Modeling and Identification of Mechanical and Reflex Properties related to Spasticity in Stroke Patients using Multiple Pendulum Tests

抄録

We propose a method for the comprehensive identification of spastic and intrinsic properties of spastic knee joints using multiple pendulum tests. The stretch reflex system was modeled as a velocity feedback loop where the key component was the muscle spindle model generating the afferent signals with a constant threshold and gain of the lengthening velocity. For the comprehensive identification, multiple trajectories from one session of pendulum trials with different release angles were used as the reference trajectories that the model must reproduce. The identification was successful based on the results that the identified model represented the various features of pendulum trajectories and the simulated spastic torque closely matched the experimental EMG. The identified velocity threshold showed a remarkable correlation with the EMG duration and peak. The session-based method was effective in the identification of the spastic musculoskeletal system and the velocity threshold of the stretch reflex was suggested as a reliable and intuitive indicator of spastic severity.