Continuous Myoelectric Prediction of Future Ankle Angle and Moment Across Ambulation Conditions and Their Transitions.

Autor:	Zabre-Gonzalez EV; Department of Biomedical Engineering, Marquette University and Medical College of Wisconsin, Milwaukee, WI, United States., Riem L; Department of Biomedical Engineering, Marquette University and Medical College of Wisconsin, Milwaukee, WI, United States., Voglewede PA; Department of Mechanical Engineering, Marquette University, Milwaukee, WI, United States., Silver-Thorn B; Department of Biomedical Engineering, Marquette University and Medical College of Wisconsin, Milwaukee, WI, United States.; Department of Mechanical Engineering, Marquette University, Milwaukee, WI, United States., Koehler-McNicholas SR; Minneapolis Department of Veterans Affairs Health Care System, Minneapolis, MN, United States.; Department of Rehabilitation Medicine, University of Minnesota, Minneapolis, MN, United States., Beardsley SA; Department of Biomedical Engineering, Marquette University and Medical College of Wisconsin, Milwaukee, WI, United States.
Jazyk:	angličtina
Zdroj:	Frontiers in neuroscience [Front Neurosci] 2021 Aug 18; Vol. 15, pp. 709422. Date of Electronic Publication: 2021 Aug 18 (Print Publication: 2021).
DOI:	10.3389/fnins.2021.709422
Abstrakt:	A hallmark of human locomotion is that it continuously adapts to changes in the environment and predictively adjusts to changes in the terrain, both of which are major challenges to lower limb amputees due to the limitations in prostheses and control algorithms. Here, the ability of a single-network nonlinear autoregressive model to continuously predict future ankle kinematics and kinetics simultaneously across ambulation conditions using lower limb surface electromyography (EMG) signals was examined. Ankle plantarflexor and dorsiflexor EMG from ten healthy young adults were mapped to normal ranges of ankle angle and ankle moment during level overground walking, stair ascent, and stair descent, including transitions between terrains (i.e., transitions to/from staircase). Prediction performance was characterized as a function of the time between current EMG/angle/moment inputs and future angle/moment model predictions (prediction interval), the number of past EMG/angle/moment input values over time (sampling window), and the number of units in the network hidden layer that minimized error between experimentally measured values (targets) and model predictions of ankle angle and moment. Ankle angle and moment predictions were robust across ambulation conditions with root mean squared errors less than 1° and 0.04 Nm/kg, respectively, and cross-correlations (R 2 ) greater than 0.99 for prediction intervals of 58 ms. Model predictions at critical points of trip-related fall risk fell within the variability of the ankle angle and moment targets (Benjamini-Hochberg adjusted p > 0.065). EMG contribution to ankle angle and moment predictions occurred consistently across ambulation conditions and model outputs. EMG signals had the greatest impact on noncyclic regions of gait such as double limb support, transitions between terrains, and around plantarflexion and moment peaks. The use of natural muscle activation patterns to continuously predict variations in normal gait and the model's predictive capabilities to counteract electromechanical inherent delays suggest that this approach could provide robust and intuitive user-driven real-time control of a wide variety of lower limb robotic devices, including active powered ankle-foot prostheses. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2021 Zabre-Gonzalez, Riem, Voglewede, Silver-Thorn, Koehler-McNicholas and Beardsley.)
Databáze:	MEDLINE
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