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1.
Sensors (Basel) ; 24(5)2024 Feb 29.
Article in English | MEDLINE | ID: mdl-38475112

ABSTRACT

Optical 3D scanning applications are increasingly used in various medical fields. Setups involving multiple adjustable systems require repeated extrinsic calibration between patients. Existing calibration solutions are either not applicable to the medical field or require a time-consuming process with multiple captures and target poses. Here, we present an application with a 3D checkerboard (3Dcb) for extrinsic calibration with a single capture. The 3Dcb application can register captures with a reference to validate measurement quality. Furthermore, it can register captures from camera pairs for point-cloud stitching of static and dynamic scenes. Registering static captures from TIDA-00254 to its reference from a Photoneo MotionCam-3D resulted in an error (root mean square error ± standard deviation) of 0.02 mm ± 2.9 mm. Registering a pair of Photoneo MotionCam-3D cameras for dynamic captures resulted in an error of 2.2 mm ± 1.4 mm. These results show that our 3Dcb implementation provides registration for static and dynamic captures that is sufficiently accurate for clinical use. The implementation is also robust and can be used with cameras with comparatively low accuracy. In addition, we provide an extended overview of extrinsic calibration approaches and the application's code for completeness and service to fellow researchers.

2.
Sensors (Basel) ; 23(18)2023 Sep 11.
Article in English | MEDLINE | ID: mdl-37765865

ABSTRACT

Adolescent idiopathic scoliosis (AIS) is a prevalent musculoskeletal disorder that causes abnormal spinal deformities. The early screening of children and adolescents is crucial to identify and prevent the further progression of AIS. In clinical examinations, scoliometers are often used to noninvasively estimate the primary Cobb angle, and optical 3D scanning systems have also emerged as alternative noninvasive approaches for this purpose. The recent advances in low-cost 3D scanners have led to their use in several studies to estimate the primary Cobb angle or even internal spinal alignment. However, none of these studies demonstrate whether such a low-cost scanner satisfies the minimal requirements for capturing the relevant deformities of the human back. To practically quantify the minimal required spatial resolution and camera resolution to capture the geometry and shape of the deformities of the human back, we used multiple 3D scanning methodologies and systems. The results from an evaluation of 30 captures of AIS patients and 76 captures of healthy subjects showed that the minimal required spatial resolution is between 2 mm and 5 mm, depending on the chosen error tolerance. Therefore, a minimal camera resolution of 640 × 480 pixels is recommended for use in future studies.


Subject(s)
Musculoskeletal Diseases , Optical Devices , Adolescent , Child , Humans , Healthy Volunteers
3.
Front Neurosci ; 16: 1019880, 2022.
Article in English | MEDLINE | ID: mdl-36389246

ABSTRACT

Introduction: Adding sensory feedback to myoelectric prosthetic hands was shown to enhance the user experience in terms of controllability and device embodiment. Often this is realized non-invasively by adding devices, such as actuators or electrodes, within the prosthetic shaft to deliver the desired feedback. However, adding a feedback system in the socket adds more weight, steals valuable space, and may interfere with myoelectric signals. To circumvent said drawbacks we tested for the first time if force feedback from a prosthetic hand could be redirected to another similarly sensitive part of the body: the foot. Methods: We developed a vibrotactile insole that vibrates depending on the sensed force on the prosthetic fingers. This self-controlled clinical pilot trial included four experienced users of myoelectric prostheses. The participants solved two types of tasks with the artificial hands: 1) sorting objects depending on their plasticity with the feedback insole but without audio-visual feedback, and 2) manipulating fragile, heavy, and delicate objects with and without the feedback insole. The sorting task was evaluated with Goodman-Kruskal's gamma for ranked correlation. The manipulation tasks were assessed by the success rate. Results: The results from the sorting task with vibrotactile feedback showed a substantial positive effect. The success rates for manipulation tasks with fragile and heavy objects were high under both conditions (feedback on or off, respectively). The manipulation task with delicate objects revealed inferior success with feedback in three of four participants. Conclusion: We introduced a novel approach to touch sensation in myoelectric prostheses. The results for the sorting task and the manipulation tasks diverged. This is likely linked to the availability of various feedback sources. Our results for redirected feedback to the feet fall in line with previous similar studies that applied feedback to the residual arm. Clinical trial registration: Name: Sensor Glove and Non-Invasive Vibrotactile Feedback Insole to Improve Hand Prostheses Functions and Embodiment (FeetBack). Date of registration: 23 April 2019. Date the first participant was enrolled: 3 September 2021. ClinicalTrials.gov Identifier: NCT03924310.

4.
Ann Biomed Eng ; 44(5): 1355-69, 2016 May.
Article in English | MEDLINE | ID: mdl-26926695

ABSTRACT

Fecal incontinence describes the involuntary loss of bowel content, which is responsible for stigmatization and social exclusion. It affects about 45% of retirement home residents and overall more than 12% of the adult population. Severe fecal incontinence can be treated by the implantation of an artificial sphincter. Currently available implants, however, are not part of everyday surgery due to long-term re-operation rates of 95% and definitive explantation rates of 40%. Such figures suggest that the implants fail to reproduce the capabilities of the natural sphincter. This article reviews the artificial sphincters on the market and under development, presents their physical principles of operation and critically analyzes their performance. We highlight the geometrical and mechanical parameters crucial for the design of an artificial fecal sphincter and propose more advanced mechanisms of action for a biomimetic device with sensory feedback. Dielectric electro-active polymer actuators are especially attractive because of their versatility, response time, reaction forces, and energy consumption. The availability of such technology will enable fast pressure adaption comparable to the natural feedback mechanism, so that tissue atrophy and erosion can be avoided while maintaining continence during daily activities.


Subject(s)
Anal Canal , Biomimetic Materials , Fecal Incontinence , Prosthesis Design , Adult , Artificial Organs , Fecal Incontinence/physiopathology , Fecal Incontinence/surgery , Humans , Prosthesis Failure
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