rehabilitation therapists

Abstract: While Assist-as-Needed (AAN) control aims to maximize user participation in robot-assisted training, existing methods relying solely on physical metrics cannot distinguish muscular inability from mental disengagement, leading to suboptimal interventions. To address this ambiguity, a Flow-theoretic multimodal AAN framework is proposed, fusing EEG-based mental engagement and sEMG-based physical engagement into an adaptive impedance control strategy. A four-quadrant fuzzy decision engine translates these dual physiological metrics into continuous control policies. This enables the upper-limb exoskeleton to inject feedforward assistance during intent-execution mismatch (e.g., motor output attenuation despite mental focus) and escalate guiding stiffness to penalize mental distraction. The framework was validated with healthy participants against a state-of-practice sEMG-only AAN baseline. Kinematically and mechanically, the proposed framework reduced robotic energy expenditure by 71.9\% while maintaining precise trajectory tracking, confirming it elicited greater voluntary human effort. Physiologically, the system increased the time spent in the neuroplasticity zone (Flow State Ratio) from 4.6% to 42.8%. These results validate that decoupling and jointly regulating mental and physical states enhances the selectivity of robotic assistance, mitigating user passivity and sustaining the engagement crucial for motor learning.

Abstract: Assist-as-needed (AAN) control must distinguish between changes in intended motion and changes in effective voluntary torque capability, even though both can produce similar kinematic and interaction responses. A dual-measurand multimodal MHE-MPC architecture is developed as the base framework, in which the intended trajectory and the task-dependent effective voluntary torque capability are estimated online as distinct quantities, and both estimates are used to adapt robotic assistance. Building on this architecture, the ambiguity between the two update channels is formulated as a continuous credit-assignment problem and resolved by an attribution gate. A trajectory-change indicator is obtained from persistent corrective interaction, whereas a capability-change indicator is derived from the residual between normalized muscle activation and dynamics-reconstructed voluntary torque. Nine healthy participants completed factorial target-height-load trials and a pre-post fatigue cup-transport task. Without target-height input, the gated method generated correctly ordered Low-Middle-High references under every load: target changes were preferentially assigned to trajectory adaptation, whereas added load shifted adaptation toward the capability channel. It achieved the lowest RMSE in all nine conditions (0.017 rad versus 0.041 rad for ungated dual estimation and 0.127 rad for fixed-reference error-based AAN). Post-fatigue capability estimates decreased and assistance increased at all heights, supporting functional feasibility.

Abstract: Nowadays, Virtual Reality (VR) systems are more helpful for making decisions, training, and rehabilitation. Multimodal settings in these systems impose a significant balance and cognitive difficulties. Additionally, decreased performance, higher cognitive load, user overwhelm, and limited accessibility of VR technology can be caused by excessive auditory, visual, and sensory stimulation. In our pilot study, we examine the strategic design of directional auditory cues to improve cognitive load and enhance user experience in virtual environments. This research also enhances fundamental knowledge that auditory feedback reduces cognitive load in VR, with statistical analysis confirming this improvement (p = .0011). This study investigates how postural balance and pupil diameter correlate with cognitive load while the users navigate. Moreover, this study provides realistic overview design guidelines for accessibility, which will make VR experiences safer and more useful for everyone, including people with cognitive impairments.

Abstract: Learning how to dance can readily overwhelm beginners, especially without effective guidance from a dance teacher. Existing interactive systems often do not sufficiently support the learner's progress. We investigated how targeted feedback on rhythm keeping interactively supports dance practice for novice dancers by introducing SkeletonDance. Our design is grounded in motor learning theory and conceptualized through interviews with dance teachers, following established teaching strategies. SkeletonDance automatically detects rhythm flaws and provides assistance through mimicking clapping feedback, a common instructional technique in dance lessons. In our study, participants reported that SkeletonDance helped them to re-establish lost rhythm and increased confidence during practice, especially among novices. Though objective performance metrics did not consistently confirm these effects during controlled test sessions. Our work highlights that feedback can support novice dancers' subjective practicing experiences and demonstrates how prior dancing experience moderates the objective effectiveness of such minimal, teacher-inspired interventions.

Abstract: Safety and comfort in human-robot physical in-teractions are essential aspects in the development of social technologies, where natural gestures, such as handshakes, represent a challenge due to their direct physical contact. The implementation of series elastic actuators (SEA) to absorb impacts is proposed as a design strategy that favors safer interactions. This paper presents an experimental study aimed at evaluating how the incorporation of SEAs in robotic arms influences perceived safety and the interaction experience dur-ing handshaking. The design allows a direct comparison of the effect of rigidity versus the incorporation of elastic elements, in order to identify the advantages of SEAs in improving the physical safety and social acceptance of robotic systems in everyday contexts. The experiment was carried out with 10 volunteers (6 men and 4 women), who performed two interactions with each robotic arm: one with rigid joints and the other with flexible joints using SEA. During testing, objective data on end-effector trajectories were collected, as well as subjective information through a perception survey focused on safety, naturalness, and confidence during the handshake. The survey results show increased perceptions of safety and comfort with the SEA-equipped arm, supporting its potential to facilitate safer and more socially accepted human-robot interactions.

Abstract: Ground-truth human joint torque estimation relies on motion capture systems, which suffer from limited outdoor usability and significant deployment expenses. Furthermore, direct scaling of ground-truth joint torques to obtain motor torque commands is not necessarily the optimal strategy. To address the aforementioned limitations, inspired by the human motion generation process, this paper proposes a novel assistance torque estimation method based on the dynamic model. From an optimization perspective, the proposed method directly generates motor-assist torque and lowers the cost of data acquisition. Then, a data-driven assistance torque prediction network is trained to enable accurate real-time prediction under complex outdoor environments. Experimental results demonstrate that optimized (estimated) assistance torque exhibits better phase consistency with gait trajectories and better alignment with task characteristics. Relative to the Zero torque condition, the predicted torque can decrease metabolic rate by 11.8%-17.7%, heart rate by 8.9%-14.3%, and peak muscle activation levels by 28.2%-54.0%, respectively. This provides a new perspective for low-cost adaptive exoskeleton assistance.

Abstract: Predictive coding characterizes adaptive behavior as a dynamic balance between internally generated predictions and external sensory evidence, yet how an embodied cognitive system can regulate this balance online during ongoing interaction remains poorly understood. This study proposes a predictive-coding-based mechanism for regulating internally generated and externally coupled processing during physical human--robot interaction. The framework employs a predictive-coding-inspired variational recurrent neural network (PV-RNN), in which a meta-prior controls the degree to which posterior inference is constrained by learned prior dynamics. We extend this architecture with an online mechanism that uses reconstruction error accumulated over recent interaction history to select between predefined meta-prior regimes. The mechanism was evaluated across three physical human--robot interaction tasks involving fixed structured, changing structured, and less-constrained interaction. Across all tasks, lower meta-prior values produced the expected increase in posterior--prior divergence and reduction in reconstruction error. More importantly, reconstruction-history-driven regime selection was also associated with reduced prospective prediction error and robot-side physical interaction conflict, demonstrating consequences beyond the retrospective reconstruction objective itself. Task~3 further showed that recent sensory observations can be successfully accommodated while subsequent human motion still departs from the model's prior-generated future trajectory. Overall, these findings show that accumulated reconstruction mismatch can provide an endogenous signal for regulating how strongly subsequent inference relies on learned internal dynamics relative to ongoing sensory input during embodied interaction.