A novel stimulation paradigm to reduce the habituation of the nociceptive withdrawal reflex

Project Details

Description

The aim of this project is to investigate how to improve the technology used for gait rehabilitation after stroke. Functional electrical therapy based on the Nociceptive Withdrawal Reflex (NWR) has been shown to improve gait rehabilitation in severely impaired hemiparetic patients by increasing post treatment walking velocity and gait symmetry. With this approach, gait rehabilitation is achieved by combining intensive gait training with electrical stimulation of the sole of the foot, which elicits the NWR. This reflex response, elicited at the late stance phase during walking, activates relevant leg muscles and can aid initiating/supporting the swing phase in stroke patients. However, since the stimulation is delivered at every step during gait training, the reflex response can habituate resulting in a gradually reduced support during gait training. This project investigates different electrical stimulation paradigm with the goal of identifying the paradigms with the lower habituation. Electrophysiological ad kinematic measurements are used to quantify the response and its effect on gait.
StatusFinished
Effective start/end date01/09/201430/05/2018

Research Output

  • 1 Article in proceeding
  • 1 Conference abstract in proceeding
  • 1 Journal article

A novel stimulation paradigm to limit the habituation of the nociceptive withdrawal reflex

Gervasio, S., Laursen, C. B., Andersen, O. K., Hennings, K. & Spaich, E. G., May 2018, In : IEEE Transactions on Neural Systems and Rehabilitation Engineering. 26, 5, p. 1100-1107 8 p.

Research output: Contribution to journalJournal articleResearchpeer-review

  • 1 Citation (Scopus)

    Novel electrical stimulation paradigm to reduce habituation of the nociceptive withdrawal reflex: Preliminary results

    Laursen, C. B., Gervasio, S., Andersen, O. K., Hennings, K. & Spaich, E. G., 2015, 45th Annual Meeting of the Society for Neuroscience, Neuroscience 2015, 17-21 October 2015, Chicago, IL, USA. Society for Neuroscience, p. No. 268.01/BB74

    Research output: Contribution to book/anthology/report/conference proceedingConference abstract in proceedingResearchpeer-review

    Open Access

    Modeling the functional dependence of stroke patients: the outcome of an improved gait training

    Hennings, K., Gervasio, S., Andersen, O. K. & Spaich, E. G., 2014, Replace, Repair, Restore, Relieve : Bridging Clinical and Engineering Solutions in Neurorehabilitation: Proceedings of the 2nd International Conference on NeuroRehabilitation, ICNR2014, 24-26 June 2014, Aalborg, Denmark. Jensen, W., Andersen, O. K. & Akay, M. (eds.). Springer, p. 421-429 (Biosystems and Biorobotics; No. 7).

    Research output: Contribution to book/anthology/report/conference proceedingArticle in proceedingResearchpeer-review