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Encapsulates different case studies where technology can be used as assistive technology for the physically challenged, visually and hearing impaired.
Rehabilitation engineering includes the development of technological solutions and devices to assist individuals with disabilities, while also supporting the recovery of the disabled who have lost their physical and cognitive functions. These systems can be designed and built to meet a wide range of needs that can help individuals with mobility, communication, vision, hearing, and cognition. The growing technological developments in machine learning, deep learning, robotics, virtual intelligence, etc., play an important role in rehabilitation engineering.
Intelligent Systems for Rehabilitation Engineering focuses on trending research of intelligent systems in rehabilitation engineering which involves the design and development of innovative technologies and techniques including rehabilitation robotics, visual rehabilitation, physical prosthetics, brain computer interfaces, sensory rehabilitation, motion rehabilitation, etc.
This groundbreaking book
Audience
Engineers and device manufacturers working in rehabilitation engineering as well as researchers in computer science, artificial intelligence, electronic engineering, who are working on intelligent systems.
Roshani Raut, PhD is an associate professor in the Department of Information Technology at Pimpri Chinchwad College of Engineering, Pune University, India. She has presented and published more than 70 research communications in national/ international conferences and journals and has published 13 patents.
Pranav D. Pathak, PhD from Visveswaraya National Institute of Technology, Nagpur, India. He is currently an assistant professor at MIT School of Bioengineering Sciences & Research, Pune.
Sandeep Kautish, PhD in Computer Science on Intelligent Systems in Social Networks is Professor & Dean of Academics with LBEF Campus, Kathmandu Nepal. He has published more than 40 papers in international journals.
Pradeep N., PhD is an associate professor in Computer Science and Engineering, Bapuji Institute of Engineering and Technology, Karnataka, India. He has a number of edited books and journal research articles to his credit.
Preface xiii
1 Different Spheres of Rehabilitation Robotics: A Brief Survey Over the Past Three Decades 1Saumyadip Hazra, Abhimanyu Kumar, Yashonidhi Srivastava and Souvik Ganguli
1.1 Introduction 1
1.2 An Overview of Robotics for Medical Applications 3
1.2.1 Neurological and Cognitive 3
1.2.2 Stroke Patients 3
1.2.3 Biomechanical or Mechatronic Robotic Systems 4
1.2.4 Human-Machine Interfacing 5
1.2.5 Smart Robotics 5
1.2.6 Control and Stability Analysis of Robotic Systems 7
1.2.7 Assistive Robotic Systems 9
1.2.8 Limb Injury 9
1.2.9 Motion Detection 9
1.3 Discussions and Future Scope of Work 10
1.4 Conclusion 12
References 12
2 Neurorehabilitation Robots Review: Towards a Mechanized Process for Upper Limb 19Yogini Dilip Borole and Roshani Raut
2.1 Introduction 19
2.2 Recovery and the Robotics 23
2.2.1 Automated Technological Tools Used in Rehabilitation 24
2.2.1.1 Exoskeletal-Type RTT 24
2.2.1.2 End-Effector-Type RTT 25
2.2.2 Benefits of the RTTs 25
2.3 New Directions to Explore and Open Problems: Aims of the Editorial 26
2.3.1 New Directions of Research and Development and First Aim of the Editorial 26
2.3.2 Open Problems and Second Aim of the Editorial 27
2.4 Overview 28
2.5 Renewal Process 29
2.5.1 Renovation Team 30
2.5.2 Renewal Methods and Results 30
2.6 Neurological Rehabilitation 31
2.6.1 Evaluation 31
2.6.2 Treatment Planning 33
2.6.3 Mediation 34
2.6.4 Assessment 34
2.7 State-of-the-Art Healthcare Equipment 35
2.7.1 Neuro Renewal of Upper Limb 35
2.7.1.1 Things and Method 35
2.7.2 Advanced Equipment for Neuro Revival of the Upper Limb 35
2.7.2.1 Methods of Testing 37
2.7.2.2 Renewal Methods and Results 38
2.8 Towards Autonomous Restoration Processes? 39
2.8.1 Default Renewal Cycle 40
2.8.1.1 Computerized Testing Programs 42
2.8.1.2 Choice Support System 43
2.8.1.3 Mechanical Rehabilitation Systems 45
2.9 Conclusion 46
References 47
3 Competent and Affordable Rehabilitation Robots for Nervous System Disorders Powered with Dynamic CNN and HMM 57Sundaresan Sabapathy, Surendar Maruthu, Suresh Kumar Krishnadhas, Ananth Kumar Tamilarasan and Nishanth Raghavan
3.1 Introduction 58
3.2 Related Works 59
3.2.1 Rehabilitation Robot for Lower Limbs 59
3.2.2 Rehabilitation Using Hip Bot 60
3.2.3 Rehabilitation Wrist Robot Using MRI Compatibility 61
3.2.4 Rehabilitation Robot for Gait Training 62
3.3 Solutions and Methods for the Rehabilitation Process 63
3.3.1 Gait Analysis 63
3.3.2 Methods Based on Deep Learning 64
3.3.3 Use of Convolutional Neural Networks 64
3.4 Proposed System 65
3.4.1 Detection of Motion and Rehabilitation Mechanism 66
3.4.2 Data Collection Using Wearable Sensors 68
3.4.3 Raspberry Pi 68
3.4.4 Pre-Processing of the Data 68
3.5 Analysis of the Data 69
3.5.1 Feature Extraction 69
3.5.2 Machine Learning Approach 70
3.5.3 Remote Rehabilitation Mode 71
3.6 Results and Discussion 72
3.7 Conclusion 90
References 90
4 Smart Sensors for Activity Recognition 95Rehab A. Rayan, Imran Zafar, Aamna Rafique and Christos Tsagkaris
4.1 Introduction 95
4.2 Wearable Biosensors for Activity Recognition 98
4.3 Smartphones for Activity Recognition 100
4.3.1 Early Analysis Activity Recognition 101
4.3.2 Similar Approaches Activity Recognition 101
4.3.3 Multi-Sensor Approaches Activity Recognition 102
4.3.4 Fitness Systems in Activity Recognition 103
4.3.5 Human-Computer Interaction Processes in Activity Recognition 104
4.3.6 Healthcare Monitoring in Activity Recognition 104
4.4 Machine Learning Techniques 105
4.4.1 Decision Trees Algorithms for Activity Reorganization 106
4.4.2 Adaptive Boost Algorithms for Activity Reorganization 106
4.4.3 Random Forest Algorithms for Activity Reorganization 106
4.4.4 Support Vector Machine (SVM) Algorithms for Activity Reorganization 106
4.5 Other Applications 107
4.6 Limitations 108
4.6.1 Policy Implications and Recommendations 109
4.7 Discussion 109
4.8 Conclusion 110
References 110
5 Use of Assistive Techniques for the Visually Impaired People 115Anuja Jadhav, Hirkani Padwad, M.B. Chandak and Roshani Raut
5.1 Introduction 115
5.2 Rehabilitation Procedure 117
5.3 Development of Applications for Visually Impaired 121
5.4 Academic Research and Development for Assisting Visually Impaired 123
5.5 Conclusion 125
References 125
6 IoT-Assisted Smart Device for Blind People 129Roshani Raut, Anuja Jadhav, Swati Jaiswal and Pranav Pathak
6.1 Introduction 129
6.1.1 A Convolutional Neural Network 130
6.1.2 CNN's Operation 131
6.1.3 Recurrent Neural Network 134
6.1.4 Text-to-Speech Conversion 134
6.1.5 Long Short-Term Memory Network 134
6.2 Literature Survey 138
6.3 Smart Stick for Blind People 138
6.3.1 Hardware Requirements 140
6.3.1.1 Ultrasonic Sensor 140
6.3.1.2 IR Sensor 141
6.3.1.3 Image Sensor 141
6.3.1.4 Water Detector 141
6.3.1.5 Global System for Mobile Communication 142
6.3.1.6 Microcontroller Based on the Raspberry Pi 3 142
6.4 System Development Requirements 143
6.4.1 Captioning of Images 143
6.4.2 YOLO (You Only Look Once) Model 143
6.5 Features of the Proposed Smart Stick 145
6.6 Code 146
6.7 Results 147
6.8 Conclusion 147
References 148
7 Accessibility in Disability: Revolutionizing Mobile Technology 151Nisarg Gandhewar and Senthilkumar Mohan
7.1 Introduction 152
7.2 Existing Accessibility Features for Mobile App and Devices 153
7.2.1 Basic Accessibility Features and Services for Visually Impaired 154
7.2.2 Basic Accessibility Features and Services for Deaf 155
7.2.3 Basic Accessibility Features and Services for Cognitive Disabilities 158
7.2.4 Basic Accessibility Features and Services for Physically Disabled 159
7.3 Services Offered by Wireless Service Provider 160
7.3.1 Digital Libraries for Visual 161
7.3.2 GPS 161
7.3.3 Relay Services 162
7.3.4 Living With Independent 162
7.3.5 Emergency Phone Services 162
7.3.6 Customer Service 162
7.4 Mobile Apps for a Person With Disability 162
7.5 Technology Giants Providing Services 166
7.5.1 Japan: NTT DoCoMo 169
7.6 Challenges and Opportunities for Technology Giants to Provide Product & Service 169
7.6.1 Higher Illiteracy Rate 169
7.6.2 Reach out to Customers With Disabilities 170
7.6.3 Higher Cost of Mobile Phones With Accessibility Features 170
7.6.4 Increasing Percentage of Disability 170
7.6.5 Unavailability of Assistive Technology in Regional Languages 170
7.6.6 Lack of Knowledge Concerning Assistive Solutions 171
7.7 Good Practices for Spreading Awareness 171
7.8 Conclusion 172
References 172
8 Smart Solar Power-Assisted Wheelchairs For the Handicapped 175Abhinav Bhatnagar, Sidharth Pancholi and Vijay Janyani
8.1 Introduction 176
8.2 Power Source 178
8.2.1 Solar-Powered Wheelchair 179
8.2.2 Solar Energy Module 180
8.3 Smart EMG-Based Wheelchair Control System 182
8.3.1 Techniques of EMG Signal Collection 184
8.3.2 Pre-Possessing and Segmentation of EMG Signal 185
8.3.3 Feature Extraction and Pattern Classification 186
8.3.3.1 Linear Discriminant Analysis (LDA) 188
8.3.3.2 Support Vector Machine (SVM) 188
8.3.3.3 Neural Network (NN) 189
8.3.3.4 Random Forest (RF) 189
8.4 Smart Navigation Assistance 189
8.5 Internet of Things (IoT)-Enabled Monitoring 190
8.6 Future Advancements in Smart Wheelchairs 191
References 192
9 Hand-Talk Assistance: An Application for Hearing and Speech Impaired People 197Pradnya Borkar, Vijaya Balpande, Ujjwala Aher and Roshani Raut
9.1 Introduction 198
9.1.1 Sign Language 199
9.1.1.1 American Sign Language (ASL) 199
9.1.1.2 Comparison of ASL With Verbal Language 199
9.1.2 Recognition of Hand Gesture 202
9.1.3 Different Techniques for Sign Language Detection 202
9.1.3.1 Glove-Based Systems 202
9.1.3.2 Vision-Based Systems 202
9.2 Related Work 203
9.3 History and Motivation 204
9.4 Types of Sensors 205
9.4.1 Flex Sensor 205
9.4.1.1 Flex Sensor's Specification 205
9.4.1.2 Flex Sensor Types 206
9.5 Working of Glove 213
9.5.1 Hand Gloves 213
9.5.2 Implementation Details at Server Side 214
9.5.2.1 Training Mode 214
9.5.2.2 Detection Mode 215
9.5.2.3 Text to Speech 215
9.6 Architecture 216
9.7 Advantages and Applications 220
References 221
10 The Effective Practice of Assistive Technology to Boom Total Communication Among Children With Hearing Impairment in Inclusive Classroom Settings 223Fr. Baiju Thomas
10.1 Introduction 224
10.2 Students With Hearing Impairment 225
10.3 The Classifications on Hearing Impairment 226
10.3.1 Conductive Hearing Losses 226
10.3.2 Sensorineural Hearing Losses 227
10.3.3 Central Hearing Losses 227
10.3.4 Mixed Hearing Losses 227
10.4 Inclusion of Hearing-Impaired Students in Inclusive Classrooms 229
10.4.1 Assistive Technology 229
10.4.2 Assistive Technology for Hearing Impairments 230
10.4.3 Hearing Technology 231
10.4.4 Assistive Listening Devices 231
10.4.5 Personal Amplification 232
10.4.6 Communication Supports 233
10.5 Total Communication System for Hearing Impairments 233
10.6 Conclusion 236
References 236
Index 239
Rehabilitation engineering uses engineering sciences to develop technological solutions and devices to assist individuals with disabilities and also supports the rehabilitation of those who have lost their physical and cognitive functions. Systems can be designed and built to meet a wide range of needs in order to help those with impaired mobility, communication, vision, hearing and cognition. And these tools and devices assist the disabled in their daily activities such as, for example, attending school or working.
Intelligent systems have a wide range of technological developments which will enhance research in the field of rehabilitation engineering. The growing list of these developments, such as machine learning, deep learning, robotics, virtual intelligence, etc., plays an important role in rehabilitation engineering.
The material collected in this book has been edited to provide information on current research achievements and challenges in the area of rehabilitation engineering and intelligent systems. The target audience of this book includes senior and junior engineers, undergraduate and postgraduate students, researchers, and anyone else interested in the trends, developments, and opportunities of rehabilitation engineering and intelligent system concepts. Research trends in the design and development of innovative technologies are highlighted along with the techniques involved. And even though it is impossible to include all current aspects of the research being conducted in targeted areas, the book is a useful resource in terms of presenting the various possible methodologies that can be applied to achieve results in the field. Presented below is a brief description of the topics covered in the 10 chapters of the book.
- Chapter 1 discusses the different spheres of rehabilitation robotics. Robots are being widely used in medical practice to support various procedures and therapies to help people with physical and psychological limitations. A survey was conducted on rehabilitation robotics that reviews Preface rehabilitation robots with an eye towards future applications. Many researchers have collaborated on an integrated human-robot structure with cognitive abilities; and orthotic and prosthetic devices can also benefit from rehabilitation robots. Additionally, sensing technology is being used in rehabilitation robots. Moreover, this chapter examines the use of rehabilitation robots in Europe and North America.
- Chapter 2 reviews the use of neurorehabilitation robots for an automated process for the upper limb. This chapter illustrates and defines all areas of mechanical recovery technology for novices, and captures the recent robot advances being widely used by talented scientists and clinicians. Also, a few company devices for mechanical recovery are given for a better understanding of the complete picture. The use of productive robotic methodologies promotes the recovery of motor skills. This innovation combines the outcomes of social investigations on motor learning and neurological recovery in the creation and execution of automated processes, with the approval of robot specialists who operate as ideal instructors. Human-robot collaboration assumes a leading role in creating a beneficial relationship, where the human body and the robot can benefit from each other's components.
- Chapter 3 highlights an effective affordable rehabilitation robot for nervous system disorders powered by dynamic convolutional neural network (CNN) and hidden Markov model (HMM). Neurological disorders are a frequent health concern of billions of individuals around the world. This condition is caused by malfunctioning of the central and peripheral nervous systems. For example, Alzheimer's and Parkinson's diseases are not uncommon and wreck the lives of many people. In particular, those afflicted with Parkinson's disease have impaired movement resulting in freezing of gait (FOG). The only accessible treatment option is the artificial creation of dopamine levels. Therefore, robotic rehabilitation devices have been proposed which apply vibrations to activate muscle performance. These bracelets, bands, and chains are part of the sensors which are fixed to the patient's body. For processing sensor signals and decision-making, CNN and HMM are used.
- Chapter 4 focuses on smart sensors for activity recognition. Health informatics is used to collect, store, and retrieve essential health-related data. Information and communication technologies and wireless connections lead to the creation of smarter sensors. These devices are commonly used for self-monitoring of health and well-being. Use of smart sensors could help healthcare providers monitor the daily activities of the elderly. Also addressed in this chapter is the use of machine learning (ML) techniques on smartphones and wearables to capture and model human body motions and vital signs during activities of normal living.
- Chapter 5 discusses the use of assistive technology for those who are visually impaired. Acquiring knowledge is difficult for the blind, with Braille being the most commonly utilized technique of transferring information to them. These new forms of Braille include American Literary Braille, British Braille, Computer Braille, Literary Braille, Music Braille, and so on. Traditional Braille writing employs a slate and stylus. Other forms of Braille writers and computer software, such as voice recognition software, special computer keyboards and optical scanners, have been developed. Virtual Pencil math software, Audio Exam Player, and educational chatbots are a few examples of smart education solutions for the visually impaired. This chapter presents an overview of different rehabilitation procedures.
- Chapter 6 discusses IoT-assisted smart devices for the blind. Since blind people face several challenges, a lot of effort has been put into making them less reliant on others to perform tasks. As a result, we conceptualized and constructed an intelligent blindfold. Also, a smart walking stick helps visually impaired people safely move around without assistance. Even though several walking sticks and aids currently exist, they do not feature run-time autonomous navigation, object detection, identification warnings, or voice and face recognition. The proposed stick combines IoT, echo location, image processing, artificial intelligence and navigation system technology to help the user avoid obstacles.
- Chapter 7 focuses on the use of a technology that offers mobile accessibility to people with disabilities, who face numerous physical, social, and psychological problems. Inmany aspects of life, cutting-edge technologies are critically important. Mobile technology revolutionized the process of communication as well as education, business and rehabilitation. Many development platforms now have accessibility features that assist developers in designing apps by leveraging machine learning and deep learning, which benefit those with disabilities. A wide range of applications are available, but they all have advantages and disadvantages. The results of investigations may help those with disabilities find new alternatives that offer substantial assistance.
- Chapter 8 presents a smart solar-powered wheelchair. Mobilization is a requirement for those with disabilities, and for those with a serious impairment a mechanical wheelchair isan adequate alternative. Because mechanical wheelchairs present a significant risk of upper limb strain and injury, electric-powered wheelchairs were invented to help reduce this risk. However, inelectric-powered wheelchairs, motors are powered by batteries and hence have limited travel range and need frequent recharging. These limits can be eliminated by adding a thin-film solar panel that can be mounted behind the wheelchair as a folding, retractable roof, which doesn't employ a fixed, large, and heavy fixed panel that cannot be dismantled. Various design options, including smart controls that use electroencephalography (EEG) signals, smart navigation systems, and data acquisition via the IoT are also being considered.
- Chapter 9 discusses hand-talk assistive technology. For those who are deaf, enabling their ability to communicate requires creative technology. Therefore, many technologies may be employed for communication. Since their major form of communication is gestures, a non-signing individual is unable to comprehend hand motions; therefore, a sign language-to-audible voice conversion technique is required in order for a person with "normal" hearing to be able to understand what is being said. This chapter discusses the technology that allows the deaf to converse with the general population by employing special sensor gloves. As the speech-and-hearing impaired person moves, their moving hand uses sign language, and the technology will intercept the movement and transform it into sound so that the person with "normal" hearing can easily hear it. For those that are speech-and-hearing impaired, speech recognition systems using EEG signals, smart navigation systems, and data collection via the IoT are also described in this chapter.
- Chapter 10 discusses assistive technology for hearing-impaired children. Appropriate educational services are critical for children with hearing impairment (CwHI) due to diseases or accidents. Current research reveals that using assistive technology (AT) to communicate fully with others in an inclusive educational settingis highly beneficial for these children. Assistive technology has a strong influence on integrating these children in schools....
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