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Motor Skill Acquisition and Motion Analysis in Robot-assisted Surgery

davinci robot

Our goals in this research project are to determine the significance of performance of inanimate tasks as a marker for robotic proficiency and assess the utility of inanimate task training on robotic skill performance.  We aim to establish standardized tasks for training, define accurate metrics for performance, and assess motor skill acquisition in virtual and real environments.

Robot-assisted surgery offers distinct advantages and is rapidly being applied to a diverse range of surgical procedures.  However, teleoperation inherently decouples the surgeon from the patient.  While robotic-assistance permits a more natural, intuitive interface in comparison to standard laparoscopy, there is still a significant learning curve in mastering the technique.  In addition, the advantages of the robotic system are further limited by the lack of tactile and kinesthetic information transmitted to the surgeon.  Given this lack of sensory feedback, more emphasis is placed on interpreting visual cues and understanding robotic movement during performance.

Origins of Intermittency in Slow Movements

It has been reported in the literature that the smoothness of human subjects' arm/hand movements vanishes as the movements become slower. Intermittencies in the movement are observed as distinct peaks in the speed profile.

Doeringer and Hogan (1998) proposed two possibilities for the origin of intermittency in slow movements: (1) noise in neuromuscular circuitry, and (2) a movement planner that can only construct simple movements. They showed that the intermittency can not be due to noise or delays in visual feedback.

Tendon Vibration for Inducing Consistent and Controllable Proprioceptive Illusions

Vibrating muscle tendons at a range of frequencies is known to produce movement illusions in human subjects. Although there are examples in the literature on the use of vibrators to transmit simple cues such as direction information, movement illusions due to vibration have not been utilized as a method of providing illusory kinesthetic feedback. One possible main application is artificial proprioception for prosthetic devices.

Although it is relatively easy to induce the illusion, it is difficult to generate controlled sensations due to the inconsistency and instability of the illusion, differences observed among subjects, muscle configuration, and load conditions, among other reasons.

Robot-assisted Rehabilitation with CIMT

Robotic rehabilitation for stroke patients has been an active field of research since the 1990s. There has been many studies focusing on mechanical design of robotic devices, design of software and interfaces for the patients and therapists, identifying quantitative and objective measures for motor improvement, and developing different operating modes/scenarios for the devices. However, a unified set of robotic (based on data captured by the robotic device) motor function improvement measures still does not exist. This makes comparing the outcomes obtained by using different robotic rehabilitation devices and platforms a difficult task. Typically, the motor improvement outcomes are reported using clinical stroke measures (such as Fugl-Meyer) that are reliable and widely used, albeit only in a pre-treatment and post-treatment fashion, which severely decreases the resolution of analyzing the actual recovery process.

Progressive Haptic Guidance for Training in a Virtual Dynamic Task

The implementation of training virtual environments (TVEs) is intended to reduce risk, improve and accelerate learning over traditional training methods, thereby transferring what is learned in the simulation to the targeted real world task. One type of TVE employs a type of robotic force feedback, also called haptic guidance, to assist the human trainee in performing the critical components of the task. Prior work suggests that these haptic guidance schemes perform best when the level of guidance is based on the trainee's changing level of performance during training. Our objective is to demonstrate that expert based progressive haptic guidance can accelerate and improve training outcomes over visual or practice-only methods. To that end, we design a guidance scheme based on a detailed analysis of performance differences between expert and novice trainees. The guidance design is then tested with two trainees in a dynamic task experiment thereby verifying its functionality.

Respiratory Motion Management for Radiotherapy via Tactile Feedback

We are developing a Respiratory Motion Management System (RMMS) to maintain uniform and steady breathing patterns for lung cancer patients during radiotherapy treatment using tactile feedback. A well know “gated-therapy” technique targets infected tumors during either at the full inhale or at the full exhale posture. In order to reduce the exposure time and increase the efficacy of treatment, patients need to maintain a normal and/or predefined chest motion during treatments. In the study we will examine a human’s ability to control motor actions commanded by tactile cues alone or by combined tactile, visual and auditory cues. Currently, we are investigating numerous factors for optimal mapping of tactile cues to the controlled motor action for breathing.

Automation for Electron Cryomicroscopy

Robot used for sample vitrificationThe task of preparing samples for electron cryomicroscopy is a tedious and repetitive one, and well-suited to robotic automation.  In coordination with Baylor College of Medicine, we are using an Adept Cobra SCARA-type industrial robot to automate the process, from the retrieval of sample grids through to the storage of the vitrified samples.

Alvin Goh

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Personal Information
Position: 
Visiting Researcher
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Public Email: 
goh [at] bcm [dot] edu
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Server Migration

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We apologize for the poor performance of the site over the past few weeks. We have since migrated the site to a dedicated server, which should improve speed tremendously, as well as speed development of new features!

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