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Mitigating Compensatory Movements in Prosthesis Users via Adaptive Collaborative Robotics

Published 3 May 2025 in cs.RO | (2505.01718v1)

Abstract: Prosthesis users can regain partial limb functionality, however, full natural limb mobility is rarely restored, often resulting in compensatory movements that lead to discomfort, inefficiency, and long-term physical strain. To address this issue, we propose a novel human-robot collaboration framework to mitigate compensatory mechanisms in upper-limb prosthesis users by exploiting their residual motion capabilities while respecting task requirements. Our approach introduces a personalised mobility model that quantifies joint-specific functional limitations and the cost of compensatory movements. This model is integrated into a constrained optimisation framework that computes optimal user postures for task performance, balancing functionality and comfort. The solution guides a collaborative robot to reconfigure the task environment, promoting effective interaction. We validated the framework using a new body-powered prosthetic device for single-finger amputation, which enhances grasping capabilities through synergistic closure with the hand but imposes wrist constraints. Initial experiments with healthy subjects wearing the prosthesis as a supernumerary finger demonstrated that a robotic assistant embedding the user-specific mobility model outperformed human partners in handover tasks, improving both the efficiency of the prosthesis user's grasp and reducing compensatory movements in functioning joints. These results highlight the potential of collaborative robots as effective workplace and caregiving assistants, promoting inclusion and better integration of prosthetic devices into daily tasks.

Summary

Mitigating Compensatory Movements in Prosthesis Users via Adaptive Collaborative Robotics

The objective of this paper is to address the issue of compensatory movements in prosthesis users by employing a novel human-robot collaboration framework. While prosthetic devices enable partial restoration of limb functionality, they often fail to fully replicate the natural mobility of limbs, leading to compensatory movements that result in discomfort, inefficiency, and physical strain over time. The proposed framework focuses on integrating a personalised mobility model into a constrained optimisation setting, guiding collaborative robots to reconfigure task environments. This promotes optimal user postures, balancing functionality and comfort during task performance.

Framework Overview

The framework includes a personalised mobility model that quantifies joint-specific functional limitations and the cost associated with compensatory movements. This cost, denoted $\Psi$, is measured by the deviation of functioning joints from a comfortable, neutral posture, which traditional methods in the literature often overlook. The constrained optimisation framework computes optimal user postures, ensuring task constraints while minimizing the weighted sum of deviations from both impaired and functional joints. Task constraints include maintaining safety distances and adhering to task objectives such as object positioning in the task space.

Experimental Evaluation

The validation of the approach involved a novel body-powered prosthetic device tailored for single-finger amputees. This prototype, enhancing grasping capabilities through synergistic closure with the hand, simultaneously imposes wrist constraints as part of the design considerations. In the experimental setup, a collaborative robot was positioned to assist prosthesis users wearing the finger prosthetic in handover tasks with varying lateral distances. The significance of integrating a user-specific mobility model was illustrated by comparing robotic assistance to traditional human cooperation in object handover scenarios.

Results and Implications

Empirical results demonstrated that embedding a user-specific mobility model in robotic assistance resulted in significant improvements in grasp efficiency and reduction of compensatory movements. Notably, robotic assistance achieved a noteworthy reduction in the cost of compensatory motions and substantially improved handover task duration by allowing users to adopt optimised postures that human partners often failed to facilitate. These findings suggest that collaborative robots could serve effectively as workplace and caregiving assistants, promoting better integration of prosthetic devices into daily tasks.

Future Directions

The study sparked potential avenues for further exploration, such as extending the framework to accommodate more complex prosthetic systems involving multiple joint impairments, including those affecting the elbow. Additionally, the development of intuitive user feedback mechanisms, such as visual or haptic interfaces, to guide users in configuring joint motions could be advantageous. Further research could explore the application of this framework in diverse task settings, enhancing overall usability and efficacy across various real-world scenarios involving prosthesis users.

In conclusion, the paper provides a robust foundation for addressing compensatory movements in prosthesis users. By leveraging adaptive human-robot collaboration, the framework optimizes task performance while enhancing user comfort, potentially transforming prosthetic device integration into everyday activities. Collaborative robots, equipped with user-specific mobility models and ergonomic task configurations, can significantly contribute to the development of inclusive and efficient human-prosthesis interactions.

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