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Low Cost Functional Electrostimulation

Yıl 2021, Cilt 2, Sayı 1, 38 - 43, 02.07.2021

Öz

Functional electrical stimulation is the stimulation of neurons by electric current in order to perform a functional movement towards daily life activities. Currently, ankle orthoses are used to fix foot status at 900 for low foot patients. The orthoses does not supplies a natural gait form as it results with stanble ankle position. The main reason why FES use is not widespread is, that the patients can not afford the costs as it is too high. At this study a low-cost, lightweight, functional electrical stimulation device with heel pressure sensor is designed. Foot pressure sensor is used to control walking. Square wave is used to perform stimulation with arduino nano. This square wave signal is applied continuously at intervals of 200 milliseconds while the foot is up. Square wave is increased with LM2577 integration to input and the voltage of the TIP122 power transistor has been used to control output power. Working volt range can be adjustable between 20-40 Volts with 50 mA current at 20 Hz with response time as 0.8 sn. Low cost FES devices can be used for patients, as it has very positive contributions to human health and increases the quality of life.

Kaynakça

  • [1] H. Köylü, Klinik Anlatımlı Tıbbi Fizyoloji. Nobel Tıp Kitabevleri, 2014.
  • [2] M. Malezic, M. Kljajić, R. Aćimović-Janezic, N. Gros, J. Krajnik, and U. Stanic, “Therapeutic effects of multisite electric stimulation of gait in motor-disabled patients.,” Arch. Phys. Med. Rehabil., 1987.
  • [3] L. Malone, C. Ellis-Hill, and I. Swain, “Using the Odstock dropped foot stimulator: Users and partners perspectives,” 2002.
  • [4] R. L. Waters, D. McNeal, and J. Perry, “Experimental correction of footdrop by electrical stimulation of the peroneal nerve.,” J. Bone Joint Surg. Am., vol. 57, no. 8, pp. 1047–1054, 1975.
  • [5] W. T. Lıberson, H. J. Holmquest, D. Scot, And M. Dow, “Functional electrotherapy: stimulation of the peroneal nerve synchronized with the swing phase of the gait of hemiplegic patients.,” Arch. Phys. Med. Rehabil., 1961.
  • [6] C. L. Lynch and M. R. Popovic, “Closed-loop control for FES: Past work and future directions,” in 10th Annual Conference of the International FES Society, 2005, pp. 2–4.
  • [7] C. L. Lynch and M. R. Popovic, “Functional electrical stimulation,” IEEE Control Syst. Mag., vol. 28, no. 2, pp. 40–50, 2008.
  • [8] P. S. Cooper, “Application of external fixators for management of Charcot deformities of the foot and ankle,” Foot Ankle Clin., vol. 7, no. 1, pp. 207–254, 2002.
  • [9] D. R. McNeal and J. B. Reswick, “Control of skeletal muscle by electrical stimulation,” Adv. Biomed. Eng., pp. 209–256, 1976.
  • [10] H. Ring and N. Rosenthal, “Controlled study of neuroprosthetic functional electrical stimulation in sub-acute post-stroke rehabilitation,” J. Rehabil. Med., vol. 37, no. 1, pp. 32–36, 2005.
  • [11] R. ACimoviC-Janeki, “Application of a progr mable dual-charnel adaptive electrical stimulation system for the control and analysis of gait,” J. Rehabil. Res. Dev., vol. 29, no. 4, 1992.
  • [12] Ch. Chou et al., “Application of FES for hemiplegia in extremity coordination training,” in 2011 5th International Conference on Bioinformatics and Biomedical Engineering, 2011, pp. 1–4.
  • [13] S. K. Sabut and M. Manjunatha, “Neuroprosthesis-functional electrical stimulation: opportunities in clinical application for correction of drop-foot,” in 2008 First International Conference on Emerging Trends in Engineering and Technology, 2008, pp. 950–953.
  • [14] T. O’Halloran, M. Haugland, G. M. Lyons, and T. Sinkjær, “Modified implanted drop foot stimulator system with graphical user interface for customised stimulation pulse-width profiles,” Med. Biol. Eng. Comput., vol. 41, no. 6, pp. 701–709, 2003.
  • [15] P. P. Breen, D. T. O’Keeffe, R. Conway, and G. M. Lyons, “A system for the delivery of programmable, adaptive stimulation intensity envelopes for drop foot correction applications,” Med. Eng. Phys., vol. 28, no. 2, pp. 177–186, 2006.
  • [16] H. D. Lyons GM, Wilcox DJ, Lyons DJ, “Evaluation of a Drop Foot Stimulator FES Intensity Envelope Matched to Tibialis Anterior Muscle Activity during Walking,” 5th Annu. Conf. Int. Funct. Electr. Stimul. Soc., pp. 1–4, 2000, [Online]. Available: http://ifess.org/node/1700.
  • [17] D. T. O’Keeffe, A. E. Donnelly, and G. M. Lyons, “The development of a potential optimized stimulation intensity envelope for drop foot applications,” IEEE Trans. Neural Syst. Rehabil. Eng., vol. 11, no. 3, pp. 249–256, 2003.
  • [18] R. B. Stein, D. J. Weber, K. M. Chan, G. E. Loeb, R. Rolf, and S. L. Chong, “Stimulation of peripheral nerves with a microstimulator: experimental results and clinical application to correct foot drop,” 2004.
  • [19] P. P. Breen, G. J. Corley, D. T. O’Keeffe, R. Conway, and G. ÓLaighin, “A programmable and portable NMES device for drop foot correction and blood flow assist applications,” Med. Eng. Phys., vol. 31, no. 3, pp. 400–408, 2009, doi: 10.1016/j.medengphy.2008.05.003.
  • [20] J. A. Hoffer et al., “Initial results with fully implanted Neurostep FES system for foot drop,” 2005.
  • [21] I. Banchs et al., “Diagnosis of charcot-marie-tooth disease,” J. Biomed. Biotechnol., vol. 2009, 2009.
  • [22] M. J. Overman, C. C. Compton, K. Raghav, and L. A. Lambert, “Appendiceal mucinous lesions,” UpToDate. Chen W UpToDate Inc, 2020.
  • [23] W. J. Mysiw and R. D. Jackson, “Electrical stimulation,” Phys. Med. Rehabil., pp. 479–506, 1996.
  • [24] S. H. Wright, “Generation of resting membrane potential,” Adv. Physiol. Educ., vol. 28, no. 4, pp. 139–142, 2004.
  • [25] H. Köylü, “Sinir ve Kas Fizyolojisi,” in Tıbbi Fizyoloji, 3rd ed., İstanbul: İstanbul Tıp Kitabevleri, 2019, pp. 19-44 125-136.
  • [26] J. P. Reilly and A. M. Diamant, Electrostimulation: theory, applications, and computational model. Artech House, 2011.

Düşük Maliyetli Fonksiyonel Elektrostimülasyon

Yıl 2021, Cilt 2, Sayı 1, 38 - 43, 02.07.2021

Öz

Fonksiyonel elektriksel uyarım, günlük yaşam aktivitelerine yönelik fonksiyonel bir hareket gerçekleştirmek için nöronların elektrik akımı ile uyarılmasıdır. Şu anda ayak bileği ortezleri düşük ayak hastaları için ayak durumunu 900'de sabitlemek için kullanılmaktadır. Ortezler, ayak bileği dik pozisyonu ile sonuçlandığından doğal bir yürüyüş formu sağlamaz. FES kullanımının yaygın olmamasının temel nedeni, hastaların çok yüksek olduğu için maliyetleri karşılayamamasıdır. Bu çalışmada düşük maliyetli, hafif, fonksiyonel, topuk basınç sensörlü bir elektriksel stimülasyon cihazı tasarlanmıştır. Yürümeyi kontrol etmek için ayak basınç sensörü kullanılmıştır. Arduino nano ile stimülasyon gerçekleştirmek için kare dalga elde edilmiştir. Bu kare dalga sinyali, ayak yukarıdayken 200 milisaniyelik aralıklarla sürekli olarak uygulanmaktadır. Girişe LM2577 entegrasyonu ile kare dalga artırılmıştır ve TIP122 güç transistörünün voltajı çıkış gücünü kontrol etmek için kullanılmıştır. Çalışma volt aralığı 20 Hz'de 50 mA akım ile 20-40 Volt arasında, tepki süresi 0.8 sn olarak ayarlanabilir şekildedir. İnsan sağlığına çok olumlu katkıları olduğu ve yaşam kalitesini artırdığı için düşük maliyetli FES cihazları hastalar için kullanılabilirler.

Kaynakça

  • [1] H. Köylü, Klinik Anlatımlı Tıbbi Fizyoloji. Nobel Tıp Kitabevleri, 2014.
  • [2] M. Malezic, M. Kljajić, R. Aćimović-Janezic, N. Gros, J. Krajnik, and U. Stanic, “Therapeutic effects of multisite electric stimulation of gait in motor-disabled patients.,” Arch. Phys. Med. Rehabil., 1987.
  • [3] L. Malone, C. Ellis-Hill, and I. Swain, “Using the Odstock dropped foot stimulator: Users and partners perspectives,” 2002.
  • [4] R. L. Waters, D. McNeal, and J. Perry, “Experimental correction of footdrop by electrical stimulation of the peroneal nerve.,” J. Bone Joint Surg. Am., vol. 57, no. 8, pp. 1047–1054, 1975.
  • [5] W. T. Lıberson, H. J. Holmquest, D. Scot, And M. Dow, “Functional electrotherapy: stimulation of the peroneal nerve synchronized with the swing phase of the gait of hemiplegic patients.,” Arch. Phys. Med. Rehabil., 1961.
  • [6] C. L. Lynch and M. R. Popovic, “Closed-loop control for FES: Past work and future directions,” in 10th Annual Conference of the International FES Society, 2005, pp. 2–4.
  • [7] C. L. Lynch and M. R. Popovic, “Functional electrical stimulation,” IEEE Control Syst. Mag., vol. 28, no. 2, pp. 40–50, 2008.
  • [8] P. S. Cooper, “Application of external fixators for management of Charcot deformities of the foot and ankle,” Foot Ankle Clin., vol. 7, no. 1, pp. 207–254, 2002.
  • [9] D. R. McNeal and J. B. Reswick, “Control of skeletal muscle by electrical stimulation,” Adv. Biomed. Eng., pp. 209–256, 1976.
  • [10] H. Ring and N. Rosenthal, “Controlled study of neuroprosthetic functional electrical stimulation in sub-acute post-stroke rehabilitation,” J. Rehabil. Med., vol. 37, no. 1, pp. 32–36, 2005.
  • [11] R. ACimoviC-Janeki, “Application of a progr mable dual-charnel adaptive electrical stimulation system for the control and analysis of gait,” J. Rehabil. Res. Dev., vol. 29, no. 4, 1992.
  • [12] Ch. Chou et al., “Application of FES for hemiplegia in extremity coordination training,” in 2011 5th International Conference on Bioinformatics and Biomedical Engineering, 2011, pp. 1–4.
  • [13] S. K. Sabut and M. Manjunatha, “Neuroprosthesis-functional electrical stimulation: opportunities in clinical application for correction of drop-foot,” in 2008 First International Conference on Emerging Trends in Engineering and Technology, 2008, pp. 950–953.
  • [14] T. O’Halloran, M. Haugland, G. M. Lyons, and T. Sinkjær, “Modified implanted drop foot stimulator system with graphical user interface for customised stimulation pulse-width profiles,” Med. Biol. Eng. Comput., vol. 41, no. 6, pp. 701–709, 2003.
  • [15] P. P. Breen, D. T. O’Keeffe, R. Conway, and G. M. Lyons, “A system for the delivery of programmable, adaptive stimulation intensity envelopes for drop foot correction applications,” Med. Eng. Phys., vol. 28, no. 2, pp. 177–186, 2006.
  • [16] H. D. Lyons GM, Wilcox DJ, Lyons DJ, “Evaluation of a Drop Foot Stimulator FES Intensity Envelope Matched to Tibialis Anterior Muscle Activity during Walking,” 5th Annu. Conf. Int. Funct. Electr. Stimul. Soc., pp. 1–4, 2000, [Online]. Available: http://ifess.org/node/1700.
  • [17] D. T. O’Keeffe, A. E. Donnelly, and G. M. Lyons, “The development of a potential optimized stimulation intensity envelope for drop foot applications,” IEEE Trans. Neural Syst. Rehabil. Eng., vol. 11, no. 3, pp. 249–256, 2003.
  • [18] R. B. Stein, D. J. Weber, K. M. Chan, G. E. Loeb, R. Rolf, and S. L. Chong, “Stimulation of peripheral nerves with a microstimulator: experimental results and clinical application to correct foot drop,” 2004.
  • [19] P. P. Breen, G. J. Corley, D. T. O’Keeffe, R. Conway, and G. ÓLaighin, “A programmable and portable NMES device for drop foot correction and blood flow assist applications,” Med. Eng. Phys., vol. 31, no. 3, pp. 400–408, 2009, doi: 10.1016/j.medengphy.2008.05.003.
  • [20] J. A. Hoffer et al., “Initial results with fully implanted Neurostep FES system for foot drop,” 2005.
  • [21] I. Banchs et al., “Diagnosis of charcot-marie-tooth disease,” J. Biomed. Biotechnol., vol. 2009, 2009.
  • [22] M. J. Overman, C. C. Compton, K. Raghav, and L. A. Lambert, “Appendiceal mucinous lesions,” UpToDate. Chen W UpToDate Inc, 2020.
  • [23] W. J. Mysiw and R. D. Jackson, “Electrical stimulation,” Phys. Med. Rehabil., pp. 479–506, 1996.
  • [24] S. H. Wright, “Generation of resting membrane potential,” Adv. Physiol. Educ., vol. 28, no. 4, pp. 139–142, 2004.
  • [25] H. Köylü, “Sinir ve Kas Fizyolojisi,” in Tıbbi Fizyoloji, 3rd ed., İstanbul: İstanbul Tıp Kitabevleri, 2019, pp. 19-44 125-136.
  • [26] J. P. Reilly and A. M. Diamant, Electrostimulation: theory, applications, and computational model. Artech House, 2011.

Ayrıntılar

Birincil Dil İngilizce
Konular Mühendislik, Biyotıp
Bölüm Araştırma Makaleleri
Yazarlar

Şule ÖZGÜNER
0000-0002-1837-919X
Türkiye


Ömer ALACA
ISPARTA UYGULAMALI BİLİMLER ÜNİVERSİTESİ
0000-0002-6232-5447
Türkiye


Ferdi BAŞKURT
ISPARTA UYGULAMALI BİLİMLER ÜNİVERSİTESİ
0000-0002-8997-4172
Türkiye


Hatice AKMAN (Sorumlu Yazar)
ISPARTA UYGULAMALI BİLİMLER ÜNİVERSİTESİ
0000-0002-8906-2122
Türkiye

Yayımlanma Tarihi 2 Temmuz 2021
Yayınlandığı Sayı Yıl 2021, Cilt 2, Sayı 1

Kaynak Göster

Bibtex @diğer { rjbb959935, journal = {Research Journal of Biomedical and Biotechnology}, issn = {2791-7150}, address = {ISUBÜ Teknoloji Fakültesi Biyomedikal Mühendisliği Bölümü 32260 Merkez/ISPARTA}, publisher = {Ali GÜLEÇ}, year = {2021}, volume = {2}, pages = {38 - 43}, doi = {}, title = {Low Cost Functional Electrostimulation}, key = {cite}, author = {Özgüner, Şule and Alaca, Ömer and Başkurt, Ferdi and Akman, Hatice} }
APA Özgüner, Ş. , Alaca, Ö. , Başkurt, F. & Akman, H. (2021). Low Cost Functional Electrostimulation . Research Journal of Biomedical and Biotechnology , 2 (1) , 38-43 . Retrieved from https://dergipark.org.tr/tr/pub/rjbb/issue/63487/959935
MLA Özgüner, Ş. , Alaca, Ö. , Başkurt, F. , Akman, H. "Low Cost Functional Electrostimulation" . Research Journal of Biomedical and Biotechnology 2 (2021 ): 38-43 <https://dergipark.org.tr/tr/pub/rjbb/issue/63487/959935>
Chicago Özgüner, Ş. , Alaca, Ö. , Başkurt, F. , Akman, H. "Low Cost Functional Electrostimulation". Research Journal of Biomedical and Biotechnology 2 (2021 ): 38-43
RIS TY - JOUR T1 - Low Cost Functional Electrostimulation AU - Şule Özgüner , Ömer Alaca , Ferdi Başkurt , Hatice Akman Y1 - 2021 PY - 2021 N1 - DO - T2 - Research Journal of Biomedical and Biotechnology JF - Journal JO - JOR SP - 38 EP - 43 VL - 2 IS - 1 SN - 2791-7150- M3 - UR - Y2 - 2021 ER -
EndNote %0 Research Journal of Biomedical and Biotechnology Low Cost Functional Electrostimulation %A Şule Özgüner , Ömer Alaca , Ferdi Başkurt , Hatice Akman %T Low Cost Functional Electrostimulation %D 2021 %J Research Journal of Biomedical and Biotechnology %P 2791-7150- %V 2 %N 1 %R %U
ISNAD Özgüner, Şule , Alaca, Ömer , Başkurt, Ferdi , Akman, Hatice . "Low Cost Functional Electrostimulation". Research Journal of Biomedical and Biotechnology 2 / 1 (Temmuz 2021): 38-43 .
AMA Özgüner Ş. , Alaca Ö. , Başkurt F. , Akman H. Low Cost Functional Electrostimulation. RJBB. 2021; 2(1): 38-43.
Vancouver Özgüner Ş. , Alaca Ö. , Başkurt F. , Akman H. Low Cost Functional Electrostimulation. Research Journal of Biomedical and Biotechnology. 2021; 2(1): 38-43.
IEEE Ş. Özgüner , Ö. Alaca , F. Başkurt ve H. Akman , "Low Cost Functional Electrostimulation", Research Journal of Biomedical and Biotechnology, c. 2, sayı. 1, ss. 38-43, Tem. 2021