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Biomedical subjects

H B Boom

Publications and source records attributed to H B Boom.

At least 37 records · Page 2Linked to original sources
PubMed1994

Dynamic pumping characteristics of the Hemopump.

While pumping blood with the Hemopump in sheep, the ability of predicting the instantaneous pump flow from the pressure difference over the pump system and pump parameters was investigated. For rotational speed n between 300 and 475 revolutions per second (rps), maximum pump flow QO(n) at zero pressure difference, internal pump resistance R(n), and inertia parameter Lc were found to be suitable parameters for Hemopump characterization. The instantaneous pump flow could be estimated with an accuracy of approximately 1.0 [ml/s]. The values of the pump source parameters (+/- sd) were: (the figures in parentheses represent earlier reported values found while pumping water) Lc was a constant of 21.4 +/- 6.4 [Pa.s2/ml] (in water: 10.8). QO(n) is linearly related to rotational speed n according to: QO(n) = QO(ncen) + CQ(n-ncen), with QO(ncen) = 49.4 +/- 4.5 [ml/s] (in water: 60.3), CQ = 142 +/- 22.4 [10(-3) ml] (in water: 146), and ncen = 387.5 [rps]. R(n) is linearly related to rotational speed n according to: R(n) = R(ncen) + CR(n-ncen), with R(ncen) = 556 +/- 124 [Pa.s/ml] (in water: 502) and CR = 1.47 +/- 0.83 [Pa.s2/ml] (in water: 1.67).

Animals↗
PubMed1994

Characterization of left ventricle function by analysis of pressure responses to steps in rotational speed of the Hemopump.

Optimizing the procedure of weaning the left ventricle from a left ventricular assist device requires the determination of the momentaneous condition of the left ventricle. In sheep, a method was developed to momentaneously quantify the left ventricular condition. The left ventricular pump condition was quantified by the time-varying parameters elastance and resistance. They were determined from perturbations in the left ventricular pressure of two subsequent beats induced by changes in flow of the assist device. The end-diastolic volume of the ventricle was estimated without directly measuring ventricular volume. Maximum elastance and resistance were 201.3 +/- 32.7 [Pa/ml] and 12.3 +/- 1.6 [Pa.s/ml], respectively (mean +/- SE). The ventricular time constant, defined by the ratio of resistance of elastance, was 84.6 +/- 17.1 [ms] (mean +/- SE).

Animals↗
PubMed1993

The bioelectrical source in computing single muscle fiber action potentials.

Generally, single muscle fiber action potentials (SFAPs) are modeled as a convolution of the bioelectrical source (being the transmembrane current) with a weighting or transfer function, representing the electrical volume conduction. In practice, the intracellular action potential (IAP) rather than the transmembrane current is often used as the source, because the IAP is relatively easy to obtain under experimental conditions. Using a core conductor assumption, the transmembrane current equals the second derivative of the IAP. In previous articles, discrepancies were found between experimental and simulated SFAPs. Adaptations in the volume conductor slightly altered the simulation results. Another origin of discrepancy might be an erroneous description of the source. Therefore, in the present article, different sources were studied. First, an analytical description of the IAP was used. Furthermore, an experimental IAP, a special experimental SFAP, and a measured transmembrane current scaled to our experimental situation were applied. The results for the experimental IAP were comparable to those with the analytical IAP. The best agreement between experimental and simulated data was found for a measured transmembrane current as source, but differences are still apparent.

Action Potentials↗
PubMed1993

Fatigue during functional neuromuscular stimulation.

Discontinuous activation of muscle compartments is used to postpone the occurrence of fatigue during both normal activation and artificial stimulation. Periods of force development are interrupted by passive periods during which the muscle can recover. Since it is not known how fatigue parameters depend on intermittent stimulation, we compared fatigue generated by continuous electrical stimulation with fatigue resulting from intermittent stimulation schemes. T5-T6 paraplegics participated in the experiments. Continuous stimulation generated a torque time course that can be described by a rising and a falling exponential time constant. The falling time constant ranged from 100 to 200 sec in all four patients and did not depend on the amplitude of the stimulation pulses. The torque developed at times greater than 250 sec was asymptotically constant and proportional to the maximal torque developed by each patient. Intermittent stimulation appears to postpone fatigue markedly. The torque time course developed in each on/off cycle again was a double exponential. In intermittent stimulation schemes average torque determines the muscle's performance. Therefore, average torque versus time was calculated from the intermittent stimulation data. These relations also follow a double exponential, accurately providing confident estimates of fatigue parameters. Fatigue caused average muscle torque to decline to a constant level which, for each patient, was uncorrelated with the duty cycle of the stimulation pattern. Between patients these levels varied from 18.3 +/- 7.1 to 9.9 +/- 4.3 (% of maximal torque +/- standard error). These findings result in a model that could be of use in controllers for functional neuromuscular stimulation (FNS) that take into account non-stationarity caused by fatigue.

Electric Stimulation Therapy↗
PubMed1993

Excitation of dorsal root fibers in spinal cord stimulation: a theoretical study.

In epidural spinal cord stimulation it is likely that not only dorsal column fibers are activated, but that dorsal root fibers will be involved as well. In this investigation a volume conductor model of the spinal cord was used and dorsal root fibers were modeled by an electrical network including fiber excitation. The effects of varying some geometrical fiber characteristics, as well as the influence of the dorsal cerebrospinal fluid layer and the electrode configuration on the threshold stimulus for their excitation, were assessed. The threshold values were compared with those of dorsal column fibers. The results of this modeling study predict that, besides the well known influence of fiber diameter, the curvature of the dorsal root fibers and the angle between these fibers and the spinal cord axis were of major influence on their threshold values. Because of these effects, threshold stimuli of dorsal root fibers were relatively low as compared to dorsal column fibers. Excitation of the dorsal root fibers occurred near the entry point of the fibers.

Electric Stimulation↗
PubMed1992

The step response of left ventricular pressure to ejection flow: a system oriented approach.

Left ventricular pressure is dependent on both ventricular volume and ventricular ejection flow. These dependencies are usually expressed by ventricular elastance, and resistance, respectively. Resistance is a one-valued effect only, when ejection flow either is constant or increases. Decreasing ejection flow elicits a third effect: a decrease of elastance. The effects of elastance, resistance and elastance depression were modeled in a three-compartment model consisting of a dead-volume compartment, an elastance compartment, and a second series-elastance compartment connected to the elastance compartment by a resistance. This model was identified with the pressure response determined experimentally by imposing pumped constant-flow ejection epochs on isolated rabbit hearts. The experimental flow epochs consisted of two phases of constant flow separated by an increasing or decreasing flow step. It was found that elastance is not changed after the flow step if this is positive or zero. Negative flow steps induced a deactivation of elastance that is linearly dependent on the difference between isovolumic pressure that would be developed at the volume existing at the time of measurement and actual pressure. The parameters found from the identification procedure are ventricular active volume, nondepressed elastance, series-elastance, resistance, and the elastance deactivation factor. The first four parameter values were found in agreement with other results reported in literature. The elastance depression factor is a new parameter that could be of physiological or clinical significance since it may be related to the inability of the force generators in the heart muscle to be restored to their full number, after being inactivated or decoupled by filament sliding associated with ejection. On the basis of the results, an alinear state-model of the ventricle, for arbitrary, including physiological flow patterns is proposed.

Animals↗
PubMed1992

On/off control in FES-induced standing up: a model study and experiments.

Control of paraplegic standing up was studied with respect to the limitation of the end-velocity of the knee joint when the patient reaches the upright position. Closed-loop on/off control of knee extensor muscle was compared with open-loop controlled standing up both in a model study and in paraplegic patients in a controlled model situation. Criteria were knee-end-velocity and knee extensor muscle activation time. Sensitivity of the system to additional arm support and (in the model study) to the dynamics of knee extensor muscle was studied. It is concluded that the control scheme may reduce knee-end velocity to about 40 per cent and knee extensor activation time to near 70 per cent of the respective open-loop values.

Biomechanical Phenomena↗
PubMed1992

Potential distribution and single-fibre action potentials in a radially bounded muscle model.

In modelling the electrical behaviour of muscle tissue, we used to employ a frequency-dependent volume conductor network model, which was infinitely extended in all directions. Equations in this model could be solved using a finite-difference approach. The most important restriction of this model was the fact that no boundary effects could be incorporated. Analytical models of muscle tissue normally do not have this disadvantage, but in those models the microscopic structure of muscle tissue cannot be taken into account. In the paper, we present a combined numerical/analytical approach, which enables the study of potential distributions and SFAPs in simulated microscopic muscle tissue in which the influence of the muscle boundary has been considered. We considered muscle models with radii of 1.5 mm and 10 mm. Both models were compared with an unbounded network model. In the model with a radius of 1.5 mm we varied the position of the active fibre relative to the muscle surface. It appeared that in most cases the presence of a boundary had a considerable effect on the potential distribution. An increase in the peak-to-peak value of the SFAP amplitude up to 300 per cent was noticed when the active fibre was positioned 500 microns beneath the muscle surface in a model with a radius of 1.5 mm.

Action Potentials↗
PubMed1992

Low-level finite state control of knee joint in paraplegic standing.

Low-level finite state (locked-unlocked) control is compared with open-loop stimulation of the knee extensor muscles in functional electrical stimulation (FES) induced paraplegic standing. The parameters were: duration of standing, relative torque loss in knee extensor muscles, knee angle stability, average stimulus output and average arm effort during standing. To investigate the impact of external mechanical conditions on controller performance, experiments were performed both under the condition of a freely moving ankle joint and of a mechanically stabilized ankle joint. Finite state control resulted in a 2.5 to 12 times increase of standing duration or in a 1.5 to 5 times decrease of relative torque loss in comparison with open-loop stimulation. Finite state control induced a limit cycle oscillation in the knee joint. Average maximum knee flexion was 6.2 degrees without ankle bracing, and half that value with ankle bracing. Average arm support was 13.9 and 7.5% of the body weight without and with ankle bracing respectively.

Adult↗
PubMed1992

Simulation of multipolar fiber selective neural stimulation using intrafascicular electrodes.

A realistic, quantitative model is presented for the excitation of myelinated nerve fibers by intrafascicular electrodes. It predicts the stimulatory regions of any configuration of any number of electrodes, positioned anywhere inside the fascicle. The model has two parts. First, the nerve fiber is represented by a lumped electrical network and its response to an arbitrary extracellular potential field is calculated. Second, assuming a cylindrical geometry of the nerve bundle and its surroundings, an analytical expression for this field is derived. With realistic parameters, the model is applied to two cases: monopolar stimulation by a single cathode and stimulation by a specific tripolar configuration. It is shown that tripolar stimulation has the better spatial selectivity. Also tripolar stimulation is less sensitive to the conductivity of the medium surrounding the nerve and yields a more natural recruitment order.

Electric Conductivity↗
PubMed1992

Recruitment of dorsal column fibers in spinal cord stimulation: influence of collateral branching.

An electrical network model of myelinated dorsal column nerve fibers is presented. The effect of electrical stimulation was investigated using both a homogeneous volume conductor and a more realistic model of the spinal cord. An important feature of dorsal column nerve fibers is the presence of myelinated collaterals perpendicular to the rostro-caudal fibers. It was found that transmembrane potentials, due to external monopolar stimulation, at the node at which a collateral is attached, is significantly influenced by the presence of the collateral. It is concluded that both excitation threshold and blocking threshold of dorsal column fibers are decreased up to 50% compared to unbranched fibers.

Action Potentials↗
PubMed1992

Modelling the optimal control of cyclical leg movements induced by functional electrical stimulation.

An optimal control strategy for FES-induced cyclical leg movements in paraplegics is proposed. The control of the cyclical movement of a freely swinging leg is considered as an example. Quadriceps and the flexion withdrawal reflex are stimulated in order to generate a cyclical movement, of which the forward swing resembles the swing phase of gait. Optimal stimulation patterns are determined on the basis of an optimization criterion and a dynamic model of the system. The criterion is based on desired movement parameters and a minimal duration of the stimulation bursts. The movement parameters should ensure the generation of the desired cyclical movement: a desired hip angle range, sufficient foot clearance during the forward swing and knee extension at the beginning of the backward swing. Minimal duration of the stimulation bursts is assumed to yield minimal fatigue. A dynamic model, describing the dynamics of the neural system, the muscles and the leg, was constructed and its parameters identified on the basis of preliminary experiments and literature. Optimal timing of the quadriceps and flexion reflex stimulation bursts was determined by means of computer simulation. These simulations predicted that the flexion reflex should be stimulated in a short burst approximately 150 ms before the start of the forward swing. The quadriceps should be stimulated approximately starting 200 ms before the end of the forward swing in order to ensure knee extension at the beginning of the backward swing. The duration of one cycle of the movement was between 1300 and 1500 ms in these simulations. These results predict that the movement specified by the functional objectives can be realised using only two channels of stimulation. On the basis of the optimal timing, an adaptive control strategy can be designed, which varies the stimulation burst width when muscles fatigue.

Biomechanical Phenomena↗
PubMed1991

Lower extremity angle measurement with accelerometers--error and sensitivity analysis.

Closed-loop control techniques for the restoration of locomotion of paraplegic subjects are expected to improve the quality of functional neuromuscular stimulation (FNS). We investigated the use of accelerometers for the assessment of feedback parameters. Previously, the possibility of angle assessment of the lower extremities using accelerometers, but without integration, was demonstrated. The current paper evaluates and assesses this method by an error and sensitivity analysis using healthy subject data. Of three potential error sources, the reference system, the accelerometers, and the model assumptions, the last was found to be the most important. Model calculations based on data obtained by the Elite video motion analysis system showed the rigid-body assumption error to be dominant for high frequencies (greater than 10 Hz), with vibrations in the order of 1 mm resulting in errors of one radial or more. For low frequencies (less than 5 Hz), the imperfect fixation of the accelerometers combined with a nonhinge type knee joint gave an error contribution of +/- 0.03 rad. The walking pattern was assumed to be two-dimensional which was shown to result in an error of +/- 0.04 rad. Accelerations due to rotations of the segments could be neglected. The total error computed for low frequencies (+/- 0.07 rad) was comparable to the experimental difference between the current and the reference system.

Acceleration↗
PubMed1991

Left-ventricular dynamic model based on constant ejection flow periods.

Experiments with constant ejection flow periods on the rabbit left ventricle suggest that left ventricular pressure can be described by a time varying three-element model consisting of elastance Ee(t), resistance R(t), and series-elastance Es(t). Previous experiments demonstrated the existence of a "deactivation effect" after the cessation of a constant ejection flow period, which could be described by a decrease of elastance Ee(t). This paper presents a simulation model based on findings of constant ejection flow experiments, and tested on measured pressure and volume data. The results show that when the model is fitted on one single beat, left ventricular pressure can satisfactorily be described by a three-element model without deactivation. However, the model does not predict isovolumic pressure at end-ejection volume. When isovolumic pressure has to be described by the model as well, introduction of deactivation is necessary. The quality of the model was further tested by fitting it to two beats with different ejection parameters. Deactivation again was necessary for a good fit. Only with a deactivation effect in the model, the component values found are close to the normal range found with CFP experiments in the rabbit left ventricles. From the simulation results it can be concluded that (at least for constant ejection flow periods) elastance, resistance, series-elastance, and deactivation effects all are necessary in describing (and predicting) left ventricular pressure.

Animals↗
PubMed1991

Epidural spinal cord stimulation: calculation of field potentials with special reference to dorsal column nerve fibers.

The effect of electrical stimulation with several electrode combinations on nerve fibers with different orientations in the spinal cord was investigated by computing the steady-state field potentials and activating functions. At first an infinite homogeneous model was used while secondly the spinal cord and its surrounding tissues were modeled as an inhomogeneous anisotropic volume conductor. The effect of mediodorsal epidural stimulation was calculated. It was concluded that with cathodal stimulation, mediodorsally in the epidural space, longitudinal fibers are depolarized, but dorsoventral ones are hyperpolarized. With anodal stimulation the opposite will occur. It was found that parameters substantially affecting the potential distribution in the dorsal columns are the conductivity of the white matter and the width and the conductivity of the csf layer.

Action Potentials↗
PubMed1990

Artificial-reflex stimulation for FES-induced standing with minimum quadriceps force.

A control strategy is proposed to decrease quadriceps activity during standing. Modified on/off (or artificial reflex) control is used: a non-numerical or finite-state control scheme based on feedback of knee angle and angular velocity. The control strategy is evaluated in paraplegic patients in an experimental setup using transcutaneous stimulation. The stability of the system and its sensitivity to various control parameters are determined. It is concluded that the control scheme will enable reduction of muscle force independent of additional mechanical bracing or specific posture, and may result in continuous dynamic activation of muscle.

Electric Stimulation Therapy↗
PubMed1990

Real-time gait assessment utilizing a new way of accelerometry.

Real-time registration of body segment angles is essential in artificial body position control. A new method is presented for the real-time calculation of the lower extremity angles using data obtained from pairs of two one-dimensional accelerometers. It is shown that, assuming rigid-body dynamics and simple hinge joints, relative angles (i.e. angles between segments) can be calculated without integration, thereby solving the problem of integration drift normally associated with accelerometry. During the stance phase of walking, the relative angles can be transformed to absolute angles (i.e. relative to the gravitational field direction) for the different leg segments. The feasibility of relative angle calculation is demonstrated by calculation of the knee angle of a healthy subject. Stability and resolution were demonstrated with measurements during standing. Measurements during standing up, sitting down and walking showed that shock (heel-strike) and skin movements, due to movements of the underlying muscle tissue, are the main error sources. Additional signal processing, e.g. low-pass filtering, can be used to diminish this error. The accuracy of the knee angle found is shown to be high enough to be used in a feedback controller for functional electrostimulation of the lower extremities.

Biomechanical Phenomena↗