WS5 – FES cycling for rehabilitation after CNS lesion

Physical activity contributes in preventing secondary impairments associated with reduced motor activity (paralysis). FES (Functional Electrical Stimulation) cycling is a recreative and efficient method that can be used to sustain a regular physical activity in patients after lesion of central nervous system. In this workshop, we will practically explore methods to systematically determine and assess the efficiency of different FES cycling protocols. Participants will be able to personally experience effects of FES, as well to test stimulation patterns for cycling in a tetraplegic patient.

Organizers:

Lana Popović-Maneski, Institute of Technical Sciences of the Serbian Academy of Sciences and Arts, Serbia
Amine Metani, Laboratoire de Physique de l’ENS de Lyon, CNRS, France

Collaborator:

Julien Jouffroy, FES pilot at Cybathlon 2016, C6/C7 tetraplegic

PROGRAM:

Day 1: Cycling stimulation pattern for a healthy person

– Introduction to FES cycling and associated difficulties (sitting position, dead spot, muscle fatigue, body asymmetricity)
– Multi-channel EMG measurements on healthy volunteer during cycling on a pedaling platform
– Determination of healthy EMG patterns from major movers required for cycling (legs and back)
– Stimulation of 16 channels (8 muscles on each side) on a healthy volunteer

Day 2: Cycling stimulation pattern for a SCI patient

– Tangential force measurements with special pedal force sensors during passive (motor driven) movement of the legs on pedaling platform
– Tangential force measurements with special pedal force sensors during constant stimulation of 3 muscle groups (quadriceps, hamstrings, gluteus)
– Determination of optimal stimulation pattern for a specific SCI patient from the available measurements
– Testing of stimulation patterns

CV Lana Popović-Maneski

Lana Popović-Maneski received a MSc degree in Automatic control from the School of Electrical Engineering, University of Belgrade, Serbia in 2007, and a PhD degree in Biomedical engineering from the same school in 2011. Her main research interests include applications of surface functional electrical stimulation (FES) in rehabilitation after SCI or stroke, electrical stimulation for sensory feedback, multi-pad surface electrodes design for FES, EMG and ECG, wearable assessment devices. She is author of more than 30 papers cited more than 350 times (google scholar profile)

She is currently employed at the Institute of Technical Sciences of the Serbian Academy of Sciences and Arts, Belgrade, Serbia.

CV Amine Metani

Amine Metani received an Engineer’s degree in Applied Mathematics from the École Centrale de Lyon, France in 2008, and a PhD degree in Biophysics from the École Normale Supérieure de Lyon, France in 2012. He worked in hospital air decontamination in collaboration with Airinspace and EDF and since 2015 focused on Neurological Rehabilitation within Vance Bergeron’s team.

He is currently employed at the Physics Laboratory of the École Normale Supérieure de Lyon, France.