Assistive Robotics

Theory of Mind (ToM) enables an agent to reason about another actor's beliefs, goals, and intentions, which is essential for human-centered embodied assistance. Existing ToM benchmarks have advanced text and multimodal mental-state recognition, but they mostly evaluate offline question answering or final action prediction. They do not fully test whether an embodied agent can stay connected to a changing environment, update actor-specific beliefs, decide when reasoning is needed, and intervene only when help is useful. Building on MindPower, we extend robot-centric ToM reasoning to a real-time closed-loop setting and introduce MindClaw, a framework for embodied mental-state reasoning with precision intervention. MindClaw connects multi-source inputs, belief memory, an embodied cognitive trigger skill, mental reasoning, and action generation, allowing the agent to output helpful actions at the right time while remaining silent when intervention is unnecessary. Experiments show that direct VLM baselines struggle with task awareness and intervention calibration, while MindClaw achieves the best overall performance, demonstrating the importance of trigger-skill optimization for closed-loop embodied ToM assistance.

Soft wearable robotic systems have emerged as a promising solution for assisting individuals with reduced hand function. This paper presents SoFiE, a modular soft finger exoskeleton designed to assist index-finger flexion during grasping tasks. The proposed system is primarily fabricated using 3D-printed flexible materials, enabling a lightweight, low-profile, and modular design. Actuation is achieved through a tendon-driven mechanism powered by a compact DC motor, while passive extension is provided by a compliant conductive spring. This element, termed StretchSense, also functions as a proprioceptive sensor by exhibiting resistance changes under deformation. Furthermore, a novel tactile sensing approach, MagSense, is introduced, using a magnet and magnetometer pair embedded in a soft fingertip structure to estimate contact force and object compliance. The system is fully untethered and controlled by an embedded microcontroller. In addition, actuator-level sensing through motor encoder feedback enables estimation of the system state, providing a foundation for safe and adaptive control strategies. Experimental validation demonstrates the capability of the system to provide reliable pose estimation, distinguish between materials with different stiffness, and generate distinct sensor signatures across different grasping tasks. This paper details the design, fabrication, and sensing concepts of the proposed exoskeleton as a proof of concept toward modular, soft, and assistive wearable robotics.

Many children experience challenges in emotional regulation and social interaction, which can limit their participation in everyday activities and therapeutic programs. For socially assistive robots to be effective in this context, it is essential that children remain consistently and meaningfully engaged. We explore engagement strategies for a tactile robot designed to support children suffering from anxiety disorders through daily interactions. The robot delivers either synthetic emotional feedback or point rewards to encourage user participation. We evaluated these strategies through two studies: a preference assessment with 16 school children aged 6-8 years, and a behavioral study with 14 university students aged 20-27 years in naturalistic environments. The study with school children indicated a preference for emotional engagement over points-based approaches. The follow up study with university students across a full day of interactions revealed contrasting results: points-based systems produced significantly higher task accuracy (p < 0.05) and sustained performance over time. Findings from different user groups suggest that stated preferences and behavioral outcomes can diverge depending on engagement context, highlighting the importance of validating design assumptions through observed interaction. This work contributes insights into age-related differences in engagement strategy effectiveness in human-robot interaction design.

Robotic assistants in long-term human-robot collaboration need to assist users under partial observations while leveraging cross-day interaction history. However, human traits and routines are often unknown at the beginning of collaboration, making passive infer-then-act assistance ineffective and inefficient. To address this challenge, we study a cross-day proactive asking setting for continual task assistance and propose PACT (Proactive Asking for Continual Task Assistance), an ask-or-act framework that determines whether clarification should be sought before taking action. PACT leverages current observations together with accumulated interaction history to evaluate contextual sufficiency, enabling the robot to provide more reliable assistance and progressively adapt to the user over time. We implement its primary learned instantiation using reinforcement learning and evaluate alternative instantiations under the same framework. To assess such behavior, we further introduce a clarification utility metric that quantifies the trade-off between assistance accuracy and the frequency of clarification requests. Experiments in multi-day embodied collaboration scenarios demonstrate that, compared with passive inference baselines, PACT consistently improves both assistance accuracy and clarification utility, highlighting the importance of proactive asking in continual human-robot collaboration.

Addressing the global caregiver shortage through socially assistive robots necessitates a deep understanding of their psychological and physiological impacts on older adults during human-robot interaction (HRI). This study addresses whether social robots can serve as effective interaction partners compared to humans, and if "positive prompts" can similarly enhance these interactions. We conducted a comparative study with 35 participants (aged 70+). Our multi-modal analysis, integrating facial expression data, heart rate variability, and subjective questionnaires, revealed no significant differences in overall stress levels between human and robot interactions. Facial expression analysis confirmed that the robot was accepted as a valid interaction partner, while physiological data showed slightly lower heart rates during robot interactions, suggesting a more relaxed state compared to human-led sessions. These findings indicate that social robots can engage older adults without inducing psychological strain and are capable of alleviating caregiver burden by performing structured tasks, such as health-sensing surveys. Future work should address the identified "appearance-content mismatch" in robot design to facilitate even more natural and effective interactions.

Robot guide dogs offer navigation assistance that greatly expands the independent mobility of the visually impaired, but their effective use requires subtle human-robot coordination that is difficult for users to learn from generic verbal instructions. To tackle this challenge, we present CANINE, an automated coaching system that trains users for interactive navigation with a robot guide dog, through personalized, adaptive verbal feedback. CANINE decomposes a complex coordination task into sub-skills and operates at two levels. At the high level, it decides what to train by tracking the learner's proficiency across sub-skills using knowledge tracing and prioritizing training on the weakest areas. At the low level, CANINE decides how to train each sub-skill by observing each human practice episode, using foundation models to infer the underlying causes of errors, and generating targeted verbal corrections adaptively. A controlled study with blindfolded participants, treated as a proxy population for quantitative evaluation, demonstrates that CANINE significantly improves both learning efficiency and final navigation performance compared to generic verbal instructions. We further validate CANINE through a retention study and an exploratory case study. The retention study shows lasting skill improvement after two weeks. The case study confirms CANINE's effectiveness in training a visually impaired user, while revealing additional design considerations for real-world deployment. Both are well aligned with the findings of the controlled study. Project page: https://cunjunyu.github.io/project/canine/

Assistive robotic grasping plays an important role in enabling safe and adaptive manipulation of diverse objects. However, existing systems often rely on electronic sensing and multi-stage processing pipelines, increasing system complexity and reducing accessibility. To address these limitations, we present TouchDrive, a cost-effective, electronics-free tactile sensing interface for assistive grasping. TouchDrive directly converts contact forces into pneumatic feedback through valve-mediated switching, integrating sensing, signal generation, and feedback within a single passive mechanical loop. The system can be employed using a pneumatic normally closed valve, a compressed air tank, sensing element, and haptic feedback actuator without electronics. By delivering tactile cues, TouchDrive empowers users to modulate grasp forces, enabling precise and robust delicate manipulation of compliant and fragile objects. The interface has been validated across diverse robotic platforms, consistently demonstrating reliable performance and practical applicability in assistive grasping tasks, such as handling fruits and everyday items (up to 20 objects).

Lower limb exoskeletons (LLEs) present the potential to make motor-impaired individuals walk again. Their application in real-world environments is still limited by the lack of effective adaptive gait planning. Indeed, current exoskeletons are meant to walk only on a flat and even terrain. Generating environment-aware, physiologically consistent gait trajectories in real-time is an open challenge. To overcome this, we propose a novel Kernelized Movement Primitives (KMP)-based framework for adaptive gait generation (AGG) across multiple indoor terrains. The proposed approach learns a probabilistic representation of human gait in both the joint and task spaces from a limited number of human demonstrations, representing natural gait characteristics and ensuring kinematic feasibility. In addition, the learned trajectories are adapted using environmental information extracted from an onboard RGB-D camera by treating the AGG as a linearly constrained optimization problem with via-points. The proposed method has been thoroughly validated first in simulations for gait generation in different scenarios, such as flat-ground walking, slopes, stairs, and obstacles crossing. Finally, the effectiveness and robustness of the method have been demonstrated with experiments on a commercial LLE in real-world scenarios. The results obtained demonstrate the feasibility of an environment-aware gait planning system for a new generation of intelligent lower limb exoskeletons for assisting people with disabilities in their every-day life.

Older adults living alone have a number of challenges, and robots can help with some of them--by providing reminders, initiating activity, or offering comfort. As part of developing a cat robot with limited assistive functions, we designed a set of nonverbal communication signals, both auditory (cat sounds) and visual (icons on a small display). To evaluate these signals we used a mixed-methods, user-centered approach. After a pilot study, a focus group with older adults suggested revisions to the initial signal set. A large-sample online experiment then tested whether adults over the age of 65 could accurately infer the robot's communicative intentions. When both visual and auditory signals were present, accuracy was high. When visual signals were absent, accuracy often decreased; when auditory signals were absent, accuracy sometimes increased. So the auditory signals were less helpful, except when the robot conveyed strong sentiments (e.g., purring while being petted).

Assisting humans in open-world outdoor environments requires robots to translate high-level natural-language intentions into safe, long-horizon, and socially compliant navigation behavior. Existing map-based methods rely on costly pre-built HD maps, while learning-based policies are mostly limited to indoor and short-horizon settings. To bridge this gap, we propose Walk with Me, a map-free framework for long-horizon social navigation from high-level human instructions. Walk with Me leverages GPS context and lightweight candidate points-of-interest from a public map API for semantic destination grounding and waypoint proposal. A High-Level Vision-Language Model grounds abstract instructions into concrete destinations and plans coarse waypoint sequences. During execution, an observation-aware routing mechanism determines whether the Low-Level Vision-Language-Action policy can handle the current situation or whether explicit safety reasoning from the High-Level VLM is needed. Routine segments are executed by the Low-Level VLA, while complex situations such as crowded crossings trigger high-level reasoning and stop-and-wait behavior when unsafe. By combining semantic intent grounding, map-free long-horizon planning, safety-aware reasoning, and low-level action generation, Walk with Me enables practical outdoor social navigation for human-centric assistance.

Human-robot interaction is emerging as an important paradigm for integrating persons with disabilities into the workplace. While these systems can enable individuals to work, their design is mostly personalized, hindering widespread use beyond the individual user. The universal design paradigm is a central pillar of inclusive design, describing usability of systems by all. To incorporate universal design into process design for human-robot workplaces expert knowledge is required that is often not available. To simplify process design of human-robot workplaces, we propose a persona-based design approach. First, typical impairments prevalent in the workforce or particularly relevant for the processes are abstracted into personas with disabilities. The work process is subdivided into sequential actions. For each action and persona, strategies are developed to reach the action goal by a design thinking approach. The resulting actions are ordered by level of robot assistance, i.e. robot involvement, and implemented in a behavior tree. Therefore, the macro-behavior of the workplace may adapt to individual personas online. We demonstrate the method in a collaborative box folding process with a total of seven personas with disabilities. The persona-based process design shows promising results by generating more comprehensive process strategies while enabling adaptive behavior in the sense of universal design.

Alzheimer's disease is a neurodegenerative disorder marked by progressive declines in memory and language that reduce independence in daily life, motivating socially assistive robotic support. This paper presents MEMOR-E, a mobile quadruped robot with an interactive tablet interface that assists patients and caregivers through medication reminders, routine guidance, memory oriented interactions, and companionship. We evaluated the feasibility of fine tuning large language models (LLMs) to emulate stage consistent cognitive behavior and interpret responses across standard neuropsychological language tasks, using audio transcriptions from 235 Alzheimer's patients and synthetically generated healthy controls. We also report findings on using in context learning (ICL) in LLMs, where a second LLM produced domain and severity level cognitive error summaries. Our results show that MEMOR-E can generate stage aware, non diagnostic cognitive summaries that support personalized assistive interactions, while explainable AI mechanisms translate model outputs into transparent, human readable evidence to enable caregiver oversight and trustworthy human robot interaction.

Falls among older adults are a significant public health concern, leading to severe injuries, loss of independence, and increased healthcare costs. This study evaluates the effectiveness of various models, including a Geometric approach, XGBoost, SVM, and several deep learning architectures, in classifying walker usage, standing vs. sitting, and posture for smart walkers used. Geometric and XGBoost were the top performers. XGBoost achieved near-perfect training accuracy in binary classification tasks, with 99.84% for walker choice and 99.69% for standing vs. sitting. For posture classification, Geometric approach attained 89.9% accuracy for 8 postures, and XGBoost obtained 99.24% during training for 17 postures. Deep learning models such as the 4-layer CNN and Encoder-Decoder CNN also demonstrated strong performance in binary classification, with accuracies above 98%. This study underscores the potential of machine learning to enhance human-robot interaction in smart walkers, particularly for fall prevention.

Upper-limb exoskeletons (ULEs) have the potential to restore functional independence in individuals with severe motor impairments; however, the clinical relevance of wrist degrees of freedom (DoF), particularly abduction-adduction (Ab-Ad), remains insufficiently evaluated. This study investigates the functional and user-perceived impact of wrist Ab-Ad assistance during two activities of daily living (ADLs). Wrist Ab-Ad assistance in a tongue-controlled 6-DoF ULE, EXOTIC2, was evaluated in a within-subject study involving one individual with amyotrophic lateral sclerosis and five individuals with spinal cord injury. Participants performed drinking and scratch stick leveling tasks with EXOTIC2 under two conditions: with and without wrist Ab-Ad assistance. Outcome measure included task success, task completion time, kinematic measures, and a usability questionnaire capturing comfort, functional perception, and acceptance. Enabling wrist Ab-Ad improved task success rates across both ADLs, with consistent reductions in spillage (from 77.8% spillages to 22.2%) and failed placements (from 66.7% to 16.7%). Participants utilized task-specific subsets of the available wrist range of motion, indicating that effective control within functional ranges was more critical than maximal joint excursion. Questionnaire responses indicated no increase in discomfort with the additional DoF and reflected perceived improvements in task performance. In conclusion, wrist Ab-Ad assistance enhances functional task performance in assistive exoskeleton use without compromising user comfort. However, its effectiveness depends on task context, control usability, and individual user strategies. This study provides clinically relevant, user-centered evidence supporting the inclusion of wrist Ab-Ad in ULEs, emphasizing the importance of balancing functional capability with usability in assistive device design.

Wrist function is essential in performing activities of daily living (ADLs). However, there is limited experimental evidence on the functional impact of wrist Abduction-Adduction (Ab-Ad) joint assistance in upper limb exoskeletons (ULEs) for rehabilitation. This study evaluates the effect of implementing an active wrist Ab-Ad joint in a five degree of freedom (DoF) ULE, EXOTIC2 exoskeleton, to support individuals with severe motor impairments. Methods: A compact, lightweight wrist module with tendon-driven abduction and spring-driven adduction was integrated into the EXOTIC exoskeleton. Eight adults with no motor disabilities completed drinking and scratching tasks under randomized wrist-enabled and wrist-locked conditions along with a preliminary feasibility test in one individual with Amyotrophic lateral sclerosis (ALS). Kinematic and task performance metrics including wrist range of motion, task completion time, spillage and leveling metrics were assessed. Results: Implementing the wrist Ab-Ad DoF improved task success metrics. Spill incidence during the drinking task decreased from 56% to 3%, and leveling success for scratching task improved from 28% to 75%. Conclusion: Integrating wrist Ab-Ad assistance improved key functional task outcomes without increasing execution time. Significance: The study provides the experimental evidence that active wrist Ab-Ad control enhances task-level performance in exoskeleton-assisted ADLs.

Wrist exoskeletons play a vital role in rehabilitation and assistive applications, yet conventional actuation mechanisms such as electric motors or pneumatics often introduce undesirable weight, friction, and complexity. This paper presents a novel single-cable (tendon), torsional-spring-assisted actuation mechanism for wrist abduction-adduction, and a simulation-based method for selecting its stiffness parameters. The mechanism employs a single Bowden cable passively tensioned by a spiral torsional spring (clock spring) to maintain continuous cable tension without antagonistic actuation. Kinematic and dynamic modeling of the mechanism was performed to estimate the required torque and identify optimal spring parameters. These simulation-derived parameters guided the design of a functional prototype, which was experimentally evaluated with five participants with no motor disabilities (NMD) under varying arm positions and loading conditions using three spring configurations to account for user variability and modeling uncertainties. Experimental results show consistent agreement with simulation-derived trends, with the nominal spring configuration achieving balanced motion range, torque demand, and repeatability. The results demonstrate that simulation-informed stiffness selection can effectively guide the design of compact, cable-driven wrist exoskeletons while reducing reliance on empirical tuning.

This paper explores how {\textit{Calm Technology}} can be integrated into Human-Robot Interaction (HRI), with a particular focus on the household environment. It offers comprehensive guidelines for designing assistive robots that prioritize and enhance the human need for {\textit{equanimity}}, ensuring interactions are calm, non-intrusive, and harmonious. The paper examines the widespread influence of technology in contemporary life and its impact on cognitive capabilities, underscoring the need for responsible robotics and ethical considerations in future technological developments. By adapting {\textit{Calm Technology}} principles to domestic robots, the article provides concrete examples and features that should be employed in household assistive robotics. The goal is to foster a balanced, unobtrusive interaction between humans and robots, especially in the home environment, as it is the most privat environment in everyone's life, paving the way for applications and further research in the field.

Safe and efficient assistive planning for visually impaired scenarios remains challenging, since existing methods struggle with multi-objective optimization, generalization, and interpretability. In response, this paper proposes a Momentum-Constrained Hybrid Heuristic Trajectory Optimization Framework (MHHTOF). To balance multiple objectives of comfort and safety, the framework designs a Heuristic Trajectory Sampling Cluster (HTSC) with a Momentum-Constrained Trajectory Optimization (MTO), which suppresses abrupt velocity and acceleration changes. In addition, a novel residual-enhanced deep reinforcement learning (DRL) module refines candidate trajectories, advancing temporal modeling and policy generalization. Finally, a dual-stage cost modeling mechanism (DCMM) is introduced to regulate optimization, where costs in the Frenet space ensure consistency, and reward-driven adaptive weights in the Cartesian space integrate user preferences for interpretability and user-centric decision-making. Experimental results show that the proposed framework converges in nearly half the iterations of baselines and achieves lower and more stable costs. In complex dynamic scenarios, MHHTOF further demonstrates stable velocity and acceleration curves with reduced risk, confirming its advantages in robustness, safety, and efficiency.

Gaze and speech are promising interaction modalities for individuals with motor impairments, yet robust intent recognition in multi-object environments remains challenging due to micro-saccades, semantic ambiguity, and viewpoint changes. This paper presents a multimodal interaction framework for assistive robotic manipulation. We propose a sticky-glance algorithm that stabilizes gaze-based intent by jointly accumulating geometric distance and directional evidence, enabling robust real-time target selection and switching. We further introduce Glance-Say, a gaze-speech interaction paradigm in which gaze specifies objects and speech specifies actions, together with a continuous shared-control scheme that provides high-readiness robot motion and human-in-the-loop feedback. Experiments demonstrate a tracking rate of 0.92 for moving targets, selection accuracy of 0.97 for static targets, and reduced task duration. These results indicate improved robustness, efficiency, and usability over representative interaction paradigms.

Many people could benefit from exoskeleton assistance during gait, for either medical or nonmedical purposes. But exoskeletons bring added mass and structure, which in turn require compensating for. In this work, we present a lightweight, low-complexity, soft bilateral ankle exoskeleton for plantarflexion assistance, with a shoe attachment design that can be mounted on top of any pair of shoes. Experimental tests show no significant difference in lower limb kinematics and kinetics when wearing the exoskeleton in zero-torque mode relative to not wearing an exoskeleton, showing that our device does not obstruct healthy gait, and proving it as a compliant and comfortable device, promising to provide effective assistance. Hence, a control system was developed, and additional tests are underway.

Knee rehabilitation plays a critical role in restoring patients' mobility and functional independence. Traditional rigid rehabilitation exoskeletons are often bulky and cumbersome to wear, whereas soft pneumatic exoskeletons offer lightweight, wearable, and intrinsically compliant solutions that are better suited for human--robot interaction. However, achieving precise motion control for soft exoskeletons remains challenging due to the difficulty of accurately modeling pneumatic actuators and the patient-specific human--robot coupled dynamics during rehabilitation training. To address these challenges, this paper proposes a Koopman-based Model Predictive Control (KMPC) framework for soft knee rehabilitation exoskeletons. The nonlinear human--robot coupled system is represented through a lifted linear Koopman model, enabling predictive control with explicit handling of constraints. In addition to actuation commands used to control valves and pumps, electromyography (EMG) signals are incorporated as system inputs, allowing the Koopman model to capture voluntary neuromuscular contribution and individual neuromuscular characteristics. Experimental results on both healthy participants and patients demonstrate that the proposed framework improves model prediction accuracy and effectively captures subject-specific behaviors, thereby supporting EMG-informed subject-specific assistance within the tested seated knee-rehabilitation setting. Compared with conventional Proportional--Integral--Derivative (PID) control, the proposed KMPC approach achieves lower tracking errors and reduced actuation effort in both passive and active rehabilitation modes. Additional comparisons with Iterative Learning Control (ILC) further validate the tracking performance of the proposed controller.

Lower limb exoskeletons show promise to assist human movement, but their utility is limited by controllers designed for discrete, predefined actions in controlled environments, restricting their real-world applicability. We present an uncertainty-aware control framework that enables ankle exoskeletons to operate safely across diverse scenarios by automatically disengaging when encountering unfamiliar movements. Our approach uses an uncertainty estimator to classify movements as similar (in-distribution) or different (out-of-distribution) relative to actions in the training set. We evaluated three architectures (model ensembles, autoencoders, and generative adversarial networks) on an offline dataset and tested the strongest performing architecture (ensemble of gait phase estimators) online. The online test demonstrated the ability of our uncertainty estimator to turn assistance on and off as the user transitioned between in-distribution and out-of-distribution tasks (F1: 89.2). This new framework provides a path for exoskeletons to safely and autonomously support human movement in unstructured, everyday environments.

Limb loss affects millions globally, impairing physical function and reducing quality of life. Most traditional surface electromyographic (sEMG) and semi-autonomous methods require users to generate myoelectric signals for each control, imposing physically and mentally taxing demands. This study aims to develop a fully autonomous control system that enables a prosthetic hand to automatically grasp and release objects of various shapes using only a camera attached to the wrist. By placing the hand near an object, the system will automatically execute grasping actions with a proper grip force in response to the hand's movements and the environment. To release the object being grasped, just naturally place the object close to the table and the system will automatically open the hand. Such a system would provide individuals with limb loss with a very easy-to-use prosthetic control interface and may help reduce mental effort while using. To achieve this goal, we developed a teleoperation system to collect human demonstration data for training the prosthetic hand control model using imitation learning, which mimics the prosthetic hand actions from human. By training the model on data from a limited set of objects collected from a single participant's demonstration, we showed that the imitation learning algorithm can achieve high success rates and generalize effectively to new users and previously unseen objects with varying weights. The demonstrations are available at https://sites.google.com/view/autonomous-prosthetic-hand.

Loss of hand function due to conditions like stroke or multiple sclerosis significantly impacts daily activities. Robotic rehabilitation provides tools to restore hand function, while novel methods based on surface electromyography (sEMG) enable the adaptation of the device's force output according to the user's condition, thereby improving rehabilitation outcomes. This study aims to achieve accurate force estimations during medium wrap grasps using a single sEMG sensor pair, thereby addressing the challenge of escalating sensor requirements for precise predictions. We conducted sEMG measurements on 13 subjects at two forearm positions, validating results with a hand dynamometer. We established flexible signal-processing steps, yielding high peak cross-correlations between the processed sEMG signal (representing meaningful muscle activity) and grip force. Influential parameters were subsequently identified through sensitivity analysis. Leveraging a novel data-driven Koopman operator theory-based approach and problem-specific data lifting techniques, we devised a methodology for the estimation and short-term prediction of grip force from processed sEMG signals. A weighted mean absolute percentage error (wMAPE) of approx. 5.5% was achieved for the estimated grip force, whereas predictions with a 0.5-second prediction horizon resulted in a wMAPE of approx. 17.9%. The methodology proved robust regarding precise electrode positioning, as the effect of sensing position on error metrics was non-significant. The algorithm executes exceptionally fast, processing, estimating, and predicting a 0.5-second sEMG signal batch in just approx. 30 ms, facilitating real-time implementation.