Using robotics in modern medicine is slowly becoming a common practice. However, there are still important life science fields which are currently devoid of such advanced technology. A noteworthy example of a life sciences field which would benefit from process automation and advanced robotic technology is rehabilitation of the upper limb with the use of an orthosis. Here, we present the state-of-the-art and prospects for development of mechanical design, actuator technology, control systems, sensor systems, and machine learning methods in rehabilitation engineering. Moreover, current technical solutions, as well as forecasts on improvement, for exoskeletons are presented and reviewed. The overview presented might be the cornerstone for future research on advanced rehabilitation engineering technology, such as an upper limb bionic orthosis.
The subject of human-hand versatility has been intensively investigated for many years. Emerging robotic constructions change continuously in order to mimic natural mechanisms as accurately as possible. Such an attitude is motivated by the demand for humanoid robots with sophisticated end effectors and highly biomimic prostheses. This paper provides wide analysis of more than 80 devices that have been created over the last 40 years. It compares both the mechanical structure and various actuators from conventional DC motors and servomechanisms, through pneumatic muscles, to soft actuators and artificial muscles. Described measured factors include angles, forces, torques, tensions, and tactiles. Furthermore, the appropriate statistics of kinematic configuration, as well as the type or number of drive units and sensory systems, show not only recent problems, but also trends that will be followed in the future.
In this paper, a new method for analysing gastroesophageal reflux disease (GERD) is shown. This novel method uses wavelet transform (WT) and wavelet-based fractal analysis (WBFA) on esophageal pH-metry measurements. The esophageal pH-metry is an important diagnostic tool supporting the physician’s work in diagnosing some forms of reflux diseases. Interpreting the results of 24-h pH-metry monitoring is time-consuming, and the conclusions of such an analysis can sometimes be too subjective. There is no strict procedure or reference values to follow when the impedance measurements are assessed. Therefore, an attempt was made to develop a point of reference for the assessment process, helping to distinguish healthy patients from GERD patients. In this approach, wavelet transform (WT) and wavelet-based fractal analysis (WBFA) were used to aid the diagnostic process. With this approach, it was possible to develop two efficient computer methods to classify healthy and sick patients based on the pH measurement data alone. The WT method provided a sensitivity value of 93.33%, with 75% specificity. The results of the fractal analysis confirmed that the tested signals have features that enable their automatic classification and assignment to a group of sick or healthy people. The article will be interesting for those studying the application of wavelet and fractal analysis in biomedical waveforms. The authors included in the work a description of the implementation of the fractal and wavelet analysis, the descriptions of the results of the analyses, and the conclusions drawn from them. The work will also be of interest to those who study the methods of using machine learning and artificial intelligence in computer-aided, automatic medical diagnostics.
Continuous work on a new generation of actuators, referred to as artificial muscles, resulted in the initiation of work on electrostatic zipping actuators, the concept of which is derived from micro electro-mechanical devices. Despite partial knowledge of their basic operating parameters, a question remains whether electrostatic zipping actuators are able to meet the expectations in the context of generated forces and control possibilities. In order to get closer to the answer to this question, the authors of this work created a solution method using FEM, which allowed them to conduct a series of concentric contraction tests of the desired solution. In addition to the basic features of the actuators tested, such as their length, thickness and width, for the first time the size of the weld surface, to which the loading force was applied, was taken into account. The results of the investigations show the possibility of adjusting the supply voltage range to the application requirements, but most importantly, they present the variability of the pull-in strain parameter. In extreme configurations, its value increases from ~10% to ~26%. The results obtained emphasize the need for further analysis of electrostatic zipping actuators using FEM. It will make it possible to precisely define the characteristics of this technology as well as its limits. These activities will provide the ultimate answer to the potential of electrostatic zipping actuators as artificial muscles.
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