Browsing by Author "Ferreira, Ricardo"
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- Differences in trapezius muscle h-reflex between asymptomatic subjects and symptomatic shoulder pain subjectsPublication . Melo, Ana; Taylor, Janet L.; Ferreira, Ricardo; CUNHA, BRUNO; Ascenção, Manuel; Sousa, Vítor; Cruz, Eduardo B.; Vilas-Boas, J. Paulo; Sousa, Andreia S. P.In chronic shoulder pain, adaptations in the nervous system such as in motoneuron excitability, could contribute to impairments in scapular muscles, perpetuation and recurrence of pain and reduced improvements during rehabilitation. The present cross-sectional study aims to compare trapezius neural excitability between symptomatic and asymptomatic subjects. In 12 participants with chronic shoulder pain (symptomatic group) and 12 without shoulder pain (asymptomatic group), the H reflex was evoked in all trapezius muscle parts, through C3/4 nerve stimulation, and the M-wave through accessory nerve stimulation. The current intensity to evoke the maximum H reflex, the latency and the maximum peak-to-peak amplitude of both the H reflex and M-wave, as well as the ratio between these two variables, were calculated. The percentage of responses was considered. Overall, M-waves were elicited in most participants, while the H reflex was elicited only in 58–75% or in 42–58% of the asymptomatic and symptomatic participants, respectively. A comparison between groups revealed that the symptomatic group presented a smaller maximum H reflex as a percentage of M-wave from upper trapezius and longer maximal H reflex latency from the lower trapezius (p < 0.05). Subjects with chronic shoulder pain present changes in trapezius H reflex parameters, highlighting the need to consider trapezius neuromuscular control in these individuals’ rehabilitation.
- Home-based rehabilitation of the shoulder using auxiliary systems and artificial intelligence: an overviewPublication . Cunha, Bruno; Ferreira, Ricardo; S. P. Sousa, AndreiaAdvancements in modern medicine have bolstered the usage of home-based rehabilitation services for patients, particularly those recovering from diseases or conditions that necessitate a structured rehabilitation process. Understanding the technological factors that can influence the efficacy of home-based rehabilitation is crucial for optimizing patient outcomes. As technologies continue to evolve rapidly, it is imperative to document the current state of the art and elucidate the key features of the hardware and software employed in these rehabilitation systems. This narrative review aims to provide a summary of the modern technological trends and advancements in home-based shoulder rehabilitation scenarios. It specifically focuses on wearable devices, robots, exoskeletons, machine learning, virtual and augmented reality, and serious games. Through an in-depth analysis of existing literature and research, this review presents the state of the art in home-based rehabilitation systems, highlighting their strengths and limitations. Furthermore, this review proposes hypotheses and potential directions for future upgrades and enhancements in these technologies. By exploring the integration of these technologies into home-based rehabilitation, this review aims to shed light on the current landscape and offer insights into the future possibilities for improving patient outcomes and optimizing the effectiveness of home-based rehabilitation programs.
- Natural language processing and cloud computing in disease prevention and managementPublication . Ferreira, Ricardo; Gregório, Pedro; Coelho, Luis; Reis, Sara SeabraRecent studies show the high prevalence of the use of messaging platform and its growth trend, especially in younger populations (Figueroa Jacinto and Arndt 2018). Messaging apps are used not only to communicate and stay in touch with family and friends, but also to access services. Interactions with commercial purposes, such as making purchases, seeking out assistance and customer support, providing feedback or making reservations are already widely used, but legal and healthcare related areas also present prominent growth (Eeuwen 2017). In this chapter it is our objective to explore how technologies such as natural language processing, speech recognition, text-to-speech, machine learning, and cloud computing can be integrated to develop high quality chatbots for healthcare purposes. Additionally, we will cover an application case based on COVID-19 prevention and management.
- Smart dashboard for Hoffmann reflex analysisPublication . Cunha, Bruno; Ferreira, Ricardo; Carneiro, Ana Sofia; Sousa, AndreiaThe Hoffmann reflex is a is a neurophysiological test that provides insight into the functioning of the human nervous system. It is commonly used in clinical and research settings to evaluate the modulation of the monosynaptic spinal reflex. This paper focus the analysis of the Hoffmann reflex in the trapezius muscle, a muscle of particular interest for researchers and clinicians due to its importance in upper limb function and dynamic stability. However, the Hoffmann reflex analysis of this muscle bring some challenges as the need of applicating burst of electrical square impulses in each current intensity. A web-based smart dashboard, implemented in Python, which allows the user to visualize and analyze the Hoffmann reflex using various signals acquired through a constant current stimulator. The dashboard provides an intuitive and user-friendly interface that facilitates the selection of muscle signals of interest, analysis cycles, and start and end points for the signals. The visualizations offered by the dashboard, including overlapped and mean signal graphics, provide valuable insights into the Hoffmann reflex and its properties. Preliminary experiments with field experts and physiotherapists have yielded positive feedback on the usefulness of this tool, as they seek to gain a deeper understanding of the Hoffmann reflex, and we plan to further improve its capabilities in the future by employing machine learning techniques to automate the reflex detection.
- Usage of auxiliary technological systems and artificial intelligence in home-based rehabilitation settings: A reviewPublication . Ferreira, Ricardo; Santos, Rubim; Sousa, AndreiaUnderstanding the main factors that can compromise or improve the efficacy of home-based rehabilitation on the perspective of technology requires the review of the features of the equipment used in this area, both in terms of hardware and software. The purpose of this paper is to summarize the most recent technologies implemented into home-based rehabilitation scenario, namely wearable devices, robotic end-effectors, exoskeletons, and the role of artificial intelligence amongst these fields. Evidence is presented to better understand the present state of art of home-based rehabilitation systems, facilitating the exploration of hypothetical healthcare uses for these systems or their possible future upgrades.