Creating Discomfort Maps via Hand-held Human Feedback Interface for Robotic Shoulder Physiotherapy

In this work, we propose a method of capturing the patient’s discomfort during robotic shoulder physiotherapy, creating "discomfort maps". These maps depict the personalized distribution of discomfort that each patient perceived across their shoulder range of motion, facilitating both robotic devices and human therapists to account for patient-specific characteristics during the therapeutic process. Our system enables a patient to communicate and map discomfort in space and time during movement via a handheld push-button device, while interacting with a robotic physical therapy device capable of moving the patient and estimating their pose. We validated our method through human factors experiments simulating shoulder physiotherapy sessions with 10 healthy participants. To avoid the risk of injury to the participants and to allow for ground truth map information, we emulate perceived discomfort via an auditory signal. Our experimental apparatus enabled participants to reconstruct synthetic discomfort maps, demonstrating the feasibility of automatically capturing and storing patient discomfort during robotic physiotherapy.