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Biomedical subjects

Jeremy L Emken

Publications and source records attributed to Jeremy L Emken.

5 recordsLinked to original sources

Robot-enhanced motor learning: accelerating internal model formation during locomotion by transient dynamic amplification.

When adapting to novel dynamic environments the nervous system learns to anticipate the imposed forces by forming an internal model of the environmental dynamics in a process driven by movement error reduction. Here, we tested the hypothesis that motor learning could be accelerated by transiently amplifying the environmental dynamics. A novel dynamic environment was created during treadmill stepping by applying a perpendicular viscous force field to the leg through a robotic device. The environmental dynamics were amplified by an amount determined by a computational learning model fit on a per-subject basis. On average, subjects significantly reduced the time required to predict the applied force field by approximately 26% when the field was transiently amplified. However, this reduction was not as great as that predicted by the model, likely due to nonstationarities in the learning parameters. We conclude that motor learning of a novel dynamic environment can be accelerated by exploiting the error-based learning mechanism of internal model formation, but that nonlinearities in adaptive response may limit the feasible acceleration. These results support an approach to movement training devices that amplify rather than reduce movement errors, and provide a computational framework for both implementing the approach and understanding its limitations.

Adaptation, Physiological↗

Robotics, motor learning, and neurologic recovery.

Robotic devices are helping shed light on human motor control in health and injury. By using robots to apply novel force fields to the arm, investigators are gaining insight into how the nervous system models its external dynamic environment. The nervous system builds internal models gradually by experience and uses them in combination with impedance and feedback control strategies. Internal models are robust to environmental and neural noise, generalized across space, implemented in multiple brain regions, and developed in childhood. Robots are also being used to assist in repetitive movement practice following neurologic injury, providing insight into movement recovery. Robots can haptically assess sensorimotor performance, administer training, quantify amount of training, and improve motor recovery. In addition to providing insight into motor control, robotic paradigms may eventually enhance motor learning and rehabilitation beyond the levels possible with conventional training techniques.

Algorithms↗

Tools for understanding and optimizing robotic gait training.

This article reviews several tools we have developed to improve the understanding of locomotor training following spinal cord injury (SCI), with a view toward implementing locomotor training with robotic devices. We have developed (1) a small-scale robotic device that allows testing of locomotor training techniques in rodent models, (2) an instrumentation system that measures the forces and motions used by experienced human therapists as they manually assist leg movement during locomotor training, (3) a powerful, lightweight leg robot that allows investigation of motor adaptation during stepping in response to force-field perturbations, and (4) computational models for locomotor training. Results from the initial use of these tools suggest that an optimal gait-training robot will minimize disruptive sensory input, facilitate appropriate sensory input and gait mechanics, and intelligently grade and time its assistance. Currently, we are developing a pneumatic robot designed to meet these specifications as it assists leg and pelvic motion of people with SCI.

Computer Simulation↗

Training and assessment of laparoscopic skills.

Laparoscopic surgery is gaining popularity among the surgical community. While its prevalence expands, the need for reliable training and assessment tools is becoming increasingly important. Laparoscopic skills are not an innate behavior, nor can they be easily mimicked, and can only be acquired through hands-on training. A consensus exists among physicians that establishment and evaluation of technical skill in surgical training programs are inadequate and in need of improvement. A validated, reliable bench model that could train and assess could be standardized and provide numerous benefits including determination of which medical students should consider a career in surgery, valuable feedback to residents, a tracking mechanism of resident performance, a possible certification and recertification tool, and to allow for interinstitutional comparison. To this end, several potentially successful bench models testing dexterity, hand-eye coordination, and depth perception have been developed. A few models have been proven to be both valid and reliable indicators of technical skill. Although the future remains uncertain, enough groundwork has been laid to begin incorporating technical skill training and assessment into surgical training programs.

Clinical Competence↗