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Biomedical subjects

N Hogan

Publications and source records attributed to N Hogan.

52 records · Page 3Linked to original sources

Functional assessment of control systems for cybernetic elbow prostheses--Part I: Description of the technique.

This paper (Part I of II) presents a novel control scheme with which an amputee commands an elbow prosthesis using myoelectric activity. By mimicking some important characteristics of the intact neuromuscular system, the proposed controller attempts to make the prosthesis respond as the natural elbow to both voluntary commands from the amputee and applied moments from the environment. Also presented is the description of a novel experiment for functionally assessing elbow prosthesis controllers. The experimental design calls for an amputee to perform a constrained motion task while operating a prosthesis capable of implementing a wide variety of controllers. Due to the nature of the constraint, the task emphasizes the prosthesis response to both inputs: voluntary commands and external moments. Application of the experiment to assessment of the proposed control scheme and the control scheme used in a state-of-the-art prosthesis is presented in Part II.

Amputation, Surgical↗

Planning and execution of multijoint movements.

This paper reviews some recent studies related to the generation of simple multijoint arm movements. Two principal issues are considered. The first concern is how movements are represented internally by the central nervous system. There are many possible sets of coordinates that could be used to represent arm movements. Two of the possibilities are reviewed: representation in terms of joint angular motions versus representation in terms of motions of the hand in external space coordinates. A second concern is the transformation from intention to action: how is an internal representation of motion expressed by the neuromuscular system? The computational complexity of this problem is reviewed. A way in which the mechanics of the neuromuscular system could be exploited to simplify this problem is discussed.

Arm↗

Controlling multijoint motor behavior.

Much can be learned about the central nervous system from a study of motor coordination, but its true richness and complexity become evident only in a multiarticular system. Despite the intrinsic complexity of multiarticular actions, they offer an unparalleled opportunity to learn about the central nervous system in a quantitative and experimentally testable way. For example, the observation that unconstrained, unperturbed arm movements are coordinated in terms of hand motion shows that motor control is organized in a hierarchy of increasing levels of abstraction. These arm motions are organized as though a disembodied hand could be moved in space; the details of how this is to be achieved must then be supplied by a different level in the hierarchy. The essence of human behavior is its adaptability. Just as the true complexity of coordination is evident only in multiarticular actions, the sophistication and subtlety of adaptive behavior are evident only in dynamic, interactive tasks. A study of movement alone is not sufficient to understand this behavior. The dynamic response of the limbs becomes the overriding concern and must be controlled by the central nervous system. The dynamic response of a limb is usually associated with its posture, rather than its movement, but in a functional task such as the use of a tool, the postural dynamics are an integral part of the action. This perspective on motor behavior leads to some useful insights. Coordination is not a problem for movement alone; in a multiarticular system, even posture requires coordination and control. Muscles do not merely act reciprocally to generate forces about the joints; the net mechanical impedance of the limb may be controlled by synergistic activation of all muscles, including antagonists. Controlling dynamic behavior is a far more demanding task than controlling motion. Consequently, features of the neuromusculoskeletal system that appear to be redundant or unnecessary for movement control can play a functional role in controlling dynamic behavior. Polyarticular muscles contribute to the mechanical impedance in a unique way. Skeletal redundancies have a profound influence on all aspects of dynamic behavior, including the apparent inertia of the limbs. Redundancies are commonly perceived as a complicating factor in the control of motion, a problem that must be solved by the central nervous system. Rather than presenting a problem requiring solution, they may present a solution to a problem. Posture is not merely the outcome of a motor act; it is one of the important preparatory stages in the production of motor behavior.

Hand↗

The mechanics of multi-joint posture and movement control.

The dependence of muscle force on muscle length gives rise to a "spring-like" behavior which has been shown to play a role in the execution of single-joint posture and movement. This paper extends this concept and considers the influence of the apparent mechanical behavior of the neural, muscular and skeletal system on the control and coordination of multiple degree of freedom posture and movement. A rigorous definition of "spring-like" behavior is presented. From it a numerically quantifiable, experimental test of spring-like behavior is formulated. It is shown that if the steady-state force-displacement behavior of a limb is not spring-like, this can only be due to the action of inter-muscular feedback, and can not be due to intrinsic muscle properties. The directional character of the spring-like behavior of a multiple degree of freedom system is described. The unique way in which synergistic coactivation of polyarticular muscles may modulate the directional properties of the spring-like behavior of a multiple degree of freedom system is explained. Dynamic aspects of postural behavior are also considered. The concept of mechanical impedance is presented as a rigorous dynamic generalisation of the postural stiffness of the limb. The inertial behavior of the system is characterised by its mobility. As with the stiffness or impedance, in the multiple degree of freedom case it has a directional property. The way in which the apparent kinematic redundancy of the musculo-skeletal system may be used to modify its dynamic behavior is explained. Whereas the inertial behavior of a single limb segment is not modifiable, it is shown that the apparent inertial behavior of a multiple degree of freedom system may be modulated by repositioning the joints. A unified description of the posture and movement of a multi-joint system is presented by defining a "virtual trajectory" of equilibrium positions for the limb which may be specified by the neuro-muscular system. The way in which this approach may lead to a simplification of some the apparent computational difficulties associated with the control of multi-joint motion is discussed.

Arm↗

The coordination of arm movements: an experimentally confirmed mathematical model.

This paper presents studies of the coordination of voluntary human arm movements. A mathematical model is formulated which is shown to predict both the qualitative features and the quantitative details observed experimentally in planar, multijoint arm movements. Coordination is modeled mathematically by defining an objective function, a measure of performance for any possible movement. The unique trajectory which yields the best performance is determined using dynamic optimization theory. In the work presented here, the objective function is the square of the magnitude of jerk (rate of change of acceleration) of the hand integrated over the entire movement. This is equivalent to assuming that a major goal of motor coordination is the production of the smoothest possible movement of the hand. Experimental observations of human subjects performing voluntary unconstrained movements in a horizontal plane are presented. They confirm the following predictions of the mathematical model: unconstrained point-to-point motions are approximately straight with bell-shaped tangential velocity profiles; curved motions (through an intermediate point or around an obstacle) have portions of low curvature joined by portions of high curvature; at points of high curvature, the tangential velocity is reduced; the durations of the low-curvature portions are approximately equal. The theoretical analysis is based solely on the kinematics of movement independent of the dynamics of the musculoskeletal system and is successful only when formulated in terms of the motion of the hand in extracorporal space. The implications with respect to movement organization are discussed.

Arm↗

Neural, mechanical, and geometric factors subserving arm posture in humans.

When the hand is displaced from an equilibrium posture by an external disturbance, a force is generated to restore the original position. We developed a new experimental method to measure and represent the field of elastic forces associated with posture of the hand in the horizontal plane. While subjects maintained a given posture, small displacements of the hand along different directions were delivered by torque motors. The hand was held in the displaced positions and, at that time, we measured the corresponding restoring forces before the onset of any voluntary reaction. The stiffness in the vicinity of the hand equilibrium position was estimated by analyzing the force and displacement vectors. We chose to represent the stiffness both numerically, as a matrix, and graphically, as an ellipse characterized by three parameters: magnitude (the area), shape (the ratio of axis) and orientation (direction of the major axis). The latter representation captures the main geometrical features of the elastic force field associated with posture. We also evaluated the conservative and nonconservative components of this elastic force field. We found that the former were much larger than the latter and concluded that the behavior of the neuromuscular system of the multiarticular arm is predominantly spring-like. Our data indicated that the shape and orientation of the stiffness were invariant over subjects and over time. We also investigated the ability of our subjects to produce voluntary and adaptive changes in the stiffness. Our findings indicated that, when a disturbance acting along a fixed and predictable direction was imposed, the magnitude of the stiffness was increased but only minor changes in shape and orientation occurred. Taken together, all of these experiments represent a step toward the understanding of the interactions between geometrical and neural factors involved in maintaining hand posture and its interactions with the environment.

Adaptation, Physiological↗

Posture control and trajectory formation during arm movement.

One hypothesis for the generation of spatially oriented arm movements by the central nervous system is that a desired joint position is determined by the ratio of the tensions of agonist and antagonist muscles. According to this hypothesis, the transition between equilibrium states should be solely a function of the contraction time of the motor units and the mechanical properties of the arm. We tested this hypothesis in intact and deafferented rhesus monkeys by holding the forearm and measuring the accelerative transient after release of the forearm and by directly measuring the time course of the increase in torque during the movement. Both methods indicated an average time of 400 msec for attaining peak torque in a movement with a duration of 700 msec. In addition, by displacing the arm from its normal trajectory during the movement, we observed that the arm returned neither to the initial nor to the final equilibrium positions, but to points intermediate between them. We conclude that the processes underlying trajectory formation must be more complex than a simple switch between one equilibrium position and another.

Afferent Pathways↗

An organizing principle for a class of voluntary movements.

This paper presents a mathematical model which predicts both the major qualitative features and, within experimental error, the quantitative details of a class of perturbed and unperturbed large-amplitude, voluntary movements performed at intermediate speed by primates. A feature of the mathematical model is that a concise description of the behavioral organization of the movement has been formulated which is separate and distinct from the description of the dynamics of movement execution. Based on observations of voluntary movements in primates, the organization has been described as though the goal were to make the smoothest movement possible under the circumstances, i.e., to minimize the accelerative transients. This has been formalized by using dynamic optimization theory to determine the movement which minimizes the rate of change of acceleration (jerk) of the limb. Based on observations of muscle mechanics, the concept of a "virtual position" determined by the active states of the muscles is rigorously defined as one of the mechanical consequences of the neural commands to the muscles. This provides insight into the mechanics of perturbed and unperturbed movements and is a useful aid in the separation of the descriptions of movement organization and movement execution.

Animals↗

Arm trajectory formation in monkeys.

The formation of forearm trajectories of moderate velocities (0.3-1.3 rad/s) was studied in monkeys performing a simple visuomotor task. The experiments were designed to test the hypothesis that the transition from one position to another is subserved by a rapid shift to a final equilibrium of forces in agonist and antagonist muscles. This idea is attractive because it suggests the possibility that in simple movements the trajectory is determined by the inherent inertial and viscoelastic properties of the limb and muscles around a joint. The results indicate that these moderate speed movements are controlled by a gradual, and not a step-like, shift to the final equilibrium position.

Afferent Pathways↗

A review of the methods of processing EMG for use as a proportional control signal.

The use of EMG as a proportional control signal for prostheses is reviewed. The lack of success of existing proportional EMG-controlled prostheses is shown to be attributable in the greater part to the presence of low frequency "noise" in the processed EMG signal. If EMG is to yield useful proportional information, this noise must be eliminated, and to this end the methods of processing EMG are reviewed and the sources of noise examined. A number of methods for its removal are discussed.

Artificial Limbs↗

Increasing productivity and quality of care: robot-aided neuro-rehabilitation.

This paper presents an overview of our research in robot-aided stroke neuro-rehabilitation and recovery. At the onset of this research we had to confront squarely (and solve!) a critical question: If anatomy is destiny, can we influence it? Our efforts over the last five years have been focused on answering this question and we will present a few of our clinical results from over 2,000 hours of robot-aided therapy with 76 stroke patients. To determine if exercise therapy influences plasticity and recovery of the brain following a stroke, we needed the appropriate "microscope" that would allow us to concomitantly control the amount of therapy delivered to a patient, while objectively measuring patient's performance. Back-driveable robots are the key enabling technology. Our results to date using common clinical scales suggest that robot-aided sensorimotor training does have a genuinely positive effect on reduction of impairment and the reorganization of the adult brain. Yet while clinical scales can help us to examine the impact in the neuro-recovery process, their coarse nature requires extensive and time-consuming trials, and on top of that they fail to show us details important for optimizing therapy. Alternative, robot-based scales offer the potential benefit of new finer measurements-and deeper insight into the process of recovery from neurological injury. We also plan to use present technology to establish the practicality and economic feasibility of clinician-supervised, robot-administered therapy, including classroom therapy. We feel quite optimistic that the march of progress will accelerate substantially in the near future and allow us to transfer this technology from the research realm to the everyday treatment of stroke survivors.

Efficiency↗