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一种用于研究强直收缩效应的微控制器系统:腓总神经的功能性电刺激。

A microcontroller system for investigating the catch effect: functional electrical stimulation of the common peroneal nerve.

作者信息

Hart D J, Taylor P N, Chappell P H, Wood D E

机构信息

Electronics and Computer Science, University of Southampton, Highfield, Southampton SO17 1BJ, UK.

出版信息

Med Eng Phys. 2006 Jun;28(5):438-48. doi: 10.1016/j.medengphy.2005.07.014. Epub 2005 Sep 2.

Abstract

Correction of drop foot in hemiplegic gait is achieved by electrical stimulation of the common peroneal nerve with a series of pulses at a fixed frequency. However, during normal gait, the electromyographic signals from the tibialis anterior muscle indicate that muscle force is not constant but varies during the swing phase. The application of double pulses for the correction of drop foot may enhance the gait by generating greater torque at the ankle and thereby increase the efficiency of the stimulation with reduced fatigue. A flexible controller has been designed around the Odstock Drop Foot Stimulator to deliver different profiles of pulses implementing doublets and optimum series. A peripheral interface controller (PIC) microcontroller with some external circuits has been designed and tested to accommodate six profiles. Preliminary results of the measurements from a normal subject seated in a multi-moment chair (an isometric torque measurement device) indicate that profiles containing doublets and optimum spaced pulses look favourable for clinical use.

摘要

通过以固定频率施加一系列脉冲电刺激腓总神经来矫正偏瘫步态中的足下垂。然而,在正常步态期间,来自胫骨前肌的肌电信号表明,肌肉力量并非恒定不变,而是在摆动阶段有所变化。应用双脉冲矫正足下垂可通过在踝关节产生更大扭矩来改善步态,从而提高刺激效率并减少疲劳。围绕奥德斯托克足下垂刺激器设计了一种灵活的控制器,以提供实现双脉冲和最佳序列的不同脉冲模式。已设计并测试了一个带有一些外部电路的外围接口控制器(PIC)微控制器,以适应六种模式。在多力矩椅(一种等长扭矩测量装置)上就座的正常受试者的初步测量结果表明,包含双脉冲和最佳间隔脉冲的模式看起来有利于临床应用。

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