Abstract: The objective of the present study was to develop a scale called PYTHEIA. The PYTHEIA is a self-reported measure for the assessment of rehabilitation and assistive robotics and other assistive technology devices. The development of PYTHEIA faced the absence of a valid instrument that can be used to evaluate the assistive robotic devices both as a whole, as well as any of their individual components or functionalities implemented. According to the results presented, PYTHEIA is a valid and reliable scale able to be applied to different target groups for the subjective evaluation of various assistive technology devices.
Abstract: Crossing culverts are essential element of rural roads. The paper aims to investigate failures of recently constructed wadi-crossing pipe culverts in Sennar state and provide necessary remedial measures. The investigation is conducted to provide an extensive diagnosis study in order to find out the main structural and hydrological weaknesses of the culverts. Literature of steel pipe culverts related to construction practices and common types of culvert failures and their appropriate mitigation measures were reviewed. A detailed field survey was conducted to detect failures and defects appeared on the existing culverts. The results revealed that seepage of water through the embankment and foundation of the culverts leads to excessive erosion and scouring causing sever failures and damages. The design mistakes and poor construction were detected as the main causes of culverts failures. For sustainability of the culverts, various remedial measures are recommended to be considered in urgent rehabilitation of the existing crossings.
Abstract: Adopting inappropriate body posture during addiction can cause muscular and skeletal deformities. This study is aimed at investigating the effects of a program of the selected corrective exercises on the kyphosis of addicted male patients. Materials and methods: This was a quasi-experimental study. This study has been carried out using the semi-experimental method. The subjects of the present study included 104 addicted men between 25 to 45 years of age. In 2014, these men were referred to one of the NA (Narcotic Anonymous) centres in Kashan in 2015. A total of 24 people suffering from drug withdrawal, who had abnormal kyphosis, were purposefully selected as a sample. The sample was randomly divided into two groups, experimental and control; each group consisted of 12 people. The experimental group participated in a training program for 12 weeks consisting of three 60 minute sessions per week. That includes strengthening, stretching and PNF exercises (deep stretching of the muscle). The control group did no exercise or corrective activity. The Kolmogorov-Smirnov test was used to assess normal distribution of data; and a paired t-test and covariance analysis test were used to assess the effectiveness of the exercises, with a significance level of P≤0.05 by using SPSS18. The results showed that three months of the selected corrective exercises had a significant effect (P≤ 0.005) on the correction of the kyphosis of the addicted male patients after three months of rehabilitation (drug withdrawal) in the experimental group, while there was no significant difference recorded in the control group (P≥0.05). The results show that exercise and corrective activities can be used as non-invasive and non-pharmacological methods to rehabilitate kyphosis abnormalities after drug withdrawal and treatment for addiction.
Abstract: This paper addresses attention to a research regarding the design of a knee orthosis in a modular form used on children walking rehabilitation. This research is focused on the human lower limb kinematic analysis which will be used as input data on virtual simulations and prototype validation. From this analysis, important data will be obtained and used as input for virtual simulations of the knee modular orthosis. Thus, a knee orthosis concept was obtained and validated through virtual simulations by using MSC Adams software. Based on the obtained results, the modular orthosis prototype will be manufactured and presented in this article.
Abstract: This paper investigates and presents a cable-driven
robot to lower limb rehabilitation use in sagittal plane. The presented
rehabilitation robot is used for a trajectory tracking in joint space.
The paper covers kinematic and dynamic analysis, which reveals
the tensionability of the used cables as being the actuating source
to provide a rehabilitation exercises of the human leg. The desired
trajectory is generated to be used in the control system design in joint
space. The obtained simulation results is showed to be efficient in
this kind of application.
Abstract: The increase in proportion of older people in Malaysia has led to a significant growth of health care demands. The aim of this study is to explore how perceived health care needs influence on quality of life among elderly Malay residents who reside in a Malaysian residential home. This study employed a method known as ethnographic research from May 2011 to January 2012. Four data collection strategies were selected as the main data-collecting tools including participant observation, field notes, in-depth interviews, and review of related documents. The nine knowledgeable participants for the present study were selected using the purposive sampling method. Two themes were identified: (1) Medical concerns: Feeling secure, lack of information, inadequate medical staff; and (2) Health promotion: Body condition, health education, physiotherapy and rehabilitation. These results could evoke the attention of policy-makers and care providers to better meet elderly residents’ health care needs.
Abstract: For those who have lost the ability to move their hand, going through repetitious motions with the assistance of a therapist is the main method of recovery. We have been developed a robotic assistive device to rehabilitate the hand motions in place of the traditional therapy. The developed assistive device (RAD-HR) is comprised of four degrees of freedom enabling basic movements, hand function, and assists in supporting the hand during rehabilitation. We used a nonlinear computed torque control technique to control the RAD-HR. The accuracy of the controller was evaluated in simulations (MATLAB/Simulink environment). To see the robustness of the controller external disturbance as modelling uncertainty (±10% of joint torques) were added in each joints.
Abstract: A repetitive training movement is an efficient method
to improve the ability and movement performance of stroke survivors
and help them to recover their lost motor function and acquire new
skills. The ETS-MARSE is seven degrees of freedom (DOF)
exoskeleton robot developed to be worn on the lateral side of the
right upper-extremity to assist and rehabilitate the patients with
upper-extremity dysfunction resulting from stroke. Practically,
rehabilitation activities are repetitive tasks, which make the
assistive/robotic systems to suffer from repetitive/periodic
uncertainties and external perturbations induced by the high-order
dynamic model (seven DOF) and interaction with human muscle
which impact on the tracking performance and even on the stability
of the exoskeleton. To ensure the robustness and the stability of the
robot, a new nonlinear backstepping control was implemented with
designed tests performed by healthy subjects. In order to limit and to
reject the periodic/repetitive disturbances, an iterative estimator was
integrated into the control of the system. The estimator does not need
the precise dynamic model of the exoskeleton. Experimental results
confirm the robustness and accuracy of the controller performance to
deal with the external perturbation, and the effectiveness of the
iterative estimator to reject the repetitive/periodic disturbances.
Abstract: Functional electrical stimulation (FES) is a commonly used technique in rehabilitation and often associated with rapid muscle fatigue which becomes the limiting factor in its applications. The objective of this study is to investigate the effects on the onset of fatigue of conventional synchronous stimulation, as well as asynchronous stimulation that mimic voluntary muscle activation targeting different motor units which are activated sequentially or randomly via multiple pairs of stimulation electrodes. We investigate three different approaches with various electrode configurations, as well as different patterns of stimulation applied to the gastrocnemius muscle: Conventional Synchronous Stimulation (CSS), Asynchronous Sequential Stimulation (ASS) and Asynchronous Random Stimulation (ARS). Stimulation was applied repeatedly for 300 ms followed by 700 ms of no-stimulation with 40 Hz effective frequency for all protocols. Ten able-bodied volunteers (28±3 years old) participated in this study. As fatigue indicators, we focused on the analysis of Normalized Fatigue Index (NFI), Fatigue Time Interval (FTI) and pre-post Twitch-Tetanus Ratio (ΔTTR). The results demonstrated that ASS and ARS give higher NFI and longer FTI confirming less fatigue for asynchronous stimulation. In addition, ASS and ARS resulted in higher ΔTTR than conventional CSS. In this study, we proposed a randomly distributed stimulation method for the application of FES and investigated its suitability for reducing muscle fatigue compared to previously applied methods. The results validated that asynchronous stimulation reduces fatigue, and indicates that random stimulation may improve fatigue resistance in some conditions.
Abstract: Structures such as buildings, bridges, dams, wind turbines etc. need to be maintained against various factors such as deterioration, excessive loads, environment, temperature, etc. Choosing an appropriate monitoring system is important for determining any critical damage to a structure and address that to avoid any adverse consequence. Structural Health Monitoring (SHM) has emerged as an effective technique to monitor the health of the structures. SHM refers to an ongoing structural performance assessment using different kinds of sensors attached to or embedded in the structures to evaluate their integrity and safety to help engineers decide on rehabilitation measures. Ability of SHM in identifying the location and severity of structural damages by considering any changes in characteristics of the structures such as their frequency, stiffness and mode shapes helps engineers to monitor the structures and take the most effective corrective actions to maintain their safety and extend their service life. The main objective of this study is to review the overall SHM process specifically determining the natural frequency of an instrumented simply-supported concrete beam using modal testing and finite element model updating.
Abstract: This paper discusses an analysis of how the characteristics of resources at vocational rehabilitation facilities for the disabled affect the improvement of independency skills among people with severe disabilities. The analysis results indicate that more internal financial resources and more connections to local communities among network resources had greater effects on improving the independency of people with severe disabilities. Based on this result, this paper presents strategies for mobilizing resources to improve the independency of people with severe disabilities at vocational rehabilitation facilities.
Abstract: Allocating limited budget to maintain bridge networks and selecting effective maintenance strategies for each bridge represent challenging tasks for maintenance managers and decision makers. In Egypt, bridges are continuously deteriorating. In many cases, maintenance works are performed due to user complaints. The objective of this paper is to develop a practical and reliable framework to manage the maintenance, repair, and rehabilitation (MR&R) activities of Bridges network considering performance and budget limits. The model solves an optimization problem that maximizes the average condition of the entire network given the limited available budget using Genetic Algorithm (GA). The framework contains bridge inventory, condition assessment, repair cost calculation, deterioration prediction, and maintenance optimization. The developed model takes into account multiple parameters including serviceability requirements, budget allocation, element importance on structural safety and serviceability, bridge impact on network, and traffic. A questionnaire is conducted to complete the research scope. The proposed model is implemented in software, which provides a friendly user interface. The framework provides a multi-year maintenance plan for the entire network for up to five years. A case study of ten bridges is presented to validate and test the proposed model with data collected from Transportation Authorities in Egypt. Different scenarios are presented. The results are reasonable, feasible and within acceptable domain.
Abstract: Pipelines are extensively used engineering structures
which convey fluid from one place to another. Most of the time,
pipelines are placed underground and are encumbered by soil weight
and traffic loads. Corrosion of pipe material is the most common
form of pipeline deterioration and should be considered in both the
strength and serviceability analysis of pipes.
The study in this research focuses on concrete pipes in sewage
systems (concrete sewers). This research firstly investigates how to
involve the effect of corrosion as a time dependent process of
deterioration in the structural and failure analysis of this type of pipe.
Then three probabilistic time dependent reliability analysis methods
including the first passage probability theory, the gamma distributed
degradation model and the Monte Carlo simulation technique are
discussed and developed. Sensitivity analysis indexes which can be
used to identify the most important parameters that affect pipe failure
are also discussed.
The reliability analysis methods developed in this paper contribute
as rational tools for decision makers with regard to the strengthening
and rehabilitation of existing pipelines. The results can be used to
obtain a cost-effective strategy for the management of the sewer
system.
Abstract: The rapid growth of the human population and the
environmental degradation associated with increased consumption of
resources raises concerns on sustainability. Social sustainability
constitutes one of the three dimensions of sustainability together with
environmental and economic dimensions. Even though there is not an
agreement on what social sustainability consists of, it is a well known
fact that it necessitates user participation. The fore, this study aims to
observe and analyze the role of user participation on social
sustainability. In this paper, the links between user participation and indicators of
social sustainability have been searched. In order to achieve this, first
of all a literature review on social sustainability has been done;
accordingly, the information obtained from researches has been used
in the evaluation of the projects conducted in the developing
countries considering user participation. These examples are taken as
role models with pros and cons for the development of the checklist
for the evaluation of the case studies. Furthermore, a case study over
the post earthquake residential settlements in Turkey have been
conducted. The case study projects are selected considering different building
scales (differing number of residential units), scale of the problem
(post-earthquake settlements, rehabilitation of shanty dwellings) and
the variety of users (differing socio-economic dimensions). Decisionmaking,
design, building and usage processes of the selected projects
and actors of these processes have been investigated in the context of
social sustainability. The cases include: New Gourna Village by
Hassan Fathy, Quinta Monroy dwelling units conducted in Chile by
Alejandro Aravena and Beyköy and Beriköy projects in Turkey
aiming to solve the problem of housing which have appeared after the
earthquake happened in 1999 have been investigated. Results of the
study possible links between social sustainability indicators and user
participation and links between user participation and the
peculiarities of place. Results are compared and discussed in order to find possible
solutions to form social sustainability through user participation.
Results show that social sustainability issues depend on communities'
characteristics, socio-economic conditions and user profile but user
participation has positive effects on some social sustainability
indicators like user satisfaction, a sense of belonging and social
stability.
Abstract: Reinforced cement concrete is getting extensively used
for construction of different type of structures for the last one century.
During this period, we have constructed many structures like
buildings, bridges, industrial structures, pavement, water tanks etc.
using this construction material. These structures have been created
with huge investment of resources. It is essential to maintain those
structures in functional condition. Since deterioration in RCC
Structures is a common and natural phenomenon it is required to have
a detailed plan, methodology for structural repair and rehabilitation
shall be in place for dealing such issues. It is important to know exact
reason of distress, type of distress and correct method of repair
concrete structures. The different methods of repair are described in
paper according to distress category which can be refereed for repair.
Major finding of the study is that to protect our structure we need to
have maintenance frequency and correct material to be chosen for
repair. Also workmanship during repair needs to be taken utmost care
for quality repair.
Abstract: Thoracotomy is a great surgery that has serious pulmonary complications, so purpose of this study was to determine the response of diaphragmatic excursion to inspiratory muscle trainer post thoracotomy. Thirty patients of both sexes (16 men and 14 women) with age ranged from 20 to 40 years old had done thoracotomy participated in this study. The practical work was done in cardiothoracic department, Kasr-El-Aini hospital at faculty of medicine for individuals 3 days Post operatively. Patients were assigned into two groups: group A (study group) included 15 patients (8 men and 7 women) who received inspiratory muscle training by using inspiratory muscle trainer for 20 minutes and routine chest physiotherapy (deep breathing, cough and early ambulation) twice daily, 3 days per week for one month. Group B (control group) included 15 patients (8 men and 7 women) who received the routine chest physiotherapy only (deep breathing, cough and early ambulation) twice daily, 3 days per week for one month. Ultrasonography was used to evaluate the changes in diaphragmatic excursion before and after training program. Statistical analysis revealed a significant increase in diaphragmatic excursion in the study group (59.52%) more than control group (18.66%) after using inspiratory muscle trainer post operatively in patients post thoracotomy. It was concluded that the inspiratory muscle training device increases diaphragmatic excursion in patients post thoracotomy through improving inspiratory muscle strength and improving mechanics of breathing and using of inspiratory muscle trainer as a method of physical therapy rehabilitation to reduce post-operative pulmonary complications post thoracotomy.
Abstract: This paper describes an ab-initio design, development and calibration results of an Optical Sensor Ground Reaction Force Measurement Platform (OSGRFP) for gait and geriatric studies. The developed system employs an array of FBG sensors to measure the respective ground reaction forces from all three axes (X, Y and Z), which are perpendicular to each other. The novelty of this work is two folded. One is in its uniqueness to resolve the tri axial resultant forces during the stance in to the respective pure axis loads and the other is the applicability of inherently advantageous FBG sensors which are most suitable for biomechanical instrumentation. To validate the response of the FBG sensors installed in OSGRFP and to measure the cross sensitivity of the force applied in other directions, load sensors with indicators are used. Further in this work, relevant mathematical formulations are presented for extracting respective ground reaction forces from wavelength shifts/strain of FBG sensors on the OSGRFP. The result of this device has implications in understanding the foot function, identifying issues in gait cycle and measuring discrepancies between left and right foot. The device also provides a method to quantify and compare relative postural stability of different subjects under test, which has implications in post-surgical rehabilitation, geriatrics and optimizing training protocols for sports personnel.
Abstract: Some of the main causes for degradation of polymeric materials are thermal aging, hydrolysis, oxidation or chemical degradation by acids, alkalis or water. The first part of this paper provides a brief summary of advances in technology, methods and specification of composite materials for relining as a rehabilitation technique for sewage systems. The second part summarizes an investigation on frequently used composite materials for relining in Sweden, the rubber filled epoxy composite and reinforced polyester composite when they were immersed in deionized water or in dry conditions, and elevated temperatures up to 80°C in the laboratory. The tests were conducted by visual inspection, microscopy, Dynamic Mechanical Analysis (DMA), Differential Scanning Calorimetry (DSC) as well as mechanical testing, three point bending and tensile testing.
Abstract: This report examines the current state of human gait
simulator development based on the human hip joint model. This unit
will create a database of human gait types, useful for setting up and
calibrating Mechano devices, as well as the creation of new systems
of rehabilitation, exoskeletons and walking robots. The system has
many opportunities to configure the dimensions and stiffness, while
maintaining relative simplicity.
Abstract: Government reports and published research have
flagged and brought to public attention the deteriorating condition of
a large percentage of bridges in Canada and the United States. With
the increasing number of deteriorated bridges in the US, Canada, and
around the globe, condition assessment techniques of concrete
bridges are evolving. Investigation for bridges’ defects such as
cracks, spalls, and delamination and their level of severity are the
main objectives of condition assessment. Inspection and
rehabilitation programs are being implemented to monitor and
maintain deteriorated bridge infrastructure. This paper highlights the
state-of-the art of current practices being performed for concrete
bridge inspection. The information is gathered from the literature and
through a distributed questionnaire. The current practices in concrete
bridge inspection rely on the use of hummer sounding and chain
dragging tests. Non-Destructive Testing (NDT) techniques are not
being utilized fully in the process. Nonetheless, they are being
partially utilized by the recommendation of the bridge inspector after
conducting visual inspection. Lanes are usually closed during the
performance of visual inspection and bridge inspection in general.