Functional Evaluation and Rehabilitation Engineering

Politecnico di Milano has a long-lasting tradition in the field of movement analysis. Since the early 1980s, methods and technologies for 3-D motion capture have been designed and prototyped at the Dipartimento di Bioingegneria. Mathematical models and numerical simulations of the musculoskeletal and sensory motor control systems have been developed under different conditions, including microgravity and sport activities. These methods and techniques have pioneered the clinical applications of quantitative analysis of movement, posture, equilibrium, gait, and motor control for the evaluation of patients with motor disabilities throughout a multifactorial approach, including not only biomechanics (statics, kinematics, dynamics, and kinetics) but also functional signaling and imaging [EMG, EEG, NIRS, and fMRI]. Important current activities and future perspectives in the fields of functional assessment of the respiratory system and rehabilitation engineering, including quantitative and objective evaluation during the rehabilitation process, developments of man-machine interfaces, rehabilitation robotics, neuroprostheses, functional evaluation and development of advanced orthotic devices, orthopedic surgical treatment planning, sensory augmentation, and substitution, are being developed.

[1]  M. Ferrarin,et al.  EMG signals detection and processing for on-line control of functional electrical stimulation. , 2000, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[2]  A. Fugl-Meyer,et al.  The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance. , 1975, Scandinavian journal of rehabilitation medicine.

[3]  A. Pedotti,et al.  Compartmental Analysis of Breathing in the Supine and Prone Positions by Optoelectronic Plethysmography , 2004, Annals of Biomedical Engineering.

[4]  A Pedotti,et al.  Abdominal volume contribution to tidal volume as an early indicator of respiratory impairment in Duchenne muscular dystrophy , 2009, European Respiratory Journal.

[5]  P Capodaglio,et al.  Kinematics of trunk movements: protocol design and application in obese females. , 2008, Journal of applied biomaterials & biomechanics : JABB.

[6]  Giancarlo Pennati,et al.  Pre-clinical Evaluation of the Biomechanical Behavior of ImplantableDevices for Orthopedic and Spinal Surgery , 2010 .

[7]  Giancarlo Ferrigno,et al.  A mathematical tool to generate complex whole body motor tasks and test hypotheses on underlying motor planning , 2007, Medical & Biological Engineering & Computing.

[8]  A Pedotti,et al.  Opto-electronic plethysmography. , 2003, Monaldi archives for chest disease = Archivio Monaldi per le malattie del torace.

[9]  Giancarlo Ferrigno,et al.  Design of a symmetry controller for cycling induced by electrical stimulation: preliminary results on post-acute stroke patients. , 2010, Artificial organs.

[10]  G. L. Ciavarro,et al.  Evaluation of head-to-trunk control in whiplash patients using digital CranioCorpoGraphy during a stepping test. , 2005, Gait & posture.

[11]  Tomaso Villa,et al.  Experimental evaluation of the biomechanical performances of a PMMA-based knee spacer. , 2007, The Knee.

[12]  G Ferrigno,et al.  Robust recovery of human motion from video using Kalman filters and virtual humans. , 2003, Human movement science.

[13]  A Pedotti,et al.  Effect of bronchodilation on expiratory flow limitation and resting lung mechanics in COPD , 2009, European Respiratory Journal.

[14]  Giancarlo Ferrigno,et al.  Functional electrical stimulation controlled by artificial neural networks: pilot experiments with simple movements are promising for rehabilitation applications. , 2004, Functional neurology.

[15]  Stefano Negrini,et al.  Three-dimensional easy morphological (3-DEMO) classification of scoliosis, part I , 2006, Scoliosis.

[16]  G. Ferrigno,et al.  Optimisation of shape kernel and threshold in image-processing motion analysers , 2006, Medical and Biological Engineering and Computing.

[17]  Angelo Cappello,et al.  Multiple anatomical landmark calibration for optimal bone pose estimation , 1997 .

[18]  C. Frigo,et al.  A dynamic model of quadriceps and hamstrings function. , 2010, Gait & posture.

[19]  V. Cimolin,et al.  Quantitative analysis of sit to stand movement: experimental set-up definition and application to healthy and hemiplegic adults. , 2008, Gait & posture.

[20]  A Pedotti,et al.  Rib cage mechanics during quiet breathing and exercise in humans. , 1997, Journal of applied physiology.

[21]  G Ferrigno,et al.  Human respiratory muscle actions and control during exercise. , 1997, Journal of applied physiology.

[22]  T P Andriacchi,et al.  Correcting for deformation in skin-based marker systems. , 2001, Journal of biomechanics.

[23]  Giancarlo Ferrigno,et al.  Metrological characterization of a cycle-ergometer to optimize the cycling induced by functional electrical stimulation on patients with stroke. , 2010, Medical engineering & physics.

[24]  Cesare Svelto,et al.  Numerical Modeling and Experimental Measurements of the Electric Potential Generated by Cochlear Implants in Physiological Tissues , 2007, IEEE Transactions on Instrumentation and Measurement.

[25]  Giuseppe Baselli,et al.  Influence of cochlear implant-like operating conditions on wavelet speech processing , 2008, Comput. Biol. Medicine.

[26]  Andrea Aliverti,et al.  The major limitation to exercise performance in COPD is inadequate energy supply to the respiratory and locomotor muscles. , 2008, Journal of applied physiology.

[27]  Wilhelm Braune,et al.  The Human Gait , 1987, Springer Berlin Heidelberg.

[28]  G. L. Ciavarro,et al.  Functional assessment of the lumbar spine through the optoelectronic ZooMS system. Clinical application. , 2006, Europa medicophysica.

[29]  G. Ferrigno,et al.  Implementation and application of real-time motion analysis based on passive markers , 1998, Medical and Biological Engineering and Computing.

[30]  G. Ferrigno,et al.  Procedure to automatically classify markers in biomechanical analysis of whole-body movement in different sports activities , 2006, Medical and Biological Engineering and Computing.

[31]  G Ferrigno,et al.  Static and dynamic postural control in long-term microgravity: evidence of a dual adaptation. , 2001, Journal of applied physiology.

[32]  Giancarlo Ferrigno,et al.  Inverse dynamic investigation of voluntary trunk movements in weightlessness: a new microgravity-specific strategy. , 2003, Journal of biomechanics.

[33]  Giancarlo Ferrigno,et al.  Inverse dynamic investigation of voluntary leg lateral movements in weightlessness: a new microgravity-specific strategy. , 2003, Journal of biomechanics.

[34]  S. J. Cala,et al.  Chest wall and lung volume estimation by optical reflectance motion analysis. , 1996, Journal of applied physiology.

[35]  G. Ferrigno,et al.  Technique for the evaluation of derivatives from noisy biomechanical displacement data using a model-based bandwidth-selection procedure , 1990, Medical and Biological Engineering and Computing.

[36]  N A Borghese,et al.  Statistical comparison of DLT versus ILSSC in the calibration of a photogrammetric stereo-system. , 1997, Journal of biomechanics.

[37]  G Ferrigno,et al.  Three-dimensional optical analysis of chest wall motion. , 1994, Journal of applied physiology.

[38]  Antonio Pedotti,et al.  Home monitoring of within-breath respiratory mechanics by a simple and automatic forced oscillation technique device , 2010, Physiological measurement.

[39]  P. Cerveri,et al.  Isomap transform for segmenting human body shapes , 2011, Computer methods in biomechanics and biomedical engineering.

[40]  Carlo Frigo,et al.  Multichannel SEMG in clinical gait analysis: a review and state-of-the-art. , 2009, Clinical biomechanics.

[41]  Giancarlo Ferrigno,et al.  Elite: A Digital Dedicated Hardware System for Movement Analysis Via Real-Time TV Signal Processing , 1985, IEEE Transactions on Biomedical Engineering.

[42]  A. Aliverti,et al.  Paradoxical movement of the lower ribcage at rest and during exercise in COPD patients , 2009, European Respiratory Journal.

[43]  A Pedotti,et al.  Optoelectronic plethysmography in intensive care patients. , 2000, American journal of respiratory and critical care medicine.

[44]  G. Ferrigno,et al.  Simultaneous measurements of kinematics and fMRI: compatibility assessment and case report on recovery evaluation of one stroke patient , 2010, Journal of NeuroEngineering and Rehabilitation.

[45]  A Pedotti,et al.  CHRONIC OBSTRUCTIVE PULMONARY DISEASE Regional chest wall volumes during exercise in chronic obstructive pulmonary disease , 2004 .

[46]  Antonio Pedotti,et al.  Effects of posture and bronchoconstriction on low-frequency input and transfer impedances in humans. , 2004, Journal of applied physiology.

[47]  Antonio Pedotti,et al.  Chest wall mechanics during pressure support ventilation , 2006, Critical care.

[48]  G. Ferrigno,et al.  Cycling Induced by Electrical Stimulation Improves Motor Recovery in Postacute Hemiparetic Patients: A Randomized Controlled Trial , 2011, Stroke.

[49]  Manuela Galli,et al.  Long-term evaluation of isolated gastrocnemius fascia lengthening in children with cerebral palsy using gait analysis , 2009, Journal of pediatric orthopedics. Part B.

[50]  H. Hatze The fundamental problem of myoskeletal inverse dynamics and its implications. , 2002, Journal of biomechanics.

[51]  Kenton R. Kaufman,et al.  Semiautomated digital analysis of knee joint space width using MR images , 2007, Skeletal Radiology.

[52]  A Pedotti,et al.  Noninvasive detection of expiratory flow limitation in COPD patients during nasal CPAP , 2006, European Respiratory Journal.

[53]  Renato Rodano,et al.  Motor variability in sports: A non-linear analysis of race walking , 2010, Journal of sports sciences.

[54]  Antonio Pedotti,et al.  Simple Equipment Used in Clinical Practice for Evaluation of Locomotion , 1977, IEEE Transactions on Biomedical Engineering.

[55]  A Cappello,et al.  Skin movement artefact assessment and compensation in the estimation of knee-joint kinematics. , 1998, Journal of biomechanics.

[56]  Davide Contini,et al.  Monitoring muscle metabolic indexes by time-domain near-infrared spectroscopy during knee flex-extension induced by functional electrical stimulation. , 2009, Journal of biomedical optics.

[57]  C Frigo,et al.  Effects of plantarflexion on pelvis and lower limb kinematics. , 2008, Gait & posture.

[58]  A. Pedotti,et al.  Transfer Impedance of the Respiratory System by Forced Oscillation Technique and Optoelectronic Plethysmography , 2004, Annals of Biomedical Engineering.

[59]  Renato Rodano,et al.  Application of functional principal component analysis in race walking: An emerging methodology , 2009, Sports biomechanics.

[60]  Giancarlo Ferrigno,et al.  ELITE S2 - The facility for multifactorial movement analysis for the International Space Station: New perspectives for motion analysis technologies , 2001 .

[61]  G. Ferrigno,et al.  An algorithm for 3-D automatic movement detection by means of standard TV cameras , 1990, IEEE Transactions on Biomedical Engineering.

[62]  Giancarlo Ferrigno,et al.  Absence of center of mass control for leg abduction in long-term weightlessness in humans , 2002, Neuroscience Letters.

[63]  A Pedotti,et al.  Breathing pattern and chest wall volumes during exercise in patients with cystic fibrosis, pulmonary fibrosis and COPD before and after lung transplantation , 2010, Thorax.

[64]  L. Piccini,et al.  A Wearable Home BCI system: preliminary results with SSVEP protocol , 2005, 2005 IEEE Engineering in Medicine and Biology 27th Annual Conference.

[65]  A. Pedotti,et al.  A study of motor coordination and neuromuscular activities in human locomotion , 1977, Biological Cybernetics.

[66]  G Ferrigno,et al.  Cycling induced by functional electrical stimulation improves the muscular strength and the motor control of individuals with post-acute stroke. Europa Medicophysica-SIMFER 2007 Award Winner. , 2008, European journal of physical and rehabilitation medicine.

[67]  J J O'Connor,et al.  Bone position estimation from skin marker co-ordinates using global optimisation with joint constraints. , 1999, Journal of biomechanics.

[68]  Renato Rodano,et al.  Motion analysis in sports monitoring techniques: Assessment protocols and application to racewalking , 2010 .

[69]  Roberto Merletti,et al.  Applications in Movement and Gait Analysis , 2004 .

[70]  A Pedotti,et al.  Detection of expiratory flow limitation in COPD using the forced oscillation technique , 2004, European Respiratory Journal.

[71]  A. Pedotti,et al.  Spatial Distribution of Human Respiratory System Transfer Impedance , 2003, Annals of Biomedical Engineering.

[72]  Luca Mainardi,et al.  Postural control in children, teenagers and adults with Down syndrome. , 2011, Research in developmental disabilities.

[73]  Giancarlo Ferrigno,et al.  Error mapping controller: a closed loop neuroprosthesis controlled by artificial neural networks , 2006, Journal of NeuroEngineering and Rehabilitation.