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so hi to everybody in recent years we're seeing more and more technological changes
and probably as most of us think many more will expect us into the future
what's the changes within boulders well rehabilitation which is
probably probably undergoing real revolution into next year's
first of all when my name is never that's already have a mustering fees except eugene information engineering
i'm senior researcher here at assures us over like what i work um biomedical data
analysis and rehabilitation i'm part of the yells you wanted and automatically script
which can't in total twenty twenty five persons working on the development of artificial intelligence
and machine learning and keep learning procedures for biomedical data now this so if you are interested to know
more about our group or to contact that's just come back here technical or drop us an email
so in my presentation i will uh first explain what we uh think what
uh does every mutation revolution me why we should expected
and what should we expect from the rehabilitation recognition
finally i would describe it how our group is contributing to you need does it
so let's start from what we mean as rehabilitation revolution
well someone said the twenty first century will be the sentry of the robotics revolution but is it true
well percent fiction for sure we've seen many different movies involving a rowboat and race
human it's of any kind and shape according to some recent results well
maybe yes this video basically us seeing atlas one for
the robots delphi most the place wasn't in
any which is actually capable to do things that i'm not at all people to do
however the results can it's a a change of each
and the quality when the situation start changing
basically a robust to not react well to
situations that have not been predicted before
so anyway it is foreseen that the robotics revolution we'll
extend to wearable rehabilitative and assisted robotics as well
including prosthetics and for instance access skeletons for rehabilitation
or assistance in the directory seen here
it's in one of the work resulted i think is most fascinating and it is
a bilateral amputee that is controlling a robotic and processes using targeted master innovation
the project cos it quite a bit of meat dollars to united states but the results are astonishing i would say
so why should we expect a rehabilitation revolution
well for three reasons first because it is needed
second because it can allow to create profit for companies and ferret
because the reason you put you needed to do weights nowadays
so for some reason why do we need a rehabilitation revolutions well
patients uh needed assistance and limitations are constantly augmenting us
was pointed out in several presentations before together with healthcare costs
nowadays we have two point wine put two point one median amputees
in due west that cost approximately twelve billion dollars each year
and the number of amputees it's expected to augment in two thousand and fifty two three point six meetings
currently we have forty seven point eight million of people us of age sixty five and
over and the number is expected to almost double again in two thousand and fifty
as well we have one hundred and seventeen me then of people with chronic diseases
as well also this number is expected almost to double in
seven fifty so all the situation require the development
of a see steve and rehabilitative techniques that can be affordable in the future and that can help
governments and he trends to a soul these social
problems related to uh people with such impressive
why uh rehabilitation evolution can allow companies to create a
profit but nowadays research and development in rehabilitation
uh require huge investments to the companies for prototyping
for testing for complying with the low requirements
the market in particular in the field of rehabilitation despite
his beak evolution being the slide before it's
not sufficiently big to absorb big investments so good
products lead to very very high cost
as you can see in this picture wait nowadays has several different hands that are they advanced
and it can put on the phone different movement however the cost a lot the average causes
are over fifty thousand dollars which is something that cannot be afforded by hand amputees
as well as the skeletons for for instance per plate you people the easily but usually cost
over one hundred thousand dollar considering just the keypad without installation the adaptation to the patient
and the price with these can increase over two hundred fifty thousand so better products and lower
costs can allow to reach more patience to increase the market and to develop new business
why they're easy opportunity every every pollution nobody's well because
modern technologies can make development easier faster and cheaper
their sin before uh uh about a a three d.
modelling additive manufacturing and rapid prototyping so pretty printing
open source software and at the feature intelligence all of those techniques and
eight nowadays quite easily available and they can allow to reduce prototyping
cost reduce testing calls and to comply with low requirements actually only when
it's really necessary so when the product gets to the market
so let's describe it more in detail that the uh such technological uh uh um opportunities
first one three d. modelling what these three d. modelling it's the process
of developing mathematical representations of objects in three dimensions yes specialised software
so nobody is the result growing up resource community what why the design three d. models
and release them on a specific websites from which
uh users can download them they can buy them and reuse them or adapted to their needs
um in one interesting thing is the design is not made only
by professionals but also bought by many people including the users
so for instance here you see a web page that allows to share designs here you see
a three d. model of a three d. printable prosthetic and and
here you see probably the coolest things all web site that
actually really easy is specific three d. models of prosody cans for children that he is that are particularly uh these
a difficult to target problem in prosthetics because the the grow
and so they need to proxies to be adapted quickly
second the uh technology factor that can uh uh um foster datum
of the of the rehabilitation revolution additive manufacturing and rapid prototyping
what are those well that that process using which materials are joined together
under computer control in order to create a three dimensional objects so from the
designs on a and the design models we can reach real products
nowadays as was said in no one of the previous presentations we have many materials get can be three d.
printed including polymers composites metals and biological t. should as
well and applications range by industry to domestic use
medical use healthcare foot human cell production and rehabilitation as well
so here you see a set of nowadays available pretty printed prosthetic and that people can download
from the model for for which people can download from the web the models and can print by themselves or to use them
third and last factor is open sort of software and the artificial intelligence
so what is it obvious software with source code that is released under licenses that grants users
just started changing distribute the software so that i think the p. software that people can download ended up to their needs
uh no what he's the main feature is that there are many different
software that can be applied to vary from the mains including robotics
for instance the ross system robotic operating system is probably the
most diffuse a framework to develop robotics environments worldwide
as well as there are many different frameworks for artificial intelligence for developing for instance the
peril networks to study images or time series of uh or any kind of problem
what should we expect to buy the uh um imitation revolution
well we should respect that scientific research and
companies can benefit of those available resources
it can develop innovative and more advanced technology and products and finally reduce costs
that's producing benefits for the patients benefits as income for the companies
and benefits for the health care system that we as we have seen
before it's gonna have some problems in the next twenty thirty years
so how is our group enabling the rehabilitation revolution so how are we participating to eat
well uh in two thousand and fourteen we really is something i'm pro which
is a publicly available database for surveys selector my your three data
that uh currently includes seven data sets more than one hundred and twenty subjects including thirteen amputees
and it has over five hundred users worldwide actually i would say quite a bit over five hundred
what does electronic your fee mean well first of all you need to know that actually the muscles that control
our hands are located here the one that extend the fingers here the one the flex the fingers
so people that are amputated below the elbow they still had the muscles that used to control the hand
what we do is we place sensors on this uh phase of
the scheme of both in text objects and hand amputees
and we record the activity of the muscles into the stamp or into before
as well on it that's subjects we put a lot with sensors that can record the
kinetic movements of the fingers so that sense of with lex when each finger flex
we record the data when the subjects repeat a set of approximately fifty
different of movements and we we use them on the web
the analysis of such data allowed to obtain until now very interesting results
for instance uh it allowed to um underlies the
uh effect of clinical parameters on arc ability
to classify different kind movements in particular length on the stamp with so that is
um related to our capability recognise the movement as well as phantom the sensation that
is the sensation to have the and steal the are attached to the stand
it allowed us to develop a numerical models for grasping
that that can allow to develop better robotic hands
that can allow to develop better prosthetic hands as well that can allow to link
robotics prosthetics and physiology finding links between hand synergies and uh such models
currently we're releasing publicly available software so uh we planned release pilot data
analysts creates this summer we plan to release the data acquisition software
by the end of the southern in eighteen and every other time working model control software in two thousand and nineteen
there's also to show that actually be which devices that cost
around three hundred years like this one can get results
as comparable to be a real expensive devices that can cause eighteen thousand euros or more uses
standardise bitterness public showing that actually good results can be obtained with very cheap prices
so after these we tested such data acquisition environments on hand them to to use
doing these movements so the face these kind of movements this kind of movement and these kind of moments
and outside you can see a day when i can describe this in more detail to you
results show that entities are capable to perform such movements pretty well
we applied the specification system to the
control of augmented reality uh the
actual hands so here you can see a francesca one of assistance
that he's using the control system to control and to grasp at the train to grasp
different objects in oregon augmented reality using microsoft holland's
as well we developed a a three d. printed hands process models
starting from philly mother that was released by diseases cannot
this handy since right it's s. census and timothy senses and as you can
see that's these saying is it is it works seem to work
we developed a set of sockets because once okay you have the hand as you can see outside but then you need to use it
we developed a sort of stuff except that allowed to uh index objects to use the hand as well as
that can allow had amputated subjects with different level of computation to use the and easily and fast
as well we develop more than sockets like this one that abate instead of three d. reconstruction of before
we and allies day man dynamic and climatic processes
all the hand computer we need also during
a while you're in the execution of different and crest with the real hand with
a real handing odyssey is it good is not good and how can we
improve case it was also basically summarised into these video that actually we submitted wannabe
remain relatively conferences worldwide and uh because right so we thought of that
the uh we performed and we didn't really really land on a several
well as you can see by the smile on the face of the subjects the
the results were pretty good they found very easy to use the hand
it took like half an hour to get use to use it
while normal uh training procedures take up to two weeks
and they we're really impressed by the the the how easy it was and by how cheap it was
because finally think passive that cost that around that's it's less than one thousand francs for sure
currently we are as well um it trying to explore it
eye hand coordination in order to improve our control system
basically a hand coordination is the phenomenon for which we look at the objects before resting them
so we basically placed happier of classes with eye tracking on the subject and
we are recording them and where they look on to the objects
before performing grass we hope to use those multimodal data in combination with electra my your fee
and computer vision noted to make process that the market more autonomous incapable to understand
if for instance want to grasp the bottle from the side in these two eight or from the top in this way in order to remove the cat
so in conclusion take a message to rehabilitation revolution
use near i think thanks to technological advancements
companies can benefit of it by developing new business models that
are more that the current economy and scientific trends
d. e. l. c. unit and they might give true that are based here and there are
open to collaborate with you would experience impassioned if you plan to join the rehabilitation revolution
so thanks a lot to uh our group in particular to professor annual or that is the chief of the group
mitochondria activities the p. h. d. student and some working on many of the things that i presented now
vegetable or more that developed the uh augmented reality systems are
technical c. stands all the collaborators what wide and
most of all actually can we say to the financing and it is never ever
helping us to perform these antiwar groups obviously that as you can see people
thank you that's a group because children some
it's question
i'm sorry i was just i was just going to ask i think you mentioned the cost of one um yep
can you just a repeat example a uh yeah we of what the what the hell did we
developed for the commercial once the commercial one over fifty thousand years oh okay thank you
that's true is one let's say the one that can perform that can move each finger separately then there are
handed turn just close and open and those cost much less and around a seven thousand us ten thousand
um we we have seen the the prototypes that you one present in your own suite in the
room b. one does it very presume home use the the big full those products to be
why do you commercial you with people at this low price that you mentioned what is do you think the
path of the route map do only that you have to to to to to the cool thing or
what i what what what i presented and which was not easy actually to to to explain it but ease that uh
the field isn't fun to sing much faster than uh than
the markets and then what a single company can do
i mean uh probably now there are several people worldwide that are designing the romance
and that are testing you solutions and they basically don't need
certifications they don't need a um a cow that
protocol approvals so the the feel is usually growing extremely fast
it q. fast in the last like five years
do in a um they are like timothy
cans are nowadays available so that can
be controlled like you do we doing weird movements of it with our
or uh they're also u. n. g. control prosody cans that are even already uh
already now available for more complex sense so what we're basically trying to do
i hope it will be soon like let's see in a five
years three five years i would have to be realistic yes
because there's or to press the though 'cause you know it could double as you with a very sensibly

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Conference program

Mots de bienvenue
Sébastien Mabillard, CEO | Swiss Digital Health
15 June 2018 · 9:07 a.m.
Mots de bienvenue
Victor Fournier, Chef de Service de la santé publique | Canton du Valais
15 June 2018 · 9:11 a.m.
Mots de bienvenue
Jean-Albert Ferrez, Président | Fondation The Ark
15 June 2018 · 9:19 a.m.
Mots de bienvenue
Laurent Sciboz, directeur Institut Informatique de Gestion | HES-SO Valais/Wallis
15 June 2018 · 9:24 a.m.
L'écosystème d'innovation ouverte du CHU Sainte-Justine: une grande communauté gagnante!
Kathy Malas, resp. de la Plateforme de l’innovation et des Fonctions des maladies chroniques et aiguës | CHU SAINTE-JUSTINE (Canada)
15 June 2018 · 9:33 a.m.
Les livraisons par drones : vers une amélioration de la logistique dans le domaine médical
Janick Mischler, Program Manager | LA POSTE SUISSE
15 June 2018 · 10:07 a.m.
E-health et intégration des soins
Marc Cikes, CEO | MEDBASE ROMANDIE (Suisse)
15 June 2018 · 10:32 a.m.
Questions réponses
Remi Gauchoux, Business Development Director - Carenity
15 June 2018 · 11:46 a.m.
Futur de la santé mobile
Dr. med. Patricia Sigam, CEO & Co-founder, digital Med-Lab
15 June 2018 · 11:54 a.m.
Democratizing Data-Driven Medicine
Tarik Dlala, VP Marketing, Sophia Genetics
15 June 2018 · 12:14 p.m.
Ada inside
Vincent Zimmer, Ada Health, Berlin
15 June 2018 · 12:39 p.m.
biospectal, the optical revolution in hypertension monitoring
Prof. Patrick Schoettker, CMO. Biospectal
15 June 2018 · 2:06 p.m.
3D Printed Medicines: A Digital Pharmacy Era
Sarah Trenfield, MPharm, Senior Formulation Scientist, FabRx Ltd.
15 June 2018 · 2:23 p.m.
The Digipharm experience
Ahmed Abdullah, CEO & co-founder, Digipharm, Basel
15 June 2018 · 2:45 p.m.
Enabling the rehabilitative revolution
Dr. Manfredo Atzori, HES-SO Valais Wallis
15 June 2018 · 3 p.m.
Team Gamified Multi-sensory Stroke Rehab
Jean-Luc Turlan et J-P. Ghobril, Lauréats Arkathon 2018
15 June 2018 · 3:22 p.m.
Secure and Trustable EMR Sharing using Blockchain: Open Challenges and Lessons Learned
Alevtina Dubovitskaya, HES-SO Valais-Wallis
15 June 2018 · 3:38 p.m.
Sébastien Mabillard, CEO | Swiss Digital Health
15 June 2018 · 3:59 p.m.