Introducción a la sección especial “Interacción cooperativa persona-robot en el entorno clínico”

[ES] En el trabajo: “Asistente Robótico Socialmente Interactivo para Terapias de Rehabilitación Motora con Pacientes de Pediatría” se presenta un interfaz de interacción con el robot cuyo objetivo es conseguir maximizar la adherencia del paciente al tratamiento. Para ello, se describe el desarrollo de una terapia de rehabilitación motriz centrada en un robot socialmente interactivo, basada en una arquitectura de control novedosa, RoboCog, que dota al robot de las capacidades perceptivas y cognitivas que le permiten exhibir un comportamiento socialmente desarrollado y pro-activo, que se convierte en fuente de motivación pero también en un asistente para llevar a cabo terapias rehabilitadoras personalizadasCasals, A.; García Aracil, N.; Pérez-Turiel, J. (2015). Introducción a la sección especial “Interacción cooperativa persona-robot en el entorno clínico”. Revista Iberoamericana de Automática e Informática industrial. 12(1). https://doi.org/10.1016/j.riai.2014.11.008OJS7912

Pneumatic robotic systems for upper limb rehabilitation

The aim of rehabilitation robotic area is to research on the application of robotic devices to therapeutic procedures. The goal is to achieve the best possible motor, cognitive and functional recovery for people with impairments following various diseases. Pneumatic actuators are attractive for robotic rehabilitation applications because they are lightweight, powerful, and compliant, but their control has historically been difficult, limiting their use. This article first reviews the current state-of-art in rehabilitation robotic devices with pneumatic actuation systems reporting main features and control issues of each therapeutic device. Then, a new pneumatic rehabilitation robot for proprioceptive neuromuscular facilitation therapies and for relearning daily living skills: like taking a glass, drinking, and placing object on shelves is described as a case study and compared with the current pneumatic rehabilitation devices

A Modular Mobile Robotic Platform to Assist People with Different Degrees of Disability

Robotics to support elderly people in living independently and to assist disabled people in carrying out the activities of daily living independently have demonstrated good results. Basically, there are two approaches: one of them is based on mobile robot assistants, such as Care-O-bot, PR2, and Tiago, among others; the other one is the use of an external robotic arm or a robotic exoskeleton fixed or mounted on a wheelchair. In this paper, a modular mobile robotic platform to assist moderately and severely impaired people based on an upper limb robotic exoskeleton mounted on a robotized wheel chair is presented. This mobile robotic platform can be customized for each user’s needs by exploiting its modularity. Finally, experimental results in a simulated home environment with a living room and a kitchen area, in order to simulate the interaction of the user with different elements of a home, are presented. In this experiment, a subject suffering from multiple sclerosis performed different activities of daily living (ADLs) using the platform in front of a group of clinicians composed of nurses, doctors, and occupational therapists. After that, the subject and the clinicians replied to a usability questionnaire. The results were quite good, but two key factors arose that need to be improved: the complexity and the cumbersome aspect of the platform.This work was supported by the AIDE project through Grant Agreement No. 645322 of the European Commission, by the Conselleria d’Educacio, Cultura i Esport of Generalitat Valenciana, by the European Social Fund—Investing in your future, through the grant ACIF 2018/214, and by the Promoción de empleo joven e implantación de garantía juvenil en I+D+I 2018 through the grant PEJ2018-002670-A

Multimodal Interfaces to Improve Therapeutic Outcomes in Robot-Assisted Rehabilitation

The paper presents the developing of a new robotic system for the administration of a highly sophisticated therapy to stroke patients. This therapy is able to maximize patient motivation and involvement in the therapy and continuously assess the progress of the recovery from the functional viewpoint. Current robotic rehabilitation systems do not include patient information on the control loop. The main novelty of the presented approach is to close patient in the loop and use multisensory data (such as pulse, skin conductance, skin temperature, position, velocity, etc.) to adaptively and dynamically change complexity of the therapy and real-time displays of a virtual reality system in accordance with specific patient requirements. First, an analysis of subject’s physiological responses to different tasks is presented with the objective to select the best candidate of physiological signals to estimate the patient physiological state during the execution of a virtual rehabilitation task. Then, the design of a prototype of multimodal robotic platform is defined and developed to validate the scientific value of the proposed approach

Dynamic Adaptive System for Robot-Assisted Motion Rehabilitation

This paper presents a dynamic adaptive system for administration of robot-assisted therapy. The main novelty of the proposed approach is to close patient in the loop and use multisensory data (such as motion, forces, voice, muscle activity, heart rate, and skin conductance) to adaptively and dynamically change the complexity of the therapy and real-time displays of an immersive virtual reality system in accordance with specific patient requirements. The proposed rehabilitation system can be considered as a complex system that is composed of the following subsystems: data acquisition, multimodal human–machine interface, and adaptable control system. This paper shows the description of the developed fuzzy controller used as the core of the adaptable control subsystem. Finally, experimental results with ten subjects are reported to show the performance of the proposed solution

Tele-Rehabilitation Versus Local Rehabilitation Therapies Assisted by Robotic Devices: A Pilot Study with Patients

The present study aims to evaluate the advantages of a master-slave robotic rehabilitation therapy in which the patient is assisted in real-time by a therapist. We have also explored if this type of strategy is applicable in a tele-rehabilitation environment. A pilot study has been carried out involving 10 patients who have performed a point-to-point rehabilitation exercise supported by three assistance modalities: fixed assistance (without therapist interaction), local therapist assistance, and remote therapist assistance in a simulated tele-rehabiliation scenario. The rehabilitation exercise will be performed using an upper-limb rehabilitation robotic device that assists the patients through force fields. The results suggest that the assistance provided by the therapist is better adapted to patient needs than fixed assistance mode. Therefore, it maximizes the patient’s level of effort, which is an important aspect to improve the rehabilitation outcomes. We have also seen that in a tele-rehabilitation environment it is more difficult to assess when to assist the patient than locally. However, the assistance suits patients better than the fixed assistance mode.This work was funded by the Conselleria d’Educacio, Cultura i Esport of Generalitat Valenciana by the European Social Fund—Investing in your Future, through the grant ACIF 2018/214, PEJ2018-002684-A and PEJ2018-002670-A, and by the Spanish Ministry of Science and Innovation through the project PID2019-108310RB-I00

A Comparative Analysis of 2D and 3D Tasks for Virtual Reality Therapies Based on Robotic-Assisted Neurorehabilitation for Post-stroke Patients

Post-stroke neurorehabilitation based on virtual therapies are performed completing repetitive exercises shown in visual electronic devices, whose content represents imaginary or daily life tasks. Currently, there are two ways of visualization of these task. 3D virtual environments are used to get a three dimensional space that represents the real world with a high level of detail, whose realism is determinated by the resolucion and fidelity of the objects of the task. Furthermore, 2D virtual environments are used to represent the tasks with a low degree of realism using techniques of bidimensional graphics. However, the type of visualization can influence the quality of perception of the task, affecting the patient's sensorimotor performance. The purpose of this paper was to evaluate if there were differences in patterns of kinematic movements when post-stroke patients performed a reach task viewing a virtual therapeutic game with two different type of visualization of virtual environment: 2D and 3D. Nine post-stroke patients have participated in the study receiving a virtual therapy assisted by PUPArm rehabilitation robot. Horizontal movements of the upper limb were performed to complete the aim of the tasks, which consist in reaching peripheral or perspective targets depending on the virtual environment shown. Various parameter types such as the maximum speed, reaction time, path length, or initial movement are analyzed from the data acquired objectively by the robotic device to evaluate the influence of the task visualization. At the end of the study, a usability survey was provided to each patient to analysis his/her satisfaction level. For all patients, the movement trajectories were enhanced when they completed the therapy. This fact suggests that patient's motor recovery was increased. Despite of the similarity in majority of the kinematic parameters, differences in reaction time and path length were higher using the 3D task. Regarding the success rates were very similar. In conclusion, the using of 2D environments in virtual therapy may be a more appropriate and comfortable way to perform tasks for upper limb rehabilitation of post-stroke patients, in terms of accuracy in order to effectuate optimal kinematic trajectories

Synchronization of Slow Cortical Rhythms During Motor Imagery-Based Brain–Machine Interface Control

Modulation of sensorimotor rhythm (SMR) power, a rhythmic brain oscillation physiologically linked to motor imagery, is a popular Brain–Machine Interface (BMI) paradigm, but its interplay with slower cortical rhythms, also involved in movement preparation and cognitive processing, is not entirely understood. In this study, we evaluated the changes in phase and power of slow cortical activity in delta and theta bands, during a motor imagery task controlled by an SMR-based BMI system. In Experiment I, EEG of 20 right-handed healthy volunteers was recorded performing a motor-imagery task using an SMR-based BMI controlling a visual animation, and during task-free intervals. In Experiment II, 10 subjects were evaluated along five daily sessions, while BMI-controlling same visual animation, a buzzer, and a robotic hand exoskeleton. In both experiments, feedback received from the controlled device was proportional to SMR power (11–14 Hz) detected by a real-time EEG-based system. Synchronization of slow EEG frequencies along the trials was evaluated using inter-trial-phase coherence (ITPC). Results: cortical oscillations of EEG in delta and theta frequencies synchronized at the onset and at the end of both active and task-free trials; ITPC was significantly modulated by feedback sensory modality received during the tasks; and ITPC synchronization progressively increased along the training. These findings suggest that phase-locking of slow rhythms and resetting by sensory afferences might be a functionally relevant mechanism in cortical control of motor function. We propose that analysis of phase synchronization of slow cortical rhythms might also improve identification of temporal edges in BMI tasks and might help to develop physiological markers for identification of context task switching and practice-related changes in brain function, with potentially important implications for design and monitoring of motor imagery-based BMI systems, an emerging tool in neurorehabilitation of stro

Análisis del espacio de trabajo de un robot paralelo de 3RRR

Comunicación presentada en las XXIX Jornadas de Automática, Tarragona, 3-5 Septiembre 2008.El objetivo de este artículo es realizar el análisis del espacio de trabajo de un robot paralelo esférico del tipo 3RRR mediante una herramienta matemática desarrollada en Matlab. Este 3RRR contiene una particularidad que lo diferencia con respecto a los robots esféricos comunes debido a las exigencias de su aplicación: su centro de rotación no se encuentra en el centro del robot. Basándonos en un parámetro que define la habilidad o destreza del robot (dexterity), calcularemos el valor de las variables que optimizan su espacio de trabajo

Design of a hybrid actuator for aquatic rehabilitation

[Resumen] Muchos trastornos motores pueden provocar discapacidades crónicas limitando la calidad de vida de quienes las padecen. La robótica de rehabilitación ha demostrado ser eficaz como complemento a la terapia convencional, aunque muchos de los individuos que sufren estas enfermedades a menudo son excluidos de este tipo de terapias. El proyecto SPLASH pretende investigar un nuevo paradigma de rehabilitación que combine la rehabilitación robótica y la terapia acuática, lo que ha llevado al desarrollo de actuadores híbridos acuáticos. El proyecto NOHA profundiza en el estudio de estos sistemas para elaborar una prueba de concepto. En este artículo se resume el proceso de diseño de un actuador híbrido acuático, particularizando su aplicación en un dispositivo robótico de miembro superior. En primer lugar, se plantean las ecuaciones que modelizan el comportamiento del sistema. A continuación, se establecen los requisitos de diseñoo, se presenta un diseño conceptual y se seleccionan los componentes a utilizar. Por último, se proponen líneas de trabajo futuro en el desarrollo de este dispositivo.[Abstract] Many motor disorders can cause chronic disabilities that limit the quality of life of people who suffer from them. Rehabilitation robotics has proven to be effective in combination with conventional therapy, although many patients suffering from these conditions are often excluded from such therapies. The SPLASH project aims to investigate a new rehabilitation paradigm combining robotic rehabilitation and aquatic therapy, which has led to the development of new aquatic hybrid actuators. The NOHA project is further studying these systems to develop a proof of concept. This paper summarizes the design process of an aquatic hybrid actuator, with particular reference to its application in an upper-limb robotic device. First, the equations that model the behavior of the system are presented. Next, the design requirements are established, a conceptual design is presented and the components to be used are selected. Finally, lines of future work in the development of this device are proposed.Universidad Miguel Hernández; 2022/PER/00002Ministerio de Universidades; FPU20/05137Generalitat Valenciana; INNEST/2021/29Generalitat Valenciana; APOTIP/2021/02