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Section: Partnerships and Cooperations
International Initiatives
Inria Associate Teams Not Involved in an Inria International Labs
NEUROPHYS4NEUROREHAB
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Title: Development of neurophysiological test setup for customizing and monitoring patient-specific non-invasive electrical stimulation-facilitated neurorehabilitation.
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International Partners (Institution - Laboratory - Researcher):
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See also: https://team.inria.fr/nphys4nrehab/
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Stroke presents with heterogeneous patient-specific impairments in motor, sensory, tone, visual, perceptual, cognition, aphasia, apraxia, coordination, and equilibrium where the functional limitations following stroke are varied, including gait dysfunction, fall risk, limited activities of daily living, difficulties in swallowing, reduced upper extremity function, altered communication, besides others. These heterogeneous patient-specific impairments make planning of the neurorehabilitation therapy challenging. Here, it may be important to stratify the stroke survivors for restorative neurorehabilitation based on the prognosis and the ability of the stroke survivor to undergo therapy depending on their cardiovascular and neuromuscular capacity besides psychological factors such as motivation where the therapy needs to be tailored to individual health condition. The WHO International Classification of Functioning (ICF) model recommends intervention at multiple levels (e.g., impairment, activity, participation) where environment and personal factors can play an important role in resource-limited India. In fact, deconditioned chronic stroke survivor will need to recondition their cardiovascular endurance, metabolic fitness, and muscle conditions with a gradual increase in the intensity (number of hours per day) and frequency (number of days per week) of therapy, providing a higher level as they improve their function. Towards that overarching goal in a low-resource setting, we propose development of neurophysiological screening and monitoring tools using low-cost sensors.
CACAO
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Title: Lower limb electrical stimulation for function restoration
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International Partner (Institution - Laboratory - Researcher):
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See also: https://team.inria.fr/cacao/
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Electrical stimulation (ES) can activate paralyzed muscles to support rehabilitation. ES applied to fully or partially paralyzed muscles artificially induces muscle contraction substituting or completing the normal volitional control. In CACAO team we will join our efforts and specific expertise to develop approaches of lower limb function restoration in spinal cord injured individuals. Two main applications will be addressed: 1) Functional Electrical Stimulation (FES) to assist SCI individuals to perform pivot transfers and 2) FES-assisted cycling (we already jointly prepared and participated to CYBATHLON’16). We aim at proposing solutions that can have an effect on patients’ quality of life, thus our choices intend to be realistic form a practical point of view. We will take care in evaluating both functional and psychological effects of our solutions and to constrain technical choices to be acceptable by final user. CACAO project will be a good opportunity to combine “bioengineer” (DEMAR) and “physiology/rehabilitation” (NTAAI) visions and knowledges towards solutions for clinical applications.