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  4. Sensory-Motor Neurostimulation to Enhance Exosuit Performance
 
conference paper

Sensory-Motor Neurostimulation to Enhance Exosuit Performance

Basla, Chiara
•
Chee, Lauren
•
Valle, Giacomo
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January 1, 2023
2023 International Conference On Rehabilitation Robotics, Icorr
International Conference on Rehabilitation Robotics (ICORR)

Exosuits typically provide limited mechanical support and rely on a user's residual functional ability. However, people with neurological impairments often suffer from both motor and sensory deficits that limit the assistance an exosuit can provide. To overcome these limitations, we developed the REINFORCE system, that complements the mechanical assistance provided by an exosuit, the Myosuit, with (1) functional electrical stimulation to enhance the activities of leg muscles, and (2) transcutaneous electrical nerve stimulation to restore somatosensory information. It consists of a fully portable and highly modular system that can be easily adapted to the level of impairment and specific need of each participant. Technical verification with three healthy participants showed reliable synchronization between all modules of the systems in all phases of walking. Additionally, we tested the system's effectiveness in one participant with multiple sclerosis who walked overground with and without functional electrical stimulation. Results showed a slight increase in self-selected walking speed (approx. 18%) and in the peak hip flexion at late swing (approx. 12%) as well as reduced step-to-step variability of step length and step time when electrical stimulation was provided. Our findings push towards a clinical trial involving more patients to validate the effectiveness of the REINFORCE system on participants' mobility.

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Type
conference paper
DOI
10.1109/ICORR58425.2023.10304701
Web of Science ID

WOS:001103260000029

Author(s)
Basla, Chiara
Chee, Lauren
Valle, Giacomo
Crema, Andrea  
Micera, Silvestro  
Riener, Robert
Raspopovic, Stanisa
Date Issued

2023-01-01

Publisher

IEEE

Publisher place

New York

Published in
2023 International Conference On Rehabilitation Robotics, Icorr
ISBN of the book

979-8-3503-4275-8

Subjects

Technology

•

Life Sciences & Biomedicine

•

Human Walking

•

Orthosis

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
TNE  
Event nameEvent placeEvent date
International Conference on Rehabilitation Robotics (ICORR)

Singapore, SINGAPORE

SEP 24-28, 2023

FunderGrant Number

Swiss National Center of Competence in Research (NCCR) Robotics

Available on Infoscience
February 20, 2024
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/204383
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