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Automated assessment of infant motor development to predict infant age: The determination of objective metrics of spontaneous kicking. 婴儿运动发展的自动评估以预测婴儿年龄:确定自发踢腿的客观指标
Q2 Medicine Pub Date : 2022-11-23 eCollection Date: 2022-01-01 DOI: 10.1017/wtc.2022.25
Katelyn Fry-Hilderbrand, Yu-Ping Chen, Ayanna Howard

Though early intervention can improve outcomes for children with motor disabilities, delays in diagnosis can impact the success of intervention programs. Prior work indicates that spontaneous kicking patterns can be used to model typical infant motor development to assist in the early detection of motor delays. However, abnormalities in spontaneous movements are not well defined or readily observable through traditional functional assessments. In this research, a method is introduced for the early detection of delays through the assessment of spontaneous kicking data gathered using a wearable sensing suit. We present formulations of kinematic features identified in the clinical space, identify which features are significant predictors of infant age, and establish normative values. Finally, we offer an analysis of preterm (PT) infant data compared to normative values derived from term infants. Term and PT infants ranging in age from 1 to 10 months were studied. We found that frequency, duration, acceleration, inter-joint coordination, and maximum joint excursion metrics had a significant correlation with age. From these features, models of typical kicking development were created using data from term, typically developing infants. When compared to normative trends, PT infants display differing developmental trends.

虽然早期干预可以改善运动障碍儿童的预后,但诊断的延迟会影响干预计划的成功。先前的研究表明,自发踢腿模式可以用来模拟典型的婴儿运动发育,以帮助早期发现运动迟缓。然而,自发运动的异常不能很好地定义或通过传统的功能评估容易观察到。在这项研究中,介绍了一种通过评估使用可穿戴传感服收集的自发踢脚数据来早期检测延迟的方法。我们提出了在临床空间中确定的运动学特征的公式,确定哪些特征是婴儿年龄的重要预测因子,并建立规范性值。最后,我们将早产儿(PT)数据与足月婴儿的正常值进行比较分析。研究对象为1 ~ 10个月的足月婴儿和PT婴儿。我们发现频率、持续时间、加速度、关节间协调和最大关节偏移指标与年龄有显著相关。根据这些特征,典型的踢腿发育模型是用足月、典型发育中的婴儿的数据创建的。与正常趋势相比,PT婴儿表现出不同的发展趋势。
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引用次数: 0
Gait monitoring for older adults during guided walking: An integrated assistive robot and wearable sensor approach. 老年人在引导步行过程中的步态监测:一种集成的辅助机器人和可穿戴传感器方法
Q2 Medicine Pub Date : 2022-10-25 eCollection Date: 2022-01-01 DOI: 10.1017/wtc.2022.23
Qingya Zhao, Zhuo Chen, Corey D Landis, Ashley Lytle, Ashwini K Rao, Damiano Zanotto, Yi Guo

An active lifestyle can mitigate physical decline and cognitive impairment in older adults. Regular walking exercises for older individuals result in enhanced balance and reduced risk of falling. In this article, we present a study on gait monitoring for older adults during walking using an integrated system encompassing an assistive robot and wearable sensors. The system fuses data from the robot onboard Red Green Blue plus Depth (RGB-D) sensor with inertial and pressure sensors embedded in shoe insoles, and estimates spatiotemporal gait parameters and dynamic margin of stability in real-time. Data collected with 24 participants at a community center reveal associations between gait parameters, physical performance (evaluated with the Short Physical Performance Battery), and cognitive ability (measured with the Montreal Cognitive Assessment). The results validate the feasibility of using such a portable system in out-of-the-lab conditions and will be helpful for designing future technology-enhanced exercise interventions to improve balance, mobility, and strength and potentially reduce falls in older adults.

摘要积极的生活方式可以减轻老年人的身体衰退和认知障碍。老年人定期进行步行锻炼可以增强平衡,降低跌倒风险。在这篇文章中,我们提出了一项关于老年人在行走过程中步态监测的研究,该研究使用了一个包含辅助机器人和可穿戴传感器的集成系统。该系统将机器人板载红-绿-蓝+深度(RGB-D)传感器的数据与鞋垫中嵌入的惯性和压力传感器融合,并实时估计时空步态参数和动态稳定裕度。在社区中心收集的24名参与者的数据揭示了步态参数、身体表现(用短期身体表现电池评估)和认知能力(用蒙特利尔认知评估测量)之间的关联。研究结果验证了在实验室外条件下使用这种便携式系统的可行性,并将有助于设计未来技术增强的运动干预措施,以改善平衡、灵活性和力量,并有可能减少老年人的跌倒。
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引用次数: 0
Erratum: Wearables in sociodrama: An embodied mixed-methods study of expressiveness in social interactions-CORRIGENDUM. 社会戏剧中的可穿戴设备:社交互动表现力的具体混合方法研究——CORRIGENDUM
IF 3.4 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2022-10-13 eCollection Date: 2022-01-01 DOI: 10.1017/wtc.2022.24
Katerina El-Raheb, Vilelmini Kalampratsidou, Philia Issari, Eugenie Georgaca, Flora Koliouli, Evangelia Karydi, Theodora Dora Skali, Pandelis Diamantides, Yannis Ioannidis

[This corrects the article DOI: 10.1017/wtc.2022.7.].

[此处更正了文章 DOI:10.1017/wtc.2022.7]。
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引用次数: 0
Head-mounted digital metamorphopsia suppression as a countermeasure for macular-related visual distortions for prolonged spaceflight missions and terrestrial health. 头戴式数字视变抑制作为长期太空飞行任务和地面健康黄斑相关视觉畸变的对策
Q2 Medicine Pub Date : 2022-10-12 eCollection Date: 2022-01-01 DOI: 10.1017/wtc.2022.21
Joshua Ong, Nasif Zaman, Ethan Waisberg, Sharif Amit Kamran, Andrew G Lee, Alireza Tavakkoli

During long-duration spaceflight, astronauts are exposed to various risks including spaceflight-associated neuro-ocular syndrome, which serves as a risk to astronaut vision and a potential physiological barrier to future spaceflight. When considering exploration missions that may expose astronauts to longer periods of microgravity, radiation exposure, and natural aging processes during spaceflight, more severe changes to functional vision may occur. The macula plays a critical role in central vision and disruptions to this key area in the eye may compromise functional vision and mission performance. In this article, we describe the development of a countermeasure technique to digitally suppress monocular central visual distortion with head-mounted display technology. We report early validation studies with this noninvasive countermeasure in individuals with simulated metamorphopsia. When worn by these individuals, this emerging wearable countermeasure technology has demonstrated a suppression of monocular visual distortion. We describe the considerations and further directions of this head-mounted technology for both astronauts and aging individuals on Earth.

摘要在长时间的太空飞行中,宇航员面临着各种风险,包括太空飞行相关的神经眼综合征,这对宇航员的视力是一种风险,也是未来太空飞行的潜在生理障碍。当考虑到宇航员在太空飞行过程中可能暴露在更长时间的微重力、辐射暴露和自然衰老过程中的探索任务时,功能视觉可能会发生更严重的变化。黄斑在中央视觉中起着关键作用,对眼睛这一关键区域的破坏可能会损害功能性视觉和任务表现。在这篇文章中,我们描述了一种对抗技术的发展,该技术通过头戴式显示技术来数字抑制单眼中心视觉失真。我们报告了这种非侵入性对策在模拟视障患者中的早期验证研究。当这些人佩戴时,这种新兴的可穿戴对抗技术已经证明可以抑制单眼视觉失真。我们描述了这种头戴式技术对宇航员和地球上老年人的考虑和进一步的方向。
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引用次数: 0
The effect of a movable headrest in shoulder assist device for overhead work. 可移动头枕在肩部辅助装置中的作用
IF 3.4 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2022-10-03 eCollection Date: 2022-01-01 DOI: 10.1017/wtc.2022.22
Chiharu Ishii, Kanta Hirasawa

Recently, many kinds of shoulder-support exoskeletons have been developed and some of them are commercially available. However, to the best of our knowledge, shoulder-support exoskeletons that have neck-support mechanism have not been found. During the overhead work, physical strain is added to not only upper limb and shoulder but also neck of workers since the workers work keeping their face raised. Therefore, in this study, to reduce the physical strain on the neck during the overhead work, a movable headrest that can be attached to the shoulder assist device was developed, which has reclining and slide functions of a head. The main purpose of this article was to evaluate usefulness of the proposed movable headrest. To this end, measurements of electromyogram were carried out under simulating an overhead work activity, and the reduction effect for physical strain of the neck was compared among three types of headrests: (a) slide-type headrest which can slide the head backward and forward, (b) reclining-type headrest which can recline the head, and (c) reclining and slide-type headrest which can recline and slide the head. In addition, usefulness of the shoulder assist device with the proposed headrest was evaluated for a realistic overhead work activity through measurements of muscular stiffness of neck and shoulder. The experimental results showed that the existence of the headrest in the shoulder assist device is effective to reduce the physical strain to the workers, and that (c) reclining and slide-type headrest is the most effective among these three types of headrests.

近年来,人们开发了多种肩撑式外骨骼,其中一些已经上市。然而,据我们所知,还没有发现具有支撑颈部机制的肩支撑外骨骼。在高空作业中,由于工人们一直仰面工作,不仅上肢和肩膀,脖子也会受到身体上的压力。因此,本研究为减少头顶工作时颈部的物理压力,开发了一种可附加在肩部辅助装置上的可移动头枕,该头枕具有头部的倾斜和滑动功能。本文的主要目的是评估拟议的可移动头枕的实用性。为此,在模拟头顶工作活动的情况下进行了肌电图测量,并比较了三种类型的头枕(a)可前后滑动头部的滑动式头枕,(b)可向后倾斜头部的斜靠式头枕,以及(c)可向后倾斜和滑动头部的斜靠式和滑动式头枕)对颈部物理应变的减轻效果。此外,通过测量颈部和肩部的肌肉僵硬度,评估了肩部辅助装置与拟议头枕的实用性。实验结果表明,助肩装置中头枕的存在可以有效地减少工人的身体压力,其中(c)斜倚式和滑动式头枕是三种类型头枕中最有效的。
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引用次数: 0
Exoworkathlon: A prospective study approach for the evaluation of industrial exoskeletons. 工作外项:一种评估工业外骨骼的前瞻性研究方法
IF 3.4 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2022-09-19 eCollection Date: 2022-01-01 DOI: 10.1017/wtc.2022.17
Verena Kopp, Mirjam Holl, Marco Schalk, Urban Daub, Enrique Bances, Braulio García, Ines Schalk, Jörg Siegert, Urs Schneider

Industrial exoskeletons have recently gained importance as ergonomic interventions for physically demanding work activities. The growing demand for exoskeletons is leading to a need for new knowledge on the effectiveness of these systems. The Exoworkathlon, as a prospective study approach, aims to assess exoskeletons in realistic use cases and to evaluate them neutrally in their entirety. For this purpose, a first set of four realistic Parcours was developed with experts from relevant industries, the German Social Accident Insurance, and the Federal Institute for Occupational Safety and Health. In addition, a set of ratings was defined to assess subjective user feedback, work quality, and objective physiological parameters. Exoworkathlon aims to bring together developers, researchers, and end-users, strengthen collaborative exchanges, and promote a platform for the prospective holistic data collection for exoskeleton evaluation. In this article, the focus is on the background and methodology of Exoworkathlon.

摘要工业外骨骼最近作为对体力要求高的工作活动的人体工程学干预措施而变得重要。对外骨骼的日益增长的需求导致了对这些系统有效性的新知识的需求。作为一种前瞻性研究方法,外骨骼技术旨在评估实际使用情况下的外骨骼,并对其整体进行中立评估。为此,与相关行业、德国社会事故保险和联邦职业安全与健康研究所的专家共同开发了第一套四个现实的Parcours。此外,还定义了一组评分,以评估主观用户反馈、工作质量和客观生理参数。Exoworkathlon旨在将开发人员、研究人员和最终用户聚集在一起,加强合作交流,并促进外骨骼评估的前瞻性整体数据收集平台。本文着重介绍了外项运动产生的背景和方法论。
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引用次数: 0
Electromyography-based fatigue assessment of an upper body exoskeleton during automotive assembly. 基于肌电图的上半身外骨骼在汽车装配过程中的疲劳评估
IF 3.4 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2022-09-19 eCollection Date: 2022-01-01 DOI: 10.1017/wtc.2022.20
Jason C Gillette, Shekoofe Saadat, Terry Butler

The purpose of this study was to assess an upper body exoskeleton during automotive assembly processes that involve elevated arm postures. Sixteen team members at Toyota Motor Manufacturing Canada were fitted with a Levitate Airframe, and each team member performed between one and three processes with and without the exoskeleton. A total of 16 assembly processes were studied. Electromyography (EMG) data were collected on the anterior deltoid, biceps brachii, upper trapezius, and erector spinae. Team members also completed a usability survey. The exoskeleton significantly reduced anterior deltoid mean active EMG amplitude (p = .01, Δ = -3.2 %MVC, d = 0.56 medium effect) and fatigue risk value (p < .01, Δ = -5.1 %MVC, d = 0.62 medium effect) across the assembly processes, with no significant changes for the other muscles tested. A subset of nine assembly processes with a greater amount of time spent in arm elevations at or above 90° (30 vs. 24%) and at or above 135° (18 vs. 9%) appeared to benefit more from exoskeleton usage. For these processes, the exoskeleton significantly reduced anterior deltoid mean active EMG amplitude (p < .01, Δ = -5.1 %MVC, d = 0.95 large effect) and fatigue risk value (p < .01, Δ = -7.4 %MVC, d = 0.96 large effect). Team members responded positively about comfort and fatigue benefits, although there were concerns about the exoskeleton hindering certain job duties. The results support quantitative testing to match exoskeleton usage with specific job tasks and surveying team members for perceived benefits/drawbacks.

摘要:本研究的目的是评估上肢外骨骼在汽车装配过程中涉及手臂姿势升高。加拿大丰田汽车制造公司的16名团队成员安装了Levitate机身,每个团队成员在有或没有外骨骼的情况下进行了一到三个过程。共研究了16种装配工艺。收集前三角肌、肱二头肌、上斜方肌和竖脊肌的肌电图(EMG)数据。团队成员还完成了可用性调查。在整个装配过程中,外骨骼显著降低了前三角肌平均活跃肌电信号振幅(p = 0.01, Δ = - 3.2% MVC, d = 0.56中效应)和疲劳风险值(p < 0.01, Δ = - 5.1% MVC, d = 0.62中效应),而其他测试肌肉没有显著变化。9个装配过程的一个子集,在手臂高度为90°或以上(30%对24%)和135°或以上(18%对9%)时花费的时间更长,似乎从外骨骼的使用中受益更多。对于这些过程,外骨骼显著降低了前三角肌平均活跃肌电振幅(p < 0.01, Δ = - 5.1% MVC, d = 0.95大效应)和疲劳风险值(p < 0.01, Δ = - 7.4% MVC, d = 0.96大效应)。尽管有人担心外骨骼会妨碍某些工作职责,但团队成员对舒适和疲劳的好处反应积极。结果支持定量测试,将外骨骼的使用与特定的工作任务相匹配,并调查团队成员的优缺点。
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引用次数: 0
A deep learning method to predict ankle joint moment during walking at different speeds with ultrasound imaging: A framework for assistive devices control. 利用超声成像预测不同速度行走时踝关节力矩的深度学习方法:辅助设备控制框架
Q2 Medicine Pub Date : 2022-09-06 eCollection Date: 2022-01-01 DOI: 10.1017/wtc.2022.18
Qiang Zhang, Natalie Fragnito, Xuefeng Bao, Nitin Sharma

Robotic assistive or rehabilitative devices are promising aids for people with neurological disorders as they help regain normative functions for both upper and lower limbs. However, it remains challenging to accurately estimate human intent or residual efforts non-invasively when using these robotic devices. In this article, we propose a deep learning approach that uses a brightness mode, that is, B-mode, of ultrasound (US) imaging from skeletal muscles to predict the ankle joint net plantarflexion moment while walking. The designed structure of customized deep convolutional neural networks (CNNs) guarantees the convergence and robustness of the deep learning approach. We investigated the influence of the US imaging's region of interest (ROI) on the net plantarflexion moment prediction performance. We also compared the CNN-based moment prediction performance utilizing B-mode US and sEMG spectrum imaging with the same ROI size. Experimental results from eight young participants walking on a treadmill at multiple speeds verified an improved accuracy by using the proposed US imaging + deep learning approach for net joint moment prediction. With the same CNN structure, compared to the prediction performance by using sEMG spectrum imaging, US imaging significantly reduced the normalized prediction root mean square error by 37.55% ( < .001) and increased the prediction coefficient of determination by 20.13% ( < .001). The findings show that the US imaging + deep learning approach personalizes the assessment of human joint voluntary effort, which can be incorporated with assistive or rehabilitative devices to improve clinical performance based on the assist-as-needed control strategy.

摘要机器人辅助或康复设备是神经系统疾病患者很有前途的辅助设备,因为它们有助于恢复上肢和下肢的正常功能。然而,在使用这些机器人设备时,以非侵入性的方式准确估计人类意图或剩余努力仍然具有挑战性。在本文中,我们提出了一种深度学习方法,该方法使用骨骼肌超声(US)成像的亮度模式,即B模式,来预测行走时踝关节净跖屈力矩。定制深度卷积神经网络(CNNs)的设计结构保证了深度学习方法的收敛性和鲁棒性。我们研究了US成像的感兴趣区域(ROI)对净跖屈力矩预测性能的影响。我们还比较了使用相同ROI大小的B模式US和sEMG频谱成像的基于CNN的矩预测性能。八名年轻参与者在跑步机上以多种速度行走的实验结果验证了通过使用所提出的美国成像+深度学习方法预测净关节力矩的准确性提高。与使用sEMG频谱成像的预测性能相比,US成像显著降低了37.55%($p$<.001)的归一化预测均方根误差,并将预测决定系数提高了20.13%($p$<.001)。研究结果表明,US成像+深度学习方法个性化了对人类共同自愿努力的评估,其可以与辅助或康复装置结合以基于所需的辅助控制策略来提高临床性能。
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引用次数: 0
Designing felt experiences with movement-based, wearable musical instruments: From inclusive practices toward participatory design. 以动作为基础的可穿戴乐器设计感觉体验:从包容性实践到参与性设计
Q2 Medicine Pub Date : 2022-08-17 eCollection Date: 2022-01-01 DOI: 10.1017/wtc.2022.15
Doga Cavdir, Ge Wang

Inclusive musical instruments benefit from incorporating wearable interfaces into digital musical instrument design, creating opportunities for bodily felt experiences and movement-based interactions. In this article, we discuss the evolution of our inclusive design approach behind the design and performance practices of three wearable musical instruments. By focusing on the embodied, somatic, and tacit dimensions of movement-based musical interaction, we evaluate these case studies, combining the third and first-person perspectives. The design and implementation of the wearable sensing, utilizing the additive manufacturing techniques, are discussed for each instrument and its performer in specific cases of musical expression. This article further discusses how our approach integrates music performance as a crucial step into design and evaluation, utilizing these performance practices and such collaborative settings for improved diversity and inclusion. Finally, we examine how our design approach evolves from user-centered design to more participatory practices, offering people with diverse abilities a shared music performance space.

摘要包容性乐器受益于将可穿戴界面融入数字乐器设计,为身体感觉体验和基于动作的互动创造机会。在这篇文章中,我们讨论了在三种可穿戴乐器的设计和演奏实践背后,我们包容性设计方法的演变。通过关注基于动作的音乐互动的具体维度、身体维度和隐性维度,我们结合第三人称和第一人称视角对这些案例研究进行了评估。利用增材制造技术,讨论了在音乐表达的特定情况下,每种乐器及其演奏者的可穿戴传感的设计和实现。本文进一步讨论了我们的方法如何将音乐表演作为设计和评估的关键步骤,利用这些表演实践和协作设置来提高多样性和包容性。最后,我们研究了我们的设计方法如何从以用户为中心的设计演变为更具参与性的实践,为具有不同能力的人提供一个共享的音乐表演空间。
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引用次数: 0
Influence of exoskeleton use on welding quality during a simulated welding task. 模拟焊接任务中外骨骼的使用对焊接质量的影响
IF 3.4 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2022-07-20 eCollection Date: 2022-01-01 DOI: 10.1017/wtc.2022.13
Marco Schalk, Ines Schalk, Thomas Bauernhansl, Jörg Siegert, Alexander Esin, Urs Schneider

Purpose: The aim of this study is to investigate the effects of wearing exoskeletons during welding on the quality of the weld seam.

Material and methods: A total of n = 15 young healthy subjects with welding experience took part in the study. The study design defines a 1-hr workflow that abstracts welding and grinding tasks. The sequence is based on standard DIN EN ISO 9606-1 and reproduces authentic work sequences in the constrained body positions PF-workpiece in front of the body and PE-workpiece overhead. Each subject completed the entire workflow once with and once without passive shoulder exoskeleton in a randomized order.

Results: The evaluation shows that the use of passive shoulder exoskeletons has a significant influence (p = .006 for Position PF; p = .029 for Position PE) on the welding parameter travel speed which significantly influences the quality of the weld seam. The quality scale (by the used augmented reality (AR) welding simulator) of the travel speed, which significantly determines the permissibility of the weld, increases by 5.80% in the constrained body position PF and by 28.87% in the constrained body position PE when using an exoskeleton.

Discussion and conclusion: The score of the welding parameter travel speed, which is essential for the permissibility of the seam, shows a statistically significant increase when an assistance system is used. Further research during real welding with exoskeletons could be based on the setup and workflow of this study.

摘要目的研究外骨骼在焊接过程中磨损对焊缝质量的影响。材料与方法选取15名具有焊接经验的健康青年为研究对象。研究设计定义了一个1小时的工作流程,抽象了焊接和磨削任务。该序列基于标准DIN EN ISO 9606-1,并在受限的身体位置再现真实的工作序列,pf工件在身体前面,pe工件在头顶。每个受试者完成了整个工作流程一次有和一次没有被动肩部外骨骼在一个随机的顺序。结果评价显示被动式肩外骨骼的使用对PF位有显著影响(p = 0.006;p = 0.029(位置PE)对焊接参数行进速度的影响,对焊缝质量有显著影响。使用外骨骼时,行程速度的质量尺度(通过使用增强现实(AR)焊接模拟器)显著决定了焊缝的许用性,在受限体位PF中增加了5.80%,在受限体位PE中增加了28.87%。讨论与结论采用辅助系统后,对焊缝许用性至关重要的焊接参数移动速度得分有统计学上的显著提高。基于本研究的设置和工作流程,可以在外骨骼的实际焊接中进行进一步的研究。
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引用次数: 0
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