scholarly journals Laparoscopic and robot-assisted laparoscopic digestive surgery: Present and future directions

2016 ◽  
Vol 22 (6) ◽  
pp. 1975 ◽  
Author(s):  
Juan C Rodríguez-Sanjuán
Keyword(s):  
Robot Assisted ◽  
Future Directions ◽  
Digestive Surgery

Digital Technology in Clinical Trials for Multiple Sclerosis: a systematic review. (Preprint)

2020 ◽  
Author(s):  
Marcello De Angelis ◽  
Luigi Lavorgna ◽  
Antonio Carotenuto ◽  
Martina Petruzzo ◽  
Roberta Lanzillo ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Clinical Trial ◽  
Clinical Trials ◽  
Outcome Measures ◽  
Digital Technology ◽  
Clinical Trial Design ◽  
Motor Rehabilitation ◽  
Robot Assisted ◽  
Future Directions ◽  
Treatment Side Effects

BACKGROUND Clinical trials in multiple sclerosis (MS) have leveraged the use of digital technology to overcome limitations in treatment and disease monitoring. OBJECTIVE To review the use of digital technology in concluded and ongoing MS clinical trials. METHODS In March 2020, we searched for “multiple sclerosis” and “trial” on pubmed.gov and clinicaltrials.gov using “app”, “digital”, “electronic”, “internet” and “mobile” as additional search words, separately. Overall, we included thirty-five studies. RESULTS Digital technology is part of clinical trial interventions to deliver psychotherapy and motor rehabilitation, with exergames, e-training, and robot-assisted exercises. Also, digital technology has become increasingly used to standardise previously existing outcome measures, with automatic acquisitions, reduced inconsistencies, and improved detection of symptoms. Some trials have been developing new patient-centred outcome measures for the detection of symptoms and of treatment side effects and adherence. CONCLUSIONS We will discuss how digital technology has been changing MS clinical trial design, and possible future directions for MS and neurology research.

scholarly journals Robot-assisted ureteral reconstruction – current status and future directions

2018 ◽  
Vol 10 (1) ◽  
pp. 7 ◽  
Author(s):  
Nitin Yerram ◽  
Paurush Babbar ◽  
Andrew Sun ◽  
Sij Hemal ◽  
Prithvi Murthy ◽  
...  
Keyword(s):  
Current Status ◽  
Robot Assisted ◽  
Future Directions ◽  
Ureteral Reconstruction

scholarly journals Application of NiTi in Assistive and Rehabilitation Devices: A Review

2019 ◽  
Vol 6 (2) ◽  
pp. 37 ◽  
Author(s):  
Mohammadreza Nematollahi ◽  
Keyvan Safaei Baghbaderani ◽  
Amirhesam Amerinatanzi ◽  
Hashem Zamanian ◽  
Mohammad Elahinia
Keyword(s):  
Medical Devices ◽  
State Of The Art ◽  
Artificial Muscles ◽  
Control Force ◽  
Biomedical Devices ◽  
Robot Assisted ◽  
Comprehensive Overview ◽  
Future Directions ◽  
Sma Actuator ◽  
Rehabilitation Devices

Shape memory alloys (SMAs) have found widespread applications as biomedical devices. Biocompatibility, corrosion resistance, and ductility make these alloys attractive for medical devices such as stents and filters. For these implants, the superelastic property is the primary function of SMAs. Additionally, these alloys, such as NiTi as the prime example, can be used for actuation. Several modes of actuation such as displacement control, force control, and compliance control have been used as harnesses with SMA devices. These two unique properties have opened another application in the form of neurosurgery and robot-assisted surgery devices, as well as controlled assistive and rehabilitation devices. This paper reviews the state of the art of application of SMAs in the latter category where control is applied to harness innovative medical devices. To this end, two major subsets of these devices: prosthesis and orthosis which take the advantage of SMAs in assistive and rehabilitation devices are studied. These devices are further categorized to hand prosthetics, elbow, knee and ankle orthotics. In most of these designs, SMA wires act as artificial muscles to mimic the motion of limbs in the target joints. The evolution of each category is explained, and the specific results of them are reported. The paper also reviews the SMA applications for neurological and neuromuscular rehabilitation. To this end, different categories of rehabilitation devices as a passive and aided exercise for the ankle, knee, and elbow are highlighted. The SMA actuator in these devices can be EMG-controlled to improved patient outcome. In addition to providing a comprehensive overview of the biomedical devices, this paper identifies several possible future directions of SMA related research in the area of assistive and rehabilitation devices.

scholarly journals Robot-Assisted Endoscopic Resection: Current Status and Future Directions

Gut and Liver ◽  
2020 ◽  
Vol 14 (2) ◽  
pp. 150-152 ◽  
Author(s):  
Hung Leng Kaan ◽  
Khek Yu Ho
Keyword(s):  
Endoscopic Resection ◽  
Current Status ◽  
Robot Assisted ◽  
Future Directions

scholarly journals Neuromechanical Biomarkers for Robotic Neurorehabilitation

2021 ◽  
Vol 15 ◽  
Author(s):  
Florencia Garro ◽  
Michela Chiappalone ◽  
Stefano Buccelli ◽  
Lorenzo De Michieli ◽  
Marianna Semprini
Keyword(s):  
Clinical Practice ◽  
Brain Plasticity ◽  
The Novel ◽  
Robot Assisted ◽  
Future Directions ◽  
Non Invasive ◽  
Rehabilitation Research ◽  
Potential Applications ◽  
Processing Techniques ◽  
New Framework

One of the current challenges for translational rehabilitation research is to develop the strategies to deliver accurate evaluation, prediction, patient selection, and decision-making in the clinical practice. In this regard, the robot-assisted interventions have gained popularity as they can provide the objective and quantifiable assessment of the motor performance by taking the kinematics parameters into the account. Neurophysiological parameters have also been proposed for this purpose due to the novel advances in the non-invasive signal processing techniques. In addition, other parameters linked to the motor learning and brain plasticity occurring during the rehabilitation have been explored, looking for a more holistic rehabilitation approach. However, the majority of the research done in this area is still exploratory. These parameters have shown the capability to become the “biomarkers” that are defined as the quantifiable indicators of the physiological/pathological processes and the responses to the therapeutical interventions. In this view, they could be finally used for enhancing the robot-assisted treatments. While the research on the biomarkers has been growing in the last years, there is a current need for a better comprehension and quantification of the neuromechanical processes involved in the rehabilitation. In particular, there is a lack of operationalization of the potential neuromechanical biomarkers into the clinical algorithms. In this scenario, a new framework called the “Rehabilomics” has been proposed to account for the rehabilitation research that exploits the biomarkers in its design. This study provides an overview of the state-of-the-art of the biomarkers related to the robotic neurorehabilitation, focusing on the translational studies, and underlying the need to create the comprehensive approaches that have the potential to take the research on the biomarkers into the clinical practice. We then summarize some promising biomarkers that are being under investigation in the current literature and provide some examples of their current and/or potential applications in the neurorehabilitation. Finally, we outline the main challenges and future directions in the field, briefly discussing their potential evolution and prospective.

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