Evaluation studies of robotic rollators by the user perspective: A systematic review

Background: Robotic rollators enhance the basic functions of established devices by technically advanced physical, cognitive, or sensory support to increase autonomy in persons with severe impairment. In the evaluation of such Ambient Assisted Living solutions, both the technical and user perspectives are important to prove usability, effectiveness, and safety, and to ensure adequate device application.Objective: The aim of this systematic review is to summarize the methodology of studies evaluating robotic rollators with focus on the user perspective and to give recommendations for future evaluation studies.Methods: A systematic literature search up to December 31, 2014 was conducted based on the Cochrane Review methodology using the electronic databases PubMed and IEEE Xplore. Articles were selected according to the following inclusion criteria: Evaluation studies of robotic rollators documenting human-robot interaction, no case reports, published in English language.Results: Twenty-eight studies were identified that met the predefined inclusion criteria. Large heterogeneity in the definitions of the target user group, study populations, study designs, and assessment methods was found across the included studies. No generic methodology to evaluate robotic rollators could be identified. We found major methodological shortcomings related to insufficient sample descriptions and sample sizes, and lack of appropriate, standardized and validated assessment methods. Long-term use in habitual environment was also not evaluated.Conclusions: Apart from the heterogeneity, methodological deficits in most of the identified studies became apparent. Recommendations for future evaluation studies include: clear definition of target user group, adequate selection of subjects, inclusion of other assistive mobility devices for comparison, evaluation of the habitual use of advanced prototypes, adequate assessment strategy with established, standardized and validated methods, and statistical analysis of study results. Assessment strategies may additionally focus on specific functionalities of the robotic rollators allowing an individually tailored assessment of innovative features to document their added value

A systematic review of study results reported for the evaluation of robotic rollators from the perspective of users

© 2017 Informa UK Limited, trading as Taylor & Francis Group. Purpose: To evaluate the effectiveness and perception of robotic rollators (RRs) from the perspective of users. Methods: Studies identified in a previous systematic review published on 2016 on the methodology of studies evaluating RRs by the user perspective were re-screened for eligibility based on the following inclusion criteria: evaluation of the human–robot interaction from the user perspective, use of standardized outcome measurements, and quantitative presentation of study results. Results: Seventeen studies were eligible for inclusion. Due to the clinical and methodological heterogeneity across studies, a narrative synthesis of study results was conducted. We found conflicting results concerning the effectiveness of the robotic functionalities of the RRs. Only a few studies reported superior user performance or reduced physical demands with the RRs compared to unassisted conditions or conventional assistive mobility devices; however, without providing statistical evidence. The user perception of the RRs was found to be generally positive. Conclusions: There is still no sufficient evidence on the effectiveness of RRs from the user perspective. More well-designed, high-quality studies with adequate study populations, larger sample sizes, appropriate assessment strategies with outcomes specifically tailored to the robotic functionalities, and statistical analyses of results are required to evaluate RRs at a higher level of evidence.Implications for Rehabilitation RRs cover intelligent functionalities that focus on gait assistance, obstacle avoidance, navigation assistance, sit-to-stand transfer, body weight support or fall prevention. The evaluation from the user perspective is essential to ensure that RRs effectively address users’ needs, requirements and preferences. The evidence on the effectiveness of RRs is severely hampered by the low methodological quality of most of the available studies. RRs seem generally to be perceived as positive by the users. There is very limited evidence on the effectiveness and benefits of RRs compared to conventional assistive mobility devices. Further research with high methodological quality needs to be conducted to reach more robust conclusions about the effectiveness of RRs

Human sit-to-stand transfer modeling towards intuitive and biologically-inspired robot assistance

© 2016, Springer Science+Business Media New York. Sit-to-stand (STS) transfers are a common human task which involves complex sensorimotor processes to control the highly nonlinear musculoskeletal system. In this paper, typical unassisted and assisted human STS transfers are formulated as optimal feedback control problem that finds a compromise between task end-point accuracy, human balance, energy consumption, smoothness of motion and control and takes further human biomechanical control constraints into account. Differential dynamic programming is employed, which allows taking the full, nonlinear human dynamics into consideration. The biomechanical dynamics of the human is modeled by a six link rigid body including leg, trunk and arm segments. Accuracy of the proposed modelling approach is evaluated for different human healthy and patient/elderly subjects by comparing simulations and experimentally collected data. Acceptable model accuracy is achieved with a generic set of constant weights that prioritize the different criteria. Finally, the proposed STS model is used to determine optimal assistive strategies suitable for either a person with specific body segment weakness or a more general weakness. These strategies are implemented on a robotic mobility assistant and are intensively evaluated by 33 elderlies, mostly not able to perform unassisted STS transfers. The validation results show a promising STS transfer success rate and overall user satisfaction

An Integrated Decision Making Approach for Adaptive Shared Control of Mobility Assistance Robots

© 2016, Springer Science+Business Media Dordrecht. Mobility assistance robots provide support to elderly or patients during walking. The design of a safe and intuitive assistance behavior is one of the major challenges in this context. We present an integrated approach for the context-specific, on-line adaptation of the assistance level of a rollator-type mobility assistance robot by gain-scheduling of low-level robot control parameters. A human-inspired decision-making model, the drift-diffusion Model, is introduced as the key principle to gain-schedule parameters and with this to adapt the provided robot assistance in order to achieve a human-like assistive behavior. The mobility assistance robot is designed to provide (a) cognitive assistance to help the user following a desired path towards a predefined destination as well as (b) sensorial assistance to avoid collisions with obstacles while allowing for an intentional approach of them. Further, the robot observes the user long-term performance and fatigue to adapt the overall level of (c) physical assistance provided. For each type of assistance a decision-making problem is formulated that affects different low-level control parameters. The effectiveness of the proposed approach is demonstrated in technical validation experiments. Moreover, the proposed approach is evaluated in a user study with 35 elderly persons. Obtained results indicate that the proposed gain-scheduling technique incorporating ideas of human decision-making models shows a general high potential for the application in adaptive shared control of mobility assistance robots

Unermüdlicher Einsatz: Roboter sorgen für optimale Dauertests: Beliebige Testzyklen im Dauerbetrieb bei konstanten Bedingungen

Der tägliche Umgang mit Werkzeugmaschinen, Robotern und anderen Anlagen birgt für den Maschinenbediener in der Fabrik ein nicht zu unterschätzendes Verletzungsrisiko. Mit durchdachten Schutzabdeckungen lassen sich viele Gefahren vermeiden. Die Spezialisten von Hema unterziehen die Produkte ihrer Kunden wie auch das eigene Portfolio umfangreichen Tests, um die Zuverlässigkeit der Schutzvorrichtungen zu garantieren

Human-robot physical interaction and collaboration using an industrial robot with a closed control architecture

In physical Human-Robot Interaction, the basic problem of fast detection and safe robot reaction to unexpected collisions has been addressed successfully on advanced research robots that are torque controlled, possibly equipped with joint torque sensors, and for which an accurate dynamic model is available. In this paper, an end-user approach to collision detection and reaction is presented for an industrial manipulator having a closed control architecture and no additional sensors. The proposed detection and reaction schemes have minimal requirements: only the outer joint velocity reference to the robot manufacturer's controller is used, together with the available measurements of motor currents and joint positions. No a priori information on the robot dynamic model and existing low-level joint controllers is strictly needed. A suitable on-line processing of the motor currents allows to distinguish between accidental collisions and intended human-robot contacts, so as to switch the robot to a collaboration mode when needed. Two examples of reaction schemes for collaboration are presented, with the user pushing/pulling the robot at any point of its structure (e.g., for manual guidance) or with a compliant-like robot behavior in response to forces applied by the human. The actual performance of the methods is illustrated through experiments on a KUKA KR5 manipulator. © 2013 IEEE

Port-based modeling of human-robot collaboration towards safety-enhancing energy shaping control

While collision detection and contact-related injury reduction in physical human-robot interaction has been studied intensively, safety issues in physical human-robot collaboration (pHRC) with continuous coupling of human and robot(s) has received little attention so far. We develop an energy monitoring control system that observes energy flows among the different subsystems involved in pHRC, shaping them to improve human safety according to selected metrics. Port-Hamiltonian formalisms are used to model each sub-system and their interconnection. An energy-based compliance controller that enhances safety by adapting the robot behavior is proposed and validated through extensive simulations

Task control with remote center of motion constraint for minimally invasive robotic surgery

Minimally invasive surgery assisted by robots is characterized by the restriction of feasible motions of the manipulator link constrained to move through the entry port to the patient's body. In particular, the link is only allowed to translate along its axis and rotate about the entry point. This requires constraining the manipulator motion with respect to a point known as Remote Center of Motion (RCM). The achievement of any surgical task inside the patient's body must take into account this constraint. In this paper we provide a new, general characterization of the RCM constraint useful for task control in the minimally invasive robotic surgery context. To show the effectiveness of our formalization, we consider first a visual task for a manipulator with 6 degrees of freedom holding an endoscopic camera and derive the kinematic control law allowing to achieve the visual task while satisfying the RCM constraint. An example of application of the proposed kinematic modeling to a motion planning problem for a 9 degrees of freedom manipulator with assigned path for the surgical tool is then proposed to illustrate the generality of the approach. © 2013 IEEE