Evidence map›Paper›PMID 39219622›Full record

ArticleFrontiers in bioengineering and biotechnology2024

Evaluation and modeling of diaphragm displacement using ultrasound imaging for wearable respiratory assistive robot.

Yan Zhang, Danye Li, Fengyao Zhang, Zongyu Wang, Lei Xue, Xiaolu Nan, Nianming Li, Xilai Tan, Weidong Guo, Yuru Zhang and 3 more

Abstract read
In one paragraph

Article in Frontiers in bioengineering and biotechnology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Yan ZhangThe State Key Laboratory of Virtual Reality Technology and Systems, Beihang University, Beijing, China.
Danye LiChina-Japan Friendship Hospital, Beijing, China.
Fengyao ZhangThe State Key Laboratory of Virtual Reality Technology and Systems, Beihang University, Beijing, China.
Zongyu WangThe Peking University Third Hospital, Beijing, China.
Lei XueThe Peking University Third Hospital, Beijing, China.
Xiaolu NanThe State Key Laboratory of Virtual Reality Technology and Systems, Beihang University, Beijing, China.
Nianming LiThe State Key Laboratory of Virtual Reality Technology and Systems, Beihang University, Beijing, China.
Xilai TanThe State Key Laboratory of Virtual Reality Technology and Systems, Beihang University, Beijing, China.
Weidong GuoThe State Key Laboratory of Virtual Reality Technology and Systems, Beihang University, Beijing, China.
Yuru ZhangThe State Key Laboratory of Virtual Reality Technology and Systems, Beihang University, Beijing, China.
Hongmei ZhaoChina-Japan Friendship Hospital, Beijing, China.
Qinggang GeThe Peking University Third Hospital, Beijing, China.
Dangxiao WangThe State Key Laboratory of Virtual Reality Technology and Systems, Beihang University, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Assessing the influence of respiratory assistive devices on the diaphragm mobility is essential for advancing patient care and improving treatment outcomes. Existing respiratory assistive robots have not yet effectively assessed their impact on diaphragm mobility. In this study, we introduce for the first time a non-invasive, real-time clinically feasible ultrasound method to evaluate the impact of soft wearable robots on diaphragm displacement. Methods: We measured and compared diaphragm displacement and lung volume in eight participants during both spontaneous and robotic-assisted respiration. Building on these measurements, we proposed a human-robot coupled two-compartment respiratory mechanics model that elucidates the underlying mechanism by which our extracorporeal wearable robots augments respiration. Specifically, the soft robot applies external compression to the abdominal wall muscles, inducing their inward movement, which consequently pushes the diaphragm upward and enhances respiratory function. Finally, we investigated the level and shape of various robotic assistive forces on diaphragm motion. Results: This robotic intervention leads to a significant increase in average diaphragm displacement by 1.95 times and in lung volume by 2.14 times compared to spontaneous respiration. Furthermore, the accuracy of the proposed respiratory mechanics model is confirmed by the experimental results, with less than 7% error in measurements of both diaphragm displacement and lung volume. Finally, the magnitude of robotic assistive forces positively correlates with diaphragm movement, while the shape of the forces shows no significant relationship with diaphragm activity. Conclusion: Our experimental findings validate the effective assistance mechanism of the proposed robot, which enhances diaphragm mobility and assists in ventilation through extracorporeal robotic intervention. This robotic system can assist with ventilation while increasing diaphragm mobility, potentially resolving the issue of diaphragm atrophy. Additionally, this work paves the way for improved robotic designs and personalized assistance, tailored to the dynamics of the diaphragm in respiratory rehabilitation.

Indexed as

assistive robotdiaphragm ultrasonographyrespiratory assistancesoft exoskeletonsoft robot application

Identifiers

PMID39219622
PMCPMC11361991

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.