Medical Engineering & Physics
Volume 32, Issue 4 , Pages 339-348 , May 2010

Metrological characterization of a cycle-ergometer to optimize the cycling induced by functional electrical stimulation on patients with stroke

  • Lorenzo Comolli

      Affiliations

    • Dipartimento di Meccanica, Politecnico di Milano, Via La Masa 1, Milano, Italy
    • Corresponding Author InformationCorresponding author. Tel.: +39 02 2399 8443.
  • ,
  • Simona Ferrante

      Affiliations

    • Neuroengineering and Medical Robotics Lab, Dipartimento di Bioingegneria, Politecnico di Milano, P.zza Leonardo da Vinci 32, 20133 Milano, Italy
  • ,
  • Alessandra Pedrocchi

      Affiliations

    • Neuroengineering and Medical Robotics Lab, Dipartimento di Bioingegneria, Politecnico di Milano, P.zza Leonardo da Vinci 32, 20133 Milano, Italy
  • ,
  • Marco Bocciolone

      Affiliations

    • Dipartimento di Meccanica, Politecnico di Milano, Via La Masa 1, Milano, Italy
  • ,
  • Giancarlo Ferrigno

      Affiliations

    • Neuroengineering and Medical Robotics Lab, Dipartimento di Bioingegneria, Politecnico di Milano, P.zza Leonardo da Vinci 32, 20133 Milano, Italy
  • ,
  • Franco Molteni

      Affiliations

    • Valduce Hospital, Villa Beretta Rehabilitation Center, Via N. Sauro 17, Costamasnaga, LC, Italy

Received 1 July 2009 ,Revised 15 January 2010 ,Accepted 18 January 2010.

References 

  1. Aminoff MJ, Greenberg DA, Simon RP. Clinical neurology. 6th ed.. McGraw-Hill/Lange; 2005;
  2. Francescutti C, Mariotti S, Simon G, D’Errigo P, Di Bidino R. The impact of stroke in Italy: first step for a national burden of disease study. Disabil Rehabil. 2005;27(5):229–240
  3. Brown DA, Nagpal S, Chi S. Limb-load cycling program for locomotor intervention following stroke. Phys Ther. 2005;85(2):159–168
  4. Brown DA, Kautz SA. Increased workload enhances force output during pedaling exercise in person with poststroke hemiplegia. Stroke. 1998;29:598–606
  5. Katz-Leurer M, Sender I, Keren O, Dvir Z. The influence of early cycling training on balance in stroke patients at the sub-acute stage. Results of a preliminary trial. Clin Rehabil. 2006;20:398–405
  6. Jones EG. Cortical and subcortical contributions to activity-dependent plasticity in primate somatosensory cortex. Annu Rev Neurosci. 2000;23:1–37
  7. Hunt K, Stone B, Negard N, et al. Control strategies for integration of electric motor assist and functional electrical stimulation in paraplegic cycling: utility for exercise testing and mobile cycling. IEEE Trans Neural Syst Rehabil Eng. 2004;12(1):88–101
  8. Trumbower RD, Faghri PD. Kinematic analyses of semireclined leg cycling in able bodied and spinal cord injured individuals. Spinal Cord. 2005;43(9):543–549
  9. Szecsi J, Krause P, Krafczyk S, Brandt T, Straube A. Functional output improvement in FES cycling by means of forced smooth pedaling. Med Sci Sports Exerc. 2007;39(5):764–780
  10. Scheffler LR, Chae J. Neuromuscular electrical stimulation in neurorehabilitation. Muscle Nerve. 2007;35:562–590
  11. Ferrante S, Pedrocchi A, Ferrigno G, Molteni F. Cycling induced by functional electrical stimulation improves the muscular strength and the motor control of individuals with post-acute stroke. Eur J Phys Rehabil Med. 2008;44(2):159–167
  12. Gföhler M, Angeli T, Eberharter T, et al. Test bed with force-measuring crank for static and dynamic investigations on cycling by means of functional electrical stimulation. IEEE Trans Neural Syst Rehabil Eng. 2001;9(2):169–180
  13. Mimmi G, Pennacchi P, Frosini L. Biomechanical analysis of pedalling for rehabilitation purposes: experimental results on two pathological subjects and comparison with non-pathological findings. Comput Methods Biomech Biomed Eng. 2004;7(6):339–345
  14. Hoffmann K. An introduction to measurements using strain gauges. 1st ed.. Darmstadt: Hottinger Baldwin Messtechnik GmbH; 1989;
  15. ISO . International vocabulary of metrology—basic and general concepts and associated terms. VIM; 2008;
  16. ISO . Guide to the expression of the uncertainty in measurement. GUM; 1995;
  17. Ferrante S, Comolli L, Pedrocchi A, Bocciolone M, Ferrigno G, Molteni F. Optimization of a FES cycling neuroprosthesis on stroke patients by means of the left and right crank measurements. In: Proc. of Biodevices 2008, Int. Conf. of Biomedical Electronics and Devices. Funchal, Madeira, Portugal, vol. 1, January 28–31. 2008;p. 206–211
  18. Schauer T. Feedback control of cycling in spinal cord injury using functional electrical stimulation. PhD dissertation. University of Glasgow, October; 2005.
  19. Ambrosini E, Ferrante S, Schauer T, Pedrocchi A, Ferrigno G. Simulation and experimental design of a symmetry controller for FES cycling optimised on stroke patients. In: Proc. Biodevices 2009. 2009;
  20. Chen HY, Chen HY, Chen SC, Chen J-JJ, Fu LL, Wang YL. Kinesiological and kinematical analysis for stroke subjects with asymmetrical cycling movement patterns. J Electromyogr Kinesiol. 2005;15:587–595

PII: S1350-4533(10)00007-X

doi: 10.1016/j.medengphy.2010.01.005

Medical Engineering & Physics
Volume 32, Issue 4 , Pages 339-348 , May 2010