Haptic Interaction with a Guide Robot in Zero Visibility

Search and rescue operations are often undertaken in dark and noisy environment in which rescue team must rely on haptic feedback for exploration and safe exit. However, little attention has been paid specifically to haptic sensitivity in such contexts or the possibility of enhancing communicational proficiency in the haptic mode as a life-preserving measure. The potential of root swarms for search and rescue has been shown by the Guardians project (EU, 2006-2010); however the project also showed the problem of human robot interaction in smoky (non-visibility) and noisy conditions. The REINS project (UK, 2011-2015) focused on human robot interaction in such conditions. This research is a body of work (done as a part of he REINS project) which investigates the haptic interaction of a person wit a guide robot in zero visibility. The thesis firstly reflects upon real world scenarios where people make use of the haptic sense to interact in zero visibility (such as interaction among firefighters and symbiotic relationship between visually impaired people and guide dogs). In addition, it reflects on the sensitivity and trainability of the haptic sense, to be used for the interaction. The thesis presents an analysis and evaluation of the design of a physical interface (Designed by the consortium of the REINS project) connecting the human and the robotic guide in poor visibility conditions. Finally, it lays a foundation for the design of test cases to evaluate human robot haptic interaction, taking into consideration the two aspects of the interaction, namely locomotion guidance and environmental exploration

Somatosensory Training Improves Proprioception and Untrained Motor Function in Parkinson's Disease

Background: Proprioceptive impairment is a common feature of Parkinson's disease (PD). Proprioceptive function is only partially restored with anti-parkinsonian medication or deep brain stimulation. Behavioral exercises focusing on somatosensation have been promoted to overcome this therapeutic gap. However, conclusive evidence on the effectiveness of such somatosensory-focused behavioral training for improving somatosensory function is lacking. Moreover, it is unclear, if such training has any effect on motor performance in PD.Objective: To investigate, whether proprioception improves with a somatosensory focused, robot-aided training in people with PD (PWPs), and whether enhanced proprioception translates to improved motor performance.Method: Thirteen PWPs of mild-moderate clinical severity were assessed and trained ON medication using a robotic wrist exoskeleton. Thirteen healthy elderly participants served as controls. Training involved making increasingly accurate, continuous, precise small amplitude wrist flexion/extension movements. Wrist position sense acuity, as a marker of proprioception function, and spatial error during wrist pointing, as a marker of untrained motor performance, were recorded twice before and once after training. Functional hand writing kinematics exhibited during training were evaluated in the PD group for determining training-induced changes.Results: Training improved position sense acuity in all PWPs (mean change: 28%; p < 0.001) and healthy controls (mean change: 23%; p < 0.01). Second, 10/13 PD participants and 10/13 healthy control participants had reduced spatial movement error in the untrained wrist pointing task after training. Third, spatial error for the functional handwriting tasks (line tracing and tracking) did not improve with training in the PD group.Conclusion: Proprioceptive function in mild to moderate PD is trainable and improves with a somatosensory-focused motor training. Learning showed a local transfer within the trained joint degree-of-freedom as improved spatial accuracy in an unpracticed motor task. No learning gains were observed for the untrained functional handwriting task, indicating that training may be specific to the trained joint degree-of-freedom

Data analytics for image visual complexity and kinect-based videos of rehabilitation exercises

With the recent advances in computer vision and pattern recognition, methods from these fields are successfully applied to solve problems in various domains, including health care and social sciences. In this thesis, two such problems, from different domains, are discussed. First, an application of computer vision and broader pattern recognition in physical therapy is presented. Home-based physical therapy is an essential part of the recovery process in which the patient is prescribed specific exercises in order to improve symptoms and daily functioning of the body. However, poor adherence to the prescribed exercises is a common problem. In our work, we explore methods for improving home-based physical therapy experience. We begin by proposing DyAd, a dynamically difficulty adjustment system which captures the trajectory of the hand movement, evaluates the user's performance quantitatively and adjusts the difficulty level for the next trial of the exercise based on the performance measurements. Next, we introduce ExerciseCheck, a remote monitoring and evaluation platform for home-based physical therapy. ExerciseCheck is capable of capturing exercise information, evaluating the performance, providing therapeutic feedback to the patient and the therapist, checking the progress of the user over the course of the physical therapy, and supporting the patient throughout this period. In our experiments, Parkinson patients have tested our system at a clinic and in their homes during their physical therapy period. Our results suggests that ExerciseCheck is a user-friendly application and can assist patients by providing motivation, and guidance to ensure correct execution of the required exercises. As the second application, and within computer vision paradigm, we focus on visual complexity, an image attribute that humans can subjectively evaluate based on the level of details in the image. Visual complexity has been studied in psychophysics, cognitive science, and, more recently, computer vision, for the purposes of product design, web design, advertising, etc. We first introduce a diverse visual complexity dataset which compromises of seven image categories. We collect the ground-truth scores by comparing the pairwise relationship of images and then convert the pairwise scores to absolute scores using mathematical methods. Furthermore, we propose a method to measure the visual complexity that uses unsupervised information extraction from intermediate convolutional layers of deep neural networks. We derive an activation energy metric that combines convolutional layer activations to quantify visual complexity. The high correlations between ground-truth labels and computed energy scores in our experiments show superiority of our method compared to the previous works. Finally, as an example of the relationship between visual complexity and other image attributes, we demonstrate that, within the context of a category, visually more complex images are more memorable to human observers

Deep learning approach to control of prosthetic hands with electromyography signals

Natural muscles provide mobility in response to nerve impulses. Electromyography (EMG) measures the electrical activity of muscles in response to a nerve's stimulation. In the past few decades, EMG signals have been used extensively in the identification of user intention to potentially control assistive devices such as smart wheelchairs, exoskeletons, and prosthetic devices. In the design of conventional assistive devices, developers optimize multiple subsystems independently. Feature extraction and feature description are essential subsystems of this approach. Therefore, researchers proposed various hand-crafted features to interpret EMG signals. However, the performance of conventional assistive devices is still unsatisfactory. In this paper, we propose a deep learning approach to control prosthetic hands with raw EMG signals. We use a novel deep convolutional neural network to eschew the feature-engineering step. Removing the feature extraction and feature description is an important step toward the paradigm of end-to-end optimization. Fine-tuning and personalization are additional advantages of our approach. The proposed approach is implemented in Python with TensorFlow deep learning library, and it runs in real-time in general-purpose graphics processing units of NVIDIA Jetson TX2 developer kit. Our results demonstrate the ability of our system to predict fingers position from raw EMG signals. We anticipate our EMG-based control system to be a starting point to design more sophisticated prosthetic hands. For example, a pressure measurement unit can be added to transfer the perception of the environment to the user. Furthermore, our system can be modified for other prosthetic devices.Comment: Conference. Houston, Texas, USA. September, 201

A Deep Learning Sequential Decoder for Transient High-Density Electromyography in Hand Gesture Recognition Using Subject-Embedded Transfer Learning

Hand gesture recognition (HGR) has gained significant attention due to the increasing use of AI-powered human-computer interfaces that can interpret the deep spatiotemporal dynamics of biosignals from the peripheral nervous system, such as surface electromyography (sEMG). These interfaces have a range of applications, including the control of extended reality, agile prosthetics, and exoskeletons. However, the natural variability of sEMG among individuals has led researchers to focus on subject-specific solutions. Deep learning methods, which often have complex structures, are particularly data-hungry and can be time-consuming to train, making them less practical for subject-specific applications. In this paper, we propose and develop a generalizable, sequential decoder of transient high-density sEMG (HD-sEMG) that achieves 73% average accuracy on 65 gestures for partially-observed subjects through subject-embedded transfer learning, leveraging pre-knowledge of HGR acquired during pre-training. The use of transient HD-sEMG before gesture stabilization allows us to predict gestures with the ultimate goal of counterbalancing system control delays. The results show that the proposed generalized models significantly outperform subject-specific approaches, especially when the training data is limited, and there is a significant number of gesture classes. By building on pre-knowledge and incorporating a multiplicative subject-embedded structure, our method comparatively achieves more than 13% average accuracy across partially observed subjects with minimal data availability. This work highlights the potential of HD-sEMG and demonstrates the benefits of modeling common patterns across users to reduce the need for large amounts of data for new users, enhancing practicality

Kinematic assessment for stroke patients in a stroke game and a daily activity recognition and assessment system

Stroke is the leading cause of serious, long-term disabilities among which deficits in motor abilities in arms or legs are most common. Those who suffer a stroke can recover through effective rehabilitation which is delicately personalized. To achieve the best personalization, it is essential for clinicians to monitor patients' health status and recovery progress accurately and consistently. Traditionally, rehabilitation involves patients performing exercises in clinics where clinicians oversee the procedure and evaluate patients' recovery progress. Following the in-clinic visits, additional home practices are tailored and assigned to patients. The in-clinic visits are important to evaluate recovery progress. The information collected can then help clinicians customize home practices for stroke patients. However, as the number of in-clinic sessions is limited by insurance policies, the recovery information collected in-clinic is often insufficient. Meanwhile, the home practice programs report low adherence rates based on historic data. Given that clinicians rely on patients to self-report adherence, the actual adherence rate could be even lower. Despite the limited feedback clinicians could receive, the measurement method is subjective as well. In practice, classic clinical scales are mostly used for assessing the qualities of movements and the recovery status of patients. However, these clinical scales are evaluated subjectively with only moderate inter-rater and intra-rater reliabilities. Taken together, clinicians lack a method to get sufficient and accurate feedback from patients, which limits the extent to which clinicians can personalize treatment plans. This work aims to solve this problem. To help clinicians obtain abundant health information regarding patients' recovery in an objective approach, I've developed a novel kinematic assessment toolchain that consists of two parts. The first part is a tool to evaluate stroke patients' motions collected in a rehabilitation game setting. This kinematic assessment tool utilizes body-tracking in a rehabilitation game. Specifically, a set of upper body assessment measures were proposed and calculated for assessing the movements using skeletal joint data. Statistical analysis was applied to evaluate the quality of upper body motions using the assessment outcomes. Second, to classify and quantify home activities for stroke patients objectively and accurately, I've developed DARAS, a daily activity recognition and assessment system that evaluates daily motions in a home setting. DARAS consists of three main components: daily action logger, action recognition part, and assessment part. The logger is implemented with a Foresite system to record daily activities using depth and skeletal joint data. Daily activity data in a realistic environment were collected from sixteen post-stroke participants. The collection period for each participant lasts three months. An ensemble network for activity recognition and temporal localization was developed to detect and segment the clinically relevant actions from the recorded data. The ensemble network fuses the prediction outputs from customized 3D Convolutional-De-Convolutional, customized Region Convolutional 3D network and a proposed Region Hierarchical Co-occurrence network which learns rich spatial-temporal features from either depth data or joint data. The per-frame precision and the per-action precision were 0.819 and 0.838, respectively, on the validation set. For the recognized actions, the kinematic assessments were performed using the skeletal joint data, as well as the longitudinal assessments. The results showed that, compared with non-stroke participants, stroke participants had slower hand movements, were less active, and tended to perform fewer hand manipulation actions. The assessment outcomes from the proposed toolchain help clinicians to provide more personalized rehabilitation plans that benefit patients.Includes bibliographical references

State of the art of audio- and video based solutions for AAL

Working Group 3. Audio- and Video-based AAL ApplicationsIt is a matter of fact that Europe is facing more and more crucial challenges regarding health and social care due to the demographic change and the current economic context. The recent COVID-19 pandemic has stressed this situation even further, thus highlighting the need for taking action. Active and Assisted Living (AAL) technologies come as a viable approach to help facing these challenges, thanks to the high potential they have in enabling remote care and support. Broadly speaking, AAL can be referred to as the use of innovative and advanced Information and Communication Technologies to create supportive, inclusive and empowering applications and environments that enable older, impaired or frail people to live independently and stay active longer in society. AAL capitalizes on the growing pervasiveness and effectiveness of sensing and computing facilities to supply the persons in need with smart assistance, by responding to their necessities of autonomy, independence, comfort, security and safety. The application scenarios addressed by AAL are complex, due to the inherent heterogeneity of the end-user population, their living arrangements, and their physical conditions or impairment. Despite aiming at diverse goals, AAL systems should share some common characteristics. They are designed to provide support in daily life in an invisible, unobtrusive and user-friendly manner. Moreover, they are conceived to be intelligent, to be able to learn and adapt to the requirements and requests of the assisted people, and to synchronise with their specific needs. Nevertheless, to ensure the uptake of AAL in society, potential users must be willing to use AAL applications and to integrate them in their daily environments and lives. In this respect, video- and audio-based AAL applications have several advantages, in terms of unobtrusiveness and information richness. Indeed, cameras and microphones are far less obtrusive with respect to the hindrance other wearable sensors may cause to one’s activities. In addition, a single camera placed in a room can record most of the activities performed in the room, thus replacing many other non-visual sensors. Currently, video-based applications are effective in recognising and monitoring the activities, the movements, and the overall conditions of the assisted individuals as well as to assess their vital parameters (e.g., heart rate, respiratory rate). Similarly, audio sensors have the potential to become one of the most important modalities for interaction with AAL systems, as they can have a large range of sensing, do not require physical presence at a particular location and are physically intangible. Moreover, relevant information about individuals’ activities and health status can derive from processing audio signals (e.g., speech recordings). Nevertheless, as the other side of the coin, cameras and microphones are often perceived as the most intrusive technologies from the viewpoint of the privacy of the monitored individuals. This is due to the richness of the information these technologies convey and the intimate setting where they may be deployed. Solutions able to ensure privacy preservation by context and by design, as well as to ensure high legal and ethical standards are in high demand. After the review of the current state of play and the discussion in GoodBrother, we may claim that the first solutions in this direction are starting to appear in the literature. A multidisciplinary 4 debate among experts and stakeholders is paving the way towards AAL ensuring ergonomics, usability, acceptance and privacy preservation. The DIANA, PAAL, and VisuAAL projects are examples of this fresh approach. This report provides the reader with a review of the most recent advances in audio- and video-based monitoring technologies for AAL. It has been drafted as a collective effort of WG3 to supply an introduction to AAL, its evolution over time and its main functional and technological underpinnings. In this respect, the report contributes to the field with the outline of a new generation of ethical-aware AAL technologies and a proposal for a novel comprehensive taxonomy of AAL systems and applications. Moreover, the report allows non-technical readers to gather an overview of the main components of an AAL system and how these function and interact with the end-users. The report illustrates the state of the art of the most successful AAL applications and functions based on audio and video data, namely (i) lifelogging and self-monitoring, (ii) remote monitoring of vital signs, (iii) emotional state recognition, (iv) food intake monitoring, activity and behaviour recognition, (v) activity and personal assistance, (vi) gesture recognition, (vii) fall detection and prevention, (viii) mobility assessment and frailty recognition, and (ix) cognitive and motor rehabilitation. For these application scenarios, the report illustrates the state of play in terms of scientific advances, available products and research project. The open challenges are also highlighted. The report ends with an overview of the challenges, the hindrances and the opportunities posed by the uptake in real world settings of AAL technologies. In this respect, the report illustrates the current procedural and technological approaches to cope with acceptability, usability and trust in the AAL technology, by surveying strategies and approaches to co-design, to privacy preservation in video and audio data, to transparency and explainability in data processing, and to data transmission and communication. User acceptance and ethical considerations are also debated. Finally, the potentials coming from the silver economy are overviewed.publishedVersio

Novel Bidirectional Body - Machine Interface to Control Upper Limb Prosthesis

Objective. The journey of a bionic prosthetic user is characterized by the opportunities and limitations involved in adopting a device (the prosthesis) that should enable activities of daily living (ADL). Within this context, experiencing a bionic hand as a functional (and, possibly, embodied) limb constitutes the premise for mitigating the risk of its abandonment through the continuous use of the device. To achieve such a result, different aspects must be considered for making the artificial limb an effective support for carrying out ADLs. Among them, intuitive and robust control is fundamental to improving amputees’ quality of life using upper limb prostheses. Still, as artificial proprioception is essential to perceive the prosthesis movement without constant visual attention, a good control framework may not be enough to restore practical functionality to the limb. To overcome this, bidirectional communication between the user and the prosthesis has been recently introduced and is a requirement of utmost importance in developing prosthetic hands. Indeed, closing the control loop between the user and a prosthesis by providing artificial sensory feedback is a fundamental step towards the complete restoration of the lost sensory-motor functions. Within my PhD work, I proposed the development of a more controllable and sensitive human-like hand prosthesis, i.e., the Hannes prosthetic hand, to improve its usability and effectiveness. Approach. To achieve the objectives of this thesis work, I developed a modular and scalable software and firmware architecture to control the Hannes prosthetic multi-Degree of Freedom (DoF) system and to fit all users’ needs (hand aperture, wrist rotation, and wrist flexion in different combinations). On top of this, I developed several Pattern Recognition (PR) algorithms to translate electromyographic (EMG) activity into complex movements. However, stability and repeatability were still unmet requirements in multi-DoF upper limb systems; hence, I started by investigating different strategies to produce a more robust control. To do this, EMG signals were collected from trans-radial amputees using an array of up to six sensors placed over the skin. Secondly, I developed a vibrotactile system to implement haptic feedback to restore proprioception and create a bidirectional connection between the user and the prosthesis. Similarly, I implemented an object stiffness detection to restore tactile sensation able to connect the user with the external word. This closed-loop control between EMG and vibration feedback is essential to implementing a Bidirectional Body - Machine Interface to impact amputees’ daily life strongly. For each of these three activities: (i) implementation of robust pattern recognition control algorithms, (ii) restoration of proprioception, and (iii) restoration of the feeling of the grasped object's stiffness, I performed a study where data from healthy subjects and amputees was collected, in order to demonstrate the efficacy and usability of my implementations. In each study, I evaluated both the algorithms and the subjects’ ability to use the prosthesis by means of the F1Score parameter (offline) and the Target Achievement Control test-TAC (online). With this test, I analyzed the error rate, path efficiency, and time efficiency in completing different tasks. Main results. Among the several tested methods for Pattern Recognition, the Non-Linear Logistic Regression (NLR) resulted to be the best algorithm in terms of F1Score (99%, robustness), whereas the minimum number of electrodes needed for its functioning was determined to be 4 in the conducted offline analyses. Further, I demonstrated that its low computational burden allowed its implementation and integration on a microcontroller running at a sampling frequency of 300Hz (efficiency). Finally, the online implementation allowed the subject to simultaneously control the Hannes prosthesis DoFs, in a bioinspired and human-like way. In addition, I performed further tests with the same NLR-based control by endowing it with closed-loop proprioceptive feedback. In this scenario, the results achieved during the TAC test obtained an error rate of 15% and a path efficiency of 60% in experiments where no sources of information were available (no visual and no audio feedback). Such results demonstrated an improvement in the controllability of the system with an impact on user experience. Significance. The obtained results confirmed the hypothesis of improving robustness and efficiency of a prosthetic control thanks to of the implemented closed-loop approach. The bidirectional communication between the user and the prosthesis is capable to restore the loss of sensory functionality, with promising implications on direct translation in the clinical practice

Improving the arm-hand coordination in neuroprosthetics control with prior information from muscle activity

Humans use their hands mainly for grasping and manipulating objects, performing simple and dexterous tasks. The loss of a hand may significantly affect one's working status and independence in daily life. A restoration of the grasping ability is important to improve the quality of the daily life of the patients with motion disorders. Although neuroprosthetic devices restore partially the lost functionality, the user acceptance is low, possibly due to the artificial and unnatural operation of the devices. This thesis addresses this problem in reach-to-grasp motions with the development of shared control approaches that enable a seamless and more natural operation of hand prosthesis. In the first part, we focus on the identification of the grasping intention during the reach-to-grasp motion with able-bodied individuals. We propose an Electromyographic (EMG)-based learning approach that decodes the grasping intention at an early stage of reach-to-grasp motion, i.e. before the final grasp/hand pre-shape takes place. In this approach, the utilization of Echo State Networks encloses efficiently the dynamics of the muscle activation enabling a fast identification of the grasp type in real-time. We also examine the impact of different object distance and speed on the detection time and accuracy of the classifier. Although the distance from the object has no significant effect, fast motions influence significantly the performance. In the second part, we evaluate and extend our approach on four real end-users, i.e. individuals with below the elbow amputation. For addressing the variability of the EMG signals, we separate the reach-to-grasp motion into three phases, with respect to the arm extension. A multivariate analysis of variance on the muscle activity reveals significant differences among the motion phases. Additionally, we examine the classification performance on these phases and compare the performance of different pattern recognition methods. An on-line evaluation with an upper-limb prosthesis shows that the inclusion of the reaching motion in the training of the classifier improves importantly classification accuracy. In the last part of the thesis, we explore further the concept of motion phases on the EMG signals and its potentials on addressing the variability of the signals. We model the dynamic muscle contractions of each class with Gaussian distributions over the different phases of the overall motion. We extend our previous analysis providing insights on the LDA projection and quantifying the similarity of the distributions of the classes (i.e grasp types) with the Hellinger distance. We notice larger values of the Helinger distance and, thus, smaller overlaps among the classes with the segmentation to motion phases. A Linear Discriminant Analysis classifier with phase segmentation affects positively the classification accuracy