REHABILITATION ENGINEERING

Workshop Pembekalan Calon Lulusan

BME FTE-ITS

Anindito Kusumojati, ST. MSc

Human Movement

Challenge the future 2

Skeletal Muscle

Challenge the future 3

Skeletal Muscle

Surrounded by connective tissues

[4]

[1] droualb.faculty.mjc.edu
[2] Marieb 2010 Challenge the future 4
Skeletal Muscle

Surrounded by connective tissues Muscle fiber

[4] [5]

[1] droualb.faculty.mjc.edu
[2] Marieb 2010 Challenge the future 5
Skeletal Muscle

Surrounded by connective tissues Muscle Fiber

[4] [5]

[5]
Sarcomere

[1] droualb.faculty.mjc.edu
[2] Marieb 2010 Challenge the future 6
Muscle Mechanics

Challenge the future 7

Muscle Mechanics

During Contraction

Challenge the future 8

Muscle Mechanics

During Contraction
[3]

Cross-Bridge Cycle

[2] Marieb 2010

[3] www.biowin.at Challenge the future 9
Muscle Mechanics

During Contraction
[6]

Cross-Bridge Cycle
[3]

Percent of resting sarcomere length

[2] Marieb 2010

[3] www.biowin.at Challenge the future 10
Muscle Mechanics

During Contraction
[6]

Tension Generation

Cross-Bridge Cycle
[6]

Hill, 1968

Percent of resting sarcomere length

[2] Marieb 2010

[3] www.biowin.at Challenge the future 11
Muscle Mechanics

During Contraction
[6]

Tension Generation

Intramuscular
connective tissue

Cross-Bridge Cycle
[6]

Hill, 1968

Percent of resting sarcomere length

[2] Marieb 2010

[3] www.biowin.at Challenge the future 12
Muscle Mechanics

During Contraction
[6]

Tension Generation
Tendon and
Intramuscular aponeuroses
connective tissue

Cross-Bridge Cycle
[6]

Hill, 1968

Percent of resting sarcomere length

[2] Marieb 2010

[3] www.biowin.at Challenge the future 13
Muscle Mechanics

During Contraction
[6]

Tension Generation
Tendon and
Intramuscular aponeuroses
connective tissue

Cross-Bridge Cycle
[6]

Contractile
element

Hill, 1968

Percent of resting sarcomere length

[2] Marieb 2010

[3] www.biowin.at Challenge the future 14
Neuromuscular Control

Challenge the future 15

Neuromuscular Control

Central Nervous Muscle

System

Sensory Feedback

[4]TU Delft Lecture Slide

Challenge the future 16
Neuromuscular Control

Central Nervous Muscle Human Body (Plant)

System

Proprioception

Vision

Vestibular
[4]TU Delft Lecture Slide
Challenge the future 17
Impaired human motor control
Central Nervous Muscle Human Body (Plant)
System

Proprioception

Vision

Vestibular
[4]TU Delft Lecture Slide
Challenge the future 18
Impaired human motor control

Central Nervous Muscle Human Body (Plant)

System

Proprioception

Vision

Vestibular
[4]TU Delft Lecture Slide
Challenge the future 19
Impaired human motor control

Central Nervous Muscle Human Body (Plant)

System

• Brain: CVA,
Parkinson, CP
• Spinal Cord: SCI
• Both: MS
Proprioception

Vision

Vestibular
[4]TU Delft Lecture Slide
Challenge the future 20
Impaired human motor control

Central Nervous Muscle Human Body (Plant)

System

• Myopathies

Proprioception

Vision

Vestibular
[4]TU Delft Lecture Slide
Challenge the future 21
Impaired human motor control

Central Nervous Muscle Human Body (Plant)

System

• Neuropathies with
sensory deficits

Proprioception

Vision

Vestibular
[4]TU Delft Lecture Slide
Challenge the future 22
Impaired human motor control

Central Nervous Muscle Human Body (Plant)

System

• Amputee

Proprioception

Vision

Vestibular
[4]TU Delft Lecture Slide
Challenge the future 23
Interaction between physiological and artificial system

[5]TU Delft Biomechatronics Reader

Challenge the future 24
Interaction between physiological and artificial system

[5]TU Delft Biomechatronics Reader

Challenge the future 25
Orthoses

Jiménez-Fabián R, Verlinden O. Review of control algorithms for robotic ankle systems in lower-limb
orthoses, prostheses, and exoskeletons. Med Eng Phys 2012;34:397–408. Challenge the future 26
Prostheses

https://www.pbs.org
ted.com Challenge the future 27
Intuitive control

Wallman L, Rosengren A, Danielsen N, Laurell T: Geometric design and surfacemorfology of sieve electrodes, Nerve
regeneration and biokompatibility studies. 1st Int IEEE EMBS Special Topic Conf Microtechnologies Med Biol. Lyon; Challenge the future 28
2000:526–530.
 Intuitive control

Ortiz-Catalan, M., Brånemark, R., Håkansson, B., & Delbeke, J. (2012). On the viability of implantable electrodes
for the natural control of artificial limbs: review and discussion. Biomedical engineering online, 11(1), 33. Challenge the future 29
Exoskeleton

Project March TU Delft 2nd team

Challenge the future 30
Rehabilitation Mechanism

Meng, W., Liu, Q., Zhou, Z., Ai, Q., Sheng, B., & Xie, S. S. (2015). Recent development of mechanisms
and control strategies for robot-assisted lower limb rehabilitation. Mechatronics, 31, 132-145. Challenge the future 31
Prostheses

Challenge the future 32

Gait Analysis

Meng, W., Liu, Q., Zhou, Z., Ai, Q., Sheng, B., & Xie, S. S. (2015). Recent development of mechanisms
and control strategies for robot-assisted lower limb rehabilitation. Mechatronics, 31, 132-145. Challenge the future 33
MotekforceLink.
Challenge the future 34
 REHABILITATION ENGINEERING
Workshop Pembekalan Calon Lulusan
BME FTE-ITS

Anindito Kusumojati, ST. MSc