Abstract
The integrity of muscle synergies patterns has been proposed as a physiological marker of cortical damage but how to modify and train muscle synergies to relearn movement is still an open question. Here we present our recent results about the modifications that the forces induced by robots can cause on upper limb muscle synergies after stroke. Our results show that a single exposure to forces provided by a robotic device can impact muscle synergies activation. Moreover, a prolonged robot-aided motor training can promote an enduring longitudinal reorganization of upper limb muscle synergies. Finally, we discuss the application of muscle synergies in neurorehabilitation to both assess the effectiveness of treatments and design novel protocols.
This research was supported by the Wyss Center for Bio- and Neuroengineering, and the Marie Curie Integration Grant FP7-PEOPLE-2012-CIG-334201 (REMAKE).
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References
Bizzi, E., Cheung, V.C.: The neural origin of muscle synergies. Front. Comput. Neurosci. 7, 51 (2013)
Zariffa, J., Steeves, J., Pai, D.K.: Changes in hand muscle synergies in subjects with spinal cord injury: characterization and functional implications. J. Spinal Cord Med. 35(5), 310–318 (2012)
Pellegrino, L., Coscia, M., Margit, M., et al.: Evaluating upper limb impairments in multiple sclerosis by exposure to different mechanical environments. Sci. Report. 8, 2110 (2018)
Tropea, P., Monaco, V., Coscia, M., et al.: Effects of early and intensive neuro-rehabilitative treatment on muscle synergies in acute post-stroke patients: a pilot study. J. Neuroeng. Rehab. 10(1), 103 (2013)
Torricelli, D., Barroso, F., Coscia, M., et al.: Muscle synergies in clinical practice: theoretical and practical implications. In: Emerging Therapies in Neurorehabilitation II, Springer, Cham, pp. 251–272 (2016)
Cheung, V.C., Turolla, A., Agostini, M., et al.: Muscle synergy patterns as physiological markers of motor cortical damage. PNAS 109(36), 14652–14656 (2012)
Roh, J., Rymer, W.Z., Perreault, E.J., et al.: Alterations in upper limb muscle synergy structure in chronic stroke survivors. J. Neurophysiol. 109(3), 768–781 (2013)
Lee, D., Seung, H.: Learning the parts of objects by nonnegative matrix factorization. Nature 401, 788–791 (1999)
Krebs, H.I., Palazzolo, J.J., Dipietro, L., et al.: Rehabilitation robotics: performance-based progressive robot-assisted therapy. Auton. Robots 15(1), 7–20 (2003)
Panarese, A., Colombo, R., Sterpi, I., et al.: Tracking motor improvement at the subtask level during robot-aided neurorehabilitation of stroke patients. Neurorehab. Neural Rep. 26(7), 822–833 (2012)
Pirondini, E., Coscia, M., Marcheschi, S., et al.: Evaluation of the effects of the arm light exoskeleton on movement execution and muscle activities: a pilot study on healthy subjects. J. Neuroeng. Rehab. 13(1), 1 (2016)
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Coscia, M. et al. (2019). Training Muscle Synergies to Relearn Movement: Current Perspectives and Future Trends. In: Masia, L., Micera, S., Akay, M., Pons, J. (eds) Converging Clinical and Engineering Research on Neurorehabilitation III. ICNR 2018. Biosystems & Biorobotics, vol 21. Springer, Cham. https://doi.org/10.1007/978-3-030-01845-0_45
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DOI: https://doi.org/10.1007/978-3-030-01845-0_45
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