Spasticity mathematical modelling in compliance with modified ashworth scale and modified tardieu scales

The aim of this work is to formulate a spasticity symptoms-oriented model, in terms of its capability to consistently emulate unidirectional and velocity-dependent spasticity symptoms, based on a Modified Tardieu Scale (MTS). Spasticity stiffness can be simulated using two dynamic equations expressing 1) muscle tone catch during passive stretching at different velocities and 2) resistance through Range Of Motion (ROM). Muscle tone is proportionate to velocity; where muscle resistance is constant until reaching a certain angular velocity. Following different Modified Ashworth Scale (MAS) levels, muscle resistance can occur at varying degrees through the ROM. The simulated spasticity of MAS 1+, based on the developed model, shows a strong positive linear correlation coefficient with average r = 0.7414 for fast forearm extension. The derived model will be used to develop new principles of variable stiffness actuation in an upper limb part-task trainer that is able to emulate upper limb spasticity symptoms.

[1]  J. Edward Colgate,et al.  Haptic interfaces for virtual environment and teleoperator systems , 1995 .

[2]  Takashi Komeda,et al.  Evaluation of Upper Limb Spasticity towards the Development of a High Fidelity Part-task Trainer☆ , 2014 .

[3]  Allison M. Okamura,et al.  Haptic Simulation of Elbow Joint Spasticity , 2008, 2008 Symposium on Haptic Interfaces for Virtual Environment and Teleoperator Systems.

[4]  Diane L Damiano,et al.  What does the Ashworth scale really measure and are instrumented measures more valid and precise? , 2002, Developmental medicine and child neurology.

[5]  Measurement of Plantarflexor Spasticity in Traumatic Brain Injury: Correlational Study of Resistance Torque Compared with the Modified Ashworth Scale , 2007, American journal of physical medicine & rehabilitation.

[6]  Haruhisa Kawasaki,et al.  Robot Hand Imitating Disabled Person for Education/Training of Rehabilitation , 2008, J. Robotics Mechatronics.

[7]  K. Granata,et al.  Spastic velocity threshold constrains functional performance in cerebral palsy. , 2003, Archives of physical medicine and rehabilitation.

[8]  H Rodgers,et al.  A review of the properties and limitations of the Ashworth and modified Ashworth Scales as measures of spasticity , 1999, Clinical rehabilitation.

[9]  Rainer Koch,et al.  Reliability of the Modified Tardieu Scale and the Modified Ashworth Scale in adult patients with severe brain injury: a comparison study , 2005, Clinical rehabilitation.

[10]  Takashi Komeda,et al.  Emulation of muscle tone of upper limb spasticity and rigidity , 2013, 2013 6th International IEEE/EMBS Conference on Neural Engineering (NER).

[11]  Yasuhiro Akiyama,et al.  Wearable dummy to simulate joint impairment: severity-based assessment of simulated spasticity of knee joint , 2013, Proceedings of the 2013 IEEE/SICE International Symposium on System Integration.