Using AI to Understand Key Success Features in Evolving CTSAs
CTS-CLINICAL AND TRANSLATIONAL SCIENCE
Authors: Kusch, Jennifer D.; Nelson, David A.; Simpson, Deborah; Gerrits, Ronald; Glass, Laurie
Abstract
A vital role for Clinical and Translational Science Award (CTSA) evaluators is to first identify and then articulate the necessary change processes that support the research infrastructures and achieve synergies needed to improve health through research. The use of qualitative evaluation strategies to compliment quantitative tracking measures (e.g., number of grants/publications) is an essential but under-utilized approach in CTSA evaluations. The Clinical and Translational Science Institute of Southeast Wisconsin implemented a qualitative evaluation approach using appreciative inquiry (AI) that has revealed three critical features associated with CTSA infrastructure transformation success: developing open communication, creating opportunities for proactive collaboration, and ongoing attainment of milestones at the key function group level. These findings are consistent with Bolman & Deal's four interacting hallmarks of successful organizations: structural (infrastructure), political (power distribution; organizational politics), human resource (facilitating change among humans necessary for continued success), and symbolic (visions and aspirations). Data gathered through this longitudinal AI approach illuminates how these change features progress over time as CTSA funded organizations successfully create the multiinstitutional infrastructures to connect laboratory discoveries with the diagnosis and treatment of human disease.
Design and Fuzzy Sliding Mode Admittance Control of a Soft Wearable Exoskeleton for Elbow Rehabilitation
IEEE ACCESS
Authors: Wu, Qingcong; Wang, Xingsong; Chen, Bai; Wu, Hongtao
Abstract
Exoskeletons composed of rigid frames and joints have been widely implemented in rehabilitation application. However, the rigid mechanical structure introduces many problems, such as heavy weight, large inertia, and joint misalignment. To overcome these undesirable inherent disadvantages of rigid exoskeletons, the innovative contributions of this paper are to investigate the design and fuzzy sliding mode admittance (FSMCA) control of a soft wearable exoskeleton with compliance tendon-sheath actuation (CTSA) for multi-mode elbow rehabilitation training. The CTSA system is developed on the base of the Hill-based muscle model to imitate the working characteristics of human muscle and improve the compliance and coordination of human-robot cooperation. The FSMCA controller is capable of providing patient-passive and patient-active therapies under different training intensities and encouraging the active participation of the patients with various weakness levels. Further experimental investigations, including the trajectory tracking experiments with/without admittance regulation, the step response experiments with disturbance, the frequency response experiments, and the patient-active training experiments, are carried out by three healthy volunteers. Experimental results demonstrate the effectiveness of the proposed FSMCA control scheme in achieving high control accuracy and favorable frequency response characteristic. Besides, the training intensity can be qualitatively adjusted via appropriate admittance parameters.