Assistive Robotics

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25 papers in the last four weeks, up 317% on the four weeks before. 0.2% of all new papers.

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Latest papers 114

Aug 30, 2026cs.RO

MiBOT: A head-worn robot that modulates cardiovascular responses through human-like soft massage

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

Department of Computer Science, ETH Zürich, Switzerland. · Department of Mechanical Engineering, ETH Zürich, Switzerland.

Assistive Robotics Soft Robotics

Aug 11, 2026cs.RO

Locomotion Variability and User Experience in Smart Wheelchair Human-Robot Interaction

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.

Sean Kille, Adina M. Panchea, Balint Varga +1

Karlsruhe Institute of Technology (KIT), Institute of Control Systems (IRS), Karlsruhe, 76131, Germany · Université de Sherbrooke, Interdisciplinary Institute for Technological Innovation (3IT), Sherbrooke, J1N 3C6, Canada

Robotic Control Human-Robot Collaboration Assistive Robotics Human-Robot Interaction

Aug 10, 2026cs.RO

High Fidelity Capture, Reconstruction, and Transfer of Human Demonstrations for Robot-Assisted Bathing

Despite the demand for robots in high-value clinical tasks like bathing, contemporary systems still lack the safety and reliability required for complex, sustained physical interaction with humans. A key challenge hindering the development of such systems is that collecting, understanding, and effectively transferring highly dynamic, contact-rich human bathing demonstrations is difficult, even with modern motion and tactile sensing equipment. We present a straightforward, but effective framework for doing so with high fidelity by utilizing contact regions as a key processing primitive. We use our framework to build a dataset of bathing demonstrations performed by trained clinicians on human subjects. We then use this dataset to design and control an arm-mounted dexterous soft hand to perform bathing tasks on a mannequin using open- and closed-loop strategies. Our dataset is the first to provide high quality synchronized motion, shape, contact, and force during sustained, contact-rich human-human interaction, and our transfer strategies demonstrate effective use of these data across multiple levels of the robotics stack. All relevant materials will be publicly released to enable further advancements in physical human-robot interaction (pHRI) research.

Arjun S. Lakshmipathy, Jonathan P. King, Ethan Zuo +6

School of Computer Science, Carnegie Mellon University · School of Health and Rehabilitation Sciences, University of Pittsburgh

Contact-Rich Robotic Manipulation Robotic Data Collection Robot Imitation Learning Assistive Robotics Human-Robot Interaction

Aug 10, 2026cs.RO

Personalized Lower-limb Exoskeleton Assistance via Preference-based Bayesian Optimization

A significant challenge in exoskeleton robotics is the need to dynamically adapt control profiles to individual motion preferences, thereby ensuring both efficient and comfortable assistance. Currently, since user experience can serve as a comprehensive metric for evaluating the effectiveness of assistance, user preference-based optimization methods have been widely studied for parameter tuning. However, the existing methods rely heavily on extensive human-robot online interactions and suffer from slow optimization speed, which not only induces user fatigue but also compromises optimization effectiveness. Therefore, this paper aims to explore an efficient preference-based optimization framework for personalized exoskeleton assistance that can learn optimal parameters with minimal interaction. We propose a preference-based Bayesian optimization (PbBO) approach that can improve sample efficiency by leveraging knowledge about the sampling distribution of candidate sets. For optimizing six control parameters, PbBO can converge to user-preferred parameters with 90.7% validation accuracy via 20 iterations. Moreover, the hierarchical controller is designed to generate personalized torque for different tasks and achieve interaction torque tracking in real time. The results of treadmill and outdoor experiments demonstrate that the optimized parameters can reduce metabolic rate by 14.5%-15.4%, heart rate by 6.3%-7.6%, and muscle activation by 6.7%-31.5% compared to unassisted walking.

Xiao-Yin Liu, Guotao Li, Weiqun Wang +1

State Key Laboratory of Multimodal Artificial Intelligence Systems, Institute of Automation, Chinese Academy of Sciences, Beijing 100190, China · School of Artificial Intelligence, University of Chinese Academy of Sciences, Beijing 100049, China · CASIA-MUST Joint Laboratory of Intelligence Science and Technology, Institute of Systems Engineering, Macau University of Science and Technology, Macao, China

Bayesian Optimization Ankle Exoskeleton Control Assistive Robotics

Aug 7, 2026cs.RO

Identifying the Key Biomechanical Features of Movement Adaptation during Exoskeleton-Assisted Locomotion

The understanding of natural human adaptation during exoskeleton-assisted locomotion - particularly individual differences in adaptation behaviors and temporal progression - remains limited. In this work, we investigate temporal evolution of biomechanical variables to uncover participant-specific adaptation strategies across different exoskeleton-assisted locomotion scenarios. Nine healthy participants performed treadmill walking under three conditions: without an exoskeleton, with exoskeleton active ankle assistance, and with exoskeleton zero-torque. Lower limb kinematics, inter-joint coordination, and metabolic cost of transport (MCoT) were analyzed at both the group and individual levels. Results indicate that adaptation is gradual and highly individualized, with substantial variability in convergence timing and movement patterns across participants. Kinematic adaptation occurred asynchronously across lower limb, with larger fluctuations during the swing phase. Metabolic responses were heterogeneous and often non-convergent, highlighting the limitations of steady-state assumptions commonly adopted in the literature. These findings emphasize the importance of individual-level, temporal evolution analyses for understanding adaptation dynamics in exoskeleton use.

Peter Seungjune Lee, Katja Mombaur

KIT BioRobotics Lab, Optimization and Biomechanics for Human-Centred Robotics, Institute for Anthropomatics and Robotics, Karlsruhe Institute of Technology, 76131 Karlsruhe, Germany · Human-Centred Robotics and Machine Intelligence, department of systems design engineering, University of Waterloo, Waterloo, N2L3G1, Canada

Gait Analysis Assistive Robotics

Aug 6, 2026cs.RO

ATP: Anatomical Torque with Passivity-based Control Framework for Safe Upper-Limb Exoskeleton Assistance

Providing assistance across diverse movements is a central objective of exoskeletons, and anatomical knowledge can enable responsive support that generalizes across tasks. However, anatomical assistance has mainly been studied for lower-limb exoskeletons, where periodic, weight-bearing motions impose lower demands on torque precision. Extending such assistance to complex, nonperiodic upper-limb movements remains challenging. This paper proposes Anatomical Torque with Passivity-Based Control (ATP) for safe upper-limb exoskeleton assistance. First, a scalable musculoskeletal simulation framework trains a unified reinforcement-learning muscle controller that generalizes across upper-limb movements and generates anatomical reference torques without complex biomechanical computations. Second, an online torque-refinement scheme adapts the reference to diverse movements, suppresses tendon-induced spikes, and incorporates a learned anomaly score for safe and comfortable assistance. Third, an interaction torque controller delivers assistance through a cable-driven compliant exoskeleton without constraining motion to predefined trajectories, while an energy tank preserves passivity with theoretical guarantees on torque tracking and system passivity. Simulations and real-world experiments show accurate tracking of long-duration motion sequences and generalization to real-time human movements. The controller achieves accurate torque tracking while preserving passivity and resumes tracking after energy-tank replenishment. An EMG study with five participants further shows reduced target-muscle activity during static and dynamic tasks compared with gravity compensation and open-loop assistance, with reductions of up to 48% relative to movement without the exoskeleton in a dynamic multi-joint task.

Yu Chen, Gong Chen, Xiang Li

Department of Automation, Tsinghua University, China · Shenzhen MileBot Robotics Co., Ltd, China

Ankle Exoskeleton Control Feedback Control Assistive Robotics Passivity-Based Control

Aug 4, 2026cs.RO

Designing Social Robots for Inclusive Child Wellbeing Assessment: Insights from Communities Supporting Developmental Language Disorder and Forced Migration

Assessing children's wellbeing and mental health can be particularly challenging for children experiencing communication barriers, such as children with Developmental Language Disorder (DLD) and children with forced migration backgrounds. During the assessment process, traditional self-report questionnaires place substantial demands on language comprehension and verbal expression. In this context, social robots have emerged as a promising tool for supporting wellbeing assessment without solely relying on self-report questionnaires, yet limited research has examined how such interactions can be designed to be inclusive, appropriate, and ethically acceptable for children with diverse communication needs. To address this gap, we created candidate child--robot interaction activities as design probes and conducted focus groups with parents and professionals supporting children with DLD and children with forced migration backgrounds. Through thematic analysis, we identified considerations relating to robot role and capabilities, interactional dynamics, individual differences, and child agency, alongside population-specific considerations shaped by children's communication needs and lived experiences. Based on these findings, we derive a set of ethical and inclusive design recommendations for robot-mediated wellbeing assessment. By foregrounding these considerations and recommendations, this work contributes design guidance for inclusive robot-mediated wellbeing assessments for children with diverse communication needs.

Fethiye Irmak Dogan, Yue Lou, Alva Markelius +7

Department of Computer Science & Technology, University of Cambridge, Cambridge, UK · Department of Information Technology, Uppsala University, Uppsala, Sweden · Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden +3

Assistive Robotics Human-Robot Interaction Social Robotics

Aug 4, 2026cs.RO

Human Centric Embodied Intelligence for Soft Wearable Robotics

Soft wearable robots have evolved rapidly from proof-of-concept devices into promising platforms for rehabilitation, occupational assistance, and human augmentation. As the field matures, its central challenge extends beyond the development of softer materials and more capable actuators to the integration of sensing, intelligence, and human adaptation into systems that users can wear comfortably, trust, and benefit from over extended periods. This transition motivates the concept of Human-Centric Embodied Intelligence (HCEI), in which intelligence emerges from the coupled human-robot system through the interaction of morphology, multimodal sensing, adaptive cognition, compliant actuation, and the wearer's own physiological and behavioral adaptation. To organize this perspective, this review introduces the Perception-Cognition-Actuation-Augmentation (PCAA) framework, which positions perception and cognition as the primary drivers of design, shifting development beyond the conventional actuator-first paradigm. Using this framework, the review synthesizes advances in soft materials, wearable sensing, artificial intelligence, actuation, human-robot interaction, digital twins, clinical translation, manufacturing, regulation, and ethics, highlighting how these interdependent components collectively shape long-term personalization and real-world deployment. By providing a unified conceptual framework and design perspective, this review aims to guide future research, foster interdisciplinary collaboration, and accelerate the translation of next-generation soft wearable robots toward personalized, predictive, and human-centric wearable intelligence.

Rainier Natividad, Raye Chen-Hua Yeow

Department of Biomedical Engineering, National University of Singapore

Assistive Robotics Human-Robot Interaction Embodied AI Soft Robotics

Aug 3, 2026cs.RO

Human-Centered Reflections on Care Robots: A Comparative Study of Caregiver Perspectives

Care robots are increasingly being introduced into healthcare settings, raising important questions about their acceptance and ethical implementation. To better understand these challenges, this study investigates caregivers' perceptions of four categories of care robots: delivering supplies, helping patients into bed, monitoring vital signs, and assisting with mobility. We conducted a mixed-methods study employing a mixed-factorial design in which 298 caregivers from the United States, Mexico, and Chile evaluated all four robot categories. Quantitative measures integrated constructs from the Unified Theory of Acceptance and Use of Technology, the Cognitive-Affective-Normative model, and overall acceptance ratings. Qualitative data were collected through open-ended questions and analyzed using a literature-informed ethical framework. The results indicate that participants across countries generally evaluated care robots positively, particularly for logistical and physically demanding tasks rather than those requiring intensive interpersonal interaction. The qualitative findings provide further insight into stakeholders' views of the ethical implications of care robot use. Participants emphasized potential benefits such as reduced workload, lower risk, and greater patient autonomy, while also expressing concerns about dependability, the need for human oversight, and potential job displacement. Although many ethical concerns were shared across countries, participants differed in how they interpreted and prioritized them. These findings advance a context-sensitive and socially informed understanding of responsible design and implementation of care robots.

Laura Londoño, Klaus Baumann, Abhinav Valada +1

Department of Psychology, University of Freiburg, Germany. · Department of Computer Science, University of Freiburg, Germany. · Department of Theology, University of Freiburg, Germany.

Robotics Assistive Robotics Human-Robot Interaction

Aug 1, 2026cs.RO

Staged Multi-Agent Training (SMAT) for Hip Exoskeletons: Metabolic and Biomechanical Validation of a Simulation-Trained Co-Adaptive Controller

Learning-based controllers can deliver exoskeleton assistance after training entirely in physics-based simulation, yet few controllers that address human-device co-adaptation have been validated on real users by whole-body metabolic measurement, the standard benchmark for assistive walking. Co-adaptation is challenging: as the device alters joint dynamics, the wearer reorganizes neuromuscular coordination, producing a non-stationary learning problem. Staged Multi-Agent Training (SMAT), a four-stage curriculum that progressively trains a musculoskeletal human actor and a bilateral hip exoskeleton actor, was introduced and shown to reduce simulated hip-muscle activation and provide positive assistance on hardware. This article provides the first physiological validation of SMAT. The policy was deployed on a hip exoskeleton and tested with eight healthy adults, with metabolic cost measured by indirect calorimetry across no-exoskeleton, passive, and active conditions. Active assistance lowered net metabolic rate by 19.7% relative to the passive device (p < 0.001). Biomechanical analysis confirmed predominantly positive hip mechanical power across all subjects (positive-power ratio 0.98), and the policy generalized across walking speeds and terrains. Together, these results show that a single simulation-trained SMAT policy, deployed without subject-specific retraining, delivers a significant metabolic benefit on real users while remaining robust beyond the conditions it was trained on.

Yifei Yuan, Jakob Wolf, Ghaith Androwis +1

Department of Biomedical Engineering, New Jersey Institute of Technology, Newark, NJ 07102, USA · Kessler Foundation, West Orange, NJ 07052, USA

Robotic Control Assistive Robotics Curriculum Learning Cooperative MARL

Jul 29, 2026cs.HC

Sensor-Placement-Agnostic Sonomyography: Toward Continuous High-Dimensional Control by Users with Tetraplegia

Sonomyography (SMG) enables continuous device control via ultrasound-measured muscle deformation signals, but existing SMG interfaces generally require substantial user- and sensor-location-specific training data and provide only one proportional signal or task-specific classification. We present a real-time, sensor-placement-agnostic SMG control system based on sparse optical flow tracking that enables continuous 1-DOF control after minimal calibration (3 pose definitions). We also present a preliminary expansion of this method that augments this algorithm with a short computer-aided calibration to enable 2-DOF control. We evaluate both 1- and 2-DOF systems' performance for a preliminary cohort of 3 cervical spinal cord injury survivors and 6 uninjured individuals across 6 sensor placements spanning the arm, neck, and upper torso. As assessed by a cursor trajectory tracking task, all participants achieved continuous 1-DOF control at all tested sensor locations (even those that relied on passive tissue motions), with all participants achieving <5.5% tracking error using at least one placement (and many <4% across many). All participants were also able to modulate 2D cursor position via the 2-DOF system, with varying levels of control authority, and several were able to complete a 2D drawing task, constituting the first (to our knowledge) demonstration of location-agnostic multi-DOF continuous SMG-based control. These results highlight the promise of SMG to enable rapidly calibratable, high-dimensional, sensor-placement-agnostic device control by users with tetraplegia, and also illuminate key challenges in both signal processing and practical system deployment. To enable further development by scientific and user communities, developed algorithms have been open-sourced as part of the OpenMyoControl project on SimTK (simtk.org/projects/openmyocontrol).

Gavin Sueltz, Vikram Athithan, Emma Ferran +3

Departments of Mechanical Engineering and Physical Medicine & Rehabilitation, the Kahlert School of Computing, and the Robotics Center at the University of Utah, Salt Lake City, UT 84112, USA

Wearable Sensing Assistive Robotics Continuous Control

Jul 24, 2026cs.RO

A Replay-Constrained Simulation Framework for Personalization of Powered Knee--Ankle Prosthesis Controllers

Personalization of impedance controllers for powered prosthetic legs is critical to accommodating individual gait biomechanics but remains challenging. Existing methods rely on time-intensive human-in-the-loop exploration and/or constrain optimization to low-dimensional, single-joint parameter subspaces. Sim-to-real transfer has enabled high-dimensional locomotion control for legged robots, but in assistive device control the human partner remains un-modelable. We present a replay-constrained simulation framework: a MuJoCo-based simulator reproduces prosthetic knee-ankle dynamics while replaying recorded hip kinematics and feedback-based ground reaction forces from individual walking data, bypassing the need to model complex human neuromuscular control mechanisms. We demonstrate the framework with a deep reinforcement learning policy that personalizes phase-dependent stiffness, damping, and equilibrium angle at both joints simultaneously, maximizing a biomimicry-based reward computed solely from onboard prosthesis measurements. Experiments with three participants with transfemoral amputation during level-ground walking at 0.8~m/s demonstrate strong simulation-to-hardware predictive validity (Pearson

r=0.96

--

0.997

). The best-performing policy on hardware was consistently predicted within the top five simulation policies for all participants. The learned controllers improved overall biomimicry rewards by 42--59% relative to the unpersonalized baseline. The framework supports scalable high-dimensional personalization of powered prosthetic legs and is amenable to extension to higher-dimensional controller parameterizations such as neural-network controllers.

Duong Le, Ryan Posh, Shihao Cheng +2

College of Engineering, University of Michigan, Ann Arbor, MI 48109, USA

Robotics Simulation Sim-to-Real Transfer Assistive Robotics

Jul 24, 2026cs.LG

Multimodal Surface EMG Hand Gesture Recognition Using Query-Based Transformers for Prosthetic Control

Hand gesture recognition via surface electromyography (sEMG) is fundamental to prosthetic control. In this field, deep learning approaches have become the gold standard. However, current architectures struggle to scale; model performance typically decreases as the number of hand movements increases. Performance degradation is tied to the increased statistical complexity of decoding expanded gesture sets and compounded by the limitations of state-of-the-art methods, which primarily rely on low-latency unimodal convolutional architectures. Convolutions operate locally, limiting model's ability to capture long-range sequential patterns. Unimodal setups cannot leverage complementary information from coordinated signals characterizing movement execution, such as inertial and eye-tracking data. These limitations motivate architectures that integrate local and global features across multimodal physiological sequences. To bridge this gap, this study introduces EMG-CrossFormer, an end-to-end hybrid convolutional-transformer for seamless multimodal integration. EMG-CrossFormer combines representations from an arbitrary number of unimodal encoders through cascaded cross-attention fusion layers, and decodes the fused representations using learnable gesture queries. EMG-CrossFormer was evaluated on four NinaPro datasets (DB2, DB3, DB7, and DB10) and benchmarked against six state-of-the-art models using an increasing number of modalities. Using only sEMG, EMG-CrossFormer achieved mean accuracies of 72.33%, 52.48%, 79.16%, and 73.49% on DB2, DB3, DB7, and DB10, respectively. Incorporating inertial signals improved performance to 90.66%, 80.40%, 92.79%, and 92.06%. These results show that joint local-global feature modeling improves sEMG-only decoding and that multimodal fusion substantially amplifies this benefit, underscoring the value of both design principles for complex hand gesture recognition.

Federico Del Pup, Elisa Tentori, Manfredo Atzori

Department of Information Engineering, University of Padua, Padua, 35131, Italy · Padova Neuroscience Center, University of Padua, Padua, 35129, Italy · Department of Biomedical Sciences, University of Padua, Padua, 35131, Italy +2

EMG-Based Gesture Recognition Hybrid CNN-Transformer Architectures Transformer Assistive Robotics Multimodal Fusion

Jul 22, 2026cs.RO

Clinical Pathways as Safety Specifications for Physical AI in Hospital Wards

Ensuring safety in Physical AI systems operating in real-world environments is a critical challenge, particularly in hospital wards where vulnerable patients, clinical staff, medical devices, and assistive robots coexist. In this paper, we reinterpret Clinical Pathways as explicit runtime safety specifications for embodied medical AI. We propose a conceptual robotic architecture that integrates wearable sensors, smart medical devices, and assistive robotic components into a unified framework for real-time safety monitoring. At its core, a Runtime Safety Monitor (RSM) evaluates multimodal physiological and system-level signals against clinically defined constraints derived from the prescribed care process. Rather than relying solely on statistical anomaly detection, the proposed approach combines temporal prediction, uncertainty-aware reasoning, and constraint-based verification to identify safety violations. The RSM targets three classes of events: physiological deviations from prescribed care, hardware and communication failures, and potential data tampering or misuse. This work contributes to Safe Physical AI by operationalizing domain-specific clinical knowledge as enforceable safety constraints, bridging learning-based perception and runtime safety monitoring to assist nursing staff in real-world hospital wards.

Gabriele Franchini, Giulio Mallardi, Michele De Carolis +1

Computer Science Dept. University of Bari Bari, Italy

Cyber-Physical Systems AI Agent Monitoring Assistive Robotics AI Safety Runtime Verification

Jul 21, 2026cs.RO

Milo, a Fully Autonomous Indoor/Outdoor Robotic Guide Dog

Many Blind and Low-Vision (BLV) people rely on guide dogs for moment-to-moment navigation, such as staying on path and avoiding obstacles and pedestrians. However, guide dogs are expensive to acquire and maintain (approximately $50k USD plus ongoing costs), often involve long waiting lists, and have relatively short life expectancies. While robot guide dogs offer a promising alternative, existing approaches exploring this idea suffer from several drawbacks: They often lack the autonomy required for real-world deployment, relying on prior 3D scans of the environment, external computation, or limited awareness of the handler. In this work, we present Milo, the first open-source, low-cost (approximately $2k USD) robotic guide dog platform capable of fulfilling the basic collaborative navigation role expected of a guide dog. Milo is fully autonomous, requiring no a priori knowledge of the environment, completely self-contained with all computation performed onboard, and suitable for both indoor and outdoor navigation while avoiding obstacles and pedestrians. Our system consists of a modified Unitree Go2 robot (equipped with onboard compute, sensors, and a handle), a perception stack combining voxel mapping with floor, obstacle, and pedestrian detection, and a navigation stack based on an obstacle-avoidance policy trained in a custom bird's-eye-view simulator. We evaluate Milo in real indoor and outdoor obstacle courses and compare it against a costmap-based baseline, demonstrating smoother navigation and fewer handler collisions. To maximize accessibility for BLV users, we release both the robot hardware instructions and the complete software stack as open source.

Florian Golemo, Joanna Wolski, Joel Ruben Antony Moniz +1

Mila - Quebec AI Institute Montreal, Canada · Mila - Quebec AI Institute, Polytechnique Montreal, Canada

Robot Navigation Social Robot Navigation Assistive Robotics Dynamic Obstacle Avoidance

Jul 16, 2026cs.RO

Assessing Physical Frailty and Fall-Risk Indicators with Social Robots: An in situ Evaluation with Older Adults

Frailty assessments are crucial to evaluate the risk of adverse events and the health and social care needs of older adults, yet their administration remains resource-intensive and typically relies on coarse clinical outcomes, such as task completion times, which may overlook biomechanical indicators of functional decline. To address this, we present a robotic framework that guides older adults through standardised frailty and fall-risk tests while capturing clinical scores and additional frailty-related metrics, offering a deeper insight into a user's condition. The system uses a Behaviour Tree architecture that coordinates perception, decision-making, interaction, and measurement modules. Using vision-based skeleton tracking, the robot evaluates established clinical tests, including the Short Physical Performance Battery (SPPB) and the Timed Up and Go (TUG). The framework was co-designed with healthcare professionals and evaluated in situ during six months in a rehabilitation centre's research lab with N=81 older adults. Robot-derived measurements were compared against therapist assessments and clinical reference instruments, including a gait analysis walkway and an inertial measurement unit (IMU). Results showed excellent agreement for most test completion times and gait-related parameters (

ICC > 0.9

). And, substantial agreement for the overall SPPB score comparing the robot and the therapist (

k = 0.67

) and moderate agreement comparing the robot and the IMU (

k=0.55

). The findings highlight that social robots can provide reliable and objective frailty assessments in healthcare settings while enabling the collection of relevant mobility indicators beyond conventional outcomes.

Aniol Civit, Antonio Andriella, Alba Martínez +4

Institut de Robòtica i Informàtica Industrial, CSIC-UPC, Llorens i Artigas 4-6, 08028 Barcelona, Spain · Parc Sanitari Pere Virgili, Area of Intermediate Care, Barcelona, Spain · RE-FiT Barcelona Research Group, Vall d’Hebron Institute of Research and Parc Sanitari Pere Virgili, Barcelona, Spain +1

Assistive Robotics Human-Robot Interaction Clinical Risk Prediction

Jul 15, 2026cs.RO

Layered Risk Mapping for Autonomous Patient Transport in Expeditionary Medical Facilities

In expeditionary medical facilities, routine patient transport imposes a compounding burden of personal protective equipment consumption, staff diversion, and elevated infection risk that becomes unsustainable under surge conditions. While autonomous wheelchairs could absorb this operational load, the safety-critical nature of patient transit within these highly unstructured and dynamic environments poses complex navigational challenges. To address this, we present a layered risk mapping framework that fuses four heterogeneous environmental hazards (terrain slope, static and dynamic obstacles, and semantic traversability) into a unified probabilistic cost surface via a Noisy-OR fusion model. In a paired Monte-Carlo evaluation, risk-informed fusion reduces collision rates from over 73% to under 32% and more than doubles obstacle clearance relative to a risk-unaware baseline. Additionaly, Noisy-OR achieves the highest clearance to obstacles and the lowest conditional peak risk across all tested hazard densities. We further validate the framework on a commercial powered wheelchair across three representative mission profiles in indoor and outdoor deployments, demonstrating that this architecture successfully meets the planning requirements of this previously unaddressed operational regime.

Lorena Maria Genua, Sarvesh Prajapati, Damla Leblebicioglu +1

Institute for Experiential Robotics, Northeastern University, Boston, Massachusetts, USA.

Safe Robot Navigation Assistive Robotics Robot Motion Planning

Jul 14, 2026cs.RO

Design and Characterization of a Limb Encircling Actuator

Lower-limb powered exoskeletons have demonstrated substantial improvements in mobility and function, but most designs place actuation components lateral to the legs or remotely at the waist or back. These configurations often extend beyond the body's natural envelope, making devices intrusive in everyday use and potentially limiting societal adoption. We posit that rethinking actuation geometry could enable exoskeletons that conform more closely to the body. Here, we explored an actuation layout in which the actuator encircles the limb in a plane orthogonal to the limb axis, potentially reducing its spatial footprint around the body. We developed the Limb-Encircling Actuator (LEA) and characterized its electromechanical properties using a custom-built testbed. The LEA also features a novel radial bearing layout with potential as a lightweight or lower-cost alternative to traditional large-diameter bearings. The actuator achieved a continuous torque density of 7.5 Nm/kg with a mass of 894 g. Despite this high torque density and innovative layout, the system remained difficult to contain close to the body. These results highlight opportunities and challenges in limb-encircling actuation and provide insights into torque-dense exoskeleton designs that could integrate more readily into everyday apparel if challenges in actuator sizing and geometry are overcome.

Japmanjeet Singh Gill, Gray Cortright Thomas, Nikko Van Crey +2

Department of Robotics, University of Michigan, Ann Arbor, MI 48109, USA

Robotics Assistive Robotics

Jul 13, 2026cs.RO

A Glimpse into Long-term Physical Coexistence with Intelligent Robots

Long-term physical coexistence with intelligent robots requires more than capable robot policies. A persistent robotic assistant must support diverse user-facing interfaces, maintain long-horizon memory of people and preferences, coordinate across robot embodiments, and translate human intent into safe physical execution. We introduce PHILIA, a multi-robot agent built around a robot gateway abstraction. PHILIA retains the rich interaction and tool ecosystem of OpenClaw while exposing robot-local runtimes, onboard perception, navigation, speaker, and robot policies through a unified capability interface. This design decouples low-frequency, high-semantic agent reasoning from high-frequency, low-level robot execution, enabling plug-and-play integration of user interfaces, robot embodiments, and policy backends. As a result, the user experience becomes compositional: advances in user interfaces, robot embodiments, robot policies, navigation, or interaction algorithms can improve the overall experience without redesigning the system. We validate the architecture on Astribot S1 robots while designing the robot gateway contract to support future heterogeneous robot platforms through a shared capability interface for observation, task execution, navigation, speech playback, status monitoring, and task cancellation. We present representative use cases in which agent memory and scene understanding are grounded in robot actions. These span interactive household scenarios, ranging from simple organization to challenging long-horizon and dexterous service tasks, such as packing a backpack and lifting a garbage bag. We highlight the human-robot interaction flow, where contextual understanding of user intent and preferences, together with human-in-the-loop confirmation or adjustment during execution, is essential for effective assistance.

Weiqi Jin, Peijun Tang, Kuncheng Luo +5

Astribot Team

Multi-Robot Systems Assistive Robotics Human-Robot Interaction Multimodal Agents Long-Horizon Agent Tasks

Jul 13, 2026cs.RO

Wearing A Coat: Dual-Arm Robot-Assisted Dressing with Differentiable Clothing Simulation

The development of assistive robots for dressing tasks serves to augment human convenience and improve the quality of life for individuals with physical impairments. However, due to the intricate contact interactions between garments and the human limbs during dressing, most robot-assisted dressing algorithms treat clothing as an assembly of discrete segments, thereby struggling to manage the partial worn garments under contact constraints. To overcome this challenge, we propose a novel robotic dressing control algorithm that integrates realtime differentiable clothing simulation. The simulation algorithm employs explicit iterative scheme with intentionally introduced higher-order perturbations to enhance computational efficiency while maintaining stability under large time-step conditions. Through simulation, we resolve the garment state under contact constraints, which then enables a multi-phase control strategy for successful coat dressing assistance. To further improve real-time performance, we introduce a constrained local model along with its corresponding optimization solver, permitting high-frequency local compensation for the differentiable simulation based global controller. Finally, we experimentally validate our approach through both simulated and physical dressing scenarios, conclusively demonstrating its feasibility and efficacy

Yiming Liu, Lijun Han, Hesheng Wang

Department of Automation, Shanghai Jiao Tong University, Shanghai 200240, China

Contact-Rich Robotic Manipulation Assistive Robotics Differentiable Physics

Jul 10, 2026cs.RO

Effects of Robotic Touch on Older Users During Walking Guidance by a Humanoid Robot

The shortage of healthcare staff is a challenge in geriatric care. To address this, robots can be integrated into care settings to provide assistance and emotional support. A promising application is walking guidance, particularly benefiting older adults as navigation skills deteriorate with aging. As walking guidance involves direct contact, the aim of this study is to understand how older adults perceive and respond to different touch modes during guided walking. 24 older adults (68 - 88 yrs.) walked four times a ten-meter trajectory guided by the robot TIAGo Pro in four contact conditions: no physical contact (NC); physical contact through holding the robot's wrist with the hand (HH); physical interaction through linking arms with the robot (LA); and physical contact through resting the forearm on the robots forearm (FC). A multimodal assessment approach included electrocardiogram, electrodermal activity, contact force, distance to robot, and questionnaires. Physiological results reveal a slight increase in stress levels during robot interaction. Behavioural and subjective measures, however, show overall acceptance of robotic touch. The two conditions corresponding to larger interaction forces (HH and FC) were associated with lower relative distances between participant and robot, indicating a higher trust and confidence. Questionnaire responses supported these findings, evidencing greater perceived safety, trust and comfort in these conditions. This study provides insights for the design of robotic walking guidance assistance, indicating that gentle, stable touch is preferred by older adults in comparison to contactless interaction.

Leonie Leven, Marko Ackermann, Christian Werner +4

Institute for Anthropomatics and Robotics, Karlsruhe Institute of Technology (KIT), Karlsruhe, Germany. · Geriatric Center, Medical Faculty Heidelberg, Heidelberg University, Heidelberg, Germany. · Institute of Medical Psychology, University Hospital Heidelberg, and Ruprecht-Karls University Heidelberg, Heidelberg, Germany. +1

Assistive Robotics Human-Robot Interaction Humanoid Robotics

Jul 9, 2026cs.RO

A Biomimetic Myoelectric Tentacle Prosthesis with Sensorless Object Detection and Vibrotactile Feedback

This paper presents the design and evaluation of a myoelectric tentacle-shaped prosthesis integrating electromyographic (EMG) control, sensorless object detection, and vibrotactile feedback. The objective was to develop a responsive and intuitive assistive device that adapts to various object shapes while providing sensory feedback to the user. The system relies on EMG signals to control the motion of a flexible, biomimetic structure whose curling geometry follows a logarithmic spiral, enabling it to coil around objects. To ensure stable control, the EMG signal is normalized and filtered, and a threshold-based method identifies user intention. Object contact is detected through a slope-based analysis of motor current, eliminating the need for external sensors, and a haptic feedback strategy based on cumulative vibrotactile stimulation conveys spatial information about the tentacle's configuration. The system was evaluated through quantitative and qualitative tests. The results demonstrate a low response time (77 ms on average), enabling smooth real-time interaction; an object-detection success rate above 90%, confirming robustness despite EMG variability; and an effective haptic feedback strategy that allowed users to reliably identify the folding zone of the tentacle. The proposed biomimetic design promotes further investigation of expressive artificial limbs by prioritizing expressive functionality over adherence to a predefined, anthropomorphic form factor.

Gabrielle Marion, Olivier Lecompte, Amandine Gesta +2

Haptic Feedback Assistive Robotics Soft Robotics

Jul 9, 2026cs.RO

Factors Influencing Conversational Engagement in Robot-Delivered Individual Cognitive Stimulation Therapy (iCST) for Dementia in Home Settings

Social robots offer a promising means of supporting cognitive therapies for dementia care by guiding structured conversation and therapeutic activities. However, little is known about the conversational dynamics that emerge during robot-delivered cognitive stimulation therapy (CST) sessions. This study analysed the interaction patterns from robot-delivered individual CST (iCST) sessions conducted with people living with dementia in home settings. Our Co-STAR (Cognitive Stimulation Therapy by an Autonomous Robot) system was deployed in the homes of eight PwDs for one week, who completed 30-minute sessions. Conversational metrics, including words per turn, speech production rate, response duration, response latency, and self-referential language, were analysed to examine how conversational engagement is shaped by prompt personalisation, interaction phase, and participant characteristics. The findings highlight three key interactional properties of robot-delivered iCST. First, personalised prompts significantly increase response duration, self-referential language, and overall engagement compared to generic prompts. Second, conversational behaviour changes within sessions, with a reduction in the verbal output and autobiographical engagement observed during later interaction phases, which suggests cognitive fatigue. Third, first-session conversational metrics were associated with long-term participation, while living situation influenced conversational engagement patterns. These findings provide empirical insights into the factors that shape conversational engagement in robot-delivered iCST. They inform the design of adaptive conversational robots for dementia therapy.

Emmanuel Akinrintoyo, Nicole Salomons

Imperial College London

Healthcare Human-AI Interaction Assistive Robotics Human-Robot Interaction

Jul 8, 2026cs.RO

Soft Robotic Exogloves for Dexterous Mobility -- Towards Personalized Rehabilitation

Soft robotic exogloves can provide hand rehabilitation and assistance. Fitting these gloves often relies on standardized measurements not tailored to the individual, limiting their effectiveness, especially for fine articulation necessary for dexterous manipulation. We present the design, fabrication, modeling, and testing of a personalized pneumatically-actuated soft robotic exoglove. The glove was fit to a user's hand with topological scans and fabricated with silicone mold casting. Finite element analysis (FEA) was performed to evaluate actuator bending and forces from physical human-robot interaction (pHRI) between an actuator and a simplified personalized biomechanical finger model. Pneumatic pressure control experiments were conducted to flex the user's finger with static and dynamic references. Fabrication results show that topological scans enable precise tailoring to hand anatomy. Simulations showed that anatomical personalization enables analysis of pHRI contact forces, and results indicate sufficient joint mobilization with non-ideal compression on the proximal phalanx. Pneumatic testing indicates that pressure control allows accurate and targeted mobility of the metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints with intrinsic stiffness. Testing of multiple designs showed that relaxing the strain-limiting layer improves actuator-to-finger joint alignment during actuation. This work presents personalization to the human hand in structural conformability, joint topology, modeling of pHRI contact, and time-dependent actuation-deformation profiles. This lays a groundwork for informing exoglove design optimization to enable assistance in dexterous manipulation and neuromuscular rehabilitation of fine motor skills.

Paul Dela Cruz, Mostafa Mo. Massoud, Jacqueline Libby

Department of Mechanical Engineering, Stevens Institute of Technology, 1 Castle Point Terrace, Hoboken, NJ, 07030, USA · Faculty of Mechanical Engineering, Stevens Institute of Technology, 1 Castle Point Terrace, Hoboken, NJ, 07030, USA

Robotic Hand Design Assistive Robotics Human-Robot Interaction Soft Robotics

Jul 8, 2026cs.RO

Towards Soft Robotic Exogloves for Musculoskeletal Manipulation to Reduce Pain and Spasticity

Hand spasticity and resulting pain affect 12 million people worldwide, including stroke survivors, arthritis patients, and those with other muscle and nerve deficiencies. Soft robotic exogloves are being introduced to help patients enhance mobility or manage pain; however, there are no current solutions that address both pain and mobility. We present preliminary development of a soft robotic exoglove that both aids in mobility and administers massage-like compression to relax spastic muscles. The glove consists of soft pneumatic actuators that are personalized to an individual's hand topology and kinematics, allowing for optimal conformability and targeted mobility. Novel soft actuators were designed, analyzed, fabricated, assembled into an exoglove, and experimentally tested. Actuators were 3D modeled and analyzed with finite element modeling under pressures of 100 and 200 kPa. Geometries were optimized to minimize stress before fabrication and testing. A dorsal finger actuator was successfully customized to a participant's hand topology, providing full conformal contact and maximal force distribution. A ventral finger actuator was successfully fabricated that can be drastically compressed in size to fit into the tight space of a hyperflexed spastic finger. A palmar actuator was successfully printed with stereolithography, showing potential for 3D-printed soft actuators with more complex geometries. The glove was assembled and successfully worn by a pilot user to validate initial findings in comfort and effectiveness.

Antonia Salluce, Maeryn Erdheim, Gailen Davis +3

Department of Mechanical Engineering, Stevens Institute of Technology, 1 Castle Point Terrace, Hoboken, NJ, 07030, USA · Faculty of Mechanical Engineering, Stevens Institute of Technology, 1 Castle Point Terrace, Hoboken, NJ, 07030, USA

Assistive Robotics Soft Robotics

Jul 8, 2026cs.AI

Idiobionics: The Unification of Privacy and Intelligent Robotic Prostheses

The human body is at the center of a growing family of technologies designed to tightly and persistently couple biological and digital systems. Robotic prostheses are a representative example of this tight coupling. Also referred to as bionic limbs, robotic prostheses are devices that support people who have lost limbs in pursuing daily life activities such as walking and grasping objects. Bionic limbs are now perceptive and responsive owing to their integration with advanced sensors and artificial intelligence-based control approaches. Consequently, such robotic prostheses can now be viewed as semiautonomous wearable robotic systems that can co-adapt with their users. However, the same sensing and control advancements that increase the capability of robotic prostheses also introduce threat vectors that could be exploited by malicious entities to violate the privacy of users. To fully realize the benefits of next-generation bionic limbs, we maintain it is important to directly understand and address these privacy risks and the barriers they might present to user adoption. This paper therefore introduces a new line of inquiry we term idiobionics to holistically investigate issues at the intersection of privacy and intelligent bionic limbs. As the main contribution of this paper, we define idiobionics, ground it in related literature, and provide preliminary evidence showing and discussing potential adversarial attacks that could exploit intelligent bionic limb designs. We then contribute a curated list of open research questions within idiobionics that are relevant to researchers in wearable robotics and other human-facing autonomous systems. We expect that idiobionics research will help unlock the full potential of robotic prostheses and related bionic devices.

Kwesi Afari Darfoor, Patrick M. Pilarski, Bailey Kacsmar

Department of Computing Science, University of Alberta, Edmonton, Canada · Alberta Machine Intelligence Institute (Amii), Edmonton, Canada · Department of Medicine, University of Alberta, Edmonton, Canada

Assistive Robotics

Jul 8, 2026cs.RO

SonoRank: Towards Calibration-Free Real-Time Finger Flexion Detection from Forearm Ultrasound Sequences

Powered prosthetic hands are frequently abandoned, largely due to the limited functionality of current devices that rely on surface electromyography (sEMG). Sonomyography (ultrasound) has emerged as a promising alternative, owing to its ability to observe muscle activity in real time and control a greater number of degrees of freedom. Yet, existing ultrasound-based methods require per-user fine-tuning, limiting their commercialization. We propose SonoRank, an important step towards calibration-free finger flexion detection from forearm ultrasound video. SonoRank first learns to rank pairs of ultrasound sequences by their relative motion magnitude for each of the five fingers. The learned representations are then fine-tuned to classify whether each finger is actively flexing, using a rest reference that is captured at the beginning of the operation. Under 12-fold leave-one-subject-out cross-validation on a dataset of twelve subjects with synchronized kinematics, SonoRank achieves a 28% improvement in F1 score over direct classification baselines that skip the ranking stage. These results establish pairwise ranking as an effective pretraining signal for subject-independent control, bringing ultrasound-based prosthetics closer to practical, calibration-free deployment.

Dean Zadok, Alon Wolf, Alex M. Bronstein +1

Department of Computer Science, Technion, Haifa, Israel · Department of Mechanical Engineering, Technion, Haifa, Israel

Gesture Recognition Assistive Robotics

Jul 8, 2026cs.RO

Generating Personalized Lower-Limb Kinematics Across Walking Speeds Using Subject-Conditioned Diffusion

Personalizing exoskeleton assistance requires user-specific gait data across many locomotor tasks, yet collecting this data demands repeated motion capture sessions that are costly, time-intensive, and especially burdensome for clinical populations. This challenge is most acute across walking speeds, where gait changes substantially and deviates further in clinical gait. This work introduces a subject-conditioned residual diffusion framework that generates personalized lower-limb kinematics at unseen walking speeds from a subject's gait sequence at a single seen speed. Given sagittal-plane hip, knee, and ankle trajectories at a seen speed and a desired unseen speed, the model generates a residual that transforms the seen trajectory into the unseen one, using a transformer denoiser conditioned on the subject's gait and the two speeds through feature-wise linear modulation. Trained only on able-bodied data, the model achieved a mean absolute error (MAE) of 3.4° on held-out able-bodied subjects. Without any stroke-specific fine-tuning, it achieved a 6.0° MAE on out-of-training-distribution stroke subjects, retaining subject identity for clinical gait. The framework reduced the MAE by over 70% relative to supervised feed-forward baselines, and a single seen speed matched the accuracy of four speeds within 0.4°. These results demonstrate that subject-conditioned residual diffusion can synthesize personalized gait across speeds from minimal data, reducing the collection burden for downstream exoskeleton personalization.

Diya Dinesh, Adrian Krieger, Changseob Song +3

School of Computer Science, Carnegie Mellon University, Pittsburgh, PA, 15213 USA · Department of Mechanical Engineering, Carnegie Mellon University, USA · Woodruff School of Mechanical Engineering and the Institute for Robotics and Intelligent Machines, Georgia Institute of Technology, Atlanta, GA 30332 USA

Gait Analysis Human Motion Generation Assistive Robotics Conditional Diffusion Models Diffusion Models

Jul 7, 2026cs.RO

Towards Real-World Applications with an Autonomous Powered Wheelchair

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.

Simone Arreghini, Alessandro Giusti, Alex Bordini +3

Dalle Molle Institute for Artificial Intelligence (IDSIA), USI-SUPSI, Lugano, Switzerland. · Genny Factory, Sant’Antonino, Switzerland.

Robot Navigation Assistive Robotics Human-Robot Interaction

Jul 7, 2026cs.RO

Co-STAR: Cognitive Stimulation Therapy by an Autonomous Robot for Dementia -- A One-Week In-Home Study

Cognitive therapies have been shown to enhance the quality of life and well-being of people living with dementia (PwDs). However, their use remains limited due to a shortage of trained professionals and the significant time and training required of informal caregivers. To address this gap, we developed and deployed a social robot capable of autonomously delivering cognitive stimulation therapy (CST) in the home. Nine PwDs participated in a one-week (

7

days) study that involved daily robot-led sessions. Participants engaged positively with the system, completing nearly half of the scheduled sessions, an adherence rate higher than typically observed in caregiver-led CST. Our findings also highlight the crucial role of family members, who often supported session initiation and occasionally joined the activities, enriching the interactions. This work demonstrates the feasibility and potential of socially assistive robots to deliver in-home cognitive therapy, offering a scalable approach to extend access to dementia care.

Emmanuel Akinrintoyo, Nicole Salomons

Imperial College London

Healthcare Assistive Robotics Human-Robot Interaction