ArticleAnnals of clinical and translational neurology2019
A robotic neck brace to characterize head-neck motion and muscle electromyography in subjects with amyotrophic lateral sclerosis.
Article in Annals of clinical and translational neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 21 citations in OpenAlex.
- A nomogram for estimating baseline respiratory insufficiency in patients with amyotrophic lateral sclerosis.Annals of medicine · 2026Article
- Evaluating Range of Motion of Two Prominent Neck Support Devices for Daily Activities.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2026Article
- A Novel Single-Loop Mechanism for Neck Rehabilitation.Biomimetics (Basel, Switzerland) · 2025Article
- A six degrees-of-freedom cable-driven robotic platform for head-neck movement.Scientific reports · 2024Article
- Conceptual design of a biped-wheeled wearable machine for ALS patients.Journal of neurology · 2023Article
- A novel neck brace to characterize neck mobility impairments following neck dissection in head and neck cancer patients.Wearable technologies · 2021Article
- New technologies and Amyotrophic Lateral Sclerosis - Which step forward rushed by the COVID-19 pandemic?Journal of the neurological sciences · 2020Review
- A Case Report on Robot-Aided Gait Training in Primary Lateral Sclerosis Rehabilitation: Rationale, Feasibility and Potential Effectiveness of a Novel Rehabilitation Approach.Innovations in clinical neuroscienceArticle
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis paper presents the first study where a dynamic neck brace was used to characterize the head motion of ALS patients while concurrently recording the surface electromyography (EMG) of the neck muscles.
methodsEleven ALS patients and 10 age-matched healthy controls consented and participated in an experiment. Each participant was asked to perform three single-plane motions of the head-neck that included flexion-extension in the sagittal plane, lateral bending in the coronal plane, and axial rotation in the transverse plane. Each motion was performed in a cycle and was repeated five times at self-selected speeds.
resultsDuring single-plane flexion-extension under gravity, compared to healthy peers, ALS patients showed a shorter duration to reach the maximum flexion and an earlier EMG onset in the neck extensors starting from the neutral. The brace measures in activation of the neck muscles in ALS patients were well correlated with clinically measured scores, such as the ALSFRS-r and the FVC. The activation duration of sternocleidomastoid, used to rotate the head, correlated well with the ALSFRS-r and FVC in ALS patients during axial rotation.
interpretationThe ability to synchronously activate a pair of muscles to execute single-plane motions in ALS patients seems to have been compromised due to the disease and potentially results in head drop. The neck brace measures can be adapted in the clinic to complement self-reporting in ALS patients and used to assess the head drop and progress of the disease.
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