Clasp-Knife Model of Muscle Spasticity for Simulation of Robot-Human Interaction

The objective of this research was to replicate the muscle tone moment feedback of elbow upon passive mobilization and classify them based on modified ashworth scale criterion using a mathematical model. The proposed model enables the visualization of muscle tone pattern for robotic interaction simulation. A concurrent muscle tone model necessitates a jerk effect to fully replicate the catch and release effect, also known as, clasp-knife phenomenon of muscle tone feedback. However, the research of passive mobilization control interaction between robot and subject does not emulate such phenomenon. Thus, the model was improvised to replicate the clasp-knife phenomenon according to the robot’s gross kinematics and dynamics. The model was designed based on the quantitative pattern of muscle tone feedback from subject with spasticity. The simulated model was then correlated to clinical measures using similar kinematic and dynamic input. The velocity dynamic input was splined to obtain the velocity trend without the jerk effect. The results obtained from the proposed model were relatively promising with an overall <inline-formula> <tex-math notation="LaTeX">$(n=9\times 4)$ </tex-math></inline-formula> linear (Pearson) correlated average of <inline-formula> <tex-math notation="LaTeX">$\bar {r}=0.8348$ </tex-math></inline-formula> for nine subjects with correlation significant at the 0.01 level (<inline-formula> <tex-math notation="LaTeX">$p< 0.01$ </tex-math></inline-formula>) and five of them presented a distinctive clasp-knife phenomenon with correlation average of <inline-formula> <tex-math notation="LaTeX">$\bar {r}=0.8631$ </tex-math></inline-formula>.

[1]  Maarten J. IJzerman,et al.  Systematic review of the effect of robot-aided therapy on recovery of the hemiparetic arm after stroke. , 2006, Journal of rehabilitation research and development.

[2]  Y. Asagai,et al.  Relationship between muscle-tendon length, range of motion, and resistance to passive movement in children with normal and increased tone , 2017, Journal of physical therapy science.

[3]  Ping Zhou,et al.  Assessing muscle spasticity with Myotonometric and passive stretch measurements: validity of the Myotonometer , 2017, Scientific Reports.

[4]  J. Cissik Prediction of high naevus count in a healthy UK population to estimate melanoma risk , 2015, BDJ.

[5]  Yasuhiro Akiyama,et al.  Assessment of Robotic Patient Simulators for Training in Manual Physical Therapy Examination Techniques , 2015, PloS one.

[6]  J. Birns,et al.  Management of Spasticity , 2015 .

[7]  Hyung-Soon Park,et al.  Quantitative evaluations of ankle spasticity and stiffness in neurological disorders using manual spasticity evaluator. , 2011, Journal of rehabilitation research and development.

[8]  Takashi Komeda,et al.  Spasticity mathematical modelling in compliance with modified ashworth scale and modified tardieu scales , 2015, 2015 15th International Conference on Control, Automation and Systems (ICCAS).

[9]  S. Leonhardt,et al.  A survey on robotic devices for upper limb rehabilitation , 2014, Journal of NeuroEngineering and Rehabilitation.

[10]  Bernhard Elsner,et al.  Electromechanical and robot-assisted arm training for improving activities of daily living, arm function, and arm muscle strength after stroke. , 2018, The Cochrane database of systematic reviews.

[11]  J. Marsden,et al.  The management of spasticity in adults , 2014, BMJ : British Medical Journal.

[12]  A. G. Feldman,et al.  Implicit learning and generalization of stretch response modulation in humans. , 2016, Journal of neurophysiology.

[13]  R. Oliveira-Souza Spasticity and the Human Pyramidal Tracts , 2017 .

[14]  I. Aktas,et al.  Reliability of the Modified Ashworth Scale and Modified Tardieu Scale in patients with spinal cord injuries , 2017, Spinal Cord.

[15]  Stefano Negrini,et al.  Hand Passive Mobilization Performed with Robotic Assistance: Acute Effects on Upper Limb Perfusion and Spasticity in Stroke Survivors , 2017, BioMed research international.

[16]  N. Chino,et al.  Measurement of ankle plantar flexor spasticity following stroke: Assessment of a new quantitative tool. , 2015, Journal of rehabilitation medicine.

[17]  T. Bajd,et al.  A new method and instrumentation for analyzing spasticity , 2017 .

[18]  Richard W. Bohannon,et al.  Interrater reliability of a modified Ashworth scale of muscle spasticity. , 1987, Physical therapy.

[19]  C. McGibbon,et al.  Quantification of elbow muscle tone from an instrumented manual stretch-reflex test , 2016 .

[20]  Erwin de Vlugt,et al.  The relation between neuromechanical parameters and Ashworth score in stroke patients , 2010, Journal of NeuroEngineering and Rehabilitation.

[21]  Eduardo Palermo,et al.  Spasticity Measurement Based on Tonic Stretch Reflex Threshold in Children with Cerebral Palsy Using the PediAnklebot , 2017, Front. Hum. Neurosci..

[22]  D. Reinkensmeyer,et al.  Review of control strategies for robotic movement training after neurologic injury , 2009, Journal of NeuroEngineering and Rehabilitation.

[23]  Sang Ho Ahn,et al.  The effect of a stretching device on hand spasticity in chronic hemiparetic stroke patients. , 2011, NeuroRehabilitation.