Neuromuscular stimulation
First Claim
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1. Apparatus for rehabilitating a patient who has a paretic body part, the apparatus comprising:
- a) at least one electromyography (EMG) sensor adapted to be applied to a voluntary muscle of a healthy body part of the same type as the paretic body part, wherein at least one sensor produces at least one EMG signal;
b) a neuromuscular electrical stimulation (NMES) device adapted for stimulating at least one voluntary muscle of the paretic body part; and
,c) a controller which controls the NMES device, the controller being configured to(i) store a desired motion of the paretic body part,(ii) store NMES amplitude insufficient to cause the desired motion,(iii) determine an amplitude of stimulation of the paretic body part at least partly based on the EMG signal from the healthy body part and the stored desired motion of the paretic body part such that the NMES stimulation is not sufficient, on its own, to move the paretic body part in the desired motion, and,(iv) apply stimulation to the paretic body part using the NMES device while detecting at least one EMG signal from the healthy body part.
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Abstract
Apparatus for rehabilitating a patient who has a paretic body part, the apparatus comprising: a) at least one electromyograph (EMG) sensor adapted to being applied to a voluntary muscle of a healthy body part of the same type as the paretic body part, which at least one sensor produces at least one EMG signal; b) a neuromuscular electrical stimulation (NMES) device adapted for stimulating at least one voluntary muscle of the paretic body part; and c) a controller which controls the NMES device, making the amplitude of stimulation of the paretic body part at least partly dependent on the EMG signal from the healthy body part.
107 Citations
32 Claims
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1. Apparatus for rehabilitating a patient who has a paretic body part, the apparatus comprising:
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a) at least one electromyography (EMG) sensor adapted to be applied to a voluntary muscle of a healthy body part of the same type as the paretic body part, wherein at least one sensor produces at least one EMG signal; b) a neuromuscular electrical stimulation (NMES) device adapted for stimulating at least one voluntary muscle of the paretic body part; and
,c) a controller which controls the NMES device, the controller being configured to (i) store a desired motion of the paretic body part, (ii) store NMES amplitude insufficient to cause the desired motion, (iii) determine an amplitude of stimulation of the paretic body part at least partly based on the EMG signal from the healthy body part and the stored desired motion of the paretic body part such that the NMES stimulation is not sufficient, on its own, to move the paretic body part in the desired motion, and, (iv) apply stimulation to the paretic body part using the NMES device while detecting at least one EMG signal from the healthy body part. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 31)
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25. A method of rehabilitating a patient who has a paretic body part, the method comprising:
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a) having the patient or another person move in a movement pattern a healthy body part that is of the same type as the paretic body part; b) detecting electromyography (EMG) signals from the healthy body part while it is being moved; c) processing the EMG signals to determine at least one property of a neuromuscular electrical stimulation (NMES) signal; d) applying the NMES signal to the paretic body part, responsive to the processing; and e) moving the paretic body part partially by the NEMS stimulation. - View Dependent Claims (26, 27, 28, 29, 30, 32)
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Specification