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This paper demonstrates the development of an automatic mobile trainer employing inertial movement units (IMUs). The device is inspired by Neuro-Developmental Treatment (NDT), which is an effective rehabilitation method for stroke patients that promotes the relearning of motor skills by repeated training. However, traditional NDT training is very labor intensive and time consuming for therapists, thus, stroke patients usually cannot receive sufficient rehabilitation training. Therefore, we developed a mobile assisted device that can automatically repeat the therapists' intervention and help increase patient training time. The proposed mobile trainer, which allows the users to move at their preferred speeds, consists of three systems: the gait detection system, the motor control system, and the movable mechanism. The gait detection system applies IMUs to detect the user's gait events and triggers the motor control system accordingly. The motor control system receives the triggering signals and imitates the therapist's intervention patterns by robust control. The movable mechanism integrates these first two systems to form a mobile gait-training device. Finally, we conducted preliminary tests and defined two performance indexes to evaluate the effectiveness of the proposed trainer. Based on the results, the mobile trainer is deemed successful at improving the testing subjects' walking ability.
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http://dx.doi.org/10.3390/s20123389 | DOI Listing |
Med Klin Intensivmed Notfmed
September 2025
Mobile Ethikberatung in Lippe (MELIP), Tulpenweg 21, 32657, Lemgo, Deutschland.
Intensive care medicine symbolizes a form of medicine that seeks to prevent or overcome illness and life-threatening situations in order to enable a life that is acceptable to the patient. Despite the curative goal, dying and death are unavoidable. For ethically founded intensive care medicine, treatment goals must be agreed upon.
View Article and Find Full Text PDFPLoS One
August 2025
The Kirby Institute, UNSW, Sydney, Australia.
Background: Health workers in many low- and middle-income countries are not adequately trained to provide quality antenatal and intrapartum care. The freely available Safe Delivery App (the App) provides health care professionals with direct and instant access to evidence-based, up-to-date clinical guidelines equipping them with an on-the-job reference guide, even in the most remote areas. In this paper we describe the uptake and acceptability and the process to align the App in Papua New Guinea (PNG).
View Article and Find Full Text PDFJ Med Internet Res
July 2025
Capital University of Physical Education and Sports, No.11, North Third Ring West Road, Haidian District, Beijing, 100191, China, 86 010 82099489.
Background: Obesity has become one of today's global health challenges. According to the World Health Organization, in 2022, a total of 2.5 billion adults aged 18 years and older will be overweight, including more than 890 million adults with obesity.
View Article and Find Full Text PDFImplement Res Pract
July 2025
Te Ara Hāro-Centre for Infant, Child and Adolescent Mental Health, Department of Psychological Medicine, University of Auckland, Auckland, New Zealand.
Background: This study explored the feasibility, acceptability, and Māori cultural responsivity of study methods and components of an intervention to support clinicians to resume implementation of Parent-Child Interaction Therapy (PCIT), an evidence-based treatment for disruptive behavior in young children.
Method: This pragmatic, parallel-arm, randomized, controlled pilot trial ran for a 6-month period and included PCIT-trained clinicians who were not delivering, or only rarely using PCIT in their work. Re-implementation strategies were systematically developed and theory-driven and included a mobile co-worker, a portable time-out space, audio-visual equipment, weekly consultation groups, and 2-day targeted PCIT refresher training.
Healthcare (Basel)
July 2025
Department of Social Medicine, School of Medicine, University of Crete, 70013 Heraklion, Greece.
Mobile healthcare units (MHUs) comprise flexible, ambulatory healthcare teams that deliver community care services, particularly in underserved or remote areas. In Greece, MHUs were pivotal in epidemiological surveillance during the COVID-19 pandemic and are now evolving into a sustainable and integrated service for much-needed community-based healthcare. To support this expanded role, targeted, competency-based training is essential; however, this can pose challenges, especially in coordinating synchronous learning across geographically dispersed teams and in ensuring engagement using an online format.
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