Abstract

In this paper, a new scheme for multi-lateral remote rehabilitation is proposed. There exist one therapist, one patient, and several trainees, who are participating in the process of telerehabilitation (TR) in this scheme. This kind of strategy helps the therapist to facilitate the neurorehabilitation remotely. Thus, the patients can stay in their homes, resulting in safer and less expensive costs. Meanwhile, several trainees in medical education centers can be trained by participating partially in the rehabilitation process. The trainees participate in a “hands-on” manner; so, they feel like they are rehabilitating the patient directly. For implementing such a scheme, a novel theoretical method is proposed using the power of multi-agent systems (MAS) theory into the multi-lateral teleoperation, based on the self-intelligence in the MAS. In the previous related works, changing the number of participants in the multi-lateral teleoperation tasks required redesigning the controllers; while, in this paper using both of the decentralized control and the self-intelligence of the MAS, avoids the need for redesigning the controller in the proposed structure. Moreover, in this research, uncertainties in the operators' dynamics, as well as time-varying delays in the communication channels, are taken into account. It is shown that the proposed structure has two tuning matrices (L and D) that can be used for different scenarios of multi-lateral teleoperation. By choosing proper tuning matrices, many related works about the multi-lateral teleoperation/telerehabilitation process can be implemented. In the final section of the paper, several scenarios were introduced to achieve “Simultaneous Training and Therapy” in TR and are implemented with the proposed structure. The results confirmed the stability and performance of the proposed framework.

Highlights

  • Telerehabilitation (TR) can be regarded as a telemedicine branch

  • TR is mainly applied to the physiotherapy process, and neural rehabilitation is used to monitor the rehabilitation process of stroke patients (Gal et al, 2015; Mani et al, 2017)

  • If the agent i cannot receive any information from agent j, αij in the adjacency matrix will be chosen as zeros; otherwise, it will be a positive scalar related to the connection weight

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Summary

INTRODUCTION

Telerehabilitation (TR) can be regarded as a telemedicine branch. While this field is considerably new, it is used in developed countries and has expanded rapidly. In TR systems, the concept of external force (operator forces) is not ignorable Based on these facts, in this paper, a new control scheme based on MAS is developed for several rehabilitation scenarios, that can deal with non-linear uncertain manipulators. It proposes novel schemes for multi-lateral remote rehabilitation systems and experimentally investigates them.

MATHEMATICAL PRELIMINARIES
MAS Framework
Serial Link Manipulator Properties
Some Definitions in Multi-Lateral Teleoperation Systems
Using MAS Framework for Multi-Lateral Teleoperation
MULTI-LATERAL TELEOPERATION BASED ON CENTRALIZED CONTROLLER
UNCERTAIN DYNAMICS IN THE ENVIRONMENT AND THE MANIPULATORS
Design and Control of Hierarchical Telerehabilitation Systems
Teach and Repeat Therapies
Assist as Needed
Supervised Mirror Therapy
Several Trainees in Telerehabilitation Process
CONCLUSION
ETHICS STATEMENT
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