A SURFACE EMG DRIVEN MUSCULOSKELETAL MODEL OF THE ELBOW FLEXION-EXTENSION MOVEMENT IN NORMAL SUBJECTS AND IN SUBJECTS WITH SPASTICITY

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Abstract
Spasticity often interferes with function, limits independence and may cause considerable disability. Elbow joint movement is involved in many daily living activities. A surface EMG driven musculoskeletal model was developed to predict joint trajectory and to compare the differences in the model parameters between the normal and spastic subjects. Three musculotendon actuators whose EMG could be assessed by surface electrodes (biceps, brachioradialis and triceps) were included in this musculoskeletal model. The proposed model took several sets of parameters (anthropometric parameters of the skeleton and muscle parameters) as inputs. Surface EMG signals of the three muscle groups were rectified, moving-averaged, scaled and converted to active states. These active states together with the initial angular position and velocity of the joint were also used as inputs for the model. The outputs were muscle forces and the trajectory of the elbow joint. Two groups of parameters, namely, maximal isometric muscle stress and electromechanical delay were estimated using the trajectory fitting algorithm. Results indicated that the model was successful in using the surface EMG as input signals in the prediction of elbow joint trajectory. The spastic subjects showed a lower maximum isometric muscle stress and longer electromechanical delay.

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