Document Detail

New multi-channel transcutaneous electrical stimulation technology for rehabilitation.
MedLine Citation:
PMID:  17946802     Owner:  NLM     Status:  MEDLINE    
Transcutaneous (surface) electrical stimulation (TES) is a widely applied technique for muscle atrophy treatment, muscle force training, endurance training, pain treatment, functional movement therapy, and the restoration of motor functions. We present a new TES technology based on a multi-channel stimulation approach, which allows us to perform real-time spatial and temporal variations of the electrical current density on the skin surface and in deeper tissue layers. This new approach can generate a better muscle selectivity and improved muscle activation patterns compared to state of art TES systems, which operate with predetermined electrode positions. In simulations using a finite element model (FEM) of the distal arm we could show that the nerve activation in the muscle layer is not significantly influenced by the structure of the multi-channel electrode, if the gap between elements is less than 2 mm. Experiments in healthy volunteers allowed us to measure the selectivity of single finger activations. We could also show in stroke subjects that this novel multi-channel approach was able to generate selective finger and wrist extension movements that were strong enough to overcome flexion hyperactivity. For future applications in rehabilitation a full integration of the stimulation hardware into a garment sleeve would be helpful. Once fully integrated, this new technology has a high potential to increase the ease of use, stimulation and wear comfort. It is able to improve muscle selectivity compared to state of the art TES systems, and allows the implementation of a variety of new applications for the medical and consumer market.
Thierry Keller; Marc Lawrence; Andreas Kuhn; Manfred Morari
Publication Detail:
Type:  Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference     Volume:  1     ISSN:  1557-170X     ISO Abbreviation:  Conf Proc IEEE Eng Med Biol Soc     Publication Date:  2006  
Date Detail:
Created Date:  2007-10-23     Completed Date:  2008-03-06     Revised Date:  2014-08-21    
Medline Journal Info:
Nlm Unique ID:  101243413     Medline TA:  Conf Proc IEEE Eng Med Biol Soc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  194-7     Citation Subset:  IM    
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MeSH Terms
Electric Stimulation Therapy / instrumentation*,  methods
Equipment Design
Equipment Failure Analysis
Movement Disorders / physiopathology*,  rehabilitation*
Muscle, Skeletal / physiopathology*
Rehabilitation / instrumentation,  methods
Stroke / physiopathology*,  rehabilitation*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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