EMG Controlled Device in Acute Rehabilitation After Acute Stroke

Korábbi kezelés

• Previous strokes affecting motor function on the opposite side.
• Currently taking medications or substances that lower the threshold for onset of seizure.

Más betegség

• Hemorrhagic stroke
• Past history of seizures
• Family history of medication refractory epilepsy
• Chronic sleep deprivation, ongoing untreated sleep disorder

Egyéb

• Fugl-Meyer score of 2 on the following 3 items:
  • 1\) finger mass extension, 2) grasp #1 test, and 3) shoulder flexion 90 - 180 degrees, elbow at 0 degree, and forearm neutral.
• Shoulder subluxation, pain or dislocation
• Shoulder passive range of motion \< 45 degrees in flexion and abduction
• Fixed upper limb contractures on the impaired arm and hand
• Unable to safely support the weight of their arm plus 4 lbs (1.82 kg; the weight of the device) without pain even with arm supported.
• Skin rash or open wound on impaired arm
• Involuntary movements of the impaired arm
• Pacemaker or other implanted devices
• Metal in the skull
• Claustrophobia, or inability to operate the MRI patient call button
• Pregnancy or pregnancy planning during the study period
• Inability to understand English

• Veterans over 18 years of age
• 2 days to 6 months since the onset of ischemic stroke
• Adequate range of motion at the elbow, forearm, wrist, and hand to wear the device.
• Ability to generate volitional, consistent, and detectable EMG signals from the upper arm and forearm sensor sites with wrist in neutral or flexed positions as detected by the Myopro software
• MAS score 3 for the biceps, triceps, supinators and pronators of the impaired arm
• Able to read and comprehend the English language
• Able to follow directions
• Medically and psychologically stable.
  • Healthy Controls:
  • Over 18 years of age No history of neurological or muscular problems that affect arm function