Apparatus and methods for studying artificial feedback-control of the plantarflexors in paraplegics without interference from the brain.

Apparatus has been built to explore the practical feasibility of using automatic control with electrical stimulation of paralysed legs to restore function. The experiments are performed with paraplegics with the aim of achieving a realistic postural task: to see whether the body may be maintained upright by stimulation of the plantarflexors when the other joints are braced. Significantly, the intact upper body, under natural control of the brain, cannot interfere with the automatic control. The "Wobbler" apparatus allows measurement of the ankle muscle properties in isometric conditions or in sinusoidal motion. Using the biomechanical properties of the body, which are also measured, controllers for stabilising the body can be designed. Controllers can be dynamically tested, imitating anterior-posterior sway, while the body is held upright, before "actual standing" is attempted.

[1]  I W Hunter,et al.  Human ankle joint stiffness over the full range of muscle activation levels. , 1988, Journal of biomechanics.

[2]  Marko Munih,et al.  Optimal control of ankle joint moment: toward unsupported standing in paraplegia , 1998, IEEE Trans. Autom. Control..

[3]  F. Zajac,et al.  Paraplegic standing controlled by functional neuromuscular stimulation. II. Computer simulation studies , 1989, IEEE Transactions on Biomedical Engineering.

[4]  S. Miyazaki,et al.  Maximum Likelihood Identification of a Posture Control System , 1987, IEEE Transactions on Biomedical Engineering.

[5]  M Munih,et al.  Feedback control of unsupported standing in paraplegia--part II: experimental results. , 1997, IEEE transactions on rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society.

[6]  T. A. Perkins,et al.  Unsupported Standing of Paraplegics by Stimulation of the Plantarflexors: some Results from the Wobbler Apparatus , 1996 .

[7]  L. A. Bernotas,et al.  A Discrete-Time Model of Electrcally Stimulated Muscle , 1986, IEEE Transactions on Biomedical Engineering.

[8]  T. Sinkjaer,et al.  Muscle stiffness in human ankle dorsiflexors: intrinsic and reflex components. , 1988, Journal of neurophysiology.

[9]  M Munih,et al.  Feedback control of unsupported standing in paraplegia--part I: optimal control approach. , 1997, IEEE transactions on rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society.

[10]  R J Jaeger Design and simulation of closed-loop electrical stimulation orthoses for restoration of quiet standing in paraplegia. , 1986, Journal of biomechanics.

[11]  P. H. Peckham,et al.  Closed-Loop Control of Force During Electrical Stimulation of Muscle , 1980, IEEE Transactions on Biomedical Engineering.

[12]  Marko Munih,et al.  Feedback control of unsupported standing in paraplegia. II. Experimental results , 1997 .

[13]  M. Munih,et al.  Investigation of the Hammerstein hypothesis in the modeling of electrically stimulated muscle , 1998, IEEE Transactions on Biomedical Engineering.

[14]  G Grimby,et al.  Muscle fiber composition in patients with traumatic cord lesion. , 1976, Scandinavian journal of rehabilitation medicine.

[15]  N de N Donaldson,et al.  FES standing: control by handle reactions of leg muscle stimulation (CHRELMS). , 1996, IEEE transactions on rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society.

[16]  T. Bajd,et al.  A dynamic model of the ankle joint under functional electrical stimulation in free movement and isometric conditions. , 1976, Journal of biomechanics.