sEMG Bias-Driven Functional Electrical Stimulation System for Upper-Limb Stroke Rehabilitation

• Published in: IEEE sensors journal Vol. 18; no. 16; pp. 6812 - 6821
• Main Authors: Zhou, Yu, Fang, Yinfeng, Gui, Kai, Li, Kairu, Zhang, Dingguo, Liu, Honghai
• Format: Journal Article
• Language: English
• Published: New York IEEE 15.08.2018; The Institute of Electrical and Electronics Engineers, Inc. (IEEE)
• Subjects: active rehabilitation; Bias; bilateral arm bias; closed loop; Dependence; Electromyography; Feedback; Functional electrical stimulation (FES); Iron; Medical treatment; Neuromuscular; Noise levels; Patients; Rehabilitation; Sensors; Stimulation; Stroke; surface electromyography (sEMG); Training
• ISSN: 1530-437X; 1558-1748
• DOI: 10.1109/JSEN.2018.2848726

It is evident that the dominant therapy of functional electrical stimulation (FES) for stroke rehabilitation suffers from heavy dependency on therapists experience and lack of feedback from patients' status, which decrease the patients' voluntary participation, reducing the rehabilitation efficacy. This paper proposes a closed loop FES system using surface electromyography (sEMG) bias feedback from bilateral arms for enhancing upper-limb stroke rehabilitation. This wireless portable system consists of sEMG data acquisition and FES modules, the former is used to measure and analyze the subject's bilateral arm motion intention and neuromuscular states in terms of their sEMG, the latter of multi-channel FES output is controlled via the sEMG bias of the bilateral arms. The system has been evaluated with experiments proving that the system can achieve 39.9 dB signal-to-noise ratio in the lab environment, outperforming existing similar systems. The results also show that voluntary and active participation can be effectively employed to achieve different FES intensity for FES-assisted hand motions, demonstrating the potential for active stroke rehabilitation.