Fuzzy FES controller using cycle-to-cycle control for repetitive movement training in motor rehabilitation. Experimental tests with wireless system.

A prototype of wireless surface electrical stimulation system combined with the fuzzy FES controller was developed for rehabilitation training with functional electrical stimulation (FES). The developed FES system has three features for rehabilitation training: small-sized electrical stimulator for surface FES, wireless connection between controller and stimulators, and between controller and sensors, and the fuzzy FES controller based on the cycle-to-cycle control for repetitive training. The developed stimulator could generate monophasic or biphasic high voltage stimulus pulse and could output stimulation pulses continuously more than 20 hours with 4 AAA batteries. The developed system was examined with neurologically intact subjects and hemiplegic subjects in knee joint control. The maximum knee joint angle was controlled by regulating burst duration of stimulation pulses by the fuzzy controller. In the results of two experiments of knee extension angle control and knee flexion and extension angle control, the maximum angles reached their targets within small number of cycles and were controlled stably in the stimulation cycles after reaching the target. The fuzzy FES controller based on the cycle-to-cycle control worked effectively to reach the target angle and to compensate difference in muscle properties between subjects. The developed wireless surface FES system would be practical in clinical applications of repetitive execution of similar movements of the limbs for motor rehabilitation with FES.