000			nab a22 7a 4500
999			_c17213 _d17213
003			PC17213
005			20230210114316.0
008			230210b xxu||||| |||| 00| 0 eng d
040			_cH12O
041			_aeng
100			_92071 _aRomero Muñoz, Juan Pablo _eInstituto de Investigación i+12
245	0	0	_aOnline Tremor Suppression Using Electromyography and Low-Level Electrical Stimulation. _h[caso clínico]
260			_bIEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society, _c2015
300			_a23(3):385-95.
500			_aFormato Vancouver: Dosen S, Muceli S, Dideriksen JL, Romero JP, Rocon E, Pons J et al. Online tremor suppression using electromyography and low-level electrical stimulation. IEEE Trans Neural Syst Rehabil Eng. 2015 May;23(3):385-95.
501			_aPMID: 25051555
504			_aContiene 39 referencias
520			_aTremor is one of the most prevalent movement disorders. There is a large proportion of patients (around 25%) in whom current treatments do not attain a significant tremor reduction. This paper proposes a tremor suppression strategy that detects tremor from the electromyographic signals of the muscles from which tremor originates and counteracts it by delivering electrical stimulation to the antagonist muscles in an out of phase manner. The detection was based on the iterative Hilbert transform and stimulation was delivered above the motor threshold (motor stimulation) and below the motor threshold (sensory stimulation). The system was tested on six patients with predominant wrist flexion/extension tremor (four with Parkinson disease and two with Essential tremor) and led to an average tremor reduction in the range of 46%-81% and 35%-48% across five patients when using the motor and sensory stimulation, respectively. In one patient, the system did not attenuate tremor. These results demonstrate that tremor attenuation might be achieved by delivering electrical stimulation below the motor threshold, preventing muscle fatigue and discomfort for the patients, which sets the basis for the development of an alternative treatment for tremor.
710			_9625 _aInstituto de Investigación imas12
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/1/pc17213.pdf _ySolicitar documento
942			_2ddc _cCAS _n0