Biomechanical and reflex responses to joint perturbations during electrical stimulation of muscle: instrumentation and measurement techniques

A test device is developed to measure ankle joint compliance and muscle activity when the ankle is subjected to perturbations in angular position (or torque) from bias positions achieved volitionally or via electrical stimulation. The ankle measurement system uses a pivoting footplate and is operable with the subject sitting or supine. A companion platform for the knee is developed that uses a rotary arm and attached leg brace and is operable with the subject’s leg in the horizontal or vertical plane. The knee fixture’s pivoting arm can slide to account for the cam-like movement of the knee during rotation. The devices use similar hardware and share common instrumentation and control. Precise torque or position perturbations are delivered by a computer-controlled torque motor to the ankle or knee. Angular displacement, torque, acceleration, knee fixture moment arm and electromyographic data are collected on analogue tape and simultaneously digitised and stored. A special stimulator/recording amplifier permits the recording of electromyographic signals from the stimulated muscle. Experimental data indicate that the ankle and knee devices, operated horizontally, are purely inertial systems. Sample ankle and knee joint responses to perturbations are presented.

[1]  J. G. Andrews,et al.  Contribution of passive tissues to the intersegmental moments at the hip. , 1990, Journal of biomechanics.

[2]  E. Marsolais,et al.  Development of a practical electrical stimulation system for restoring gait in the paralyzed patient. , 1988, Clinical orthopaedics and related research.

[3]  P. Rack,et al.  Forces generated at the thumb interphalangeal joint during imposed sinusoidal movements , 1982, The Journal of physiology.

[4]  C. D. Mote,et al.  Identification of a frequency response model of joint rotation. , 1990, Journal of biomechanical engineering.

[5]  D Dowson,et al.  Quantitative study of stiffness in the knee joint. , 1975, Annals of the rheumatic diseases.

[6]  J. Noth,et al.  Long latency reflex force of human finger muscles in response to imposed sinusoidal movements , 2004, Experimental Brain Research.

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

[8]  R Johnson,et al.  The impedance of the human knee. , 1976, Journal of biomechanics.

[9]  C. Robinson,et al.  Determining appropriate models for joint control using surface electrical stimulation of soleus in spinal cord injury , 1994, Medical and Biological Engineering and Computing.

[10]  G. Inbar,et al.  FNS Parameter Selection and Upper Limb Characterzation , 1986, IEEE Transactions on Biomedical Engineering.

[11]  G. Gottlieb,et al.  Compliance of single joints: elastic and plastic characteristics. , 1988, Journal of neurophysiology.

[12]  R. Merletti,et al.  Suppression of stimulation artifacts from myoelectric-evoked potential recordings , 1988, IEEE Transactions on Biomedical Engineering.

[13]  Hammond Ph,et al.  Involuntary activity in biceps following the sudden application of velocity to the abducted forearm. , 1955, The Journal of physiology.

[14]  A. Papoulis Signal Analysis , 1977 .

[15]  Gottlieb Gl,et al.  Mathematical modeling and simulation of the postural control loop. Part III. , 1984 .

[16]  G L Gottlieb,et al.  Reflex responses to ankle perturbations during electrical stimulation of muscle: 1. Measurement techniques and preliminary examples. , 1990, Biomedical sciences instrumentation.

[17]  A. Vandervoort,et al.  Age and passive ankle stiffness in healthy women. , 1989, Physical therapy.

[18]  A. Berthoz,et al.  Dynamics of the head-neck system in response to small perturbations: Analysis and modeling in the frequency domain , 1975, Biological Cybernetics.

[19]  E. Luschei,et al.  Evidence that the human jaw stretch reflex increases the resistance of the mandible to small displacements. , 1980, The Journal of physiology.

[20]  P. Matthews Evidence from the use of vibration that the human long‐latency stretch reflex depends upon spindle secondary afferents. , 1984, The Journal of physiology.

[21]  P. Rack,et al.  Response of the normal human ankle joint to imposed sinusoidal movements. , 1983, The Journal of physiology.

[22]  G. Gottlieb,et al.  Oscillation of the human ankle joint in response to applied sinusoidal torque on the foot , 1977, The Journal of physiology.

[23]  K. Akazawa,et al.  Modulation of reflex EMG and stiffness in response to stretch of human finger muscle. , 1983, Journal of neurophysiology.

[24]  J C Otis,et al.  Biomechanical Measurement of Spastic Plantarflexors , 1983, Developmental medicine and child neurology.

[25]  N. Gros,et al.  Some properties of spastic ankle joint muscles in hemiplegia , 2006, Medical and Biological Engineering and Computing.

[26]  J. Houk,et al.  Regulatory actions of human stretch reflex. , 1976, Journal of neurophysiology.

[27]  W. Riethmuller,et al.  Thermally excited silicon microactuators , 1988 .

[28]  R. R. Carter,et al.  Stiffness regulation by reflex action in the normal human hand. , 1990, Journal of neurophysiology.

[29]  J. Mansour,et al.  The passive elastic moment at the hip. , 1982, Journal of biomechanics.

[30]  L. Vodovnik,et al.  Dynamics of spastic knee joint , 2006, Medical and Biological Engineering and Computing.

[31]  A. Kralj,et al.  Enhancement of gait restoration in spinal injured patients by functional electrical stimulation. , 1988, Clinical orthopaedics and related research.

[32]  I. W. Hunter,et al.  Tilt-table/ankle-actuator system for the study of vestibulospinal reflexes , 1983, Medical and Biological Engineering and Computing.

[33]  C. Marsden,et al.  Servo action in the human thumb. , 1976, The Journal of physiology.

[34]  R Johnson,et al.  The static and dynamic behavior of the human knee in vivo. , 1976, Journal of biomechanics.

[35]  J. Mizrahi,et al.  The dynamics of the subtalar joint in sudden inversion of the foot. , 1990, Journal of biomechanical engineering.

[36]  R. Greenberg,et al.  An in vivo biomechanical evaluation of anterior-posterior motion of the knee. Roentgenographic measurement technique, stress machine, and stable population. , 1981, The Journal of bone and joint surgery. American volume.

[37]  Hammond Ph,et al.  The influence of prior instruction to the subject on an apparently involuntary neuro-muscular response. , 1956 .