Inducing Calmness With Pocket-Sized Robotics: Reducing Movement and Heart Rate in Children through Hand-Held Tactile Interactions
Authors: Morten Roed Frederiksen, Kasper Støy, Maja Matarić
Organizations: Data Systems and Robotics, IT-University of Copenhagen, Denmark · Interaction Lab, University of Southern California, Los Angeles, California, U.S.
Abstract
Periods of heightened arousal or restlessness can interfere with children's ability to focus, self-regulation, and physically calm. Technologies that encourage embodied self-regulation through tactile interaction may provide a simple and accessible means of promoting calmness. This paper investigates how interaction with a pocket-sized tactile device influences physiological and behavioral markers of calmness in typically developing children. Building on prior work examining heart rate modulation, we present new findings on how tactile interaction affects full-body movement and postural stability. We employ a device that engages children through a hand-held rhythmic vibration-matching game, designed to focus attention and encourage stillness. Eighteen children participated in a within-subjects study that involved two conditions: with and without tactile interaction with a hand-held device, while having their heart rate and body movement recorded. Results show that the tactile game interaction reduced physiological arousal (heart rate decreased by 3.56 bpm, p < 0.01) and physical restlessness (overall movement decreased by 38%, p < 0.05), with attention-related body regions showing the greatest change toward stillness (45% reduction in movement). These findings demonstrate that brief tactile game-like engagement with a hand-held device can down-regulate physiological activation, promoting the calm and focused states toward sustained attention and behavior regulation.
Ubiquitous companion robots offer a promising avenue for immediate anxiety relief in children, yet their effectiveness relies on the ability to monitor physiological states continuously and unobtrusively. Current solutions often depend on external wearables, which impose usability barriers and limit the robot's autonomy. This paper investigates the integration of an embedded photoplethysmography (PPG) sensor directly into a pocket-sized companion robot, AffectaPocket, to enable self-contained heart rate monitoring during tactile interaction. We address the significant challenge of motion artifacts inherent in handheld usage by implementing a two-stage filtering pipeline that utilizes an onboard Inertial Measurement Unit (IMU) to reject high-variance segments and a confidence-based smoothing algorithm for recovery periods. We evaluated the system against a commonly used wrist worn sensor in a Within-Subjects Study with 26 participants. Our results demonstrate that the filtering strategy significantly reduced the Mean Absolute Percentage Error and achieved statistical equivalence to the ground truth measurements (p<0.05). Analysis of short-duration interactions shows that the sensor requires stability over longer periods to converge.
Massage therapy is helpful for the rehabilitation of various diseases, such as headaches caused by migraines and stress. Existing robotic systems have focused on massage therapy on the torso and limbs, but performing massage motions through suitable actuation on a person's head has been a challenge. In this paper, we present MiBOT, a head-worn massage robot that actuates two soft tactors to produce touch motions mimicking human massage. A key design principle behind MiBOT is its silent actuation, which we achieve through pneumatic artificial muscles in conjunction with a controller loop to respond to contact pressure. We evaluated the effectiveness of MiBOT in a controlled study and assessed subjects' blood pressure and heart rate levels while applying MiBOT. We found that our mechanical system generated positive and conclusive quantitative outcomes that are similar to the human-administered massage, decreasing participants' mean systolic and diastolic blood pressure by 2.8 mmHg and 1.7 mmHg, respectively, as well as calming their heart rate by 8-10% on average.
Alice Mylaeus, Stephanie Vogt, Berken Utku Demirel +4
We present a system of two wearable pneumatic haptic devices that supports continuous, closed-loop, bidirectional tactile interaction at perceptually relevant force and temporal scales. A single device can contain up to twelve pressure sensing channels connected to textile-based pneumatic pouches. Each channel in a device can be used as a sensor, an actuator, or both. As an actuator with integrated sensing, the channel generates stable skin indentation through local closed-loop control. As a sensor, a channel can be mounted (or worn) on any surface, including on a robot gripper or on the human body, and used to measure touch interactions with the environment or a human user. A distributed architecture supports sustained pressure output, rapid dynamic response, and wireless pairing of identical devices in a system to transmit and reproduce tactile pressure signals in real time. Device-level characterization demonstrates force bandwidth exceeding 30 Hz, rapid and well-damped step responses, and extended pressure retention compared to prior compact pneumatic platforms. Human studies show that pressure-based fingertip feedback enables discrimination of force and stiffness, improves teleoperated manipulation by reducing applied pressures by up to 23.1% and task duration by up to 27.4%, and lowers subjective mental workload by 18.8%, particularly under visually constrained conditions. By unifying tactile sensing and haptic feedback within a single pneumatic modality, the device provides a practical foundation for bidirectional touch interaction in teleoperation.