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2019 IEEE 16th International Conference on Rehabilitation Robotics (ICORR)最新文献

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Admittance Control of the Ankle Mechanism in a Rotational Orthosis for Walking with Arm Swing 旋臂行走矫形器踝关节机构导纳控制
Pub Date : 2019-06-01 DOI: 10.1109/ICORR.2019.8779408
Zaile Mu, Juan Fang, Qiuju Zhang
In order to provide an effective system for rehabilitation of walking, a new rotational orthosis for walking with arm swing, called ROWAS II, was developed. This study focused on development and implementation of admittance control of the ankle mechanism in the ROWAS II system for promoting active training. Firstly, the mechanical structure of the ankle mechanism is briefly introduced. Then the algorithms of the closed-loop position control and the admittance control for the ankle mechanism are described in detail. Four able-bodied participants were recruited to use the ankle mechanism running in passive and active modes. The experimental results showed that the ankle mechanism well tracked the target trajectory in passive mode. In active mode, the participants interacted with the ankle mechanism, and adjusted their ankle movement based on their active force. The ankle mechanism has the technical potential to meet the requirements of passive and active training in the ankle movement for patients in different post-stroke stages.
为了提供一个有效的步行康复系统,一种新的旋转矫形器与手臂摆动行走,称为ROWAS II,被开发出来。本研究的重点是开发和实施ROWAS II系统中踝关节机制的准入控制,以促进主动训练。首先,简要介绍了踝关节机构的机械结构。然后详细介绍了踝关节机构的闭环位置控制算法和导纳控制算法。招募了四名健全的参与者,使用踝关节机械装置在被动和主动模式下运行。实验结果表明,在被动模式下,踝关节机构能够很好地跟踪目标轨迹。在主动模式下,参与者与踝关节机构互动,并根据自己的主动力量调整踝关节的运动。该踝关节机构具有满足脑卒中后不同阶段患者踝关节运动被动和主动训练要求的技术潜力。
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引用次数: 1
Wearable Lymphedema Massaging Modules: Proof of Concept using Origami-inspired Soft Fabric Pneumatic Actuators 可穿戴淋巴水肿按摩模块:使用折纸启发的软织物气动执行器的概念证明
Pub Date : 2019-06-01 DOI: 10.1109/ICORR.2019.8779525
Hye Ju Yoo, Woongbae Kim, Sang-Yoep Lee, Joonmyeong Choi, Youn Joo Kim, D. Koo, Y. Nam, Kyu-Jin Cho
Lymphedema is a non-curative chronic swelling caused by impairment of the lymphatic system, affecting up to 250 million patients worldwide. The patients suffer from low quality of life because of discomfort and reduced range of motion due to the swelling. Severe swellings can be immediately mediated with special massaging technique known as the Manual Lymphatic Drainage (MLD). Limitations of MLD involves long travel distances, the cost of regular treatment sessions, and the lack of lymphedema specialists. Since MLD is performed very gently, described as caressing a baby’s head, soft wearable robotics with its inherent compliance and safety is the perfect solution to creating a light and safe wearable lymphedema massaging device. In this paper, origami-inspired soft fabric pneumatic actuator is developed that creates not only normal force, but also shear force which is essential in the performance of MLD. The shear is created by the unfolding of the Z-shaped fold-lines as the actuator is inflated. One Z-folded actuator module of 30 x 60 mm dimension with a single fold of 15 mm fold height creates maximum shear force of about 1.5 N and stroke displacement of about 30 mm when subjected to compression loading of 5 N. The range of forces exerted can be tuned by varying the tension of the compressive clothing covering the actuators, and the stroke displacement can be varied by changing the parameter of the actuator module itself, such as the fold height and the number of the folds. The modules can also be repeatedly actuated under compressive clothing, and therefore, the developed actuator modules have high potential as a wearable massaging device.
淋巴水肿是由淋巴系统损伤引起的一种不可治愈的慢性肿胀,影响全世界多达2.5亿患者。患者的生活质量较低,因为不适和活动范围减少,由于肿胀。严重的肿胀可以立即通过称为手动淋巴引流(MLD)的特殊按摩技术调解。MLD的局限性包括长途旅行、定期治疗的费用以及缺乏淋巴水肿专家。由于MLD的操作非常轻柔,被描述为抚摸婴儿的头部,因此具有固有顺应性和安全性的柔软可穿戴机器人是创造一种轻便安全的可穿戴淋巴水肿按摩设备的完美解决方案。本文研制的折纸软织物气动执行器不仅能产生法向力,还能产生对MLD性能至关重要的剪切力。当致动器膨胀时,剪切是由z形折叠线展开而产生的。Z-folded致动器模块之一30 x 60毫米尺寸只有一个折叠的15毫米褶皱高度创造最大剪切力约为1.5 N和中风的位移约30毫米当受到压缩加载5 N .受力分析的范围可以通过不同的张力调整压缩衣服覆盖在致动器,和中风位移致动器模块本身的变化通过改变参数,如折叠高度和褶皱的数量。该模块还可以在压缩服装下重复驱动,因此,所开发的执行器模块作为可穿戴式按摩设备具有很高的潜力。
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引用次数: 4
Pedbothome: Robotically-Assisted Ankle Rehabilitation System For Children With Cerebral Palsy* pedbohome:脑瘫儿童机器人辅助踝关节康复系统*
Pub Date : 2019-06-01 DOI: 10.1109/ICORR.2019.8779468
K. Cleary, R. Monfaredi, Tyler Salvador, H. F. Talari, Catherine Coley, Staci Kovelman, Justine Belschner, S. Alyamani, M. Schladen, Sally Evans
Our research team has developed two versions of an ankle robot for children with cerebral palsy. Both devices provide three degrees of freedom and are connected to an airplane video game. The child uses his/her foot as the controller for the plane and attempts to fly through a series of hoops arranged to manipulate the foot across the ankle joint. The first device is for lab-based therapy and four children have completed 20 sessions each with the device. The second device is for home-based therapy and two children have completed a 28-day trial using the device at home. Both studies were done under Institutional Review Board approval and all participants improved ankle range of motion. Further studies are ongoing to gather more data and validate the results.
我们的研究小组已经为患有脑瘫的儿童开发了两个版本的脚踝机器人。这两种设备都提供三个自由度,并与飞机上的视频游戏相连。孩子用他/她的脚作为飞机的控制器,并试图通过一系列的箍来操纵脚穿过踝关节。第一个设备用于实验室治疗,四个孩子分别完成了20个疗程。第二种设备用于家庭治疗,两名儿童已经在家中使用该设备完成了为期28天的试验。这两项研究都是在机构审查委员会的批准下进行的,所有参与者的脚踝活动范围都得到了改善。进一步的研究正在进行中,以收集更多的数据并验证结果。
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引用次数: 4
Optimal Time-Window Derivation for Human-Activity Recognition Based on Convolutional Neural Networks of Repeated Rehabilitation Motions 基于重复康复运动卷积神经网络的人体活动识别最佳时间窗推导
Pub Date : 2019-06-01 DOI: 10.1109/ICORR.2019.8779475
Kyoung-Soub Lee, Sanghoon Chae, Hyung‐Soon Park
This paper analyses the time-window size required to achieve the highest accuracy of the convolutional neural network (CNN) in classifying periodic upper limb rehabilitation. To classify real-time motions by using CNN-based human activity recognition (HAR), data must be segmented using a time window. In particular, for the repetitive rehabilitation tasks, the relationship between the period of the repetitive tasks and optimal size of the time window must be analyzed. In this study, we constructed a data-collection system composed of a smartwatch and smartphone. Five upper limb rehabilitation motions were measured for various periods to classify the rehabilitation motions for a particular time-window size. 5-fold cross-validation technique was used to compare the performance. The results showed that the size of the time-window that maximizes the performance of CNN-based HAR is affected by the size and period of the sample used.
本文分析了卷积神经网络(CNN)在周期性上肢康复分类中达到最高准确率所需的时间窗大小。为了利用基于cnn的人体活动识别(HAR)对实时运动进行分类,必须使用时间窗对数据进行分割。特别是对于重复性康复任务,必须分析重复性任务的周期与最优时间窗大小之间的关系。在本研究中,我们构建了一个由智能手表和智能手机组成的数据采集系统。在不同时期测量5种上肢康复运动,对特定时间窗大小的康复运动进行分类。采用5倍交叉验证技术对其性能进行比较。结果表明,使基于cnn的HAR性能最大化的时间窗大小受所用样本的大小和周期的影响。
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引用次数: 15
A Platform for Rehabilitation of Finger Individuation in Children with Hemiplegic Cerebral Palsy 偏瘫性脑瘫儿童手指个体化康复平台
Pub Date : 2019-06-01 DOI: 10.1109/ICORR.2019.8779537
James V. McCall, Miranda C. Ludovice, Jared A. Blaylock, D. Kamper
The brain injury that results in cerebral palsy CP may adversely affect fine motor control of the hand. The degradation of manual dexterity in the fingers profoundly impacts overall functionality of the upper limb, yet research efforts to facilitate rehabilitation of finger individuation in children with CP have been limited. This study describes the development of an integrated hardware and software platform for training and evaluating finger individuation. A pneumatically actuated glove provides extension assistance or flexion resistance independently to each digit in concert with playing a virtual reality keyboard. This setup enables intensive and efficient practice of fine motor control of either or both hands. Bimanual training options range from mirror movements to fully independent motions and rhythms in each hand, thereby enabling maintenance of the proper level of challenge. Additionally, an instrument was created to provide assessment of individuated fingertip force generation in order to evaluate effectiveness of the training. Preliminary data were obtained from children both with and without CP using this tool.
脑损伤导致脑瘫CP可能对手部精细运动控制产生不利影响。手指灵巧性的退化深刻影响上肢的整体功能,但促进CP儿童手指个性化康复的研究努力有限。本研究描述了一个用于训练和评估手指个性化的集成硬件和软件平台的开发。气动驱动的手套为每个手指提供独立的伸展辅助或弯曲阻力,并与虚拟现实键盘配合使用。这种设置使任何一只手或两只手的精细运动控制的密集和有效的实践。双手训练的选择范围从镜像运动到每只手完全独立的运动和节奏,从而能够维持适当的挑战水平。此外,还创建了一种仪器来评估个性化指尖力的产生,以评估训练的有效性。使用该工具从有和没有CP的儿童中获得初步数据。
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引用次数: 8
Autonomous Multi-Sensory Robotic Assistant for a Drinking Task 自主多感官饮酒机器人助手
Pub Date : 2019-06-01 DOI: 10.1109/ICORR.2019.8779521
F. Goldau, Tejas Kumar Shastha, Maria Kyrarini, A. Gräser
Assistive robots have the potential to support people with disabilities in their Activities of Daily Life. The drinking task has a high priority and requires constant assistance by caregivers to be executed regularly. Due to incapacitating disabilities such as tetraplegia, which is the paralysis of all limbs, affected people cannot use classic control interfaces such as joysticks. This paper presents a robotic solution to enable independent, straw-less drinking using a smart cup and no physically attached elements on the user. The system's hardware and software components are presented and the overarching control scheme described. The cup approaches the mouth utilising a user-friendly and vision-based robot control based on head pose estimation. Once contact has been established, the user can drink by tilting the cup with a force sensor-based control setup. Two experimental studies have been conducted, where the participants (mostly able-bodied and one tetraplegic), could separately experience the cup’s contactless approach and the contact-based sequence. First results show a high user acceptance rate and consistent positive feedback. The evaluation of internal data showed a high reliability of the safety-critical components with the test groups perceiving the system as intuitive and easy to use.
辅助机器人有潜力帮助残疾人进行日常生活活动。饮酒任务具有很高的优先级,需要护理人员的持续协助才能定期执行。由于四肢瘫痪等丧失行为能力的残疾,受影响的人无法使用传统的控制界面,如操纵杆。本文提出了一种机器人解决方案,可以使用智能杯子实现独立的,无吸管的饮用,并且用户身上没有物理附加元素。介绍了系统的硬件和软件组成,并描述了总体控制方案。杯子接近嘴利用基于头部姿势估计的用户友好和基于视觉的机器人控制。一旦建立了接触,用户就可以通过倾斜带有力传感器控制装置的杯子来喝水。已经进行了两项实验研究,参与者(大多数是健全的,一个是四肢瘫痪的)可以分别体验杯子的非接触式方法和基于接触的序列。初步结果显示,用户接受率高,积极反馈一致。内部数据的评估显示了安全关键组件的高可靠性,测试组认为该系统直观且易于使用。
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引用次数: 22
PEXO - A Pediatric Whole Hand Exoskeleton for Grasping Assistance in Task-Oriented Training 儿童全手外骨骼,用于任务导向训练中的抓取辅助
Pub Date : 2019-06-01 DOI: 10.1109/ICORR.2019.8779489
Tobias L. Bützer, Jan Dittli, Jan Lieber, Hubertus J. A. van Hedel, A. Meyer-Heim, O. Lambercy, R. Gassert
Children with hand motor impairment due to cerebral palsy, traumatic brain injury, or pediatric stroke are considerably affected in their independence, development, and quality of life. Treatment conventionally includes task-oriented training in occupational therapy. While dose and intensity of hand therapy can be promoted through technology, these approaches are mostly limited to large stationary robotic devices for non-task-oriented training, or passive wearable devices for children with mild impairments. Here we present PEXO, a fully wearable actuated pediatric hand exoskeleton to cover the special needs of children (6 to 12 years of age) with strong impairments in hand function. Through three degrees of freedom, PEXO provides assistance in various grasp types needed for the execution of functional tasks. It is lightweight, water proof, and inherently interacts safely with the user. It meets mechanical requirements such as force, fast closing movement, and battery lifetime derived from literature and discussions with clinicians. Appealing appearance, user-friendly design, and intuitive control with visual feedback of forearm muscle activity should keep the user motivated during training in the clinic or at home. A pilot test with a 6-years old child with stroke showed that PEXO can provide assistance in grasping various objects weighing up to 0.5 kg. These are promising first results on the way to make hand exoskeletons accessible for children with neuromotor disorders.
由于脑瘫、外伤性脑损伤或小儿中风而导致手部运动障碍的儿童在其独立性、发育和生活质量方面受到很大影响。治疗通常包括任务导向的职业治疗培训。虽然可以通过技术提高手部治疗的剂量和强度,但这些方法大多局限于用于非任务导向训练的大型固定式机器人设备,或用于轻度损伤儿童的被动可穿戴设备。在这里,我们提出PEXO,一个完全可穿戴的驱动儿童手外骨骼,以满足儿童(6至12岁)的特殊需求,手部功能严重受损。通过三个自由度,PEXO提供了执行功能性任务所需的各种抓取类型的帮助。它重量轻,防水,并且与用户安全交互。根据文献和临床医生的讨论,它满足机械要求,如力、快速闭合运动和电池寿命。美观的外观,人性化的设计,直观的控制与前臂肌肉活动的视觉反馈,应该保持用户在诊所或在家里训练的动力。一项针对6岁中风儿童的试点测试表明,PEXO可以帮助抓取重达0.5公斤的各种物体。这些都是有希望的初步结果,为患有神经运动障碍的儿童提供了手部外骨骼。
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引用次数: 24
Investigation of Fatigue Using Different EMG Features 不同肌电特征对疲劳的研究
Pub Date : 2019-06-01 DOI: 10.1109/ICORR.2019.8779402
Azadeh Aghamohammadi-Sereshki, Mohammad Javad Darvishi Bayazi, F. T. Ghomsheh, F. Amirabdollahian
Rehabilitative exercise for people suffering from upper limb impairments has the potential to improve their neuro-plasticity due to repetitive training. Our study investigates the usefulness of Electroencephalogram and Electromyogram (EMG) signals for incorporation in humanrobot interaction loop. Twenty healthy participants recruited who performed a series of physical and cognitive tasks, with an inherent fatiguing component in those tasks. Here we report observed effects on EMG signals. Participants performed a Biceps curl repetitions using a suitable dumbbell in three phases. In phase 1, the initial weight was set to achieve maximum voluntary contraction (MVC). Phase 2 followed with 80 % MVC and phase 3 had 60% MVC. After each phase, they had a break around 3 minutes. EMG data were acquired from Biceps, Triceps, and Brachioradialis muscles. Different EMG features were explored to inform on muscle fatigue during this interaction. Comparing EMG during the first and last dumbbell of each phase demonstrated that the muscle fatigue had caused an increase in the average power (94% of cases) and amplitude (91%) and a decrease in the mean (80%) and the median frequency (57%) of EMG, which was more noticeable in Biceps. The results from integrated EMG showed a continuous rise in all three muscles which was more pronounced in Biceps muscle. Given these results, we identify EMG average power as the most reliable feature for informing on muscle fatigue.
由于重复训练,上肢损伤患者的康复训练有可能改善他们的神经可塑性。我们的研究探讨了脑电图和肌电图(EMG)信号在人机交互回路中的作用。招募了20名健康的参与者,他们完成了一系列的体力和认知任务,这些任务中有固有的疲劳成分。在这里,我们报告观察到的对肌电信号的影响。参与者使用合适的哑铃分三个阶段重复二头肌弯曲。在第一阶段,设置初始权重以实现最大自主收缩(MVC)。第二阶段是80%的MVC,第三阶段是60%的MVC。每个阶段结束后,他们有大约3分钟的休息时间。肌电图数据取自肱二头肌、肱三头肌和肱桡肌。在这种相互作用中,研究人员探索了不同的肌电图特征,以了解肌肉疲劳情况。比较各组哑铃第一个阶段和最后一个阶段的肌电图,发现肌肉疲劳导致肌电图平均功率(94%)和振幅(91%)增加,平均频率(80%)和中位数频率(57%)下降,其中二头肌肌电图下降更为明显。综合肌电图的结果显示,所有三块肌肉都持续上升,其中二头肌更明显。鉴于这些结果,我们确定肌电图平均功率是告知肌肉疲劳的最可靠特征。
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引用次数: 2
Characterizing Intent Changes in Exoskeleton-Assisted Walking Through Onboard Sensors 通过机载传感器表征外骨骼辅助行走的意图变化
Pub Date : 2019-06-01 DOI: 10.1109/ICORR.2019.8779503
Taylor M. Gambon, J. Schmiedeler, Patrick M. Wensing
Robotic exoskeletons are a promising technology for rehabilitation and locomotion following musculoskeletal injury, but their adoption outside the physical therapy clinic has been limited by relatively primitive methods for identifying and incorporating the user’s gait intentions. Various intent detection approaches have been demonstrated using electromyography and electroencephalography signals. These technologies sense the human directly but introduce complications for donning/doffing the device and in measurement consistency. By contrast, sensors onboard the exoskeleton avoid these complications but sense the human indirectly via the human-robot interface. This pilot study examines if onboard sensors alone may enable identification of user intent. Joint positions and commanded motor currents are compared prior to and after changes in the user’s intended gait speed. Preliminary experimental results confirm that these measures are significantly different following intent changes for both able-bodied and non-able-bodied users. The findings suggest that intent detection is possible with onboard sensors alone, but the intent signals depend on exoskeleton control settings, user ability, and temporal considerations.
机器人外骨骼在肌肉骨骼损伤后的康复和运动方面是一项很有前途的技术,但它们在物理治疗诊所之外的应用受到识别和整合用户步态意图的相对原始的方法的限制。各种意图检测方法已经证明使用肌电图和脑电图信号。这些技术直接感知人类,但在穿戴/脱下设备和测量一致性方面引入了复杂性。相比之下,外骨骼上的传感器避免了这些复杂的问题,而是通过人机界面间接地感知人类。这项初步研究考察了车载传感器是否可以单独识别用户意图。关节位置和指令电机电流在用户预期步态速度变化之前和之后进行比较。初步实验结果证实,健全使用者和非健全使用者在意图改变后,这些测量结果有显著差异。研究结果表明,仅使用车载传感器就可以进行意图检测,但意图信号取决于外骨骼控制设置、用户能力和时间考虑。
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引用次数: 4
Enhancing the Therapist–Device Relationship: Software Requirements for Digital Collection and Analysis of Patient Data 加强治疗师-设备关系:患者数据数字化收集和分析的软件需求
Pub Date : 2019-06-01 DOI: 10.1109/ICORR.2019.8779528
T. Desplenter, S. Chinchalkar, A. L. Trejos
Improving upon the therapist–device relationship is an important aspect that will increase the number of upper-limb robotic rehabilitation devices being used for therapy. One path to strengthen this relationship is for these devices to generate large data sets that rehabilitation therapists can use to enhance their patient assessment procedures. In this article, a national survey of Canadian therapists was conducted in order to learn about their data collection and analysis methods. A total of 33 responses were gathered from an online survey. These results show that there is a demand for the collection and visualization of various patient data, some of which cannot be easily collected with existing methods. It was also seen that there exists a large variation between therapists about which major steps constitute the general rehabilitation process. From these results, a set of fourteen general software requirements has been created. Insights from the survey regarding influences on software designs are briefly discussed. This research helps to enable the development of software systems that increase the interaction potential between therapists and robotic devices.
改善治疗师与设备的关系是增加上肢机器人康复设备用于治疗的数量的一个重要方面。加强这种关系的一个途径是让这些设备生成大型数据集,康复治疗师可以使用这些数据集来加强他们的病人评估程序。在这篇文章中,为了了解他们的数据收集和分析方法,对加拿大治疗师进行了一次全国性的调查。一项在线调查共收集了33份回复。这些结果表明,对各种患者数据的收集和可视化存在需求,其中一些数据无法用现有方法轻松收集。研究还发现,治疗师之间对于构成一般康复过程的主要步骤存在很大差异。从这些结果中,创建了一组14个通用软件需求。简要讨论了调查对软件设计的影响。这项研究有助于开发软件系统,增加治疗师和机器人设备之间的互动潜力。
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引用次数: 2
期刊
2019 IEEE 16th International Conference on Rehabilitation Robotics (ICORR)
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