Modeling of equilibrium point trajectory control in human arm movements

The underlying concept of the Equilibrium Point Hypothesis (EPH) is that the CNS provides a virtual trajectory of joint motion, representing spacing and timing, with actual movement dynamics being produced by interactions of limb inertia, muscle viscosity and speed/position feedback from muscle spindles. To counter criticisms of the EPH, investigators have proposed the use of complex virtual trajectories, non-linear damping, stiffness and time varying stiffness to the EPH model. While these features allow the EPH to adequately produce human joint velocities, they conflict with the EPH’s premise of simple pre-planned monotonic control of movement trajectory. As a result, this study proposed an EPH based method, which provides a simpler mechanism in motor control without conflict with the core advantages of the original approach. This work has proposed relative damping as an addition to the EPH model to predict the single and two joint arm movements. This addition results in simulated data that not only closely match experimental angle data, but also match the experimental joint torques. In addition, it is suggested that this modified model can be used to predict the multi-joint angular trajectories with fast and normal velocities, without the need for time varying or non-linear stiffness and damping, but with simple monotonic virtual trajectories. In the following study, this relative damping model has been further enhanced with an EMG-based determination of the virtual trajectory and with physiologically realistic neuromuscular delays. The results of unobstructed voluntary movement studies suggest that the EPH models use realistic impedance values and produce desired joint trajectories and joint torques in unperturbed voluntary arm movement. A subsequent study of obstructed voluntary arm movement extended the relative damping concept, and incorporated the influential factors of the mechanical behavior of the neural, muscular and skeletal system in the control and coordination of arm posture and movement. A significant problem of the study is how this information should be used to modify control signals to achieve desired performance. This study used an EPH model to examine changes of controlling signals for arm movements in the context of adding perturbation/load in the form of forces/torques. The mechanical properties and reflex actions of muscles of the elbow joint were examined. Brief unexpected torque/force pulses of identical magnitude and time duration were introduced at different stages of the movement in a random order by a pre-programmed 3 degree of freedom (DOF) robotic arm (MOOG FCS HapticMaster). The results show that the subjects may maintain the same control parameters (virtual trajectory, stiffness and damping) regardless of added perturbations that cause substantial changes in EMG activity and kinematics

Advancing Medical Technology for Motor Impairment Rehabilitation: Tools, Protocols, and Devices

Excellent motor control skills are necessary to live a high-quality life. Activities such as walking, getting dressed, and feeding yourself may seem mundane, but injuries to the neuromuscular system can render these tasks difficult or even impossible to accomplish without assistance. Statistics indicate that well over 100 million people are affected by diseases or injuries, such as stroke, Parkinson’s Disease, Multiple Sclerosis, Cerebral Palsy, peripheral nerve injury, spinal cord injury, and amputation, that negatively impact their motor abilities. This wide array of injuries presents a challenge to the medical field as optimal treatment paradigms are often difficult to implement due to a lack of availability of appropriate assessment tools, the inability for people to access the appropriate medical centers for treatment, or altogether gaps in technology for treating the underlying impairments causing the disability. Addressing each of these challenges will improve the treatment of movement impairments, provide more customized and continuous treatment to a larger number of patients, and advance rehabilitative and assistive device technology. In my research, the key approach was to develop tools to assess and treat upper extremity movement impairment. In Chapter 2.1, I challenged a common biomechanical[GV1] modeling technique of the forearm. Comparing joint torque values through inverse dynamics simulation between two modeling platforms, I discovered that representing the forearm as a single cylindrical body was unable to capture the inertial parameters of a physiological forearm which is made up of two segments, the radius and ulna. I split the forearm segment into a proximal and distal segment, with the rationale being that the inertial parameters of the proximal segment could be tuned to those of the ulna and the inertial parameters of the distal segment could be tuned to those of the radius. Results showed a marked increase in joint torque calculation accuracy for those degrees of freedom that are affected by the inertial parameters of the radius and ulna. In Chapter 2.2, an inverse kinematic upper extremity model was developed for joint angle calculations from experimental motion capture data, with the rationale being that this would create an easy-to-use tool for clinicians and researchers to process their data. The results show accurate angle calculations when compared to algebraic solutions. Together, these chapters provide easy-to-use models and tools for processing movement assessment data. In Chapter 3.1, I developed a protocol to collect high-quality movement data in a virtual reality task that is used to assess hand function as part of a Box and Block Test. The goal of this chapter is to suggest a method to not only collect quality data in a research setting but can also be adapted for telehealth and at home movement assessment and rehabilitation. Results indicate that the data collected in this protocol are good and the virtual nature of this approach can make it a useful tool for continuous, data driven care in clinic or at home. In Chapter 3.2 I developed a high-density electromyography device for collecting motor unit action potentials of the arm. Traditional surface electromyography is limited by its ability to obtain signals from deep muscles and can also be time consuming to selectively place over appropriate muscles. With this high-density approach, muscle coverage is increased, placement time is decreased, and deep muscle activity can potentially be collected due to the high-density nature of the device[GV2] . Furthermore, the high-density electromyography device is built as a precursor to a high-density electromyography-electrical stimulation device for functional electrical stimulation. The customizable nature of the prototype in Chapter 3.2 allows for the implementation both recording and stimulating electrodes. Furthermore, signal results show that the electromyography data obtained from the device are of high quality and are correlated with gold standard surface electromyography sensors. One key factor in a device that can record and then stimulate based on the information from the recorded signals is an accurate movement intent decoder. High-quality movement decoders have been designed by closed-loop device controllers in the past, but they still struggle when the user interacts with objects of varying weight due to underlying alterations in muscle signals. In Chapter 4, I investigate this phenomenon by administering an experiment where participants perform a Box and Block Task with objects of 3 different weights, 0 kg, 0.02 kg, and 0.1 kg. Electromyography signals of the participants right arm were collected and co-contraction levels between antagonistic muscles were analyzed to uncover alterations in muscle forces and joint dynamics. Results indicated contraction differences between the conditions and also between movement stages (contraction levels before grabbing the block vs after touching the block) for each condition. This work builds a foundation for incorporating object weight estimates into closed-loop electromyography device movement decoders. Overall, we believe the chapters in this thesis provide a basis for increasing availability to movement assessment tools, increasing access to effective movement assessment and rehabilitation, and advance the medical device and technology field

Description of motor control using inverse models

Humans can perform complicated movements like writing or running without giving them much thought. The scientific understanding of principles guiding the generation of these movements is incomplete. How the nervous system ensures stability or compensates for injury and constraints – are among the unanswered questions today. Furthermore, only through movement can a human impose their will and interact with the world around them. Damage to a part of the motor control system can lower a person’s quality of life. Understanding how the central nervous system (CNS) forms control signals and executes them helps with the construction of devices and rehabilitation techniques. This allows the user, at least in part, to bypass the damaged area or replace its function, thereby improving their quality of life. CNS forms motor commands, for example a locomotor velocity or another movement task. These commands are thought to be processed through an internal model of the body to produce patterns of motor unit activity. An example of one such network in the spinal cord is a central pattern generator (CPG) that controls the rhythmic activation of synergistic muscle groups for overground locomotion. The descending drive from the brainstem and sensory feedback pathways initiate and modify the activity of the CPG. The interactions between its inputs and internal dynamics are still under debate in experimental and modelling studies. Even more complex neuromechanical mechanisms are responsible for some non-periodic voluntary movements. Most of the complexity stems from internalization of the body musculoskeletal (MS) system, which is comprised of hundreds of joints and muscles wrapping around each other in a sophisticated manner. Understanding their control signals requires a deep understanding of their dynamics and principles, both of which remain open problems. This dissertation is organized into three research chapters with a bottom-up investigation of motor control, plus an introduction and a discussion chapter. Each of the three research chapters are organized as stand-alone articles either published or in preparation for submission to peer-reviewed journals. Chapter two introduces a description of the MS kinematic variables of a human hand. In an effort to simulate human hand motor control, an algorithm was defined that approximated the moment arms and lengths of 33 musculotendon actuators spanning 18 degrees of freedom. The resulting model could be evaluated within 10 microseconds and required less than 100 KB of memory. The structure of the approximating functions embedded anatomical and functional features of the modelled muscles, providing a meaningful description of the system. The third chapter used the developments in musculotendon modelling to obtain muscle activity profiles controlling hand movements and postures. The agonist-antagonist coactivation mechanism was responsible for producing joint stability for most degrees of freedom, similar to experimental observations. Computed muscle excitations were used in an offline control of a myoelectric prosthesis for a single subject. To investigate the higher-order generation of control signals, the fourth chapter describes an analytical model of CPG. Its parameter space was investigated to produce forward locomotion when controlled with a desired speed. The model parameters were varied to produce asymmetric locomotion, and several control strategies were identified. Throughout the dissertation the balance between analytical, simulation, and phenomenological modelling for the description of simple and complex behavior is a recurrent theme of discussion

A Review Study for Robotic Exoskeletons Rehabilitation Devices

Nowadays, robotic exoskeletons demonstrated great abilities to replace traditional rehabilitation processes for activating neural abilities performed by physiotherapists. The main aim of this review study is to determine a state-of-the-art robotic exoskeleton that can be used for the rehabilitation of the lower limb of people who have mobile disabilities as a result of stroke and musculoskeletal conditions. The study presented the anatomy of the lower limb and the biomechanics of human gait to explain the mechanism of the limb, which helps in constructing a robotic exoskeleton. A state-of-the-art review of more than 100 articles related to robotic exoskeletons and their constructions, functionality, and rehabilitation capabilities are accurately implemented. Moreover, the study included a review of upper limb rehabilitation that has been studied locally and successfully applied to patients who exhibited significant improvements. Results of recent studies herald an abundant future for robotic exoskeletons used in the rehabilitation of the lower extremity. Significant improvement in the mechanism and design, as well as the quality, were observed. Also, impressive results were obtained from the performance when used by patients. This study concludes that working and improving the robotic devices continuously in accordance with the cases are necessary to be treated with the best results and the lowest cost

Restoring Fine Motor Skills through Neural Interface Technology.

Loss of motor function in the upper-limb, whether through paralysis or through loss of the limb itself, is a profound disability which affects a large population worldwide. Lifelike, fully-articulated prosthetic hands exist and are commercially available; however, there is currently no satisfactory method of controlling all of the available degrees of freedom. In order to generate better control signals for this technology, and help restore normal movement, it is necessary to interface directly with the nervous system. This thesis is intended to address several of the limitations of current neural interfaces and enable the long-term extraction of control signals for fine movements of the hand and fingers. The first study addresses the problems of low signal amplitudes and short implant lifetimes in peripheral nerve interfaces. In two rhesus macaques, we demonstrate the successful implantation of regenerative peripheral nerve interfaces (RPNI), which allowed us to record high amplitude, functionally-selective signals from peripheral nerves up to 20 months post-implantation. These signals could be accurately decoded into intended movement, and used to enable monkeys to control a virtual hand prosthesis. The second study presents a novel experimental paradigm for intracortical neural interfaces, which enables detailed investigation of fine motor information contained in primary motor cortex. We used this paradigm to demonstrate accurate decoding of continuous fingertip position and enable a monkey to control a virtual hand in closed-loop. This is the first demonstration of volitional control of fine motor skill enabled by a cortical neural interface. The final study presents the design and testing of a wireless implantable neural recording system. By extracting signal power in a single, configurable frequency band onboard the device, this system achieves low power consumption while maintaining decode performance, and is applicable to cortical, peripheral, and myoelectric signals. Taken together, these results represent a significant step towards clinical reality for neural interfaces, and towards restoration of full and dexterous movement for people with severe disabilities.PhDBiomedical EngineeringUniversity of Michigan, Horace H. Rackham School of Graduate Studieshttp://deepblue.lib.umich.edu/bitstream/2027.42/120648/1/irwinz_1.pd