Multichannel biphasic muscle stimulation system for post stroke rehabilitation

We present biphasic stimulator electronics developed for a wearable functional electrical stimulation system. The reported stimulator electronics consist of a twenty four channel biphasic stimulator. The stimulator circuitry is physically smaller per channel and offers a greater degree of control over stimulation parameters than existing functional electrical stimulator systems. The design achieves this by using, off the shelf multichannel high voltage switch integrated circuits combined with discrete current limiting and dc blocking circuitry for the frontend, and field programmable gate array based logic to manage pulse timing. The system has been tested on both healthy adults and those with reduced upper limb function following a stroke. Initial testing on healthy users has shown the stimulator can reliably generate specific target gestures such as palm opening or pointing with an average accuracy of better than 4 degrees across all gestures. Tests on stroke survivors produced some movement but this was limited by the mechanical movement available in those users’ hands.

[1]  L. Popović-Maneski,et al.  EMG Map for Designing the Electrode Shape for Functional Electrical Therapy of Upper Extremities , 2018, Converging Clinical and Engineering Research on Neurorehabilitation III.

[2]  V. Dietz,et al.  Functional electrical stimulation for grasping and walking: indications and limitations , 2001, Spinal Cord.

[3]  A. Prodic,et al.  A universal functional electrical stimulator based on merged flyback-SC circuit , 2012, 2012 15th International Power Electronics and Motion Control Conference (EPE/PEMC).

[4]  Ben W Heller,et al.  Automated setup of functional electrical stimulation for drop foot using a novel 64 channel prototype stimulator and electrode array: results from a gait-lab based study. , 2013, Medical engineering & physics.

[5]  P. Langhorne,et al.  Physical rehabilitation approaches for the recovery of function and mobility following stroke. , 2014, The Cochrane database of systematic reviews.

[6]  Silvestro Micera,et al.  Array electrode design for transcutaneous electrical stimulation: a simulation study. , 2009, Medical engineering & physics.

[7]  R. Teasell,et al.  An Evidence-Based Review of Stroke Rehabilitation , 2003, Topics in stroke rehabilitation.

[8]  Silvestro Micera,et al.  Development of a Hand Neuroprosthesis for Grasp Rehabilitation After Stroke: State of Art and Perspectives , 2018 .

[9]  David Howard,et al.  A review of the design and clinical evaluation of the ShefStim array-based functional electrical stimulation system. , 2016, Medical engineering & physics.

[10]  Philippe S. Archambault,et al.  Effectiveness of Functional Electrical Stimulation in Improving Clinical Outcomes in the Upper Arm following Stroke: A Systematic Review and Meta-Analysis , 2015, BioMed research international.

[11]  Kai Yang,et al.  Multiple Model Adaptive ILC for Human Movement Assistance , 2018, 2018 European Control Conference (ECC).

[12]  G. N. Neto,et al.  Power amplifier circuits for functional electrical stimulation systems , 2017 .