Research progress on mechanical perturbation in stroke rehabilitation_Journal of Biomedical Engineering

Authors：

LIU Ying ,  LIAO Yanjian

Bioengineering college, Chongqing University, Chongqing 400044, P.R.China;

Corresponding author：

Keywords：

Stroke; Motor rehabilitation; Mechanical perturbation; Sensorimotor disorder

DOI：

10.7507/1001-5515.202206059

Video：

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Sensorimotor disorder can be easily caused by stroke, and there are many targeted movement rehabilitation therapies. With the development of rehabilitation robot technology, robot-assisted therapy combined with mechanical perturbations has become a more effective motor rehabilitation therapy. In this paper, the definition of mechanical perturbation and its physiological mechanism in stroke rehabilitation are introduced, the research progress on mechanical perturbation in the field of stroke rehabilitation therapy is mainly discussed, the application of mechanical perturbation in motor control, postural response and sensory evaluation of stroke rehabilitation is summarized, and the future development direction of mechanical perturbation rehabilitation therapy is also prospected.

Citation： LIU Ying, LIAO Yanjian. Research progress on mechanical perturbation in stroke rehabilitation. Journal of Biomedical Engineering, 2022, 39(6): 1240-1246. doi: 10.7507/1001-5515.202206059 Copy

1.	《中国脑卒中防治报告》编写组. 《中国脑卒中防治报告2019》概要. 中国脑血管病杂志, 2020, 17(5): 272-281.
2.	刘莉,王宝兰. 缺血性脑卒中后超早期康复探讨. 中国医刊, 2022, 57(5): 481-484.
3.	刘惠林, 王剑桥, 苏国栋. 感觉输入对偏瘫患者运动功能康复的研究进展. 中日友好医院报, 2021, 35(4): 237-240.
4.	唐晓晓, 洪永锋, 毛晶, 等. 早期不同康复策略对脑卒中患者偏瘫侧上肢功能恢复的影响. 中国康复医学杂志, 2022, 37(6): 779-783.
5.	李宇淇, 曾庆, 黄国志. 上肢康复机器人在脑卒中的临床应用进展. 中国康复理论与实践, 2020, 26(3): 310-314.
6.	Duan G R, High-order fully actuated system approaches: part II. generalized strict-feedback systems. International Journal of System Sciences, 2021, 52(3): 437-454.
7.	Mannella K, Forman G N, Mugnosso M, et al. The effects of isometric hand grip force on wrist kinematics and forearm muscle activity during radial and ulnar wrist joint perturbations. Peer J, 2022, 10: e13495.
8.	Guo Z, Qian Q, Wong K, et al. Altered corticomuscular coherence (CMCoh) pattern in the upper limb during finger movements after stroke. Front Neurol, 2020, 11: 410.
9.	McClelland V M, Cvetkovic Z, Mills K R. Modulation of corticomuscular coherence by peripheral stimuli. Experimental Brain Research, 2012, 219(2): 275-292.
10.	VanGilder J L, Hooyman A, Peterson D S, et al. Post-stroke cognitive impairments and responsiveness to motor rehabilitation: a review. Curr Phys Med Rehabil Rep, 2020, 8(4): 461-468.
11.	Veerbeek J M, Pohl J, Held J P O, et al. External validation of the early prediction of functional outcome after stroke prediction model for independent gait at 3 months after stroke. Front Neurol, 2022, 13: 797791.
12.	Stephen S H. The computational and neural basis of voluntary motor control and planning. Trends in Cognitive Sciences, 2012, 16(11): 541-549.
13.	Fauvet M, Gasq D, Chalard A, et al. Temporal dynamics of corticomuscular coherence reflects alteration of the central mechanisms of neural motor control in post-stroke patients. Front Hum Neurosci, 2021, 15: 682080.
14.	Israely S, Leisman G, Carmeli E. Impaired coordination and recruitment of muscle agonists, but not abnormal synergies or co-contraction, have a significant effect on motor impairments after stroke. Advances in experimental medicine and biology, 2020, 1279: 37-51.
15.	McGeown J P, Hume P A, Kara S, et al. Preliminary evidence for the clinical utility of tactile somatosensory assessments of sport-related mTBI. Sports Medicine Open, 2021, 7(1): 56.
16.	Valeriani M, Mazzone P, Restuccia D, et al. Contribution of different somatosensory afferent input to subcortical somatosensory evoked potentials in humans. Journal of the Neurological Sciences, 2021, 429(S): 118536.
17.	Cop C P, Cavallo G, van ’t Veld R C, et al. Unifying system identification and biomechanical formulations for the estimation of muscle, tendon and joint stiffness during human movement. Progress in Biomedical Engineering, 2021, 3(3): 17.
18.	van 't Veld R C, van Asseldonk E H F, van der Kooij H, et al. Disentangling acceleration-, velocity-, and duration-dependency of the short- and medium-latency stretch reflexes in the ankle plantarflexors. Neurophysiol, 2021, 126(4): 1015-1029.
19.	HarryLeite P, Paquete M, Teixeira J, et al. Acute impact of proprioceptive exercise on proprioception and balance in athletes. Applied Sciences, 2022, 12(2): 830.
20.	O'Keeffe A B, Malekmohammadi M, Sparks H, et al. Synchrony drives motor cortex beta bursting, waveform dynamics, and phase-amplitude coupling in Parkinson's disease. The Journal of neuroscience, 2020, 40(30): 5833-5846.
21.	Miall R C, Rosenthal O, Ørstavik K, et al. Loss of haptic feedback impairs control of hand posture: a study in chronically deaf ferented individuals when grasping and lifting objects. Exp Brain Res, 2019, 237(9): 2167-2184.
22.	Timm F, Kuehn E. A Mechanical stimulation glove to induce hebbian plasticity at the fingertip. Front Hum Neurosci, 2020, 14: 177.
23.	Yeh I L, Holst-Wolf J, Elangovan N, et al. Effects of a robot-aided somatosensory training on proprioception and motor function in stroke survivors. J NeuroengRehabil, 2021, 18(1): 77.
24.	Campfens S F, Schouten A C, van Putten M J, et al. Quantifying connectivity via efferent and afferent pathways in motor control using coherence measures and joint position perturbations. Experimental Brain Research, 2013, 228(2): 141-153.
25.	Hagedoorn L, Zadravec M, Olenšek A, et al. The existence of shared muscle synergies underlying perturbed and unperturbed gait depends on walking speed. Applied Sciences, 2022, 12(4): 2135.
26.	Bhardwaj S, Negi V, Vashista V. Vibratory cue training elicits anticipatory postural responses to an external perturbation. Exp Brain Res, 2022, 240(4): 1105-1116.
27.	Im C H, Kim D H, Yun J E, et al. Compensatory postural responses to backward loss of balance in patients with cerebellar disease. Gait Posture, 2021, 86: 7-12.
28.	Phillips D, dos Santos F V, Santoso M. Sudden visual perturbations induce postural responses in a virtual reality environment. Theoretical Issues in Ergonomics Science, 2022, 23(1): 25-37.
29.	Sever J, Babič J, Kozinc Ž, et al. Postural responses to sudden horizontal perturbations in Tai Chi practitioners. Int. J. Environ. Res, Public Health, 2021, 18(5): 2692.
30.	Beomryong K, Taewoo K. Effect of balance exercise using a combination of isotonics for proprioceptive neuromuscular facilitation on balance and walking ability in patients with hemiplegia due to stroke. Physical Therapy Rehabilitation Science, 2021, 10(4): 470.
31.	Cao Y, DiPiro N D, Brotherton S S, et al. Assistive devices and future fall-related injuries among ambulatory adults with spinal cord injury: a prospective cohort study. Spinal Cord, 2021, 59(7): 747-752.
32.	Haddad Y K, Shakya I, Moreland B L, et al. Injury diagnosis and affected body part for nonfatal fall-related injuries in community-dwelling older adults treated in emergency departments. Journal of Aging and Health, 2020, 32(10): 1433-1442.
33.	Cano P D, Jacobs J V, Inzelberg R, et al. Patterns of whole-body muscle activations following vertical perturbations during standing and walking. Journal of NeuroEngineering and Rehabilitation, 2021, 18(1): 75.
34.	Benjamin E J, Muntner P, Alonso A, et al. Correction to: heart disease and stroke statistics-2019 update: a report from the american heart association. Circulation, 2020, 141(2): e33.
35.	Hu S, Wu G, Wu B, et al. Rehabilitative training paired with peripheral stimulation promotes motor recovery after ischemic cerebral stroke. Experimental Neurology, 2022, 349: 113960.
36.	Lee C, Kim Y, Kaang B K. The primary motor cortex: the hub of motor learning in rodents. Neuroscience, 2022, 485: 163-170.
37.	Lee J, Chang W H, Kim Y H. Relationship between the corticospinal and corticocerebellar tracts and their role in upper extremity motor recovery in stroke patients. Journal of Personalized Medicine, 2021, 11(11): 1162.
38.	Vlaar M P, Solis-Escalante T, Dewald J P A, et al. Quantification of task-dependent cortical activation evoked by robotic continuous wrist joint manipulation in chronic hemiparetic stroke. Journal of Neuroengineering and Rehabilitation, 2017, 14(1): 30.
39.	Liu J, Sheng Y, Liu H. Corticomuscular coherence and its applications: a review. FronHum Neurosci. 2019, 13: 100.
40.	Liu J, Tan G, Sheng Y, et al. A novel delay estimation method for improving corticomuscular coherence in continuous synchronization events. IEEE Trans Biomed Eng, 2022, 69(4): 1328-1339.
41.	Williams E R, Soteropoulos D S, Baker S N. Coherence between motor cortical activity and peripheral discontinuities during slow finger movements. J Neurophysiol, 2009, 102(2): 1296-1309.
42.	Zandvliet S B, van Wegen E E H, Campfens S F, et al. Position-cortical coherence as a marker of afferent pathway integrity early poststroke: a prospective cohort study. Neurorehabil Neural Repair, 2020, 34(4): 344-359.
43.	Mujunen T, Nurmi T, Piitulainen H. Corticokinematic coherence is stronger to regular than irregular proprioceptive stimulation of the hand. Neurophysiol, 2021, 126(2): 550-560.
44.	Piitulainen H, Illman M, Jousmäki V, et al. Feasibility and reproducibility of electroencephalography-based corticokinematic coherence. Journal of neurophysiology, 2020, 124(6): 1959-1967.

1. 《中国脑卒中防治报告》编写组. 《中国脑卒中防治报告2019》概要. 中国脑血管病杂志, 2020, 17(5): 272-281.
2. 刘莉,王宝兰. 缺血性脑卒中后超早期康复探讨. 中国医刊, 2022, 57(5): 481-484.
3. 刘惠林, 王剑桥, 苏国栋. 感觉输入对偏瘫患者运动功能康复的研究进展. 中日友好医院报, 2021, 35(4): 237-240.
4. 唐晓晓, 洪永锋, 毛晶, 等. 早期不同康复策略对脑卒中患者偏瘫侧上肢功能恢复的影响. 中国康复医学杂志, 2022, 37(6): 779-783.
5. 李宇淇, 曾庆, 黄国志. 上肢康复机器人在脑卒中的临床应用进展. 中国康复理论与实践, 2020, 26(3): 310-314.
6. Duan G R, High-order fully actuated system approaches: part II. generalized strict-feedback systems. International Journal of System Sciences, 2021, 52(3): 437-454.
7. Mannella K, Forman G N, Mugnosso M, et al. The effects of isometric hand grip force on wrist kinematics and forearm muscle activity during radial and ulnar wrist joint perturbations. Peer J, 2022, 10: e13495.
8. Guo Z, Qian Q, Wong K, et al. Altered corticomuscular coherence (CMCoh) pattern in the upper limb during finger movements after stroke. Front Neurol, 2020, 11: 410.
9. McClelland V M, Cvetkovic Z, Mills K R. Modulation of corticomuscular coherence by peripheral stimuli. Experimental Brain Research, 2012, 219(2): 275-292.
10. VanGilder J L, Hooyman A, Peterson D S, et al. Post-stroke cognitive impairments and responsiveness to motor rehabilitation: a review. Curr Phys Med Rehabil Rep, 2020, 8(4): 461-468.
11. Veerbeek J M, Pohl J, Held J P O, et al. External validation of the early prediction of functional outcome after stroke prediction model for independent gait at 3 months after stroke. Front Neurol, 2022, 13: 797791.
12. Stephen S H. The computational and neural basis of voluntary motor control and planning. Trends in Cognitive Sciences, 2012, 16(11): 541-549.
13. Fauvet M, Gasq D, Chalard A, et al. Temporal dynamics of corticomuscular coherence reflects alteration of the central mechanisms of neural motor control in post-stroke patients. Front Hum Neurosci, 2021, 15: 682080.
14. Israely S, Leisman G, Carmeli E. Impaired coordination and recruitment of muscle agonists, but not abnormal synergies or co-contraction, have a significant effect on motor impairments after stroke. Advances in experimental medicine and biology, 2020, 1279: 37-51.
15. McGeown J P, Hume P A, Kara S, et al. Preliminary evidence for the clinical utility of tactile somatosensory assessments of sport-related mTBI. Sports Medicine Open, 2021, 7(1): 56.
16. Valeriani M, Mazzone P, Restuccia D, et al. Contribution of different somatosensory afferent input to subcortical somatosensory evoked potentials in humans. Journal of the Neurological Sciences, 2021, 429(S): 118536.
17. Cop C P, Cavallo G, van ’t Veld R C, et al. Unifying system identification and biomechanical formulations for the estimation of muscle, tendon and joint stiffness during human movement. Progress in Biomedical Engineering, 2021, 3(3): 17.
18. van 't Veld R C, van Asseldonk E H F, van der Kooij H, et al. Disentangling acceleration-, velocity-, and duration-dependency of the short- and medium-latency stretch reflexes in the ankle plantarflexors. Neurophysiol, 2021, 126(4): 1015-1029.
19. HarryLeite P, Paquete M, Teixeira J, et al. Acute impact of proprioceptive exercise on proprioception and balance in athletes. Applied Sciences, 2022, 12(2): 830.
20. O'Keeffe A B, Malekmohammadi M, Sparks H, et al. Synchrony drives motor cortex beta bursting, waveform dynamics, and phase-amplitude coupling in Parkinson's disease. The Journal of neuroscience, 2020, 40(30): 5833-5846.
21. Miall R C, Rosenthal O, Ørstavik K, et al. Loss of haptic feedback impairs control of hand posture: a study in chronically deaf ferented individuals when grasping and lifting objects. Exp Brain Res, 2019, 237(9): 2167-2184.
22. Timm F, Kuehn E. A Mechanical stimulation glove to induce hebbian plasticity at the fingertip. Front Hum Neurosci, 2020, 14: 177.
23. Yeh I L, Holst-Wolf J, Elangovan N, et al. Effects of a robot-aided somatosensory training on proprioception and motor function in stroke survivors. J NeuroengRehabil, 2021, 18(1): 77.
24. Campfens S F, Schouten A C, van Putten M J, et al. Quantifying connectivity via efferent and afferent pathways in motor control using coherence measures and joint position perturbations. Experimental Brain Research, 2013, 228(2): 141-153.
25. Hagedoorn L, Zadravec M, Olenšek A, et al. The existence of shared muscle synergies underlying perturbed and unperturbed gait depends on walking speed. Applied Sciences, 2022, 12(4): 2135.
26. Bhardwaj S, Negi V, Vashista V. Vibratory cue training elicits anticipatory postural responses to an external perturbation. Exp Brain Res, 2022, 240(4): 1105-1116.
27. Im C H, Kim D H, Yun J E, et al. Compensatory postural responses to backward loss of balance in patients with cerebellar disease. Gait Posture, 2021, 86: 7-12.
28. Phillips D, dos Santos F V, Santoso M. Sudden visual perturbations induce postural responses in a virtual reality environment. Theoretical Issues in Ergonomics Science, 2022, 23(1): 25-37.
29. Sever J, Babič J, Kozinc Ž, et al. Postural responses to sudden horizontal perturbations in Tai Chi practitioners. Int. J. Environ. Res, Public Health, 2021, 18(5): 2692.
30. Beomryong K, Taewoo K. Effect of balance exercise using a combination of isotonics for proprioceptive neuromuscular facilitation on balance and walking ability in patients with hemiplegia due to stroke. Physical Therapy Rehabilitation Science, 2021, 10(4): 470.
31. Cao Y, DiPiro N D, Brotherton S S, et al. Assistive devices and future fall-related injuries among ambulatory adults with spinal cord injury: a prospective cohort study. Spinal Cord, 2021, 59(7): 747-752.
32. Haddad Y K, Shakya I, Moreland B L, et al. Injury diagnosis and affected body part for nonfatal fall-related injuries in community-dwelling older adults treated in emergency departments. Journal of Aging and Health, 2020, 32(10): 1433-1442.
33. Cano P D, Jacobs J V, Inzelberg R, et al. Patterns of whole-body muscle activations following vertical perturbations during standing and walking. Journal of NeuroEngineering and Rehabilitation, 2021, 18(1): 75.
34. Benjamin E J, Muntner P, Alonso A, et al. Correction to: heart disease and stroke statistics-2019 update: a report from the american heart association. Circulation, 2020, 141(2): e33.
35. Hu S, Wu G, Wu B, et al. Rehabilitative training paired with peripheral stimulation promotes motor recovery after ischemic cerebral stroke. Experimental Neurology, 2022, 349: 113960.
36. Lee C, Kim Y, Kaang B K. The primary motor cortex: the hub of motor learning in rodents. Neuroscience, 2022, 485: 163-170.
37. Lee J, Chang W H, Kim Y H. Relationship between the corticospinal and corticocerebellar tracts and their role in upper extremity motor recovery in stroke patients. Journal of Personalized Medicine, 2021, 11(11): 1162.
38. Vlaar M P, Solis-Escalante T, Dewald J P A, et al. Quantification of task-dependent cortical activation evoked by robotic continuous wrist joint manipulation in chronic hemiparetic stroke. Journal of Neuroengineering and Rehabilitation, 2017, 14(1): 30.
39. Liu J, Sheng Y, Liu H. Corticomuscular coherence and its applications: a review. FronHum Neurosci. 2019, 13: 100.
40. Liu J, Tan G, Sheng Y, et al. A novel delay estimation method for improving corticomuscular coherence in continuous synchronization events. IEEE Trans Biomed Eng, 2022, 69(4): 1328-1339.
41. Williams E R, Soteropoulos D S, Baker S N. Coherence between motor cortical activity and peripheral discontinuities during slow finger movements. J Neurophysiol, 2009, 102(2): 1296-1309.
42. Zandvliet S B, van Wegen E E H, Campfens S F, et al. Position-cortical coherence as a marker of afferent pathway integrity early poststroke: a prospective cohort study. Neurorehabil Neural Repair, 2020, 34(4): 344-359.
43. Mujunen T, Nurmi T, Piitulainen H. Corticokinematic coherence is stronger to regular than irregular proprioceptive stimulation of the hand. Neurophysiol, 2021, 126(2): 550-560.
44. Piitulainen H, Illman M, Jousmäki V, et al. Feasibility and reproducibility of electroencephalography-based corticokinematic coherence. Journal of neurophysiology, 2020, 124(6): 1959-1967.

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