• The Journal of Korean Physical Therapy
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• 제33권5호
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• pp.231-237
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• 2021

Purpose: This study sought to investigate the effects of robot-assisted gait training on balance in total hip arthroplasty (THA) patients after bilateral avascular necrosis (AVN). Methods: This case study in two patients utilized an 'A-B-A' single-subject experimental design that included five days of pre-intervention, followed by five days of intervention, and five days of post-intervention. The intervention involved the use of a standing inclined robot (R-bot) for 15 minutes. The outcome measures were evaluated using the Functional Reaching Test (FRT), Time Up to Go (TUG), and the Modified One Leg Standing Test (OLST). Results: Patient 1 showed improvement based on data gathered from baseline A to intervention period B, with results as follows: FRT improved from 27.7 cm to 41.28 cm, OLST LT from 14.03 seconds to 67.37 seconds, OLST RT from 2.94 seconds to 35.97 seconds, and TUG from 12.96 seconds to 7.82 seconds. Patient 2 also showed improvement from baseline A to intervention period B, with results as follows: FRT improved from 17.18 cm to 24.3 cm, OLST LT from 11.53 seconds to 52.01 seconds, OLST RT from 12.99 seconds to 62.19 seconds, and TUG from 27.31 seconds to 12.99 seconds. Conclusion: Based on the results of this study, robotic rehabilitation during the early stages after surgery is effective for promoting balance in patients who have undergone THA due to bilateral AVN.

• 대한원격탐사학회지
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• 제37권5_1호
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• pp.1095-1109
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• 2021

안전한 자율주행을 위해 정확한 자기위치 측위와 주변지도 생성은 무엇보다 중요하다. 고가의 고정밀위성항법시스템(Global Positioning System, GPS), 관성측정장치(Inertial Measurement Unit, IMU), 라이다(Light Detection And Ranging, LiDAR), 레이더(Radio Detection And Ranging, RADAR), 주행거리측정계(Wheel odometry) 등의 많은 센서를 조합하여 워크스테이션급의 PC장비를 사용하여 센서데이터를 처리하면, cm급의 정밀한 자기위치 계산 및 주변지도 생성이 가능하다. 하지만 과도한 데이터 정합비용과 경제성 부족으로 고가의 장비 조합은 자율주행의 대중화에 걸림돌이 되고 있다. 본 논문에서는 기존 단안카메라를 사용하는 Monocular Visual SLAM을 발전시켜 RTK가 지원되는 GPS를 센서 융합하여 정확성과 경제성을 동시에 확보하였다. 또한 HD Map을 활용하여 오차를 보정하고 임베디드 PC장비에 포팅하여 도심 도로상에서 RMSE 33.7 cm의 위치 추정 및 주변지도를 생성할 수 있었다. 본 연구에서 제안한 방법으로 안전하고 저렴한 자율주행 시스템 개발과 정확한 정밀도로지도 생성이 가능할 것으로 기대한다.

• 한국전자통신학회논문지
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• 제16권5호
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• pp.941-946
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• 2021

본 논문은 3D프린터와 모터를 활용해 무게와 부피를 줄인 재활용 웨어러블 로봇 손의 설계 및 구현에 관한 연구이다. 재활용 웨어러블 로봇은 재활의 효과도 중요하지만, 사용의 간편성 또한 중요하다. 하지만 현재 연구 및 개발된 재활용 외골격 로봇은 부피와 무게가 무겁거나 제자리에서 사용해야 하는 것이 대부분이다. 따라서 착용에 용이하고 사용자에게 중량이 부담되지 않는 웨어러블 로봇이 필요하므로 경량화된 전동식 재활용 웨어러블 로봇 손을 제안하였다. 3D프린터를 사용하여 무게와 부피를 줄이고 착용에 용이하도록 설계를 진행하였다. 또한, 휴대성을 높이기 위해 공압 방식이 아닌 모터기반의 전동방식을 채택해 구조를 간단하게 구성하였다. 최종적으로 경량화된 전동식 재활용 웨어러블 로봇 손의 실험을 통해 제안한 방식의 효용성을 검토하였다.

• 보건의료기술평가
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• 제6권2호
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• pp.142-147
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• 2018

Objectives: The purpose of this study is to evaluate the safety and effectiveness of Robot-Assisted Brain Stereotactic Surgery with a systematic review. Methods: Electronic literature was searched using KoreaMed, Ovid-MEDLINE, Ovid-EMBASE, and Cochrane Library on 6th April 2017. Two authors screened 1218 citations. Duplicated articles of 456 excluded, the remaining 762 articles were reviewed with title and abstract. Results: A total of 8 studies were selected in this review. The device used in all studies was $ROSA^{TM}$. In one cohort study comparing the intervention ($ROSA^{TM}$) with the control (conventional stereotactic surgery), hematoma was reported no significant difference between groups. In six descriptive studies, one study reported hematoma 10% (10/100) and temporary nerve impairment 6% (6/100) using the ROSA; while five descriptive study did not report any complications. In one cohort, the localization precision were 1.2 mm in the intervention group and 1.1 mm in the control group; the localization success rate as 78.2% in the intervention group and 76.2% in the control group in one cohort; and the average time for surgery as 130 min for the intervention group and 352 min for the control group in one cohort. Four studies reported the localization success rate as 100%; two out of three articles reported the overall time for surgery as 56 min and 90 min, while one article reported the time as less than one hour in 50% of patients (50/100); two articles reported in epilepsy patients, the condition after the surgery was Engel level I in 66.2%, 75% patients, Engel level II-III in 25%, 26.5% patients, and Engel level 4 in 7.3% patients. Conclusion: Robot-Assisted Brain Stereotactic Surgery is a safe and accurate technique that can significantly reduce the time for the brain stereotactic surgery. However, further studies are needed to generalize the results.

• Annals of Rehabilitation Medicine
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• 제42권6호
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• pp.788-797
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• 2018

Objective To investigate the effect of upper limb rehabilitation combining robot with low-frequency repetitive transcranial magnetic stimulation (rTMS) on unilateral spatial neglect in stroke patients. Methods Patients who had hemispatial neglect after right hemisphere stroke were randomly divided into rTMS only group, robot only group, and combined group. All groups received conventional neglect therapy and additional treatment for each group. rTMS group received rTMS therapy. Robot group received robot therapy, while combined group received both therapies. The effect of therapy was assessed with Motor-Free Visual Perception Test-3 (MVPT-3), line bisection test, star cancellation test, Catherine Bergego Scale (CBS), Mini-Mental State Examination (MMSE), and the Korean version of Modified Barthel Index (K-MBI). These measurements were evaluated before and after treatment. Results For each group, 10 patients were recruited. There were no significant differences in baseline characteristics or initial values among the three groups. Two weeks after the therapy, all groups showed significant improvement in MVPT-3, line bisection test, star cancellation test, CBS, MMSE, and K-MBI. However, changes in measurements showed no significant differences among groups. Conclusion Treatment effect of the combined therapy of robotic therapy and low-frequency rTMS therapy for hemispatial neglect was not statistically different from that of each single treatment. Results of this study did not prove the superiority of any of the three treatments. Further study with large number of patients is needed to evaluate the superiority of these treatments.

• International journal of thyroidology
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• 제11권2호
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• pp.109-116
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• 2018

갑상선 수술 후 발생한 성대마비는 삶의 질을 중요시하는 요즘 시대에 제일 치명적 합병증 중 하나이다. 그 결과 수술 중 신경감시시스템의 사용은 보편화되고 있으나 아직 기존의 시스템은 외과 의사가 사용하기에 불편하거나 문제점들이 있다. 그래서 새로운 방식의 신경 탐침과 신경 감시 장치의 개발이 필요한 시점이다. 이에 최근 모든 수술 기구(금속형 기구, 내시경 및 로봇 기구, 에너지 기반 디바이스)에 탈부착이 가능한 신경을 자극하는 신경 탐침 및 후두 떨림을 측정하기 위한 표면압력센서를 이용한 새로운 형태의 수술 중 신경감시시스템의 개발에 대한 연구가 기대된다.

• Physical Therapy Rehabilitation Science
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• 제8권2호
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• pp.93-98
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• 2019

Objective: The purpose of this study was to investigate the effect of robot arm reach training on upper extremity functional movement in chronic stroke survivors. Design: One group pretest-posttest design. Methods: Thirteen chronic stroke survivors participated in this study. Robot arm reach training was performed with a Whole Arm Manipulator (WAM) and a 120-inch projective display to provide visual and auditory feedback. During the robotic arm reach training, WAM provided gravity compensation and assist-as-needed (AAN) force according to the robot control mode. When a participant could not move the arm toward the target for more than 2 seconds, WAM provided AAN force to reach the desired targets. All patients participated in the training for 40 minutes per day, 3 times a week, for 4 weeks. Main outcome measures were the Fugl-Meyer Assessment (FMA), Action Research Arm Test (ARAT) and Box and Block Test (BBT) to assess upper extremity functional movement. Results: After 4 weeks, significant improvement was observed in upper extremity functional movement (FMA: 42.15 to 46.23, BBT: 12.23 to 14.00, p<0.05). In the subscore analysis of the FMA upper extremity motor function domains, significant improvement was observed in upper extremity and coordination/speed units (p<0.05). However, there were no significant differences in the ARAT. Conclusions: This study showed the positive effects of robot arm reach training on upper extremity functional movement in chronic stroke survivors. In particular, we confirmed that robot arm reach training could have a positive influence by leading to improvement of motor recovery of the proximal upper extremity.

• 디지털융복합연구
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• 제19권2호
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• pp.523-529
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• 2021

의료서비스 로봇은 연구자 및 정부 관계부처들을 통해 다양하게 정의 및 분류되고 있으나 수술로봇과 재활로봇은 공통적으로 의료서비스 로봇에 포함되며, 이를 제외한 로봇은 기타 의료서비스 로봇으로 분류되고 있다. 본 연구에서는 기타 의료서비스 로봇 중 물류, 안내, 약제처리 로봇을 중심으로 국내·외 개발동향 및 활용사례 등을 고찰하였다. 물류로봇과 안내로봇은 국내에서 상당수 제품으로 개발되어 병원 등에서 시범사업을 완료했거나 상용화가 진행 중이며 수출도 하고 있으나 약제처리 로봇은 국내에서 개발된 제품이 있음에도 불구하고 병원에서 활용 중인 제품은 수입품이었다. 물류, 안내 및 약제처리 로봇은 생산인구의 감소 및 코로나19로 인한 비대면 수요 증가 등에 대응하기에 비교적 상용화가 용이하고 비용 효과적인 로봇이나 이러한 로봇에 대한 수요 예측 연구 등을 찾아보기 어려우므로 시장 확대와 활성화를 위해 체계적인 추후 연구가 필요하다.

• Journal of Gastric Cancer
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• 제21권4호
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• pp.352-367
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• 2021

Purpose: Minimally invasive gastrectomy is a promising surgical method with well-known benefits, including reduced postoperative complications. However, for total gastrectomy of gastric cancers, this approach does not significantly reduce the risk of complications. Therefore, we aimed to evaluate the incidence and risk factors for the severity of complications associated with minimally invasive total gastrectomy for gastric cancer. Materials and Methods: The study included 392 consecutive patients with gastric cancer who underwent either laparoscopic or robotic total gastrectomy between 2011 and 2019. Clinicopathological and operative characteristics were assessed to determine the features related to postoperative complications after minimally invasive total gastrectomy. Binomial and multinomial logistic regression models were used to identify the risk factors for overall complications and mild and severe complications, respectively. Results: Of 103 (26.3%) patients experiencing complications, 66 (16.8%) and 37 (9.4%) developed mild and severe complications, respectively. On multivariate multinomial regression analysis, independent predictors of severe complications included obesity (OR, 2.56; 95% CI, 1.02-6.43; P=0.046), advanced stage (OR, 2.90; 95% CI, 1.13-7.43; P=0.026), and more intraoperative bleeding (OR, 1.04; 95% CI, 1.02-1.06; P=0.001). Operation time was the only independent risk factor for mild complications (OR, 1.06; 95% CI, 1.001-1.13; P=0.047). Conclusions: The risk factors for mild and severe complications were associated with surgery, indicating surgical difficulty. Surgeons should be aware of these potential risks that are related to the severity of complications so as to reduce surgery-related complications after minimally invasive total gastrectomy for gastric cancer.

• 천문학회지
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• 제55권4호
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• pp.111-121
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• 2022

Based on the light an exoplanet blocks from its host star as it passes in front of it during a transit, the mid-transit time can be determined. Periodic variations in mid-transit times can indicate another planet's gravitational influence. We investigate 83 transits of TrES-1 b as observed from 6-inch telescopes in the MicroObservatory robotic telescope network. The EXOTIC data reduction pipeline is used to process these transits, fit transit models to light curves, and calculate transit midpoints. This paper details the methodology for analyzing transit timing variations (TTVs) and using transit measurements to maintain ephemerides. The application of Lomb-Scargle period analysis for studying the plausibility of TTVs is explained. The analysis of the resultant TTVs from 46 transits from MicroObservatory and 47 transits from archival data in the Exoplanet Transit Database indicated the possible existence of other planets affecting the orbit of TrES-1 and improved the precision of the ephemeris by one order of magnitude. We now estimate the ephemeris to be (2 455 489.66026 BJD_TDB ± 0.00044 d) + (3.0300689 ± 0.0000007) d × epoch. This analysis also demonstrates the role of small telescopes in making precise midtransit time measurements, which can be used to help maintain ephemerides and perform TTV analysis. The maintenance of ephemerides allows for an increased ability to optimize telescope time on large ground-based telescopes and space telescope missions.