Upper-limb exercise in tetraplegia using functional electrical stimulation

Cervical spinal cord injury can result in dysfunction in both the lower and upper limbs (tetraplegia), andmay be accompanied by a range of secondary complications. The degree of upper-limb dysfunctiondepends upon the level and completeness of the lesion; in this paper we consider tetraplegics with a neurological level in the range C4-C6. A person with a C5- or C6-level injury will generally retain control of the shoulder and elbow flexor muscles biceps), but will have no control of the hand, wrist or elbow extensors (triceps).With a complete C4 injury voluntary control of the entire arm is lost. Thus, we propose that functional electrical stimulation (FES) of the biceps and triceps muscles may enhance the efficacy of cyclical upper-limb exercise. Alternatives for partial restoration of function include tendon transfer surgery or mechanical orthoses1. Previous FES research for C4-C6 tetraplegics has focused on systems for hand function2,3 and improved working area (i.e. overhead reach)4,5,6,7, but the provision of upper-limb exercise modalities using FES assistance has been neglected. This is important because the lack of effective exercise can lead rapidly to severe cardiopulmonary deconditioning in this population

A simple algorithm for computing canonical forms

It is well known that all linear time-invariant controllable systems can be transformed to Brunovsky canonical form by a transformation consisting only of coordinate changes and linear feedback. However, the actual procedures for doing this have tended to be overly complex. The technique introduced here is envisioned as an on-line procedure and is inspired by George Meyer's tangent model for nonlinear systems. The process utilizes Meyer's block triangular form as an intermedicate step in going to Brunovsky form. The method also involves orthogonal matrices, thus eliminating the need for the computation of matrix inverses. In addition, the Kronecker indices can be computed as a by-product of this transformation so it is necessary to know them in advance

The Workers' Compensation System of British Columbia: Still in Transition

This inventory addresses eight core issues in the British Columbia workers' compensation system:* How is the system administered?* How do claims flow through the system?* What dispute resolution procedures are used, and to what effect?* What benefits are paid?* How are vocational rehabilitation services provided?* How is the system financed?* What are the actual costs of administration, benefits, claims processing, and appeal?* What aspects of the system deserve further attention

Arm-cranking exercise assisted by Functional Electrical Stimulation in C6 tetraplegia: a pilot study

Tetraplegic volunteers undertook progressive exercise training, using novel systems for arm-cranking exercise assisted by Functional Electrical Stimulation (FES). The main aim was to determine potential training effects of FES-assisted arm-crank ergometry (FES-ACE) on upper limb strength and cardiopulmonary {fitness} in tetraplegia. Surface FES was applied to the biceps and triceps during exercise on an instrumented ergometer. Two tetraplegic volunteers with C6 Spinal Cord Injury (SCI) went through muscle strengthening, baseline exercise testing and three months of progressive FES-ACE training. Repeat exercise tests were carried out every four weeks during training, and post-training, to monitor upper-limb strength and cardiopulmonary fitness. At each test point, an incremental test was carried out to determine peak work rate, peak oxygen uptake, gas exchange threshold and oxygen uptake-work rate relationship during FES-ACE. Peak oxygen uptake for Subject A increased from 0.7 l/min to 1.1 l/min, and peak power output increased from 7 W to 38 W after FES-ACE training. For Subject B, peak oxygen uptake was unchanged, but peak power output increased from 3 W to 8 W. These case studies illustrate potential benefits of FES-ACE in tetraplegia, but also the differences in exercise responses between individuals. Keywords: electrical stimulation; spinal cord injury; cardiopulmonary fitness; rehabilitation; tetraplegi

A Federated Network Architecture Perspective on the Future of the Metaverse

We draw upon the concept of federated network architectures to better understand whether the Metaverse will develop into a ‘uni-verse’ or a ‘multi-verse’. We incorporate a historical research perspective enhanced with semi-structured interviews with experts, who are involved in developing and investing in the Metaverse. Our findings showcase that the Metaverse will develop into an expansive three-dimensional simulated reality, offering a large range of functionalities. Moreover, the insights of experts show that the Metaverse will most likely first develop into a ‘multi-verse’, through a collection of separate platforms each with its own function. The findings of our study, therefore, bear timely and topical insights for research as it is in line with the recent Information Systems research agenda and the industry. We discuss the implications of our study for both theory and practice, while we delineate an agenda for future research on the topic