Robots as Tools and Partners in Rehabilitation

In future decades the need for effective strategies for medical rehabilitation will increase significantly, because patients’ rate of survival after diseases with severe functional deficits, such as a stroke, will increase. Socially assistive robots (SARs) are already being used in rehabilitation for this reason. In the journal Science Robotics, collaborative research team comprising neuroscientist Dr. Philipp Kellmeyer of the Freiburg University Medical Center, Prof. Dr. Oliver Müller from the Department of Philosophy of the University of Freiburg, Ronit Feingold-Polak and Prof. Dr. Shelly Levy-Tzedek from the Recanati School for Community Health Professions at the Ben-Gurion University of the Negev, Beer-Sheva, in Israel together analyzes the improvements necessary to make SARs valuable and trustworthy assistants for medical therapies.

The researchers conclude that the development of SARs not only requires technical improvements, but primarily social, trust-building measures. Rehabilitation patients in particular are dependent on a reliable relationship with their therapists. So there must be trust in the safety of the robotic system, especially regarding the predictability of the machines’ behavior. Given the ever-growing intelligence of the robots and with it their independence, this is highly important.

In addition, robots and patients can only interact well, the scientists explain, when they have shared goals that they pursue through the therapy. To achieve this, aspects of philosophical and developmental psychology must also be taken into account in the development of SARs: the ability of robots to recognize the aims and motives of a patient is a critical requirement if cooperation is to be successful. So there must also be trust for the participants to adapt to one another. The frustration felt by patients, for instance as a result of physical or linguistic limitations, would be avoided if the robots were adapted to the specific needs and vulnerabilities of the patient in question.

Philipp Kellmeyer and Oliver Müller are members of the Cluster of Excellence BrainLinks-BrainTools of the University of Freiburg. In the 2018/19 academic year, the Freiburg researchers together with the legal academic Prof. Dr. Silja Vöneky and the IT specialist Prof. Dr. Wolfram Burgard, both from the University of Freiburg, are developing a Research Focus into normative aspects of interaction between people and autonomous intelligent systems at the Freiburg Institute for Advanced Studies (FRIAS). Levy-Tzedek will also be a Research Fellow at the FRIAS in the prestigious Marie Skłodowska-Curie FRIAS COFUND Fellowship Programme (FCFP).