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2007 IEEE 10th International Conference on Rehabilitation Robotics最新文献

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Developing an Intelligent Robotic Arm for Stroke Rehabilitation 一种用于脑卒中康复的智能机械臂
Pub Date : 2007-06-13 DOI: 10.1109/ICORR.2007.4428543
Li-Qun Zhang, Hyung‐Soon Park, Y. Ren
Arm impairments in patients post stroke involve the shoulder, elbow and wrist simultaneously. Patients may develop spasticity and reduced range of motion (ROM) at the multiple joints with abnormal couplings between the multiple joints and between the multiple degrees of freedom (DOF). They may lose independent control of individual joints and coordination among the joints. This project is aimed at developing a whole arm intelligent rehabilitation robot capable of controlling the shoulder, elbow, and wrist individually and simultaneously while allowing trunk motions, with the following integrated features: 1) it has unique diagnostic capabilities to determine which joints and which DOFs have significant changes in the neuromechanical properties, which joints lose independent control, what are the abnormal couplings, and whether the problem is due to changes in passive muscle properties or active control capabilities; 2) based on the diagnosis, it stretches the spastic/deformed joints forcefully under intelligent control to loosen up the specific stiff joints/DOFs; 3) with the stiff joints loosened up, the patients practice voluntary functional movements with assistance from the robot to regain/improve their motor control capability; and 4) the outcome is evaluated quantitatively at the levels of individual joints, multiple joints/DOFs, and the whole arm.
中风后患者的手臂损伤同时涉及肩、肘和腕。患者可能在多个关节出现痉挛和活动范围缩小,多个关节之间和多个自由度(DOF)之间的耦合异常。他们可能会失去对单个关节的独立控制和关节之间的协调。本项目旨在开发一种全臂智能康复机器人,该机器人可以单独控制肩部、肘部和手腕,同时允许躯干运动,具有以下综合功能:1)具有独特的诊断能力,可判断哪些关节、哪些dof的神经力学特性发生了显著变化,哪些关节失去了独立控制,哪些是异常耦合,问题是由于被动肌肉特性的变化还是主动控制能力的变化;2)根据诊断结果,在智能控制下对痉挛/变形关节进行强力拉伸,使特定僵硬关节/自由度松动;3)随着僵硬关节的松动,患者在机器人的帮助下进行自主功能运动,以恢复/提高运动控制能力;4)在单个关节、多个关节/自由度和整个手臂的水平上定量评估结果。
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引用次数: 52
Initial patient testing of iPAM - a robotic system for Stroke rehabilitation 脑卒中康复机器人系统iPAM的初步患者测试
Pub Date : 2007-06-13 DOI: 10.1109/ICORR.2007.4428435
A. Jackson, P. Culmer, S. Makower, M. Levesley, R. Richardson, A. Cozens, M. Williams, B. Bhakta
iPAM is a dual robotic system currently being developed in the UK under a NHS New and Emerging Applications of Technologies (NEAT) grant. The aim of the system is to provide assistive upper-limb therapeutic excercise for post-stroke rehabilitation. iPAM features two co-ordinated, pneumatically-actuated robotic arms which attach to the patient's forearm and upper-arm to provide assistance, mimicking the intervention of a physiotherapist. The system design and manufacture has been completed and the robot installed at a local hospital (St Mary's, Leeds PCT, UK) inside a community rehabilitation unit. The controller is currently developed and 'tuned' to provide gravity compensation for robots, removing any potentially damaging loads on the patient arm. The control scheme has been tested in simulation and using a mechanical arm model to ensure safe operation. Two small scale trials have been conducted to assess two facets of the robot design; firstly the mechanical design of the system to unimpede normal arm movement and secondly, its ability to provide varying levels of lift to the patient's arm to increase range of movement. The former of these trials compares free arm movement in healthy volunteers and Stroke patients with that when attached to iPAM. The robot was configured to compensate for its own weight, so the human upper-limb was unloaded. It was found that the robot had no significant affect on movement patterns. The second group of patient trials evaluated the operation of various levels of assistance against gravity. Patients were asked to point to a target with varying degrees of 'lift' applied to their upper and lower arm. In those patients with significant upper-limb impairment it was found that higher values of 'lift' improved the extent of reach but altered the movement pattern. Results from the trials demonstrated the suitability of certain modes of operation depending on the severity of patient disability.
iPAM是一种双机器人系统,目前正在英国NHS新兴技术应用(NEAT)资助下开发。该系统的目的是为中风后康复提供辅助上肢治疗性锻炼。iPAM具有两个协调的气动机械臂,连接在患者的前臂和上臂上提供帮助,模仿物理治疗师的干预。系统的设计和制造已经完成,机器人安装在当地医院(St Mary’s, Leeds PCT, UK)的一个社区康复单元内。该控制器目前正在开发和“调整”,为机器人提供重力补偿,消除病人手臂上任何潜在的破坏性负荷。通过仿真和机械臂模型验证了该控制方案的安全性。已经进行了两次小规模试验,以评估机器人设计的两个方面;首先,该系统的机械设计不妨碍正常的手臂运动,其次,它能够为患者的手臂提供不同程度的提升,以增加运动范围。前者比较了健康志愿者和中风患者在使用iPAM时的自由手臂运动。机器人被配置为补偿自身的重量,因此人类的上肢被卸下。研究发现,机器人对运动模式没有显著影响。第二组患者试验评估了不同程度的重力辅助操作。患者被要求指向一个目标,并在他们的上臂和下臂上施加不同程度的“抬升”。在那些有明显上肢损伤的患者中,我们发现更高的“抬升”值改善了伸展的范围,但改变了运动模式。试验结果表明,根据患者残疾的严重程度,某些手术模式的适用性。
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引用次数: 37
Development of Neural Interfaces for Chronic Use in Neuromotor Prosthetics 神经运动假肢慢性应用神经接口的发展
Pub Date : 2007-06-13 DOI: 10.1109/ICORR.2007.4428549
D. Kipke, G. Gage, E. Purcell, J. Seymour, J. Subbaroyan, T. Marzullo
This paper presents a review of our neural interface research program and provides a brief introduction to the field. We focus on three key areas which aim to minimize encapsulating tissue response to chronic neural interfaces: interface architecture, mechanical stresses, and stem cell-seeded probes. We explore these areas and present our current solutions which have led to the demonstration of cortical control of neuromotor prostheses (NMPs).
本文对神经接口的研究进展进行了综述,并对该领域作了简要介绍。我们专注于三个关键领域,旨在最大限度地减少封装组织对慢性神经界面的反应:界面结构,机械应力和干细胞种子探针。我们探索了这些领域,并提出了我们目前的解决方案,这些解决方案已经证明了神经运动假肢(nmp)的皮层控制。
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引用次数: 1
Rehabilitation robotics in Padua, Italy 意大利帕多瓦的康复机器人
Pub Date : 2007-06-13 DOI: 10.1109/ICORR.2007.4428445
A. Rossi, G. Rosati
This paper presents the research activity in the field of rehabilitation robotics of the Robotics & Automation research group leaded by Prof. Aldo Rossi at the Department of Innovation in Mechanics and Management (DIMEG) of University of Padua, Italy. Starting from the experience gained in the development of cable driven haptic displays, our research activity was devoted to the development of cable driven robots for upper limb rehabilitation of post stroke patients in the subacute phase. Two prototypes of such machines have been built so far, the NeReBot and the MariBot, which allow to implement robot-assisted passive exercises in a three dimensional working space. These robots use three driven cables to sustain the forearm of the patient and to guide him through the execution of the exercise. In both cases, the cables originate from an overhead structure. The first robot has been successfully tested in clinical environment, and the limitations arisen during clinical trials lead to the design of the second robot, which came up as an evolution of the first one. A third cable driven device is currently being designed. This robot will have a planar working space and will be suited to implement active-assisted exercises, targeting not only sub-acute patients but also chronic patients. Regarding the strategy of our group, a strong effort will be devoted to establish international collaborations with other research groups in the field of rehabilitation robotics. Secondly, in a medium-long term perspective we are attempting to open a new rehabilitation center in Padua specialized in robot-aided rehabilitation. In this way, we aim not only to enlarge the number of patients involved in clinical trials of the machines, but also to reduce the time-to-patient of our devices, which nowadays is quite long.
本文介绍了意大利帕多瓦大学机械与管理创新系(DIMEG)的Aldo Rossi教授领导的机器人与自动化研究小组在康复机器人领域的研究活动。从开发电缆驱动触觉显示器的经验出发,我们的研究活动致力于开发用于中风亚急性期患者上肢康复的电缆驱动机器人。到目前为止,这种机器的两个原型已经制造出来,NeReBot和MariBot,它们可以在三维工作空间中实现机器人辅助的被动练习。这些机器人使用三根驱动电缆来支撑病人的前臂,并指导他完成练习。在这两种情况下,电缆都来自架空结构。第一个机器人已经在临床环境中测试成功,在临床试验中出现的局限性导致了第二个机器人的设计,它是作为第一个机器人的进化而出现的。第三种电缆驱动装置目前正在设计中。该机器人将具有平面工作空间,适合实施主动辅助运动,不仅针对亚急性患者,也针对慢性患者。关于我们小组的战略,我们将致力于与康复机器人领域的其他研究小组建立国际合作。其次,从中长期来看,我们正试图在帕多瓦开设一家新的康复中心,专门从事机器人辅助康复。通过这种方式,我们的目标不仅是扩大参与机器临床试验的患者数量,而且减少我们的设备到患者的时间,目前这是相当长的。
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引用次数: 4
Optimized artificial muscles for an inherently safe robotic arm 优化的人造肌肉为一个固有的安全机械手臂
Pub Date : 2007-06-13 DOI: 10.1109/ICORR.2007.4428556
J. Surentu, G. Tuijthof, J. Herder
Safe interaction between rehabilitation robots and patients requires the development of dedicated technology. Inherently compliant actuators, such as artificial muscles (McKibben actuators) can help achieve this goal. This paper presents McKibben actuators with an initial length that is invariant with pressure. They also feature improved range of stiffness and increase range of extension. An application of the developed actuators in an anthropomorphic robotic arm presented. A stiffness control scheme was implemented that allows it to safely shake hands with humans.
康复机器人与患者之间的安全互动需要开发专用技术。固有的顺应致动器,如人造肌肉(McKibben致动器)可以帮助实现这一目标。本文提出了初始长度随压力不变的McKibben致动器。它们还具有改进的刚度范围和增加的扩展范围。介绍了该驱动器在拟人机械臂上的应用。实现了一种刚度控制方案,使其能够安全地与人握手。
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引用次数: 6
Torque Sensor Free Power Assisted Wheelchair 无扭矩传感器助力轮椅
Pub Date : 2007-06-13 DOI: 10.1109/ICORR.2007.4428421
D. Petersson, J. Johansson, U. Holmberg, B. Åstrand
A power assisted wheelchair combines human power, which is delivered by the arms through the pushrims, with electrical motors, which are powered by a battery. Todays electric power assisted wheelchairs use force sensors to measure the torque exerted on the pushrims by the user. This leads to rather expensive and clumsy constructions. A new design, which only relies on velocity feedback, thus avoiding the use of expensive force sensors in the pushrims, is proposed in this paper. The control design is based on a simple PD-structure with only two design parameters easily tuned to fit a certain user; one parameter is used to adjust the amplification of the user's force and the other one is used to change the lasting time of the propulsion influence. Since the new assisting control system only relies on the velocity, the torque sensor free power assisted wheelchair will besides giving the user assisting power also give an assistant, which pushes the wheelchair, additional power. This is a big advantage compared to the pushrim activated one, where this benefit for the assistant is not possible.
动力辅助轮椅将手臂通过推杆传递的人力与由电池供电的电动机结合在一起。今天的电动辅助轮椅使用力传感器来测量使用者施加在推杆上的扭矩。这导致了相当昂贵和笨拙的结构。本文提出了一种新的设计,该设计仅依赖于速度反馈,从而避免了在推杆中使用昂贵的力传感器。控制设计基于简单的pd结构,只有两个设计参数易于调整以适应特定用户;其中一个参数用于调节用户力的放大,另一个参数用于改变推进影响的持续时间。由于新的辅助控制系统只依赖于速度,所以无扭矩传感器助力轮椅在给使用者提供辅助动力的同时,也会给推动轮椅的助手提供额外的动力。这是一个很大的优势,相比于推框激活的一个,这对助手的好处是不可能的。
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引用次数: 3
Biomechanical Design of a Powered Ankle-Foot Prosthesis 动力踝足假体的生物力学设计
Pub Date : 2007-06-13 DOI: 10.1109/ICORR.2007.4428441
S. Au, J. Weber, H. Herr
Although the potential benefits of a powered ankle-foot prosthesis have been well documented, no one has successfully developed and verified that such a prosthesis can improve amputee gait compared to a conventional passive-elastic prosthesis. One of the main hurdles that hinder such a development is the challenge of building an ankle-foot prosthesis that matches the size and weight of the intact ankle, but still provides a sufficiently large instantaneous power output and torque to propel an amputee. In this paper, we present a novel, powered ankle-foot prosthesis that overcomes these design challenges. The prosthesis comprises an unidirectional spring, configured in parallel with a force-controllable actuator with series elasticity. With this architecture, the ankle-foot prosthesis matches the size and weight of the human ankle, and is shown to be satisfying the restrictive design specifications dictated by normal human ankle walking biomechanics.
虽然动力踝足假体的潜在好处已被充分证明,但与传统的被动弹性假体相比,还没有人成功地开发和验证这种假体可以改善截肢者的步态。阻碍这种发展的主要障碍之一是制造一种踝足假肢的挑战,这种假肢既要与完整脚踝的大小和重量相匹配,又要提供足够大的瞬时功率输出和扭矩来推动截肢者。在本文中,我们提出了一种新颖的动力踝足假体,克服了这些设计挑战。所述假体包括与具有串联弹性的力可控致动器并联配置的单向弹簧。通过这种结构,踝关节-足假体与人类踝关节的大小和重量相匹配,并被证明满足正常人类踝关节行走生物力学所规定的限制性设计规范。
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引用次数: 150
Passive therapeutic arm for pelvis support during FES supported gait treadmill training - a case study 在FES支持的步态跑步机训练中,被动治疗臂用于骨盆支持-一个案例研究
Pub Date : 2007-06-13 DOI: 10.1109/ICORR.2007.4428472
I. Cikajlo, P. Obreza, R. Šavrin, Z. Matjačić
The paper presents a case study where a novel passive therapeutic arm for pelvis support is introduced to the clinical treadmill training of incomplete spinal cord injured (SCI) patients using a functional electrical stimulation (FES) to gain certain locomotor functions. The FES gait reeducation on treadmill applied automatic triggering and intensity control in relation to the swing quality performance. In the case study an incomplete SCI subject (Th-10, chronic) participated. Clinical procedure with classical treadmill training lasted for a week followed by a combined FES and passive therapeutic arm treadmill training. Additionally clinical test, 9 min. and 10 m walk were carried out. The outcomes suggest that simultaneous pelvis control and FES motor augmentation requiring subject's active cooperation may gain the therapeutic effect of the treadmill training.
本文介绍了一个案例研究,在不完全性脊髓损伤(SCI)患者的临床跑步机训练中,采用功能性电刺激(FES)获得一定的运动功能,将一种新型的被动治疗臂用于骨盆支撑。在跑步机上进行FES步态再教育时,采用自动触发和强度控制的方法来提高摆动质量。在个案研究中,一名不完全SCI受试者(Th-10,慢性)参与。经典跑步机训练的临床程序持续了一周,随后是FES和被动治疗性手臂跑步机训练的联合训练。另外进行临床试验,9分钟和10米步行。结果表明,同时进行骨盆控制和FES运动增强,需要受试者积极配合,可以获得跑步机训练的治疗效果。
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引用次数: 1
Combining Immersive Virtual Environments with Robot-Aided Gait Training 结合沉浸式虚拟环境与机器人辅助步态训练
Pub Date : 2007-06-13 DOI: 10.1109/ICORR.2007.4428459
L. Lunenburger, M. Wellner, R. Banz, G. Colombo, R. Riener
While robotic rehabilitation devices are gaining popularity in research and clinical use, a possible drawback of these devices is the reduced physical interaction between the therapist and the patient compared to manual training. To compensate for this lack, the device has to assess the patient's movements and provide (bio-)feedback to the patient. Furthermore, it could deliver instructions and increase motivation. The design and implementation of an immersive virtual environment for robot-assisted gait training are described that delivers feedback and increases motivation. Subjects can navigate through exchangeable virtual environments by modulating their performance of the left and right leg. Preliminary tests show usability with control subjects. Clinical tests are still required to show applicability in the clinical routine and to test for therapeutic efficacy.
虽然机器人康复设备在研究和临床应用中越来越受欢迎,但这些设备的一个可能的缺点是与人工训练相比,治疗师和患者之间的物理互动减少了。为了弥补这一缺陷,该设备必须评估患者的运动并向患者提供(生物)反馈。此外,它还可以传递指令并增加动机。描述了机器人辅助步态训练的沉浸式虚拟环境的设计和实现,该环境提供反馈并增加动机。受试者可以通过调节左腿和右腿的动作来在可交换的虚拟环境中导航。初步测试显示了控制对象的可用性。临床试验仍需证明其在临床常规中的适用性,并检验其治疗效果。
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引用次数: 13
Characterization of a New Type of Dry Electrodes for Long-Term Recordings of Surface-Electromyogram 一种用于长期记录表面肌电图的新型干电极的表征
Pub Date : 2007-06-13 DOI: 10.1109/ICORR.2007.4428523
Gonzalo A. Garcia, F. Zaccone, R. Ruff, S. Micera, Senior Member, Klaus-Peter Hoffmann, Paolo Dario
In the present work we introduce a preliminary study on a new type of dry electrodes to asses their possible use for performing long-term recordings of surface electromyographic signals. These signals would be used for the control of artificial prostheses in a non-invasive manner. In addition, a comparison was carried out between the new dry electrodes and a commercial, pre-gelled electrode. The results showed that both kinds of electrodes have similar impedance values and behavior at different frequencies, which are the main parameters to take into account when characterizing electrodes. For daily use in prosthesis control, dry electrodes are preferred over gelled or pre-gelled electrodes because they can be embedded in fabric and hence be worn seamlessly.
在目前的工作中,我们介绍了一种新型干电极的初步研究,以评估它们在执行表面肌电信号长期记录方面的可能用途。这些信号将用于以非侵入性方式控制人工假体。此外,还对新型干电极和商业预凝胶电极进行了比较。结果表明,两种电极在不同频率下具有相似的阻抗值和行为,这是表征电极时需要考虑的主要参数。在假肢控制的日常使用中,干电极比凝胶或预凝胶电极更受欢迎,因为它们可以嵌入织物中,因此可以无缝佩戴。
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引用次数: 17
期刊
2007 IEEE 10th International Conference on Rehabilitation Robotics
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