Towards the Use of Neuromusculoskeletal Modeling in Clinical Practice: A Feasibility Study in Parkinson Disease Patients

M. Romanato; D. Volpe; A. Guiotto; F. Spolaor; M. Sartori; Z. Sawacha

doi:10.1007/978-3-030-70316-5_70

Towards the Use of Neuromusculoskeletal Modeling in Clinical Practice: A Feasibility Study in Parkinson Disease Patients

M. Romanato^*
, D. Volpe
, A. Guiotto
, F. Spolaor
, M. Sartori
, Z. Sawacha^*

^*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceeding › Chapter › Academic › peer-review

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Abstract

Electromyography (EMG)-driven neuromusculo-skeletal models (NMSM) are currently used to estimate joint moments and muscle forces during dynamic movements considering subject-specific neural-excitation patterns provided by the EMG data. However, these models are rarely adopted in routine clinical applications. This is partly due to limitations in obtaining realistic maxima voluntary contractions (MVC) in pathological subjects for calibration purposes and in the number of required experimental EMG signals that are difficult to be assessed in neurological conditions (e.g. Parkinson’s Disease (PD)). This study aims at verifying the feasibility of introducing EMG-driven NMSM for planning rehabilitation treatments in PD. Thus, a minimal experimental setup compatible with clinics requirements is proposed herein. Four different NMSM were implemented with two different EMG normalization methods and with two different set of experimental EMGs for the muscletendon unit mapping. Results seems promising as no statistically significant differences between the full model and the proposed reduced model were observed.

Original language	English
Title of host publication	Converging Clinical and Engineering Research on Neurorehabilitation IV
Subtitle of host publication	Proceedings of the 5th International Conference on Neurorehabilitation (ICNR2020), October 13–16, 2020
Editors	Diego Torricelli, Metin Akay, Jose L. Pons
Publisher	Springer
Pages	439-443
Number of pages	5
ISBN (Electronic)	978-3-030-70316-5
ISBN (Print)	978-3-030-70315-8, 978-3-030-70318-9
DOIs	https://doi.org/10.1007/978-3-030-70316-5_70
Publication status	Published - 2022
Event	5th International Conference on NeuroRehabilitation, ICNR 2020 - Virtual Event Duration: 13 Oct 2020 → 16 Oct 2020 Conference number: 5

Publication series

Name	Biosystems and Biorobotics
Volume	28
ISSN (Print)	2195-3562
ISSN (Electronic)	2195-3570

Conference

Conference	5th International Conference on NeuroRehabilitation, ICNR 2020
Abbreviated title	ICNR 2020
City	Virtual Event
Period	13/10/20 → 16/10/20

Keywords

2022 OA procedure

Access to Document

10.1007/978-3-030-70316-5_70

Romanato2022_Chapter_TowardsTheUseOfNeuromusculoskeFinal published version, 167 KBLicence: Taverne

Cite this

Romanato, M., Volpe, D., Guiotto, A., Spolaor, F., Sartori, M., & Sawacha, Z. (2022). Towards the Use of Neuromusculoskeletal Modeling in Clinical Practice: A Feasibility Study in Parkinson Disease Patients. In D. Torricelli, M. Akay, & J. L. Pons (Eds.), Converging Clinical and Engineering Research on Neurorehabilitation IV: Proceedings of the 5th International Conference on Neurorehabilitation (ICNR2020), October 13–16, 2020 (pp. 439-443). (Biosystems and Biorobotics; Vol. 28). Springer. https://doi.org/10.1007/978-3-030-70316-5_70

Romanato, M. ; Volpe, D. ; Guiotto, A. et al. / Towards the Use of Neuromusculoskeletal Modeling in Clinical Practice : A Feasibility Study in Parkinson Disease Patients. Converging Clinical and Engineering Research on Neurorehabilitation IV: Proceedings of the 5th International Conference on Neurorehabilitation (ICNR2020), October 13–16, 2020. editor / Diego Torricelli ; Metin Akay ; Jose L. Pons. Springer, 2022. pp. 439-443 (Biosystems and Biorobotics).

@inbook{8c4ed883cba94881934b1978f2913c03,

title = "Towards the Use of Neuromusculoskeletal Modeling in Clinical Practice: A Feasibility Study in Parkinson Disease Patients",

abstract = "Electromyography (EMG)-driven neuromusculo-skeletal models (NMSM) are currently used to estimate joint moments and muscle forces during dynamic movements considering subject-specific neural-excitation patterns provided by the EMG data. However, these models are rarely adopted in routine clinical applications. This is partly due to limitations in obtaining realistic maxima voluntary contractions (MVC) in pathological subjects for calibration purposes and in the number of required experimental EMG signals that are difficult to be assessed in neurological conditions (e.g. Parkinson{\textquoteright}s Disease (PD)). This study aims at verifying the feasibility of introducing EMG-driven NMSM for planning rehabilitation treatments in PD. Thus, a minimal experimental setup compatible with clinics requirements is proposed herein. Four different NMSM were implemented with two different EMG normalization methods and with two different set of experimental EMGs for the muscletendon unit mapping. Results seems promising as no statistically significant differences between the full model and the proposed reduced model were observed.",

keywords = "2022 OA procedure",

author = "M. Romanato and D. Volpe and A. Guiotto and F. Spolaor and M. Sartori and Z. Sawacha",

note = "Funding Information: The work was supported by the Fresco Parkinson Institute Italia Onlus. Publisher Copyright: {\textcopyright} 2022, The Author(s), under exclusive license to Springer Nature Switzerland AG.; 5th International Conference on NeuroRehabilitation, ICNR 2020, ICNR 2020 ; Conference date: 13-10-2020 Through 16-10-2020",

year = "2022",

doi = "10.1007/978-3-030-70316-5\_70",

language = "English",

isbn = "978-3-030-70315-8",

series = "Biosystems and Biorobotics",

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address = "Germany",

}

Romanato, M, Volpe, D, Guiotto, A, Spolaor, F, Sartori, M & Sawacha, Z 2022, Towards the Use of Neuromusculoskeletal Modeling in Clinical Practice: A Feasibility Study in Parkinson Disease Patients. in D Torricelli, M Akay & JL Pons (eds), Converging Clinical and Engineering Research on Neurorehabilitation IV: Proceedings of the 5th International Conference on Neurorehabilitation (ICNR2020), October 13–16, 2020. Biosystems and Biorobotics, vol. 28, Springer, pp. 439-443, 5th International Conference on NeuroRehabilitation, ICNR 2020, Virtual Event, 13/10/20. https://doi.org/10.1007/978-3-030-70316-5_70

Towards the Use of Neuromusculoskeletal Modeling in Clinical Practice: A Feasibility Study in Parkinson Disease Patients. / Romanato, M.; Volpe, D.; Guiotto, A. et al.
Converging Clinical and Engineering Research on Neurorehabilitation IV: Proceedings of the 5th International Conference on Neurorehabilitation (ICNR2020), October 13–16, 2020. ed. / Diego Torricelli; Metin Akay; Jose L. Pons. Springer, 2022. p. 439-443 (Biosystems and Biorobotics; Vol. 28).

Research output: Chapter in Book/Report/Conference proceeding › Chapter › Academic › peer-review

TY - CHAP

T1 - Towards the Use of Neuromusculoskeletal Modeling in Clinical Practice

T2 - 5th International Conference on NeuroRehabilitation, ICNR 2020

AU - Romanato, M.

AU - Volpe, D.

AU - Guiotto, A.

AU - Spolaor, F.

AU - Sartori, M.

AU - Sawacha, Z.

N1 - Conference code: 5

PY - 2022

Y1 - 2022

N2 - Electromyography (EMG)-driven neuromusculo-skeletal models (NMSM) are currently used to estimate joint moments and muscle forces during dynamic movements considering subject-specific neural-excitation patterns provided by the EMG data. However, these models are rarely adopted in routine clinical applications. This is partly due to limitations in obtaining realistic maxima voluntary contractions (MVC) in pathological subjects for calibration purposes and in the number of required experimental EMG signals that are difficult to be assessed in neurological conditions (e.g. Parkinson’s Disease (PD)). This study aims at verifying the feasibility of introducing EMG-driven NMSM for planning rehabilitation treatments in PD. Thus, a minimal experimental setup compatible with clinics requirements is proposed herein. Four different NMSM were implemented with two different EMG normalization methods and with two different set of experimental EMGs for the muscletendon unit mapping. Results seems promising as no statistically significant differences between the full model and the proposed reduced model were observed.

AB - Electromyography (EMG)-driven neuromusculo-skeletal models (NMSM) are currently used to estimate joint moments and muscle forces during dynamic movements considering subject-specific neural-excitation patterns provided by the EMG data. However, these models are rarely adopted in routine clinical applications. This is partly due to limitations in obtaining realistic maxima voluntary contractions (MVC) in pathological subjects for calibration purposes and in the number of required experimental EMG signals that are difficult to be assessed in neurological conditions (e.g. Parkinson’s Disease (PD)). This study aims at verifying the feasibility of introducing EMG-driven NMSM for planning rehabilitation treatments in PD. Thus, a minimal experimental setup compatible with clinics requirements is proposed herein. Four different NMSM were implemented with two different EMG normalization methods and with two different set of experimental EMGs for the muscletendon unit mapping. Results seems promising as no statistically significant differences between the full model and the proposed reduced model were observed.

KW - 2022 OA procedure

UR - https://www.scopus.com/pages/publications/85116898931

U2 - 10.1007/978-3-030-70316-5_70

DO - 10.1007/978-3-030-70316-5_70

M3 - Chapter

AN - SCOPUS:85116898931

SN - 978-3-030-70315-8

SN - 978-3-030-70318-9

T3 - Biosystems and Biorobotics

SP - 439

EP - 443

BT - Converging Clinical and Engineering Research on Neurorehabilitation IV

A2 - Torricelli, Diego

A2 - Akay, Metin

A2 - Pons, Jose L.

PB - Springer

Y2 - 13 October 2020 through 16 October 2020

ER -

Romanato M, Volpe D, Guiotto A, Spolaor F, Sartori M, Sawacha Z. Towards the Use of Neuromusculoskeletal Modeling in Clinical Practice: A Feasibility Study in Parkinson Disease Patients. In Torricelli D, Akay M, Pons JL, editors, Converging Clinical and Engineering Research on Neurorehabilitation IV: Proceedings of the 5th International Conference on Neurorehabilitation (ICNR2020), October 13–16, 2020. Springer. 2022. p. 439-443. (Biosystems and Biorobotics). Epub 2021 Oct 2. doi: 10.1007/978-3-030-70316-5_70

Towards the Use of Neuromusculoskeletal Modeling in Clinical Practice: A Feasibility Study in Parkinson Disease Patients

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