Artículos de revistas
An Improved Approach For Measuring The Tonic Stretch Reflex Response Of Spastic Muscles
Registro en:
Computers In Biology And Medicine. Pergamon-elsevier Science Ltd , v. 80, p. 166 - 174, 2017.
0010-4825
1879-0534
WOS:000394557800017
10.1016/j.compbiomed.2016.12.001
Autor
Silva
Maristella Borges; Silva
Andrei Nakagawa; Martins Naves
Eduardo Lazaro; Palomari
Evanisi Teresa; Soares
Alcimar Barbosa
Institución
Resumen
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) We propose a new method for detecting the onset of the stretch reflex response for assessment of spasticity based on the Tonic Stretch Reflex Threshold (TSRT). Our strategy relies on a three-stage approach to detect the onset of the reflex EMG activity: (i) Reduction of baseline activity by means of Empirical Mode Decomposition; (ii) Extraction of the complex envelope of the EMG signal by means of Hilbert Transform (HT) and; iii) A double threshold decision rule. Simulated and real EMG data were used to evahiate and compare our method (TSRT-EHD) against three other popular methods described in the literature to assess TSRT 'Ferreira' and. 'Blanchette'). Four different groups of signals containing simulated evoked stretch reflex EMG activities were generated: groups A and B without spontaneous EMG activity at rest and signal-to-noise ratio (SNR) of 10 dB and 20 dB respectively; groups C and D with spontaneous EMG activity at rest, as observed frequently in spastic muscles, and SNR of 10 dB and 20 dB respectively. The results with simulated data showed a significantly higher accuracy of TSRT-EHD for detecting the onset of the reflex EMG activity in groups C and D when compared to the other methods. Analyses using real data from five post stroke spastic subjects demonstrated that the TSRTs generated by each method were dramatically different from one another. Nevertheless, only TSRT-EHD provided valid measures across all subjects. 80 166 174 CAPES, Brazil [AUXPE-COFECUB-012/2009] CNPq, Brazil [306893/2011-8] FAPEMIG, Brazil [TEC-PPM-00012-12] Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)