OBJECTIVES: The development of neurorehabilitation technologies requires the profound understanding of the mechanisms underlying an individual's motor ability and impairment. A major factor limiting this understanding is the difficulty of bridging between events taking place at the neurophysiologic level (e.g., motor neuron firings) with those emerging at the musculoskeletal level (joint actuation), in vivo in the intact moving human. This review presents emerging modelbased methodologies for filling this gap that are promising for developing clinically viable technologies. METHODS: We provide a design overview of musculoskeletal modeling formulations driven by recordings of neuromuscular activity with a critical comparison to alternative model-free approaches in the context of neurorehabilitation technologies. We present advanced electromyography-based techniques for interfacing with the human nervous system and model-based techniques for translating the extracted neural information into estimates of motor function. RESULTS: We introduce representative application areas where modeling is relevant for accessing neuromuscular variables that could not be measured experimentally. We then show how these variables are used for designing personalized rehabilitation interventions, biologically inspired limbs, and human-machine interfaces. CONCLUSIONS: The ability of using electrophysiological recordings to inform biomechanical models enables accessing a broader range of neuro-mechanical variables than analyzing electrophysiological data or movement data individually. This enables understanding the neuro-mechanical interplay underlying in vivo movement function, pathology and robot-assisted motor recovery. SIGNIFICANCE: Filling the gap between our understandings of movement neural and mechanical functions is central for addressing one of the major challenges in neurorehabilitation: personalizing current technologies and interventions to an individual's anatomy and impairment. ; peerReviewed
Neural Data-driven Musculoskeletal Modeling for Personalized Neurorehabilitation Technologies.
2016-03-24
27046865
Aufsatz (Zeitschrift)
Elektronische Ressource
Englisch
DDC: | 629 |
BASE | 2023
|A Simple Robotic System for Neurorehabilitation
British Library Online Contents | 2005
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