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Dynamic Patient-Robot Assignment in a Simulated Stochastic Robotic Rehabilitation Gym 模拟随机机器人康复健身房的动态病人-机器人分配
IF 3.8 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-03-23 DOI: 10.1109/TMRB.2025.3573025
Benjamin A. Miller;Varun R. Bharadwaj;Chao Jiang;Vesna D. Novak
A robotic rehabilitation gym is a venue where multiple patients perform motor rehabilitation as a group using multiple robots. Such gyms produce positive outcomes, but it can be hard to create patient-robot assignment schedules that maximize patient skill improvement during exercise sessions. We thus present a neural-network-informed scheduler methodology that monitors patient exercise performance and dynamically assigns patients to robots based on their performance. These schedulers were trained and tested using synthetic datasets from a simulated rehabilitation gym. They were evaluated in 36 scenarios that differed in several ways (e.g., number of robots/patients, degree of stochasticity). Results showed that our neural-network-informed schedulers led to greater mean skill improvement compared to several baseline schedulers (e.g., only switching robots once). Additionally, the outcome difference between neural-network-informed schedulers and baseline schedulers increased as skill improvement became more stochastic. We also performed secondary studies where we showed that our schedulers still outperform baselines when patients can arrive or leave midsession and analyzed how the training dataset size affects scheduler performance. While several limitations need to be addressed before the scheduler is ready for use in real-world gyms, our study represents a step toward the use of artificial intelligence for patient monitoring in group settings.
机器人康复健身房是多名患者使用多个机器人进行运动康复的场所。这样的健身房产生了积极的结果,但很难制定病人-机器人分配时间表,在锻炼期间最大限度地提高病人的技能。因此,我们提出了一种神经网络通知调度方法,监测患者的运动表现,并根据他们的表现动态地将患者分配给机器人。这些调度程序使用模拟康复健身房的合成数据集进行训练和测试。它们在36种不同的情况下进行评估(例如,机器人/患者的数量,随机性程度)。结果表明,与几个基线调度程序(例如,只切换机器人一次)相比,我们的神经网络通知调度程序导致了更大的平均技能提高。此外,随着技能的提高变得更加随机,神经网络知情调度器和基线调度器之间的结果差异也在增加。我们还进行了二次研究,表明当患者可以在中途到达或离开时,我们的调度器仍然优于基线,并分析了训练数据集大小如何影响调度器的性能。虽然在调度程序准备在现实世界的健身房使用之前需要解决几个限制,但我们的研究代表了在群体环境中使用人工智能进行患者监测的一步。
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引用次数: 0
Enhancing Robot Transparency in Human–Robot Prosthesis Interaction to Mitigate Terrain Misrecognition Error 增强人机交互中的机器人透明度以减少地形误识别误差
IF 3.4 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-03-19 DOI: 10.1109/TMRB.2025.3552924
I-Chieh Lee;Ming Liu;He Huang
Clear and effective communication between humans and robots is crucial when they work closely together. As wearable robots become more intelligent and automated, anticipatory control is limited for amputees because they lack prior knowledge of the timing and nature of changes in the robot’s motion, making human-machine collaboration more challenging. This study addresses the need for improved wearable robot transparency by enhancing a prosthetic controller to provide users with advanced notifications of locomotion mode changes. Five transfemoral amputees (TFA) wore our designed knee prosthesis and walked on a treadmill. We simulated a terrain misrecognition error by switching the locomotion mode from treadmill walking to stair ascent. Our study focused on three main questions: 1) What is the ideal timing that the TFAs need to mitigate for machine errors? 2) How do TFAs compensate for prosthetic knee errors? And 3) How does the robotic prosthetic leg respond to the TFAs’ corrective actions? We found that the enhanced transparency system helps TFAs anticipate changes and adjust their gait to compensate for the terrain misrecognition error. Specifically, providing notifications about 650 milliseconds before a locomotion mode change significantly reduced the effect of robot errors. Although the error compensation from TFAs resulted in a larger magnitude of error induced by the prosthetic knee, the TFAs were able to tolerate it and improve balance stability. According to questionnaires on user preferences, with notification of prosthetic knee motion, the TFAs could trust the device more even though the devices might have occasional errors. This study demonstrates that simple notifications of the robot’s movement intent enhance the predictability of prosthetic motion, facilitating anticipatory adjustments that improve safety and user trust.
当人类和机器人紧密合作时,他们之间清晰有效的沟通至关重要。随着可穿戴机器人变得更加智能和自动化,对于截肢者来说,预期控制是有限的,因为他们缺乏对机器人运动变化的时间和性质的先验知识,这使得人机协作更具挑战性。本研究通过增强假肢控制器,为用户提供运动模式变化的高级通知,解决了提高可穿戴机器人透明度的需求。五名经股骨截肢者(TFA)佩戴我们设计的膝关节假体并在跑步机上行走。我们通过将运动模式从跑步机行走切换到楼梯上升来模拟地形识别错误。我们的研究集中在三个主要问题上:1)tfa需要减轻机器错误的理想时机是什么?2) tfa如何补偿假膝错误?3)机器人义肢对tfa的纠正动作有何反应?我们发现增强的透明系统有助于tfa预测变化并调整其步态以补偿地形误识别误差。具体来说,在移动模式改变之前提供大约650毫秒的通知可以显著降低机器人错误的影响。虽然tfa的误差补偿导致假膝引起的较大误差,但tfa能够耐受并改善平衡稳定性。根据用户偏好的问卷调查,通过假体膝关节运动的通知,tfa可以更加信任设备,即使设备可能偶尔出现错误。这项研究表明,机器人运动意图的简单通知增强了假肢运动的可预测性,促进了预期调整,提高了安全性和用户信任。
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引用次数: 0
Effects of Ankle Exoskeleton Motor Location on Gait Biomechanics and User Perceptions: The Bowden Cable Dilemma 踝关节外骨骼运动定位对步态生物力学和用户感知的影响:鲍登电缆困境
IF 3.4 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-03-19 DOI: 10.1109/TMRB.2025.3550661
Shanpu Fang;Riley J. Shepard;Collin D. Bowersock;Zachary F. Lerner
Motor-powered ankle exoskeletons have been shown to improve walking and rehabilitation outcomes in individuals with and without gait impairments (e.g., cerebral palsy (CP)). To date, ankle exoskeleton designs have either placed the motors on the shanks (direct or quasi-direct drive) or around the waist with Bowden cable transmissions. The former offers better transmission efficiency, while the latter reduces added mass biomechanical penalty. The biomechanical effects of motor placement may be magnified for individuals with CP due to weakened lower limb strength. To date, no study has compared how motor placement alters the biomechanical responses and user perceptions of individuals with or without gait impairment (e.g., CP). In this study involving 7 individuals with CP and 9 unimpaired individuals, we compared their metabolic cost of transport, lower limb muscle activities, and user perceptions when using ankle exoskeletons with either waist-mounted motors (and Bowden cables) or shank-mounted motors that were otherwise identical. Despite changes in lower leg muscle recruitment, results showed no statistical differences in the metabolic cost of transport. Shank-mounted motors were preferred by more participants in both cohorts (e.g., 6/7 in CP). These results help inform the ergonomics and mechanical designs of ankle exoskeletons and how they may be perceived.
运动驱动的踝关节外骨骼已被证明可以改善有或无步态障碍(如脑瘫)患者的行走和康复结果。迄今为止,踝关节外骨骼的设计要么将马达安装在腿上(直接或准直接驱动),要么用鲍登电缆传动装置安装在腰部。前者提供了更好的传动效率,而后者减少了额外的质量生物力学损失。由于下肢力量减弱,运动放置对CP患者的生物力学影响可能会被放大。到目前为止,还没有研究比较运动放置如何改变有或没有步态障碍的个体的生物力学反应和用户感知(例如,CP)。在这项涉及7名CP患者和9名未受损个体的研究中,我们比较了他们在使用脚踝外骨骼时的代谢成本、下肢肌肉活动和用户感知,这些外骨骼安装在腰部的马达(和鲍登电缆)或安装在小腿上的马达,其他方面是相同的。尽管下肢肌肉补充发生了变化,但结果显示代谢运输成本没有统计学差异。在两个队列中,更多的参与者更喜欢安装在柄上的马达(例如,6/7的CP)。这些结果有助于告知人体工程学和踝关节外骨骼的机械设计,以及它们如何被感知。
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引用次数: 0
Design and Analysis of a Compact and Foldable Master Device Based on Binocular Near-Infrared Optical Navigation Technology for Minimally Invasive Surgery Robots 基于双目近红外光学导航技术的小型可折叠微创手术机器人主装置设计与分析
IF 3.4 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-03-19 DOI: 10.1109/TMRB.2025.3550659
Lizhi Pan;Xu Jiang;Zhikang Ma;Bo Guan;Bo Yi;Jianchang Zhao
The traditional minimally invasive surgical (MIS) robots generally have bulk leader manipulators with relatively fixed working positions, which limits their further utilization in special scenarios, such as remote surgeries. This study proposes a compact and foldable leader device based on passive binocular near-infrared (NIR) optical navigation technology for MIS robots, which does not need mechanical arm linkage constraints and provides a larger range of position and orientation tracking, enabling the surgeons to perform continuous leader-follower manipulations more steadily. Moreover, the polyhedral and foldable structure of the optical leader device further reduces the spatial footprint of the MIS robot. A prototype of the optical leader devices was constructed with a weight of 186 g. Its performance was then evaluated through testing, and the maximum average absolute error in position and orientation tracking was 0.90 mm and 0.45°, respectively. Additionally, the prototype exhibits acceptable stability and a wide range of position and orientation tracking. The leader device features a compact, foldable structure with enhanced portability and excellent position and orientation tracking capabilities, facilitating precise surgical maneuvers of surgeons in scenarios of remote surgeries.
传统的微创手术(MIS)机器人通常采用体积较大、工作位置相对固定的先导机械手,这限制了其在远程手术等特殊场景中的进一步应用。本研究提出了一种基于被动双目近红外(NIR)光学导航技术的MIS机器人紧凑型可折叠先导装置,该装置不需要机械臂连杆约束,提供更大范围的位置和方向跟踪,使外科医生能够更稳定地进行连续的先导-跟随操作。此外,光学导联装置的多面体和可折叠结构进一步减少了MIS机器人的空间占用。光学导联装置的原型重量为186克。通过测试对其性能进行了评价,位置和方向跟踪的最大平均绝对误差分别为0.90 mm和0.45°。此外,原型机表现出可接受的稳定性和广泛的位置和方向跟踪。该先导装置结构紧凑,可折叠,便携性强,具有出色的位置和方向跟踪能力,便于外科医生在远程手术场景中进行精确的手术操作。
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引用次数: 0
Robotic Path Re-Planning for US Reconstruction of the Spine 美国脊柱重建机器人路径重新规划
IF 3.4 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-03-19 DOI: 10.1109/TMRB.2025.3550662
Kaat Van Assche;Ruixuan Li;Ayoob Davoodi;Matthias Tummers;Mouloud Ourak;Gianni Borghesan;Nicola Cavalcanti;Philipp Fürnstahl;Emmanuel Vander Poorten
Robotic ultrasound (US) scanning of the spine is becoming an increasingly viable radiation-free alternative to CT scans and fluoroscopy. However, due to the complex shape of the vertebra, three-dimensional (3D) US reconstructions generated from two-dimensional (2D) US scans often lack important anatomic information, such as the spinous process. This paper investigates scanning strategies that reorient the probe during US scanning to improve surface coverage of 3D US reconstructions. A two-scan procedure with a path re-planning algorithm is presented. The proposed algorithm uses information from a first exploratory scan to generate an improved imaging trajectory whereby the US probe is near-perpendicular to the targeted bone surface. The results show a 30.4%, 42.3%, and 75.0% improvement in surface coverage on a synthetic phantom, cadaver, and human volunteers, respectively, achieving up to 56% surface coverage on human volunteers. These results emphasise the value of exploiting information about the underlying anatomy to optimise the scanning trajectory. The increased surface coverage of the 3D US reconstructions will provide higher quality radiation-free visualisation, extending the role of US as a complementary imaging modality for safe and effective diagnosis and spine interventions.
机器人超声(US)扫描脊柱正成为一种越来越可行的无辐射替代CT扫描和透视。然而,由于椎体的复杂形状,由二维(2D)超声扫描生成的三维(3D)超声重建通常缺乏重要的解剖信息,如棘突。本文研究了在超声扫描过程中重新定位探头的扫描策略,以提高三维超声重建的表面覆盖率。提出了一种带有路径重规划算法的二次扫描程序。所提出的算法使用来自第一次探索性扫描的信息来生成改进的成像轨迹,其中美国探针几乎垂直于目标骨表面。结果显示,人造幻影、尸体和人类志愿者的表面覆盖率分别提高了30.4%、42.3%和75.0%,人类志愿者的表面覆盖率达到了56%。这些结果强调了利用底层解剖信息来优化扫描轨迹的价值。三维超声重建增加的表面覆盖范围将提供更高质量的无辐射可视化,扩展超声作为安全有效诊断和脊柱干预的补充成像方式的作用。
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引用次数: 0
Design and Prototyping of a Cable-Driven Parallel Robot for At-Home Upper Extremity Rehabilitation 家用上肢康复用缆索驱动并联机器人的设计与原型
IF 3.4 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-03-19 DOI: 10.1109/TMRB.2025.3552975
Shane Forbrigger;Shammas Mohyaddin;Ashkan Rashvand;Andrew Jerabek;Matt Robertson;Vincent DePaul;Keyvan Hashtrudi-Zaad
At-home stroke rehabilitation robots could improve access to rehabilitation therapies for stroke survivors. However, as the home is a challenging environment for design, it is essential that such designs are closely linked to stakeholder needs. This paper continues previous work by the authors linking stakeholder needs to the design of an at-home stroke rehabilitation robot for the upper limb. The proposed design is a constrained cable robot with a vertical workspace, capable of supporting and measuring the motion of a stroke survivor’s arm and hand during therapy activities, with a modular end effector design to simulate a variety of activities of daily living. The technical requirements of the design are described and linked to research on therapy activities, activities of daily living, and anthropometry. The kinematic and dynamic requirements for the design are validated in experiments. Potential improvements for the design include adding powered hand modules to assist users with hand impairments, adding a third rotational degree of freedom, and investigating parallel-spring motor designs that could reduce power consumption.
家用中风康复机器人可以改善中风幸存者接受康复治疗的机会。然而,由于住宅是一个具有挑战性的设计环境,因此这些设计必须与利益相关者的需求密切相关。本文延续了作者先前的工作,将利益相关者的需求与家用上肢中风康复机器人的设计联系起来。提出的设计是一个具有垂直工作空间的受限电缆机器人,能够在治疗活动中支持和测量中风幸存者的手臂和手的运动,具有模块化的末端执行器设计,以模拟各种日常生活活动。对设计的技术要求进行了描述,并与治疗活动、日常生活活动和人体测量学的研究联系起来。实验验证了设计的运动学和动力学要求。该设计的潜在改进包括增加动力手部模块,以帮助手部受损的用户,增加第三个旋转自由度,并研究可以降低功耗的并联弹簧电机设计。
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引用次数: 0
IEEE Transactions on Medical Robotics and Bionics Society Information 医学机器人与仿生学学会汇刊
IF 3.4 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-03-14 DOI: 10.1109/TMRB.2025.3563286
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引用次数: 0
IEEE Transactions on Medical Robotics and Bionics Information for Authors IEEE医学机器人与仿生学信息汇刊
IF 3.4 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-03-14 DOI: 10.1109/TMRB.2025.3563288
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引用次数: 0
IEEE Transactions on Medical Robotics and Bionics Publication Information IEEE医学机器人与仿生学汇刊
IF 3.4 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-03-14 DOI: 10.1109/TMRB.2025.3563284
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引用次数: 0
A Global–Local Fusion Model Exploring Temporal–Spatial Dependence for Multimodal Hand Gesture Recognition 一种探索多模态手势识别时空相关性的全局局部融合模型
IF 3.4 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-03-12 DOI: 10.1109/TMRB.2025.3550646
Shengcai Duan;Le Wu;Aiping Liu;Xun Chen
Hand Gesture Recognition (HGR) employing surface electromyography (sEMG) and accelerometer (ACC) signals has garnered increasing interest in areas of bionic prostheses and human-machine interaction. However, existing multimodal approaches predominantly extract global specificity at a single temporal scale, which neglects local dynamic characteristics. This limitation hinders the effective capture of global-local temporal information, resulting in restricted performance and frequent misclassification of dynamic gestures. To this end, we propose a novel global-local Fusion model, termed Temporal-spatial Dependence Fusion (TsdFusion), for sEMG-ACC-based HGR. TsdFusion harnesses temporal-spatial dependencies (Tsd) from multi-time scale handcrafted features and employs a Convolution-Transformer framework for global-local fusion, thus enriching local dynamic information while preserving global insights. Specifically, the Tsd inputs are independently constructed from sEMG and ACC through multi-time scale window segmentation and feature engineering. Furthermore, the global and local temporal-spatial correlations within unimodal Tsd inputs are characterized by the unimodal transformer and dimension-wise convolution modules, respectively. Subsequently, a Convolution-coupled-transformer progressive hierarchical fusion module effectively integrates intramodal specificity and intermodal hierarchical relationship for final prediction. Evaluations on four public datasets, including transradial amputees and healthy subjects, demonstrate TsdFusion outperforms the state-of-the-art multimodal HGR methods. The TsdFusion effectively recognizes dynamic gestures, facilitating promising HGR-based interaction for prostheses or assistance robotics.
采用表面肌电图(sEMG)和加速度计(ACC)信号的手势识别(HGR)在仿生假肢和人机交互领域引起了越来越多的兴趣。然而,现有的多模态方法主要是在单一时间尺度上提取全局特异性,而忽略了局部动态特征。这种限制阻碍了对全局-局部时间信息的有效捕获,导致动态手势的性能受限和频繁的错误分类。为此,我们提出了一种新的全局-局部融合模型,称为时空依赖融合(TsdFusion),用于基于semg - acc的HGR。TsdFusion利用多时间尺度手工特征的时空依赖关系(Tsd),并采用卷积-变形框架进行全局-局部融合,从而在保留全局洞察力的同时丰富局部动态信息。具体而言,通过多时间尺度窗口分割和特征工程,从表面肌电信号和ACC中独立构建Tsd输入。此外,单峰Tsd输入中的全局和局部时空相关性分别由单峰变压器和维度卷积模块表征。随后,一个卷积耦合变压器递进分层融合模块有效地整合了模内特异性和多模间分层关系进行最终预测。对包括经桡骨截肢者和健康受试者在内的四个公共数据集的评估表明,TsdFusion优于最先进的多模态HGR方法。TsdFusion可以有效识别动态手势,为假肢或辅助机器人提供有前途的基于hgr的交互。
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引用次数: 0
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IEEE transactions on medical robotics and bionics
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