PROCEEDINGS OF IFESS-FESnet 2004

 

9TH ANNUAL CONFERENCE OF THE

INTERNATIONAL FUNCTIONAL ELECTRICAL STIMULATION SOCIETY

 

and the

 

2ND CONFERENCE of FESnet

 

BOURNEMOUTH, UNITED KINGDOM

September 6-9, 2004

 

EDITORS

Duncan Wood

Paul Taylor

 

ISBN 1-85899-191-9


SCIENTIFIC COMMITTEE

 

Brian Andrews

Jane Burridge

Paul Chappell

Mike Craggs

Nick Donaldson

David Ewins

Malcolm Granat

Warren Grill

Ben Heller

Ken Hunt

Jonathan Jarvis

Geraldine Mann

Anand Pandyan

Tim Perkins

Henry Rischbieth

Brian Simpson

Ian Swain

Paul Taylor

Simon Thomson

Jo van Vaerenbergh

Peter Veltink

Duncan Wood

 

ORGANISING COMMITTEE

 

Ian Swain                          co-chair

Paul Taylor                        co-chair

Duncan Wood

Steven Crook

Sue Borrett

Stacey Finn

 

ACKNOWLEDGEMENTS

 

John Gisby and Di Norman (Salisbury District Hospital) for administrative support.

 

Nicola Coffield (FESnet and University of Glasgow) for website management and administrative support.

 

Jacqui Holmes (Bournemouth University) for administrative support.

 

Darren Hart for assisting with the formatting of the papers and the proceedings.

 

FESnet is a thematic network funded by the UK Engineering and Physical Sciences Research Council.

 


 

 

 

 

 

 

Cover photograph by Karen Hitchlock

(www.karenhitchlock.freeserve.co.uk)


 

CONFERENCE PROGRAMME AT A GLANCE

 

Saturday 4th September 2004

 

09.00 – 17.00                     FES courses [Salisbury District Hospital]

14.00 – 18.00                     neuralPRO event [Management meeting; Bournemouth]

From 19.00                        neuralPRO event [dinner]

 

Sunday 5th September 2004

09.00 – 17.00                     FES courses [Salisbury District Hospital]

10.00 – 16.00                     neuralPRO workshop [Bournemouth]

From 16.00                        neuralPRO event [Discussion onYRs’ survey; Bournemouth]

17.00 – 18.30                     Registration at the BIC

From 19.00                        Conference reception [Bournemouth Pavillion]

 

Monday 6th September 2004

 

From 08.30                        Registration at the Bournemouth International Centre, BIC

10.30 – 10.50                     Welcome address

10.50 – 11.30                     Invited lecture [David Rushton]

11.30 – 12.50                     Oral session 1 – Neuromodulation

12.50 – 14.00                     Lunch

                                           [Also joint meeting of IFESS and INS Board members]

14.00 – 14.40                     Invited lecture [John Rothwell]

14.40 – 16.00                     Oral session 2 – Upper Extremities I

16.00 – 16.30                     Coffee break

16.30 – 18.10                     Oral session 3 – Physiology of FES

From 19.30                        Conference dinner [The Wessex Hotel]

 

Tuesday 7th September 2004

 

From 08.00                        Registration at the BIC

08.30 – 09.10                     Invited lecture [John Chae]

09.10 – 10.40                     Invited oral session – Neuromodulation

10.40 – 11.10                     Coffee break

11.10 – 12.50                     Oral session 4 – Gait and Posture I

12.50 – 14.00                     Lunch

14.00 – 14.40                     Invited lecture [Garth Johnson]

14.40 – 16.00                     Oral session 5 – Paediatrics

16.00 – 16.30                     Coffee break

16.30 – 18.10                     Oral session 6 – Bladder and Bowel

18.00 – 20.00                     Face to Face - private view
                                           (please see page v)


Wednesday 8th September 2004

 

From 08.00                        Registration at the BIC

08.30 – 10.10                     Oral session 7 – Stimulator and Sensor Technology I

10.10 – 10.30                     Coffee break

10.30 – 11.00                     Poster session I [odd numbers]

11.00 – 12.40                     Oral session 8 – Upper Extremities II

Afternoon                          Excursions [coaches leave at 13.15 from the Conference Centre]

19.00                                  IFESS Board Meeting

 

 

Thursday 9th September 2004

 

From 08.00                        Registration at the BIC

08.30 – 10.10                     Oral session 9 – Control Techniques

10.10 – 10.30                     Coffee break

10.30 – 11.00                     Poster session II [even numbers]

11.00 – 12.40                     Oral session 10 – Gait and Posture II

12.40 – 13.50                     Lunch

13.50 – 15.10                     Oral session 11 – Cycling and Rowing

15.10 – 15.50                     IFESS Annual General Meeting

15.50 – 16.20                     Coffee break

16.20 – 18.00                     Oral session 12 – Stimulator and Sensor Technology II

18.00 – 18.10                     Closing remarks

From 19.00                        Closing conference dinner [Oceanarium and Hot Rocks Café]

                                           [including Vodovnik award for best student paper]


WELCOME

 

The  organising committee would like to take this opportunity of welcoming you to this year’s IFESS meeting.  This is the first time the meeting has been held in the U.K. and we hope you enjoy your stay.  The theme of this year’s meeting is ‘ Getting FES into Clinical Practice’ . We therefore hope that the papers you hear and the posters you see, will encourage the engineers and scientists among you to go back to your own institutions and look how you can get the products of your R&D into the clinical environment.  We also hope that the clinical staff will be impressed by the technology they see and to start planning   how  they can incorporate such techniques into their routine clinical practice for the benefit of their patients.   Whichever of these two routes you choose to follow we hope that over the next few years FES will be far more widely used by people with chronic disabilities to improve their quality of life.

 

Ian Swain and Paul Taylor  -  on behalf of the IFESS 2004 Organising Committee  

 


Face to Face

 

Photographic Arts Project

 

Karen Hitchlock

With the Department of Medical Physics and Biomedical Engineering and Artcare, Salisbury District Hospital, Salisbury, UK

 

 

Face to Face is a collaborative project between the Department of Medical Physics and Biomedical Engineering (MPBE) at Salisbury District Hospital, Artcare (Salisbury and District Hospital Arts Service) and photographer Karen Hitchlock. The project has taken place in conjunction with the MPBE’s randomised controlled trial, on the use of the Odstock Dropped Foot Stimulator (ODFS), with people who have Multiple Sclerosis (MS).

 

Through the media of photography and narrative, ‘Face to Face’ gives people with MS an opportunity to express their own unique experience of living with MS and being a research volunteer. This project seeks to break down the traditional boundaries set by scientists, producing a shift of values which empowers the research volunteer, as it draws away from the analytical and impersonal method and further towards the subjective personal experience of the volunteer.

 

There is a well-known expression that 'science knows no boundaries’, but in fact scientists are very good at setting boundaries, obeying protocols and focusing on results. It is this type of knowledge that is seen to matter in the scientific community. It is impersonal, public, productive and verifiable. But there is a weakness in this scientific approach as it allows scientists and clinicians to become more and more abstracted from their clients and their client’s reality. It also encourages a dispassionate and detached approach, which is in conflict with the clinicians dual role as the objective researcher and the caring clinician.

 

‘Face to Face’ aims to give people with MS  an opportunity to raise issues that are important to them, to find common ground and a mutual understanding of the impact of MS on their lives, the limitations, disabilities and effect on relationships, work, hopes and aspirations. By presenting the stories of trial volunteers in photographs and narrative - in conjunction with the science - this project presents a more balanced view and encourages a reappraisal of the research scientist’s relationship with their research volunteers, encouraging new standards of behaviour in research, treatment and monitoring.

 

 

Funded by the Wellcome Trust People Awards and Supported by Salisbury Health Care HNS Trust and the MS Trust.


 

INVITED LECTURES

 

Invited talks

 

What FES might people need?

David Rushton

[HTML]              [PDF]

 

The physiology of movement disorders

John Rothwell

 

Commercialization of Neuroprostheses in North America: The Past, Present
and the Future

John Chae

 

Spasticity – Perceptions, Definitions and Measurement

Garth Johnson

[HTML]              [PDF]

 

 

Neuromodulation session

 

Neuromodulation - Application in the clinical setting - Brief
introduction
Simon Thomson

 

Therapeutic neurostimulation – an overview

Brian Simpson

[HTML]              [PDF]

 

Spinal Cord Stimulation (SCS) for Chronic Refractory Angina and other Ischemic Syndromes: When Established Methods fail; can the Nervous System Protect the Heart?

Robert Foreman

[HTML]              [PDF]

 

Motor cortex stimulation: a new perspective in the treatment of movement
disorders and in pain management

Mario Meglio

[HTML]              [PDF]


ORAL PRESENTATIONS

 

 

Neuromodulation

 

AC nerve blocking: in-vivo tests & potential applications

Andrews BJ, Williamson R

[HTML]              [PDF]

 

A method of automated conditional neuromodulation of neurogenic detrusor overactivity using a combined sacral anterior and posterior nerve root stimulator implant in patients with spinal cord injury.

Bycroft JA, Craggs MD, Knight SN, Wood S, Donaldson N, Shah PJR

[HTML]              [PDF]

 

Long-term safety and efficacy of intrathecal baclofen (ITB) therapy for control of intractable spasticity

Buschman HPJ, Kottink EJBL, Nene AV, Snoek GJ, Van der Aa HE

[HTML]              [PDF]

 

Motor cortex stimulation: a computer modelling study

Manola Lj, Roelofsen B, Holsheimer J

[HTML]              [PDF]

 

 

Upper extremities I

 

A randomised controlled trial to evaluate surface neuromuscular electrical stimulation to the shoulder following acute stroke

Church C, Price C, Pandyan D, Huntley S, Curless R , Rodgers H

[HTML]              [PDF]

 

Feasibility of randomised clinical trial of early initiation and prolonged, home‑based FES training to enhance upper limb functional recovery following stroke

Alon G, McBride K, Levitt AF

[HTML]              [PDF]

 

Retraining reaching and grasping functions in hemiplegic patients with the Chedoke McMaster stages of motor recovery scores 1 and 2

Popovic MR, Hajek V, Zivanovic V

[HTML]              [PDF]

 

Intramuscular NMES for hemiplegic shoulder pain

Yu DT, Chae J

[HTML]              [PDF]

 
 
Physiology of FES

 

Increased muscle force using high-frequency, wide-pulse FES in chronic spinal cord injury (SCI) patients

Nickolls P, Collins DF, Gorman RB, Burke D, Gandevia SC

[HTML]              [PDF]

 

Preventing acute atrophied muscles by therapeutic magnetic stimulation – RT-PCR study

Sakuraba T, Shimada Y, Kawatani M, Takahashi S, Matsunaga T, Misawa A, Ito H, Aizawa T, Sato M, Chida S

[HTML]              [PDF]

 

Effects of chronic electrical stimulation on the denervated tibialis anterior muscle of the rabbit

Ashley Z, Russold MF, Sutherland H, Jarvis JC, Salmons S

[HTML]              [PDF]

 

A direct fluorescence-based approach for elucidating the size and spatial distribution of motor fibres innervating the rat gastrocnemic muscles

Prodanov D, Feirabend HKP, Marani E, Holsheimer J, Nagelkerke N, Lakke EAJF

[HTML]              [PDF]

 

 

Gait assist and posture I

 

Non-repetitive stimulation of the common peroneal nerve

Hart DJ, Taylor PN, Chappell PH, Wood DE

[HTML]              [PDF]

 

Enhancement of gait retraining by electrical stimulation of flexor reflex afferents in acute stroke patients: A randomized controlled clinical study

Quintern J, Krewer C, Bisle G, Husemann B, Heller S

[HTML]              [PDF]

 

Impairment, functional mobility and gait kinematic gains in response to FNS and weight supported gait training

Daly JJ, Roenigk K, Rogers J, Butler PTK, Marsolais B, Gansen J, Ruff R

[HTML]              [PDF]

 

A pilot study to investigate the effects of functional electrical stimulation on gait in Parkinson’s Disease

Mann GE, Finn SM, Taylor PN

[HTML]              [PDF]

 

Pressure changes under the ischial tuberosities of seated individuals during sacral nerve root stimulation

Liu LQ, Craggs MD, Nicholson GP, Knight SL, Chelvarajah R, Bycroft JA, Middleton FRI, Ferguson-Pell M

[HTML]              [PDF]

 

 

Paediatrics

 

Neuromuscular electrical stimulation and volitional strength training on in children with cerebral palsy: a preliminary study

Lee SCK, Stackhouse SK, Stackhouse CA, Schaefer M, McCarthy JJ, Smith BT

[HTML]              [PDF]

 

An investigation of the effect of functional electrical stimulation to assist the gait of children with cerebral palsy

Durham S, Eve L, Turner-Simmonds C, Daniel C, Stevens C, Ewins DJ

[HTML]              [PDF]

 

Combined effect of Botulinum Toxin A therapy and functional electrical stimulation in dynamic equinus: Preliminary results

Galen SS, Granat MH

[HTML]              [PDF]

 

Implanted functional electrical stimulation for upright mobility in paediatric spinal cord Injury: A follow-up report

Johnston TE, Smith BT, Betz RR, Mulcahey MJ

[HTML]              [PDF]

 

 

Bladder and bowel

 

Electrical stimulation of the descending colon in pigs with chronically implanted electrodes

Sevcencu C, Rijkhoff NJM, Nygaard Lærke H, Jørgensen H, Mark M, Sinkjær T

[HTML]              [PDF]

 

A stomal sphincter configured from the rectus abdominis muscle in pigs. First results.

Russold MF, Ramnarine I, Ashley Z, Sutherland H, Salmons S, Jarvis JC

[HTML]              [PDF]

 

Experimental treatment of neurogenic detrusor overactivity in spinal cord injured patients by automatic event driven electrical stimulation

Hansen J, Fjorback MV, Nøhr M, Media S, Biering-Sørensen F, Sinkjær T, Rijkhoff NJM

[HTML]              [PDF]

 

Improvement of storage function of the complicated bladder with semi-conditional dorsal penile nerve stimulation in spinal cord injury

Young-Hee Lee, Sung Hoon Kim, Sang Min Jang, Iksoo Kim, Kyubum Eo, Jiyong

[HTML]              [PDF]

 

 

Stimulator and sensor technology I

 

Design of an implantable multichannel neurostimulator for restoring impaired gastrointestinal motility

Jalilian E, Turner L, Jullien G, Mintchev MP

[HTML]              [PDF]

 

On the development of modular miniaturized neural prostheses

Stieglitz T, Koch KP

[HTML]              [PDF]

 

Cross-talk in nerve root stimulator implants

Vanhoest A, Donaldson N

[HTML]              [PDF]

 

A modular approach to sensing limb position in FES patients

Loeb GE, Tan W, Sachs N, Zou Q, Kim ES

[HTML]              [PDF]

 

FES as a rehabilitation tool for orthopaedics and neurological patients

(view from Russia)

Skvortsov DV

[HTML]              [PDF]

 

 

Upper extremities II

 

Can treatment with upper limb electrical stimulation can be justified in the severely disabled acute stroke patient?

Pandyan AD, Granat MH

[HTML]              [PDF]

 

An implanted upper extremity neuroprosthesis utilizing myoelectric control

Kilgore KL, Peckham PH, Montague FW, Hart RL, Bryden AM, Bhadra N, Keith MW

[HTML]              [PDF]

 

A modular approach to retraining muscles after stroke

Richmond FJR, Baker LL, Winstein C, Waters RL, Loeb GE

[HTML]              [PDF]

 

Variation in system gain when using voluntary EMG to control electrical stimulation of the same muscle

Taylor P, Chappell P

[HTML]              [PDF]

 

Tenodesis grip augmented by EMG controlled FES

Thorsen R , Occhi E, Boccardi S, Ferrarin M

[HTML]              [PDF]

 

 

 

Control techniques

 

A study of a knee extension controlled by a closed loop functional electrical stimulation

Schmitt C, Métrailler P, Al-Khodairy A, Brodard R, Fournier J, Bouri M, Clavel R

[HTML]              [PDF]

 

Real time description of lower limb motion for nonanalytical neuroprosthetic control applications

Moser D, Catalfamo P, Ghoussayni SN, Ewins DJ

[HTML]              [PDF]

 

Mathematical model that predicts lower leg motion in response to electrical stimulation

Perumal R, Wexler AS, Binder-Macleod SA

[HTML]              [PDF]

 

The feasibility of a FNS powered mechanical gait orthosis with coordinated joint locking

To CS, Kirsch RF, Kobetic R, Triolo RJ

[HTML]              [PDF]

 

Evaluation of user-interfaces for FES systems by means of a dual-task experiment

Vanoncini M, Andrews BJ</