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      Rowing Simulator Modulates Water Density to Foster Motor Learning

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          Abstract

          Although robot-assisted training is present in various fields such as sports engineering and rehabilitation, provision of training strategies that optimally support individual motor learning remains as a challenge. Literature has shown that guidance strategies are useful for beginners, while skilled trainees should benefit from challenging conditions. The Challenge Point Theory also supports this in a way that learning is dependent on the available information, which serves as a challenge to the learner. So, learning can be fostered when the optimal amount of information is given according to the trainee's skill. Even though the framework explains the importance of difficulty modulation, there are no practical guidelines for complex dynamic tasks on how to match the difficulty to the trainee's skill progress. Therefore, the goal of this study was to determine the impact on learning of a complex motor task by a modulated task difficulty scheme during the training sessions, without distorting the nature of task. In this 3-day protocol study, we compared two groups of naïve participants for learning a sweep rowing task in a highly sophisticated rowing simulator. During trainings, groups received concurrent visual feedback displaying the requested oar movement. Control group performed the task under constant difficulty in the training sessions. Experimental group's task difficulty was modulated by changing the virtual water density that generated different heaviness of the simulated water-oar interaction, which yielded practice variability. Learning was assessed in terms of spatial and velocity magnitude errors and the variability for these metrics. Results of final day tests revealed that both groups reduced their error and variability for the chosen metrics. Notably, in addition to the provision of a very well established visual feedback and knowledge of results, experimental group's variable training protocol with modulated difficulty showed a potential to be advantageous for the spatial consistency and velocity accuracy. The outcomes of training and test runs indicate that we could successfully alter the performance of the trainees by changing the density value of the virtual water. Therefore, a follow-up study is necessary to investigate how to match different density values to the skill and performance improvement of the participants.

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          Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being.

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            Review of control strategies for robotic movement training after neurologic injury

            There is increasing interest in using robotic devices to assist in movement training following neurologic injuries such as stroke and spinal cord injury. This paper reviews control strategies for robotic therapy devices. Several categories of strategies have been proposed, including, assistive, challenge-based, haptic simulation, and coaching. The greatest amount of work has been done on developing assistive strategies, and thus the majority of this review summarizes techniques for implementing assistive strategies, including impedance-, counterbalance-, and EMG- based controllers, as well as adaptive controllers that modify control parameters based on ongoing participant performance. Clinical evidence regarding the relative effectiveness of different types of robotic therapy controllers is limited, but there is initial evidence that some control strategies are more effective than others. It is also now apparent there may be mechanisms by which some robotic control approaches might actually decrease the recovery possible with comparable, non-robotic forms of training. In future research, there is a need for head-to-head comparison of control algorithms in randomized, controlled clinical trials, and for improved models of human motor recovery to provide a more rational framework for designing robotic therapy control strategies.
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              Immediate perceptual response to intersensory discrepancy.

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                Author and article information

                Contributors
                Journal
                Front Robot AI
                Front Robot AI
                Front. Robot. AI
                Frontiers in Robotics and AI
                Frontiers Media S.A.
                2296-9144
                21 August 2019
                2019
                : 6
                : 74
                Affiliations
                [1] 1Sensory-Motor Systems Lab, Department of Health Sciences and Technology, Institute of Robotics and Intelligent Systems, ETH Zurich , Zurich, Switzerland
                [2] 2Motor Learning and Neurorehabilitation Laboratory, ARTORG Center for Biomedical Engineering Research, University of Bern , Bern, Switzerland
                [3] 3BIROMED-Lab, Department of Biomedical Engineering, University of Basel , Basel, Switzerland
                [4] 4Reharobotics Group, Spinal Cord Injury Center, Balgrist University Hospital, Medical Faculty, University of Zurich , Zurich, Switzerland
                Author notes

                Edited by: Laura Gastaldi, Polytechnic University of Turin, Italy

                Reviewed by: Alessandro Filippeschi, Sant'Anna School of Advanced Studies, Italy; Lorenzo Masia, Heidelberg University, Germany

                *Correspondence: Ekin Basalp basalp.ekin@ 123456hest.ethz.ch

                This article was submitted to Biomedical Robotics, a section of the journal Frontiers in Robotics and AI

                Article
                10.3389/frobt.2019.00074
                7806073
                bcec4827-b4fc-4401-9ab5-3072bca57794
                Copyright © 2019 Basalp, Marchal-Crespo, Rauter, Riener and Wolf.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 16 May 2019
                : 31 July 2019
                Page count
                Figures: 5, Tables: 3, Equations: 6, References: 78, Pages: 17, Words: 14125
                Categories
                Robotics and AI
                Original Research

                robot-assisted training,motor learning,practice variability,functional task difficulty,contextual interference,augmented feedback,sports engineering

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