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Updated: Jun 4, 2025

The Combined Use of Transcranial Direct Current Stimulation and Robotic Therapy for the Upper Limb
Published on: September 23, 2018
Rehabilitation Technologies by Integrating Exoskeletons, Aquatic Therapy, and Quantum Computing for Enhanced Patient
Fabio Salgado-Gomes-Sagaz1,2, Vanessa Zorrilla-Muñoz2,3, Nicolas Garcia-Aracil2
1Systems Engineering and Automation Department, University Miguel Hernández of Elche, 03202 Elche, Spain.
Abstract:
Recent advancements in patient rehabilitation integrate both traditional and modern techniques to enhance treatment efficacy and accessibility. Hydrotherapy, leveraging water's physical properties, is crucial for reducing joint stress, alleviating pain, and improving circulation. The rehabilitation of upper limbs benefits from technologies like virtual reality and robotics which, when combined with hydrotherapy, can accelerate recovery. Exoskeletons, which support and enhance movement, have shown promise for patients with neurological conditions or injuries. This study focused on implementing and comparing proportional-integral-derivative (PID) and fuzzy logic controllers (FLCs) in a lower limb exoskeleton. Initial PID control tests revealed instability, leading to a switch to a PI controller for better stability and the development of a fuzzy control system. A hybrid strategy was then applied, using FLC for smooth initial movements and PID for precise tracking, with optimized weighting to improve performance. The combination of PID and fuzzy controllers, with tailored weighting (70% for moderate angles and 100% for extensive movements), enhanced the exoskeleton's stability and precision. This study also explored quantum computing techniques, such as the quantum approximate optimization algorithm (QAOA) and the quantum Fourier transform (QFT), to optimize controller tuning and improve real-time control, highlighting the potential of these advanced tools in refining rehabilitation devices.
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