Augmented visual feedback counteracts the effects of surface muscular functional electrical stimulation on physiological tremor
Identifieur interne : 001D64 ( Main/Merge ); précédent : 001D63; suivant : 001D65Augmented visual feedback counteracts the effects of surface muscular functional electrical stimulation on physiological tremor
Auteurs : Giuliana Grimaldi [Belgique] ; Alfredo Fernandez [Belgique] ; Mario Manto [Belgique]Source :
- Journal of NeuroEngineering and Rehabilitation [ 1743-0003 ] ; 2013.
Abstract
Recent studies suggest that surface muscular functional electrical stimulation (FES) might suppress neurological upper limb tremor. We assessed its effects on upper limb physiological tremor, which is mainly driven by mechanical-reflex oscillations. We investigated the interaction between FES and augmented visual feedback, since (a) most daily activities are performed using visual cues, and (b) augmented visual feedback exacerbates upper limb tremor.
10 healthy subjects (23.4 ± 7.7 years) performed 2 postural tasks with combinations of FES (4 sites; frequency of stimulation: 30 Hz; pulse width: 300 microsec; range of current delivered 10–34 mAmp) and augmented visual feedback.
Spectral analysis of tremor showed a decrease of power spectral density to 62.18% (p = 0.01), of the integral in the 8-12 Hz frequency band to 57.67% (p = 0.003), and of tremor root mean square (RMS) to 57.16% (p = 0.002) during FES, without any changes in tremor frequency. Augmented visual feedback blocked the beneficial effect of FES, as confirmed by power spectral analysis (p = 0.01). We found a statistically significant interaction between augmented visual feedback and electrical stimulation (p = 0.039).
Augmented visual feedback antagonizes the effects of FES on physiological tremor. The absence of changes of peak frequency argues against an effect of FES on mechanical properties of the upper limb.
Url:
DOI: 10.1186/1743-0003-10-100
PubMed: 24063436
PubMed Central: 3852972
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d’Etude du Mouvement (UEM), ULB-Erasme, 808 Route de Lennik, 1070, Bruxelles, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Unité d’Etude du Mouvement (UEM), ULB-Erasme, 808 Route de Lennik, 1070, Bruxelles</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName></affiliation></author><author><name sortKey="Manto, Mario" sort="Manto, Mario" uniqKey="Manto M" first="Mario" last="Manto">Mario Manto</name><affiliation wicri:level="3"><nlm:aff id="I1">Unité d’Etude du Mouvement (UEM), ULB-Erasme, 808 Route de Lennik, 1070, Bruxelles, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Unité d’Etude du Mouvement (UEM), ULB-Erasme, 808 Route de Lennik, 1070, Bruxelles</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de 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Giuliana" sort="Grimaldi, Giuliana" uniqKey="Grimaldi G" first="Giuliana" last="Grimaldi">Giuliana Grimaldi</name><affiliation wicri:level="3"><nlm:aff id="I1">Unité d’Etude du Mouvement (UEM), ULB-Erasme, 808 Route de Lennik, 1070, Bruxelles, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Unité d’Etude du Mouvement (UEM), ULB-Erasme, 808 Route de Lennik, 1070, Bruxelles</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName></affiliation></author><author><name sortKey="Fernandez, Alfredo" sort="Fernandez, Alfredo" uniqKey="Fernandez A" first="Alfredo" last="Fernandez">Alfredo Fernandez</name><affiliation wicri:level="3"><nlm:aff id="I1">Unité d’Etude du Mouvement (UEM), ULB-Erasme, 808 Route de Lennik, 1070, Bruxelles, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Unité d’Etude du Mouvement (UEM), ULB-Erasme, 808 Route de Lennik, 1070, Bruxelles</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName></affiliation></author><author><name sortKey="Manto, Mario" sort="Manto, Mario" uniqKey="Manto M" first="Mario" last="Manto">Mario Manto</name><affiliation wicri:level="3"><nlm:aff id="I1">Unité d’Etude du Mouvement (UEM), ULB-Erasme, 808 Route de Lennik, 1070, Bruxelles, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Unité d’Etude du Mouvement (UEM), ULB-Erasme, 808 Route de Lennik, 1070, Bruxelles</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName></affiliation></author></analytic><series><title level="j">Journal of NeuroEngineering and Rehabilitation</title><idno type="eISSN">1743-0003</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Recent studies suggest that surface muscular functional electrical stimulation (FES) might suppress neurological upper limb tremor. We assessed its effects on upper limb physiological tremor, which is mainly driven by mechanical-reflex oscillations. We investigated the interaction between FES and augmented visual feedback, since (a) most daily activities are performed using visual cues, and (b) augmented visual feedback exacerbates upper limb tremor.</p></sec><sec><title>Methods</title><p>10 healthy subjects (23.4 ± 7.7 years) performed 2 postural tasks with combinations of FES (4 sites; frequency of stimulation: 30 Hz; pulse width: 300 microsec; range of current delivered 10–34 mAmp) and augmented visual feedback.</p></sec><sec><title>Results</title><p>Spectral analysis of tremor showed a decrease of power spectral density to 62.18% (p = 0.01), of the integral in the 8-12 Hz frequency band to 57.67% (p = 0.003), and of tremor root mean square (RMS) to 57.16% (p = 0.002) during FES, without any changes in tremor frequency. Augmented visual feedback blocked the beneficial effect of FES, as confirmed by power spectral analysis (p = 0.01). We found a statistically significant interaction between augmented visual feedback and electrical stimulation (p = 0.039).</p></sec><sec><title>Conclusions</title><p>Augmented visual feedback antagonizes the effects of FES on physiological tremor. 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HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Merge/RBID.i -Sk "pubmed:24063436" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Merge/biblio.hfd \
| NlmPubMed2Wicri -a HapticV1
| This area was generated with Dilib version V0.6.23. |  |