Closed loop control for restoration of movement in paralyzed muscle.

Abstract:

:A basic closed loop control system is described for controlling movement of paralyzed skeletal muscle in humans. The system is based around a Z80 microprocessor with 20K of memory. The system involves sensors to detect the amount of movement in muscle or the tension generated by that muscle, a computer-controlled stimulator, and electrodes placed on the surface of the skin above skeletal muscle for sequential activation of the muscle with electrical stimulation. Applications are described in the system for two types of control; hand control in quadriplegics, and standing and walking in both paraplegics and quadriplegics. Both systems offer a unique challenge to the design engineering in terms of being able to control movement in skeletal muscle for rehabilitation.

journal_name

Orthopedics

journal_title

Orthopedics

authors

Petrofsky JS,Phillips CA,Stafford DE

doi

10.3928/0147-7447-19840801-12

subject

Has Abstract

pub_date

1984-08-01 00:00:00

pages

1289-302

issue

8

eissn

0147-7447

issn

1938-2367

journal_volume

7

pub_type

社论
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    abstract::The early effect of reaming the medullary cavity prior to intramedullary nailing using Küntscher's method, on human cortical bone vascularization in the femur is discussed. In sections of the femur where the medullary tissue had been totally reamed, the inner two-thirds of the cortical bone tube was completely avascul...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Olerud S,Strömberg L

    更新日期:1986-09-01 00:00:00

  • Micro-CT Density Analysis of the Medial Wall of the Human Medial Cuneiform.

    abstract::The human medial cuneiform is incompletely characterized with regard to anatomical morphology, including mineral density and bone quality. Clinically, we have observed failures of fixation by pull-through of devices through relatively soft medial bone. Defining patterns of relative density may provide valuable informa...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20110317-07

    authors: Pelt CE,Turner CM,Bachus KN,Foreman KB,Beals TC

    更新日期:2011-05-18 00:00:00

  • Survival, Tumor Recurrence, and Function Following Shoulder Girdle Limb Salvage at 24 to 35 Years of Follow-up.

    abstract::Limb salvage is the treatment of choice for malignant shoulder girdle tumors; however, there is a paucity of data examining the long-term outcome. The authors have previously reported on a cohort of patients at short- and mid-term follow-up. The purpose of this study was to report the long-term outcome of shoulder rec...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20191001-01

    authors: Scorianz M,Houdek MT,Sherman CE,Sim FH,O'Connor MI

    更新日期:2019-11-01 00:00:00

  • Measurement of bone mineral density in osteoporotic fractures of the spine using dual energy X-ray absorptiometry.

    abstract::The authors analyzed bone mineral density (BMD) in 283 postmenopausal and senile women using dual energy x-ray absorptiometry from March 1990 to April 1992. Bone mineral density of the vertebral body in the osteoporotic fracture group was compared with that in the osteoporotic group to investigate the correlation amon...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Jahng JS,Lee WI

    更新日期:1996-11-01 00:00:00

  • Treatment strategies for intramedullary nailing of femoral shaft fractures.

    abstract::Intramedullary nailing has become the gold standard to treat femoral shaft fractures. It is unknown which nailing technique orthopedic surgeons prefer. The goal of this study was to determine current techniques and perioperative complications of intramedullary nailing of diaphyseal femoral fractures. Fifty-one institu...

    journal_title:Orthopedics

    pub_type: 杂志文章,多中心研究

    doi:10.3928/01477447-20100826-15

    authors: Wild M,Gehrmann S,Jungbluth P,Hakimi M,Thelen S,Betsch M,Windolf J,Wenda K

    更新日期:2010-10-11 00:00:00

  • Soft-tissue chondroma.

    abstract::Soft-tissue chondromas are rare and benign soft-tissue tumors. Over 95% occur in the hands and feet. They are seen in both sexes equally and mainly occur in patients aged 30-60 years. If excised fully, they do not reoccur, and no cases in the literature have reported malignant transformations. ...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20070301-13

    authors: Gentles C,Perin J,Berrey H,Griffiths HJ

    更新日期:2007-03-01 00:00:00

  • Use of trochanteric nail for proximal femoral extracapsular fractures.

    abstract::Proximal femoral extracapsular fractures have shown a significantly high morbidity and mortality rate at 1 year in cases of nonoperative treatment. The standard gamma nail was originally designed to provide stable fixation and allow early mobilization and weight bearing for elderly patients. The design of the standard...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20061201-18

    authors: Hofer M,Chevalley F,Garofalo R,Borens O,Mouhsine E

    更新日期:2006-12-01 00:00:00

  • Deep vein thrombosis prophylaxis in the outpatient setting: preventing complications following hospital discharge.

    abstract::Venous thromboembolism is an important complication in patients undergoing major orthopedic surgery. Without prophylaxis, there is a 50% to 60% incidence of deep vein thrombosis (DVT), a 10% to 30% incidence of proximal vein thrombosis, and a 1% to 2% rate of fatal pulmonary embolism after total hip replacement. The i...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Turpie AG

    更新日期:1995-07-01 00:00:00

  • Spinal posterior movement after posterior cervical decompression surgery: clinical findings and factors affecting postoperative functional recovery.

    abstract::This study investigated the posterior movement of the spinal cord after posterior decompression surgery and evaluated factors affecting postoperative functional recovery in patients with cervical spondylotic myelopathy (CSM). Thirty-two patients with CSM underwent posterior decompression from C3 to C7 through laminect...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20111021-03

    authors: Xia G,Tian R,Xu T,Li H,Zhang X

    更新日期:2011-12-06 00:00:00

  • Femoral fixation in primary total hip arthroplasty.

    abstract::We have presented the major advantages of using femoral components that have porous coating over the entire stemmed portion and have a cylindrical distal shape. The advantages of a stem with these design features also are reflected in the changing pattern of hip implant usage. A decade ago, the most frequently used po...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Engh CA Sr,Culpepper WJ 2nd

    更新日期:1997-09-01 00:00:00

  • The treatment of olecranon fractures by excision or fragments and repair of the extensor mechanism: historical review and report of 12 fractures.

    abstract::The operative treatment of olecranon fractures is controversial. Proponents of open reduction and internal fixation cite restoration of anatomy and rigid fixation, while proponents of excision of fracture fragments with repair of the extensor mechanism cite few complications and a rapid return of motion and function. ...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Inhofe PD,Howard TC

    更新日期:1993-12-01 00:00:00

  • The effect of cup placement in cementless total hip arthroplasty on the wear rate of polyethylene.

    abstract::There are many reports on cup placement, inclination, anteversion, and position. This article strictly defines the area of cup placement based on data from 185 healthy hip centers and Ranawat's triangle. Linear wear rate (LWR) was measured in 55 total hip arthroplasty (THA) cases and categorized as low or high. The re...

    journal_title:Orthopedics

    pub_type: 临床试验,杂志文章

    doi:10.3928/01477447-20080301-19

    authors: Ito M,Tokunaga K,Endo N,Takano Y,Yuasa N

    更新日期:2008-03-01 00:00:00

  • Long-term thromboprophylaxis in practice: how can it be implemented?

    abstract::Prolonging thromboprophylaxis after hospital discharge following surgery reduces the incidence of venographic and symptomatic venous thromboembolism (VTE), although the effects on post-thrombotic syndrome are not yet clear. Oral anticoagulants and low-molecular-weight heparins (LMWHs) may be used for extended outpatie...

    journal_title:Orthopedics

    pub_type: 杂志文章,评审

    doi:

    authors: Nurmohamed MT,MacGillavry MR

    更新日期:2000-06-01 00:00:00

  • You can withdraw from that? The effects of abrupt discontinuation of medications.

    abstract::Obtaining complete medication histories from patients and reinitiating home medications on hospital admission or when clinically appropriate will help prevent unnecessary complications secondary to abrupt discontinuation. ...

    journal_title:Orthopedics

    pub_type: 杂志文章,评审

    doi:10.3928/01477447-20060501-16

    authors: Papadopoulos S,Cook AM

    更新日期:2006-05-01 00:00:00

  • Clinical Characteristics and Long-term Outcomes After Septic Arthritis of the Native Glenohumeral Joint: A 20-Year Retrospective Review.

    abstract::Septic arthritis of the native glenohumeral joint is rare, and there is little information available regarding the natural progression and long-term joint outcomes of this pathology. The authors performed a retrospective analysis of 97 patients with culture-positive glenohumeral septic arthritis between 1995 and 2015 ...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20181227-01

    authors: Sweet MC,Sheena GJ,Liu S,Fisk FE,Lynch JR,Muh SJ

    更新日期:2019-01-01 00:00:00

  • Prescription options for the below knee amputee. A review.

    abstract::In 1973 a workshop sponsored by the National Academy of Sciences recommended that "efforts to develop prescription criteria for use of the numerous variants of the BK prosthesis should be intensified." This paper provides a review of the important considerations in the prescription of a below-knee prosthesis. It is in...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Abrahamson MA,Skinner HB,Effeney DJ,Wilson LA

    更新日期:1985-02-01 00:00:00

  • Return to Play Among Golfers Undergoing Hip Arthroscopy: Short- to Mid-term Follow-up.

    abstract::There are approximately 25 million amateur golfers in the United States, making up almost 10% of the entire US population. The purpose of this study was to evaluate short-term outcomes and rates of return to sport among recreational golfers who underwent hip arthroscopy for the treatment of labral tears. Data were pro...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20180524-02

    authors: Ortiz-Declet V,Yuen LC,Maldonado DR,Schwarzman G,Laseter JR,Domb BG

    更新日期:2018-07-01 00:00:00

  • Control of movement and fracture stiffness monitoring with external fixation.

    abstract::External fixation of fractures, unlike other forms of treatment, can provide an accurate and variable control of the mechanical conditions of the fracture. Extremely stable conditions, with correct positioning of the bone screws, will reduce the risk of overloading the bone screws and bone interface, which would other...

    journal_title:Orthopedics

    pub_type: 社论

    doi:10.3928/0147-7447-19840301-15

    authors: Harris JD,Kenwright J,Evans M,Tanner KE,Gwillim J

    更新日期:1984-03-01 00:00:00

  • Antibiotic-coated spacers for total hip arthroplasty infection.

    abstract::Total hip arthroplasty (THA) infection imposes a significant burden on the patient and the health care system. Two-stage revision with interval placement of an antibiotic-cement spacer is the standard of care for chronic periprosthetic infections. This treatment allows for the direct delivery of antibiotics to the inf...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20100722-21

    authors: Bloomfield MR,Klika AK,Barsoum WK

    更新日期:2010-09-07 00:00:00

  • Proportion of Obese Patients Presenting to Orthopedic Total Joint Arthroplasty Clinics.

    abstract::The purpose of this study is to demonstrate that the percentage of obese individuals initially presenting to total joint arthroplasty clinics in a public, tertiary hospital is greater than the proportion of obese individuals in the general population. In a retrospective, comparative study of patients seen in total joi...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20151222-12

    authors: Welton KL,Gagnier JJ,Urquhart AG

    更新日期:2016-01-01 00:00:00

  • Bilateral distal tibial transitional ankle fractures.

    abstract::A 13-year-old boy presented to the emergency department with bilateral ankle pain and swelling following a 5-foot fall from a swing set. ...

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  • The Effect of Psychosensory Therapy on Short-term Outcomes of Total Joint Arthroplasty: A Randomized Controlled Trial.

    abstract::Poor outcomes associated with increased perioperative opioid use have led investigators to seek alternative pain management modalities after total joint arthroplasty. Nonpharmacological approaches, such as electroceuticals, have shown promise. The purpose of this study was to evaluate the effects of "havening," a spec...

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    pub_type: 杂志文章,随机对照试验

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    authors: Cizmic Z,Edusei E,Anoushiravani AA,Zuckerman J,Ruden R,Schwarzkopf R

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  • Bilateral, atraumatic, proximal tibiofibular joint instability.

    abstract::Dislocation of the tibiofibular joint is rare and usually results from a traumatic event. Only 1 case of atraumatic proximal tibiofibular joint instability in a 14-year-old girl has been reported in the literature, however this condition might occur more frequently than once thought. A wide range of treatment options ...

    journal_title:Orthopedics

    pub_type: 杂志文章

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    authors: Morrison TD,Shaer JA,Little JE

    更新日期:2011-01-01 00:00:00

  • Changes of the posterior meniscal horn height during loading: an in vivo magnetic resonance imaging study.

    abstract::This in vivo magnetic resonance imaging study evaluated the deformation of the meniscal posterior horn during loading. Images of the medial and lateral meniscus were obtained in 20 normal knees in 0 degrees and 30 degrees of flexion, and the height of the posterior horn of both menisci was measured. Mean height of the...

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    authors: Mastrokalos DS,Papagelopoulos PJ,Mavrogenis AF,Hantes ME,Paessler HH

    更新日期:2008-01-01 00:00:00

  • Sacral stress fracture in a professional hockey player: a case report.

    abstract::Lumbosacral pain is common in the general population and among athletes. Many athletes are diagnosed with low back strain and treated with nonsteroidal anti-inflammatories, rest, and muscle relaxers. However, the differential for low back pain in athletes is broad and includes many potential etiologies such as: lumbar...

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    pub_type: 杂志文章

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    authors: Southam JD,Silvis ML,Black KP

    更新日期:2010-11-02 00:00:00

  • Treatment of fibrous dysplasia involving the proximal femur.

    abstract::Twenty-two patients with fibrous dysplasia in the femoral neck or trochanteric area were treated with curettage and bone grafting with a sliding hip compression screw and plate. Follow-up ranged from 2 to 6 years (average: 4 years). Fourteen patients had monostotic and 8 had polyostotic disease. Four patients had path...

    journal_title:Orthopedics

    pub_type: 临床试验,杂志文章

    doi:

    authors: Shih HN,Chen YJ,Huang TJ,Hsu KY,Hsu RW

    更新日期:1998-12-01 00:00:00

  • Clinical benefits of intra-articular anakinra for arthrofibrosis.

    abstract::Postoperative inflammation and stiffness, as well as the struggle to achieve full range of motion (ROM), following knee surgery is a significant clinical challenge. Interleukin-1 is a crucial mediator of the inflammatory response and development of pathological conditions leading to chronic inflammation. We hypothesiz...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20101021-09

    authors: Brown CA,Toth AP,Magnussen B

    更新日期:2010-12-01 00:00:00

  • Surgeons' Perspectives on Premium Implants in Total Joint Arthroplasty.

    abstract::Declining total joint arthroplasty reimbursement and rising implant prices have led many hospitals to restrict access to newer, more expensive total joint arthroplasty implants. The authors sought to understand arthroplasty surgeons' perspectives on implants regarding innovation, product launch, costs, and cost-contai...

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    pub_type: 杂志文章

    doi:10.3928/01477447-20170619-02

    authors: Wasterlain AS,Bello RJ,Vigdorchik J,Schwarzkopf R,Long WJ

    更新日期:2017-09-01 00:00:00

  • Effects of altered crystalline structure and increased initial compressive strength of calcium sulfate bone graft substitute pellets on new bone formation.

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    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Urban RM,Turner TM,Hall DJ,Infanger SI,Cheema N,Lim TH,Moseley J,Carroll M,Roark M

    更新日期:2004-01-01 00:00:00

  • The effects of lower-extremity total joint replacement for arthritis on obesity.

    abstract::Total hip or knee replacement patients who are overweight or obese often consider their disabling joint disease a cause for their increased weight. This prospective study investigated weight change in 100 patients after successful total joint replacement to determine whether surgical treatment of hip or knee arthritis...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Heisel C,Silva M,dela Rosa MA,Schmalzried TP

    更新日期:2005-02-01 00:00:00