scholarly journals Quantification of Age-Related Differences in Reaching and Circle-Drawing using a Robotic Rehabilitation Device

2014 ◽  
Vol 11 (3) ◽  
pp. 91-104 ◽  
Author(s):  
Alessandra Pacilli ◽  
Marco Germanotta ◽  
Stefano Rossi ◽  
Paolo Cappa

Background: Although robotic therapy is at the forefront of upper limb rehabilitation, there is limited information about the importance of selecting age-matched subjects to evaluate recovery of arm movement during rehabilitation.Objective: This study aims to quantify differences in the arm motion of healthy children and adults when they interact with a planar robot, in order to determine whether an age-matched control group is necessary in clinical studies involving pediatric patients.Methods: Ten children (aged 7 to 10 years) and ten adults (aged 23 to 25 years) performed, at self-selected speed and accuracy, planar-reaching and circle-drawing movements with a robotic device. We analyzed the motor performances for the two groups quantifying the participants' dexterity in completing two chosen tasks. The measurement of the entire upper limb was obtained by merging the data provided by the robot with that of an optical tracking system.Results: Children drew circles with less smoothness than adults but with the same accuracy and joint coordination. During planar reaching task, children optimized only the coordination but performed the movement with less accuracy and smoothness than adults.Conclusions: Our findings provide evidence that age-matched healthy children should be used to quantify the recovery of robot-mediated therapy in children with upper limb impairments.

2020 ◽  
Vol 31 (01) ◽  
pp. 040-049 ◽  
Author(s):  
Robert W. Koch ◽  
Hasan Saleh ◽  
Paula Folkeard ◽  
Sheila Moodie ◽  
Conner Janeteas ◽  
...  

AbstractProbe-tube placement is a necessary step in hearing aid verification which needs ample hands-on experience and confidence before performing in clinic. To improve the methods of training in probe-tube placement, a manikin-based training simulator was developed consisting of a 3D-printed head, a flexible silicone ear, and a mounted optical tracking system. The system is designed to provide feedback to the user on the depth and orientation of the probe tube, and the time required to finish the task. Although a previous validation study was performed to determine its realism and teachability with experts, further validation is required before implementation into educational settings.This study aimed to examine the skill transference of a newly updated probe-tube placement training simulator to determine if skills learned on this simulator successfully translate to clinical scenarios.All participants underwent a pretest in which they were evaluated while performing a probe-tube placement and real-ear-to-coupler difference (RECD) measurement on a volunteer. Participants were randomized into one of two groups: the simulator group or the control group. During a two-week training period, all participants practiced their probe-tube placement according to their randomly assigned group. After two weeks, each participant completed a probe-tube placement on the same volunteer as a posttest scenario.Twenty-five novice graduate-level student clinicians.Participants completed a self-efficacy questionnaire and an expert observer completed a questionnaire evaluating each participant’s performance during the pre- and posttest sessions. RECD measurements were taken after placing the probe tube and foam tip in the volunteer’s ear. Questionnaire results were analyzed through nonparametric t-tests and analysis of variance, whereas RECD results were analyzed using a nonlinear mixed model method.Results suggested students in the simulator group were less likely to contact the tympanic membrane when placing a probe tube, appeared more confident, and had better use of the occluding foam tip, resulting in more improved RECD measurements.The improved outcomes for trainees in the simulator group suggest that supplementing traditional training with the simulator provides useful benefits for the trainees, thereby encouraging its usage and implementation in educational settings.


2021 ◽  
Vol 11 (9) ◽  
pp. 3947
Author(s):  
Marco Farronato ◽  
Gianluca M. Tartaglia ◽  
Cinzia Maspero ◽  
Luigi M. Gallo ◽  
Vera Colombo

Clinical use of portable optical tracking system in dentistry could improve the analysis of mandibular movements for diagnostic and therapeutic purposes. A new workflow for the acquisition of mandibular kinematics was developed. Reproducibility of measurements was tested in vitro and intra- and inter-rater repeatability were assessed in vivo in healthy volunteers. Prescribed repeated movements (n = 10) in three perpendicular directions of the tracking-device coordinate system were performed. Measurement error and coefficient of variation (CV) among repetitions were determined. Mandibular kinematics of maximum opening, left and right laterality, protrusion and retrusion of five healthy subjects were recorded in separate sessions by three different operators. Obtained records were blindly examined by three observers. Intraclass correlation coefficient (ICC) was calculated to estimate inter-rater and intra-rater reliability. Maximum in vitro measurement error was 0.54 mm and CV = 0.02. Overall, excellent intra-rater reliability (ICC > 0.90) for each variable, general excellent intra-rater reliability (ICC = 1.00) for all variables, and good reliability (ICC > 0.75) for inter-rater tests were obtained. A lower score was obtained for retrusion with “moderate reliability” (ICC = 0.557) in the inter-rater tests. Excellent repeatability and reliability in optical tracking of primary movements were observed using the tested portable tracking device and the developed workflow.


Sensors ◽  
2021 ◽  
Vol 21 (7) ◽  
pp. 2528
Author(s):  
Songlin Bi ◽  
Yonggang Gu ◽  
Jiaqi Zou ◽  
Lianpo Wang ◽  
Chao Zhai ◽  
...  

A high precision optical tracking system (OTS) based on near infrared (NIR) trinocular stereo vision (TSV) is presented in this paper. Compared with the traditional OTS on the basis of binocular stereo vision (BSV), hardware and software are improved. In the hardware aspect, a NIR TSV platform is built, and a new active tool is designed. Imaging markers of the tool are uniform and complete with large measurement angle (>60°). In the software aspect, the deployment of extra camera brings high computational complexity. To reduce the computational burden, a fast nearest neighbor feature point extraction algorithm (FNNF) is proposed. The proposed method increases the speed of feature points extraction by hundreds of times over the traditional pixel-by-pixel searching method. The modified NIR multi-camera calibration method and 3D reconstruction algorithm further improve the tracking accuracy. Experimental results show that the calibration accuracy of the NIR camera can reach 0.02%, positioning accuracy of markers can reach 0.0240 mm, and dynamic tracking accuracy can reach 0.0938 mm. OTS can be adopted in high-precision dynamic tracking.


2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Husham Farouk Ismail Saied

Discussed the issues' associated with the development of a computed neurosurgery planning system. An important part is to determine the value of invasive surgical access. The study purpose is to design a methodology for finding the shortest distance between surgical target and peripheral point of the brain tissue with strict adherence considering the type of the brain anatomical structure existing in the path of surgical track (risk map), these two condition used in companion to determine the risk value of the surgical access. The study method consists of two algorithms for calculating the shortest surgical access to the target and assuring the safety by avoiding high-density tissues identification method “internal map” describing the anatomy of the brain such as bones. An algorithm for automatic identification of brain vascular system also was designed. The structural diagram of the contrast data visualization system, using computed tomography data, was thoroughly discussed. Also, trying to contribute in solving issues facing developers of modern medical imaging visualization systems to select the most appropriate method from the whole arsenal of algorithms and processing models concerning displaying brain surgical zone using image registration and optical tracking system. The visualization of the target zone is carried out according to an internal reference landmark points inside the center of the brain as well as an automatic algorithm for contour recognition was applied. Moreover, the optical tracking system was used to assess the navigation accuracy of determining the position of the surgical instrument outside the patient head. Algorithms necessary for operational planning also was included, and the proposed method was applied in a pilot study with simulation mode to human brain model, in order to target a specific surgical zone, and as a result, the system suggested (24) possible surgical track, among them, were selected the best and safest access. The total error of a surgical instrument targeting was less than 3 mm (in average 2.6 mm).


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