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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Main Authors: Suzanne J. Filius, Kyriacos Papa, Jaap Harlaar
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Journal of NeuroEngineering and Rehabilitation
Subjects:
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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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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AT jaapharlaar reviewofupperextremitypassivejointimpedanceidentificationinpeoplewithduchennemusculardystrophy