The effect of bilateral trainings on upper extremities muscle activation on level of motor function in stroke patients

Integrating subject-specific workspace constraint and performance-based control strategy in robot-assisted rehabilitation

Introduction

The robot-assistive technique has been widely developed in the field of neurorehabilitation for enhancement of neuroplasticity, muscle activity, and training positivity. To improve the reliability and feasibility in this patient-robot interactive context, motion constraint methods and adaptive assistance strategies have been developed to guarantee the movement safety and promote the training effectiveness based on the user's movement information. Unfortunately, few works focus on customizing quantitative and appropriate workspace for each subject in passive/active training mode, and how to provide the precise assistance by considering movement constraints to improve human active participation should be further delved as well.

Methods

This study proposes an integrated framework for robot-assisted upper-limb training. A human kinematic upper-limb model is built to achieve a quantitative human-robot interactive workspace, and an iterative learning-based repulsive force field is developed to balance the compliant degrees of movement freedom and constraint. On this basis, a radial basis function neural network (RBFNN)-based control structure is further explored to obtain appropriate robotic assistance. The proposed strategy was preliminarily validated for bilateral upper-limb training with an end-effector-based robotic system.

Results

Experiments on healthy subjects are enrolled to validate the safety and feasibility of the proposed framework. The results show that the framework is capable of providing personalized movement workspace to guarantee safe and natural motion, and the RBFNN-based control structure can rapidly converge to the appropriate robotic assistance for individuals to efficiently complete various training tasks.

Discussion

The integrated framework has the potential to improve outcomes in personalized movement constraint and optimized robotic assistance. Future studies are necessary to involve clinical application with a larger sample size of patients.

The effect of squats on muscle activity in standing, kneeling, and half-kneeling positions: A cross-sectional study

Kneeling and half-kneeling training are common positions used in physical therapy. however, research on lower extremity muscle activity is lacking compared to the ergonomic aspects and trunk muscle activity. The purpose of this study is to investigate the effects on lower extremity muscle activity during squats in kneeling and half-kneeling positions. The study was designed as a cross-sectional study with a single group of healthy adults. Participants were instructed to perform squats while assuming 3 positions (standing, kneeling, and half-kneeling). Surface electromyography data were recorded 3 times from the rectus femoris (RF), gluteus maximus (GMax), gluteus medius (GMed), and biceps femoris (BF) on the participant's dominant side, and the mean values were analyzed. The participants performed squats for 9 seconds, with 4 seconds of the descent phase, 1 second of the maintenance phase, and 4 seconds of the ascent phase. A metronome was used to ensure precise timing. The study included 30 participants (19 males and 11 females). The muscle activities of the RF, GMed, and BF showed statistically significant differences among the 3 positions, being highest in the half-kneeling position (HKP), followed by the standing position (SP) and kneeling position (KP). The muscle activity of the GMax was significantly higher in the HKP than in the SP and KP (P < .05). The co-contraction ratio was significantly higher with KP than with the SP and HKP (P < .05). In the SP and KP, there were statistically significant differences between the ascent and descent phases of the RF, GMax, GMed, and BF (P < .05). In the HKP, there were statistically significant differences between the ascent and descent phases of the RF, GMax, and GMed (P < .05). The results of this study indicate that squats in the HKP (especially during the ascent phase) require the highest muscle activity, whereas squats in the KP (especially during the descent phase) can be performed with the lowest muscle activity. It can be concluded that these findings could serve as selective indicators for squat exercises and in enhancing postural control, muscle strength, and lower extremity stabilization.

Effects of health qigong exercise on upper extremity muscle activity, balance function, and quality of life in stroke patients

Introduction

This study explored the effects of Qigong exercises on upper extremity muscle activity, balance function, and quality of life in stroke patients.

Methods

A total of 30 stroke patients were randomly allocated to either control group or Qigong group. In the Qigong group, participants completed an intervention of Qigong Baduanjin over 8 weeks. Data on the electromyographic activities of the biceps brachii muscle, triceps brachii muscle, and muscle coordination were obtained using surface electromyography and the co-contraction ratio (CCR). Data on balance were obtained using the PK254P balance function detection system. Quality of life was measured using the brief version of the World Health Organization Quality of Life scale.

Results

The results for the Qigong group showed a significant difference in CCR of the triceps brachii muscle (p < 0.01). Concerning balance (assessed using the open-eye test), there was a significant decrease (p < 0.05) in Y-axis trajectory deviations and the Y-axis speed in the Qigong group. In the closed-eye test, the peripheral area of the Qigong group was significantly lower than that of the control group (p < 0.05). Significant differences were also observed in physical health (p < 0.05), psychological health (p < 0.01), environment (p < 0.01), and the total scores for quality of life (p < 0.01) in the Qigong group.

Discussion

We conclude that Qigong exercises improve the quality of life in stroke patients and have positive effects on the coordination of limb extremities and balance function.