Abstract
In this article, a cooperative bilateral upper-limb rehabilitation robotic system based on mirror therapy (MT) and virtual stimulation was developed to assist hemiplegia in rehabilitation training. The hemiplegia’s affected limb can be placed on one of the robotic arms with a servomotor, and the healthy limb is placed on another side without servomotor. With the assistance of the robotic arm, the affected limb can track the healthy limb to perform mirror motion to complete the rehabilitation training. The robotic arm device can be adjusted personally to assist the patient's elbow joint flexion and wrist joint rotation. In order to enhance the willingness of patients to actively recover. A game-based rehabilitation training was developed to realize human–computer interaction and to provide visual stimulation. The adaptive proportional–integral–derivative (PID) controller based on radial basis function (RBF) neural network has been adopted to improve the tracking performance of the affected side of robotic arm. The RBF neural network updates its parameters through the error signal between output of network and output of the system. The parameters of PID are updated by Jacobian matrix and the movement error between the healthy side and the affected side. Its abilities of RBF-PID controller about response speed, anti-interference and tracks are better than conventional PID controller’s through experimental validations. The system response was analyzed and graphed for different loading conditions. These error values of the angle of corresponding joint on both sides can be interpreted as very low. The system was proved to complete rehabilitation training and reflect the patient’s awareness of active rehabilitation.
Similar content being viewed by others
References
Jiao Y, Yang FM, Zhang XD et al (2005) Evidence for involvement of unaffected parietal cortex in brain reorganization from acute stroke: a fMRI study. J Pract Radiol 24(7):569–572
Nudo RJ, Milliken GW, Jenkins WM, Merzenich MM (1996) Use-dependent alterations of movement representations in primary motor cortex of adult squirrel monkeys. J Neurosci 16:785–807
Toigo M, Fluck M, Riener R, Klamroth-Marganska V (2017) Robot-assisted assessment of muscle strength. J Neuroeng Rehabil 14(1):103. https://doi.org/10.1186/s12984-017-0314-2
Bandara DSV, Arata J, Kiguchi K (2018) A noninvasive brain-computer interface approach for predicting motion intention of activities of daily living tasks for an upper-limb wearable robot. Int J Adv Robot Syst. https://doi.org/10.1177/1729881418767310
Hu XL, Tong KY, Wei XJ, Rong W, Susanto EA, Ho SK (2013) The effects of post-stroke upper-limb training with an electromyography (EMG)-driven hand robot. J Electromyogr Kinesiol 23:1065–1074
Song Z and Guo S (2011) Development of a real-time upper limb's motion tracking exoskeleton device for active rehabilitation using an inertia sensor 2011 9th World Congress on Intelligent Control and Automation 1206–1211
Han JG, Shao L, Xu D, Shotton J (2013) Enhanced computer vision with microsoft kinect sensor: a review. Ieee Transactions Cybern 43:1318–1334
Mottura S, Fontana L, Arlati S, Zangiacomi A, Redaelli C, Sacco M (2015) A virtual reality system for strengthening awareness and participation in rehabilitation for post-stroke patients. J Multimodal User Interfaces 9:341–351
Adomaviciene A, Daunoraviciene K, Kubilius R, Varzaityte L, Raistenskis J (2019) Influence of new technologies on post-stroke rehabilitation: a comparison of armeo spring to the kinect system. Medicina (Kaunas, Lithuania) 55(4):98. https://doi.org/10.3390/medicina55040098
Ayas MS, Altas IH (2017) Fuzzy logic based adaptive admittance control of a redundantly actuated ankle rehabilitation robot. Control Eng Pract 59:44–54
Bello UM, Winser SJ, Chan CCH (2020) Role of kinaesthetic motor imagery in mirror-induced visual illusion as intervention in post-stroke rehabilitation. Rev Neurosci 31:659–674
Cai S, Chen Y, Huang S, Wu Y, Zheng H, Li X, Xie L (2019) SVM-based classification of sEMG signals for upper-limb self-rehabilitation training. Front Neurorobot 13:31. https://doi.org/10.3389/fnbot.2019.00031
Chan WC, Au-Yeung SSY (2018) Recovery in the severely impaired arm post-stroke after mirror therapy: a randomized controlled study. Am J Phys Med Rehabil 97:572–577
Chen YY, Li G, Zhu YH, Zhao J, Cai HG (2014) Design of a 6-DOF upper limb rehabilitation exoskeleton with parallel actuated joints. Bio-Med Mater Eng 24:2527–2535
Choi HS, Shin WS, Bang DH (2019) Mirror therapy using gesture recognition for upper limb function, neck discomfort, and quality of life after chronic stroke: a single-blind randomized controlled trial. Med Sci Monit 25:3271–3278
di Luzio FS, Lauretti C, Cordella F, Draicchio F, Zollo L (2020) Visual vs vibrotactile feedback for posture assessment during upper-limb robot-aided rehabilitation Appl Ergon 82
Diez JA, Catalan JM, Lledo LD, Badesa FJ, Garcia-Aracil N (2016) Multimodal robotic system for upper-limb rehabilitation in physical environment Adv Mech Eng. https://doi.org/10.1177/1687814016670282
Eski I, Kirnap A (2018) Controller design for upper limb motion using measurements of shoulder, elbow and wrist joints. Neural Comput Appl 30:307–325
Kim DH, Kim KH, Lee SM (2020) The effects of Virtual reality training with upper limb sensory exercise stimulation on the AROM of upper limb joints, function, and concentration in chronic stroke patients. Physikalische Medizin Rehabilitationsmedizin Kurortmedizin 30:86–94
Lin CCK, Ju MS, Chen SM, Pan BW (2008) A specialized robot for ankle rehabilitation and evaluation. J Med Biol Eng 28:79–86
Lo HS, Xie SQ (2012) Exoskeleton robots for upper-limb rehabilitation: state of the art and future prospects. Med Eng Phys 34:261–268
Loureiro RCV, Harwin WS, Nagai K, Johnson M (2011) Advances in upper limb stroke rehabilitation: a technology push. Med Biol Eng Compu 49:1103–1118
Luo Z, Zhou Y, He H, Lin S, Zhu R, Liu Z, Liu J, Liu X, Chen S, Zou J, Zeng Q (2020) Synergistic effect of combined mirror therapy on upper extremity in patients with stroke: a systematic review and meta-analysis. Front Neurol 11:155. https://doi.org/10.3389/fneur.2020.00155
Nocchi F, Gazzellini S, Grisolia C, Petrarca M, Cannata V, Cappa P, D'Alessio T, Castelli E (2012) Brain network involved in visual processing of movement stimuli used in upper limb robotic training: an fMRI study. J Neuroeng Rehab 9:49. https://doi.org/10.1186/1743-0003-9-49
Perez-Cruzado D, Merchan-Baeza JA, Gonzalez-Sanchez M, Cuesta-Vargas AI (2017) Systematic review of mirror therapy compared with conventional rehabilitation in upper extremity function in stroke survivors. Aust Occup Ther J 64:91–112
Prange GB, Jannink MJA, Groothuis-Oudshoorn CGM, Hermens HJ, Ijzerman MJ (2006) Systematic review of the effect of robot-aided therapy on recovery of the hemiparetic arm after stroke. J Rehabil Res Dev 43:171–183
Rahman MH, Rahman MJ, Cristobal OL, Saad M, Kenne JP, Archambault PS (2015) Development of a whole arm wearable robotic exoskeleton for rehabilitation and to assist upper limb movements. Robotica 33:19–39
Wang FR, Barkana DE, Sarkar N (2010) Impact of visual error augmentation when integrated with assist-as-needed training method in robot-assisted rehabilitation. IEEE Trans Neural Syst Rehabil Eng 18:571–579
Wang LN, Liu JB, Lan J (2019) Feature evaluation of upper limb exercise rehabilitation interactive system based on kinect. Ieee Access 7:165985–165996
Weber LM, Nilsen DM, Gillen G, Yoon J, Stein J (2019) Immersive virtual reality mirror therapy for upper limb recovery after stroke a pilot study. Am J Phys Med Rehabil 98:783–788
Xie QL, Meng QL, Zeng QX, Yu HL, Shen ZJ (2021) An innovative equivalent kinematic model of the human upper limb to improve the trajectory planning of exoskeleton rehabilitation robots. Mech Sci 12:661–675
Xu GZ, Song AG, Pan LZ, Gao X, Liang ZW, Li JF, Xu BG (2014) Clinical experimental research on adaptive robot-aided therapy control methods for upper-limb rehabilitation. Robotica 32:1081–1100
Yoo DH, Cha YJ, Kim SK, Lee JS (2013) Effect of three-dimensional robot-assisted therapy on upper limb function of patients with stroke. J Phys Ther Sci 25:407–409
Zeng W, Guo YH, Wu GF, Liu XY, Fang Q (2018) Mirror therapy for motor function of the upper extremity in patients with stroke: a meta-analysis. J Rehabil Med 50:8–15
Zhang LG, Guo S, Sun Q (2021) Development and analysis of a bilateral end-effecter upper limb rehabilitation robot. J Mech Med Biol 21:2150032
Ramachandran VS, Rogersramachandran D, Cobb S (1995) Touching the phantom limb. Nature 377:489–490
Rizzolatti G, Craighero L (2004) The mirror-neuron system. Annu Rev Neurosci 27:169–192
Sun W, Lin JW, Su SF, Wang N, Er MJ (2021) Reduced adaptive fuzzy decoupling control for lower limb exoskeleton. Ieee Transactions Cybern 51:1099–1109
Chen Q, Yang ZX (2021) Adaptive RBF-PIDSMC control method with estimated model parameters for a piezo-actuated stage. Microsyst Technol Micro Nanosyst -Inf Storage Process Syst 27:69–77
Chu YD, Fang YM, Fei JT (2017) Adaptive neural dynamic global PID sliding mode control for MEMS gyroscope. Int J Mach Learn Cybern 8:1707–1718
Freire EO, Rossomando FG, Soria CM (2018) Self-tuning of a neuro-adaptive PID controller for a SCARA robot based on neural network. IEEE Lat Am Trans 16:1364–1374
Wang M, Yang AL (2017) Dynamic learning from adaptive neural control of robot manipulators with prescribed performance. Ieee Transactions Syst Man Cybern Syst 47:2244–2255
Zhao J, Zhong J, Fan JZ (2015) Position control of a pneumatic muscle actuator using RBF neural network tuned PID controller. Math Prob Eng. https://doi.org/10.1155/2015/810231
Samuel OW, Asogbon MG, Geng YJ, Jiang NF, Mzurikwao D, Zheng Y, Wong KKL, Vollero L et al (2021) Decoding movement intent patterns based on spatiotemporal and adaptive filtering method towards active motor training in stroke rehabilitation systems. Neural Comput Appl 33:4793–4806
Acknowledgements
This work was supported in part by the National Natural Science Foundation of China (Grant No.61973220), the Natural Science Foundation of Guangdong Province (2021A1515012171), Shenzhen Municipal Scheme for Basic Research(JCYJ20180507182040213).
Funding
The National Natural Science Foundation of China (Grant No.61973220), The Natural Science Foundation of Guangdong Province (2021A1515012171).
Author information
Authors and Affiliations
Contributions
All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by Kai Chen, Jiaming Fan, Yifan Hou, Weifei Kong. The first draft of the manuscript was written by Wei Xiao. Wei Xiao and Kai Chen contributed equally to this work and should be considered co-first authors. Writing—review and editing, was performed by Guo Dan, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
Corresponding author
Ethics declarations
Conflict of interest
The authors have no relevant financial or non-financial interests to disclose.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Xiao, W., Chen, K., Fan, J. et al. AI-driven rehabilitation and assistive robotic system with intelligent PID controller based on RBF neural networks. Neural Comput & Applic 35, 16021–16035 (2023). https://doi.org/10.1007/s00521-021-06785-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00521-021-06785-y