Robot-assisted rehabilitation and training systems are utilized to improve the functional recovery of individuals with mobility limitations. These systems offer structured rehabilitation through precise human-robot interaction, outperforming traditional physical therapy by delivering advantages such as targeted muscle recovery, optimization of walking patterns, and automated training routines tailored to the user's objectives and musculoskeletal attributes. In our research, we propose the development of a walking simulator that considers user-specific musculoskeletal information to replicate natural walking dynamics, accounting for factors like joint angles, muscular forces, internal user-specific constraints, and external environmental factors. The integration of these factors into robot-assisted training can provide a more realistic rehabilitation environment and serve as a foundation for achieving natural bipedal locomotion. Our research team has developed a robot-assisted training platform (RATP) that generates gait training sets based on user-specific internal and external constraints by incorporating a genetic algorithm (GA). We utilize the Lagrangian multipliers to accommodate requirements from the rehabilitation field to instantly reshape the gait patterns while maintaining their overall characteristics, without an additional gait pattern search process. Depending on the patient's rehabilitation progress, there are times when it is necessary to reorganize the training session by changing training conditions such as terrain conditions, walking speed, and joint range of motion. The proposed method allows gait rehabilitation to be performed while stably satisfying ground contact constraints, even after modifying the training parameters.
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http://dx.doi.org/10.1007/s11517-024-03176-y | DOI Listing |
J Neuroeng Rehabil
December 2024
Key Laboratory of Biorheological Science and Technology of Ministry of Education, Chongqing University, Chongqing, 400044, P.R. China.
Background: Neural activation induced by upper extremity robot-assisted training (UE-RAT) helps characterize adaptive changes in the brains of poststroke patients, revealing differences in recovery potential among patients. However, it remains unclear whether these task-related neural activities can effectively predict rehabilitation outcomes. In this study, we utilized functional near-infrared spectroscopy (fNIRS) to measure participants' neural activity profiles during resting and UE-RAT tasks and developed models via machine learning to verify whether task-related functional brain responses can predict the recovery of upper limb motor function.
View Article and Find Full Text PDFCureus
November 2024
Pulmonology, Critical Care, Sleep Medicine, and Immunology, Malcom Randall Veteran Affairs Medical Center, Gainesville, USA.
Lung cancer has high mortality rates attributed to late diagnosis and treatment. Robot-assisted bronchoscopy (RAB) offers promising solutions to these challenges, enabling precise navigation and biopsy of small and difficult-to-reach lung nodules. We present the early outcomes and challenges encountered in establishing an RAB program at a Veterans Affairs (VA) Medical Center.
View Article and Find Full Text PDFArch Ital Urol Androl
November 2024
University Clinic of Urology Andrology, National University Hospital Center, Hubert Koutoukou MAGA of Cotonou.
Introduction: Despite the increasing trend of utilizing robotic techniques in pyeloplasty, little is known about the learning curve for robot-assisted pyeloplasty (RAP) amongst urologists with no prior robotic experience. Therefore, the present study aimed to evaluate the learning curve of residents in the last year or recently appointed urologists performing RAP using an ex-vivo model.
Methods: A prospective ex-vivo model study was conducted including participants who were either residents in the last year or recently appointed urologists.
Asian J Endosc Surg
December 2024
Department of Surgery, Tosei General Hospital, Seto City, Aichi Prefecture, Japan.
Introduction: Robot-assisted transabdominal preperitoneal inguinal hernia repair (RTAPP) has been rapidly gaining popularity. However, RTAPP is currently limited to university hospitals and large medical centers and is performed mainly by experts in robotic surgery in Japan. In this study, we report the introduction of RTAPP at a municipal hospital by a robotic surgery novice and its short-term outcomes.
View Article and Find Full Text PDFJ Robot Surg
December 2024
Department of Hand, Plastic and Reconstructive Surgery, Department of Hand and Plastic Surgery, BG Trauma Center Ludwigshafen, Heidelberg University, Ludwig Guttmann-Straße 13, 67071, Ludwigshafen, Germany.
The adoption of robot-assisted microsurgery (RAMS) is a cutting-edge advancement in the realm of microsurgery. The Symani Surgical System is CE approved and has recently gained FDA approval. It provides tremor elimination, motion scaling and improved ergonomics.
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