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Novel interfaces for training neuromotor control of the upper and lower limb
Descriptive
TypeOfResource
Text
TitleInfo
Title
Novel interfaces for training neuromotor control of the upper and lower limb
Identifier
ETD_1600
Identifier
(type = hdl)
http://hdl.rutgers.edu/1782.2/rucore10001600001.ETD.000051383
Identifier
(type = doi)
doi:10.7282/T3PC32KP
Language
LanguageTerm
(authority = ISO 639-3:2007);
(type = text)
English
Genre
(authority = marcgt)
theses
Genre
(authority = ExL-Esploro)
ETD doctoral
Subject
(authority = ETD-LCSH)
Topic
Extremities (Anatomy)--Diseases--Physical therapy
Subject
(authority = ETD-LCSH)
Topic
Therapeutics, Physiological
Abstract
One of the primary goals in hemiparetic stroke and cerebral palsy rehabilitation is to improve movement efficiency by correcting typical abnormalities of hemiplegic movement. In order to help patients achieve higher functionality, it is important to not only to develop new equipment, but also to understand how motor learning takes place in those with neuromuscular dysfunction. The hypotheses of this dissertation were (1) A simple interface between muscles with and engaging game interface can be used to promote repetitive task practice. (2) Inter-limb transfer of learning occurs in the lower limbs in accord with their hemispheric specialization.
Specific contributions include the design a force myograpic cuff (FMG), a goniometric ankle platform, a LabVIEW interface that recorded signals from both devices ran games. In addition, four small-scale clinical tests conducted using the two devices, and a clinical test of ankle ILT on 22 unimpaired subjects.
The clinical tests performed with hemiparetic, and unimpaired volunteers revealed that the ankle platform performed better when used with impaired patients than the FMG cuff. However, combining force myography with a mouse emulator to allow patients to play computer games using meaningful upper limb movements appears to be a promising upper limb intervention.
The second part of this project explores how Inter-limb learning transfer (ILT) occurs in the lower limbs and the implications these results may have for lower limb rehabilitation. Twenty-two healthy right-dominant subjects were divided into two groups: half performed the tasks first using the right foot (group RL), and the other half performed it first with the left foot (group LR). Results demonstrated that group LR but not group RL experienced significant ILT of directional as well as positional information in both tasks in a manner reflective of the distinctly different functional roles played by the upper and lower limbs. The present results thus provide clear evidence for the potential benefit to the affected limb afforded by contralateral limb training, and studies are underway to test its efficacy.
Specific contributions include the design a force myograpic cuff (FMG), a goniometric ankle platform, a LabVIEW interface that recorded signals from both devices ran games. In addition, four small-scale clinical tests conducted using the two devices, and a clinical test of ankle ILT on 22 unimpaired subjects.
The clinical tests performed with hemiparetic, and unimpaired volunteers revealed that the ankle platform performed better when used with impaired patients than the FMG cuff. However, combining force myography with a mouse emulator to allow patients to play computer games using meaningful upper limb movements appears to be a promising upper limb intervention.
The second part of this project explores how Inter-limb learning transfer (ILT) occurs in the lower limbs and the implications these results may have for lower limb rehabilitation. Twenty-two healthy right-dominant subjects were divided into two groups: half performed the tasks first using the right foot (group RL), and the other half performed it first with the left foot (group LR). Results demonstrated that group LR but not group RL experienced significant ILT of directional as well as positional information in both tasks in a manner reflective of the distinctly different functional roles played by the upper and lower limbs. The present results thus provide clear evidence for the potential benefit to the affected limb afforded by contralateral limb training, and studies are underway to test its efficacy.
PhysicalDescription
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electronic resource
Extent
xi, 100 p. : ill.
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application/pdf
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text/xml
Note
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Ph.D.
Note
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Includes bibliographical references (p. 95-99)
Note
(type = statement of responsibility)
by Tiffany R. Morris
Name
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Morris
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Tiffany R.
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1979
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author
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Tiffany R. Morris
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Craelius
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William
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chair
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Advisory Committee
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William Craelius
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(type = personal)
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(type = family)
Drzewiecki
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(type = given)
Gary
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internal member
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Advisory Committee
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Gary Drzewiecki
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Kulikowski
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Casmir
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internal member
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Advisory Committee
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Casmir Kulikowski
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Escaldi
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(type = given)
Steven
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outside member
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Advisory Committee
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Steven Escaldi
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(type = family)
Glass
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Carey
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outside member
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Advisory Committee
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Carey Glass
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(type = family)
Newby
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Nicki-Ann
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outside member
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Advisory Committee
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Nicki-Ann Newby
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Rutgers University
Role
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degree grantor
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Graduate School - New Brunswick
Role
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(authority = RULIB)
school
OriginInfo
DateCreated
(qualifier = exact)
2009
DateOther
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2009-05
Place
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(type = code)
xx
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(type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier
(type = RULIB)
ETD
RelatedItem
(type = host)
TitleInfo
Title
Graduate School - New Brunswick Electronic Theses and Dissertations
Identifier
(type = local)
rucore19991600001
Location
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(authority = marcorg);
(displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Subject
(authority = RUETD)
Topic
Biomedical Engineering
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Rights
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The author owns the copyright to this work.
Copyright
Status
Copyright protected
Availability
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Open
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(ID = 1)
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Detail
Non-exclusive ETD license
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Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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ETD
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application/pdf
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application/x-tar
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