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用于神经假肢应用中的肌肉记录和刺激的薄膜多路电极。

A thin-film multichannel electrode for muscle recording and stimulation in neuroprosthetics applications.

机构信息

Department of Bioengineering, Imperial College London, London, United Kingdom.

出版信息

J Neural Eng. 2019 Apr;16(2):026035. doi: 10.1088/1741-2552/ab047a. Epub 2019 Feb 5.

Abstract

OBJECTIVE

We propose, design and test a novel thin-film multichannel electrode that can be used for both recording from and stimulating a muscle in acute implants.

APPROACH

The system is built on a substrate of polyimide and contains 12 recording and three stimulation sites made of platinum. The structure is 420 µm wide, 20 µm thick and embeds the recording and stimulation contacts on the two sides of the polyimide over an approximate length of 2 cm. We show representative applications in healthy individuals as well as tremor patients. The designed system was tested by a psychometric characterization of the stimulation contacts in six tremor patients and three healthy individuals determining the perception threshold and current limit as well as the success rate in discriminating elicited sensations (electrotactile feedback). Also, we investigated the possibility of using the intramuscular electrode for reducing tremor in one patient by electrical stimulation delivered with timing based on the electromyographic activity recorded with the same electrode.

MAIN RESULTS

In the tremor patients, the current corresponding to the perception threshold and the current limit were 0.7  ±  0.2 and 1.4  ±  0.7 mA for the wrist flexor muscles and 0.4  ±  0.2 and 1.5  ±  0.7 mA for the extensors. In one patient, closed-loop stimulation resulted in a decrease of the tremor power  >50%. In healthy individuals the perception threshold and current limits were 0.9  ±  0.6 and 2.1  ±  0.6 mA for the extensor carpi radialis muscle. The subjects could distinguish four or six stimulation patterns (two or three stimulation sites  ×  two stimulation current amplitudes) with true positive rate  >80% (two subjects) and  >60% (one subject), respectively.

SIGNIFICANCE

The proposed electrode provides a compact multichannel interface for recording electromyogram and delivering electrical stimulation in applications such as neuroprostheses for tremor suppression and closed-loop myoelectric prostheses.

摘要

目的

我们提出、设计并测试了一种新型的薄膜多通道电极,可用于急性植入物中的肌肉记录和刺激。

方法

该系统构建在聚酰亚胺基底上,包含 12 个记录和三个刺激部位,由铂制成。该结构宽 420µm,厚 20µm,在聚酰亚胺的两侧嵌入记录和刺激触点,长度约为 2cm。我们展示了在健康个体以及震颤患者中的代表性应用。通过对六位震颤患者和三位健康个体的刺激触点进行心理计量学特征测试,设计的系统确定了感知阈值和电流极限,以及辨别诱发感觉(电触觉反馈)的成功率。此外,我们还研究了通过使用与同一电极记录的肌电图活动同步的定时来进行电刺激,从而降低一名患者震颤的可能性。

主要结果

在震颤患者中,对于腕屈肌,感知阈值和电流极限对应的电流分别为 0.7  ±  0.2mA 和 1.4  ±  0.7mA;对于伸肌,对应的电流分别为 0.4  ±  0.2mA 和 1.5  ±  0.7mA。在一名患者中,闭环刺激导致震颤功率降低  >50%。在健康个体中,对于桡侧腕伸肌,感知阈值和电流极限分别为 0.9  ±  0.6mA 和 2.1  ±  0.6mA。被试者可以以真阳性率  >80%(两位被试者)和  >60%(一位被试者)区分四种或六种刺激模式(两个或三个刺激部位  ×  两个刺激电流幅度)。

意义

所提出的电极提供了一种紧凑的多通道接口,可用于神经假体中的肌电记录和电刺激,例如抑制震颤的神经假体和闭环肌电假肢。

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