User Involvement in Robotic Wheelchair Development: A Decade of Limited Progress

Human movement is inherently variable, with variability structured according to task relevance: movements are typically more consistent at task-critical points and more flexible elsewhere. In human-robot interaction (HRI), however, model-based assistance strategies commonly assume deterministic human behavior and suppress such variability, potentially altering how interactions are experienced and lowering sense of agency. While movement variability is increasingly recognized as functionally meaningful, its deliberate preservation in assisted interaction, and its consequences for user experience, remain underexplored. In this paper, we empirically investigate how different assistance strategies shape human movement variability, task performance, and subjective interaction experience in a shared control setting. We introduce an autonomy-supportive shared control strategy that preserves users' natural movement structure. This approach is evaluated in a user study in which participants push an intelligent powered wheelchair under three conditions: no assistance, conventional variability-reducing assistance, and variability-preserving assistance. While task-relevant performance remained comparable across assisted modes, preserving natural movement variability led to more favorable interaction experiences. In particular, participants reported significantly higher perceived agency compared to conventional assistance and highest perceived usefulness. These findings suggest that variability-aware assistance can support both performance and user autonomy in physical human-robot collaboration. More broadly, the results highlight the importance of designing assistive robotic systems that respect the embodied structure of human movement rather than treating variability as noise to be neglected or eliminated.

Wheelchair users call for assistive mobility systems that provide active support, adapt to dynamic environments, and are intuitive and user-friendly. However, powered wheelchairs typically still provide limited autonomy and lack effective integration with advanced perception and navigation capabilities, particularly in complex real-world environments. This paper presents a preliminary study toward autonomous powered wheelchairs for real-world assistive mobility. We introduce a proof-of-concept prototype that integrates autonomous perception, gesture-based interaction, and navigation on a commercially available self-balancing powered wheelchair. The proposed system builds upon Genny Zero, a commercial self-balancing wheelchair that enables hands-free and intuitive operation through body-weight shifting. To extend its capabilities toward autonomous operation, we integrate an RGB-D camera for human-aware perception and interaction, together with a LiDAR sensor for localization and navigation. We demonstrate the integrated system in two assistive applications: (i) hailing, allowing users to call the wheelchair from a distance; and (ii) people-following, where the wheelchair follows a person using leader-follower strategies, including a constrained indoor navigation example. The results highlight the potential of combining autonomous robotics with assistive mobility platforms, while also showing the feasibility of the proposed integration and identifying the main technical challenges that must be addressed before moving toward user-ready, accessible, and intelligent mobility solutions. A video demonstrating the experimental setup and results is available at: https://youtu.be/LVAix_Qx7bM.

Many publications on robotic systems in healthcare describe early-stage work on low technology readiness levels. This paper describes how a mobile service robot approved as a medical device reaches higher technology readiness levels by adding peripheral functions and smaller improvements, which are pivotal for user acceptance in clinical environments and which often cannot be elicited by questioning users ex-ante as certain aspects only come in mind from testing the systems in clinical settings or operational environments. Especially developers of service robots in healthcare are advised to plan with such downstream developments, which can take significant implementation time, to obtain user acceptance and achieve widespread adoption of their robotic systems.