Optimizing User Integration for Individualized Rehabilitation

Nataraj, Raviraj

doi:10.5772/intechopen.70267

Cited by 1 publication

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References 69 publications

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“…Improved motor control may be enacted from training the person to move better independently or with the assistance of a powered device. Regardless of the rehabilitation approach, the person should be cognitively engaged and integrated with the therapeutic platform or the assistive device ( Moore and Fletcher, 2012 ; Nataraj, 2017 ; Nataraj et al, 2020a , b , c ). Improved perception of involvement and control of movement should better ensure continued participation and positive functional outcomes ( Doyle, 2002 ; Behrman et al, 2005 ).…”

Section: Introductionmentioning

confidence: 99%

Control Modification of Grasp Force Covaries Agency and Performance on Rigid and Compliant Surfaces

Nataraj

Sanford

2021

Front. Bioeng. Biotechnol.

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This study investigated how modifications in the display of a computer trace under user control of grasp forces can co-modulate agency (perception of control) and performance of grasp on rigid and compliant surfaces. We observed positive correlation (p < 0.01) between implicit agency, measured from time-interval estimation for intentional binding, and grasp performance, measured by force-tracking error, across varying control modes for each surface type. The implications of this work are design directives for cognition-centered device interfaces for rehabilitation of grasp after neurotraumas such as spinal cord and brain injuries while considering if grasp interaction is rigid or compliant. These device interfaces should increase user integration to virtual reality training and powered assistive devices such as exoskeletons and prostheses. The modifications in control modes for this study included changes in force magnitude, addition of mild noise, and a measure of automation. Significant differences (p < 0.001) were observed for each surface type across control modes with metrics for implicit agency, performance, and grasp control efficiency. Explicit agency, measured from user survey responses, did not exhibit significant variations in this study, suggesting implicit measures of agency are needed for identifying co-modulation with grasp performance. Grasp on the compliant surface resulted in greater dependence of performance on agency and increases in agency and performance with the addition of mild noise. Noise in conjunction with perceived freedom at a flexible surface may have amplified visual feedback responses. Introducing automation in control decreased agency and performance for both surfaces, suggesting the value in continuous user control of grasp. In conclusion, agency and performance of grasp can be co-modulated across varying modes of control, especially for compliant grasp actions. Future studies should consider reliable measures of implicit agency, including physiological recordings, to automatically adapt rehabilitation interfaces for better cognitive engagement and to accelerate functional outcomes.

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