Feasibility Study: Towards a Robot-Assisted Gait Training in Ophthalmological Rehabilitation.

The idea of using mobile assistance robots for gait training in rehabilitation has been increasingly explored in recent years due to the associated benefits. This paper describes how the previous results of research and praxis on gait training with a mobile assistance robot in orthopedic rehabilitation can be transferred to ophthalmic-related orientation and mobility training for blind and visually impaired people. To this end, the specific requirements for such orientation and mobility training are presented from a therapeutic perspective. Using sensory data, it is investigated how the analysis of training errors can be automated and transferred back to the training person. These pre-examinations are the prerequisite for any form of robot-assisted mobile gait training in ophthamological rehabilitation, which does not exist so far and which is expected to be of great benefit to these patients.

Surface Electromyography of the Trapezius and Sternocleidomastoid during Computer Work with Presbyopic Corrections.

SIGNIFICANCE: During computer work in controlled laboratory conditions, wearing multifocal contact lenses (MFCLs) showed no lower muscle load but increased subjective perception of comfort with equivalent visual quality and comparable tolerance. PURPOSE: Because musculoskeletal complaints are frequent among computer workers, this study used the muscle electrophysiological activity of shoulder and neck muscles in presbyopic computer workers who received either progressive addition lenses for general purpose (GP-PALs) or MFCLs. METHODS: For this crossover study, 11 presbyopic computer workers aged 55 ± 4 years (mean ± standard deviation) were equipped with GP-PALs and MFCLs in a randomized order. Surface electromyography signals were recorded bilaterally from shoulder and neck muscles during short-term computer work tasks using an optimally adjusted visual display unit workplace. The amplitude probability distribution function, the number and total duration of EMG gaps, and sustained low-level muscle activity periods of the surface electromyography signals were calculated. Comfort and correction type preferences were assessed. Head inclination was objectively evaluated. RESULTS: Multifocal contact lenses elicited no significant lower muscle load than GP-PALs. The number of sustained low-level muscle activity periods longer than 60 seconds was similar between visual aids. The total amount of gaps was significantly higher with MFCLs (44 gaps) compared with progressive addition lenses for general purpose (15 gaps) in all analyzed periods for all participants. However, there were no significant differences for the median in the intraindividual comparisons (P = .22, dz = 0.52). Multifocal contact lenses scored statistically significant higher in comfort values with equivalent visual quality and comparable tolerance (P = .003, dz = 1.51). CONCLUSIONS: Although the study failed to show clear results, wearing MFCLs seems to enhance working comfort compared with GP-PALs subjectively.