Jane Burridge

Jane Burridge
University of Southampton

About

265
Publications
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Publications

Publications (265)
Article
Full-text available
EEG-based neurofeedback uses mental behaviours (MB) to enable voluntary self-modulation of brain activity, and has potential to relieve central neuropathic pain (CNP) after a spinal cord injury (SCI). This study aimed to understand neurofeedback learning and the relationship between MB and neurofeedback success. Twenty-five non-CNP participants and...
Article
Objective(s) To describe a) how motor learning principles are applied during post stroke physiotherapy, with a focus on lower limb rehabilitation; and b) the context in which these principles are used, in relation to patient and/or task characteristics. Design Direct non-participation observation of routine physiotherapy sessions, with data collec...
Article
Purpose: Post-stroke survivors report that feedback helps to increase training motivation. A wearable system (M-MARK), comprising movement and muscle sensors and providing feedback when performing everyday tasks was developed. The objective reported here was to create an evidence-based set of upper-limb tasks for use with the system. Materials an...
Article
Full-text available
Objective : To produce guidance and validated examples of tasks that promote an external focus of attention, for use in lower limb rehabilitation in an inpatient stroke care setting. Design : Electronic survey, using e-Delphi methodology. Participants : A multi-professional expert panel of 14 clinicians and researchers, with expertise in stroke r...
Article
Background: the Trunk Impairment Scale (TIS) is recommended for use in clinical research to assess trunk impairment post-stroke. However, it is observer dependent and does not consider the quality of trunk movement. To address these challenges, this study proposes an instrumented TIS (iTIS). Objective: this study aims to investigate the intra-rate...
Research Proposal
Full-text available
Is functional electrical stimulation effective for improving walking characteristics in adults with lower limb weakness due to an upper motor neuron lesion? Protocol for an overview of systematic reviews and meta-analyses. PROSPERO 2019 CRD42019150899 Available from: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42019150899 Review qu...
Article
Full-text available
Inertial sensing suites now permeate all forms of smart automation, yet a plateau exists in real-world derivation of global orientation. Magnetic field fluctuations and inefficient sensor fusion still inhibit deployment. We introduce a new algorithm, an Extended Complementary Filter (ECF), to derive 3D rigid body orientation from inertial sensing s...
Article
Full-text available
Introduction: The Mechanical Muscle Activity with Real-time Kinematics project aims to develop a device incorporating wearable sensors for arm rehabilitation following stroke. These will record kinematic activity using inertial measurement units and mechanical muscle activity. The gold standard for measuring muscle activity is electromyography; ho...
Article
Full-text available
Background: The Trunk Impairment Scale (TIS) is recommended for clinical research use to assess trunk impairment post-stroke. However, it is observer-dependent and neglects the quality of trunk movements. This study proposes an instrumented TIS (iTIS) using the Valedo system, comprising portable inertial sensors, as an objective measure of trunk im...
Article
Full-text available
Background: Although implicit and explicit learning approaches have been well investigated in healthy populations, there is less evidence regarding the relative benefits of each approach in clinical practice. Studies in stroke typically investigate single elements of an implicit learning approach (ILA; eg, reduced quantity feedback or an external...
Conference Paper
br/>Background: Trunk control post-stroke can be affected by muscle weakness, reduced position sense and poor coordination leading to decreases in balance and functional ability. Virtual reality (VR) technology in stroke rehabilitation has been demonstrated to improve function and activity. However, the feasibility of using VR to deliver post-stro...
Conference Paper
Intra and inter-rater reliability of Valedo System to measure trunk range of movement in healthy and chronic stroke participants during the streamlined Wolf Motor Function Test Busselli G.1, Alhwoaimel N. 2, Warner M. 2, Hughes A.-M. 2, Burridge J. 2, Turk R. 2 1University of Verona, Verona, Italy 2University of Southampton, Southampton, United Kin...
Article
Full-text available
Background: upper limb impairment is a common problem for people with neurological disabilities, affecting activity, performance, quality of life and independence. Accurate, timely assessments are required for effective rehabilitation, and development of novel interventions. International consensus on upper limb assessment is needed to make researc...
Preprint
BACKGROUND Although implicit and explicit learning approaches have been well investigated in healthy populations, there is less evidence regarding the relative benefits of each approach in clinical practice. Studies in stroke typically investigate single elements of an implicit learning approach (ILA; eg, reduced quantity feedback or an external fo...
Article
Full-text available
Purpose: Reliability of motor evoked potential threshold and amplitude measurement of upper limb muscles is important when detecting changes in cortical excitability. The objective of this study was to investigate intra-rater, test-retest reliability and minimal detectable change of resting motor threshold and amplitude of a proximal and distal upp...
Article
Full-text available
This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: • To establish if greater time spent in rehabilitation results in greater improvement in measures of activity than less time spent in rehabilitation. • To assess the effect of total time spent (in minutes) in rehabilitation on activity/activity limitations follo...
Chapter
This chapter discusses the need for arm rehabilitation in people with stroke and mechanisms for rehabilitation, providing justification for the growing role for technology. The challenges of designing for a home environment are discussed along with results from a survey identifying the most important factors in arm rehabilitation technologies for b...
Article
Full-text available
Background: Critical illness myopathy (CIM) and polyneuropathy (CIP) are a common complication of critical illness. Both cause intensive-care-unit-acquired (ICU-acquired) muscle weakness (ICUAW) which increases morbidity and delays rehabilitation and recovery of activities of daily living such as walking ability. Focused physical rehabilitation of...
Chapter
After stroke, the ability to perform two tasks concurrently is diminished, which may contribute to less pronounced gains on activity level after rehabilitation. The current study investigated whether upper extremity dual-task performance is compromised after stroke, as a first step towards examining whether cortical stimulation can reduce dual-task...
Article
Full-text available
Background: The need for cost-effective neurorehabilitation is driving investment into technologies for patient assessment and treatment. Translation of these technologies into clinical practice is limited by a paucity of evidence for cost-effectiveness. Methodological issues, including lack of agreement on assessment methods, limit the value of m...
Article
Full-text available
Objectives: To describe the time course of recovery of sit-to-stand function in patients with intensive-care-unit-acquired muscle weakness and the impact of recovery. Methods: A cohort study in post-acute intensive care unit and rehabilitation units. Patients with chronic critical illness and intensive-care-unit-acquired muscle weakness were inc...
Chapter
An increased burden on health care and rehabilitation resources is due to the number of people suffering a stroke and if the capacity of health services is to meet future demand novel approaches to rehabilitation are required. In this chapter recent research is surveyed where iterative learning control , developed initially for robots executing com...
Conference Paper
Objectives: To quantify the intra-rater and test-retest reliability of the motor evoked potential (MEP) resting threshold (RT) and MEP amplitude of the anterior deltoid (AD) and extensor digitorum (ED) of healthy adults using Transcranial Magnetic Stimulation (TMS). Methods: Stimulation was performed on healthy adults with a Magstim® 2002 device...
Article
Full-text available
The clinical application of Functional Electrical Stimulation (FES) has evolved over the last five decades. However, the use of the Randomized Control Trial (RCT) methodology in evaluating the clinical effectiveness of new and existing applications of FES is a demanding process adding time and cost to these trials. Consequently, there has been a lo...
Article
Background/Aims: This paper illustrates the application of a technique, cognitive interviewing, which was used in the development of three questionnaires to determine the views of use of functional electrical stimulation by people with spinal cord injury, health care professionals and researchers working in spinal cord injury. Methods: Three questi...
Article
Constraint Induced Therapy (CIT) is an evidence-based intervention that combines constraint of the unaffected hand and intensive one-to-one motor training. A study, trialing CIT at home without therapist support, identified lack of motivation and poor adherence. A web-supported CIT system (LifeCIT) was developed to address these barriers and a feas...
Article
Tremor is an involuntary, oscillating, debilitating movement which affects over 50% of people with Multiple Sclerosis. In this paper an advanced paradigm, combining linearising action and repetitive control (RC), is developed to suppress tremor using functional electrical stimulation (FES) applied to wrist extensors/flexors. This innovative biomech...
Article
Background: Neurorehabilitation technologies such as robot therapy (RT) and transcranial Direct Current Stimulation (tDCS) can promote upper limb (UL) motor recovery after stroke. Objective: To explore the effect tDCS with uni-lateral and three-dimensional RT for the impaired UL in people with sub-acute and chronic stroke. Methods: A pilot ran...
Conference Paper
Full-text available
Applying explicit and implicit learning models during early gait rehabilitation post stroke: a feasibility trial Relevance Motor learning can be either explicit or implicit. Explicit learning is conscious and cognitive, occurring with task specific knowledge. Implicit learning is sub-conscious and unintentional, occurring in the absence of conscio...
Article
Full-text available
Intensive care unit (ICU) acquired or generalised weakness due to critical illness myopathy (CIM) and polyneuropathy (CIP) are major causes of chronically impaired motor function that can affect activities of daily living and quality of life. Physical rehabilitation of those affected might help to improve activities of daily living. Our primary obj...
Book
Iterative learning control (ILC) has its origins in the control of processes that perform a task repetitively with a view to improving accuracy from trial to trial by using information from previous executions of the task. This brief shows how a classic application of this technique – trajectory following in robots – can be extended to neurological...
Chapter
Building on work reported in previous chapters, the system developed and evaluated in this chapter includes stimulation of the wrist and hand extensors. This directly targets activities of daily living, comprising real-world tasks that require manipulation of objects using the hand and wrist.
Chapter
Building on the planar results of the previous chapter, an extension to a 3D task is developed where the ability to lift the arm is also rehabilitated. As stroke patients have difficulty lifting their affected arm, a gravity unweighting robot is used and the development again leads to a clinical trial. The analysis is extended to compensate for mus...
Chapter
This chapter gives the required background on iterative learning control. After introducing the defining characteristic of this form of control, attention is restricted to the laws used in the stroke rehabilitation research.
Chapter
This chapter details how an ILC based system for planar tasks has been developed to the stage of a small scale clinical trial. The results of tests conducted on 18 unimpaired volunteers who do not provide voluntary effort are given. These results contributed to the granting of ethical approval for the clinical trial with 5 stroke patients.
Chapter
The link that extends ILC from industrial robotics to robotic-assisted stroke rehabilitation is described together with the methods a health professional uses to assess the ability and progress of a patient. This material underpins the remainder of the monograph.
Chapter
Stroke is the largest cause of disability in developed countries, where a relatively small percentage of patients with upper-limb impairment following stroke regain full function. In particular, many of these patients experience difficulty performing everyday reaching and grasping tasks. Functional electrical stimulation (FES) can assist stroke pat...
Article
To systematically review the methodology in particular treatment options and outcomes and the effect of multiple sessions of transcranial direct current stimulation (tDCS) with rehabilitation programmes for upper extremity recovery post stroke. A search was conducted for randomised controlled trials involving tDCS and rehabilitation for the upper e...
Article
Full-text available
Background Intensive care unit (ICU) acquired or generalised weakness due to critical illness myopathy (CIM) and polyneuropathy (CIP) are major causes of chronically impaired motor function that can affect activities of daily living and quality of life. Physical rehabilitation of those affected might help to improve activities of daily living. Obje...
Article
Trunk control is thought to contribute to upper extremity (UE) function. However, this common assumption has not been validated. To investigate the effect of providing an external trunk support on trunk control and UE function, and examine the relationship between trunk control and UE function in people with chronic stroke and healthy controls. A c...
Article
Full-text available
Background Functional electrical stimulation (FES) during repetitive practice of everyday tasks can facilitate recovery of upper limb function following stroke. Reduction in impairment is strongly associated with how closely FES assists performance, with advanced iterative learning control (ILC) technology providing precise upper-limb assistance. T...
Conference Paper
Full-text available
People re-learning skills after a stroke go through the same process as someone learning to play tennis, but they have a problem because they can hardly move at all so they cannot practise, which means they dont get feedback. Muscles can be made to work by electrical stimulation where electrical impulses travel along the nerves in much the same way...
Article
Full-text available
Abstract Purpose: To investigate the feasibility of combining physiotherapy and functional electrical stimulation to improve gait post stroke. Methods: A parallel group partially single-blinded randomised clinical trial. Adults living at home, less than 6 months post stroke, were randomised to Group A (physiotherapy, n = 10) or Group B (physiothera...
Article
Full-text available
Assistive Technologies (ATs), defined as "electrical or mechanical devices designed to help people recover movement", demonstrate clinical benefits in upper limb stroke rehabilitation; however translation into clinical practice is poor. Uptake is dependent on a complex relationship between all stakeholders. Our aim was to understand patients', care...
Article
. Many stroke patients exhibit excessive compensatory trunk movements during reaching. Compensatory movement behaviors may improve upper extremity function in the short-term but be detrimental to long-term recovery. . To evaluate the evidence that trunk restraint limits compensatory trunk movement and/or promotes better upper extremity recovery in...
Article
Intensive care unit (ICU) acquired or generalised weakness due to critical illness myopathy (CIM) and polyneuropathy (CIP) are major causes of chronically impaired motor function that can affect activities of daily living and quality of life. Physical rehabilitation of those affected might help to improve activities of daily living. Our primary obj...
Article
This is the protocol for a review and there is no abstract. The objectives are as follows: To assess the effects of rehabilitation therapies for people with CIP and CIM. The primary objective is to assess the effectiveness of such interventions in improving daily activities such as walking, bathing, dressing and eating. Secondary objectives are to...
Article
Full-text available
Nonlinear optimisation-based search algorithms have been developed for the precise stimulation of muscles in the wrist and hand, to enable stroke patients to attain predefined gestures. These have been integrated in a system comprising a 40 element surface electrode array that is placed on the forearm, an electrogoniometer and data glove supplying...
Article
Full-text available
Functional strength training in addition to conventional physical therapy could enhance upper limb recovery early after stroke more than movement performance therapy plus conventional physical therapy. To determine (a) the relative clinical efficacy of conventional physical therapy combined with functional strength training and conventional physica...
Article
Full-text available
Assistive Technologies, defined as "electrical or mechanical devices designed to help people recover movement" have demonstrated clinical benefits in upper-limb stroke rehabilitation. Stroke services are becoming community-based and more reliant on self-management approaches. Assistive technologies could become important tools within self-managemen...
Conference Paper
Full-text available
An upper-limb stroke rehabilitation system is developed that assists patients in performing real world functionally relevant reaching tasks. The system provides de-weighting of the arm via a simple spring support whilst functional electrical stimulation is applied to the anterior deltoid and triceps via surface electrodes, and to the wrist and hand...
Conference Paper
Full-text available
Therapies using functional electrical stimulation (FES) in conjunction with practice of everyday tasks have proven effective in facilitating recovery of upper limb function following stroke. The aim of the current study is to develop a multi-channel electrical stimulation system that precisely controls the assistance provided in goal-orientated tas...
Conference Paper
Full-text available
Background The OTTER (OsTeoarthritis Thumb ThERapy) trial is a two-year developmental study for a full randomised controlled trial (RCT) into the clinical and cost effectiveness of an occupational therapy and splint intervention for thumb base OA. To develop an optimal package of care for evaluation within a multi-centre RCT, the views of both clin...
Article
Full-text available
This study explored adjustment in people with spinal cord injury; data from four focus groups are presented. Thematic analysis revealed four themes, managing goals and expectations, comparison with others, feeling useful and acceptance, showing participants positively engaged in life, positively interpreted social comparison information and set rea...
Article
Full-text available
Background: Focus of attention is known to play an important role in motor skill learning, yet little is known about how attention is directed within the context of stroke rehabilitation. Objective: The aims of this study were: (1) to identify physical therapists' use of internal and external focus of attention during gait rehabilitation for ind...
Conference Paper
Full-text available
DEFINING OPTIMAL NHS OCCUPATIONAL THERAPY TREATMENT, INDIVIDUALISED SPLINT, AND PLACEBO SPLINT FOR PATIENTS WITH THUMB BASE OA: A DELPHI STUDY Background: The OTTER (OsTeoarthritis Thumb ThERapy) trial is a two-year development study for a full RCT into the clinical and cost effectiveness of an occupational therapy and splint intervention for thum...