Review of upper extremity passive joint impedance identification in people with Duchenne Muscular Dystrophy
Abstract Duchenne Muscular Dystrophy (DMD) progressively leads to loss of limb function due to muscle weakness. The incurable nature of the disease shifts the focus to improving quality of life, including assistive supports to improve arm function. Over time, the passive joint impedance (Jimp) of pe...
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2025-01-01
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Online Access: | https://doi.org/10.1186/s12984-024-01537-0 |
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author | Suzanne J. Filius Kyriacos Papa Jaap Harlaar |
author_facet | Suzanne J. Filius Kyriacos Papa Jaap Harlaar |
author_sort | Suzanne J. Filius |
collection | DOAJ |
description | Abstract Duchenne Muscular Dystrophy (DMD) progressively leads to loss of limb function due to muscle weakness. The incurable nature of the disease shifts the focus to improving quality of life, including assistive supports to improve arm function. Over time, the passive joint impedance (Jimp) of people with DMD increases. Force-based controlled motorised arm supports require a clear distinction between the user’s movement intention and passive forces, such as passive Jimp. Therefore, Jimp identification is essential. This review aims to define Jimp, identify factors influencing it, and outline experimental methods used for quantification, with a focus on the upper extremities in DMD. A literature review was performed in May 2021 and updated in March 2024 using SCOPUS, PubMed, IEEEXplore, and WebOfScience. The results reveal confusion in definitions and show various Jimp measuring practices for both DMD and individuals without muscle weakness. This study presents an overview and lists important parameters affecting passive Jimp, such as the joint’s position, velocity and the multi-articular nature of the upper arm muscles. For personalised passive Jimp compensation in arm supports, ramp-type perturbations with constant velocity across the full joint range appear most optimal for identifying the elevated and non-linear nature of the passive Jimp in DMD. |
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institution | Kabale University |
issn | 1743-0003 |
language | English |
publishDate | 2025-01-01 |
publisher | BMC |
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series | Journal of NeuroEngineering and Rehabilitation |
spelling | doaj-art-75ce88e6666e42c186680f71f9d2df722025-01-26T12:18:39ZengBMCJournal of NeuroEngineering and Rehabilitation1743-00032025-01-0122111710.1186/s12984-024-01537-0Review of upper extremity passive joint impedance identification in people with Duchenne Muscular DystrophySuzanne J. Filius0Kyriacos Papa1Jaap Harlaar2Department of BioMechanical Engineering, Delft University of TechnologyDepartment of BioMechanical Engineering, Delft University of TechnologyDepartment of BioMechanical Engineering, Delft University of TechnologyAbstract Duchenne Muscular Dystrophy (DMD) progressively leads to loss of limb function due to muscle weakness. The incurable nature of the disease shifts the focus to improving quality of life, including assistive supports to improve arm function. Over time, the passive joint impedance (Jimp) of people with DMD increases. Force-based controlled motorised arm supports require a clear distinction between the user’s movement intention and passive forces, such as passive Jimp. Therefore, Jimp identification is essential. This review aims to define Jimp, identify factors influencing it, and outline experimental methods used for quantification, with a focus on the upper extremities in DMD. A literature review was performed in May 2021 and updated in March 2024 using SCOPUS, PubMed, IEEEXplore, and WebOfScience. The results reveal confusion in definitions and show various Jimp measuring practices for both DMD and individuals without muscle weakness. This study presents an overview and lists important parameters affecting passive Jimp, such as the joint’s position, velocity and the multi-articular nature of the upper arm muscles. For personalised passive Jimp compensation in arm supports, ramp-type perturbations with constant velocity across the full joint range appear most optimal for identifying the elevated and non-linear nature of the passive Jimp in DMD.https://doi.org/10.1186/s12984-024-01537-0DMDUpper extremityJoint stiffnessPassive joint impedanceMuscular DystrophyNeuromuscular disorders |
spellingShingle | Suzanne J. Filius Kyriacos Papa Jaap Harlaar Review of upper extremity passive joint impedance identification in people with Duchenne Muscular Dystrophy Journal of NeuroEngineering and Rehabilitation DMD Upper extremity Joint stiffness Passive joint impedance Muscular Dystrophy Neuromuscular disorders |
title | Review of upper extremity passive joint impedance identification in people with Duchenne Muscular Dystrophy |
title_full | Review of upper extremity passive joint impedance identification in people with Duchenne Muscular Dystrophy |
title_fullStr | Review of upper extremity passive joint impedance identification in people with Duchenne Muscular Dystrophy |
title_full_unstemmed | Review of upper extremity passive joint impedance identification in people with Duchenne Muscular Dystrophy |
title_short | Review of upper extremity passive joint impedance identification in people with Duchenne Muscular Dystrophy |
title_sort | review of upper extremity passive joint impedance identification in people with duchenne muscular dystrophy |
topic | DMD Upper extremity Joint stiffness Passive joint impedance Muscular Dystrophy Neuromuscular disorders |
url | https://doi.org/10.1186/s12984-024-01537-0 |
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