Decoding of Ankle Joint Movements in Stroke Patients Using Surface Electromyography

Date
2021-02-24
Authors
Noor, A
Waris, A
Gilani, SO
Kashif, AS
Jochumsen, M
Iqbal, J
Niazi, IK
Supervisor
Item type
Journal Article
Degree name
Journal Title
Journal ISSN
Volume Title
Publisher
MDPI AG
Abstract

Stroke is a cerebrovascular disease (CVD), which results in hemiplegia, paralysis, or death. Conventionally, a stroke patient requires prolonged sessions with physical therapists for the recovery of motor function. Various home-based rehabilitative devices are also available for upper limbs and require minimal or no assistance from a physiotherapist. However, there is no clinically proven device available for functional recovery of a lower limb. In this study, we explored the potential use of surface electromyography (sEMG) as a controlling mechanism for the development of a home-based lower limb rehabilitative device for stroke patients. In this experiment, three channels of sEMG were used to record data from 11 stroke patients while performing ankle joint movements. The movements were then decoded from the sEMG data and their correlation with the level of motor impairment was investigated. The impairment level was quantified using the Fugl-Meyer Assessment (FMA) scale. During the analysis, Hudgins time-domain features were extracted and classified using linear discriminant analysis (LDA) and artificial neural network (ANN). On average, 63.86% ± 4.3% and 67.1% ± 7.9% of the movements were accurately classified in an offline analysis by LDA and ANN, respectively. We found that in both classifiers, some motions outperformed oth-ers (p < 0.001 for LDA and p = 0.014 for ANN). The Spearman correlation (ρ) was calculated between the FMA scores and classification accuracies. The results indicate that there is a moderately positive correlation (ρ = 0.75 for LDA and ρ = 0.55 for ANN) between the two of them. The findings of this study suggest that a home-based EMG system can be developed to provide customized therapy for the improvement of functional lower limb motion in stroke patients.

Description
Keywords
ankle joint movements , home-based physical therapy , lower limb functional recovery , pattern recognition (PR) , stroke rehabilitation , surface electromyography (sEMG) , 40 Engineering , 4008 Electrical Engineering , 4009 Electronics, Sensors and Digital Hardware , Aging , Clinical Research , Rehabilitation , Neurosciences , Brain Disorders , Stroke , Physical Rehabilitation , Stroke , 0301 Analytical Chemistry , 0502 Environmental Science and Management , 0602 Ecology , 0805 Distributed Computing , 0906 Electrical and Electronic Engineering , Analytical Chemistry , 3103 Ecology , 4008 Electrical engineering , 4009 Electronics, sensors and digital hardware , 4104 Environmental management , 4606 Distributed computing and systems software
Source
Sensors, ISSN: 1424-8220 (Print); 1424-8220 (Online), MDPI AG, 21(5), 1-15. doi: 10.3390/s21051575
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