The document describes research into using a social assistive robot named RAC CP Fun to motivate children with cerebral palsy during physical therapy exercises. The robot aims to increase interaction, motor performance, and cognitive abilities through various game-based activities. Experiments showed children highly engaged with the robot and improved their motor skills. However, the robot requires adaptations to individual children's varying abilities and reactions. The long-term goal is for the robot to provide a personalized motivational strategy during therapy to help stimulate development.
This document summarizes a seminar on cerebral palsy that included presentations from multiple speakers. It covered the epidemiology, anatomy, pathophysiology, clinical manifestations, clinical evaluation and diagnosis, and differential diagnosis and treatment of cerebral palsy. The epidemiology section provided statistics on prevalence, risk factors like preterm birth, and trends over time. The anatomy section described the pyramidal and extrapyramidal motor systems. Pathophysiology focused on causes like periventricular leukomalacia in preterm infants. Clinical manifestations included abnormal muscle tone, feeding difficulties, and lack of coordination. Assessment instruments for functional classification like the Gross Motor Function Classification System were also summarized.
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The document discusses growth and development in children. It defines growth as a quantitative increase in size, while development refers to qualitative improvements in skills and abilities. Four developmental domains are identified: gross motor, fine motor, language, and cognitive/social skills. Assessment tools for infants and older children are listed. The summary should assess development in these key areas and note the importance of a thorough history and examination to evaluate causes of developmental delay.
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This document provides an overview of developmental assessment for children. It discusses the goal of developmental assessment as generating a diagnosis and analyzing strengths and weaknesses to direct treatment. It also covers principles of development, value of assessment, common assessment tools, domains of development, developmental milestones, and risk factors. The document aims to guide healthcare providers in conducting developmental assessments and identifying potential developmental delays.
Its abt normal developmental milestones of a child from birth till 1 year.... Especially normal motor milestones...
"Because once u dont knw whts normal, u cant knw n differentiate between an abnormal"
This document summarizes a seminar on cerebral palsy that included presentations from multiple speakers. It covered the epidemiology, anatomy, pathophysiology, clinical manifestations, clinical evaluation and diagnosis, and differential diagnosis and treatment of cerebral palsy. The epidemiology section provided statistics on prevalence, risk factors like preterm birth, and trends over time. The anatomy section described the pyramidal and extrapyramidal motor systems. Pathophysiology focused on causes like periventricular leukomalacia in preterm infants. Clinical manifestations included abnormal muscle tone, feeding difficulties, and lack of coordination. Assessment instruments for functional classification like the Gross Motor Function Classification System were also summarized.
An Introduction to Cerebral Palsy and Hypoxic Ischaemic Encephalopathymeducationdotnet
Cerebral Palsy is a non-progressive brain lesion that occurs during development and causes motor impairment. The document discusses CP, including defining it as a motor disorder resulting from a brain lesion before maturity. It also outlines the main causes of CP as being prenatal, perinatal, or postnatal events. The classifications of CP are described as spastic, ataxic, or dyskinetic. Hypoxic-ischemic encephalopathy (HIE) is presented as a major cause of CP, with hypothermia therapy emerging as an effective intervention for reducing brain injury in newborns with HIE.
Developmental milestones in children for undergraduatesAzad Haleem
The document discusses growth and development in children. It defines growth as an increase in physical size, while development refers to increased skills and functional capacity. Four key domains of development are identified: gross motor, fine motor, language, and cognitive/social skills. Milestones in each domain are provided for infants and older children to assess age-appropriate abilities. Tools for examining different skills are also listed. The approach to developmental assessments and potential causes and treatments for developmental delays are outlined.
Developmental milestones for postgraduate students Azad Haleem
The document discusses growth and development in children. It defines growth as a quantitative increase in size, while development refers to qualitative improvements in skills and abilities. Four developmental domains are identified: gross motor, fine motor, language, and cognitive/social skills. Assessment tools for infants and older children are listed. The summary should assess development in these key areas and note the importance of a thorough history and examination to evaluate causes of developmental delay.
This document discusses motor development in children. It describes how children develop both gross motor skills that use large muscles like running, and fine motor skills that use small muscles like cutting. Developing these skills gives children the building blocks to engage in activities. The document then provides examples of activities that help develop gross motor skills like jumping rope, and fine motor skills like playing with blocks. It also outlines typical developmental milestones in motor skills from ages 1 to 7.
This document provides an overview of developmental assessment for children. It discusses the goal of developmental assessment as generating a diagnosis and analyzing strengths and weaknesses to direct treatment. It also covers principles of development, value of assessment, common assessment tools, domains of development, developmental milestones, and risk factors. The document aims to guide healthcare providers in conducting developmental assessments and identifying potential developmental delays.
Its abt normal developmental milestones of a child from birth till 1 year.... Especially normal motor milestones...
"Because once u dont knw whts normal, u cant knw n differentiate between an abnormal"
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#Gamification of Older Adults’ Physical Activity: An Experimental Study (HICS...Dennis Kappen
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Kindergarten Socail Assistive Robotics (KindSAR) for Children's Cognitive and...Marina Fridin
1) The document describes a study that used a social robot named KAR (Kindergarten Assistive Robotics) to help teach preschool children (ages 4-6) concepts in geometry and metacognition.
2) KAR led children through activities related to the four seasons and classical music, asking them to identify shapes on its body and push corresponding buttons to reinforce geometric thinking skills.
3) The study involved 17 children split into groups, with one group teaching activities to another using KAR to evaluate metacognitive development. Results showed improvements in both geometry and metacognition, with no differences between boys and girls.
This document discusses the use of multiple data streams in research on infant motor development and rehabilitation. It notes that exploring infant behavior requires looking beyond simplistic models to understand how novel behaviors emerge and can be influenced. The research measures multiple aspects of infant behavior, physical and social environments, and uses various research settings like labs, clinics, and classrooms. Applied studies follow over 50 infants over 5 years using over 800 home sessions and multiple assessments. Integrating and efficiently analyzing data from multiple streams can provide more valid insights but risks of error and not capturing individual issues increase with the number of streams. Sharing data and collaborating with others is important.
This document provides an overview of the International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY) and how it can be used to assess children with disabilities. The ICF-CY is a framework published by the World Health Organization to describe health and disability at both individual and population levels using common terminology. It considers body functions and structures, activities, participation, environmental factors, and personal factors. Several assessment tools are also described that can be used to evaluate children based on the ICF-CY framework and measure things like motor skills, balance, trunk control, quality of life, and cognitive development.
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The document describes Abracadabra, a social assistive robot designed to aid in physiotherapy rehabilitation after stroke. Abracadabra uses social interaction to motivate patients and guide them through repetitive motor tasks at varying difficulty levels. It collects performance data and provides feedback to help patients improve functional skills. The robot has potential applications in hospitals, long-term care facilities, and home therapy to support stroke recovery and increase treatment accessibility.
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This document discusses perceptual and cognitive dysfunction. It begins by defining perception as the process of integrating sensory stimuli into meaningful information. Cognition is defined as the act of knowing, including awareness, reasoning, judgment, intuition and memory.
The document then discusses assessment of perceptual and cognitive deficits. It notes that perception is positively correlated with ability to perform activities of daily living and is a prerequisite for learning and rehabilitation. Clinical indicators of perception deficits include functional loss unexplained by motor or sensory deficits and deficient comprehension. Assessment aims to determine intact and affected perceptual abilities and how task performance is affected by deficits.
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This document outlines an occupational performance model that analyzes occupations in terms of roles, routines, tasks, and components. It describes analyzing occupations to understand their steps, demands, and risks/benefits. The purpose of analysis is to determine what skills are needed to perform occupations and develop mastery for either occupational ends or as a means to other ends.
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Social Assistive Robotics for children with Cerebral Palsy
1. MOTIVATION OF CHILDREN
WITH CEREBRAL PALSY
BY RAC-CP FUN
(ROBOTICS AGENT COACHER FOR CP
MOTOR FUNCTION)
Dr. Marina Fridin1
Dr. Mark Belokopytov2,3
1Ariel University Center
2Assaf Harofeh Medical Center
3Ben-Gurion University of the Negev
The Therapeutic and Educational Social Robotics Lab
Workshop on Motivational Aspects of Robotics in Physical Therapy, IROS 2012
2. CEREBRAL PALSY (CP)
- Spectrum of non-progressive syndromes of posture and
motor impairments that result from an insult to the
developing central nervous system
• Characterized by:
• body function impairments
• activity limitations
• participation limitations
Often accompanied by disturbances of sensation,
cognition, communication, perception, and/or behaviour.
Workshop on Motivational Aspects of Robotics in Physical Therapy, IROS 2012
3. SOCIAL ASSISTIVE ROBOTICS (SAR)
- SAR is the class of robots that provide various types of assistance
to various vulnerable populations primarily through social, rather than
physical interaction.
• POPULATIONS:
• Elderly:
• Post- stroke rehabilitation, Matarić, et al., 2007
• Alzheimer’s disease , Tapus et..al. ,2009
• Hospital delivery robot, Mutlu & Forlizzi ,2008
• Nursing home residents , Wada et.al. , 2004
• Children, mainly for children with autism spectrum disorders
(ASD)
• Scassellati, et al. 2007.
• Robins, et al., 2005.
Workshop on Motivational Aspects of Robotics in Physical Therapy, IROS 2012
4. Hands off
RAC CP Fun
Body Structure & Functions Activity Participation
Environmental
Factors
Personal
Factors
Health condition (disorder or disease)Therapist
Hands on
Motor Actions
I N T E R N AT I O N A L
C L A S S I F I C AT I O N O F
F U N C T I O N I N G , D I S A B I L I T Y
A N D H E A LT H ( I C F )
F R A M E W O R K , ( W H O , 2 0 0 2 )
Workshop on Motivational Aspects of Robotics in Physical Therapy, IROS 2012
5. RAC CP Fun
Body Structure & Functions Activity Participation
Environmental
Factors
Personal
Factors
Therapist RAC CP Fun
Health condition (disorder or disease)
Hands on
Conceptual Interference
Environment Taxonomy
Learning Algorithm
Hands off
Human-Robot Interaction
Motor GamesMotor Actions
Adaptation to personality, mood and motor performance
Motivation: feedback, mirroring effect
Team Decomposition
Workshop on Motivational Aspects of Robotics in Physical Therapy, IROS 2012
6. MOTIVATION AS PART OF A
GAME
Workshop on Motivational Aspects of Robotics in Physical Therapy, IROS 2012
Embedded features:
• Play-like activate
• Toy appearance of the robot
• Emotional arousal
• Variety of games
NOT ENOUGH…
7. SUBJECTS
Subject Gender Age (yrs) GMFCS
1 M 5.8 III
2 M 5.9 III
3 M 6.3 I
4 F 5.7 II
5 M 6.2 IV
6 M 5.8 III
7 M 6.1 II
8 M 6.3 III
9 M 4.9 IV
10 M 5.1 II
11 F 5.4 II
Workshop on Motivational Aspects of Robotics in Physical Therapy, IROS 2012
All diagnosed as CP
9. DATA ANALYSIS
• Interaction Level (IL)
• Cognitive Performance (V)
• Motor Performance
3
1
**
F
FSss FWSignECIL
Workshop on Motivational Aspects of Robotics in Physical Therapy, IROS 2012
RT
AVE
V
)(1
Coding Performance
0 did not perform
1 attempt to perform - 2nd attempt
2 incomplete performance- 2nd attempt
3 attempt to perform - 1st attempt
4 complete performance- 2nd attempt
5 incomplete performance- 1st attempt
6 complete performance- 1st attempt
10. EXPERIMENT 1:
FIRST MEETING PROCEDURE
• AIM: the robot introduces itself to the children, explains it’s intention,
demonstrates games, explains it’s limitations (ethical issues)
• MOTIVATION: the robots create enjoyable interaction, emotional
arousal, creates personal contact, reduces children’s and staff’s concern
• RESULT: children enjoyed, actively played with robot, participated in the
conversation with the robot , allowed the robot to be in their personal
space
Workshop on Motivational Aspects of Robotics in Physical Therapy, IROS 2012
11. Procedureflow
Interaction level
-10 0 10 20 30 40
Hello
Introduction
Song
Conversation
Motor game
Robot falls down
Explanation
Parting
0 1 2
Execution
CP
ND
12. • AIM: motor exercises (symmetrical, asymmetrical, and dual tasks)
• MOTIVATION: the robot is personal toy, personal feedback
• RESULTS: high interaction, high performance (better then educational
staff expected), possible correlation
between exercise difficulty and motivation
EXPERIMENT 2:
ONE-TO-ONE MOTOR INVOLVEMENT
Workshop on Motivational Aspects of Robotics in Physical Therapy, IROS 2012
14. EXPERIMENT 3 :
“ROBY SAID”
• AIM: collaborative motor game (symmetrical, asymmetrical, and complex
tasks), selective attention
• MOTIVATION: the robot initiates and mediates a social game
• RESULTS: children enjoy, high interaction, improvement in motor
performance and selective attention
• CHALLENGE: variability of children’s reactions and abilities, need of
“social psychology” approach (despair attention, feedback, adaptive game’s
flow)
Workshop on Motivational Aspects of Robotics in Physical Therapy, IROS 2012
15.
16. EXPERIMENT 4:
”FOUR SEASONS”
• AIM: to explore a possibility to facilitate the development of spatial cognition
(as example of cognitive abilities) of the children
• MOTIVATION: competition between children, experience in operating the
robot, classical music, dancing
• RESULTS: children enjoyed, their cognitive performance were improved
• CHALLENGE: adjustment of the robot’s behavior to the variability of the
physical and mental abilities of the children
Workshop on Motivational Aspects of Robotics in Physical Therapy, IROS 2012
18. EXPERIMENT 5:
COMPLEX INTERACTION
• AIM: to test a constructive learning approach (using books and
furniture), accompanied with motor and cognitive development
• MOTIVATION: the robot is a “help-seeker”, natural environment
• RESULT: “help-seeker” is efficient, single robot’s can not fit complex
interaction
• CHALLENGE: need for assortment of behaviors driven by the child’s
personality
Workshop on Motivational Aspects of Robotics in Physical Therapy, IROS 2012
19. VARIABILITY of REACTIONS
Workshop on Motivational Aspects of Robotics in Physical Therapy, IROS 2012
E., 4 yrs, Hemiplegia, ADHD, GMFSC I
M., 4 yrs, Spastic diplegia, ADHD, GMFCS II
A., 6 yrs, Hemiplegia, GMFSC III
D., 6 yrs, Spastic syndrome, ADHD, GMFSC I
Fragment of long scenario. Goal: to induce arm rising to maximal range
20. THE SCHEME OF THE RAC CP FUN
MODULES AND DATA FLOW
Low-level Perception
• Kinect: Motion processing
• Robot’s Video:
High color saturation filters
Skin-color filters
Edge detection
Disparity computation
• Robot’s Sensors: Data filtering
Motor module
• Visual-motor skills
• Manipulation skills (reaching/ grasping)
• Expressive skills (bodily/facial/vocalizations)
Attention module
• Attention on a child with fastest/slowest reactions
• Attention on a child defined by physiotherapist
Motivation module
• Positive-negative reinforcement
• Qualitive and quantative feedback
• Empathy and mirroring effect
Behavior module
• Behavior selection
• Decomposition to the set of
operations: body
movements, operational
vocabulary, sounds, emotiona
l expressions
High-level Perception
• Visual:
Scene analysis and segmentation
Face and eye detection
Whole body labeling
Subjects identification
Gaze direction
Emotional Recognition
• Kinect: Extremities movement analysis
• Sensory Data fusion
Adaptation module
• Adjustment to the stage of motor learning
• Mood and current success level
• Personality matching: hyperactive/passive
Information analysis module
• Subject’s motor behavior analysis
• Subject’s cognitive behavior analysis
• Monitoring of the level of interaction strength
• Recognition of subjects attention state
Input
• Robot: Sensors data, including Scene video
• Kinect: Movement tracking
• Physiotherapist: Settings
Personal and Anthropometric data
Functional (pathological) restrictions
Tasks difficulty
Session scenario components
Safety module
• Avoid children in robot’s working space
Databas
e
Self-awareness module
• Error detection/Success measuring
Locomotion, Falling, Manipulation
• Robot localization
Personal Information
Pathology characteristics:
GMFCS, Altered side, Assistive device
Motor functions : Time of sit-stand
initiation, Symmetry of holding arms
Child-Robot Interaction Measurements:
Emotional status, Responsiveness
Environment: Place, # participants
Workshop on Motivational Aspects of Robotics in Physical Therapy, IROS 2012
21. SUMMARY
Workshop on Motivational Aspects of Robotics in Physical Therapy, IROS 2012
Unconstrained interaction
Personal toy
Social mediator
Combined:
competitive, entertaining,
operated by a child
Help-seeker
Strategy for motivation
Assortment
of behaviors
Taskcomplexity
Variabilityofreactions
Need
22. CONCLUSIONS
● RAC CP FUN is a feasible and promising new research
area of social assistive technology with immeasurable
potential
● RAC CP FUN may stimulate the development of new
treatments for a wide variety of diseases and disorders
through effective physiotherapy practice
Workshop on Motivational Aspects of Robotics in Physical Therapy, IROS 2012
23. RESEARCH GROUP
Dr. Mark BelokopytovDr. Simona Bar-Haim
Bella DavidovGuy Keren
Ronit Aviram
MESHI Jerusalem
Workshop on Motivational Aspects of Robotics in Physical Therapy, IROS 2012
Our work to date demonstrates the promise of RAC CP FUN, a new research area of social assistive technology with immeasurable potential. SAR technology is still in its infancy, but the results of our experiment demonstrate how assistive robotic platforms can be used in the near future in hospitals and homes, in training and therapeutic programs that monitor, encourage, and assist their users. This multidisciplinary project will not only open a window to other advanced applications of advanced robotic interactive technology, but may also stimulate the development of new treatments for a wide variety of diseases and disorders through effective physiotherapy practice.
Our work to date demonstrates the promise of RAC CP FUN, a new research area of social assistive technology with immeasurable potential. SAR technology is still in its infancy, but the results of our experiment demonstrate how assistive robotic platforms can be used in the near future in hospitals and homes, in training and therapeutic programs that monitor, encourage, and assist their users. This multidisciplinary project will not only open a window to other advanced applications of advanced robotic interactive technology, but may also stimulate the development of new treatments for a wide variety of diseases and disorders through effective physiotherapy practice.