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Foley SA, Washabaugh EP. Applying elastic resistance bands for gait training: A simulation-based study to determine how band configuration affects gait biomechanics and muscle activation. Gait Posture 2024; 108:320-328. [PMID: 38199091 DOI: 10.1016/j.gaitpost.2023.12.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/29/2023] [Revised: 12/20/2023] [Accepted: 12/30/2023] [Indexed: 01/12/2024]
Abstract
BACKGROUND Wearable robotic exoskeletons and leg braces are desirable for gait rehabilitation because they can apply loads directly to an affected joint. Yet, they are not widely used in clinics because they are costly and complex to set up. Conversely, tethered devices, such as elastic resistance bands, are widely available in clinics, are low-cost, and are quick to set up. However, resistance bands will affect walking differently based on how they are configured to pull on the leg (e.g., pulling forward or backward). RESEARCH QUESTION How can a resistance band be configured to alter muscle activation and gait biomechanics based on the segment it is attached to and the angle with which it attaches? METHODS We used an open-source musculoskeletal modeling platform to emulate several configurations of an elastic band pulling on the ankle, calf, and thigh at various angles during non-pathological walking. We evaluated gait biomechanics and simulated muscle activation using computed muscle control (CMC) and identified a subset of four configurations with potential applications for gait training. Eight non-pathological participants then walked on a treadmill under these configurations to verify how these configurations altered muscle activation. RESULTS We found that muscle activity greatly varied based on the location where the elastic band is attached and the angle with which the elastic band pulls on the leg. Notably, specific angles can be used to pull on the legs to elicit an increase or decrease in muscle activation. SIGNIFICANCE This study provides insight into how tethered devices can be configured to provide assistance or resistance during gait training. This information can be applied when developing low-cost gait training solutions for addressing individuals' impairments.
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Affiliation(s)
- Sierra A Foley
- Department of Biomedical Engineering, Wayne State University, Detroit, MI, USA
| | - Edward P Washabaugh
- Department of Biomedical Engineering, Wayne State University, Detroit, MI, USA.
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Yang Y, Huang J, Hu D. Lifelong learning with Shared and Private Latent Representations learned through synaptic intelligence. Neural Netw 2023; 163:165-177. [PMID: 37060870 DOI: 10.1016/j.neunet.2023.04.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2022] [Revised: 04/05/2023] [Accepted: 04/05/2023] [Indexed: 04/17/2023]
Abstract
This paper explores a novel lifelong learning method with Shared and Private Latent Representations (SPLR), which are learned through synaptic intelligence. To solve a sequence of tasks, by considering the entire parameter learning trajectory, SPLR can learn task-invariant representation which changes little, and task-specific features that change greatly along the entire parameter updating trajectory. Therefore, in the lifelong learning scenarios, our model can obtain a task-invariant structure shared by all tasks and also contain some private properties that are task-specific to each task. To reduce the parameter quantity, a ℓ1 regularization to promote sparsity is employed in the weights. We use multiple datasets under lifelong learning scenes to verify our SPLR, on these datasets it can get comparable performance compared with existing lifelong learning approaches, and learn a sparse network which means fewer parameters while requiring less model training time.
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Affiliation(s)
- Yang Yang
- PLA Strategic Support Force Information Engineering University, Zhengzhou, Henan, 450001, China.
| | - Jie Huang
- PLA Strategic Support Force Information Engineering University, Zhengzhou, Henan, 450001, China
| | - Dexiu Hu
- PLA Strategic Support Force Information Engineering University, Zhengzhou, Henan, 450001, China.
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Shiao C, Tang PF, Wei YC, Tseng WYI, Lin TT. Brain white matter correlates of learning ankle tracking using a wearable device: importance of the superior longitudinal fasciculus II. J Neuroeng Rehabil 2022; 19:64. [PMID: 35761285 PMCID: PMC9237986 DOI: 10.1186/s12984-022-01042-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Accepted: 06/15/2022] [Indexed: 11/16/2022] Open
Abstract
Background Wearable devices have been found effective in training ankle control in patients with neurological diseases. However, the neural mechanisms associated with using wearable devices for ankle training remain largely unexplored. This study aimed to investigate the ankle tracking performance and brain white matter changes associated with ankle tracking learning using a wearable-device system and the behavior–brain structure relationships in middle-aged and older adults. Methods Twenty-six middle-aged and older adults (48–75 years) participated in this study. Participants underwent 5-day ankle tracking learning with their non-dominant foot using a custom-built ankle tracking system equipped with a wearable sensor and a sensor-computer interface for real-time visual feedback and data acquisition. Repeated and random sequences of target tracking trajectories were both used for learning and testing. Ankle tracking performance, calculated as the root-mean-squared-error (RMSE) between the target and actual ankle trajectories, and brain diffusion spectrum MR images were acquired at baseline and retention tests. The general fractional anisotropy (GFA) values of eight brain white matter tracts of interest were calculated to indicate their integrity. Two-way (Sex × Time) mixed repeated measures ANOVA procedures were used to investigate Sex and Time effects on RMSE and GFA. Correlations between changes in RMSE and those in GFA were analyzed, controlling for age and sex. Results After learning, both male and female participants reduced the RMSE of tracking repeated and random sequences (both p < 0.001). Among the eight fiber tracts, the right superior longitudinal fasciculus II (R SLF II) was the only one which showed both increased GFA (p = 0.039) after learning and predictive power of reductions in RMSE for random sequence tracking with its changes in GFA [β = 0.514, R2 change = 0.259, p = 0.008]. Conclusions Our findings implied that interactive tracking movement learning using wearable sensors may place high demands on the attention, sensory feedback integration, and sensorimotor transformation functions of the brain. Therefore, the SLF II, which is known to perform these brain functions, showed corresponding neural plasticity after such learning, and its plasticity also predicted the behavioral gains. The SLF II appears to be a very important anatomical neural correlate involved in such learning paradigms. Supplementary Information The online version contains supplementary material available at 10.1186/s12984-022-01042-2.
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Affiliation(s)
- Chishan Shiao
- School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Pei-Fang Tang
- School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan. .,Graduate Institute of Brain and Mind Sciences, College of Medicine, National Taiwan University, Taipei, Taiwan. .,Center for Artificial Intelligence and Robotics, National Taiwan University, Taipei, Taiwan. .,Neurobiology and Cognitive Science Center, National Taiwan University, Taipei, Taiwan. .,Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan.
| | - Yu-Chen Wei
- Institute of Medical Device and Imaging, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Wen-Yih Isaac Tseng
- Institute of Medical Device and Imaging, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Ta-Te Lin
- Graduate Institute of Brain and Mind Sciences, College of Medicine, National Taiwan University, Taipei, Taiwan.,Department of Biomechatronics Engineering, College of Bio-Resources and Agriculture, National Taiwan University, Taipei, Taiwan
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Parto Dezfouli M, Zarei M, Constantinidis C, Daliri MR. Task-specific modulation of PFC activity for matching-rule governed decision-making. Brain Struct Funct 2021; 226:443-455. [PMID: 33398431 DOI: 10.1007/s00429-020-02191-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2020] [Accepted: 11/27/2020] [Indexed: 01/08/2023]
Abstract
Storing information from incoming stimuli in working memory (WM) is essential for decision-making. The prefrontal cortex (PFC) plays a key role to support this process. Previous studies have characterized different neuronal populations in the PFC for working memory judgements based on whether an originally presented stimulus matches a subsequently presented one (matching-rule decision-making). However, much remains to be understood about this mechanism at the population level of PFC neurons. Here, we hypothesized differences in processing of feature vs. spatial WM within the PFC during a matching-rule decision-making task. To test this hypothesis, the modulation of neural activity within the PFC during two types of decision-making tasks (spatial WM and feature WM) in comparison to a passive fixation task was determined. We discovered that neural population-level activity within the PFC is different for the match vs. non-match condition exclusively in the case of the feature-specific decision-making task. For this task, the non-match condition exhibited a greater firing rate and lower trial-to-trial variability in spike count compared to the feature-match condition. Furthermore, the feature-match condition exhibited lower variability compared to the spatial-match condition. This was accompanied by a faster behavioral response time for the feature-match compared to the spatial-match WM task. We attribute this lower across-trial spiking variability and behavioral response time to a higher task-relevant attentional level in the feature WM compared to the spatial WM task. The findings support our hypothesis for task-specific differences in the processing of feature vs. spatial WM within the PFC. This also confirms the general conclusion that PFC neurons play an important role during the process of matching-rule governed decision-making.
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Affiliation(s)
- Mohsen Parto Dezfouli
- School of Cognitive Sciences (SCS), Institute for Research in Fundamental Sciences (IPM), Tehran, Iran. .,Neuroscience and Neuroengineering Research Laboratory, Department of Biomedical Engineering, School of Electrical Engineering, Iran University of Science and Technology (IUST), Tehran, Iran.
| | - Mohammad Zarei
- School of Cognitive Sciences (SCS), Institute for Research in Fundamental Sciences (IPM), Tehran, Iran.,School of Electrical Engineering, Sharif University of Technology, Tehran, Iran
| | - Christos Constantinidis
- Department of Neurobiology and Anatomy, Wake Forest School of Medicine, Winston-Salem, NC, 27157, USA
| | - Mohammad Reza Daliri
- School of Cognitive Sciences (SCS), Institute for Research in Fundamental Sciences (IPM), Tehran, Iran. .,Neuroscience and Neuroengineering Research Laboratory, Department of Biomedical Engineering, School of Electrical Engineering, Iran University of Science and Technology (IUST), Tehran, Iran.
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Xu Y, Chen T, Sun J, Liu J. Multifunctional solid-state electrochemiluminescent chemosensors and aptasensor with free-standing active sites based on task-specific pyrene-terminated polymers via RAFT polymerization. Anal Chim Acta 2018; 1039:31-40. [PMID: 30322550 DOI: 10.1016/j.aca.2018.07.046] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2018] [Revised: 07/19/2018] [Accepted: 07/19/2018] [Indexed: 12/25/2022]
Abstract
Based on the flexible molecular engineering technique of reversible addition-fragmentation chain transfer (RAFT) polymerization, various polymers carrying positive or negative charges and different terminal groups such as pyrene or tertiary amine were synthesized for fabricating multifunctional solid-state electrochemiluminescent (ECL) sensors. Accordingly, the chemosensors immobilizing the ECL probe or co-immobilizing the ECL probe and the coreactant were realized for the quantification of small molecules (e.g., tripropylamine, tetracycline), and an aptasensor was developed for the specific and sensitive lysozyme assay (limit of detection: 0.1 ng/mL). All of the sensors were realized via a simple design exploiting the π-π stacking and electrostatic interactions. It was confirmed that the proposed strategy is simple but universal for the fabrication of versatile ECL sensors that showed simplicity, cost-effectiveness, high sensitivity, long-term stability, and excellent reproducibility.
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Asahi T, Taira T, Ikeda K, Yamamoto J, Sato S. Improvement of Table Tennis Dystonia by Stereotactic Ventro-Oral Thalamotomy: A Case Report. World Neurosurg 2017; 99:810.e1-4. [PMID: 28063895 DOI: 10.1016/j.wneu.2016.12.117] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2016] [Revised: 12/26/2016] [Accepted: 12/27/2016] [Indexed: 11/23/2022]
Abstract
BACKGROUND Task-specific focal dystonia, such as writer's cramp and musician's cramp, is a type of dystonia that affects performance of particular tasks. Such movement disorders have been treated with stereotactic ventro-oral (Vo) thalamotomy with excellent outcomes. However, there has been no previous report of treatment of sport-related or athlete's dystonia by means of stereotactic surgery. We treated a patient with table tennis-related dystonia with Vo thalamotomy, and evaluated the outcome. CASE DESCRIPTION A 20-year-old, female, left-handed table tennis player complained of difficulty hitting a ping-pong ball. She started playing table tennis at 8 years of age, practiced for more than 4 hours every day, and participated in national tournaments. Abnormal flexion of the left wrist when hitting a ball became apparent when she was 19 years old. The abnormal movement emerged on the forehand stroke and, subsequently, on the backhand, until finally she could not continue playing. The diagnosis was task-specific focal dystonia that did not recover with medication. She visited our hospital and underwent right Vo thalamotomy. The surgery was performed using local anesthesia, with the patient swinging a paddle during stimulation and coagulation of the thalamus. Her symptoms had improved completely the day after surgery, such that she was able to participate in tournaments again. CONCLUSIONS We applied Vo thalamotomy for the successful treatment of athlete's dystonia, suggesting that this condition has an underlying mechanism similar to that of other task-specific focal dystonias. This provides new hope to patients with athlete's dystonia refractive to other therapies.
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Arya KN, Pandian S, Kumar D. Task-based mirror therapy enhances ipsilesional motor functions in stroke: A pilot study. J Bodyw Mov Ther 2016; 21:334-341. [PMID: 28532877 DOI: 10.1016/j.jbmt.2016.08.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2016] [Revised: 07/22/2016] [Accepted: 07/28/2016] [Indexed: 11/24/2022]
Abstract
OBJECTIVE To examine the effect of Mirror therapy (MT) on dexterity, coordination, and muscle strength of the less-affected upper limb in stroke. DESIGN Pre-test post-test, single group, experimental design. SETTING Rehabilitation institute. PARTICIPANTS Post-stroke hemiparetic chronic subjects (N = 21). INTERVENTIONS Forty sessions of MT using various tasks in addition to the conventional rehabilitation. Tasks such as lifting a glass, ball-squeezing, and picking-up objects were performed by the less-affected side in front of the mirror-box creating an illusion for the affected side. MAIN OUTCOME MEASURES Minnesota Manual Dexterity Test (MMDT), Purdue Peg Board Test (PPBT), and Manual Muscle Testing (MMT) were used to measure the deficits of the less-affected side. RESULT Post-intervention, the less-affected side of the participants exhibited significant improvement on MMDT (p < 0.001), PPBT (p < 0.001), and MMT (shoulder flexors, wrist extensors and deviators, and finger flexors-extensors; p = 0.005-0.046). CONCLUSION In post-stroke hemiparesis, MT also led to the improvement in dexterity, coordination, and strength of the less-affected side. In addition to the affected side, the technique may augment the subtle motor deficits of the less-affected side.
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Affiliation(s)
- Kamal Narayan Arya
- Pandit Deendayal Upadhyaya Institute for the Physically Handicapped, 4 VD Marg, New Delhi 110002, India.
| | - Shanta Pandian
- Pandit Deendayal Upadhyaya Institute for the Physically Handicapped, 4 VD Marg, New Delhi 110002, India
| | - Dharmendra Kumar
- Pandit Deendayal Upadhyaya Institute for the Physically Handicapped, 4 VD Marg, New Delhi 110002, India
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Abstract
Writer's cramp is the most common form of focal, task-specific dystonia. Symptoms frequently evolve in the setting of repetitive hand movements and increased writing demands, and clinical presentations demonstrate a variety of different dystonic patterns of the upper extremity such as while writing or holding a writing utensil. However, why writer's cramp develops still remains much of a mystery. Clinical evaluation of patients with writer's cramp and various theories regarding its pathophysiology are reviewed. Treatment can be challenging and often involves a combination of pharmacologic (e.g., oral medications, botulinum toxin injections) and non-pharmacologic approaches (e.g., neurosurgical or neurostimulatory interventions, rehabilitation therapies, adaptive devices). Management strategies for writer's cramp using both of these approaches will be discussed.
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Affiliation(s)
- Jennifer G Goldman
- Rush University Medical Center, Department of Neurological Sciences, Section of Parkinson Disease and Movement Disorders, USA.
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Nadkarni TN, Andreoli MJ, Nair VA, Yin P, Young BM, Kundu B, Pankratz J, Radtke A, Holdsworth R, Kuo JS, Field AS, Baskaya MK, Moritz CH, Meyerand ME, Prabhakaran V. Usage of fMRI for pre-surgical planning in brain tumor and vascular lesion patients: task and statistical threshold effects on language lateralization. Neuroimage Clin 2015; 7:415-23. [PMID: 25685705 DOI: 10.1016/j.nicl.2014.12.014] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/01/2014] [Revised: 12/19/2014] [Accepted: 12/22/2014] [Indexed: 11/22/2022]
Abstract
BACKGROUND AND PURPOSE Functional magnetic resonance imaging (fMRI) is a non-invasive pre-surgical tool used to assess localization and lateralization of language function in brain tumor and vascular lesion patients in order to guide neurosurgeons as they devise a surgical approach to treat these lesions. We investigated the effect of varying the statistical thresholds as well as the type of language tasks on functional activation patterns and language lateralization. We hypothesized that language lateralization indices (LIs) would be threshold- and task-dependent. MATERIALS AND METHODS Imaging data were collected from brain tumor patients (n = 67, average age 48 years) and vascular lesion patients (n = 25, average age 43 years) who received pre-operative fMRI scanning. Both patient groups performed expressive (antonym and/or letter-word generation) and receptive (tumor patients performed text-reading; vascular lesion patients performed text-listening) language tasks. A control group (n = 25, average age 45 years) performed the letter-word generation task. RESULTS Brain tumor patients showed left-lateralization during the antonym-word generation and text-reading tasks at high threshold values and bilateral activation during the letter-word generation task, irrespective of the threshold values. Vascular lesion patients showed left-lateralization during the antonym and letter-word generation, and text-listening tasks at high threshold values. CONCLUSION Our results suggest that the type of task and the applied statistical threshold influence LI and that the threshold effects on LI may be task-specific. Thus identifying critical functional regions and computing LIs should be conducted on an individual subject basis, using a continuum of threshold values with different tasks to provide the most accurate information for surgical planning to minimize post-operative language deficits.
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Katz M, Byl NN, San Luciano M, Ostrem JL. Focal task-specific lower extremity dystonia associated with intense repetitive exercise: a case series. Parkinsonism Relat Disord 2013; 19:1033-8. [PMID: 23932354 DOI: 10.1016/j.parkreldis.2013.07.013] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/09/2013] [Revised: 06/28/2013] [Accepted: 07/15/2013] [Indexed: 11/22/2022]
Abstract
BACKGROUND Focal task-specific dystonia of the lower extremity associated with intense repetitive exercise has recently been recognized. The clinical course, treatment response and prognosis remain poorly understood. METHODS Individuals with lower extremity task-specific dystonia evaluated at UCSF's Movement Disorders Center (2004-2012) were eligible for this descriptive case study series if he/she had a history of strenuous and prolonged exercise involving the lower extremity and had no abnormal neurological or medical conditions to explain the involuntary movements. Data was gathered from the medical history and a self-report questionnaire. The findings were compared to 14 cases previously reported in the literature. RESULTS Seven cases (4M/3F) were identified with a diverse set of exercise triggers (cycling, hiking, long-distance running, drumming). The mean age of symptom onset was 53.7 ± 6.1 years. The median symptom duration prior to diagnosis was 4 (9.5) years. Several patients underwent unnecessary procedures prior to being appropriately diagnosed. Over a median of 2 (3.5) years, signs and symptoms progressed to impair walking. Seven patients had improvement in gait with treatment (e.g. botulinum toxin injections, benzodiazepines, physical therapy, bracing, body weight supported gait training and/or functional electrical stimulation of the peroneal nerve) and six returned to a reduced intensity exercise routine. CONCLUSIONS Isolated lower extremity dystonia associated with strenuous, repetitive exercise is relatively uncommon, but disabling and challenging to treat. The pathophysiology may be similar to task-specific focal dystonias of the upper limb. Prompt recognition of leg dystonia associated with extreme exercise could minimize unnecessary testing and procedures, and facilitate earlier treatment.
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