Review of Advanced Medical Telerobots

The advent of telerobotic systems has revolutionized various aspects of the industry and human life. This technology is designed to augment human sensorimotor capabilities to extend them beyond natural competence. Classic examples are space and underwater applications when distance and access are the two major physical barriers to be combated with this technology. In modern examples, telerobotic systems have been used in several clinical applications, including teleoperated surgery and telerehabilitation. In this regard, there has been a significant amount of research and development due to the major benefits in terms of medical outcomes. Recently telerobotic systems are combined with advanced artificial intelligence modules to better share the agency with the operator and open new doors of medical automation. In this review paper, we have provided a comprehensive analysis of the literature considering various topologies of telerobotic systems in the medical domain while shedding light on different levels of autonomy for this technology, starting from direct control, going up to command-tracking autonomous telerobots. Existing challenges, including instrumentation, transparency, autonomy, stochastic communication delays, and stability, in addition to the current direction of research related to benefit in telemedicine and medical automation, and future vision of this technology, are discussed in this review paper.

Bicycling Phase Recognition for Lower Limb Amputees Using Support Vector Machine Optimized by Particle Swarm Optimization

A novel method for recognizing the phases in bicycling of lower limb amputees using support vector machine (SVM) optimized by particle swarm optimization (PSO) is proposed in this paper. The method is essential for enhanced prosthetic knee joint control for lower limb amputees in carrying out bicycling activity. Some wireless wearable accelerometers and a knee joint angle sensor are installed in the prosthesis to obtain data on the knee joint and ankle joint horizontal, vertical acceleration signal and knee joint angle. In order to overcome the problem of high noise content in the collected data, a soft-hard threshold filter was used to remove the noise caused by the vibration. The filtered information is then used to extract the multi-dimensional feature vector for the training of SVM for performing bicycling phase recognition. The SVM is optimized by PSO to enhance its classification accuracy. The recognition accuracy of the PSO-SVM classification model on testing data is 93%, which is much higher than those of BP, SVM and PSO-BP classification models.

Intelligent Robotics Incorporating Machine Learning Algorithms for Improving Functional Capacity Evaluation and Occupational Rehabilitation

Introduction Occupational rehabilitation often involves functional capacity evaluations (FCE) that use simulated work tasks to assess work ability. Currently, there exists no single, streamlined solution to simulate all or a large number of standard work tasks. Such a system would improve FCE and functional rehabilitation through simulating reaching maneuvers and more dexterous functional tasks that are typical of workplace activities. This paper reviews efforts to develop robotic FCE solutions that incorporate machine learning algorithms. Methods We reviewed the literature regarding rehabilitation robotics, with an emphasis on novel techniques incorporating robotics and machine learning into FCE. Results Rehabilitation robotics aims to improve the assessment and rehabilitation of injured workers by providing methods for easily simulating workplace tasks using intelligent robotic systems. Machine learning-based approaches combine the benefits of robotic systems with the expertise and experience of human therapists. These innovations have the potential to improve the quantification of function as well as learn the haptic interactions provided by therapists to assist patients during assessment and rehabilitation. This is done by allowing a robot to learn based on a therapist's motions ("demonstrations") what the desired workplace activity ("task") is and how to recreate it for a worker with an injury ("patient"). Through Telerehabilitation and internet connectivity, these robotic assessment techniques can be used over a distance to reach rural and remote locations. Conclusions While the research is in the early stages, robotics with integrated machine learning algorithms have great potential for improving traditional FCE practice.

Learning and Reproduction of Therapist’s Semi-Periodic Motions during Robotic Rehabilitation

The demand for rehabilitation services has increased in recent years due to population aging. Due to the limitations of therapist’s time and healthcare resources, robot-assisted rehabilitation is becoming an appealing, powerful, and economical solution. In this paper, we propose a solution that combines Learning from Demonstration (LfD) and robotic rehabilitation to save the therapist’s time and reduce the therapy costs when the therapy involves periodic or semi-periodic motions.We begin by modeling the therapist’s behavior (a periodic or semi-periodic motion) using a Fourier Series (FS). Later, when the therapist is no longer involved, the system reproduces the learned behavior modeled by the FS using a robot. A second goal is to combine the above with Gaussian Mixture Model (GMM) and Gaussian Mixture Regression (GMR) to obtain a more flexible and generalizable reproduction of the therapist’s behavior. This algorithm allows learning and imitating repetitive movement tasks. Our experimental results show the application of these algorithms to repetitive motion task.

Robotic learning from demonstration of therapist's time-varying assistance to a patient in trajectory-following tasks

The number of people with physical disabilities and impaired motion control is increasing. Consequently, there is a growing demand for intelligent assistive robotic systems to cooperate with people with disability and help them carry out different tasks. To this end, our group has pioneered the use of robot learning from demonstration (RLfD) techniques, which eliminate the need for task-specific robot programming, in robotic rehabilitation and assistive technologies settings. First, in the demonstration phase, the therapist (or in general, a helper) provides an intervention (typically assistance) and cooperatively performs a task with a patient several times. The demonstrated motion is modelled by a statistical RLfD algorithm, which will later be used in the robot controllers to reproduce a similar intervention robotically. In this paper, by proposing a Tangential-Normal Varying-Impedance Controller (TNVIC), the robotic manipulator not only follows the therapist's demonstrated motion, but also mimics his/her interaction impedance during the therapeutic/assistive intervention. The feasibility and efficacy of the proposed framework are evaluated by conducting an experiment involving a healthy adult with cerebral palsy symptoms being induced using transcutaneous electrical nerve stimulation.