Investigating the Stroke- and Aging-Related Changes in Intermuscular Coupling by Refined Composed Multiscale Fuzzy Entropy

Although the entropy algorithm is widely applied in signal complexity analysis, its stability and reliability are limited due to the existence of abnormal signal points. In order to explore the influence of aging and stroke on the human neuromuscular system, refined fuzzy entropy and refined compose...

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Main Authors: Hairong Yu, Yuanyu Wu, Rong Song
Format: Article
Language:English
Published: IEEE 2025-01-01
Series:IEEE Transactions on Neural Systems and Rehabilitation Engineering
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Online Access:https://ieeexplore.ieee.org/document/10757441/
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author Hairong Yu
Yuanyu Wu
Rong Song
author_facet Hairong Yu
Yuanyu Wu
Rong Song
author_sort Hairong Yu
collection DOAJ
description Although the entropy algorithm is widely applied in signal complexity analysis, its stability and reliability are limited due to the existence of abnormal signal points. In order to explore the influence of aging and stroke on the human neuromuscular system, refined fuzzy entropy and refined composed multiscale fuzzy entropy were proposed and applied in this study. The simulation results verified that the proposed algorithm improves the stability and the accuracy of entropy estimation. In the experiment, 11 patients after stroke, 10 young controls and 10 aged controls were recruited to perform grasping tasks under different grip strength levels. The grip force signals and surface EMG signals of four muscles on the forearm of the subject’s hemiplegic side (patient) or dominant side (healthy control) were recorded. The results showed that as the time scale increases from 1 to 10, the EMG entropy value: 1) increases at first and then decreases across populations; 2) is larger for the older control subjects than for the younger control subjects originally but then becomes greater for the younger subjects as time increases; 3) is larger for the group of older control subjects than for the stroke survivors in the beginning but then becomes larger in the control subjects. The possible mechanism underlying the changes might be the aging-induced increase in the internal noise of the neuromuscular system and the transfer of effective information on the time scale of EMG signals after stroke. Meanwhile, the influence of aging and stroke on the human neuromuscular system is comprehensively studied by a stable and reliable entropy algorithm, and it contributes to the rehabilitation clinical evaluation of stroke patients.
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spelling doaj-art-df0357a65d284293896bebb2baad8cdc2025-01-14T00:00:20ZengIEEEIEEE Transactions on Neural Systems and Rehabilitation Engineering1534-43201558-02102025-01-013332133110.1109/TNSRE.2024.350215410757441Investigating the Stroke- and Aging-Related Changes in Intermuscular Coupling by Refined Composed Multiscale Fuzzy EntropyHairong Yu0https://orcid.org/0000-0003-3018-064XYuanyu Wu1Rong Song2https://orcid.org/0000-0003-3662-116XKey Laboratory of Child Development and Learning Science of Ministry of Education, National Experimental Base of Intelligent Society Governance (Education), Nanjing, Jiangsu, ChinaEquipment Engineering Department, The Eighth Affiliated Hospital of Sun Yat-sen University, Sun Yat-sen University, Guangzhou, Guangdong, ChinaGuangdong Provincial Engineering and Technology Center of Advanced and Portable Medical Devices, School of Biomedical Engineering, Sun Yat-sen University, Guangzhou, Guangdong, ChinaAlthough the entropy algorithm is widely applied in signal complexity analysis, its stability and reliability are limited due to the existence of abnormal signal points. In order to explore the influence of aging and stroke on the human neuromuscular system, refined fuzzy entropy and refined composed multiscale fuzzy entropy were proposed and applied in this study. The simulation results verified that the proposed algorithm improves the stability and the accuracy of entropy estimation. In the experiment, 11 patients after stroke, 10 young controls and 10 aged controls were recruited to perform grasping tasks under different grip strength levels. The grip force signals and surface EMG signals of four muscles on the forearm of the subject’s hemiplegic side (patient) or dominant side (healthy control) were recorded. The results showed that as the time scale increases from 1 to 10, the EMG entropy value: 1) increases at first and then decreases across populations; 2) is larger for the older control subjects than for the younger control subjects originally but then becomes greater for the younger subjects as time increases; 3) is larger for the group of older control subjects than for the stroke survivors in the beginning but then becomes larger in the control subjects. The possible mechanism underlying the changes might be the aging-induced increase in the internal noise of the neuromuscular system and the transfer of effective information on the time scale of EMG signals after stroke. Meanwhile, the influence of aging and stroke on the human neuromuscular system is comprehensively studied by a stable and reliable entropy algorithm, and it contributes to the rehabilitation clinical evaluation of stroke patients.https://ieeexplore.ieee.org/document/10757441/Fuzzy entropytime-scalestrokeageneuromuscular system
spellingShingle Hairong Yu
Yuanyu Wu
Rong Song
Investigating the Stroke- and Aging-Related Changes in Intermuscular Coupling by Refined Composed Multiscale Fuzzy Entropy
IEEE Transactions on Neural Systems and Rehabilitation Engineering
Fuzzy entropy
time-scale
stroke
age
neuromuscular system
title Investigating the Stroke- and Aging-Related Changes in Intermuscular Coupling by Refined Composed Multiscale Fuzzy Entropy
title_full Investigating the Stroke- and Aging-Related Changes in Intermuscular Coupling by Refined Composed Multiscale Fuzzy Entropy
title_fullStr Investigating the Stroke- and Aging-Related Changes in Intermuscular Coupling by Refined Composed Multiscale Fuzzy Entropy
title_full_unstemmed Investigating the Stroke- and Aging-Related Changes in Intermuscular Coupling by Refined Composed Multiscale Fuzzy Entropy
title_short Investigating the Stroke- and Aging-Related Changes in Intermuscular Coupling by Refined Composed Multiscale Fuzzy Entropy
title_sort investigating the stroke and aging related changes in intermuscular coupling by refined composed multiscale fuzzy entropy
topic Fuzzy entropy
time-scale
stroke
age
neuromuscular system
url https://ieeexplore.ieee.org/document/10757441/
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AT yuanyuwu investigatingthestrokeandagingrelatedchangesinintermuscularcouplingbyrefinedcomposedmultiscalefuzzyentropy
AT rongsong investigatingthestrokeandagingrelatedchangesinintermuscularcouplingbyrefinedcomposedmultiscalefuzzyentropy