KOA Massage Robot: A Study on the Reduction of TCM Manipulation Based on PSO-BP Algorithm

The aging population in China is increasing the prevalence of degenerative diseases such as knee osteoarthritis (KOA), which significantly impacts the elderly's quality of life. Traditional Chinese Medicine (TCM) massage has been effective in alleviating KOA symptoms; however, the physician-pat...

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Vydáno v:	IEEE access Ročník 12; s. 149367 - 149380
Hlavní autoři:	Shen, Yichun, Wang, Shuyi, Shen, Yuhan, Xing, Hua, Gong, Li, Hu, Jingyi
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	Piscataway IEEE 2024 The Institute of Electrical and Electronics Engineers, Inc. (IEEE)
Témata:	Accuracy Algorithms Back propagation Control systems Degenerative diseases Design optimization Effectiveness Force Health services Improved particle swarm optimization Knee Medical services Medical treatment Neural networks Older adults Older people optimization BP neural network Particle swarm optimization Physicians Robot sensing systems Robotics Robots Structural design TCM massage Traditional Chinese medicine Visual observation
ISSN:	2169-3536, 2169-3536
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Abstract	The aging population in China is increasing the prevalence of degenerative diseases such as knee osteoarthritis (KOA), which significantly impacts the elderly's quality of life. Traditional Chinese Medicine (TCM) massage has been effective in alleviating KOA symptoms; however, the physician-patient ratio and the physical demands on practitioners pose challenges. This study introduces the KOA massage robot, designed to replicate the seated knee adjustment manipulation, a specific TCM technique. The robot's structural design and a Particle Swarm Optimization-Back Propagation (PSO-BP) algorithm are integrated to reduce the manipulation required by physicians and to assist in KOA massage treatment. The robot's force prediction accuracy was determined to be 5.34N on average, and its therapeutic efficacy was supported by Surface Electromyography (sEMG) and Visual Analog Scale (VAS) assessments, demonstrating pain relief and improved quadriceps muscle activation in KOA patients. The experimental validation involved a comparison between traditional manual massage and the robotic intervention. The results showed that the robot could achieve an average increase in integrated EMG (iEMG) of 47%, closely mirroring the 45.37% increase observed in the manual treatment group. Similarly on VAS scores, the robotic intervention group obtained a decrease of 28.12%. This study's findings not only highlight the potential of integrating TCM principles with modern robotics but also pave the way for a new paradigm in elderly care, where personalized and efficient KOA management is within reach.
AbstractList	The aging population in China is increasing the prevalence of degenerative diseases such as knee osteoarthritis (KOA), which significantly impacts the elderly's quality of life. Traditional Chinese Medicine (TCM) massage has been effective in alleviating KOA symptoms; however, the physician-patient ratio and the physical demands on practitioners pose challenges. This study introduces the KOA massage robot, designed to replicate the seated knee adjustment manipulation, a specific TCM technique. The robot's structural design and a Particle Swarm Optimization-Back Propagation (PSO-BP) algorithm are integrated to reduce the manipulation required by physicians and to assist in KOA massage treatment. The robot's force prediction accuracy was determined to be 5.34N on average, and its therapeutic efficacy was supported by Surface Electromyography (sEMG) and Visual Analog Scale (VAS) assessments, demonstrating pain relief and improved quadriceps muscle activation in KOA patients. The experimental validation involved a comparison between traditional manual massage and the robotic intervention. The results showed that the robot could achieve an average increase in integrated EMG (iEMG) of 47%, closely mirroring the 45.37% increase observed in the manual treatment group. Similarly on VAS scores, the robotic intervention group obtained a decrease of 28.12%. This study's findings not only highlight the potential of integrating TCM principles with modern robotics but also pave the way for a new paradigm in elderly care, where personalized and efficient KOA management is within reach.
Author	Shen, Yuhan Hu, Jingyi Shen, Yichun Xing, Hua Wang, Shuyi Gong, Li
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SubjectTerms	Accuracy Algorithms Back propagation Control systems Degenerative diseases Design optimization Effectiveness Force Health services Improved particle swarm optimization Knee Medical services Medical treatment Neural networks Older adults Older people optimization BP neural network Particle swarm optimization Physicians Robot sensing systems Robotics Robots Structural design TCM massage Traditional Chinese medicine Visual observation
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Title	KOA Massage Robot: A Study on the Reduction of TCM Manipulation Based on PSO-BP Algorithm
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