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Alzheimer’s is the most commonly occurring neurodegenerative disease and progressive cognitive impairment is its major symptom due to which the patients tend to wander and get lost in unfamiliar places. This is a constant cause of worry for caretakers and a source of distress to the patients themselves. The paper aims to discuss this issue.

This paper presents a low-cost, autonomous, embedded systems-based wearable device for real-time location tracking using GPS and the concept of geo-fencing. The system provides real-time updates in the form of a text message sent to the mobile number of a family member or caregiver.

An alert is sent whenever the patient moves out of a certain “safe zone” area and sends subsequent updates after every 5 min of such an event. The system supports caregivers of patients with early and moderate Alzheimer’s disease.

Alzheimer’s patients are prone to disorientation, confusion and tend to wander off. Since the device eliminates the need for the patients to operate it and is instead at the discretion of the system itself, the chances of it failing to help are minimized. Hence, with this project, the authors address the need for an autonomous device that can assist caretakers in tracking Alzheimer’s patients.

The various existing technologies that are in use now for tracking are often high in price, not tailored to Alzheimer’s and are non-autonomous. To overcome this, the authors utilized easily accessible technology into developing this system, which not only be affordable, but also addresses the major flaw in existing systems – which is that they rely on being operated by the patients themselves.

Concrete workers perform physically demanding work in awkward postures, exposing their backs to musculoskeletal disorders. Back-support exoskeletons are promising ergonomic interventions designed to reduce the risks of back disorders. However, the suitability of exoskeletons for enhancing performance of concrete workers has not been largely explored. This study aims to assess a passive back-support exoskeleton for concrete work in terms of the impact on the body, usability and benefits of the exoskeleton, and potential design modifications.

Concrete workers performed work with a passive back-support exoskeleton. Subjective and qualitative measures were employed to capture their perception of the exoskeleton, at the middle and end of the work, in terms of discomfort to their body parts, ease of use, comfort, performance and safety of the exoskeleton, and their experience using the exoskeleton. These were analyzed using descriptive statistics and thematic analysis.

The exoskeleton reduced stress on the lower back but caused discomfort to other body parts. Significant correlations were observed between perceived discomfort and usability measures. Design modifications are needed to improve the compatibility of the exoskeleton with the existing safety gears, reduce discomfort at chest and thigh, and improve ease of use of the exoskeleton.

The study was conducted with eight concrete workers who used the exoskeleton for four hours.

This study contributes to existing knowledge on human-wearable robot interaction and provides suggestions for adapting exoskeleton designs for construction work.

Cutting-edge hospital and residential care architecture and interior design aim to address the emotional and practical needs of patients, staff and visitors. Yet, whilst improving on past practice, current approaches to design still rarely recognise or respond to individuals. The purpose of this paper is to provide a review of design-led research into digital technology across disciplines for the personalisation of healthcare environments and is informed by the authors’ ongoing hospital-based research.

This review is based on a design anthropology framework providing insight into designing for changing the experience for older patients in current healthcare contexts and future focused strategies, integrating digital technologies and human-centred design across scale and disciplines. It is informed by ongoing hospital studies based on design-led research methodology, drawing on design anthropology and ethnographical methods.

Technology enhanced, human-centred, assistive devices and environments implemented into healthcare across scale are developing but integration is needed for meaningful experiences.

This review is a positioning paper for design-led research into digital technology across scale and medium.

This paper provides the basis for practical research including the ongoing hospital-based research of the authors.

This approach potentially enhances emotional experiences of connected healthcare.

Future care scenarios are proposed, with technology and human experience as key drivers. Individualised and personalised solutions better cater for diversity. Within this context, it is strategic to question and test new ways of crafting the older persons care experience. This paper brings new direction to this discussion.

The reduced ability of eyes to see clearly even with the use of glasses is known as the state of visual impairment. Among the many challenges faced, outdoor travel is one of them requiring to travel through surfaces, which has potholes and bumps.

The depth of the pothole and height of the bump is also conveyed to the user through different vibration pattern of various intensity. With available electronic travel aids, the visually impaired persons are still more inclined to rely on their white cane than carrying additional equipment for obstacle avoidance. In the system, all the components can be attached to the white cane, requiring no additional device to carry.

Upon experimentation with different obstacle types, the system obtained a 24.88% higher score in comparison to normal walking cane. A comparison with the state of the art available systems is also provided.

Moreover, the accuracy of the assistive cane can be heavily degraded if the cane is not properly held by the user. To restrict the user to hold the cane in only required orientation an alignment sensing switch is also proposed, which is missing in the current available literature.

The purpose of this review paper is to address the substantial challenges of the outdated exoskeletons used for rehabilitation and further study the current advancements in this field. The shortcomings and technological developments in sensing the input signals to enable the desired motions, actuation, control and training methods are explained for further improvements in exoskeleton research.

Search platforms such as Web of Science, IEEE, Scopus and PubMed were used to collect the literature. The total number of recent articles referred to in this review paper with relevant keywords is filtered to 143.

Exoskeletons are getting smarter often with the integration of various modern tools to enhance the effectiveness of rehabilitation. The recent applications of bio signal sensing for rehabilitation to perform user-desired actions promote the development of independent exoskeleton systems. The modern concepts of artificial intelligence and machine learning enable the implementation of brain–computer interfacing (BCI) and hybrid BCIs in exoskeletons. Likewise, novel actuation techniques are necessary to overcome the significant challenges seen in conventional exoskeletons, such as the high-power requirements, poor back drivability, bulkiness and low energy efficiency. Implementation of suitable controller algorithms facilitates the instantaneous correction of actuation signals for all joints to obtain the desired motion. Furthermore, applying the traditional rehabilitation training methods is monotonous and exhausting for the user and the trainer. The incorporation of games, virtual reality (VR) and augmented reality (AR) technologies in exoskeletons has made rehabilitation training far more effective in recent times. The combination of electroencephalogram and electromyography-based hybrid BCI is desirable for signal sensing and controlling the exoskeletons based on user intentions. The challenges faced with actuation can be resolved by developing advanced power sources with minimal size and weight, easy portability, lower cost and good energy storage capacity. Implementation of novel smart materials enables a colossal scope for actuation in future exoskeleton developments. Improved versions of sliding mode control reported in the literature are suitable for robust control of nonlinear exoskeleton models. Optimizing the controller parameters with the help of evolutionary algorithms is also an effective method for exoskeleton control. The experiments using VR/AR and games for rehabilitation training yielded promising results as the performance of patients improved substantially.

Robotic exoskeleton-based rehabilitation will help to reduce the fatigue of physiotherapists. Repeated and intention-based exercise will improve the recovery of the affected part at a faster pace. Improved rehabilitation training methods like VR/AR-based technologies help in motivating the subject.

The paper describes the recent methods for signal sensing, actuation, control and rehabilitation training approaches used in developing exoskeletons. All these areas are key elements in an exoskeleton where the review papers are published very limitedly. Therefore, this paper will stand as a guide for the researchers working in this domain.

An increasing aging population and an increasing number of people suffering from musculoskeletal disorders have increased the demand for wearable robots. Comfortable, wearable robots that can be worn like clothing are currently being investigated. However, the embedded components may be displaced owing to the flexibility of the fabrics, which can lower the sensing accuracy and limit natural body movements. This study aims to develop clothing-type wearable platforms to minimize the displacement of embedded components such as sensors and actuators while maintaining comfort.

Four designs were developed using materials with different seam lines, that can serve as anchoring details, and flatlock stitches considering body movements and musculoskeletal structures. The wear evaluation experiment was filmed using a speed camera and analyzed using the TimeViewer software and SPSS 26.0. Based on these results, four clothing-type wearable platform designs were developed.

The variation in the location of a point in the armhole among the designs was marginal. Participants were satisfied with the functionality, practicality, wearability, efficiency and ease of use of the developed designs. A final clothing-type wearable platform was developed by applying a design with the least change in location, a suitable design for each area and wear comfort.

The results of this study contribute to the development of wearable robots by establishing clothing design data to minimize changes in sensor and actuator movements.

This study aims to propose and demonstrate a practical application of a new three-part holistic sensory evaluation (HSE) method for textiles and apparel based on the senses of sight, touch, hearing and smell. HSE method development was carefully documented, described and successfully applied to evaluate sensory characteristics and consumer perceptions and acceptance of bacterial cellulose (BC), a novel sustainable material for apparel.

In Part One of the HSE method, research participants described the material in their own words based on the senses of sight, touch, hearing and smell. In Part Two, they rated the intensities and their linking for 25 predetermined attributes describing BC. Part Three measured participants’ overall liking of BC and its perceived suitability for apparel and accessories.

Application of the HSE method resulted in an in-depth understanding of BC material. Areas for material improvements and positive characteristics were identified, providing direction for further development. Consumers found BC suitable for accessories and outer-layer garments but not for apparel.

Sensory evaluation of textiles and apparel has traditionally focused on the senses of touch and sight. The new HSE method allows evaluating the full range of sensory characteristics of materials/products and holistically assessing consumer perceptions. The method is especially useful for novel materials and wearable technology. BC has gained increased interests as a novel sustainable material, yet consumer studies have been lacking. This study reports a comprehensive evaluation of BC material from consumer perspective.

The study aims to promote independent mobility for persons with visual impairment or legal blindness (VIB) by developing a Web-based wayfinding application using geographic information systems (GIS). While the literature mainly focuses on technical devices presenting results for wayfinding, a lack of integration of user needs is identified. The inclusive, participative developed application offers step-by-step directions for pre-trip planning through an accessible user interface.

The paper presents a semi-automated approach to extract a pedestrian routing network data set based on open government data and field survey. User profiles calculate different routes using a weighting scheme for landmarks, orientation hints, infrastructure of crossings and sidewalks. The adoption of ArcGIS Web AppBuilder widgets allows access of the user interface additionally through keyboard-only navigation and therefore screen-reader capability.

GIS offers a powerful tool to design network analysis for persons with VIB. The routing algorithm accesses different user profiles, returning individualized turn-by-turn directions. The complex set of attributes, including shorelines, landmarks and barriers, can be integrated by semi-automated processes.

The paper illustrates the benefit of GIS applications for wayfinding of persons with VIB to raise self-determination and independence.

A ubiquitous pedestrian sidewalk network for a medium-size city comprises a novelty, as research has mainly focused on small areas. The integration of shorelines next to a various number of hints, landmarks and potential barriers through semi-automated processes allows reproducibility and transferability of the model to other cities.

Exoskeletons are moving into industries with the potential to reduce muscle strains and prevent occupational injuries. Although exoskeletons have been designed and tested in laboratory settings, rare empirical studies of their application in construction have been reported. Therefore, the purpose of this study is on in a real-life setting testing the applicability of adopting exoskeletons in the construction industry.

A feasibility study of exoskeletons in construction is conducted by testing a passive exoskeleton, designed for shoulder support. Five bricklayers tested in a two-month period the exoskeleton, each wearing it for a three-day period while carrying out normal work activities. Test data in terms of interviews were collected and analyzed using qualitative content analysis.

The application of exoskeletons in construction revealed several limitations, where the two primary ones are the exoskeleton is not designed while considering the tasks of a bricklayer causing several challenges and the exoskeleton only supports a single upward motion while limiting other movements and even counteracted when a downward movement was necessary.

The identified challenges could easily have been revealed by coupling the design and testing of exoskeletons to actual application. Thus, the design approach needs to be reversed. Instead of designing an exoskeleton to support a specific body part or motion and then identifying where it is applicable, it should target specific industries and focus on the actual work and movements and the necessary support. As part of the change, the design metrics should be reevaluated to reflect the work to support.