Louisville Medicine Volume 67, Issue 4 | Page 35

DOCTORS' LOUNGE SPEAK YOUR MIND If you would like to respond to an article in this issue, please submit an article or letter to the editor. Contributions may be sent to [email protected] or may be submitted online at www.glms.org. The GLMS Editorial Board reserves the right to choose what will be published. Please note that the views expressed in Doctors’ Lounge or any other article in this publication are not those of the Greater Louisville Medical Society or Louisville Medicine. THE ROBOTS ARE COMING AUTHOR Mary Barry, MD T he first robot I was ever scared of was Gort. Gort was the giant who guarded Klaatu, the spaceman sent to warn Earthlings that our atomic weaponry would kill us all, and our planet would die too, in the 1951 sci-fi classic, The Day the Earth Stood Still. Klaatu tried to help us but of course got shot dead. If you remembered to say “Klaatu barada nikto,” Gort would let you live. My sisters and I vowed never to forget it. I taped that phrase onto my shoebox of treasures and practiced it every day from the age of six to about – well, 66. I suggest you make a note of it. Since I never, ever, (ever!!!) watch any suspenseful shows, I was spared many bad guy robots until HAL 9000 in the film 2001: A Space Odyssey. I suspected him from the beginning. That roving red eye was far too creepy, and his voice had a totalitarian tinge. I have not yet understood the ending of that movie, but HAL died, which cheered me. The “Danger, Will Robinson!” robot from Lost in Space was just called Robot, and he was a good guy. To this day, you can yell that out to people of a certain age, and they will instantly stop and scan their environment for threats. He was the first robot I knew who was useful. We now have millions of robots who are useful (so much so that they replaced humans in factory jobs), yet I am impressed with the science behind them and felt obliged to honor them. Interesting Engineering is a web publication that recently listed several. Sci- ence Robotics, associated with the American Association for the Advancement of Science, is devoted to news in the robot world. For instance, for the amputee, we now have robotic limbs that can track themselves in space and adjust their position minutely with regards to foot strike and placement. These smart limbs are clad in bionic skin, with “neural” input so the person can “sense” the limb and tell it what to do. They can be adjusted for particular endeavors: the long jump, for instance, versus sprinting. What’s more, the warrior or paraplegic of the future can put on an exoskeleton and leap around as if on the moon. Rehabbing injured or weak muscles right now for the neurologically injured patient can be safer and faster, because the exoskeleton steadies and supports those regaining mobility. HAL is the unfortunate name of the Japanese company Cyber- dyne’s lower-body exoskeleton. The FDA-approved HAL stands for Hybrid Assistive Limb and is a robot you strap your legs to. Sensors attached to your hip and leg muscles detect the brain messages that say “Go,” and the robot powers up your lower body. The HAL will not move until you will it to move. Even a weak signal from your brain will work; the company calls this “an interactive biofeedback loop.” Testers report that, in 10 minutes or so of practice, they get that Superman feeling. In Japan, industries use these for workers who spend the whole day lifting heavy things. The US Army has contracted with Lockheed Martin for field trials exploring their ONYX lower body suit. Multiple other suit designers have provided their exoskeletons to the Army for competition via comparison. Those who need a cane can soon work with a robot cane being developed by Dr. Sunil Agrawal’s team at Columbia Engineering. He is a professor of engineering, rehabilitation and regenerative medicine. His lab’s device, called CANINE, has been tested on young people fitted with virtual reality headgear. It causes them to believe they are walking on an unstable moving surface. In trials, they walked on a mat fitted with an array of sensors. The device “walked” alongside them with light-touch support and, so far, all improved their gait safety with narrowed, shorter strides. On the tiny end of the spectrum, Drs. Lihong Wang and Wei Gao, professors of medical engineering at Caltech, have invented (continued on page 34) SEPTEMBER 2019 33