Visual Feedback Research Articles

Integrating Heart Rate Monitoring Into a Camp for Children With Neuromotor Disorders: A Case Series.

This case series investigated the implementation fidelity, feasibility, and effectiveness of integrating continuous heart rate monitoring with visual feedback into an established, intensive physical therapy camp for children with neuromotor disorders. The provision of continuous visual feedback through color-coded, individually calculated heart rate zones was a feasible and effective intervention, encouraging pediatric gait camp participants to exercise at intensities that produced aerobic and functional gains. The use of technology facilitated participation with peers, an outcome equally as important as their endurance and functional improvements. Pediatric physical therapists play a crucial role in enhancing the well-being and physical fitness of children with disabilities. Encouraging regular exercise in a social environment fosters enjoyable, inclusive experiences while promoting overall health. It is important for clinicians in various pediatric rehabilitation settings to establish programs that offer such opportunities for children with neuromotor disorders.

Sensory Characteristics of Operators in Tasks Involving Control of Ergatic Systems without Visual Feedback

Sensory Characteristics of Operators in Tasks Involving Control of Ergatic Systems without Visual Feedback

The effect of different visual feedback interfaces of music training games on speech rehabilitation in hearing-impaired children: An fNIRS study

Singing plays a critical role in enhancing musicality, sound discrimination, and attention, and proves advantageous for speech rehabilitation in children with hearing impairments. Computer-based training games are well-suited to the learning behaviors of children, with substantial evidence suggesting that music training augments speech training capabilities in this demographic. Despite this, there is a lack of detailed exploration into the design of interactive online music training interfaces tailored for these needs. This study investigates brain activation changes using two visual feedback singing games, analyzed through functional near-infrared spectroscopy: a serious game (SG) and an entertainment game (EG) with visually enhanced feedback. It also assesses the efficacy of home-based music training software for speech rehabilitation.Methods involved recording oxygenated hemoglobin concentration (Delta [HbO]) signals from the prefrontal cortex, motor cortex, occipital lobe, and temporal lobe in 21 children (average age: 9.3 ± 1.9 years) during two singing interface experiments. Subjects also completed the Intrinsic Motivation Inventory (IMI) questionnaire post-experiment.Main results showed that brain regions, particularly the temporal lobe, exhibited stronger and more pronounced activation signals with the SG interface compared to the EG, suggesting that SG is more effective for speech system rehabilitation. The Intrinsic Motivation Scale results revealed higher acceptability for SG than for EG. This study provides insights into designing online speech rehabilitation products for children with hearing impairment, advocating for better interactive training methods from a neuroscience perspective.

The Amount and Pattern of Reciprocal Compensations Predict Performance Stability in a Visually Guided Finger Force Production Task.

Previous work suggests that synergistic activity among motor elements implicated in force production tasks underlies enhanced performance stability associated with visual feedback. A hallmark of synergistic activity is reciprocal compensation, that is, covariation in the states of motor elements that stabilizes critical performance variables. The present study examined if characteristics of reciprocal compensation are indicators of individuals' capacity to respond adaptively to variations in the resolution of visual feedback about criterion performance. Twenty healthy adults (19.25 ± 1.25years; 15 females and five males) pressed two sensors with their index fingers to produce a total target force equivalent to 20% of their maximal voluntary contraction under nine conditions that differed in the spatial resolution of real-time feedback about their performance. By combining within-trial uncontrolled manifold and sample entropy analyses, we quantified the amount and degree of irregularity (i.e.,non-repetitiveness) of reciprocal compensations over time. We found a U-shaped relationship between performance stability and gain. Importantly, this relationship was moderated by the degree of irregularity of reciprocal compensation. Lower irregularity in reciprocal compensation patterns was related to individuals' capacity to maintain (or minimize losses in) performance under changes in feedback resolution. Results invite future investigation into how interindividual variations in reciprocal compensation patterns relate to differences in control strategies supporting adaptive responses in complex, visually guided motor tasks.

Touchpoints and systems for unmanned autonomous urban ferry operation

Abstract Currently, both experimental and commercial autonomous ferry services have a safety operator onboard who monitors the ferry systems, takes care of the passengers’ safety, and gives them the necessary information. Service touchpoints are all the interaction points between the autonomous ferry and the passengers throughout the passenger journey, from planning the trip to reaching their destination. To reach a state where the ferry service can be unmanned, by moving the safety operator into a remote operation centre, several additional systems and service touchpoints are needed to support the passengers’ safety and provide them with necessary information. This article discusses (1) the service touchpoints and systems needed for an autonomous urban ferry service, (2) how these touchpoints provide the passengers with the necessary information to foster trust and perceived safety, and (3) shows some examples and design suggestions for the experimental autonomous urban ferry milliAmpere2. The service touchpoints presented are (1) a ticket system, (2) an automatic ferry ordering system for on-demand operation, (3) an automatic passenger handling system for safe boarding of the ferry, (4) a passenger information system to provide visual and audio feedback about the ferry service, and (5) a passenger-operator communication system in case contact between the ferry and the remote operation centre need to be established.

How Does Organized Convection Impact Explicitly Resolved Cloud Feedbacks in the Radiative‐Convective Equilibrium Model Intercomparison Project?

AbstractIn simulations of radiative‐convective equilibrium (RCE), and with sufficiently large domains, organized convection enhances top of atmosphere outgoing longwave radiation due to the reduced cloud coverage and drying of the mean climate state. As a consequence, estimates of climate sensitivity and cloud feedbacks may be affected. Here, we use a multi‐model ensemble configured in RCE to study the dependence of explicitly calculated cloud feedbacks on the existence of organized convection, the degree to which convection within a domain organizes, and the change in organized convection with warming sea surface temperature. We find that, when RCE simulations with organized convection are compared to RCE simulations without organized convection, the propensity for convection to organize in RCE causes cloud feedbacks to have larger magnitudes due to the inclusion of low clouds, accompanied by a much larger inter‐model spread. While we find no dependence of the cloud feedback on changes in organization with warming, models that are, on average, more organized have less positive, or even negative, cloud feedbacks. This is primarily due to changes in cloud optical depth in the shortwave, specifically high clouds thickening with warming in strongly organized domains. The shortwave cloud optical depth feedback also plays an important role in causing the tropical anvil cloud area feedback to be positive which is directly opposed to the expected negative or near zero cloud feedback found in prior work.

Application of Handheld Point-of-Care Ultrasound in the Setting of Craniomaxillofacial Trauma: A Technical Note

Computed tomography (CT) is the standard of care imaging in craniomaxillofacial (CMF) trauma. Despite the clear advantages of high-resolution multiplanar and three-dimensional (3D) reconstructions, which facilitate accurate diagnosis and provide intraoperative (IO) real-time visual feedback, CT's main drawbacks remain availability, cost, and high radiation exposure. The decision to perform a CT scan is based on the integration of the patient's trauma mechanism, clinical examination, subjective judgment of the CMF surgeon, and the complexity of the surgery if used IO. Handheld point-of-care ultrasound (HPOCUS) is a small, portable device that can provide valuable additional data directing clinical decisions for CT referral in minor trauma cases and assist IO maneuvers. We describe a novel HPOCUS application concept as a clinical supplementary tool in CMF trauma diagnosis and surgery.

Decoding sound content in the early visual cortex of aphantasic participants.

Listening to natural auditory scenes leads to distinct neuronal activity patterns in the early visual cortex (EVC) of blindfolded sighted and congenitally blind participants.1,2 This pattern of sound decoding is organized by eccentricity, with the accuracy of auditory information increasing from foveal to far peripheral retinotopic regions in the EVC (V1, V2, and V3). This functional organization by eccentricity is predicted by primate anatomical connectivity,3,4 where cortical feedback projections from auditory and other non-visual areas preferentially target the periphery of early visual areas. In congenitally blind participants, top-down feedback projections to the visual cortex proliferate,5 which might account for even higher sound-decoding accuracy in the EVC compared with blindfolded sighted participants.2 In contrast, studies in participants with aphantasia suggest an impairment of feedback projections to early visual areas, leading to a loss of visual imagery experience.6,7 This raises the question of whether impaired visual feedback pathways in aphantasia also reduce the transmission of auditory information to early visual areas. We presented auditory scenes to 23 blindfolded aphantasic participants. We found overall decreased sound decoding in early visual areas compared to blindfolded sighted ("control") and blind participants. We further explored this difference by modeling eccentricity effects across the blindfolded control, blind, and aphantasia datasets, and with a whole-brain searchlight analysis. Our findings suggest that the feedback of auditory content to the EVC is reduced in aphantasic participants. Reduced top-down projections might lead to both less sound decoding and reduced subjective experience of visual imagery.

Cross-education Of The Repeated-bout Effect After Unilateral Eccentric Exercise With And Without Mirror Visual Feedback

Cross-education Of The Repeated-bout Effect After Unilateral Eccentric Exercise With And Without Mirror Visual Feedback

Vision Is Not Required to Elicit Balance Improvements From Beam Walking Practice.

Beam walking is a highly studied assessment of walking balance. Recent research has demonstrated that brief intermittent visual rotations and occlusions can increase the efficacy of beam walking practice on subsequent beam walking without visual perturbations. We sought to examine the influence of full vision removal during practice walking on a treadmill-mounted balance beam. Although visual disruptions improved performance of this task, we hypothesized that removing visual feedback completely would lead to less balance improvements than with normal vision due to the specificity of practice. Twenty healthy young adults trained to walk at a fixed speed on a treadmill-mounted balance beam for 30min, either with, or without, normal vision. We compared their balance pre-, during, and posttraining by calculating their step-offs per minute and the percentage change in step-offs per minute. Balance improved in both groups after training, with no significant difference in percentage change in step-offs between the normal vision and the no vision participants. On average, the no vision participants had twice as many step-offs per minute as the normal vision group during training. Although previous experiments show that intermittent visual perturbations led to large enhancements of the effectiveness of beam walking training, completely removing visual feedback did not alter training effectiveness compared with normal vision training. It is likely a result of sensory reweighting in the absence of vision, where a greater weight was placed on proprioceptive, cutaneous, and vestibular inputs.

Saccades to both vision and touch are modified following adaptation but cross-modal transfers are asymmetrical.

Adaptation of reactive saccades (RS), made toward the sudden appearance of stimuli in our environment, is a plastic mechanism thought to occur at the motor level of saccade generation. As saccadic oculomotor commands integrate multisensory information in the parietal cortex and superior colliculus, adaptation of RS should occur not only toward visual but also tactile targets. In addition, saccadic adaptation in one modality (vision or touch) should transfer cross-modally. To test these predictions, we used the double-step target paradigm to adapt rightward saccades made at two different eccentricities toward the participants' index and middle fingers, identified either visually (experiment 1) or tactually (experiment 2). In each experiment, the rate of adaptation induced for the adapted modality and the rate of adaptation transfer to the nonadapted modality were compared with that measured in a control (no adaptation) session. Results revealed that touch-triggered RS can be adapted as well as visually triggered ones. Moreover, the transfer pattern was asymmetric: visual saccadic adaptation transferred fully to tactile saccades, whereas tactile saccadic adaptation, despite full generalization to nonadapted fingers, transferred only partially to visual saccades. These findings disclose that in the case of tactile saccades, adaptation can be elicited in the absence of postsaccadic visual feedback. In addition, the asymmetric adaptation transfer across sensory modalities suggests that the adaptation locus for tactile saccades may occur in part upstream of the final motor pathway common to all saccades. These findings bring new insights both on the functional loci(us) and on the error signals of RS adaptation. NEW & NOTEWORTHY The present study revealed that, as predicted from a large literature, adaptation of visual reactive saccades transfers to tactile saccades of the same as well as neighboring amplitudes. Furthermore, in a modified double-step target paradigm, tactile saccades exposed to repeated errors adapt with a similar rate and spatial generalization as visual saccades, but this adaptation only slightly transfers to visual saccades. These findings bring new information on saccadic adaptation processes.

An explainable deep learning model for automated classification and localization of microrobots by functionality using ultrasound images

The rapid advancements of untethered microrobots offer exciting opportunities in fields such as targeted drug delivery and minimally invasive surgical procedures. However, several challenges remain, especially in achieving precise localization and classification of microrobots within living organisms using ultrasound (US) imaging. Current US-based detection algorithms often suffer from inaccurate visual feedback, causing positioning errors. This paper presents a novel explainable deep learning model for the localization and classification of eight different types of microrobots using US images. We introduce the Attention-Fused Bottleneck Module (AFBM), which enhances feature extraction and improves the performance of microrobot classification and localization tasks. Our model consistently outperforms baseline models such as YOLOR, YOLOv5-C3HB, YOLOv5-TBH, YOLOv5 m, and YOLOv7. The proposed model achieved mean Average Precision (mAP) of 0.861 and 0.909 at an IoU threshold of 0.95 which is 2% and 1.5% higher than the YOLOv5 m model in training and testing, respectively. Multi-thresh IoU analysis was performed at IoU thresholds of 0.6, 0.75, and 0.95, and demonstrated that the microrobot localization accuracy of our model is superior. A robustness analysis was performed based on high and low frequencies, gain, and speckle in our test data set, and our model demonstrated higher overall accuracy. UsingScore-CAM in our framework enhances interpretability, allowing for transparent insights into the model’s decision-making process. Our work signifies a notable advancement in microrobot classification and detection, with potential applications in real-world scenarios using the newly available USMicroMagset dataset for benchmarking.

Stable random laser of perovskite quantum dots based on SiO2-QDs-SiO2 composite nanostructure

In recent years, metal halide perovskite has gradually become a hotspot in the field of optoelectronics. However, the inherent instability of CsPbX3 quantum dots (QDs) seriously affects the amplified spontaneous emission (ASE) or lasing performance. Herein, the highly stable CsPbBr3 random laser is realized in SiO2-QDs-SiO2 (SQS) composite nanostructure doped with Ag nanoislands. The strong scattering generated by SQS composite nanostructure and the localized surface plasmon resonance (LSPR) of metal silver nanoislands provide optical feedback for the formation of random laser. Then a coherent random laser with low threshold (∼2.2 mJ/cm2) is obtained. SiO2 microspheres anchor QDs to avoid photoinduced regeneration and fluorescence quenching caused by QDs clusters. The inner QDs of SQS are effectively protected from water erosion, thus resulting that the samples have higher water resistance. The luminescence intensity still maintains 70 % of the original intensity after 40 days with the addition of pure water. Our research provides an effective method for improving the water stability of perovskite QDs. The highly stable random laser based on perovskite quantum dot film has a wide application prospect in integrated optoelectronics, display imaging and sensing measurement.

The Effects of Treadmill Training with Visual Feedback and Rhythmic Auditory Cue on Gait and Balance in Cerebral Palsy: A Randomized Controlled Trial

The Effects of Treadmill Training with Visual Feedback and Rhythmic Auditory Cue on Gait and Balance in Cerebral Palsy: A Randomized Controlled Trial

Impact of Rehabilitation Training Combined with Visual Feedback Balance Training on Motor Function in Patients with Sports-Related Knee Injuries: A Biomechanical Approach

Impact of Rehabilitation Training Combined with Visual Feedback Balance Training on Motor Function in Patients with Sports-Related Knee Injuries: A Biomechanical Approach

Foliar methane and nitrous oxide fluxes in tropical tree species

Methane (CH₄) and nitrous oxide (N₂O) are critical biogenic greenhouse gases (GHGs) with global warming potentials substantially greater than that of carbon dioxide (CO₂). The exchange of these gases in tropical forests, particularly via foliar processes, remains poorly understood. We quantified foliar CH₄ and N₂O fluxes among tropical tree species and examined their potential association with the leaf economics spectrum (LES) traits. Sampling within Lawachara National Park, Bangladesh, we used in-situ measurements of foliar CH₄ and N₂O fluxes employing off-axis integrated cavity output spectroscopy (CH₄, CO₂ and H₂O) and optical feedback–cavity enhanced absorption spectroscopy (N₂O) analyzers. Leaves were measured under dark, low, and high (0, 100, and 1000 μmol·m−2·s−1) light conditions. Surveyed tree species exhibited both net foliar uptake and efflux of CH₄, with a mean flux not different from zero, suggesting negligible net foliar emissions at the stand level. Plant families showed differences in CH₄, but not N₂O fluxes. Consistent efflux was observed for N₂O, with a mean of 0.562 ± 0.060 pmol·m−2·s−1. Pioneer species exhibited a higher mean N₂O flux (0.81 ± 0.17 pmol·m−2·s−1) compared to late-successional species (0.37 ± 0.05 pmol·m−2·s−1). Pioneer species also showed a trend toward a higher mean CH₄ flux (0.24 ± 0.21 nmol·m−2·s−1) compared to mid-successional (−0.01 ± 0.26 nmol·m−2·s−1) and late-successional species (−0.05 ± 0.28 nmol·m−2·s−1). Moreover, among all leaf traits within the leaf economic spectrum, a significant positive relationship was observed between leaf N₂O flux and total leaf nitrogen. Our results suggest that pioneer tree species significantly contribute to net CH₄ and N₂O emissions, potentially counteracting the carbon sequestration benefits in regenerating tropical forests. These findings indicate that accurate GHG budgeting should include direct measurements of foliar CH₄ and N₂O fluxes. Moreover, the results suggest that forest conservation and management strategies that prioritize late successional species will better mitigate GHG emissions.

Adoption of the Robotic Platform across Thoracic Surgeries.

With the paradigm shift in minimally invasive surgery from the video-assisted thoracoscopic platform to the robotic platform, thoracic surgeons are applying the new technology through various commonly practiced thoracic surgeries, striving to improve patient outcomes and reduce morbidity and mortality. This review will discuss the updates in lung resections, lung transplantation, mediastinal surgeries with a focus on thymic resection, rib resection, tracheal resection, tracheobronchoplasty, diaphragm plication, esophagectomy, and paraesophageal hernia repair. The transition from open surgery to video-assisted thoracoscopic surgery (VATS) to now robotic video-assisted thoracic surgery (RVATS) allows complex surgeries to be completed through smaller and smaller incisions with better visualization through high-definition images and finer mobilization, accomplishing what might be unresectable before, permitting shorter hospital stay, minimizing healing time, and encompassing broader surgical candidacy. Moreover, better patient outcomes are not only achieved through what the lead surgeon could carry out during surgeries but also through the training of the next generation via accessible live video feedback and recordings. Though larger volume randomized controlled studies are pending to compare the outcomes of VATS to RVATS surgeries, published studies show non-inferiority data from RVATS performances. With progressive enhancement, such as overcoming the lack of haptic feedback, and future incorporation of artificial intelligence (AI), the robotic platform will likely be a cost-effective route once surgeons overcome the initial learning curve.

Effect of Task Constraints on Neurobiological Systems Involved in Postural Control in Individuals with and without Chronic Ankle Instability.

The purpose of this study is to investigate the effect of task constraints on the neurobiological systems while maintaining postural control under various sensory feedback manipulations in individuals with and without Chronic Ankle Instability (CAI). Forty-two physically active individuals, with and without CAI, were enrolled in a case-control study conducted at a biomechanics research laboratory. All participants underwent the Sensory Organization Test (SOT), which assesses individuals' ability to integrate somatosensory, visual, and vestibular feedback to maintain postural control in double-, uninjured-, and injured-limb stances under six different conditions in which variations in the sway-referenced support surface (platform) and visual surroundings, with and without vision, are manipulated to affect somatosensory and visual feedback. Center-of-Pressure (COP) path length was computed from raw data collected during trials of each SOT condition. Sample Entropy (SampEN) values were extracted from the COP path length time series to examine neurobiological systems complexity, with lower SampEN values indicating more predictable and periodic (rigid) neurobiological systems, while higher SampEN values indicate more unpredictable and random systems. The results show that specific task constraints affect the neurobiological systems. Specifically, individuals with CAI demonstrated reduced complexity (decreased SampEN values) in the neurobiological systems during the uninjured-limb stance when all sensory feedback was intact and during both uninjured- and injured-limb stances when they were forced to rely on vestibular feedback. These results highlight the interplay between sensory feedback and task constraints in individuals with CAI and suggest potential adaptations in the neurobiological systems involved in postural control.

Efficacy of a new video observational training method (intensive visual simulation) for motor recovery in the upper limb in subacute stroke: a feasibility and proof-of-concept study.

To demonstrate the feasibility and efficacy of a new video-observation training method (intensive visual simulation) to improve upper limb function. Small sample, randomized, evaluator-blind, monocentric study. Seventeen early subacute ischaemic stroke patients with complete hemiplegia were randomly assigned to the therapeutic group (n = 8) or control group (CG, n = 9). Thirty sessions of intensive visual simulation combined with corrected visual feedback (therapeutic group) or uncorrected visual feedback (control group) were performed over 6 weeks on top of a standard rehabilitation programme. 400-point hand assessment test (400p-HA). Box and Blocks (B&B), Purdue Pegboard test, Minnesota. The 400p-HA test improved significantly from T0 to 6 months for both groups, with a significant difference between groups at 3 months (MW-UT p = 0.046) and 4 months (MW-UT p = 0.046) in favour of the therapeutic group. One-phase exponential modelling of 400p-HA showed a greater plateau for the therapeutic group (F test p = 0.0021). There was also faster recovery of the ability to perform the B&B tests for the therapeutic group (log-rank test p = 0.03). This study demonstrated the feasibility and potential efficacy of an intensive visual simulation training programme to improve upper limb function in subacute stroke patients. A larger study is needed to confirm these results.

Free Crushed Cartilage Filler Graft to Optimize Tip Aesthetics in Asian Rhinoplasty.

The thick skin and weak cartilages make tip rhinoplasty very challenging in Asian patients. Most require an open approach for structural grafting in order to achieve the desired projection and rotation. This need for substantial tip grafting may result in subtle imperfections that are only noticed as the incisions are closed. This study describes the senior author's technique of free crushed cartilage filler graft to optimize nasal tip aesthetics in Asian rhinoplasty. The goal is to introduce this easy-to-use and effective technique to refine the final nasal tip aesthetic with immediate visual and tactile feedback. This is a retrospective review of all patients with free crushed cartilage filler graft with at least 12months of follow-up. Medical records were reviewed for patient demographics, intra-operative manoeuvres, and complications. Photographs were analysed to evaluate changes in nasal length, tip height, and nasolabial and columellar-labial angles as well as aesthetic complications. Sixty-six patients were included in this study, with an average follow-up of 16.3months. Nasal length was 8.3% greater than pre-op (P < 0.01), and nasal tip height was 12.7% greater than pre-op (P < 0.01). Aesthetic analysis demonstrated that 6.1% of patients had an amorphous tip, 3.0% had an irregular or asymmetric tip, and 4.5% had visible tip grafts. 12.1% of patients expressed aesthetic dissatisfaction, but none was recommended for or pursued revision surgery. When used correctly, free crushed cartilage filler graft can improve the final tip aesthetic and help camouflage underlying prominences to give the patient a natural result. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .