Home-Based Robotic Upper Limbs Cardiac Telerehabilitation System

Home-Based Rehabilitation of the Shoulder Using Auxiliary Systems and Artificial Intelligence: An Overview

Advancements in modern medicine have bolstered the usage of home-based rehabilitation services for patients, particularly those recovering from diseases or conditions that necessitate a structured rehabilitation process. Understanding the technological factors that can influence the efficacy of home-based rehabilitation is crucial for optimizing patient outcomes. As technologies continue to evolve rapidly, it is imperative to document the current state of the art and elucidate the key features of the hardware and software employed in these rehabilitation systems. This narrative review aims to provide a summary of the modern technological trends and advancements in home-based shoulder rehabilitation scenarios. It specifically focuses on wearable devices, robots, exoskeletons, machine learning, virtual and augmented reality, and serious games. Through an in-depth analysis of existing literature and research, this review presents the state of the art in home-based rehabilitation systems, highlighting their strengths and limitations. Furthermore, this review proposes hypotheses and potential directions for future upgrades and enhancements in these technologies. By exploring the integration of these technologies into home-based rehabilitation, this review aims to shed light on the current landscape and offer insights into the future possibilities for improving patient outcomes and optimizing the effectiveness of home-based rehabilitation programs.

Recent advancements in multimodal human-robot interaction

Robotics have advanced significantly over the years, and human-robot interaction (HRI) is now playing an important role in delivering the best user experience, cutting down on laborious tasks, and raising public acceptance of robots. New HRI approaches are necessary to promote the evolution of robots, with a more natural and flexible interaction manner clearly the most crucial. As a newly emerging approach to HRI, multimodal HRI is a method for individuals to communicate with a robot using various modalities, including voice, image, text, eye movement, and touch, as well as bio-signals like EEG and ECG. It is a broad field closely related to cognitive science, ergonomics, multimedia technology, and virtual reality, with numerous applications springing up each year. However, little research has been done to summarize the current development and future trend of HRI. To this end, this paper systematically reviews the state of the art of multimodal HRI on its applications by summing up the latest research articles relevant to this field. Moreover, the research development in terms of the input signal and the output signal is also covered in this manuscript.

A New Wrist-Forearm Rehabilitation Protocol Integrating Human Biomechanics and SVM-Based Machine Learning for Muscle Fatigue Estimation

In this research, a new remote rehabilitation system was developed that integrates an IoT-based connected robot intended for wrist and forearm rehabilitation. In fact, the mathematical model of the wrist and forearm joints was developed and integrated into the main controller. The proposed new rehabilitation protocol consists of three main sessions: the first is dedicated to the extraction of the passive components of the dynamic model of wrist-forearm biomechanics while the active components are extracted in the second session. The third session consists of performing continuous exercises using the determined dynamic model of the forearm-wrist joints, taking into account the torque generated by muscle fatigue. The main objective of this protocol is to determine the state level of the affected wrist and above all to provide a dynamic model in which the torque generated by the robot and the torque supplied by the patient are combined, taking into account the constraints of fatigue. A Support Vector Machine (SVM) classifier is designed for the estimation of muscle fatigue based on the features extracted from the electromyography (EMG) signal acquired from the patient. The results show that the developed rehabilitation system allows a good progression of the joint's range of motion as well as the resistive-active torques.