Lina M Becerra Puyo1, Heather M Capel1, Shanon K Phelan2, Sandra A Wiebe3, Kim D Adams1. 1. Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, Canada. 2. School of Occupational Therapy, Faculty of Health, Dalhousie University, Halifax, NS, Canada. 3. Faculty of Arts, University of Alberta, Edmonton, AB, Canada.
Abstract
INTRODUCTION: When children with physical impairments cannot perform hand movements for haptic exploration, they miss opportunities to learn about object properties. Robotics systems with haptic feedback may better enable object exploration. METHODS: Twenty-four adults and ten children without physical impairments, and one adult with physical impairments, explored tools to mix substances or transport different sized objects. All participants completed the tasks with both a robotic system and manual exploration. Exploratory procedures used to determine object properties were also observed. RESULTS: Adults and children accurately identified appropriate tools for each task using manual exploration, but they were less accurate using the robotic system. The adult with physical impairment identified appropriate tools for transport in both conditions, however had difficulty identifying tools used for mixing substances. A new exploratory procedure was observed, Tapping, when using the robotic system. CONCLUSIONS: Adults and children could make judgements on tool utility for tasks using both manual exploration and the robotic system, however they experienced limitations in the robotics system that require more study. The adult with disabilities required less assistance to explore tools when using the robotic system. The robotic system may be a feasible way for individuals with physical disabilities to perform haptic exploration.
INTRODUCTION: When children with physical impairments cannot perform hand movements for haptic exploration, they miss opportunities to learn about object properties. Robotics systems with haptic feedback may better enable object exploration. METHODS: Twenty-four adults and ten children without physical impairments, and one adult with physical impairments, explored tools to mix substances or transport different sized objects. All participants completed the tasks with both a robotic system and manual exploration. Exploratory procedures used to determine object properties were also observed. RESULTS: Adults and children accurately identified appropriate tools for each task using manual exploration, but they were less accurate using the robotic system. The adult with physical impairment identified appropriate tools for transport in both conditions, however had difficulty identifying tools used for mixing substances. A new exploratory procedure was observed, Tapping, when using the robotic system. CONCLUSIONS: Adults and children could make judgements on tool utility for tasks using both manual exploration and the robotic system, however they experienced limitations in the robotics system that require more study. The adult with disabilities required less assistance to explore tools when using the robotic system. The robotic system may be a feasible way for individuals with physical disabilities to perform haptic exploration.
Many children with physical disabilities have a limited ability to manipulate objects
due to limited gross and fine motor movements which may cause them to miss out on
opportunities to play and learn about the properties of objects.[1,2] If children are unable to
ascertain information about object properties such as rigidity, texture, or weight
of objects through play, it may limit their ability to make judgments about objects
that can be used as tools.[3-5]Haptic exploration occurs when individuals manipulate objects and use their sense of
touch to determine the physical characteristics of the objects.[6] Exploratory procedures (EPs) are the defined movement patterns of the hands
that individuals use to extract information about specific object properties, for
example; lateral motion is for determining texture, pressure for hardness, enclosure
for shape and volume, static contact for temperature, and contour following for
shape.[7,8] When individuals
use EPs, they perceive object properties which in turn provide clues as to how to
use objects as tools.[5,8,9]Lederman and Klatzky examined EPs in a series of studies. In the first, adults were
blindfolded and asked to match objects to a sample on a particular dimension (e.g.,
shape or texture), and their hand movements were observed.[7] Participants performed EPs corresponding to the object knowledge that was
required for the match. Klatzky, Lederman, & Manikinen[8] later confirmed the role of haptic exploration in a Function Judgement Task.
They asked 4-year-old children and adults to make decisions about the
appropriateness of a tool to perform a functional task, i.e., sticks of varying
rigidity to mix either sugar or gravel (Mixing subtask) or spoons of varying sizes
to carry a small and large piece of candy (Transport subtask). Results showed that
participants were able to perform perceptual analysis to judge if a tool was
appropriate for the task through visual or haptic exploration, without needing to
carry out the actual task. A later study replicated the Klatzky et al.[8] study with children 3 to 5 years old and adults,[9] however the participants were constrained to only use haptic exploration to
judge the tool’s utility. The 3-year-olds explored objects less and were less
accurate in their responses than the older children and adults. The results of the
4-year-olds were the same as the 4-year-olds in the Klatzky, Lederman, & Manikinen[8] study. Five-year-olds demonstrated adult-like EPs and were very accurate in
their responses.Individuals with disabilities could engage in haptic exploration with assistive
robots. Switch controlled mobile robots have been shown to provide children with a
means to manipulate objects and toys.[10] Likewise, robotic arms, often mounted on wheelchairs, allow individuals with
disabilities to manipulate objects (i.e., pick-up a TV remote control) to perform
daily activities.[11] However, so far the robotic interfaces used in such studies have not given
the user the haptic sensory feedback about the object manipulated. Haptics-enabled
robots controlled through teleoperation[12] could allow an individual to perform EPs and acquire sensory information
about an object’s properties in order to determine how to use objects as tools.This study explored if a haptics-enabled robotic teleoperation system could enable
participants to perform haptic exploration and how exploration resembled or differed
from haptic exploration using the hands. The robot system consisted of a stylus
probe to keep the system simple (to resemble haptic exploration using one finger)
and cautious gain parameters to ensure the system was safe and stable. These
features make a system simpler and safer to implement, but it remains to be
determined if they are sufficient to determine the physical characteristics of
objects. The purpose of the study was to examine if haptic exploration using a
robotic teleoperation system is a viable alternative to haptic exploration using the
hands, for when haptic exploration using the typical EPs is not possible for people
with physical disabilities. Study 1 was performed with adults and children without
disabilities to examine robot capabilities and if children would perform EPs and
haptic exploration with the system similarly to adults as in Lederman, Klatzky & Mankinen.[8] Study 2 was a case study with an adult with cerebral palsy to examine robot
use by someone with a physical impairment. Study 2 was performed to explore how the
system could be used by a participant with physical disabilities that affected their
ability to freely manipulate objects and perform haptic exploration with hands.
Cerebral palsy is a common disorder affecting approximately 1 in 1000 children, with
a significant proportion of children having limitations in upper limb function.[13] The long term goal of this robotic development program is to assist children
with physical impairments with environmental exploration. The Function Judgment Task
used in the studies described above was replicated.[8,9] The following research questions
were addressed in both Study 1 and 2:How do participants respond on the Mixing and Transport subtasks when
they use a robotic teleoperation system for exploration, and how does
that compare to when they use their hands?How do participants vary their EPs as a function of task (Mixing or
Transport) when they use a robotic teleoperation system, and how does
that compare to when they use their hands?
Study 1 – Adults and children without disabilities
Method
Study design
A crossover study design was used where participants performed the task in
two conditions, No Tech (exploration with the hands) and Tech (exploration
with the robotic system). The order in which the conditions were presented
to participants was counterbalanced, so that half of the participants
started with the No Tech condition, and the other half started with the
robotic system condition. Ethics approval was sought from and granted by the
University of Alberta Health Research Ethics Board, University of Alberta
(Approval number Pro00049751).
Participants
A convenience sample of 24 adults (ages 19-52 years) and 10 five-year-old
children participated in the study. The number of participants in the adult
group was chosen based on the study performed by Kalagher.[9] In Kalagher 2015, 25 adults did the same Function Judgment Task and
the study found significant differences in the participants’ responses.
Twenty-four participants were recruited in the current study order to
counterbalance participants' first condition. The number of participants in
the child group was chosen based on Klatzky, Lederman, & Manikinen
(2005) who performed a study using similar methods and tasks without a robot
and attained significant differences with 10 children (aged 3 years,
11 months to 4 years, 11 months). Five-year-old children were included in
the current study because previous research indicated that they would be
able to perform appropriate EPs and tool selections based on manual haptic exploration,[9] thus giving us an opportunity to examine if the robot posed
additional challenges. Participants had no sensory, physical or cognitive
disabilities, and no experience using robotic teleoperation systems.
Children were able to understand instructions and provide a “yes” or “no”
response (assessment based on Kalagher[9])
Materials
The Function Judgement Task consisted of two subtasks, Mixing and Transport.
Two target objects and five tools were needed for each sub task. For the
Mixing subtask the target objects were a container filled with sugar and a
container filled with gravel. The tools were five sticks constructed of
plastics with varying degrees of rigidity and balsa wood for the most rigid
stick (see Figure 1 upper left). The rigidity of the sticks was determined
by how much they deflected when they were secured with 7 cm overhanging off
a table, and with a weight of 120 grams hanging from them. The deflection of
the sticks was 5.0 cm, 3.5 cm, 1.25 cm, 0.5 cm and 0 cm (called R1, R2, R3,
R4, and R5, respectively, from least to most rigid). The task was to examine
the stick and say if they thought it could stir the sugar or gravel. For the
Transport subtask, the target objects were a round candy of approximately
4 cm diameter and a round candy of approximately 8 cm diameter (see Figure
1, upper right). The tools consisted of 5 spoons with circular bowls with
different diameters, 2 cm, 3 cm, 4 cm, 6 cm and 8 cm (called S1, S2, S3, S4,
and S5, respectively, from smallest to largest size). The task was to
examine the spoon and say if they thought it could transport the small or
big candy.For the No Tech condition, a box with openings on opposite sides was used
(see Figure 1, bottom left). One opening was covered with a curtain so that
participants could place their hands inside to explore a tool without being
able to see it. The other opening allowed the researcher to put the
different tools inside. A video camera was placed facing the inside of the
box to capture the participant’s EPs.The teleoperation system in the Tech condition consisted of a user-side robot
that controlled the movement of an environment-side robot, where the tools
were placed (see Figure
1, bottom right). The robots were two 6-DOF Phantom Premium 1.5 A
(3-DOF rotational and 3-DOF translational) haptic robots (Geomagic, Cary,
NC). The movement of both haptic robots was constrained to a horizontal
plane, to help the participants more easily interact with the objects. A
panel was used to block the participant’s view of the environment during the
tasks. A video camera was placed on the environment side of the
teleoperation system facing the end effector of the robot to capture the
EPs.
Figure 1.
Materials Function Judgment Task: Sticks (upper left) and spoons
(upper right); box for No Tech condition (lower left); teleoperated
robot for Tech condition (lower right). The participant is moving
the end effector of the user-side robot on the right side of the
barrier which moves the end effector of the environment-side robot
on the left side of the barrier. The researcher on the left is
stabilizing a stick in place while the user explores it. A bowl of
sugar is visible to the user on the right side of the panel.
Materials Function Judgment Task: Sticks (upper left) and spoons
(upper right); box for No Tech condition (lower left); teleoperated
robot for Tech condition (lower right). The participant is moving
the end effector of the user-side robot on the right side of the
barrier which moves the end effector of the environment-side robot
on the left side of the barrier. The researcher on the left is
stabilizing a stick in place while the user explores it. A bowl of
sugar is visible to the user on the right side of the panel.
Procedures
A practice phase was given before the Tech condition to allow participants to
freely explore the tools from the Mixing and Transport subtasks using the
haptic robotic system. This was so participants could experience how to
perform manipulation with the system and how much force to apply. We
expected that the haptic experience would let them encode the object
characteristics that would then support recognition of how the objects feel
when using the robot.[14,15]Participants performed the Mixing and Transport subtasks in both conditions
(No Tech or Tech) in the order they were randomly assigned. The Mixing
subtask always preceded the Transport subtask, as in Kalagher.[9] The order in which the two target objects and the five tools were
presented within each subtask was randomized. The participants were given
breaks as requested.The general procedure was the same for each subtask. The target object was
placed in the participant's view. While pointing at the target object, the
researcher set the context: 1) her friend wanted to make a cake (for the
sugar) or a mud pie (for the gravel), and she needed help finding a stick to
mix the sugar or gravel; or 2) his friend wanted to fill a bowl with candy
and needed a spoon to carry the candy in. The tools were presented to the
participants one at a time, and participants were allowed to interact with
the tool for a maximum of 10 seconds. In the No Tech condition, the tools
were placed inside the box, and participants put their hands into the box to
feel the tool. In the Tech condition, the tools were secured to the
environment-side at the same marked point each time to have consistency
between tools and sessions. The researcher placed the environment-side
robot’s end effector against the tool and informed the participant that the
end-effector was touching the tool. Then the participant moved the user-side
robot, which moved the environment-side robot, to examine the tool. After
each tool the participants were asked, “Do you think your friend can use
this?” and participants provided a “Yes” or “No” response.
Data collection
There were two dependent variables, response (“yes” or “no”) and types of
EPs. The responses about each tool and target object were recorded on a
scoring sheet during the experiment. For the Mixing subtask, “yes” responses
were expected to be more frequent with the sugar target object than the
gravel target object, and to increase as the sticks became more rigid. For
the Transport subtask, “yes” responses were expected to be more frequent for
the small candy target object than the big candy target object, and to
increase as the spoons became larger.[8,9]The EP coding was done from video recordings, based on the methods used by Kalagher.[9] Whenever a participant produced any of the EPs defined by Lederman
& Klatzky[7] it was recorded on a score sheet. An EP was only counted once as long
as the participant continued performing it without stopping or switching to
a different EP. For example, if the participant ran the robot effector along
the stick several times without stopping, it was counted as one Lateral
Motion. However, if the participant performed Lateral Motion, then switched
to Pressure and returned to Lateral Motion, it was counted as two Lateral
Motions and one Pressure. An EP occurred that was not noted in the Klatzky,
Lederman & Mankinen[8] or Kalagher[9] studies, but was previously described by Lederman & Klatzky[7] in a matching task. The EP was called Function Test and when
participants performed it, they executed movements related to the object and
the task goal. The movements of interest in the current study were
pretending to use the stick to stir something in the “air” or pretending to
carry an imagined object with the spoon.An EP that was not mentioned in the Klatzky and Lederman study[15] was observed in the Tech condition, which we called “Tapping”. It
consisted of participants gently tapping a point of the spoon tool with the
robot’s end-effector and then moving in a straight line until they tapped
the opposing point of the tool, often repeating the movement multiple times;
it seemed that participants were doing this to determine the distance
between the two points. This EP was determined to be separate from
“Pressure”, which is defined by Klatzky and Lederman as “applying torque or
normal forces to one part of the object, while another part of the object is
stabilized or an opposing force is applied. This can be seen by obvious
movement, as in poking, or by signs of force evident in the fingers and hand.”[15] If participants did not show signs of force and were actively moving
back and forth between two points the movement was determined to be
“Tapping” and not a variant of the “Pressure” EP. Likewise, “Tapping” was
determined to be separate from Contour following, which is defined as ”a
dynamic EP in which the hand maintains contact with a contour of the object.
Typically, the movement is smooth and nonrepetitive within a segment of
object contour, stopping or shifting direction when a contour segment ends”.[15] If participants did not maintain contact with a contour of the object
throughout the movement it was determined to be “Tapping”.The first author coded all the videos, and the second author coded 30% of the
videos. Comparing the EP coding point by point, inter-rater reliability on
the type and frequency of the EPs was 90%. Based on Klatzky, Lederman, & Manikinen[8] and Kalagher[9] rigidity was the relevant perceptual dimension for the Mixing
subtask, and therefore it was expected that participants would execute more
of the Pressure EP. In the Transport subtask, size was the relevant
perceptual dimension, and therefore, it was expected that participants would
execute the Contour Following EP.
Data analysis
GraphPad Prism (GraphPad, San Diego, USA) software was used to complete all
statistical analyses. Statistical comparisons of the frequency of “yes”
responses and EPs were performed between target objects and conditions. When
data were found to be normally distributed, a paired t-test was conducted
for comparisons between two groups and a repeated measures one-way ANOVA was
conducted for comparison between three or more groups. When data were not
found to be normally distributed nonparametric tests were run: the Wilcoxon
matched-pairs test was conducted for comparisons between two groups, and
Friedman’s Test was conducted for comparisons between three or more groups.
Significance was set at p < 0.05. Preliminary analyses revealed that
there was no significant effect for the order in which participants
performed the Tech and No Tech conditions (p > 0.13), therefore the data
were combined for each condition.
Results
Figure 2 shows the
average frequency of “yes” responses for each tool in the Tech and No Tech
conditions. Figure 3
shows the mean frequency and standard deviation of adults’ and childrens’ “yes”
responses in each condition for each subtask.
Figure 2.
Frequency of “yes” responses for each tool in the Mixing Subtask for (a)
adults with No Tech, (b) children with No Tech, (c) adults with Tech,
and (d) children with Tech. Frequency of “yes” responses in the
Transport Subtask for (e) adults with No Tech, (f) children with No
Tech, (g) adults with Tech, and (h) children with Tech. R1, R2, R3, R4,
and R5, are the sticks from least to most rigid and S1, S2, S3, S4, and
S5, are the spoons, from smallest to largest size.
Figure 3.
Mean frequency and standard deviation of adults’ and childrens’ “yes”
responses in No Tech and Tech conditions for the Mixing (gravel and
sugar) and Transport (big and small candy) subtasks.
Frequency of “yes” responses for each tool in the Mixing Subtask for (a)
adults with No Tech, (b) children with No Tech, (c) adults with Tech,
and (d) children with Tech. Frequency of “yes” responses in the
Transport Subtask for (e) adults with No Tech, (f) children with No
Tech, (g) adults with Tech, and (h) children with Tech. R1, R2, R3, R4,
and R5, are the sticks from least to most rigid and S1, S2, S3, S4, and
S5, are the spoons, from smallest to largest size.Mean frequency and standard deviation of adults’ and childrens’ “yes”
responses in No Tech and Tech conditions for the Mixing (gravel and
sugar) and Transport (big and small candy) subtasks.As expected, we can see in Figure 3 that when adults and children explored with their hands (No
Tech condition), they responded “yes” significantly more frequently for sticks
to stir the sugar than the gravel, and for spoons to carry the small candy than
the big candy. When using the robot (Tech condition), adults answered “yes”
significantly more frequently for spoons for the small candy than the big candy,
but there was no significant difference in responses for sticks to stir the
sugar and gravel. There were no significant differences in either subtask for
children in the Tech condition. Comparing responses in the Tech versus No Tech
condition, the only significant difference was that both adults and children
answered “yes” significantly more frequently for tools for the big candy in the
Tech condition than in the No Tech condition.Table 1 shows the EPs
that were performed by the participants for each subtask during the Tech and No
Tech conditions. In the Mixing subtask, adults and children performed Pressure,
the expected EP for that subtask, more often than the other EPs in both the Tech
and No Tech conditions. Both adults and children performed it significantly more
frequently in the Tech condition than the No Tech condition. Both adults and
children also performed Lateral Motion significantly more frequently in the Tech
condition than the No Tech condition. Function Test was performed by adults
significantly more frequently in the No Tech condition than the Tech condition.
In the Transport subtask, adults and children performed Contour Following, the
expected EP for that subtask, more often than the other EPs in both the Tech and
No Tech conditions. Children performed Contour Following significantly more
frequently in the Tech condition than the No Tech condition. Adults and children
performed Enclosure in the No Tech condition, which was not possible in the Tech
condition, making the difference significant. Tapping was used significantly
more frequently in the Tech condition than the No Tech condition by both adults
and children.
Table 1.
Mean count and standard deviation (mean (standard deviation)) of EPs
performed by the participants for each subtask during the Tech and No
Tech conditions in the Mixing and Transport subtasks.
Mixing
Transport
Adults
Children
Adults
Children
No Tech
Tech
No Tech
Tech
No Tech
Tech
No Tech
Tech
Lateral motion
0.33 (0.82)a
2.71 (4.32)a
1.20 (2.82)a
6.50 (2.99)a
0.04 (0.20)
0.17 (0.48)
0.50 (0.85)
0.90 (1.66)
Pressure
10.29 (1.23)a
11.79 (2.47)a
9.80 (1.03)a
15.1 (3.54)a
0 (0)
0 (0)
0 (0)
0.60 (1.26)
Static contact
0 (0)
0 (0)
0 (0)
0 (0)
0 (0)
0 (0)
0.10 (0.32)
0 (0)
Unsupported holding
0 (0)
0 (0)
0 (0)
0 (0)
0 (0)
0 (0)
0 (0)
0 (0)
Enclosure
0 (0)
0 (0)
0 (0)
0 (0)
4.33 (3.05)a
0 (0)a
5.60 (3.78)a
0 (0)a
Contour following
0.13 (0.61)
0 (0)
0 (0)
0 (0)
7.50 (2.38)
8.54 (2.83)
7.20 (2.94)a
10.10 (1.10)a
Function test
1.04 (1.81)a
0.04 (0.20)a
0 (0)
0 (0)
0.04 (0.20)
0 (0)
0 (0)
0 (0)
Tapping
0 (0)
0 (0)
0 (0)
0 (0)
0 (0)a
3.96 (4.69)a
0 (0)a
2.30 (3.02)a
aStatistical difference between No Tech and Tech
(p < 0.05).
Mean count and standard deviation (mean (standard deviation)) of EPs
performed by the participants for each subtask during the Tech and No
Tech conditions in the Mixing and Transport subtasks.aStatistical difference between No Tech and Tech
(p < 0.05).
Discussion
This study set out to determine if participants responded the same and used
similar EPs when they used a robotic teleoperation system compared to when they
used their hands to explore tools for functional subtasks. When adults and
children used their hands to do the task (No Tech condition) the “yes” responses
for sticks were significantly more frequent for the sugar than the gravel target
object, and increased as the tools became more rigid. Likewise, “yes” responses
were significantly more frequent for spoons with the small candy than the big
candy, and increased as the spoons became bigger. Participants understood that
the gravel target object required more rigid tools than the sugar target object,
and that the big candy target object required larger spoons than the small candy
target object, therefore a wider variety of tools would function to meet task
demands with the sugar and small candy target objects. These results are the
same as those from the previous studies that the current study was based
on.[8,9]However, in the Tech condition, the only significant difference in “yes”
responses was for adults on the Transport subtask, where they had significantly
more frequent “yes” responses for the small candy than the big one. Visual
analysis of the frequency of “yes” responses per tool in Figure 2 shows a general trend that as
sticks became more rigid, or spoons became larger, the “yes” responses increased
for both adults and children. Thus, though not as accurate as in the No Tech
condition, their responses were still somewhat sensitive to the tool’s
characteristics.The lack of a significant difference between “yes” responses between target
objects for adults and children on the Mixing subtask and for children on the
Transport subtask could be due to a robot limitation. Due to the cautious gain
value, the user-side robot and the environment-side robot did not follow each
other exactly, and when the environment side-robot end-effector was pushing
against something hard, the participant would sometimes apply more force and
move the user-side robot further, thus creating a rigidity distortion (i.e., at
the user-side the tool could seem spongy, rather than rigid). This could explain
why both adults and children had difficulty differentiating the sticks that were
close in rigidity, resulting in less difference between responses for tools for
sugar or gravel. Children were observed to use more force than the adults, so as
they pushed further at the user-side robot the spoons may have seemed bigger
than they really were, making them think a big candy could be transported in
them.It follows that the rigidity distortion could also be why there were
significantly more “yes” responses to spoons for the big candy in the Tech
condition than the No Tech condition for both adults and children (Figure 3). The spoons
could have seemed bigger than they really were because of the flexibility of the
teleoperation system. Adults still sensed differences in the spoon size, as seen
by the steady upward trend of “yes” responses for increasing size of spoons for
adults (Figure 2), and a significant difference in responses for tools for the
small candy than the big candy (Figure 3), so the distortion did not affect them
as much as children. Children's data did not exhibit a steady trend, and there
was no significant difference in responses between tools for the small and big
candy. Unfortunately, it is not trivial to improve this factor in the robotic
system. A higher gain in the control system would improve distortions, but then
there is the possibility of instability in the system. In this system, robot
control parameters were chosen to err on the side of safety.Adults and children performed the expected EPs more often than the other EPs for
both subtasks in both conditions i.e., Pressure for determining rigidity in the
Mixing subtask, and Contour Following for determining size in the Transport
subtask, as determined by Kalagher[9] and Klatzky, Lederman, & Mankinen.[8] Except for Enclosure and Function Test, which were not possible with the
robot, the number of EPs performed in the Tech condition were greater than in
the No Tech condition for both adults and children, some significantly higher.
This could be due to participants needing to perform the EPs multiple times in
order to extract the required information. By performing more EPs, individuals
are able to obtain better information about object properties[9]; therefore, by repeating the EPs multiple times, participants may have
been able to compensate for the limitations in attaining information that the
robotic teleoperation system imposed.Gibson[16] states that an object’s affordances determines how a person explores the
object. It is possible that the affordances of the robot may have led to a
difference in usage of the two additional EPs that were not described in the
previous Klatzky, Lederman, & Manikinen[8] or Kalagher.[9] Function Test, which was mostly performed by adults during the Mixing
subtask, was not actually possible with the robot system. Though participants
could not “hold” the stick and “stir”, one adult performed a circular motion of
the user-side effector, possibly visualizing how the presented tool could
perform the mixing subtask. Function Test was never observed in the absence of
Pressure, indicating that although it may be used to extract information about
an objects’ function, it was not a useful EP to determine a tools’ rigidity. The
Tapping EP was observed only in the Tech condition during the Transport subtask.
In the Tech condition, participants were not able to execute the Enclosure EP,
but Tapping seemed to allow participants to acquire the relevant information
about the size of the circular spoons instead. Although Tapping replaced
Enclosure, it was still not used as frequently as Contour Following, the
expected EP.As in Kalagher,[9] the 5-year-old children demonstrated adult-like EPs in manual exploration
in the two properties that were tested (rigidity and size). In this study, the
EPs they performed in the Tech condition were consistent with the adult's
EPs.
Study 2 – Adult with cerebral palsy
Study 1 demonstrated that a haptic robotic system could be used to perform haptic
exploration, however the results with adults and children without disabilities
cannot necessarily generalize to persons with physical impairment. Study 2 was
performed to explore how the system could be used by a participant with physical
disabilities.
Methods
An exploratory case study was conducted to examine telerobotic haptic exploration
by an individual with physical disabilities. The case was a 40-year-old woman
with cerebral palsy categorized as spastic quadriplegia. She is right handed
with limited range of motion in her upper limbs, and she was classified as MACS
IV, meaning that she can manipulate a limited selection of objects but requires
continuous assistance and adapted equipment.[17] She has no sensory or cognitive impairments, and no experience using
teleoperated robotic systems, as self-reported. She uses a speech-generating
communication device, but was able to give verbal “yes” or “no” responses.Materials and set up were the same as in Study 1, with some modifications to
accommodate the participant's abilities. Because she was unable to reach out and
grasp the tools in the box, it was not used in the No Tech condition. Instead
the participant was first shown the target objects (i.e., sugar or gravel, or
small or big candy) and then was blindfolded while she explored the tools. She
was able to hold on to the tools once they were placed in her hand. For the Tech
condition, the user-side robot was placed as close to her right side as possible
and she used a lateral grasp of the robot end effector between her ring and
middle finger. A rubber band was placed on the distal part of her fingers in
order for her to more easily hold on to the robot’s end effector. She had
sufficient range of motion to move the robot in the required workspace
(approximately 12 cm x 12 cm).The procedure was the same as in Study 1, starting with practice using the
teleoperated robot system before performing the tasks. She was also given the
opportunity to stir the gravel and the sugar using her finger in order to
acquire information about the demands of those target objects in the Mixing
subtask. This was done because her mother reported that the participant had
probably never felt them before. The participant then performed the Mixing and
Transport subtasks first in the Tech condition and then in the No Tech condition
with breaks as requested. Data was collected as in Study 1, but no statistics
were calculated.Figure 4 presents the
participant’s responses for each tool when she performed the task with each
target object in the Mixing and Transport Subtasks.
Figure 4.
Frequency of “yes” responses in the mixing and transport subtasks for the
adult with disabilities. R1, R2, R3, R4, and R5, are the sticks from
least to most rigid and S1, S2, S3, S4, and S5, are the spoons, from
smallest to largest size.
Frequency of “yes” responses in the mixing and transport subtasks for the
adult with disabilities. R1, R2, R3, R4, and R5, are the sticks from
least to most rigid and S1, S2, S3, S4, and S5, are the spoons, from
smallest to largest size.Table 2 shows the
participant's EPs in the No Tech and Tech Conditions for each subtask. For the
Mixing subtask, she performed the Pressure EP most often in both conditions, but
needed physical assistance in the No Tech Condition (i.e., the researcher
holding one end of the stick). In the Transport subtask, the participant
performed mostly the Static Contact EP in the No Tech condition. She did this by
placing her closed fist over the spoon's cup or holding on to the side of the
spoon’s cup after it was placed in her hand. She also performed Static Contact
when she placed one finger in the spoon. Two times she rubbed her finger along a
limited distance on the side of the spoon, but it was coded as Lateral Motion,
since the distance was not sufficient to be coded as Contour Following.
Enclosure was performed when the participant was able to hold the entire cup-end
of the spoon in her hand. In the Tech conditions she mostly performed Tapping,
and some Static Contact.
Table 2.
The EPs performed by the participant with disabilities in the No Tech and
Tech Conditions for each subtask.
Mixing
Transport
No Tech
Tech
No Tech
Tech
Lateral motion
0
3
2
1
Pressure
10
11
0
0
Static contact
0
0
9
5
Enclosure
0
0
1
0
Contour following
0
0
0
1
Function test
0
0
0
0
Tapping
0
0
0
9
The EPs performed by the participant with disabilities in the No Tech and
Tech Conditions for each subtask.Study 2 examined if a participant with disabilities would respond the same and
use similar EPs when she used a robotic teleoperation system compared to when
she used her hands to explore tools in the subtasks. To the best of our
knowledge, there are no previous studies exploring the experience of people with
disabilities in these function judgement tasks when they used a haptic robotic
system, therefore results were compared to those of adults without disabilities
in Study 1. The participant's responses were closer to those we would expect
when she used the teleoperation system compared to when she used her hands for
exploration in these tasks. Since she performed the tasks first in the Tech
condition, there was no learning effect. The total number of “yes” responses in
Figure 4 for the No
Tech condition seemed to be as expected, with more “yes” responses for sticks
that could stir the sugar than the gravel (i.e., 3 > 2) and more spoons that
could transport the small candy than the big one (4 > 2). However, when
looking at her responses for each tool, there was no consistent pattern of “yes”
responses increasing as tools became more rigid or larger. Therefore, it was not
possible to confirm that the participant was able to acquire knowledge about the
perceptual properties of the tools when she performed haptic exploration in the
No Tech condition. In the Tech condition, there was a consistent trend of “yes”
responses increasing as tools became more rigid or larger, and the total “yes”
responses was greater for the small candy than the big one (i.e., 4 > 2),
however, the “yes” responses were equal for gravel and sugar (1 = 1). When
performing pressure in both the No Tech and the Tech conditions, it appears it
was difficult to tell the difference in rigidity in the sticks for any but the
hardest one.The difficulty distinguishing the difference between tools for the gravel and
sugar in the Mixing subtask could be attributed to the participant having
limited experience with haptic exploration and the objects. The additional step
to explore the sugar and gravel with her hands before making judgments about the
tools was needed because the participant indicated that she had never felt them
before. When children have physical disabilities their play oftentimes is
reduced and therefore, they miss out on opportunities for exploration.[1] The participant may have had limited haptic exploration in her childhood,
so she may not have been able to understand the requirements of the sugar and
gravel to know how rigid sticks needed to be to stir them. In contrast, the
information about the size of the candies could be determined through visual exploration.[8] Although possibly useful, it was not imperative for the participant with
disabilities to explore the target candies beforehand using her hands. In fact,
it was not possible for her to perform haptic exploration on the large candy
target object because it required a large spherical grip that was difficult for
her to do. She surprisingly answered “no” for the biggest spoon being able to
transport the big candy, but this was likely due to difficulty performing EPs to
attain the required size information.Because affordances of objects influence the way they are explored by the hands[16] it is possible that the affordances of the robot may have also led to the
EPs used by the participant to determine tool properties. In the Mixing subtask,
she performed only Pressure in the No Tech condition, but both Pressure and
Lateral Motion in the Tech condition. In the Transport subtask, she mostly
performed Static Contact with her hand, not the expected optimum EP of Contour
Following. By contacting one side of the spoon, it may have been possible for
her to acquire information about size by feeling the spoon’s curvature on that
specific spot. In the Tech condition, she did do Contour Following, and also
Tapping. It is possible that the movement required for Tapping was easier for
her to perform than that for Contour Following. Tapping only required her to
move back and forth between two points on the spoon, unlike Contour Following,
which required more complex movements of the shoulder-hand system. The
participant could perform gross motor movements in her shoulder and elbow, but
fine motor movements with her fingers were difficult. Thus, she could move the
robot end effector back and forth and side to side. When new actions become
available, it is possible to learn about object’s properties through haptic exploration.[16] The robotic teleoperation system allowed new actions to become available
to the participant (i.e., Tapping EP to determine size), which could explain why
she appropriately answered “yes” to only the larger spoons for the big
candy.In general, the participant required more assistance when she performed the task
in the No Tech condition than in the Tech condition. When she used her hands for
exploration, the participant required physical assistance from the researcher in
order to grasp the tool and explore it. With the robot system, after the end
effector was placed between her fingers, the participant was able to explore
more independently by initiating and ending exploration of the tools. The
participant's unique grasp and small range of motion could have influenced the
types of EPs that she used. Other individuals with different abilities may
employ different EPs. Physical disabilities, including cerebral palsy, encompass
a wide array of abilities and impairments that would require this technology to
be adapted for various ways to position the effector, grasp it and scale the
range of motion of the environment-side robot up or down, depending on
requirements. Likewise, tactile impairments would need to be considered to
determine the viability of using a haptic robotic teleoperation system. In this
study the participant had no known sensory impairment, but additional
modifications in the system would be needed to amplify or reduce sensations to
address the needs of individuals with impairments in sensation. The design of
haptic robots to provide compensation to accomplish functional tasks is not as
frequently studied as haptic robots for assistance or resistance for exercise
therapy, but one study where an individual with cerebral palsy performed an
object sorting task determined that the system needed to consider the
individual's preferred trajectory pattern,[18] which may interfere with EP patterns.
Overall discussion and conclusions
In Study 1 typically developing children and adults without physical disabilities
used a haptic robotic system to perform haptic exploration in a Function Judgement
Task, and their responses were compared to when they did the tasks with manual
exploration. The results were as expected for manual exploration: the knowledge
acquired through manual haptic exploration about the perceptual properties of the
tools for Mixing and Transport influenced their judgment and their responses were
sensitive to the constraints on each tool’s function. However, the robotic system
posed some challenges. Adults were able to compensate for the robot system's
rigidity distortions, and detect constraints in tools' function, and obtain the
expected results for the Transport subtask, but children had trouble with both
subtasks. More work is needed to ensure the positions and forces of the teleoperated
robot better represent haptic experience, yet are still safe.Study 2 was an exploratory study where an adult with physical disabilities used a
haptic robotic system and her hands to perform the Function Judgement Task. The
improved responses when using the teleoperation system compared to when she used her
hands could be due to being able to better perform EPs to extract the information
she needed to judge the tools based on their rigidity and size. The Tapping EP that
all participants performed when exploring with the robot was effective in
determining size. Finally, the adult with disabilities required less assistance to
be able to explore the tools, so the use of the robotic system may be a feasible way
for individuals with physical disabilities to perform haptic exploration in play and
functional tasks, but this requires further investigation.While participating in the study it was revealed that the adult with disabilities
missed out on childhood opportunities to perform haptic exploration, such as
manipulation of gravel or sugar. In Study 1 there was no significant effect for the
order in which participants without disabilities performed the Tech and No Tech
conditions. It is possible that the practice phase, where they explored the tools
using the haptic robotic system, was not needed. We expected that the experience
would support recognition of how objects feel when using the robot, but they had the
ability and previous experience of haptic exploration of various objects through
their development and could perhaps better correlate what they felt through the
system to previous haptic experiences. The participant with cerebral palsy in Study
2 had no previous experience of haptic exploration of the presented objects, either
with her hands or through the system, and so had no previous experiences to draw
upon in relation to object properties or correlating the sensations felt in both
conditions. It is possible that if children with physical disabilities are given
opportunities to experience haptic feedback through a robotic teleoperation system
during play activities, it could provide a means, in addition to visual and manual
exploration, to perform EPs and practice perceiving object properties that are
required to make judgements about tools and possibly contribute to their
independence when participating in play.The studies had some limitations yet to be mentioned in addition to the
aforementioned rigidity distortion in the teleoperated robot system. Only one adult
with disabilities was recruited and no children with disabilities, the eventual
target population. With this sample, it is not possible to generalize about how
children with disabilities will perform with a haptic robotic system. No assessment
was performed with the adult with disabilities regarding her sensory abilities;
therefore, it is not possible to know if the participant’s performance on the task
was influenced by sensory impairment, or strictly by her motor limitations. In
general, all participants needed to do more EPs with the robot before giving their
response, which could be due to needing more exploration compared to when using the
hands, but since this was the first time they used a haptic robotic system, it is
possible that their performance in the tasks would have been different with more
practice.These findings are a first step towards the development of robotic teleoperation
systems for haptic exploration for individuals with physical disabilities. Future
studies reducing the rigidity distortion, as well as testing alternate end effectors
so individuals can more easily “grasp” and move them could further guide the
development of assistive robots. In addition, studies recruiting children with
physical disabilities to explore robotic use for haptic exploration are imperative
to understand how limited mobility while haptic exploration is still developing will
influence performance using a haptic robotic system. Also further research is
necessary with a larger sample size and a wider range of participants (i.e.
different types of motor impairments and levels of functioning affecting their
ability to manipulate objects) to understand how the haptic robotic teleoperation
systems can influence haptic exploration in this population.