How a Diverse Research Ecosystem Has Generated New Rehabilitation Technologies: Review of NIDILRR’s Rehabilitation Engineering Research Centers

Over 50 million United States citizens (1 in 6 people in the US) have a developmental, acquired, or degenerative disability. The average US citizen can expect to live 20% of his or her life with a disability. Rehabilitation technologies play a major role in improving the quality of life for people with a disability, yet widespread and highly challenging needs remain. Within the US, a major effort aimed at the creation and evaluation of rehabilitation technology has been the Rehabilitation Engineering Research Centers (RERCs) sponsored by the National Institute on Disability, Independent Living, and Rehabilitation Research. As envisioned at their conception by a panel of the National Academy of Science in 1970, these centers were intended to take a “total approach to rehabilitation”, combining medicine, engineering, and related science, to improve the quality of life of individuals with a disability. Here, we review the scope, achievements, and ongoing projects of an unbiased sample of 19 currently active or recently terminated RERCs. Specifically, for each center, we briefly explain the needs it targets, summarize key historical advances, identify emerging innovations, and consider future directions. Our assessment from this review is that the RERC program indeed involves a multidisciplinary approach, with 36 professional fields involved, although 70% of research and development staff are in engineering fields, 23% in clinical fields, and only 7% in basic science fields; significantly, 11% of the professional staff have a disability related to their research. We observe that the RERC program has substantially diversified the scope of its work since the 1970’s, addressing more types of disabilities using more technologies, and, in particular, often now focusing on information technologies. RERC work also now often views users as integrated into an interdependent society through technologies that both people with and without disabilities co-use (such as the internet, wireless communication, and architecture). In addition, RERC research has evolved to view users as able at improving outcomes through learning, exercise, and plasticity (rather than being static), which can be optimally timed. We provide examples of rehabilitation technology innovation produced by the RERCs that illustrate this increasingly diversifying scope and evolving perspective. We conclude by discussing growth opportunities and possible future directions of the RERC program

Co-adaptive control strategies in assistive Brain-Machine Interfaces

A large number of people with severe motor disabilities cannot access any of the available control inputs of current assistive products, which typically rely on residual motor functions. These patients are therefore unable to fully benefit from existent assistive technologies, including communication interfaces and assistive robotics. In this context, electroencephalography-based Brain-Machine Interfaces (BMIs) offer a potential non-invasive solution to exploit a non-muscular channel for communication and control of assistive robotic devices, such as a wheelchair, a telepresence robot, or a neuroprosthesis. Still, non-invasive BMIs currently suffer from limitations, such as lack of precision, robustness and comfort, which prevent their practical implementation in assistive technologies. The goal of this PhD research is to produce scientific and technical developments to advance the state of the art of assistive interfaces and service robotics based on BMI paradigms. Two main research paths to the design of effective control strategies were considered in this project. The first one is the design of hybrid systems, based on the combination of the BMI together with gaze control, which is a long-lasting motor function in many paralyzed patients. Such approach allows to increase the degrees of freedom available for the control. The second approach consists in the inclusion of adaptive techniques into the BMI design. This allows to transform robotic tools and devices into active assistants able to co-evolve with the user, and learn new rules of behavior to solve tasks, rather than passively executing external commands. Following these strategies, the contributions of this work can be categorized based on the typology of mental signal exploited for the control. These include: 1) the use of active signals for the development and implementation of hybrid eyetracking and BMI control policies, for both communication and control of robotic systems; 2) the exploitation of passive mental processes to increase the adaptability of an autonomous controller to the user\u2019s intention and psychophysiological state, in a reinforcement learning framework; 3) the integration of brain active and passive control signals, to achieve adaptation within the BMI architecture at the level of feature extraction and classification

Autonomous Soil Assessment System for Planetary Rovers

Planetary rovers face mobility hazards associated with various classes of terrains they traverse, and hence it is desirable to enable remote prediction of terrain trafficability (ability to traverse) properties. For that reason, the development of algorithms for assessing terrain type and mobility properties, as well as for coupling these data in an online learning framework, represent important capabilities for next-generation rovers. This work focuses mainly on 3-way terrain classification (classifying as one of the types: Sand, Bedrock and Gravel) as well as on the correlation of terrain types and their mobility properties in a framework that enables online learning. For terrain classification, visual descriptors are developed, which are primarily based on visual texture and are captured in form of histograms of edge filter responses at various scales and orientations. The descriptors investigated in this work are HOG (Histogram of Oriented Gradients), GIST, MR8 (Maximum Response) Textons and the classification techniques implemented here are nearest and k-nearest neighbors. Further, monochrome image intensity is used as an additional feature to further distinguish bedrock from the other terrain types. No major differences in performance are observed between the three descriptors, leading to the adoption of the HOG approach due to its lower computational complexity (over 3 orders of magnitude difference in complexity between HOG and Textons) and thus higher applicability to planetary missions. Tests demonstrate an accuracy between 70% and 93% (81% average) for the classification using the HOG descriptor, on images taken by NASA’s Mars rovers. To predict terrain trafficability ahead of the rover, exteroceptive data namely terrain type and slope, are correlated with the trafficability metrics namely slip, sinkage and roughness, in a learning framework. A queue based data structure has been implemented for the correlation, which keeps discarding the older data so as to avoid diminishing the effect of newer data samples, when there is a large amount of data. This also ensures that the rover will be able to adapt to changing terrains responses and predict the risk level (low, medium or high) accordingly. Finally, all the algorithms developed in this work were tested and verified in a field test demo at the CSA (Canadian Space Agency) mars yard. The risk metric in combination with the queue based data structure, can achieve stable predictions in consistent terrains, while also being responsive to sudden changes in terrain trafficability

Intelligent Sensors for Human Motion Analysis

The book, "Intelligent Sensors for Human Motion Analysis," contains 17 articles published in the Special Issue of the Sensors journal. These articles deal with many aspects related to the analysis of human movement. New techniques and methods for pose estimation, gait recognition, and fall detection have been proposed and verified. Some of them will trigger further research, and some may become the backbone of commercial systems

Kinematic analysis of spinal cord injury animals treated with a neurotrophin-infused scaffold and body weight supported treadmill training

Spinal Cord Injury (SCI) is a condition that affects around 250,000 Americans with no cure. Existing treatments rely on physical therapies such as body weight support treadmill training (BWSTT). Treatments currently being researched include the use of implantable cells and biomaterials. Our study investigated the changes in locomotive gait and range of motion via a combinational treatment using a bioengineered scaffold [poly (N-isopropyl acrylamide) polyethylene glycol (PNIPAAm-g-PEG) with BDNF and NT-3] and rehabilitation training using BWSTT in a clinically relevant contusion SCI animal model. Five different groups of animals (Sham, Injury, BWSTT, Implant, and Combinational) were tested on a treadmill with BWSTT at three different BWS (75%, 65%, and 55%) and two different speeds (7 cm/s and 10 cm/s). Using three motion capture cameras, kinematic data were acquired and analyzed to study functional recovery in these groups. Our results show some kinematic recovery in the Combination therapy and BWSTT animals. Step height, length, and number of steps were significantly higher in these groups of animals. The obtained data warrant further studies that aim to investigate the efficacy of different biomaterial implants and combinational therapies

Trajectory solutions for a game-playing robot using nonprehensile manipulation methods and machine vision

The need for autonomous systems designed to play games, both strategy-based and physical, comes from the quest to model human behaviour under tough and competitive environments that require human skill at its best. In the last two decades, and especially after the 1996 defeat of the world chess champion by a chess-playing computer, physical games have been receiving greater attention. Robocup TM, i.e. robotic football, is a well-known example, with the participation of thousands of researchers all over the world. The robots created to play snooker/pool/billiards are placed in this context. Snooker, as well as being a game of strategy, also requires accurate physical manipulation skills from the player, and these two aspects qualify snooker as a potential game for autonomous system development research. Although research into playing strategy in snooker has made considerable progress using various artificial intelligence methods, the physical manipulation part of the game is not fully addressed by the robots created so far. This thesis looks at the different ball manipulation options snooker players use, like the shots that impart spin to the ball in order to accurately position the balls on the table, by trying to predict the ball trajectories under the action of various dynamic phenomena, such as impacts. A 3-degree of freedom robot, which can manipulate the snooker cue on a par with humans, at high velocities, using a servomotor, and position the snooker cue on the ball accurately with the help of a stepper drive, is designed and fabricated. [Continues.

Proceedings of the 4th international conference on disability, virtual reality and associated technologies (ICDVRAT 2002)

The proceedings of the conferenc