5 results on '"Yoshida, Kazunori"'
Search Results
2. Clarify Sit-to-Stand Muscle Synergy and Tension Changes in Subacute Stroke Rehabilitation by Musculoskeletal Modeling.
- Author
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Wang, Ruoxi, An, Qi, Yang, Ningjia, Kogami, Hiroki, Yoshida, Kazunori, Yamakawa, Hiroshi, Hamada, Hiroyuki, Shimoda, Shingo, Yamasaki, Hiroshi R., Yokoyama, Moeka, Alnajjar, Fady, Hattori, Noriaki, Takahashi, Kouji, Fujii, Takanori, Otomune, Hironori, Miyai, Ichiro, Yamashita, Atsushi, and Asama, Hajime
- Subjects
STROKE rehabilitation ,MUSCLE contraction ,STROKE patients ,ELECTROMYOGRAPHY ,MATHEMATICAL optimization - Abstract
Post-stroke patients exhibit distinct muscle activation electromyography (EMG) features in sit-to-stand (STS) due to motor deficiency. Muscle activation amplitude, related to muscle tension and muscle synergy activation levels, is one of the defining EMG features that reflects post-stroke motor functioning and motor impairment. Although some qualitative findings are available, it is not clear if and how muscle activation amplitude-related biomechanical attributes may quantitatively reflect during subacute stroke rehabilitation. To better enable a longitudinal investigation into a patient's muscle activation changes during rehabilitation or an inter-subject comparison, EMG normalization is usually applied. However, current normalization methods using maximum voluntary contraction (MVC) or within-task peak/mean EMG may not be feasible when MVC cannot be obtained from stroke survivors due to motor paralysis and the subject of comparison is EMG amplitude. Here, focusing on the paretic side, we first propose a novel, joint torque-based normalization method that incorporates musculoskeletal modeling, forward dynamics simulation, and mathematical optimization. Next, upon method validation, we apply it to quantify changes in muscle tension and muscle synergy activation levels in STS motor control units for patients in subacute stroke rehabilitation. The novel method was validated against MVC-normalized EMG data from eight healthy participants, and it retained muscle activation amplitude differences for inter- and intra-subject comparisons. The proposed joint torque-based method was also compared with the common static optimization based on squared muscle activation and showed higher simulation accuracy overall. Serial STS measurements were conducted with four post-stroke patients during their subacute rehabilitation stay (137 ± 22 days) in the hospital. Quantitative results of patients suggest that maximum muscle tension and activation level of muscle synergy temporal patterns may reflect the effectiveness of subacute stroke rehabilitation. A quality comparison between muscle synergies computed with the conventional within-task peak/mean EMG normalization and our proposed method showed that the conventional was prone to activation amplitude overestimation and underestimation. The contributed method and findings help recapitulate and understand the post-stroke motor recovery process, which may facilitate developing more effective rehabilitation strategies for future stroke survivors. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
3. Artificial neural network that modifies muscle activity in sit-to-stand motion using sensory input.
- Author
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Yoshida, Kazunori, An, Qi, Hamada, Hiroyuki, Yamakawa, Hiroshi, Tamura, Yusuke, Yamashita, Atsushi, and Asama, Hajime
- Subjects
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ARTIFICIAL neural networks , *ANKLE , *KNEE , *REACTION forces - Abstract
Sit-to-stand motion is an important daily activity, and it is important to study the mechanism of the motion to improve the ability when it becomes weak. To study the mechanism, we hypothesized that muscle synergy generates muscle activity as a feedforward signal, which is modified by sensory input. This study focuses on determining the sensory input primarily used for modifying sit-to-stand motion. To obtain this, we built artificial neural network models that generate muscle activities based on sensory input and feedforward signals and analyzed the effect of each input on the output. The models were built for each motion phase. The input was information from vestibular and somatosensory input and averaged muscle synergy as feedforward signals, and the output was muscle synergy. As a result, it was revealed that humans may primarily use hip angle to bend forward, ankle and vertical foot reaction force to hip rise, ankle, knee, and lumber angles and vertical foot reaction force to extend body, and lumber angle to stabilize. This indicates the type of sensory input used to control each muscle synergy in each motion phase. The information should be used to modify the sit-to-stand motion in environmental conditions where the motion is performed. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
4. Analysis of muscle synergy and kinematics in sit-to-stand motion of hemiplegic patients in subacute period.
- Author
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Kogami, Hiroki, An, Qi, Yang, Ningjia, Wang, Ruoxi, Yoshida, Kazunori, Hamada, Hiroyuki, Yamakawa, Hiroshi, Tamura, Yusuke, Shimoda, Shingo, Yamasaki, Hiroshi, Yokoyama, Moeka, Alnajjar, Fady, Hattori, Noriaki, Takahashi, Koji, Fujii, Takanori, Otomune, Hironori, Miyai, Ichiro, Yamashita, Atsushi, and Asama, Hajime
- Subjects
HEMIPLEGICS ,KINEMATICS ,CENTER of mass ,MUSCLE mass ,PATIENTS' attitudes ,MUSCLES - Abstract
Patients with stroke experience declined physical functions and aim to recover by rehabilitation. It is important to improve their functions in the subacute period. Hemiplegic patients who can stand exhibit differing characteristics such as the center of mass and muscle synergy compared to healthy subjects. However, the characteristics to be achieved by the sit-to-stand motion in the subacute period is unknown. This study investigated the sit-to-stand motions of hemiplegic patients (n = 21) in three months of stroke onset. The patients were partitioned into two groups ('mild' and 'severe'), based on the functional independence score at the time of discharge, and the patient's sit-to-stand motion in the subacute period was analyzed by muscle synergy and kinematics. The severe patients performed a biased standing on the non-paralyzed side, and the activation timing of muscle synergy that contributes to whole-body extension was earlier than that of the mild patients. This study contributes to the development of guidelines for optimal intervention for each patient. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
5. Visual and Vestibular Inputs Affect Muscle Synergies Responsible for Body Extension and Stabilization in Sit-to-Stand Motion.
- Author
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Yoshida, Kazunori, An, Qi, Yozu, Arito, Chiba, Ryosuke, Takakusaki, Kaoru, Yamakawa, Hiroshi, Tamura, Yusuke, Yamashita, Atsushi, and Asama, Hajime
- Subjects
HUMAN mechanics ,POSTURE ,HUMAN kinematics ,GROUND reaction forces (Biomechanics) ,FACTORIZATION - Abstract
The sit-to-stand motion is a common movement in daily life and understanding the mechanism of the sit-to-stand motion is important. Our previous study shows that four muscle synergies can characterize the sit-to-stand motion, and they have specific roles, such as upper body flexion, rising from a chair, body extension, and posture stabilization. The time-varying weight of these synergies are changed to achieve adaptive movement. However, the relationship between sensory input and the activation of the muscle synergies is not completely understood. In this paper, we aim to clarify how vestibular and visual inputs affect the muscle synergy in sit-to-stand motion. To address this, we conducted experiments as follows. Muscle activity, body kinematics, and ground reaction force were measured for the sit-to-stand motion under three different conditions: control, visual-disturbance, and vestibular-disturbance conditions. Under the control condition, the participants stood without any intervention. Under the visual-disturbance condition, the participants wore convex lens glasses and performed the sit-to-stand motion in a dark room. Under the vestibular-disturbance condition, a caloric test was performed. Muscle synergies were calculated for these three conditions using non-negative matrix factorization. We examined whether the same four muscle synergies were employed under each condition, and the changes in the time-varying coefficients were determined. These experiments were conducted on seven healthy, young participants. It was found that four muscle synergies could explain the muscle activity in the sit-to-stand motion under the three conditions. However, there were significant differences in the time-varying weight coefficients. When the visual input was disturbed, a larger amplitude was found for the muscle synergy that activated mostly in the final posture stabilization phase of the sit-to-stand motion. Under vestibular-disturbance condition, a longer activation was observed for the synergies that extended the entire body and led to posture stabilization. The results implied that during human sit-to-stand motion, visual input has less contribution to alter or correct activation of muscle synergies until the last phase. On the other hand, duration of muscle synergies after the buttocks leave are prolonged in order to adapt to the unstable condition in which sense of verticality is decreased under vestibular-disturbance. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
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