Analyzing the Combination Effects of Repetitive Transcranial Magnetic Stimulation and Motor Control Training on Balance Function and Gait in Patients with Stroke-Induced Hemiplegia

Objective:To analyze the effects of repetitive transcranial magnetic stimulation combined with motor control training on the treatment of stroke-induced hemiplegia,specifically focusing on the impact on patients’balance function and gait.Methods:Fifty-two cases of hemiplegic stroke patients were randomly divided into two groups,26 in the control group and 26 in the observation group,using computer-generated random grouping.All participants underwent conventional treatment and rehabilitation training.In addition to these,the control group received repetitive transcranial magnetic pseudo-stimulation therapy+motor control training,while the observation group received repetitive transcranial magnetic stimulation therapy+motor control training.The balance function and gait parameters of both groups were compared before and after the interventions and assessed the satisfaction of the interventions in both groups.Results:Before the invention,there were no significant differences in balance function scores and each gait parameter between the two groups(P>0.05).However,after the intervention,the observation group showed higher balance function scores compared to the control group(P<0.05).The observation group also exhibited higher step speed and step frequency,longer step length,and a higher overall satisfaction level with the intervention compared to the control group(P<0.05).Conclusion:The combination of repetitive transcranial magnetic stimulation and motor control training in the treatment of stroke-induced hemiplegia has demonstrated positive effects.It not only improves the patient’s balance function and gait but also contributes to overall physical rehabilitation.

Model Predictive Control for Cascaded H-Bridge PV Inverter with Capacitor Voltage Balance

We designed an improved direct-current capacitor voltage balancing control model predictive control(MPC)for single-phase cascaded H-bridge multilevel photovoltaic(PV)inverters.Compared with conventional voltage balanc-ing control methods,the method proposed could make the PV strings of each submodule operate at their maximum power point by independent capacitor voltage control.Besides,the predicted and reference value of the grid-connected current was obtained according to the maximum power output of the maximum power point tracking.A cost function was con-structed to achieve the high-precision grid-connected control of the CHB inverter.Finally,the effectiveness of the proposed control method was verified through a semi-physical simulation platform with three submodules.

A neutral-point potential balance control strategy for three-level inverter based on VSVPWM

The topology of diode neutral-point-clamped(NPC)three-level inverter is prone to neutral-point potential offset.When the sum of three-phase current is zero,the virtual space vector pulse width modulation(VSVPWM)scheme does not cause the neutral-point voltage offset,but it lacks the ability to balance the deviation.For this reason,a neutral-point potential control strategy combining virtual space vector modulation and loop width control is proposed.The neutral-point potential is balanced by introducing the distribution factor for the regions with redundant vectors.For other regions,the potential is controlled by selecting a suitable switching sequence.Meanwhile,the effect on the virtual vector modulation is reduced within the loop width by setting an appropriate loop width,thereby improving the balance effect.The simulation results show that the proposed method has a strong ability to control the offset and has excellent potential balance performance under the conditions of balanced load,unbalanced load and asymmetric capacitance parameters.

Heat flow balance and control strategies for a large GSHP

The possibility of underground imbalance between heat emission and absorption has a negative impact on the performance of ground-source heat pump systems （GSHPs）. Numerical and experimental researches were made in a residential building, which is supplied with a GSHP system and a ceiling radiation system combined with a replacement fresh air system. EnergyPlus simulations were used to estimate heating and cooling loads, and to assess the heat generated from the water pump, the fan and the heat pump unit. Then, Fluent simulations were used to compare three different control strategies of handling the underground heat exchange. These simulations were strongly based on an experimentally verified model. It is obtained that a ratio between cooling and heating loads is 5.08 ： 1 in a case study in Nanjing. Moreover, the control strategy based on the starting time is more efficient and reliable than the temperature and temperature difference strategies to control the underground heat exchange.

Dynamic Balance Control Based on an Adaptive Gain-scheduled Backstepping Scheme for Power-line Inspection Robots

This paper presents an adaptive gain-scheduled backstepping control(AGSBC) scheme for the balance control of an underactuated mechanical power-line inspection(PLI) robotic system with two degrees of freedom and a single control input.First, a nonlinear dynamic model of the balance adjustment process of the PLI robot is constructed, and then the model is linearized at a nominal equilibrium point to overcome the computational infeasibility of the conventional backstepping technique. Second, to solve generalized stabilization control issue for underactuated systems with multiple equilibrium points,an equilibrium manifold linearized model is developed using a scheduling variable, and then a gain-scheduled backstepping control(GSBC) scheme for expanding the operational area of the controlled system is constructed. Finally, an adaptive mechanism is proposed to counteract the impact of external disturbances. The robust stability of the closed-loop system is ensured by Lyapunov theorem. Simulation results demonstrate the effectiveness and high performance of the proposed scheme compared with other control schemes.

Role of Trunk Rehabilitation on Trunk Control, Balance and Gait in Patients with Chronic Stroke: A Pre-Post Design

Purpose: Although proximal stability of the trunk is a prerequisite for balance and gait, to determine the role of trunk rehabilitation on trunk control, balance and gait in patients with chronic stroke is yet unknown. Method: Fifteen sub-jects (post-stroke duration (3.53 ± 2.98) years) who had the ability to walk 10 meters independently with or without a walking aid;scoring ≤ 21 on Trunk Impairment Scale (TIS), participated in a selective trunk muscle exercise regime, consisting of 45 minutes training per day, four days a week, and for four weeks duration in an outpatient stroke reha-bilitation centre. Results: The overall effect size index for trunk rehabilitation was 1.07. This study showed large effect size index for Trunk Impairment Scale (1.75), Berg Balance Scale (1.65) than for gait variables (0.65). After trunk rehabilitation, there was a significant improvement for gait speed (p= 0.015), cadence (p= 0.001) and gait symmetry (p=0.019) in patients with chronic stroke. In addition, all the spatial gait parameters had a significant change post-intervention. There was no significant change in temporal gait parameters with the exception of affected single limb support time. The level of significance was set at p < 0.05. Conclusion: The exercises consisted of selective trunk movement of the upper and the lower part of trunk had shown larger effect size index for trunk control and balance than for gait in patients with chronic stroke. Future randomized controlled studies incorporating large sample size would provide insight into the effectiveness and clinical relevance of this intervention.

Reliable and Load Balance-Aware Multi-Controller Deployment in SDN

Software Defined Networking(SDN) provides flexible network management by decoupling control plane and data plane. However, such separation introduces the issues regarding the reliability of the control plane and controller load imbalance in the distributed SDN network, which will cause the low network stability and the poor controller performance. This paper proposes Reliable and Load balance-aware Multi-controller Deployment(RLMD) strategy to address the above problems. Firstly, we establish a multiple-controller network model and define the relevant parameters for RLMD. Then, we design the corresponding algorithms to implement this strategy. By weighing node efficiency and path quality, Controller Placement Selection(CPS) algorithm is introduced to explore the reliable deployments of the controllers. On this basis, we design Multiple Domain Partition(MDP) algorithm to allocate switches for controllers according to node attractability and controller load balancing rate, which could realize the reasonable domain planning. Finally, the simulations show that, compared with the typical strategies, RLMD has the better performance in improving the reliability of the control plane and balancing the distribution of the controller loads.

Relationship of proprioception,cutaneous sensitivity,and muscle strength with the balance control among older adults

Background:Balance impairment is one of the strongest risk factors for falls.Proprioception,cutaneous sensitivity,and muscle strength are 3 important contributors to balance control in older adults.The relationship that dynamic and static balance control has to proprioception,cutaneous sensitivity,and muscle strength is still unclear.This study was performed to investigate the relationship these contributors have to dynamic and static balance control.Methods:A total of 164 older adults(female=89,left dominant=15,age:73.5±7.8 years,height:161.6±7.1 cm,weight:63.7±8.9 kg,mean±SD)participated in this study.It tested the proprioception of their knee flexion/extension and ankle dorsi/plantarflexion,along with cutaneous sensitivity at the great toe,first and fifth metatarsals,arch,and heel,and the muscle strength of their ankle dorsi/plantarflexion and hip abduction.The Berg Balance Scale(BBS)and the root mean square(RMS)of the center of pressure(CoP)were collected as indications of dynamic and static balance control.A partial correlation was used to determine the relationship between the measured outcomes variables(BBS and CoPRMS)and the proprioception,cutaneous sensitivity,and muscle strength variables.Results:Proprioception of ankle plantarflexion(r=-0.306,p=0.002)and dorsiflexion(r=-0.217,p=0.030),and muscle strength of ankle plantarflexion(r=0.275,p=0.004),dorsiflexion(r=0.369,p<0.001),and hip abduction(r=0.342,p<0.001)were weakly to moderately correlated with BBS.Proprioception of ankle dorsiflexion(r=0.218,p=0.020)and cutaneous sensitivity at the great toe(r=0.231,p=0.041)and arch(r=0.285,p=0.002)were weakly correlated with CoP-RMS in the anteroposterior direction.Proprioception of ankle dorsiflexion(r=0.220,p=0.035),knee flexion(r=0.308,p=0.001)and extension(r=0.193,p=0.040),and cutaneous sensitivity at the arch(r=0.206,p=0.028)were weakly to moderately correlated with CoP-RMS in the mediolateral direction.Conclusion:There is a weak-to-moderate relationship between proprioception and dynamic and static balance control,a weak relationship between cutaneous sensitivity and static balance control,and a weak-to-moderate relationship between muscle strength and dynamic balance control.

Balance control during gait initiation: State-of-the-art and research perspectives

It is well known that balance control is affected by aging, neurological and orthopedic conditions. Poor balance control during gait and postural maintenance are associated with disability, falls and increased mortality. Gait initiation-the transient period between the quiet standing posture and steady state walking-is a functional task that is classically used in the literature to investigate how the central nervous system(CNS) controls balance during a whole-body movement involving change in the base of support dimensions and center of mass progression. Understanding how the CNS in able-bodied subjects exerts this control during such a challenging task is a prerequisite to identifying motor disorders in populations with specific impairments of the postural system. It may also provide clinicians with objective measures to assess the efficiency of rehabilitation programs and better target interventions according to individual impairments. The present review thus proposes a state-of-the-art analysis on:(1) the balance control mechanisms in play during gait initiation in able bodied subjects and in the case of some frail populations; and(2) the biomechanical parameters used in the literature to quantify dynamic stability during gait initiation. Balance control mechanisms reviewed in this article included anticipatory postural adjustments, stance leg stiffness, foot placement, lateral ankle strategy, swing foot strike pattern and vertical center of mass braking. Based on this review, the following viewpoints were put forward:(1) dynamic stability during gait initiation may share a principle of homeostatic regulation similar to most physiological variables, where separate mechanisms need to be coordinated to ensure stabilization of vital variables, and consequently; and(2) rehabilitation interventions which focus on separate or isolated components of posture, balance, or gait may limit the effectiveness of current clinical practices.

Application of Fuzzy Control to Improve Flow Balance of Multi-Cavity Hot Runner System

In this study, we propose a new temperature compensation control strategy for a multi-cavity hot runner injection molding system, At first, the melt filling time of each cavity can be measured by installing temperature sensors on the position around end filling area, and filling time difference between the various cavities can be calculated. Then the melt temperature of each hot nozzle can be adjusted automatically by a control strategy established based on the Fuzzy Theory and a program compiled with LABVIEW software. Temperature changes the melt mobility, so the adjustment of temperature can equalize the filling time of the melt in each cavity, which can reduced the mass deviation between each cavity and make product properties of each cavity consistent. The conclusion of the experiment is as follows： For this contact lens box of a four-cavity Hot Runner mold, by applying hot runner temperature compensation control system, time difference can be reduced from 0.05 s to 0.01 s at each cavity, and the mass Standard deviation of the four cavity can be improved from 0.006 to 0.002. The ratio of imbalance can be reduced from 20% to 4%. Hence, the hot runner temperature compensation control system has significant feasibility and high potential in improving melt flow balance of multi-cavity molding application.

Model reduction and active control of flexible beam using internal balance technique

The internal balance technique is effective for the model reduction in flexible structures, especially the ones with dense frequencies. However, due to the difficulty in extracting the internal balance modal coordinates from the physical sensor readings, research on this topic has been mostly theoretical so far, and little has been done in experiments or engineering applications. This paper studies the internal balance method theoretically as well as experimentally and designs an active controller based on the reduction model. The research works on a digital signal processor （DSP） TMS320F2812- based experiment system with a flexible beam and proposes an approximate approach to access the internal balance modal coordinates. The simulation and test results have shown that the proposed approach is feasible and effective, and the designed controller is successful in restraining the beam vibration.

Extrinsic visual feedback and additional cognitive/physical demands affect single-limb balance control in individuals with ankle instability

AIM To investigate the impact of extrinsic visual feedback and additional cognitive/physical demands on single-limb balance in individuals with ankle instability.METHODS Sixteen subjects with ankle instability participated in the study. Ankle instability was identified using the Cumberland Ankle Instability Tool(CAIT). The subject's unstable ankle was examined using the Athletic Single Leg Stability Test of the Biodex Balance System with 4 different protocols:(1) default setting with extrinsic visual feedback from the monitor;(2) no extrinsic visual feedback;(3) no extrinsic visual feedback with cognitive demands; and(4) no extrinsic visual feedback with physical demands. For the protocol with added cognitive demands,subjects were asked to continue subtracting 7 from a given number while performing the same test without extrinsic visual feedback. For the protocol with added physical demands,subjects were asked to pass and catch a basketball to and from the examiner while performing the same modified test. RESULTS The subject's single-limb postural control varied significantly among different testing protocols(F = 103; P = 0.000). Subjects' postural control was the worst with added physical demands and the best with the default condition with extrinsic visual feedback. Pairwisecomparison shows subjects performed significantly worse in all modified protocols(P < 0.01 in all comparisons) compared to the default protocol. Results from all 4 protocols are significantly different from each other(P < 0.01) except for the comparison between the "no extrinsic visual feedback" and "no extrinsic visual feedback with cognitive demands" protocols. Comparing conditions without extrinsic visual feedback,adding a cognitive demand did not significantly compromise single-limb balance control but adding a physical demand did. Scores from the default protocol are significantly correlated with the results from all 3 modified protocols: No extrinsic visual feedback(r = 0.782; P = 0.000); no extrinsic visual feedback with cognitive demands(r = 0.569; P = 0.022); no extrinsic visual feedback with physical demands(r = 0.683; P = 0.004). However,the CAIT score is not significantly correlated with the single-limb balance control from any of the 4 protocols: Default with extrinsic visual feedback(r =-0.210; P = 0.434); no extrinsic visual feedback(r =-0.450; P = 0.081); no extrinsic visual feedback with cognitive demands(r =-0.406; P = 0.118); no extrinsic visual feedback with physical demands(r =-0.351; P = 0.182).CONCLUSION Single-limb balance control is worse without extrinsic visual feedback and/or with cognitive/physical demands. The balance test may not be a valid tool to examine ankle instability.

Comprehensive predictive control of neutral-point voltage balancing for back-to-back three-level NPC converters

A comprehensive predictive strategy was proposed for the neutral-point balancing control of back-to-back three-level converters. The phase currents at both sides and the DC-link capacitor voltages were measured for the prediction of the neutral-point current. A quality function was found to balance the neutral-point, and a metabolic on-times distribution factor was used as a predicator to minimize the quality function at each switching state. Simulation results show that the proposed method produces smaller ripples in tested signals compared with the established one, namely, 9.15% less in a total harmonic distortion(THD) of line-to-line voltage, 1.08% less in the THD of phase current, and 0.9 V less in the ripple of the neutral-point voltage. The obtained experimental results show that the main harmonics of the line-to-line voltage and the phase current in the proposed method are improved by 10 d B and 6 d B, respectively, and the ripple of neutral-point voltage is halved compared to the established one.

Balance recovery control for biped robot based on reaction null space method

A biped walking robot should be able to keep balance even in the presence of disturbing forces. This paper presents a step strategy concept of biped walking robot that is stabilized by using reaction null space method. The called ＂step strategy＂ can be modeled by means of the reaction null space method that introduced earlier to tackle dynamic interaction problems of free-floating robots, or moving base robots in general. 6-DOF biped robot model simulations are used to confirm the validity.

Multiple Balance Strategies for Humanoid Standing Control

完整状态的反馈参量的控制器为响应冲动、经常的推承受类人动物机器人的平衡被建议。多重机器人模型被用来处于人的站的平衡接近多重策略。为每个模型，我们设计对每个州的变量起作用的一个参量的控制器并且为不同的推尺寸，方向，和地点优化控制器参数。每个控制器的表演响应不同的外部推被显示出。由比较在每策略处理骚乱的能力，到承受平衡的每个关节的贡献也被探索。

A Sender-Initiated Fuzzy Logic Contrnol Method for Network Load Balancing

In this paper, a sender-initiated protocol is applied which uses fuzzy logic control method to improve computer networks performance by balancing loads among computers. This new model devises sender-initiated protocol for load transfer for load balancing. Groups are formed and every group has a node called a designated representative (DR). During load transferring processes, loads are transferred using the DR in each group to achieve load balancing purposes. The simulation results show that the performance of the protocol proposed is better than the compared conventional method. This protocol is more stable than the method without using the fuzzy logic control.

Effect of respiratory muscle training on trunk control and balance ability in stroke patients

Objective: To investigate the effect of respiratory muscle training combined with conventional rehabilitation therapy on trunk control, balance ability and activities of daily living in stroke patients. Methods: Sixty stroke patients were divided into control group and experimental group by random number table, 30 each, and received conventional rehabilitation therapy. Moreover, the experimental group underwent respiratory muscle training (RMT), for four weeks. In each patient, maximal inspiratory pressure (MIP) was measured for the inspiratory muscle strength. Maximal expiratory pressure (MEP) was measured for the expiratory muscle strength. The trunk control was measured using the Trunk Impairment Scale (TIS). The Berg balance scale (BBS) was used to assess the balance function. The modified Barthel index (MBI) was used to evaluate activities of daily living. Results: There were no significant differences in MIP, MEP, TIS, BBS and MBI between the two groups before treatment. The MIP, MEP, TIS, BBS and MBI functions of the control group and the experimental group were improved after treatment, And the functional improvement of the above indicators in the experimental group after treatment was significantly higher than that of the control group. Conclusion: This study proved that RMT improved respiratory muscle strength, trunk control, balance function, and ADL in stroke patients.

FORWARD LINK PARTIAL-BALANCE POWER CONTROL ALGORITHM FOR W-CDMA COMMUNICATION

Balance power control is based on the idea of balancing Carrier to Interference Ratio (CIR) of all wireless links. Unbalance power control means that different traffics can achieve different CIR at receivers. This paper proposes a forward link partial-balance power control algorithm, which can provide necessary Quality of Service (QoS) for multimedia traffics in Wideband CDMA(W-CDMA) systems. The proposed algorithm is the integration of grading traffics priority and allocating and adjusting forward link power levels. For higher priority traffics, the unbalance power control is used. Whereas for lower priority traffics, balance power control is adopted. Computer simulation results show that the proposed algorithm can guarantee the special QoS requirements of the traffics with higher priority orders and maximize the CIR of the traffics with lower priority orders.

BALANCE评定与训练系统对脑卒中患者早期躯干控制能力疗效观察

目的:观察BALANCE评定与训练系统改善脑卒中患者早期躯干控制能力的临床疗效。方法:40例脑卒中患者按照随机数字表法分为治疗组和对照组,每组各20例。2组均给予营养脑神经、改善微循环药物治疗和常规Brunnstrom、Bobath的NDT、Rood、PNF、MRP及躯干肌群力量控制训练等,每周6 d,连续4周。治疗组在此基础上应用BALANCE评定与训练系统进行躯干控制能力训练。治疗前与治疗4周后2组均进行躯干控制测试(TCT)、脑卒中患者姿势评定量表(PASS)检测,应用BALANCE评定与训练系统进行坐位平衡的包络面积及动摇总轨迹长的检测。结果:2组治疗前TCT评分、PASS评分、包络面积、动摇总轨迹长比较,差异无统计学意义(P>0.05);治疗4周后,2组TCT评分、PASS评分较治疗前明显增加,包络面积、动摇总轨迹长明显减少(P<0.05或P<0.01);治疗4周后2组各指标组间比较,差异有统计学意义(P<0.05)。结论:BALANCE评定与训练系统可改善脑卒中患者早期躯干控制能力。