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Oscillatory perturbations with varying amplitudes and frequencies have been found to significantly affect human standing balance. However, previous studies have only applied perturbation in either the anterior-posterior (AP) or the medio-lateral (ML) directions. Little is currently known about the impacts of 2D oscillatory perturbations on postural stability, which are more commonly seen in daily life (i.e., while traveling on trains, ships, etc.). This study investigated the effects of applying 2D perturbations vs 1D perturbations on standing stability, and how increasing the frequency and amplitude of perturbation impacts postural stability. A dual-axis robotic platform was utilized to simulate various oscillatory perturbations and evaluate standing postural stability. Fifteen young healthy subjects were recruited to perform quiet stance on the platform. Impacts of perturbation direction (i.e., 1D versus 2D), amplitude, and frequency on postural stability were investigated by analyzing different stability measures, specifically AP/ML/2D Center-of-Pressure (COP) path length, AP/ML/2D Time-to-Boundary (TtB), and sway area. Standing postural stability was compromised more by 2D perturbations than 1D perturbations, evidenced by a significant increase in COP path length and sway area and decrease in TtB. Further, the stability decreased as 2D perturbation amplitude and frequency increased. A significant increase in COP path length and decrease in TtB were consistently observed as the 2D perturbation amplitude and frequency increased. However, sway area showed a considerable increase only with increasing perturbation amplitude but not with increasing frequency.
Perturbation-based Training on Compliant Surfaces to Improve Balance in Children with Cerebral Palsy
Children with cerebral palsy suffer from balance deficits that may greatly reduce their quality of life. However, recent advancements in robotics allow for balance rehabilitation paradigms that provide greater control of the training environment and more robust measurement techniques. Previous works have shown functional balance improvement using standing surface perturbations and compliant surface balancing. Visual feedback during balance training has also been shown to improve postural balance control. However, the combined effect of these interventions has not been evaluated. This paper presents a robot-aided rehabilitation study for two children with cerebral palsy on a side-specific performance-adaptive compliant surface with perturbations. Visual feedback of the participant’s center of pressure and weight distribution were used to evaluate successful balance and trigger perturbations after a period of successful balancing. The platform compliance increased relative to the amount of successful balance during each training interval. Participants trained for 6 weeks including 10, less than 2 hours long, training sessions. Improvements in functional balance as assessed by the Pediatric Balance Scale, the Timed 10 Meter Walk Test, and the 5 Times Sit-to-Stand Test were observed for both participants. There was a reduction in fall risk as evidenced by increased Virtual Time to Contact and an increase in dynamic postural balance supported by a faster Time to Perturb, Time to Stabilize, and Percent Stabilized. A mixed improvement in static postural balance was also observed. This paper highlights the efficacy of robot-aided rehabilitation interventions as a method of balance therapy for children with cerebral palsy.
Medical technology, while improving greatly with time, often requires a sacrifice in the form of invasiveness in order to reach target areas within the body, such as the brain, liver, or heart. This project aims to utilize a magnetic, flexible needle design to reach these target areas for surgery and drug administration with minimal invasiveness. The metallic needle tip is guided by an external system consisting of a UR16e robotic arm with a magnetic end effector. As a longer running project, the primary focuses of this research are to develop the system by which the robotic arm guides the needle, investigate and implement fiber Bragg grating sensors as a means of real time path imaging and feedback, and conduct preliminary tests to validate that the needle is accurately controlled by the robotic arm. Testing with different mediums such as gel or phantom tissue, and eventually animal experiments will follow in a future publication due to time constraints.
Patients with Parkinson's disease have been seen to be prone to falling. Balance problems and postural instability have been seen to affect their quality of life. This project aims to understand the relationship between the presence of cognitive loads and reactive stepping performance in Parkinson’s patients. Additionally, it also tests the feasibility of the experimental framework to evaluate reactive stepping performance. This experiment tested Parkinson’s patients performing tasks of varying difficulty levels while having to regain their balance. Acceleration perturbations on a treadmill were used to elicit an intrinsic response in the subjects. This compared gait parameters of the subjects that performed single and dual tasks. The results showed that the presence of a cognitive task had a negative effect on the reactive stepping performance, specifically on the margin of stability and step length. Additionally, there was no effect of changing the difficulty level of the task on reactive stepping performance.
All civilization requires some sort of infrastructure to provide an essential service. Roads, bridges, pipelines, railroads, etc. are all critical in maintaining our society, but when they fail, they pose a serious threat to the economy, public safety, and environment. This is why it has become increasingly important to invest in and research the field of Structural Health Monitoring (SHM) to ensure the safety and reliability of our infrastructure. This research paper delves into the optimization of a Lizard-inspired Tube Inspection (LTI) robot, with the primary focus on the inspection side of SHM through the use of Electro Magnetic Acoustic Transducer (EMAT), a Non-Destructive Testing (NDT) method. The robot is designed to inspect power plants piping for damage or defects, and its ability to detect issues early, results in improved plant efficiency, enhanced structural data collection, and increased safety. An iterative, reliable design was constructed by reducing the weight and addressing previous design flaws and then tested. Solidworks was used to calculate theoretical weight, applied stress, and displacements for the design modifications.. The overall reduction in weight was around 12.4% of the previous design. While this research successfully reduced the robot's weight and resolved issues in its design, further optimization is still necessary. Future studies should investigate the finger and friction pad design, robot control, and ways to reduce the reliance on commercial off-the-shelf parts. This will expand the robot’s inspection capabilities, making it applicable in other industries where NDT is critical to ensure structural integrity and safety, such as the pipes in oil and gas refineries, water treatment plants, and chemical processing plants, innovating the way infrastructure is monitored and maintained.
The concept of entrainment broadly applies the locking of phases between 2 independent systems [17]. This physical phenomenon can be applied to modify neuromuscular movement in humans during bipedal locomotion. Gait entrainment to robotic devices have shown great success as alternatives to labor intensive methods of rehabilitation. By applying additional torque at the ankle joint, previous studies have exhibited consistent gait entrainment to both rigid and soft robotic devices. This entrainment is characterized by consistent phase locking of plantarflexion perturbations to the ‘push off’ event within the gait cycle. However, it is unclear whether such phase locking can be attributed to the plantarflexion assistance from the device or the sensory stimulus of movement at the ankle. To clarify the mechanism of entrainment, an experiment was designed to expose the user to a multitude of varying torques applied at the ankle to assist with plantar flexion. In this experiment, no significant difference in success of subject entrainment occurred when additional torque applied was greater than a detectable level. Force applied at the ankle varied from ~60N to ~130N. This resulted in successful entrainment ~88\% of the time at 98 N, with little to no increase in success as force increased thereafter. Alternatively, success of trials decreased significantly as force was reduced below this level, causing the perturbations to become undetectable by participants. Ultimately this suggests that higher levels of actuator pressure, and thus greater levels of torque applied to the foot, do not increase the likelihood of entrainment during walking. Rather, the results of this study suggest that proper detectable sensory stimulus is the true mechanism for entrainment.
Falls are known to be a common occurrence and a costly one as well, as they are the second leading cause of unintentional deaths and millions of other injuries worldwide. Falls often occur due to an increase in trunk flexion angle, so this experiment aims to reduce the trunk flexion received while stepping over an obstacle. To achieve this a soft actuator was attached to the trunk and pressure was sent as subjects walked and stepped over an obstacle presented on a treadmill. The pressure is meant to stiffen the back which should in theory reduce the trunk flexion angle and lower the chances of falling. In this experiment, two groups were tested: three participants from a control group (healthy young adults) and three participants from an experimental group (healthy elderly adults). Since elderly adults have the highest fall risk due to overall lack of stability, they are the experimental group and the focus for this experiment. The results from the study showed that elderly adults had a beneficial effect with the soft actuator as there was a noticeable difference in trunk flexion when the device was attached. The experiment also supported prior research that stated that trunk flexion was greater in elderly adults than younger adults. Despite the positive results, further studies should be done to prove that the soft devices influence lowering trunk flexion angle as well as to see if the device has any noticeable effect on younger adults.