Closed-loop Functional Electrical Stimulation (FES) – cycling rehabilitation with phase control Fuzzy Logic for fatigue reduction control strategies for stroke patients

Functional Electrical Stimulation (FES) cycling, or FES-Cycling, holds great therapeutic potential for individuals with paralysis, such as those with Spinal Cord Injury (SCI), traumatic brain injury, or stroke, aiming to restore mobility. However, the nonlinear nature of the musculoskeletal system p...

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Main Authors: Mohd Khairul Ikhwan Ahmad, Abu Ubaidah Shamsudin, Zubair Adil Soomro, Ruzairi Abdul Rahim, Babul Salam KSM Kader Ibrahim, Mohammad Saiful Huq
Format: Article
Language:English
Published: Universitas Mercu Buana 2023-12-01
Series:Jurnal Ilmiah SINERGI
Subjects:
Online Access:https://publikasi.mercubuana.ac.id/index.php/sinergi/article/view/21231
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author Mohd Khairul Ikhwan Ahmad
Abu Ubaidah Shamsudin
Zubair Adil Soomro
Ruzairi Abdul Rahim
Babul Salam KSM Kader Ibrahim
Mohammad Saiful Huq
author_facet Mohd Khairul Ikhwan Ahmad
Abu Ubaidah Shamsudin
Zubair Adil Soomro
Ruzairi Abdul Rahim
Babul Salam KSM Kader Ibrahim
Mohammad Saiful Huq
author_sort Mohd Khairul Ikhwan Ahmad
collection DOAJ
description Functional Electrical Stimulation (FES) cycling, or FES-Cycling, holds great therapeutic potential for individuals with paralysis, such as those with Spinal Cord Injury (SCI), traumatic brain injury, or stroke, aiming to restore mobility. However, the nonlinear nature of the musculoskeletal system poses a significant challenge in controlling FES-Cycling. To address this, an integrated closed-loop phase angle fuzzy-based system was developed. This system offers real-time control by adjusting stimulation intensity (pulse width) within the range of 50 to 200μs while maintaining a constant frequency of 35Hz, thereby ensuring precise pedaling trajectory and cadence patterns. An experimental study involved three healthy individuals (Cases A, B, and C) and one individual with hemiplegia stroke (Case D). Results showed that the proposed system consistently reduced average angle trajectory errors for Cases A, B, and C, with values of 2.6945, 3.2958, and 2.9922 degrees, respectively. Case D, affected by hemiplegia stroke, faced greater challenges and exhibited a higher error of 3.4562 degrees. Fatigue resistance, evaluated through fatigue indices, showed promising results for Cases A, B, and C with values of 0.10778, 0.06866, and 0.04603, respectively. However, Case D experienced higher fatigue (0.2304) due to the unique challenges of hemiplegia stroke. These findings highlight the effectiveness of the proposed control system in optimizing FES-Cycling, particularly for healthy individuals. For individuals with paralysis, like Case D, further research is needed to adapt the system to their specific conditions and cycling patterns. This system holds the potential for enhancing FES-Cycling as a therapeutic strategy and warrants additional investigation and customization for different patient populations.
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spelling doaj.art-2cf472164eeb488b9ecb3cf6e544ad9a2024-01-17T01:17:35ZengUniversitas Mercu BuanaJurnal Ilmiah SINERGI1410-23312460-12172023-12-01281637410.22441/sinergi.2024.1.0076832Closed-loop Functional Electrical Stimulation (FES) – cycling rehabilitation with phase control Fuzzy Logic for fatigue reduction control strategies for stroke patientsMohd Khairul Ikhwan Ahmad0Abu Ubaidah Shamsudin1Zubair Adil Soomro2Ruzairi Abdul Rahim3Babul Salam KSM Kader Ibrahim4Mohammad Saiful Huq5Faculty of Electric and Electronic Engineering, Universiti Tun Hussein Onn MalaysiaFaculty of Electric and Electronic Engineering, Universiti Tun Hussein Onn MalaysiaFaculty of Electric and Electronic Engineering, Universiti Tun Hussein Onn MalaysiaFaculty of Electric Engineering, Universiti Teknologi MalaysiaSchool of Mechanical, Aerospace, and Automotive Engineering, Faculty of Engineering, Environment and Computing, Coventry UniversitySchool of Computing and Digital Media, London Metropolitan UniversityFunctional Electrical Stimulation (FES) cycling, or FES-Cycling, holds great therapeutic potential for individuals with paralysis, such as those with Spinal Cord Injury (SCI), traumatic brain injury, or stroke, aiming to restore mobility. However, the nonlinear nature of the musculoskeletal system poses a significant challenge in controlling FES-Cycling. To address this, an integrated closed-loop phase angle fuzzy-based system was developed. This system offers real-time control by adjusting stimulation intensity (pulse width) within the range of 50 to 200μs while maintaining a constant frequency of 35Hz, thereby ensuring precise pedaling trajectory and cadence patterns. An experimental study involved three healthy individuals (Cases A, B, and C) and one individual with hemiplegia stroke (Case D). Results showed that the proposed system consistently reduced average angle trajectory errors for Cases A, B, and C, with values of 2.6945, 3.2958, and 2.9922 degrees, respectively. Case D, affected by hemiplegia stroke, faced greater challenges and exhibited a higher error of 3.4562 degrees. Fatigue resistance, evaluated through fatigue indices, showed promising results for Cases A, B, and C with values of 0.10778, 0.06866, and 0.04603, respectively. However, Case D experienced higher fatigue (0.2304) due to the unique challenges of hemiplegia stroke. These findings highlight the effectiveness of the proposed control system in optimizing FES-Cycling, particularly for healthy individuals. For individuals with paralysis, like Case D, further research is needed to adapt the system to their specific conditions and cycling patterns. This system holds the potential for enhancing FES-Cycling as a therapeutic strategy and warrants additional investigation and customization for different patient populations.https://publikasi.mercubuana.ac.id/index.php/sinergi/article/view/21231functional electrical stimulation (fes)fuzzy logic controller (flc)phase angle shiftpulse width (pw)spinal cord injury (sci)
spellingShingle Mohd Khairul Ikhwan Ahmad
Abu Ubaidah Shamsudin
Zubair Adil Soomro
Ruzairi Abdul Rahim
Babul Salam KSM Kader Ibrahim
Mohammad Saiful Huq
Closed-loop Functional Electrical Stimulation (FES) – cycling rehabilitation with phase control Fuzzy Logic for fatigue reduction control strategies for stroke patients
Jurnal Ilmiah SINERGI
functional electrical stimulation (fes)
fuzzy logic controller (flc)
phase angle shift
pulse width (pw)
spinal cord injury (sci)
title Closed-loop Functional Electrical Stimulation (FES) – cycling rehabilitation with phase control Fuzzy Logic for fatigue reduction control strategies for stroke patients
title_full Closed-loop Functional Electrical Stimulation (FES) – cycling rehabilitation with phase control Fuzzy Logic for fatigue reduction control strategies for stroke patients
title_fullStr Closed-loop Functional Electrical Stimulation (FES) – cycling rehabilitation with phase control Fuzzy Logic for fatigue reduction control strategies for stroke patients
title_full_unstemmed Closed-loop Functional Electrical Stimulation (FES) – cycling rehabilitation with phase control Fuzzy Logic for fatigue reduction control strategies for stroke patients
title_short Closed-loop Functional Electrical Stimulation (FES) – cycling rehabilitation with phase control Fuzzy Logic for fatigue reduction control strategies for stroke patients
title_sort closed loop functional electrical stimulation fes cycling rehabilitation with phase control fuzzy logic for fatigue reduction control strategies for stroke patients
topic functional electrical stimulation (fes)
fuzzy logic controller (flc)
phase angle shift
pulse width (pw)
spinal cord injury (sci)
url https://publikasi.mercubuana.ac.id/index.php/sinergi/article/view/21231
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