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Description
It has been repeatedly shown that females have lower stability and increased risk of ankle injury when compared to males participating in similar sports activities (e.g., basketball and soccer), yet sex differences in neuromuscular control of the ankle, including the modulation of ankle stiffness, and their contribution to stability remain

It has been repeatedly shown that females have lower stability and increased risk of ankle injury when compared to males participating in similar sports activities (e.g., basketball and soccer), yet sex differences in neuromuscular control of the ankle, including the modulation of ankle stiffness, and their contribution to stability remain unknown. To identify sex differences in human ankle stiffness, this study quantified 2- dimensional (2D) ankle stiffness in 20 young, healthy men and 20 young, healthy women during upright standing over a range of tasks, specifically, ankle muscle co-contraction tasks (4 levels up to 20% maximum voluntary co-contraction of ankle muscles), weight-bearing tasks (4 levels up to 90% of body weight), and ankle torque generation tasks accomplished by maintaining offset center-of-pressure (5 levels up to +6 cm to the center-of-pressure during quiet standing). A dual-axial robotic platform, capable of perturbing the ankle in both the sagittal and frontal planes and measuring the corresponding ankle torques, was used to reliably quantify the 2D ankle stiffness during upright standing. In all task conditions and in both planes of ankle motion, ankle stiffness in males was consistently greater than that in females. Among all 26 experimental conditions, all but 2 conditions in the frontal plane showed statistically significant sex differences. Further analysis on the normalized ankle stiffness scaled by weight times height suggests that while sex differences in ankle stiffness in the sagittal plane could be explained by sex differences in anthropometric factors as well as neuromuscular factors, the differences in the frontal plane could be mostly explained by anthropometric factors. This study also demonstrates that the sex differences in the sagittal plane were significantly higher as compared to those in the frontal plane. The results indicate that females have lower ankle stiffness during upright standing thereby providing the neuromuscular basis for further investigations on the correlation of ankle stiffness and the higher risk of ankle injury in females.
ContributorsAdjei, Ermyntrude (Author) / Lee, Hyunglae (Thesis advisor) / Santello, Marco (Committee member) / Lockhart, Thurmon E (Committee member) / Arizona State University (Publisher)
Created2020
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Description
The ability to inhibit a planned but inappropriate response, and switch to executing a goal-relevant motor response, is critically important for the regulation of motor behaviors. Inhibition and switching could be mediated by various control mechanisms. Proactive control uses contextual information (cues) to plan the response for the target stimulus

The ability to inhibit a planned but inappropriate response, and switch to executing a goal-relevant motor response, is critically important for the regulation of motor behaviors. Inhibition and switching could be mediated by various control mechanisms. Proactive control uses contextual information (cues) to plan the response for the target stimulus (probe) based on the expectation of a response inhibition or switching stimulus combination. Previous work has reported the involvement of several brain areas associated with proactive inhibition and switching, e.g., dorsolateral prefrontal cortex, anterior cingulate cortex, inferior frontal junction, and pre-supplementary motor area. However, how these areas interact and their functional role in different types of cognitive control is still debated. An AX-version of the continuous performance task (AX-CPT) was used to examine proactive inhibition and switching of motor actions. In a typical AX-CPT trial, a contextual cue stimulus is presented, followed by a probe stimulus after a specific inter-stimulus interval. As part of a trial sequence, if a target cue and target probe are presented, a target response is to be provided when the probe is observed. Otherwise, a non-target response is to be provided for all other stimuli. A behavioral switching AX-CPT experiment (48 subjects) was conducted to explore the parameters that induce a proactive shift in the motor response. Participants who performed the AX-CPT task with relatively shorter interstimulus interval predominantly and consistently exhibited proactive control behavior. A follow-up pilot study (3 subjects) of response inhibition versus response switching AX-CPT was performed using 256-channel high-density electroencephalography (HD-EEG). HD-EEG was used to identify the time course of cortical activation in brain areas associated with response inhibition. It was observed that one out of three participants used a proactive strategy for response switching based on probe response error and probe response reaction time. Instantaneous amplitude spatial maps obtained from HD-EEG revealed cortical activity corresponding to conflict between proactively-prepared incorrect responses and reactively-corrected goal-relevant responses after the probe was presented.
ContributorsMysore, Archana Shashidhar (Author) / Santello, Marco (Thesis advisor) / Blais, Christopher (Committee member) / Brewer, Gene (Committee member) / Tillery, Stephen Helms (Committee member) / Arizona State University (Publisher)
Created2020
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Description
Stroke occurs when the blood supply to part of the brain is interrupted or reduced, preventing brain tissue from getting oxygen and nutrients, thus causing brain cells to die. Stroke is the 5th leading cause of death in the United States and is one of the major causes of disability.

Stroke occurs when the blood supply to part of the brain is interrupted or reduced, preventing brain tissue from getting oxygen and nutrients, thus causing brain cells to die. Stroke is the 5th leading cause of death in the United States and is one of the major causes of disability. Conventional therapy is a form of stroke rehabilitation generally consisting of physical and occupational therapy. It focuses on customized exercises based on the patient’s feedback. Physical therapy includes exercises such as weight bearing (affected arm), vibration of affected muscle and gravity-eliminated movement of affected arm. Overall physical therapy aims at strengthening muscle groups and aides in the relearning process. Occupational aspect of conventional therapy includes activities of daily living (ADL) such as dressing, self-feeding, grooming and toileting. Overall occupational therapy focuses on improving the daily activities performed by individuals. In comparison to conventional therapy, robotic therapy is relatively newer therapy. It uses robotic devices to perform repetitive motions and delivers high dosage and high intensity training to stroke patients. Based on the research studies reviewed, it is known that neuroplasticity in stroke patients is linked to interventions which are high in dosage, intensity, repetition, difficulty, salience. Peer-reviewed literature suggests robotic therapy might be a viable option for recovery in stroke patients. However, the extent to which robotic therapy may provide greater benefits than conventional therapy remains unclear. This thesis addresses the key components of a study design for comparing the efficacy of robotic therapy relative to conventional therapy to improve upper limb sensorimotor function in stroke survivors. The study design is based on an extensive review of the literature of stroke clinical trials and robotic therapy studies, analyses of the capabilities of a robotic therapy device (M2, Fourier Intelligence), and pilot data collected on healthy controls to create a pipeline of tasks and analyses to extract biomarkers of sensorimotor functional changes. This work has laid the foundation for a pilot longitudinal study that will be conducted at the Barrow Neurological Institute, Phoenix, AZ, where conventional and robotic therapy will be compared in a small cohort of stroke survivors.
ContributorsThomas, Lovein (Author) / Santello, Marco (Thesis advisor) / Kleim, Jeffrey (Committee member) / Maruyama, Trent (Committee member) / Arizona State University (Publisher)
Created2021
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Description
Myoelectric control is lled with potential to signicantly change human-robot interaction.

Humans desire compliant robots to safely interact in dynamic environments

associated with daily activities. As surface electromyography non-invasively measures

limb motion intent and correlates with joint stiness during co-contractions,

it has been identied as a candidate for naturally controlling such robots. However,

state-of-the-art myoelectric

Myoelectric control is lled with potential to signicantly change human-robot interaction.

Humans desire compliant robots to safely interact in dynamic environments

associated with daily activities. As surface electromyography non-invasively measures

limb motion intent and correlates with joint stiness during co-contractions,

it has been identied as a candidate for naturally controlling such robots. However,

state-of-the-art myoelectric interfaces have struggled to achieve both enhanced

functionality and long-term reliability. As demands in myoelectric interfaces trend

toward simultaneous and proportional control of compliant robots, robust processing

of multi-muscle coordinations, or synergies, plays a larger role in the success of the

control scheme. This dissertation presents a framework enhancing the utility of myoelectric

interfaces by exploiting motor skill learning and

exible muscle synergies for

reliable long-term simultaneous and proportional control of multifunctional compliant

robots. The interface is learned as a new motor skill specic to the controller,

providing long-term performance enhancements without requiring any retraining or

recalibration of the system. Moreover, the framework oers control of both motion

and stiness simultaneously for intuitive and compliant human-robot interaction. The

framework is validated through a series of experiments characterizing motor learning

properties and demonstrating control capabilities not seen previously in the literature.

The results validate the approach as a viable option to remove the trade-o

between functionality and reliability that have hindered state-of-the-art myoelectric

interfaces. Thus, this research contributes to the expansion and enhancement of myoelectric

controlled applications beyond commonly perceived anthropomorphic and

\intuitive control" constraints and into more advanced robotic systems designed for

everyday tasks.
ContributorsIson, Mark (Author) / Artemiadis, Panagiotis (Thesis advisor) / Santello, Marco (Committee member) / Greger, Bradley (Committee member) / Berman, Spring (Committee member) / Sugar, Thomas (Committee member) / Fainekos, Georgios (Committee member) / Arizona State University (Publisher)
Created2015
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Description
Recently, it was demonstrated that startle-evoked-movements (SEMs) are present during individuated finger movements (index finger abduction), but only following intense training. This demonstrates that changes in motor planning, which occur through training (motor learning - a characteristic which can provide researchers and clinicians with information about overall rehabilitative effectiveness), can

Recently, it was demonstrated that startle-evoked-movements (SEMs) are present during individuated finger movements (index finger abduction), but only following intense training. This demonstrates that changes in motor planning, which occur through training (motor learning - a characteristic which can provide researchers and clinicians with information about overall rehabilitative effectiveness), can be analyzed with SEM. The objective here was to determine if SEM is a sensitive enough tool for differentiating expertise (task solidification) in a common everyday task (typing). If proven to be true, SEM may then be useful during rehabilitation for time-stamping when task-specific expertise has occurred, and possibly even when the sufficient dosage of motor training (although not tested here) has been delivered following impairment. It was hypothesized that SEM would be present for all fingers of an expert population, but no fingers of a non-expert population. A total of 9 expert (75.2 ± 9.8 WPM) and 8 non-expert typists, (41.6 ± 8.2 WPM) with right handed dominance and with no previous neurological or current upper extremity impairment were evaluated. SEM was robustly present (all p < 0.05) in all fingers of the experts (except the middle) and absent in all fingers of non-experts except the little (although less robust). Taken together, these results indicate that SEM is a measurable behavioral indicator of motor learning and that it is sensitive to task expertise, opening it for potential clinical utility.
ContributorsBartels, Brandon Michael (Author) / Honeycutt, Claire F (Thesis advisor) / Schaefer, Sydney (Committee member) / Santello, Marco (Committee member) / Arizona State University (Publisher)
Created2018
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Description
The human hand is a complex biological system. Humans have evolved a unique ability to use the hand for a wide range of tasks, including activities of daily living such as successfully grasping and manipulating objects, i.e., lifting a cup of coffee without spilling. Despite the ubiquitous nature of hand

The human hand is a complex biological system. Humans have evolved a unique ability to use the hand for a wide range of tasks, including activities of daily living such as successfully grasping and manipulating objects, i.e., lifting a cup of coffee without spilling. Despite the ubiquitous nature of hand use in everyday activities involving object manipulations, there is currently an incomplete understanding of the cortical sensorimotor mechanisms underlying this important behavior. One critical aspect of natural object grasping is the coordination of where the fingers make contact with an object and how much force is applied following contact. Such force-to-position modulation is critical for successful manipulation. However, the neural mechanisms underlying these motor processes remain less understood, as previous experiments have utilized protocols with fixed contact points which likely rely on different neural mechanisms from those involved in grasping at unconstrained contacts. To address this gap in the motor neuroscience field, transcranial magnetic stimulation (TMS) and electroencephalography (EEG) were used to investigate the role of primary motor cortex (M1), as well as other important cortical regions in the grasping network, during the planning and execution of object grasping and manipulation. The results of virtual lesions induced by TMS and EEG revealed grasp context-specific cortical mechanisms underlying digit force-to-position coordination, as well as the spatial and temporal dynamics of cortical activity during planning and execution. Together, the present findings provide the foundation for a novel framework accounting for how the central nervous system controls dexterous manipulation. This new knowledge can potentially benefit research in neuroprosthetics and improve the efficacy of neurorehabilitation techniques for patients affected by sensorimotor impairments.
ContributorsMcGurrin, Patrick M (Author) / Santello, Marco (Thesis advisor) / Helms-Tillery, Steve (Committee member) / Kleim, Jeff (Committee member) / Davare, Marco (Committee member) / Arizona State University (Publisher)
Created2017