Motor Training Research Articles

Application of sensory and motor training in AIDET communication mode in patients after knee arthroplasty.

Patients with knee arthroplasty often have problems such as slow recovery of knee function, which may cause negative emotions and affect their postoperative rehabilitation. The application of sensory and motor training in the Acknowledge, Introduce, Duration, Evaluation, Thank You (AIDET) communication mode in patients after knee arthroplasty can provide reference for the selection of postoperative rehabilitation training measures. To explore the sensory and motor training effects in AIDET communication mode on knee function recovery and resilience of patients after knee arthroplasty. One hundred patients who underwent knee arthroplasty at our hospital between January 2022 and January 2024 were randomly divided into two groups. The control group (n = 50) received routine rehabilitation training. In the observation group (n = 50), the AIDET communication mode was used to perform sensory and motor training, in addition to routine rehabilitation training. The rehabilitation training was administered for 8 weeks. After surgery, knee function, balance ability, walking ability, proprioception, and resilience were compared between the two groups. The New York Hospital for Special Surgery knee scores of the observation group at the time of discharge and 8 weeks after intervention were (65.23 ± 6.84, 84.53 ± 5.27), which was higher than those of the control group (61.03 ± 7.15, 74.92 ± 6.52) (P < 0.05). The balance ability of the observation group at the time of discharge and 8 weeks after the intervention was higher than that of the control group, the time of time up to go test was shorter than that of the control group, and proprioceptive function was higher than that of the control group (P < 0.05). The resilience level in the observation group after the intervention was higher than that in the control group (P < 0.05). Sensory and motor training in AIDET communication mode promotes knee function recovery of patients after knee arthroplasty, improves their limb walking ability and balance function, and increases their resilience level.

ON THE ISSUE OF ENSURING THE OPERABILITY OF FREIGHT CAR AXLE BOXES

The article is devoted to analysing the reliability of freight car axle boxes. Wheelsets and axle boxes are especially important for ensuring the traffic safety of trains. The study examined cases of cars uncoupling from a train along the route due to technical faults resulting in delays in train movement. The analysis covered the period of 1995–2023. It found that failures of car axle boxes and automatic brakes predominated. After a significant decrease from 2000–2014, the number of roller axle box failures in recent years fluctuated at 30% of the total number of uncouplings. The analysis obtained a dependency for the change in car detachments due to roller bearing failures, calculated per 1,000 cars in the operating fleet. Despite fluctuations in the number of railcars, the safety level of operations in recent years remained virtually at the same level. The study highlighted that excessive heating accompanies damage in the elements of the axle box unit. It considered methods for detecting possible failures and their advantages and disadvantages. The authors identified the primary causes of axle box component failures. Cylindrical bearings and end mountings remain the most dangerous for failure probability. We demonstrated that the axle box design with cylindrical bearings has a fundamental flaw. Axial forces are perceived through the rolling friction of the ends of the rollers against the ring flanges, leading to the formation of ‘chevron’ scratches and dents on the roller ends, which are stress concentrators. The study established that the surface of the axle box housing is constantly in contact with the side frame of the freight car bogie and wears out. It results in pinching of the axle box body and contributes to the appearance of additional permanent forces acting on the axle box assembly. The end-bearing mounts are weakened and destroyed. Skewed rollers in the bearings cause fatigue failure of the rolling races. It leads to increased heating of the axle box assemblies and uncoupling of the car. A promising direction is the improvement of axle box bodies. Keywords: rolling stock, traffic safety, reliability, axle box assembly, roller bearing, axle box body, failure.

Designing of Choreography Training Program for Wushu Daoshu

Background and Aims: Regarding the choreography of Wushu routines, the Chinese Wushu Association's "Basic Explanation of Wushu Routines" points out that, with the development of society, people's values and functions of Wushu are changing. Each Wushu action is linked together to form a dynamic and continuous picture, which shows its fascinating charm and high aesthetic and ornamental value. The purpose of this study was to design and choreograph Wushu movements for Wushu Daoshu competitions. Methodology: This study was quasi-experimental method. The samples included 30 Wushu school senior class students, 9 Wushu routine experts, and 9 Wushu judges. Through expert interviews, simulated competition, and practice, the routine movements of the top 16 athletes in the 2021 National Wushu Routine Championship were analyzed, and then the Wushu movement arrangement and training plan of the Wushu Daoshu competition were designed, with an IOC value of 0.74. To confirm the efficiency of the Wushu choreography, the training experiment will be conducted with the students, and a simulated competition of Wushu Daoshu will be conducted with the students before and after the experiment. The results of the scores before and after the experiment will then be compared to determine the effectiveness of the designed Wushu movement choreography through a t-test. Results: Wushu Daoshu set arrangement can be divided into three main parts: (1) the basic Daoshu skills must be selected (2) a set of technical combinations of movements (3) jumping difficulty movements, which set of technical combinations of movements is an important basis for the arrangement of the set. The results of the designed Wushu movement choreography in the Wushu Daoshu program were scored by a Wushu referee and compared between the pre-and post-trial scores, and the results showed that the training of the researcher's designed Wushu movement choreography in the Wushu Daoshu program was effective in obtaining higher scores in Wushu Daoshu program competitions. Conclusion: The average score gap between the two groups is more obvious. The Wushu movement choreography in the Wushu Daoshu competition designed by the researchers is effective, and it can achieve higher results in the Wushu Daoshu competition.

Analysis of health related event detection in big data for physical education training movement detection.

Physical education and training are essential ways to improve the physical quality of the nation, and China has incorporated "building a healthy China" and "fitness for all" into its national development strategy, integrating a strong sports nation into the Chinese dream. The study of digital recording and automated training in sports is of profound value. Motion capture technology can digitally record the training process in a digital physical education training system. At the same time, accurate modeling and calculation can analyze the training effects and give appropriate guidance and feedback. This study develops a new and improved hierarchical K-means algorithm by combining the known classification algorithm K-means with a hierarchical algorithm. The performance of the old and new algorithms are compared and then applied to physical education training data to produce clustering results and analysis to reduce the model, which is used to reduce the number of parameters in the model and improve the recognition speed. The experimental results demonstrate that the relevant models proposed in this study achieve an average accuracy of 91.27% and 92.26%, respectively, which is better than a single network model and can effectively use big data for health event detection. The empirical results show that the improved model algorithm outperforms the single network model and can detect health events using big data.

Снижение числа несчастных случаев и аварий при управлении поездом в автоматическом режиме

Railroad transport is the main element of economic development of Russian regions; it ensures reliable communication between industrial enterprises and raw material supply bases in Russia. Transportation of enterprise employees and freights is an integral part of the successful functioning of any industrial company. Ensuring safe conditions of train traffic is a matter of high priority for all participants in the transportation process. The article provides external and internal parameters affecting the safety of rolling stock. The impact of external factors, such as weather conditions, optical visibility, illumination, and air transparency on the operation of technical vision systems when driving a train in automatic mode have been analyzed. Taking the impact of these factors into account is necessary to limit the speed of rolling stock in the sectors of low visibility and sharp reduction of visibility range of obstacles, which is crucial to ensure safe train movement when calculating the braking curve. Such a dependence requires the introduction of correcting coefficients into algorithms of the train movement model and considering the correction when calibrating and configuring computers and devices of the technical vision system. In order to determine the internal parameters of rolling stock, an algorithm for the calculation of the coordinates of a technical object has been proposed. For a moving object, the coordinates are calculated on the orthodromic trajectory using the existing dependence between the current longitude and latitude of the object and the speed projections measurements of the rolling stock on the axis of the geographic coordinate system. The proposed options to determine the rolling stock parameters improve the quality and accuracy of determining speed and coordinates and reduce computing and hardware costs aboard a locomotive, which, in turn, affects the time of decision-making to ensure optimal control of rolling stock and prevention of accidents and emergencies.

Voluntary walking related joint movement training with targeted epidural electrical stimulation enabled neural recovery for individuals with spinal cord injury

Voluntary walking related joint movement training with targeted epidural electrical stimulation enabled neural recovery for individuals with spinal cord injury

Properties of layer V pyramidal neurons in the primary motor cortex that represent acquired motor skills

Layer V neurons in primary motor cortex (M1) are required for motor skill learning. We analyzed training-induced plasticity using a whole-cell slice patch-clamp technique with a rotor rod task, and found that training induces diverse changes in intrinsic properties and synaptic plasticity in M1 layer V neurons. Although the causal relationship between specific cellular changes and motor performance is unclear, by linking individual motor performance to cellular/synaptic functions, we identified several cellular and synaptic parameters that represent acquired motor skills. With respect to cellular properties, motor performance was positively correlated with resting membrane potential and fast afterhyperpolarization, but not with the membrane resistance, capacitance, or threshold. With respect to synaptic function, the performance was positively correlated with AMPA receptor-mediated postsynaptic currents, but not with GABAA receptor-mediated postsynaptic currents. With respect to live imaging analysis in Thy1-YFP mice, we further demonstrated a cross-correlation between motor performance, spine head volume, and self-entropy per spine. In the present study, we identified several changes in M1 layer V pyramidal neurons after motor training that represent acquired motor skills. Furthermore, training increased extracellular acetylcholine levels known to promote synaptic plasticity, which is correlated with individual motor performance. These results suggest that systematic control of specific intracellular parameters and enhancement of synaptic plasticity in M1 layer V neurons may be useful for improving motor skills.

Substantiating the reliability conditions for the production process at metallurgical enterprises through the fault-tolerant functioning of the system «extraction of raw materials – technological railroad routes – metallurgical production»

The object of this study is the process of formation of insurance reserves at enterprises in the metallurgical industry. Under conditions of uneven supply of raw materials to metallurgical enterprises due to disruption of the transportation process or other reasons, there is a need to create insurance stocks in order to ensure the continuity of production. At the same time, it is necessary to take into account existing restrictions, such as the limited capacity of railroad sections and the impossibility of organizing parallel movement of trains, etc. The presence of these limitations makes it impossible to use classical methods for solving similar problems, such as linear programming. Therefore, to resolve the task, a simulation model was built, based on the discrete-event principle in the AnyLogic University Researcher environment using Oracle libraries and the Java SE compiler. With the help of the model, the process of rotation of dispatch routes at the railroad yard with multiple suppliers and one consignee was formalized. The optimization criterion was chosen to be the minimum deviations of fluctuations in reserves of iron ore concentrate and coke. Analysis of the simulation results revealed that the optimal size of the fleet of railroad routes on the selected rotation polygon is 30 units; at the same time, their utilization rate will be 65 %. It was also established that fluctuations in raw material stocks have a «natural character», which is confirmed by the normal distribution of the density of stock volumes. Under these conditions, the value of fluctuations in the volumes of the main raw materials will be ±13115 t/day for iron ore concentrate, and ±5298 t/day for coke. Reducing the range of fluctuation of raw materials volumes could make it possible to optimize the costs of creating stocks and streamline the transport work of the enterprise for providing raw materials

Dynamic and Static Workout of In Vitro Skeletal Muscle Tissue through a Weight Training Device.

Enhancing muscle strength through workouts is a key factor inimproving physical activity and maintaining metabolic profiles. The controversial results concerning the impacts of weight training often arise from clinical experiments that require controlled experimental conditions. In this study, a weight training system for a muscle development model is presented, which is capable of performing weight training motions with adjustable weight loads. Through the implementation of cultured skeletal muscle tissue with floating structures and a flexible ribbon, both isotonic (dynamic change in muscle length) and isometric (static in muscle length) exercises can be performed without the deflection of the tissue. Quantitative analysis of contraction force, changes in metabolic processes, and muscle morphology under different weight training conditions demonstrates the effectiveness of the proposed system. Our proposed system holds potential for establishing effective muscle development and for further applications in rehabilitation training methods.

Comparative analysis of biomechanical characteristics between the new Tai Chi elastic band exercise for opening and closing movement and elastic band resistance training for the reverse fly movement.

The objective of this study was to compare and analyze the representative opening and closing movement of Tai Chi elastic band exercise with the reverse fly movement of elastic band resistance training. The aim was to explore the biomechanical differences between the two exercises and provide theoretical support for the application of Tai Chi elastic band exercise in health intervention. A total of 26 male participants were recruited and randomly divided into two groups in a 1:1 ratio. There were 13 participants in each Tai Chi elastic band exercise group and elastic band resistance training group. Both groups of participants used an elastic band to perform movement in the experiment. Experimental data were collected using the Vicon infrared motion capture system and Delsys surface EMG system. The AnyBody software was utilized to simulate the creation of a musculoskeletal model for both exercises. The study found that the Tai Chi elastic band exercise group exhibited smaller horizontal abduction angle and flexion angle of the shoulder joint, as well as normalized RMS of the anterior deltoid and triceps brachii, compared to the elastic band resistance training group (P < 0.01); the Tai Chi elastic band exercise group exhibited greater elbow flexion angle, elbow flexion torque, and muscle strength of the infraspinatus, coracobrachialis, biceps brachii, brachialis and brachioradialis, compared to the elastic band resistance training group (P < 0.01); the Tai Chi elastic band exercise group exhibited smaller horizontal abduction angular velocity of the shoulder joint and a lower normalized RMS of the posterior deltoid, compared to the elastic band resistance training group (P < 0.05). (1) The opening and closing movement of Tai Chi elastic band exercise is characterized by a large elbow flexion angle, a small shoulder joint horizontal angle and flexion angle, and a slow and uniform speed of movement. The reverse fly movement of elastic band resistance training is characterized by a large horizontal abduction angle of the shoulder joint, a large flexion angle of the shoulder joint, a small flexion angle of the elbow joint, and a fast and uneven speed. (2) The opening and closing movement exerts a greater torque on the elbow flexion, while the reverse fly movement exerts a greater torque on the shoulder joint horizontal abduction and external rotation. (3) The opening and closing movement provide greater stimulation to the infraspinatus, coracobrachialis, and elbow flexor, while the reverse fly movement provides greater stimulation to the posterior deltoid, anterior deltoid, subscapularis, and elbow extensor. In summary, the variation in joint angle, joint angular velocity, and hand position could be the factor contributing to the differences in joint torque and muscle activity between the opening and closing movement of Tai Chi elastic band exercise and the reverse fly movement of elastic band resistance training.

Sleep need driven oscillation of glutamate synaptic phenotype.

Sleep loss increases AMPA-synaptic strength and number in the neocortex. However, this is only part of the synaptic sleep loss response. We report increased AMPA/NMDA EPSC ratio in frontal-cortical pyramidal neurons of layers 2-3. Silent synapses are absent, decreasing the plastic potential to convert silent NMDA to active AMPA synapses. These sleep loss changes are recovered by sleep. Sleep genes are enriched for synaptic shaping cellular components controlling glutamate synapse phenotype, overlap with autism risk genes and are primarily observed in excitatory pyramidal neurons projecting intra-telencephalically. These genes are enriched with genes controlled by the transcription factor, MEF2c and its repressor, HDAC4. Sleep genes can thus provide a framework within which motor learning and training occurs mediated by sleep-dependent oscillation of glutamate-synaptic phenotypes.

Magic-themed motor training on daily bimanual task performance in children with unilateral spastic cerebral palsy: A systematic review and meta-analysis.

Magic-themed motor training on daily bimanual task performance in children with unilateral spastic cerebral palsy: A systematic review and meta-analysis.

Effects of External Pacing Type on the Cross-Education of Motor Skill

Cross-education (CE) is a phenomenon whereby motor training of one limb leads to improved performance in the opposite untrained limb. External pacing of a motor task can enhance CE; however, the influence of different pacing methods is poorly understood. This study explored how motor training with auditory (AP) and visual pacing (VP) impacts CE with a visuomotor force target task. Sixty-one participants performed a unimanual motor task. Participants were randomized into a visual (n = 31) or auditory (n = 30) pacing stimuli condition. The primary outcome was cumulative error scores for each hand, before and after visuomotor training. Pacing type did not yield different magnitudes of CE. However, after adjusting for baseline differences, a significant hand (trained vs. untrained) × practice side (dominant or non-dominant) interaction (p = .013, η p 2 = .106) and a group main effect (p = .036, η p 2 = .165) were observed. Visual pacing resulted in greater improvements in task performance compared to auditory pacing regardless of hand or practice side, while training the dominant limb resulting in a greater interlimb asymmetry regardless of pacing stimulus. These findings have implications for applying pacing strategies during rehabilitation from unilateral injury or neurological impairment.

A study on the Application of Virtual Reality Technology in Children's Rehabilitation Therapy

This article discusses the value of virtual reality (VR) technology in paediatric rehabilitation therapy, which can create immersive, interactive and imaginative virtual environments and provide children with safe and interesting therapeutic modalities to effectively improve their cognitive, motor, speech and emotional problems. The article analyses the application of VR technology in different scenarios, such as attention training, motor training, verbal expression training and emotion recognition training, and points out that the advantages of VR technology are to increase the interest of treatment, enhance the patient's participation, and achieve personalised treatment. However, VR technology also has challenges such as technical limitations, evaluation difficulties and high equipment costs. With the continuous development and improvement of the technology, VR technology is expected to overcome these challenges and play a greater role in the field of children's rehabilitation therapy, bringing hope for the rehabilitation of more children.

Brain modulation after exergaming training in advanced forms of Parkinson’s disease: a randomized controlled study

BackgroundPhysical activity combined with virtual reality and exergaming has emerged as a new technique to improve engagement and provide clinical benefit for gait and balance disorders in people with Parkinson’s disease (PD).ObjectiveTo investigate the effects of a training protocol using a home-based exergaming system on brain volume and resting-state functional connectivity (rs-FC) in persons with PD.MethodsA single blind randomized controlled trial was conducted in people with PD with gait and/or balance disorders. The experimental (active) group performed 18 training sessions at home by playing a custom-designed exergame with full body movements, standing in front of a RGB-D Kinect® motion sensor, while the control group played using the computer keyboard. Both groups received the same training program. Clinical scales, gait recordings, and brain MRI were performed before and after training. We assessed the effects of both training on both the grey matter volumes (GVM) and rs-FC, within and between groups.ResultsTwenty-three patients were enrolled and randomly assigned to either the active (n = 11) or control (n = 12) training groups. Comparing pre- to post-training, the active group showed significant improvements in gait and balance disorders, with decreased rs-FC between the sensorimotor, attentional and basal ganglia networks, but with an increase between the cerebellar and basal ganglia networks. In contrast, the control group showed no significant changes, and rs-FC significantly decreased in the mesolimbic and visuospatial cerebellar and basal ganglia networks. Post-training, the rs-FC was greater in the active relative to the control group between the basal ganglia, motor cortical and cerebellar areas, and bilaterally between the insula and the inferior temporal lobe. Conversely, rs FC was lower in the active relative to the control group between the pedunculopontine nucleus and cerebellar areas, between the temporal inferior lobes and the right thalamus, between the left putamen and dorsolateral prefrontal cortex, and within the default mode network.ConclusionsFull-body movement training using a customized exergame induced brain rs-FC changes within the sensorimotor, attentional and cerebellar networks in people with PD. Further research is needed to comprehensively understand the neurophysiological effects of such training approaches.Trial registration ClinicalTrials.gov NCT03560089.

Analysis of Mechanical Damage in Dance Training Under Artificial Intelligence Behavior Constraints

This study focuses on the application of artificial intelligence behavior constraints in the analysis of mechanical injuries in dance training, aiming to accurately analyze and effectively prevent mechanical injuries during dance training through the introduction of artificial intelligence technology. Dance, as a highly dependent art form on physical skills, often comes with a certain risk of mechanical injury during its training process. In this study, we first reviewed the relevant theories of mechanical injuries in dance training and analyzed the inherent relationship between dance movements and mechanical injuries. Subsequently, we utilized artificial intelligence technology to conduct behavior constraint analysis on the dance training process. By constructing a dance action recognition model, we achieved real-time monitoring and evaluation of dance training actions. On this basis, we further utilize the principles of mechanics to quantitatively analyze dance movements and extract key factors that affect mechanical damage. Through in-depth analysis and comparison, this study found that mechanical injuries in dance training are mainly influenced by various factors such as movement standardization, training intensity, and individual differences. We applied the theory of sports biomechanics to study sports dance injuries and analyzed the causes of athlete injuries. By exploring more scientific training methods and means, the correlation coefficients between main joint muscle strength, proprioception, tibialis anterior muscle imbalance response time, and rotational stability were measured to study proprioception training suitable for sports dance, adhering to the principle of gradual progression. In future sports dance rotation training, corresponding training should be carried out according to the characteristics of different rotation steps, providing reference for strengthening leg training and ankle training.

An application of clustering to classify movement patterns in men’s professional grand slam hard court tennis

ABSTRACT The movement cycles from Australian Open player tracking data were analysed using the Lloyd k-means clustering algorithm to classify movement patterns that exist in men’s grand-slam tennis. The elbow criterion method identified six movement patterns, and the k-means model allocated each movement cycle into one of these discrete groups. A description of each movement pattern is presented, outlining three inner range and three end range movement patterns, which are distinguishable by distance, direction, time pressure, and starting location. These findings provide objective details for coaches and athletes to understand tennis movement, overcoming vague descriptions of the inner range and end range in tennis vernacular. The amalgam of distance, direction, and time pressure demands that categorise the six movement patterns can enhance the specificity of training drill design and movement evaluation. Furthermore, evaluating the movement patterns a player typically elicits during match-play can inform typical load exposure and be useful in load monitoring practices. Additionally, understanding the prevalence of movement patterns in a typical match may help understand the strategic approaches players use during match-play.

Effects of a dual intervention (motor and virtual reality-based cognitive) on cognition in patients with mild cognitive impairment: a single-blind, randomized controlled trial

BackgroundThe increase in cases of mild cognitive impairment (MCI) underlines the urgency of finding effective methods to slow its progression. Given the limited effectiveness of current pharmacological options to prevent or treat the early stages of this deterioration, non-pharmacological alternatives are especially relevant.ObjectiveTo assess the effectiveness of a cognitive-motor intervention based on immersive virtual reality (VR) that simulates an activity of daily living (ADL) on cognitive functions and its impact on depression and the ability to perform such activities in patients with MCI.MethodsThirty-four older adults (men, women) with MCI were randomized to the experimental group (n = 17; 75.41 ± 5.76) or control (n = 17; 77.35 ± 6.75) group. Both groups received motor training, through aerobic, balance and resistance activities in group. Subsequently, the experimental group received cognitive training based on VR, while the control group received traditional cognitive training. Cognitive functions, depression, and the ability to perform activities of daily living (ADLs) were assessed using the Spanish versions of the Montreal Cognitive Assessment (MoCA-S), the Short Geriatric Depression Scale (SGDS-S), and the of Instrumental Activities of Daily Living (IADL-S) before and after 6-week intervention (a total of twelve 40-minutes sessions).ResultsBetween groups comparison did not reveal significant differences in either cognitive function or geriatric depression. The intragroup effect of cognitive function and geriatric depression was significant in both groups (p < 0.001), with large effect sizes. There was no statistically significant improvement in any of the groups when evaluating their performance in ADLs (control, p = 0.28; experimental, p = 0.46) as expected. The completion rate in the experimental group was higher (82.35%) compared to the control group (70.59%). Likewise, participants in the experimental group reached a higher level of difficulty in the application and needed less time to complete the task at each level.ConclusionsThe application of a dual intervention, through motor training prior to a cognitive task based on Immersive VR was shown to be a beneficial non-pharmacological strategy to improve cognitive functions and reduce depression in patients with MCI. Similarly, the control group benefited from such dual intervention with statistically significant improvements.Trial registrationClinicalTrials.gov NCT06313931; https://clinicaltrials.gov/study/NCT06313931.

Effects of motor and cognitive complex training on obstacle walking and brain activity in people with Parkinson's disease: a randomized controlled trial.

The difficulties in obstacle walking are significant in people with Parkinson's disease (PD) leading to an increased fall risk. Effective interventions to improve obstacle walking with possible training-related neuroplasticity changes are needed. We developed two different exercise programs, complex walking training and motor-cognitive training, both challenging motor and cognitive function for people with PD to improve obstacle walking. To investigate the effects of these two novel training programs on obstacle walking and brain activities in PD. A single-center randomized, single-blind controlled study. University laboratory; outpatient. Individuals with idiopathic PD. Thirty-two participants were randomly assigned to the complex walking training group (N.=11), motor-cognitive training group (N.=11) or control group (N.=10). Participants in training groups received exercises for 40 minutes/session, with a total of 12-session over 6 weeks. Control group did not receive additional training. Primary outcomes included obstacle walking, and brain activities (prefrontal cortex (PFC), premotor cortex (PMC), and supplementary motor area (SMA)) during obstacle walking by using functional near-infrared spectroscopy. Secondary outcomes included obstacle crossing, timed up and go test (TUG), cognitive function in different domains, and fall efficacy scale (FES-I). The motor-cognitive training group demonstrated greater improvements in obstacle walking speed and stride length, SMA activity, obstacle crossing velocity and stride length, digit span test, and TUG than the control group. The complex walking training did not show significant improvement in obstacle walking or change in brain activation compared with control group. However, the complex walking training resulted in greater improvements in Rey-Osterrieth Complex Figure test, TUG and FES-I compared with the control group. Our 12-session of the cognitive-motor training improved obstacle walking performance with increased SMA activities in people with PD. However, the complex walking training did not lead such beneficial effects as the cognitive-motor training. The cognitive-motor training is suggested as an effective rehabilitation program to improve obstacle walking ability in individuals with PD.

Synthesize Personalized Training for Robot-Assisted Upper Limb Rehabilitation With Diversity Enhancement.

For upper limb rehabilitation, the robot-assisted technique in combination with serious games requires well-specified training plans. For the best quality of the rehabilitation process, customized game levels for each user are desired, while it is labor-intensive to design and adjust game levels for different individuals. We work on generating training content for a desktop end-effector rehabilitation robot and propose a method to automatically generate individualized training plans. By modeling the search of the training motions as finding optimal hand paths and trajectories, we introduce solving the design problem with a multi-objective optimization (MO) solver. We further improve the MO solver to enhance the diversity of the solutions. With the proposed approach, our system is capable of automatically generating various training plans considering the training intensity and dexterity of each joint in the upper limb. In addition, the enhanced diversity avoids repeated training plans, which helps motivate the user in the rehabilitation. We test our method with different requirements on the training plans and validate the solutions.