upper limb rehabilitation
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WenDong Wang ◽  
JunBo Zhang ◽  
Xin Wang ◽  
XiaoQing Yuan ◽  
Peng Zhang

AbstractThe motion intensity of patient is significant for the trajectory control of exoskeleton robot during rehabilitation, as it may have important influence on training effect and human–robot interaction. To design rehabilitation training task according to situation of patients, a novel control method of rehabilitation exoskeleton robot is designed based on motion intensity perception model. The motion signal of robot and the heart rate signal of patient are collected and fused into multi-modal information as the input layer vector of deep learning framework, which is used for the human–robot interaction model of control system. A 6-degree of freedom (DOF) upper limb rehabilitation exoskeleton robot is designed previously to implement the test. The parameters of the model are iteratively optimized by grouping the experimental data, and identification effect of the model is analyzed and compared. The average recognition accuracy of the proposed model can reach up to 99.0% in the training data set and 95.7% in the test data set, respectively. The experimental results show that the proposed motion intensity perception model based on deep neural network (DNN) and the trajectory control method can improve the performance of human–robot interaction, and it is possible to further improve the effect of rehabilitation training.

Symmetry ◽  
2022 ◽  
Vol 14 (1) ◽  
pp. 81
Bogdan Mocan ◽  
Claudiu Schonstein ◽  
Calin Neamtu ◽  
Mircea Murar ◽  
Mircea Fulea ◽  

Following cardiac surgery, patients experience difficulties with the rehabilitation process, often finding it difficult, and therefore lack the motivation for rehabilitation activities. As the number of people aged 65 and over will rise by 207 percent globally by 2050, the need for cardiac rehabilitation will significantly increase, as this is the main population to experience heart problems. To address this challenge, this paper proposes a new robotic exoskeleton concept with 12 DoFs (6 DoFs on each arm), with a symmetrical structure for the upper limbs, to be used in the early rehabilitation of cardiac patients after open-heart surgery. The electromechanical design (geometric, kinematic, and dynamic model), the control architecture, and the VR-based operating module of the robotic exoskeleton are presented. To solve the problem of the high degree of complexity regarding the CardioVR-ReTone kinematic and dynamic model, the iterative algorithm, kinetic energy, and generalized forces were used. The results serve as a complete model of the exoskeleton, from a kinematic and dynamic point of view as well as to the selection of the electric motors, control system, and VR motivation model. The validation of the concept was achieved by evaluating the exoskeleton structure from an ergonomic point of view, emphasizing the movements that will be part of the cardiac rehabilitation.

Life ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. 64
Dongdong Bu ◽  
Shuxiang Guo ◽  
He Li

The surface electromyography (sEMG) signal is widely used as a control source of the upper limb exoskeleton rehabilitation robot. However, the traditional way of controlling the exoskeleton robot by the sEMG signal requires one to specially extract and calculate for complex sEMG features. Moreover, due to the huge amount of calculation and individualized difference, the real-time control of the exoskeleton robot cannot be realized. Therefore, this paper proposes a novel method using an improved detection algorithm to recognize limb joint motion and detect joint angle based on sEMG images, aiming to obtain a high-security and fast-processing action recognition strategy. In this paper, MobileNetV2 combined the Ghost module as the feature extraction network to obtain the pretraining model. Then, the target detection network Yolo-V4 was used to estimate the six movement categories of the upper limb joints and to predict the joint movement angles. The experimental results showed that the proposed motion recognition methods were available. Every 100 pictures can be accurately identified in approximately 78 pictures, and the processing speed of every single picture on the PC side was 17.97 ms. For the train data, the [email protected] could reach 82.3%, and [email protected]–0.95 could reach 0.42; for the verification data, the average recognition accuracy could reach 80.7%.

2022 ◽  
pp. 235-261
Robert Herne ◽  
Mohd Fairuz Shiratuddin ◽  
Shri Rai ◽  
David Blacker

Stroke is a debilitating condition that impairs one's ability to live independently while also greatly decreasing one's quality of life. For these reasons, stroke rehabilitation is important. Engagement is a crucial part of rehabilitation, increasing a stroke survivor's recovery rate and the positive outcomes of their rehabilitation. For this reason, virtual reality (VR) has been widely used to gamify stroke rehabilitation to support engagement. Given that VR and the serious games that form its basis may not necessarily be engaging in themselves, ensuring that their design is engaging is important. This chapter discusses 39 principles that may be useful for engaging stroke survivors with VR-based rehabilitation post-stroke. This chapter then discusses a subset of the game design principles that are likely to engage stroke survivors with VR designed for upper limb rehabilitation post-stroke.

2022 ◽  
Vol 2153 (1) ◽  
pp. 012019
V K Hernández Vergel ◽  
R Prada Núñez ◽  
C A Hernández Suárez

Abstract This research is based on biomechanics as a science that involves concepts of engineering, mechanics, physic, anatomy, physiology, and many others, to study the human body with the desire to solve certain problems that may affect the performance of an individual in their work or personal level. This work is an investigative process in these areas of scientific and applied disciplines, in which the attention is focused on the hand as a valuable tool for the occupational performance of the human being, since through it is possible to touch, move, grasp, or manipulate objects. Injuries to this limb may be due to various causes, which require complex surgeries and long periods of rehabilitation to be reversed. This research highlights the importance of certain physical concepts that must be understood by the rehabilitation expert in order not to affect the surgery and thus guarantee the maximum functionality of the patient at the end of the recovery cycle.

2021 ◽  
Vol 38 (6) ◽  
pp. 1887-1894
Chao Zhang ◽  
Ji Zou ◽  
Zhongjing Ma ◽  
Qian Wu ◽  
Zhaogang Sheng ◽  

pper limb motor dysfunction brings huge pain and burden to patients with brain trauma, stroke, and cerebral palsy, as well as their relatives. Physiological signals are closely related to the recovery of patients with limb dysfunction. The joint analysis of two key physiological signals, namely, surface electromyographic (sEMG) signal and acceleration signal, enables the scientific and effective evaluation of upper limb rehabilitation. However, the existing indices of upper limb rehabilitation are incomplete, and the current evaluation approaches are not sufficiently objective or quantifiable. To solve the problems, this paper explores upper limb action identification based on physiological signals, and tries to apply the approach to limb rehabilitation training. Specifically, the upper limb action features during limb rehabilitation training were extracted and identified by time-domain feature method, frequency-domain feature method, time-frequency domain feature method, and entropy feature method. Then, the evaluation flow of upper limb rehabilitation, plus the relevant evaluation indices, were given. Experimental results demonstrate the effectiveness of the proposed composite feature identification of upper limb actions, and the proposed evaluation method for limb rehabilitation.

2021 ◽  
Vol 3 ◽  
Seedahmed S. Mahmoud ◽  
Zheng Cao ◽  
Jianming Fu ◽  
Xudong Gu ◽  
Qiang Fang

Most post-stroke patients experience varying degrees of impairment in upper limb function and fine motor skills. Occupational therapy (OT) with other rehabilitation trainings is beneficial in improving the strength and dexterity of the impaired upper limb. An accurate upper limb assessment should be conducted before prescribing upper limb OT programs. In this paper, we present a novel multisensor method for the assessment of upper limb movements that uses kinematics and physiological sensors to capture the movement of the limbs and the surface electromyogram (sEMG). These sensors are Kinect, inertial measurement unit (IMU), Xsens, and sEMG. The key assessment features of the proposed model are as follows: (1) classification of OT exercises into four classes, (2) evaluation of the quality and completion of the OT exercises, and (3) evaluation of the relationship between upper limb mobility and muscle strength in patients. According to experimental results, the overall accuracy for OT-based motion classification is 82.2%. In addition, the fusing of Kinect and Xsens data reveals that muscle strength is highly correlated with the data with a correlation coefficient (CC) of 0.88. As a result of this research, occupational therapy specialists will be able to provide early support discharge, which could alleviate the problem of the great stress that the healthcare system is experiencing today.

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