) and the changes of the interferogram due to the interferometer optical components motion. The Fourier transform spectrometer considered in this study is based on the constant optical path step sampling achieved by using the interferogram of a reference laser as a trigger so, ideally insensitive to mirrors speed changes, however, the analysis will show how the effects of delays in the sampling chain can compromise the benefits of this configuration. The effects of the vibration of the interferometer optical alignment are considered as well, showing the effect produced on the interferograms and eventually on the spectra. Despite their nonmechanical nature, detector nonlinearity and internal optical reflections are considered as well because their effects, similar to the mechanical ones, could be confused with the latter while in spectra diagnostic it is often important to be able to distinguish between the two. For all the analyzed effects the quantitative relationships between the mechanical disturbances' amplitudes and spectral observed effects are derived.
