GEARing smart environments for pediatric motor rehabilitation.
Background: There is a lack of early (infant) mobility rehabilitation approaches that incorporate natural and complex environments and have the potential to concurrently advance motor, cognitive, and social development. The Grounded Early Adaptive Rehabilitation (GEAR) system is a pediatric learning...
| Publicado en: | Journal of NeuroEngineering & Rehabilitation (JNER) Vol. 17; no. 1; pp. 1 - 16 |
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| Autores principales: | , , , , , , |
| Formato: | Journal Article |
| Publicado: |
BioMed Central
2/10/2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141662323&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 141662323 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17430003 1CUC jtl: Journal of NeuroEngineering & Rehabilitation (JNER) issn: 17430003 maglogo: N pubinfo: dt: 2/10/2020 vid: 17 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 141662323 141662323 NLM32041623 10.1186/s12984-020-0647-0 NLM32041623 141662323 ppf: 1 ppct: 15 formats: tig: atl: GEARing smart environments for pediatric motor rehabilitation. aug: au: Kokkoni, Elena Mavroudi, Effrosyni Zehfroosh, Ashkan Galloway, James C. Vidal, Renè Heinz, Jeffrey Tanner, Herbert G. affil: Department of Bioengineering, University of California, 92521, Riverside, CA, USA sug: subj: Interpersonal Relations Orthoses Symptoms Robotics Methods Motor Activity Child, Preschool Algorithms Female Male Infant Down Syndrome Rehabilitation Developmental Disabilities Rehabilitation Questionnaires Social Readjustment Rating Scale Child, Preschool: 2-5 years Infant: 1-23 months Female Male ab: Background: There is a lack of early (infant) mobility rehabilitation approaches that incorporate natural and complex environments and have the potential to concurrently advance motor, cognitive, and social development. The Grounded Early Adaptive Rehabilitation (GEAR) system is a pediatric learning environment designed to provide motor interventions that are grounded in social theory and can be applied in early life. Within a perceptively complex and behaviorally natural setting, GEAR utilizes novel body-weight support technology and socially-assistive robots to both ease and encourage mobility in young children through play-based, child-robot interaction. This methodology article reports on the development and integration of the different system components and presents preliminary evidence on the feasibility of the system.Methods: GEAR consists of the physical and cyber components. The physical component includes the playground equipment to enrich the environment, an open-area body weight support (BWS) device to assist children by partially counter-acting gravity, two mobile robots to engage children into motor activity through social interaction, and a synchronized camera network to monitor the sessions. The cyber component consists of the interface to collect human movement and video data, the algorithms to identify the children's actions from the video stream, and the behavioral models for the child-robot interaction that suggest the most appropriate robot action in support of given motor training goals for the child. The feasibility of both components was assessed via preliminary testing. Three very young children (with and without Down syndrome) used the system in eight sessions within a 4-week period.Results: All subjects completed the 8-session protocol, participated in all tasks involving the selected objects of the enriched environment, used the BWS device and interacted with the robots in all eight sessions. Action classification algorithms to identify early child behaviors in a complex naturalistic setting were tested and validated using the video data. Decision making algorithms specific to the type of interactions seen in the GEAR system were developed to be used for robot automation.Conclusions: Preliminary results from this study support the feasibility of both the physical and cyber components of the GEAR system and demonstrate its potential for use in future studies to assess the effects on the co-development of the motor, cognitive, and social systems of very young children with mobility challenges. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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