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Nicora G, Pe S, Santangelo G, Billeci L, Aprile IG, Germanotta M, Bellazzi R, Parimbelli E, Quaglini S. Systematic review of AI/ML applications in multi-domain robotic rehabilitation: trends, gaps, and future directions. J Neuroeng Rehabil 2025; 22:79. [PMID: 40205472 PMCID: PMC11984262 DOI: 10.1186/s12984-025-01605-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2024] [Accepted: 03/04/2025] [Indexed: 04/11/2025] Open
Abstract
Robotic technology is expected to transform rehabilitation settings, by providing precise, repetitive, and task-specific interventions, thereby potentially improving patients' clinical outcomes. Artificial intelligence (AI) and machine learning (ML) have been widely applied in different areas to support robotic rehabilitation, from controlling robot movements to real-time patient assessment. To provide an overview of the current landscape and the impact of AI/ML use in robotics rehabilitation, we performed a systematic review focusing on the use of AI and robotics in rehabilitation from a broad perspective, encompassing different pathologies and body districts, and considering both motor and neurocognitive rehabilitation. We searched the Scopus and IEEE Xplore databases, focusing on the studies involving human participants. After article retrieval, a tagging phase was carried out to devise a comprehensive and easily-interpretable taxonomy: its categories include the aim of the AI/ML within the rehabilitation system, the type of algorithms used, and the location of robots and sensors. The 201 selected articles span multiple domains and diverse aims, such as movement classification, trajectory prediction, and patient evaluation, demonstrating the potential of ML to revolutionize personalized therapy and improve patient engagement. ML is reported as highly effective in predicting movement intentions, assessing clinical outcomes, and detecting compensatory movements, providing insights into the future of personalized rehabilitation interventions. Our analysis also reveals pitfalls in the current use of AI/ML in this area, such as potential explainability issues and poor generalization ability when these systems are applied in real-world settings.
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Grants
- # PNC0000007 Ministero dell'Istruzione, dell'Università e della Ricerca
- # PNC0000007 Ministero dell'Istruzione, dell'Università e della Ricerca
- # PNC0000007 Ministero dell'Istruzione, dell'Università e della Ricerca
- # PNC0000007 Ministero dell'Istruzione, dell'Università e della Ricerca
- # PNC0000007 Ministero dell'Istruzione, dell'Università e della Ricerca
- # PNC0000007 Ministero dell'Istruzione, dell'Università e della Ricerca
- # PNC0000007 Ministero dell'Istruzione, dell'Università e della Ricerca
- # PNC0000007 Ministero dell'Istruzione, dell'Università e della Ricerca
- # PNC0000007 Ministero dell'Istruzione, dell'Università e della Ricerca
- Ministero dell’Istruzione, dell’Università e della Ricerca
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Affiliation(s)
- Giovanna Nicora
- Department of Electrical, Computer and Biomedical Engineering, University of Pavia, Pavia, Italy.
| | - Samuele Pe
- Department of Electrical, Computer and Biomedical Engineering, University of Pavia, Pavia, Italy
| | - Gabriele Santangelo
- Department of Electrical, Computer and Biomedical Engineering, University of Pavia, Pavia, Italy
| | - Lucia Billeci
- Institute of Clinical Physiology, National Research Council of Italy (CNR-IFC), Pisa, Italy
| | - Irene Giovanna Aprile
- Neuromotor Rehabilitation Department, IRCCS Fondazione Don Carlo Gnocchi ONLUS, Florence, Italy
| | - Marco Germanotta
- Neuromotor Rehabilitation Department, IRCCS Fondazione Don Carlo Gnocchi ONLUS, Florence, Italy
| | - Riccardo Bellazzi
- Department of Electrical, Computer and Biomedical Engineering, University of Pavia, Pavia, Italy
| | - Enea Parimbelli
- Department of Electrical, Computer and Biomedical Engineering, University of Pavia, Pavia, Italy
| | - Silvana Quaglini
- Department of Electrical, Computer and Biomedical Engineering, University of Pavia, Pavia, Italy
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Tosin MC, Bagesteiro LB, Balbinot A. Actor-Critic Reinforcement Learning Based Algorithm for Contaminant Type Identification in Surface Electromyography Data . ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2021; 2021:186-189. [PMID: 34891268 DOI: 10.1109/embc46164.2021.9629967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
This paper aims to present an innovative approach based on Reinforcement Learning (RL) concept to detect contaminants' type and minimize their effect on surface electromyography signal (sEMG). An agent-environment model was created based on the following elements: environment (muscle electrical activity), state (set of six features extracted from the signal), actions (application of filters/procedures to reduce the impact of each interference), and agent (controller, which will identify the type of contamination and take the appropriate action). The learning was conducted with Actor-Critic method. An average accuracy of 92.96% was achieved in an off-line experiment when detecting four contaminant types (electrocardiography (ECG) interference, movement artifact, power line interference, and additive white Gaussian noise).
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Dalrymple AN, Roszko DA, Sutton RS, Mushahwar VK. Pavlovian control of intraspinal microstimulation to produce over-ground walking. J Neural Eng 2020; 17:036002. [PMID: 32348970 DOI: 10.1088/1741-2552/ab8e8e] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
OBJECTIVE Neuromodulation technologies are increasingly used for improving function after neural injury. To achieve a symbiotic relationship between device and user, the device must augment remaining function, and independently adapt to day-to-day changes in function. The goal of this study was to develop predictive control strategies to produce over-ground walking in a model of hemisection spinal cord injury (SCI) using intraspinal microstimulation (ISMS). APPROACH Eight cats were anaesthetized and placed in a sling over a walkway. The residual function of a hemisection SCI was mimicked by manually moving one hind-limb through the walking cycle. ISMS targeted motor networks in the lumbosacral enlargement to activate muscles in the other, presumably 'paralyzed' limb, using low levels of current (<130 μA). Four people took turns to move the 'intact' limb, generating four different walking styles. Two control strategies, which used ground reaction force and angular velocity information about the manually moved 'intact' limb to control the timing of the transitions of the 'paralyzed' limb through the step cycle, were compared. The first strategy used thresholds on the raw sensor values to initiate transitions. The second strategy used reinforcement learning and Pavlovian control to learn predictions about the sensor values. Thresholds on the predictions were then used to initiate transitions. MAIN RESULTS Both control strategies were able to produce alternating, over-ground walking. Transitions based on raw sensor values required manual tuning of thresholds for each person to produce walking, whereas Pavlovian control did not. Learning occurred quickly during walking: predictions of the sensor signals were learned rapidly, initiating correct transitions after ≤4 steps. Pavlovian control was resilient to different walking styles and different cats, and recovered from induced mistakes during walking. SIGNIFICANCE This work demonstrates, for the first time, that Pavlovian control can augment remaining function and facilitate personalized walking with minimal tuning requirements.
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Affiliation(s)
- Ashley N Dalrymple
- Neuroscience and Mental Health Institute, University of Alberta, Edmonton, AB, Canada. Sensory Motor Adaptive Rehabilitation Technology (SMART) Network, University of Alberta, Edmonton, AB, Canada
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Parker ASR, Edwards AL, Pilarski PM. Exploring the Impact of Machine-Learned Predictions on Feedback from an Artificial Limb. IEEE Int Conf Rehabil Robot 2019; 2019:1239-1246. [PMID: 31374799 DOI: 10.1109/icorr.2019.8779424] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Learning to get by without an arm or hand can be very challenging, and existing prostheses do not yet fill the needs of individuals with amputations. One promising solution is to improve the feedback from the device to the user. Towards this end, we present a simple machine learning interface to supplement the control of a robotic limb with feedback to the user about what the limb will be experiencing in the near future. A real-time prediction learner was implemented to predict impact-related electrical load experienced by a robot limb; the learning system's predictions were then communicated to the device's user to aid in their interactions with a workspace. We tested this system with five able-bodied subjects. Each subject manipulated the robot arm while receiving different forms of vibrotactile feedback regarding the arm's contact with its workspace. Our trials showed that using machine-learned predictions as a basis for feedback led to a statistically significant improvement in task performance when compared to purely reactive feedback from the device. Our study therefore contributes initial evidence that prediction learning and machine intelligence can benefit not just control, but also feedback from an artificial limb. We expect that a greater level of acceptance and ownership can be achieved if the prosthesis itself takes an active role in transmitting learned knowledge about its state and its situation of use.
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Beckerle P, Castellini C, Lenggenhager B. Robotic interfaces for cognitive psychology and embodiment research: A research roadmap. WILEY INTERDISCIPLINARY REVIEWS. COGNITIVE SCIENCE 2018; 10:e1486. [PMID: 30485732 DOI: 10.1002/wcs.1486] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/25/2018] [Revised: 10/03/2018] [Accepted: 10/20/2018] [Indexed: 11/09/2022]
Abstract
Advanced human-machine interfaces render robotic devices applicable to study and enhance human cognition. This turns robots into formidable neuroscientific tools to study processes such as the adaptation between a human operator and the operated robotic device and how this adaptation modulates human embodiment and embodied cognition. We analyze bidirectional human-machine interface (bHMI) technologies for transparent information transfer between a human and a robot via efferent and afferent channels. Even if such interfaces have a tremendous positive impact on feedback loops and embodiment, advanced bHMIs face immense technological challenges. We critically discuss existing technical approaches, mainly focusing on haptics, and suggest extensions thereof, which include other aspects of touch. Moreover, we point out other potential constraints such as limited functionality, semi-autonomy, intent-detection, and feedback methods. From this, we develop a research roadmap to guide understanding and development of bidirectional human-machine interfaces that enable robotic experiments to empirically study the human mind and embodiment. We conclude the integration of dexterous control and multisensory feedback to be a promising roadmap towards future robotic interfaces, especially regarding applications in the cognitive sciences. This article is categorized under: Computer Science > Robotics Psychology > Motor Skill and Performance Neuroscience > Plasticity.
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Affiliation(s)
- Philipp Beckerle
- Elastic Lightweight Robotics Group, Robotics Research Institute, Technische Universität Dortmund, Dortmund, Germany.,Institute for Mechatronic Systems in Mechanical Engineering, Technische Universität Darmstadt, Darmstadt, Germany
| | - Claudio Castellini
- Institut of Robotics and Mechatronics, DLR German Aerospace Center, Oberpfaffenhofen, Germany
| | - Bigna Lenggenhager
- Cognitive Neuropsychology, Department of Psychology, University of Zurich, Zurich, Switzerland
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Chalmers E, Contreras EB, Robertson B, Luczak A, Gruber A. Learning to Predict Consequences as a Method of Knowledge Transfer in Reinforcement Learning. IEEE TRANSACTIONS ON NEURAL NETWORKS AND LEARNING SYSTEMS 2018; 29:2259-2270. [PMID: 28436902 DOI: 10.1109/tnnls.2017.2690910] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The reinforcement learning (RL) paradigm allows agents to solve tasks through trial-and-error learning. To be capable of efficient, long-term learning, RL agents should be able to apply knowledge gained in the past to new tasks they may encounter in the future. The ability to predict actions' consequences may facilitate such knowledge transfer. We consider here domains where an RL agent has access to two kinds of information: agent-centric information with constant semantics across tasks, and environment-centric information, which is necessary to solve the task, but with semantics that differ between tasks. For example, in robot navigation, environment-centric information may include the robot's geographic location, while agent-centric information may include sensor readings of various nearby obstacles. We propose that these situations provide an opportunity for a very natural style of knowledge transfer, in which the agent learns to predict actions' environmental consequences using agent-centric information. These predictions contain important information about the affordances and dangers present in a novel environment, and can effectively transfer knowledge from agent-centric to environment-centric learning systems. Using several example problems including spatial navigation and network routing, we show that our knowledge transfer approach can allow faster and lower cost learning than existing alternatives.
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Vasan G, Pilarski PM. Learning from demonstration: Teaching a myoelectric prosthesis with an intact limb via reinforcement learning. IEEE Int Conf Rehabil Robot 2017; 2017:1457-1464. [PMID: 28814025 DOI: 10.1109/icorr.2017.8009453] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Prosthetic arms should restore and extend the capabilities of someone with an amputation. They should move naturally and be able to perform elegant, coordinated movements that approximate those of a biological arm. Despite these objectives, the control of modern-day prostheses is often nonintuitive and taxing. Existing devices and control approaches do not yet give users the ability to effect highly synergistic movements during their daily-life control of a prosthetic device. As a step towards improving the control of prosthetic arms and hands, we introduce an intuitive approach to training a prosthetic control system that helps a user achieve hard-to-engineer control behaviours. Specifically, we present an actor-critic reinforcement learning method that for the first time promises to allow someone with an amputation to use their non-amputated arm to teach their prosthetic arm how to move through a wide range of coordinated motions and grasp patterns. We evaluate our method during the myoelectric control of a multi-joint robot arm by non-amputee users, and demonstrate that by using our approach a user can train their arm to perform simultaneous gestures and movements in all three degrees of freedom in the robot's hand and wrist based only on information sampled from the robot and the user's above-elbow myoelectric signals. Our results indicate that this learning-from-demonstration paradigm may be well suited to use by both patients and clinicians with minimal technical knowledge, as it allows a user to personalize the control of his or her prosthesis without having to know the underlying mechanics of the prosthetic limb. These preliminary results also suggest that our approach may extend in a straightforward way to next-generation prostheses with precise finger and wrist control, such that these devices may someday allow users to perform fluid and intuitive movements like playing the piano, catching a ball, and comfortably shaking hands.
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Travnik JB, Pilarski PM. Representing high-dimensional data to intelligent prostheses and other wearable assistive robots: A first comparison of tile coding and selective Kanerva coding. IEEE Int Conf Rehabil Robot 2017; 2017:1443-1450. [PMID: 28814023 DOI: 10.1109/icorr.2017.8009451] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Prosthetic devices have advanced in their capabilities and in the number and type of sensors included in their design. As the space of sensorimotor data available to a conventional or machine learning prosthetic control system increases in dimensionality and complexity, it becomes increasingly important that this data be represented in a useful and computationally efficient way. Well structured sensory data allows prosthetic control systems to make informed, appropriate control decisions. In this study, we explore the impact that increased sensorimotor information has on current machine learning prosthetic control approaches. Specifically, we examine the effect that high-dimensional sensory data has on the computation time and prediction performance of a true-online temporal-difference learning prediction method as embedded within a resource-limited upper-limb prosthesis control system. We present results comparing tile coding, the dominant linear representation for real-time prosthetic machine learning, with a newly proposed modification to Kanerva coding that we call selective Kanerva coding. In addition to showing promising results for selective Kanerva coding, our results confirm potential limitations to tile coding as the number of sensory input dimensions increases. To our knowledge, this study is the first to explicitly examine representations for realtime machine learning prosthetic devices in general terms. This work therefore provides an important step towards forming an efficient prosthesis-eye view of the world, wherein prompt and accurate representations of high-dimensional data may be provided to machine learning control systems within artificial limbs and other assistive rehabilitation technologies.
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Castellini C, Artemiadis P, Wininger M, Ajoudani A, Alimusaj M, Bicchi A, Caputo B, Craelius W, Dosen S, Englehart K, Farina D, Gijsberts A, Godfrey SB, Hargrove L, Ison M, Kuiken T, Marković M, Pilarski PM, Rupp R, Scheme E. Proceedings of the first workshop on Peripheral Machine Interfaces: going beyond traditional surface electromyography. Front Neurorobot 2014; 8:22. [PMID: 25177292 PMCID: PMC4133701 DOI: 10.3389/fnbot.2014.00022] [Citation(s) in RCA: 94] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2014] [Accepted: 07/28/2014] [Indexed: 11/13/2022] Open
Abstract
One of the hottest topics in rehabilitation robotics is that of proper control of prosthetic devices. Despite decades of research, the state of the art is dramatically behind the expectations. To shed light on this issue, in June, 2013 the first international workshop on Present and future of non-invasive peripheral nervous system (PNS)-Machine Interfaces (MI; PMI) was convened, hosted by the International Conference on Rehabilitation Robotics. The keyword PMI has been selected to denote human-machine interfaces targeted at the limb-deficient, mainly upper-limb amputees, dealing with signals gathered from the PNS in a non-invasive way, that is, from the surface of the residuum. The workshop was intended to provide an overview of the state of the art and future perspectives of such interfaces; this paper represents is a collection of opinions expressed by each and every researcher/group involved in it.
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Affiliation(s)
- Claudio Castellini
- Robotics and Mechatronics Center, German Aerospace Center Oberpfaffenhofen, Germany
| | - Panagiotis Artemiadis
- Department of Mechanical and Aerospace Engineering, Arizona State University Tempe, AZ, USA
| | - Michael Wininger
- Prosthetics and Orthotics Program, Rehabilitation Computronics Laboratory, University of Hartford West Hartford, CT, USA ; VA Cooperative Studies Program, Department of Veterans Affairs West Haven, CT, USA
| | - Arash Ajoudani
- Department of Advanced Robotics, Istituto Italiano di Tecnologia Genoa, Italy ; The Centro di Ricerca "E. Piaggio," Università di Pisa Pisa, Italy
| | - Merkur Alimusaj
- Department of Orthopaedic Surgery, Heidelberg University Hospital Heidelberg, Germany
| | - Antonio Bicchi
- Department of Advanced Robotics, Istituto Italiano di Tecnologia Genoa, Italy ; The Centro di Ricerca "E. Piaggio," Università di Pisa Pisa, Italy
| | - Barbara Caputo
- Department of Computer, Control, and Management Engineering, University of Rome La Sapienza Rome, Italy ; Idiap Research Institute Martigny, Switzerland
| | - William Craelius
- Department of Biomedical Engineering, Rutgers University Piscataway, NJ, USA
| | - Strahinja Dosen
- Department of Neurorehabilitation Engineering, University Medical Center, Georg-August-University Goettingen, Germany
| | - Kevin Englehart
- Institute of Biomedical Engineering, University of New Brunswick Fredericton, NB, Canada
| | - Dario Farina
- Department of Neurorehabilitation Engineering, University Medical Center, Georg-August-University Goettingen, Germany
| | - Arjan Gijsberts
- Department of Computer, Control, and Management Engineering, University of Rome La Sapienza Rome, Italy
| | - Sasha B Godfrey
- Department of Advanced Robotics, Istituto Italiano di Tecnologia Genoa, Italy
| | - Levi Hargrove
- Rehabilitation Institute of Chicago, Northwestern University Chicago, IL, USA
| | - Mark Ison
- Department of Mechanical and Aerospace Engineering, Arizona State University Tempe, AZ, USA
| | - Todd Kuiken
- Rehabilitation Institute of Chicago, Northwestern University Chicago, IL, USA
| | - Marko Marković
- Department of Neurorehabilitation Engineering, University Medical Center, Georg-August-University Goettingen, Germany
| | - Patrick M Pilarski
- Department of Computing Science, University of Alberta Edmonton, AB, Canada
| | - Rüdiger Rupp
- Department of Orthopaedic Surgery, Heidelberg University Hospital Heidelberg, Germany
| | - Erik Scheme
- Institute of Biomedical Engineering, University of New Brunswick Fredericton, NB, Canada
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