Challenges of neural interfaces for stroke motor rehabilitation

More than 85% of stroke survivors suffer from different degrees of disability for the rest of their lives. They will require support that can vary from occasional to full time assistance. These conditions are also associated to an enormous economic impact for their families and health care systems. Current rehabilitation treatments have limited efficacy and their long-term effect is controversial. Here we review different challenges related to the design and development of neural interfaces for rehabilitative purposes. We analyze current bibliographic evidence of the effect of neuro-feedback in functional motor rehabilitation of stroke patients. We highlight the potential of these systems to reconnect brain and muscles. We also describe all aspects that should be taken into account to restore motor control. Our aim with this work is to help researchers designing interfaces that demonstrate and validate neuromodulation strategies to enforce a contingent and functional neural linkage between the central and the peripheral nervous system. We thus give clues to design systems that can improve or/and re-activate neuroplastic mechanisms and open a new recovery window for stroke patients

Minimum Representative Human Body Model Size Determination for Link Budget Calculation in Implanted Medical Devices

In this work, the optimum homogeneous phantom size for an equivalent whole-body electromagnetic (EM) modeling is calculated. This will enable the simple characterization of plane wave EM attenuation and far-field link budgets in Active Medical Implant (AMI) applications in the core region of the body for Industrial, Scientific, Medical and MedRadio frequency bands. A computational analysis is done to determine the optimum size in which a minimum phantom size reliably represents a whole-body situation for the corresponding frequency of operation, saving computer and laboratory resources. After the definition of a converge criterion, the computed minimum phantom size for subcutaneous applications, 0–10 mm insertion depth, is 355 × 160 × 255 mm3 for 402 MHz and 868 MHz and a cube with a side of 100 mm and 50 mm for 2.45 GHz and 5.8 GHz, respectively. For deep AMI applications, 10–50 mm insertion depth, the dimensions are 355 × 260 × 255 mm3 for 402 MHz and 868 MHz, and a cube with a side of 200 mm and 150 mm for 2.45 GHz and 5.8 GHz, respectively. A significant reduction in both computational and manufacturing resources for phantom development is thereby achieved. The verification of the model is performed by field measurements in phantoms made by aqueous solutions with sugar