StrokeRehab, as a new action-recognition benchmark that includes elemental short-duration actions labeled at a high temporal resolution.

This study investigates whether adding ground compliance to visual feedback (VF) gait training is more effective at increasing push-off force (POF) compared to using VF alone, with implications for gait rehabilitation. Ten healthy participants walked on a custom split-belt treadmill. All participants received real-time visual feedback of their ground reaction forces. One group also experienced changes in ground compliance, while a control group received only visual feedback. Intentional increases in propulsive ground reaction forces (POF) were successfully achieved and sustained post-intervention, especially in the group that experienced ground compliance. This group also demonstrated lasting after-effects in muscle activity and joint kinematics, indicating a more robust learning of natural strategies to increase propulsion. This work demonstrates how visual and proprioceptive systems coordinate during gait adaptation. It uniquely shows that combining ground compliance with visual feedback enhances the learning of propulsive forces, supporting the potential use of compliant terrain in long-term rehabilitation targeting propulsion deficits, such as those following a stroke.

Due to hemiparesis, stroke survivors frequently develop a dysfunctional gait that is often characterized by an overall decrease in walking speed and a unilateral decrease in step length. With millions currently affected by this dysfunctional gait, robust and effective rehabilitation protocols are needed. Although robotic devices have been used in numerous rehabilitation protocols for gait, the lack of significant aftereffects that translate to effective therapy makes their application still questionable. This paper proposes a novel type of robot-assisted intervention that results in significant aftereffects that last much longer than any other previous study. With the utilization of a novel robotic device, the Variable Stiffness Treadmill (VST), the stiffness of the walking surface underneath one leg is decreased for a number of steps. This unilateral stiffness perturbation results in a significant aftereffect that is both useful for stroke rehabilitation and often lasts for over 200 gait cycles after the intervention has concluded. More specifically, the aftereffect created is an increase in both left and right step lengths, with the unperturbed step length increasing significantly more than the perturbed. These effects may be helpful in correcting two of the most common issues in post-stroke gait: overall decrease in walking speed and a unilateral shortened step length. The results of this work show that a robot-assisted therapy protocol involving repeated unilateral stiffness perturbations can lead to a more permanent and effective solution to post-stroke gait.

Neurorehabilitation conventionally relies on the interaction between a patient and a physical therapist. Robotic systems can improve and enrich the physical feedback provided to patients after neurological injury, but they under-utilize the adaptability and clinical expertise of trained therapists. In this position paper, we advocate for a novel approach that integrates the therapist's clinical expertise and nuanced decision-making with the strength, accuracy, and repeatability of robotics: Robot-mediated physical Human-Human Interaction. This framework, which enables two individuals to physically interact through robotic devices, has been studied across diverse research groups and has recently emerged as a promising link between conventional manual therapy and rehabilitation robotics, harmonizing the strengths of both approaches. This paper presents the rationale of a multidisciplinary team-including engineers, doctors, and physical therapists-for conducting research that utilizes: a unified taxonomy to describe robot-mediated rehabilitation, a framework of interaction based on social psychology, and a technological approach that makes robotic systems seamless facilitators of natural human-human interaction.

The current body of research on Parkinson's disease (PD) screening, monitoring, and management has evolved along two largely independent trajectories. The first research community focuses on multimodal sensing of PD-related biomarkers using noninvasive technologies such as inertial measurement units (IMUs), force/pressure insoles, electromyography (EMG), electroencephalography (EEG), speech and acoustic analysis, and RGB/RGB-D motion capture systems. These studies emphasize data acquisition, feature extraction, and machine learning-based classification for PD screening, diagnosis, and disease progression modeling. In parallel, a second research community has concentrated on robotic intervention and rehabilitation, employing socially assistive robots (SARs), robot-assisted rehabilitation (RAR) systems, and virtual reality (VR)-integrated robotic platforms for improving motor and cognitive function, enhancing social engagement, and supporting caregivers. Despite the complementary goals of these two domains, their methodological and technological integration remains limited, with minimal data-level or decision-level coupling between the two. With the advent of advanced artificial intelligence (AI), including large language models (LLMs), agentic AI systems, a unique opportunity now exists to unify these research streams. We envision a closed-loop sensor-AI-robot framework in which multimodal sensing continuously guides the interaction between the patient, caregiver, humanoid robot (and physician) through AI agents that are powered by a multitude of AI models such as robotic and wearables foundation models, LLM-based reasoning, reinforcement learning, and continual learning. Such closed-loop system enables personalized, explainable, and context-aware intervention, forming the basis for digital twin of the PD patient that can adapt over time to deliver intelligent, patient-centered PD care.

This study presents a real-time, portable brain-computer interface (BCI) system designed to support hand rehabilitation for stroke patients. The system combines a low cost 3D-printed robotic exoskeleton with an embedded controller that converts brain signals into physical hand movements. EEG signals are recorded using a 14-channel Emotiv EPOC+ headset and processed through a supervised convolutional autoencoder (CAE) to extract meaningful latent features from single-trial data. The model is trained on publicly available EEG data from healthy individuals (WAY-EEG-GAL dataset), with electrode mapping adapted to match the Emotiv headset layout. Among several tested classifiers, Ada Boost achieved the highest accuracy (89.3%) and F1-score (0.89) in offline evaluations. The system was also tested in real time on five healthy subjects, achieving classification accuracies between 60% and 86%. The complete pipeline - EEG acquisition, signal processing, classification, and robotic control - is deployed on an NVIDIA Jetson Nano platform with a real-time graphical interface. These results demonstrate the system's potential as a low-cost, standalone solution for home-based neurorehabilitation.

Abstract--Effective stroke recovery requires continuous rehabilitation integrated with daily living. T o support this need, we propose a home-based rehabilitation exercise and feedback system. The system consists of (1) hardware setup with RGB-D camera and wearable sensors to capture Stroke movements, (2) a mobile application for exercise guidance, and (3) an AI server for assessment and feedback. When Stroke user exercises following the application guidance, the system records skeleton sequences, which are then Assessed by the deep learning model, RAST -G@. The model employs a spatio-temporal graph con-volutional network (ST -GCN) to extract skeletal features and integrates transformer-based temporal attention to figure out action quality. For system implementation, we constructed the NRC dataset, include 10 upper-limb activities of daily living (ADL) and 5 range-of-motion (ROM) collected from stroke and non-disabled participants, with Score annotations provided by licensed physiotherapists. Results on the KIMORE and NRC datasets show that RAST -G@ improves over baseline in terms of MAD, RMSE, and MAPE. Furthermore, the system provides user feedback that combines patient-centered assessment and monitoring. The results demonstrate that the proposed system offers a scalable approach for quantitative and consistent domiciliary rehabilitation assessment. ECENT advancements in Neurology, particularly in motor control and learning, have revealed different mechanisms that induce changes in brain plasticity and behavior over both short-and long-term periods. Physical rehabilitation can be seen as a form of motor learning that occurs under specific conditions [1]-[4], and patients with motor impairments, such as those following a stroke, are capable of limited motor learning, although with variations in learning speed and volume. In particular, usage-based and reward-based learning, which are shaped by habitual, repetitive actions and rewards, play a key role in determining long-term brain and behavioral changes in stroke patients after they are discharged and resume daily activities.

For social robots to maintain long-term engagement as exercise instructors, rapport-building is essential. Motor mimicry--imitating one's physical actions--during social interaction has long been recognized as a powerful tool for fostering rapport, and it is widely used in rehabilitation exercises where patients mirror a physiotherapist or video demonstration. We developed a novel Brain-Robot Interface (BRI) that allows a social robot instructor to mimic a patient's exercise movements in real-time, using mental commands derived from the patient's intention. The system was evaluated in an exploratory study with 14 participants (3 physiotherapists and 11 hemiparetic patients recovering from stroke or other injuries). We found our system successfully demonstrated exercise mimicry in 12 sessions; however, accuracy varied. Participants had positive perceptions of the robot instructor, with high trust and acceptance levels, which were not affected by the introduction of BRI technology.

Patients with neurological conditions require rehabilitation to restore their motor, visual, and cognitive abilities. To meet the shortage of therapists and reduce their workload, a robotic rehabilitation platform involving the clinical trail making test is proposed. Therapists can create custom trails for each patient and the patient can trace the trails using a robotic device. The platform can track the performance of the patient and use these data to provide dynamic assistance through the robot to the patient interface. Therefore, the proposed platform not only functions as an evaluation platform, but also trains the patient in recovery. The developed platform has been validated at a rehabilitation center, with therapists and patients operating the device. It was found that patients performed poorly while using the platform compared to healthy subjects and that the assistance provided also improved performance amongst patients. Statistical analysis demonstrated that the speed of the patients was significantly enhanced with the robotic assistance. Further, neural networks are trained to classify between patients and healthy subjects and to forecast their movements using the data collected.