Breaking It Down Is Better Haptic Decomposition of Complex Movements Aids in RobotAssisted Motor Learning J. Klein, S. Spencer, & D. Reinkensmeyer IEEE Transactions on Neural Systems and Rehabilitation Engineering May 2012 Motivation – Klein et al. • sports training • rehab from neurologic injury – stroke – spinal-cord injury Motivation – CHARM • stroke rehab (Michele, Mike) • needle-steering training (Ann) • robot-assisted surgery (Ilana) Background HAPTIC GUIDANCE • of questionable effectiveness • to date, been used almost exclusively to demonstrate entire movements “PART-WHOLE” TRANSFER • sequential vs. continuous tasks • effectiveness correlated with coordination requirements shoulder rotation desired trajectory elbow flexion/extension Hypothesis “Decomposing” a movement into fewer-DOF components is more effective than training the movement as a whole. Moreover, the degree of effectiveness is dependent on the form of the decomposition. Methods 4 DOFs 1. 2. 3. 4. shoulder abduction/adduction should flexion/extension shoulder int./ext. rotation elbow flexion/extension Methods 2 Motions 1. 2. “main” (θ) ≈ tennis backhand transfer (θ’) ≈ front crawl swim Reflection… What if the task had been framed as a goaldirected movement? That is, what if subjects had been told: “pretend you are swinging a tennis racket”? Methods Experimental Protocol 1. 2. 3. 4. 5. 6. 7. Baseline Baseline Transfer Training Assessment Assessment Transfer Retention Retention Transfer 4 Training Groups 1. 2. 3. 4. “Whole” (control) Euler Anatomical Visual Reflection… Klein et al. randomized the presentation order of the joint components during Training. How necessary was this control? Is component presentation order an area for further study? rand{} Methods Assessment “GLOBAL” * accounting for time delay d lower score = better learning “LOCAL” Reflection… Why is it necessary to fit the shift parameter d? Shouldn’t d simply be the time between the assessment start signal and movement onset? ... Reflection… … Are we assuming that subjects are “playing catch up” with the virtual arm? What if, instead of being shown a virtual arm, subjects were given binary feedback (e.g., GREEN vs. RED) based on their current performance? Results “MAIN” TRANSFER Results • no Baseline differences between decomposition groups • all groups significantly improved with Training • Anatomical decomposition exhibited greatest improvement during all assessments – Training – no significant difference compared to “Whole” – Short-Term – significant compared to all other groups – Long-Term – only (weakly) significant compared to Visual Reflection… Why would there be greater learning at longterm retention (vs. short-term retention) for “Whole”, Euler, and Visual decompositions*? Given enough time, would all groups equalize? * Anatomical was approximately the same Results • “global” performance correlated with 1. “local” performance 2. proximity of training joint positions to those required by whole motion • no improvement for transfer motion haptic guidance training IS task specific Discussion “Part-Whole” Learning • counterintuitive • success of Anatomical (vs. Visual) decomposition suggests that spatiotemporal summation mechanism operates in joint (vs. visual coordinates) * see (Kakei et al., 2001) • NOT generalizable • more spatial than temporal Reflection… I am unconvinced by Klein et al.’s theory for why (anatomical) movement decomposition aids in learning a target motion more than practicing the motion itself. What other explanations can we propose? “One possibility is that the motor system has trouble determining where the problems lie in making, accurate, complex movements; breaking the movements down may allow better identification and then more focused practice on key problems.” Discussion “Part-Whole” Learning Robotic Movement Training • counterintuitive • success of Anatomical (vs. Visual) decomposition suggests that spatiotemporal summation mechanism operates in joint (vs. visual coordinates) • opens the door for simpler robotic devices in rehab • BUT, benefits of movement decomposition might only exist with haptic guidance * see (Kakei et al., 2001) • NOT generalizable • more spatial than temporal Reflection… What does this mean for stroke rehabilitation? Is there a “whole-part” mechanism that could help decouple patients’ abnormal muscle synergies? shoulder rotation desired trajectory elbow flexion/extension “Breakthrough” or just another addition to the pool of inconclusive literature on haptic guidance?