Comparative effects of kinect-based versus therapist-based constraint-induced movement therapy on motor control and daily motor function in children with unilateral cerebral palsy: a randomized control trial.

BACKGROUND: Constraint-induced movement therapy (CIMT) is a prominent neurorehabilitation approach for improving affected upper extremity motor function in children with unilateral cerebral palsy (UCP). However, the restraint of the less-affected upper extremity and intensive training protocol during CIMT may decrease children's motivation and increase the therapist's workload and family's burden. A kinect-based CIMT program, aiming to mitigate the concerns of CIMT, has been developed. The preliminary results demonstrated that this program was child-friendly and feasible for improving upper extremity motor function. However, whether the kinect-based CIMT can achieve better or at least comparable effects to that of traditional CIMT (i.e., therapist-based CIMT) should be further investigated. Therefore, this study aimed to compare the effects of kinect-based CIMT with that of therapist-based CIMT on upper extremity and trunk motor control and on daily motor function in children with UCP. METHODS: Twenty-nine children with UCP were recruited and randomly allocated to kinect-based CIMT (n = 14) or therapist-based CIMT (n = 15). The intervention dosage was 2.25 h a day, 2 days a week for 8 weeks. Outcome measures, namely upper extremity and trunk motor control and daily motor function, were evaluated before and after 36-h interventions. Upper extremity and trunk motor control were assessed with unimanual reach-to-grasp kinematics, and daily motor function was evaluated with the Revised Pediatric Motor Activity Log. Between-group comparisons of effectiveness on all outcome measures were analyzed by analysis of covariance (α = 0.05). RESULTS: The two groups demonstrated similar improvements in upper extremity motor control and daily motor function. In addition, the kinect-based CIMT group demonstrated greater improvements in trunk motor control than the therapist-based CIMT group did (F(1,28) > 4.862, p < 0.036). CONCLUSION: Kinect-based CIMT has effects comparable to that of therapist-based CIMT on UE motor control and daily motor function. Moreover, kinect-based CIMT helps decrease trunk compensation during reaching in children with UCP. Therefore, kinect-based CIMT can be used as an alternative approach to therapist-based CIMT. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT02808195. Registered on 2016/06/21, https://clinicaltrials.gov/ct2/show/NCT02808195 .

A Music Playback Algorithm Based on Residual-Inception Blocks for Music Emotion Classification and Physiological Information.

Music can generate a positive effect in runners' performance and motivation. However, the practical implementation of music intervention during exercise is mostly absent from the literature. Therefore, this paper designs a playback sequence system for joggers by considering music emotion and physiological signals. This playback sequence is implemented by a music selection module that combines artificial intelligence techniques with physiological data and emotional music. In order to make the system operate for a long time, this paper improves the model and selection music module to achieve lower energy consumption. The proposed model obtains fewer FLOPs and parameters by using logarithm scaled Mel-spectrogram as input features. The accuracy, computational complexity, trainable parameters, and inference time are evaluated on the Bi-modal, 4Q emotion, and Soundtrack datasets. The experimental results show that the proposed model is better than that of Sarkar et al. and achieves competitive performance on Bi-modal (84.91%), 4Q emotion (92.04%), and Soundtrack (87.24%) datasets. More specifically, the proposed model reduces the computational complexity and inference time while maintaining the classification accuracy, compared to other models. Moreover, the size of the proposed model for network training is small, which can be applied to mobiles and other devices with limited computing resources. This study designed the overall playback sequence system by considering the relationship between music emotion and physiological situation during exercise. The playback sequence system can be adopted directly during exercise to improve users' exercise efficiency.

Environmental Noise Classification with Inception-Dense Blocks for Hearing Aids.

Hearing aids are increasingly essential for people with hearing loss. For this purpose, environmental noise estimation and classification are some of the required technologies. However, some noise classifiers utilize multiple audio features, which cause intense computation. In addition, such noise classifiers employ inputs of different time lengths, which may affect classification performance. Thus, this paper proposes a model architecture for noise classification, and performs experiments with three different audio segment time lengths. The proposed model attains fewer floating-point operations and parameters by utilizing the log-scaled mel-spectrogram as an input feature. The proposed models are evaluated with classification accuracy, computational complexity, trainable parameters, and inference time on the UrbanSound8k dataset and HANS dataset. The experimental results showed that the proposed model outperforms other models on two datasets. Furthermore, compared with other models, the proposed model reduces model complexity and inference time while maintaining classification accuracy. As a result, the proposed noise classification for hearing aids offers less computational complexity without compromising performance.

Optimizing the Sensor Placement for Foot Plantar Center of Pressure without Prior Knowledge Using Deep Reinforcement Learning.

We study the foot plantar sensor placement by a deep reinforcement learning algorithm without using any prior knowledge of the foot anatomical area. To apply a reinforcement learning algorithm, we propose a sensor placement environment and reward system that aims to optimize fitting the center of pressure (COP) trajectory during the self-selected speed running task. In this environment, the agent considers placing eight sensors within a 7 × 20 grid coordinate system, and then the final pattern becomes the result of sensor placement. Our results show that this method (1) can generate a sensor placement, which has a low mean square error in fitting ground truth COP trajectory, and (2) robustly discovers the optimal sensor placement in a large number of combinations, which is more than 116 quadrillion. This method is also feasible for solving different tasks, regardless of the self-selected speed running task.

Continual Learning Strategy in One-Stage Object Detection Framework Based on Experience Replay for Autonomous Driving Vehicle.

Object detection is an important aspect for autonomous driving vehicles (ADV), which may comprise of a machine learning model that detects a range of classes. As the deployment of ADV widens globally, the variety of objects to be detected may increase beyond the designated range of classes. Continual learning for object detection essentially ensure a robust adaptation of a model to detect additional classes on the fly. This study proposes a novel continual learning method for object detection that learns new object class(es) along with cumulative memory of classes from prior learning rounds to avoid any catastrophic forgetting. The results of PASCAL VOC 2007 have suggested that the proposed ER method obtains 4.3% of mAP drop compared against the all-classes learning, which is the lowest amongst other prior arts.

Depth-based dynamic lightness adjustment power-saving algorithm for AMOLED in head-mounted display.

Most of the head-mounted displays take the active-matrix organic light emitting diode (AMOLED) as the primary display panel because of its displaying superiorities. Yet, the AMOLED displays are still regarded as power-hungry components; in order to reduce the power consumption of AMOLED displays, the input image would be suppressed based on the proposed dynamic lightness adjustment algorithm that incorporates the depth information from the stereoscopic images which indicates the saliency, and the lightness of image pixel-wisely. The experiments reveal that the proposed method could achieve the approximately high power-saving rate with lower computational overheads compared to the existing methods.

Novel Solution for Using Neural Networks for Kidney Boundary Extraction in 2D Ultrasound Data.

Background and Objective: Kidney ultrasound (US) imaging is a significant imaging modality for evaluating kidney health and is essential for diagnosis, treatment, surgical intervention planning, and follow-up assessments. Kidney US image segmentation consists of extracting useful objects or regions from the total image, which helps determine tissue organization and improve diagnosis. Thus, obtaining accurate kidney segmentation data is an important first step for precisely diagnosing kidney diseases. However, manual delineation of the kidney in US images is complex and tedious in clinical practice. To overcome these challenges, we developed a novel automatic method for US kidney segmentation. Methods: Our method comprises two cascaded steps for US kidney segmentation. The first step utilizes a coarse segmentation procedure based on a deep fusion learning network to roughly segment each input US kidney image. The second step utilizes a refinement procedure to fine-tune the result of the first step by combining an automatic searching polygon tracking method with a machine learning network. In the machine learning network, a suitable and explainable mathematical formula for kidney contours is denoted by basic parameters. Results: Our method is assessed using 1380 trans-abdominal US kidney images obtained from 115 patients. Based on comprehensive comparisons of different noise levels, our method achieves accurate and robust results for kidney segmentation. We use ablation experiments to assess the significance of each component of the method. Compared with state-of-the-art methods, the evaluation metrics of our method are significantly higher. The Dice similarity coefficient (DSC) of our method is 94.6 ± 3.4%, which is higher than those of recent deep learning and hybrid algorithms (89.4 ± 7.1% and 93.7 ± 3.8%, respectively). Conclusions: We develop a coarse-to-refined architecture for the accurate segmentation of US kidney images. It is important to precisely extract kidney contour features because segmentation errors can cause under-dosing of the target or over-dosing of neighboring normal tissues during US-guided brachytherapy. Hence, our method can be used to increase the rigor of kidney US segmentation.

Deep-Learning-Based Automated Classification of Chinese Speech Sound Disorders.

This article describes a system for analyzing acoustic data to assist in the diagnosis and classification of children's speech sound disorders (SSDs) using a computer. The analysis concentrated on identifying and categorizing four distinct types of Chinese SSDs. The study collected and generated a speech corpus containing 2540 stopping, backing, final consonant deletion process (FCDP), and affrication samples from 90 children aged 3-6 years with normal or pathological articulatory features. Each recording was accompanied by a detailed diagnostic annotation by two speech-language pathologists (SLPs). Classification of the speech samples was accomplished using three well-established neural network models for image classification. The feature maps were created using three sets of MFCC (Mel-frequency cepstral coefficients) parameters extracted from speech sounds and aggregated into a three-dimensional data structure as model input. We employed six techniques for data augmentation to augment the available dataset while avoiding overfitting. The experiments examine the usability of four different categories of Chinese phrases and characters. Experiments with different data subsets demonstrate the system's ability to accurately detect the analyzed pronunciation disorders. The best multi-class classification using a single Chinese phrase achieves an accuracy of 74.4 percent.

An Ultra-Low Power Surface EMG Sensor for Wearable Biometric and Medical Applications.

In recent years, the surface electromyography (EMG) signal has received a lot of attention. EMG signals are used to analyze muscle activity or to evaluate a patient's muscle status. However, commercial surface EMG systems are expensive and have high power consumption. Therefore, the purpose of this paper is to implement a surface EMG acquisition system that supports high sampling and ultra-low power consumption measurement. This work analyzes and optimizes each part of the EMG acquisition circuit and combines an MCU with BLE. Regarding the MCU power saving method, the system uses two different frequency MCU clock sources and we proposed a ping-pong buffer as the memory architecture to achieve the best power saving effect. The measured surface EMG signal samples can be forwarded immediately to the host for further processing and additional application. The results show that the average current of the proposed architecture can be reduced by 92.72% compared with commercial devices, and the battery life is 9.057 times longer. In addition, the correlation coefficients were up to 99.5%, which represents a high relative agreement between the commercial and the proposed system.

Development and Feasibility of a Kinect-Based Constraint-Induced Therapy Program in the Home Setting for Children With Unilateral Cerebral Palsy.

Introduction: Cerebral palsy (CP) is the leading cause of childhood-onset physical disability. Children with CP often have impaired upper limb (UL) function. Constraint-induced therapy (CIT) is one of the most effective UL interventions for children with unilateral CP. However, concerns about CIT for children have been repeatedly raised due to frustration caused by restraint of the child's less-affected UL and lack of motivation for the intensive protocol. Virtual reality (VR), which can mitigate the disadvantages of CIT, potentially can be used as an alternative mediator for implementing CIT. Therefore, we developed a VR-based CIT program for children with CP using the Kinect system. Aims: The feasibility of the Kinect-based CIT program was evaluated for children with unilateral CP using a two-phase study design. Materials and Methods: In phase 1, ten children with unilateral CP were recruited. To confirm the achievement of the motor training goals, maximal UL joint angles were evaluated during gameplay. To evaluate children's perceptions of the game, a questionnaire was used. In phase 2, eight children with unilateral CP were recruited and received an 8 weeks Kinect-based CIT intervention. Performance scores of the game and outcomes of the box and block test (BBT) were recorded weekly. Results: In phase 1, results supported that the design of the program was CIT-specific and was motivational for children with unilateral CP. In phase 2, game performance and the BBT scores began showing stable improvements in the fifth week of intervention. Conclusion: It suggested the Kinect-based CIT program was beneficial to the motor function of the affected UL for children with unilateral CP. According to the results of this feasibility study, larger and controlled effectiveness studies of the Kinect-based CIT program can be conducted to further improve its clinical utility. Clinical Trial Registration: ClinicalTrials.gov, NCT02808195; Comparative effectiveness of a Kinect-based unilateral arm training system vs. CIT for children with CP.

An Effective Occipitomental View Enhancement Based on Adaptive Morphological Texture Analysis.

This paper aims to present an algorithm that specifically enhances maxillary sinuses using a novel contrast enhancement technique based on the adaptive morphological texture analysis for occipitomental view radiographs. First, the skull X-ray (SXR) is decomposed into rotational blocks (RBs). Second, each RB is rotated into various directions and processed using morphological kernels to obtain the dark and bright features. Third, a gradient-based block segmentation decomposes the interpolated feature maps into feature blocks (FBs). Finally, the histograms of FBs are equalized and overlaid locally to the input SXR. The performance of the proposed method was evaluated on an independent dataset, which comprises of 145 occipitomental view-based human SXR images. According to the experimental results, the proposed method is able to increase the diagnosis accuracy by 83.45% compared with the computed tomography modality as the gold standard.