Diego Paez-Granados

Diego Paez-Granados, Yujie He, David Gonon et al.

Autonomous navigation in highly populated areas remains a challenging task for robots because of the difficulty in guaranteeing safe interactions with pedestrians in unstructured situations. In this work, we present a crowd navigation control framework that delivers continuous obstacle avoidance and post-contact control evaluated on an autonomous personal mobility vehicle. We propose evaluation metrics for accounting efficiency, controller response and crowd interactions in natural crowds. We report the results of over 110 trials in different crowd types: sparse, flows, and mixed traffic, with low- (< 0.15 ppsm), mid- (< 0.65 ppsm), and high- (< 1 ppsm) pedestrian densities. We present comparative results between two low-level obstacle avoidance methods and a baseline of shared control. Results show a 10% drop in relative time to goal on the highest density tests, and no other efficiency metric decrease. Moreover, autonomous navigation showed to be comparable to shared-control navigation with a lower relative jerk and significantly higher fluency in commands indicating high compatibility with the crowd. We conclude that the reactive controller fulfils a necessary task of fast and continuous adaptation to crowd navigation, and it should be coupled with high-level planners for environmental and situational awareness.

Sharmita Dey, Diego Paez-Granados

Clinical time-series learning is routinely constrained by small, heterogeneous cohorts and protocol drift, while its downstream use spans both classification (e.g., pathology diagnosis) and regression (e.g., temporal forecasting). These constraints make foundation-model pretraining appealing, but raises an important question of which inductive biases should the pretraining objective impose so that representations transfer across task types and subjects. We study this question in pathological gait analysis for spinal cord injury (SCI) via PathoFM, an encoder-centric transformer pretrained on multivariate gait windows with three complementary objectives: Local Completion (reconstruct contiguous masked spans to enforce local structure), Temporal Continuity (predict a masked mid-horizon continuation from an observed prefix to enforce smoothness and causal consistency), and Unsupervised In-Context Dynamics (support-query reconstruction conditioned on subject exemplar windows via attention). Empirically comparing objective families (grouping/contrastive, dynamics-based, and generative reconstruction), we find that dynamics-centric mixtures produce the most balanced transfer: grouping objectives favor discriminative margins but can degrade magnitude fidelity needed for continuous targets, whereas reconstruction-only objectives preserve waveform structure but may underperform on classification. Overall, combining local reconstruction with temporal continuity, and adding in-context conditioning when exemplar access is realistic, yields robust subject-generalizing representations.

Sahar Salimpour, Jorge Peña-Queralta, Diego Paez-Granados et al.

Unprecedented agility and dexterous manipulation have been demonstrated with controllers based on deep reinforcement learning (RL), with a significant impact on legged and humanoid robots. Modern tooling and simulation platforms, such as NVIDIA Isaac Sim, have been enabling such advances. This article focuses on demonstrating the applications of Isaac in local planning and obstacle avoidance as one of the most fundamental ways in which a mobile robot interacts with its environments. Although there is extensive research on proprioception-based RL policies, the article highlights less standardized and reproducible approaches to exteroception. At the same time, the article aims to provide a base framework for end-to-end local navigation policies and how a custom robot can be trained in such simulation environment. We benchmark end-to-end policies with the state-of-the-art Nav2, navigation stack in Robot Operating System (ROS). We also cover the sim-to-real transfer process by demonstrating zero-shot transferability of policies trained in the Isaac simulator to real-world robots. This is further evidenced by the tests with different simulated robots, which show the generalization of the learned policy. Finally, the benchmarks demonstrate comparable performance to Nav2, opening the door to quick deployment of state-of-the-art end-to-end local planners for custom robot platforms, but importantly furthering the possibilities by expanding the state and action spaces or task definitions for more complex missions. Overall, with this article we introduce the most important steps, and aspects to consider, in deploying RL policies for local path planning and obstacle avoidance with Isaac Sim training, Gazebo testing, and ROS 2 for real-time inference in real robots. The code is available at https://github.com/sahars93/RL-Navigation.

Thomas Weikert, Eljas Roellin, Lukas Heumos et al.

Neurological disorders represent a growing global health burden requiring long-term, interdisciplinary rehabilitation. Computational neurorehabilitation (compNR) - the use of data-driven and model-based approaches to personalize treatment - offers new opportunities for precision rehabilitation. However, its clinical deployment is limited by fragmented data systems, poor interoperability, and low clinician engagement in model development. We embed the learning health system (LHS) framework in Neurorehabilitation through integration of multimodal data collection, model computation, and clinical visualization that enables clinician-ML collaboration in everyday neurorehabilitation practice. The system facilitates structured digital data capture, secure computational processing, and interoperable visualization of patient trajectories. Through a real-world deployment in stroke rehabilitation, we demonstrate how such an infrastructure bridges the gap between research models and clinical use, showcasing one approach to a translational pathway for compNR.

Mario Andres Chavarria, Santiago Price Torrendell, Aude Billard et al.

Robotic wheelchairs (RWs) offer significant potential to enhance autonomy and participation for people with mobility impairments, yet many systems have failed to achieve sustained real-world adoption. This narrative literature review examined the extent and quality of end-user involvement in RW design, development, and evaluation over the past decade (2015--2025), assessed against core principles shared by major user-involvement approaches (e.g., user-/human-centered design, participatory/co-design, and inclusive design). The findings indicate that user involvement remains limited and is predominantly concentrated in late-stage evaluation rather than in early requirements definition or iterative co-design. Of the 399 records screened, only 23 studies (about 6%) met the inclusion criteria of verifiable end-user involvement, and many relied on small samples, often around ten participants, with limited justification for sample size selection, proxy users, laboratory-based validation, and non-standardized feedback methods. Research teams were largely engineering-dominated (about 89%) and geographically concentrated in high-income countries. Despite strong evidence that sustained user engagement improves usability and adoption in assistive technology, its systematic implementation in RW research remains rare. Advancing the field requires embedding participatory methodologies throughout the design lifecycle and addressing systemic barriers that constrain meaningful user involvement.

Felix Walger, Mehdi Ejtehadi, Anke Schmeink et al.

Wearable sensors with local data processing can detect health threats early, enhance documentation, and support personalized therapy. In the context of spinal cord injury (SCI), which involves risks such as pressure injuries and blood pressure instability, continuous monitoring can help mitigate these by enabling early deDtection and intervention. In this work, we present a novel distributed machine learning (DML) protocol for human activity recognition (HAR) from wearable sensor data based on gradient-boosted decision trees (XGBoost). The proposed architecture is inspired by Party-Adaptive XGBoost (PAX) while explicitly preserving key structural and optimization properties of standard XGBoost, including histogram-based split construction and tree-ensemble dynamics. First, we provide a theoretical analysis showing that, under appropriate data conditions and suitable hyperparameter selection, the proposed distributed protocol can converge to solutions equivalent to centralized XGBoost training. Second, the protocol is empirically evaluated on a representative wearable-sensor HAR dataset, reflecting the heterogeneity and data fragmentation typical of remote monitoring scenarios. Benchmarking against centralized XGBoost and IBM PAX demonstrates that the theoretical convergence properties are reflected in practice. The results indicate that the proposed approach can match centralized performance up to a gap under 1\% while retaining the structural advantages of XGBoost in distributed wearable-based HAR settings.

Haixin Li, Yanke Li, Diego Paez-Granados

We introduce KarmaTS, an interactive framework for constructing lag-indexed, executable spatiotemporal causal graphical models for multivariate time series (MTS) simulation. Motivated by the challenge of access-restricted physiological data, KarmaTS generates synthetic MTS with known causal dynamics and augments real-world datasets with expert knowledge. The system constructs a discrete-time structural causal process (DSCP) by combining expert knowledge and algorithmic proposals in a mixed-initiative, human-in-the-loop workflow. The resulting DSCP supports simulation and causal interventions, including those under user-specified distribution shifts. KarmaTS handles mixed variable types, contemporaneous and lagged edges, and modular edge functionals ranging from parameterizable templates to neural network models. Together, these features enable flexible validation and benchmarking of causal discovery algorithms through expert-informed simulation.

Bertram Fuchs, Mehdi Ejtehadi, Ana Cisnal et al.

Autonomic Dysreflexia (AD) is a potentially life-threatening condition characterized by sudden, severe blood pressure (BP) spikes in individuals with spinal cord injury (SCI). Early, accurate detection is essential to prevent cardiovascular complications, yet current monitoring methods are either invasive or rely on subjective symptom reporting, limiting applicability in daily file. This study presents a non-invasive, explainable machine learning framework for detecting AD using multimodal wearable sensors. Data were collected from 27 individuals with chronic SCI during urodynamic studies, including electrocardiography (ECG), photoplethysmography (PPG), bioimpedance (BioZ), temperature, respiratory rate (RR), and heart rate (HR), across three commercial devices. Objective AD labels were derived from synchronized cuff-based BP measurements. Following signal preprocessing and feature extraction, BorutaSHAP was used for robust feature selection, and SHAP values for explainability. We trained modality- and device-specific weak learners and aggregated them using a stacked ensemble meta-model. Cross-validation was stratified by participants to ensure generalizability. HR- and ECG-derived features were identified as the most informative, particularly those capturing rhythm morphology and variability. The Nearest Centroid ensemble yielded the highest performance (Macro F1 = 0.77+/-0.03), significantly outperforming baseline models. Among modalities, HR achieved the highest area under the curve (AUC = 0.93), followed by ECG (0.88) and PPG (0.86). RR and temperature features contributed less to overall accuracy, consistent with missing data and low specificity. The model proved robust to sensor dropout and aligned well with clinical AD events. These results represent an important step toward personalized, real-time monitoring for individuals with SCI.

Jannis Bähler, Diego Paez-Granados, Jorge Peña-Queralta

Smart electric wheelchairs can improve user experience by supporting the driver with shared control. State-of-the-art work showed the potential of shared control in improving safety in navigation for non-holonomic robots. However, for holonomic systems, current approaches often lead to unintuitive behavior for the user and fail to utilize the full potential of omnidirectional driving. Therefore, we propose a reinforcement learning-based method, which takes a 2D user input and outputs a 3D motion while ensuring user comfort and reducing cognitive load on the driver. Our approach is trained in Isaac Gym and tested in simulation in Gazebo. We compare different RL agent architectures and reward functions based on metrics considering cognitive load and user comfort. We show that our method ensures collision-free navigation while smartly orienting the wheelchair and showing better or competitive smoothness compared to a previous non-learning-based method. We further perform a sim-to-real transfer and demonstrate, to the best of our knowledge, the first real-world implementation of RL-based shared control for an omnidirectional mobility platform.

Diego Paez-Granados, Hideki Kadone, Modar Hassan et al.

We present a personal mobility device for lower-body impaired users through a light-weighted exoskeleton on wheels. On its core, a novel passive exoskeleton provides postural transition leveraging natural body postures with support to the trunk on sit-to-stand and stand-to-sit (STS) transitions by a single gas spring as an energy storage unit. We propose a direction-dependent coupling of knees and hip joints through a double-pulley wire system, transferring energy from the torso motion towards balancing the moment load at the knee joint actuator. Herewith, the exoskeleton maximizes energy transfer and the naturalness of the user's movement. We introduce an embodied user interface for hands-free navigation through a torso pressure sensing with minimal trunk rotations, resulting on average $19^{\circ} \pm 13^{\circ}$ on six unimpaired users. We evaluated the design for STS assistance on 11 unimpaired users observing motions and muscle activity during the transitions. Results comparing assisted and unassisted STS transitions validated a significant reduction (up to $68\%$ $p<0.01$) at the involved muscle groups. Moreover, we showed it feasible through natural torso leaning movements of $+12^{\circ}\pm 6.5^{\circ}$ and $- 13.7^{\circ} \pm 6.1^{\circ}$ for standing and sitting, respectively. Passive postural transition assistance warrants further work on increasing its applicability and broadening the user population.

Yang Chen, Diego Paez-Granados, Bruno Leme et al.

This work proposes an autonomous docking control for nonholonomic constrained mobile robots and applies it to an intelligent mobility device or wheelchair for assisting the user in approaching resting furniture such as a chair or a bed. We defined a virtual landmark inferred from the target docking destination. Then, we solve the problem of keeping the targeted volume inside the field of view (FOV) of a tracking camera and docking to the virtual landmark through a novel definition that enables to control for the desired end-pose. In this article, we proposed a nonlinear feedback controller to perform the docking with the depth camera's FOV as a constraint. Then, a numerical method is proposed to find the feasible space of initial states where convergence could be guaranteed. Finally, the entire system was embedded for real-time operation on a standing wheelchair with the virtual landmark estimation by 3D object tracking with an RGB-D camera and we validated the effectiveness in simulation and experimental evaluations. The results show the guaranteed convergence for the feasible space depending on the virtual landmark location. In the implementation, the robot converges to the virtual landmark while respecting the FOV constraints.

Fabien Grzeskowiak, David Gonon, Daniel Dugas et al.

The evaluation of robot capabilities to navigate human crowds is essential to conceive new robots intended to operate in public spaces. This paper initiates the development of a benchmark tool to evaluate such capabilities; our long term vision is to provide the community with a simulation tool that generates virtual crowded environment to test robots, to establish standard scenarios and metrics to evaluate navigation techniques in terms of safety and efficiency, and thus, to install new methods to benchmarking robots' crowd navigation capabilities. This paper presents the architecture of the simulation tools, introduces first scenarios and evaluation metrics, as well as early results to demonstrate that our solution is relevant to be used as a benchmark tool.

Diego Paez-Granados, Takehiro Yamamoto, Hideki Kadone et al.

This paper presents a passive control method for multiple degrees of freedom in a soft pneumatic robot through the combination of flow resistor tubes with series inflatable actuators. We designed and developed these 3D printed resistors based on the pressure drop principle of multiple capillary orifices, which allows a passive control of its sequential activation from a single source of pressure. Our design fits in standard tube connectors, making it easy to adopt it on any other type of actuator with pneumatic inlets. We present its characterization of pressure drop and evaluation of the activation sequence for series and parallel circuits of actuators. Moreover, we present an application for the assistance of postural transition from lying to sitting. We embedded it in a wearable garment robot-suit designed for infants with cerebral palsy. Then, we performed the test with a dummy baby for emulating the upper-body motion control. The results show a sequential motion control of the sitting and lying transitions validating the proposed system for flow control and its application on the robot-suit.

Yang Chen, Diego Paez-Granados, Hideki Kadone et al.

In this paper, we propose and evaluate a novel human-machine interface (HMI) for controlling a standing mobility vehicle or person carrier robot, aiming for a hands-free control through upper-body natural postures derived from gaze tracking while walking. We target users with lower-body impairment with remaining upper-body motion capabilities. The developed HMI bases on a sensing array for capturing body postures; an intent recognition algorithm for continuous mapping of body motions to robot control space; and a personalizing system for multiple body sizes and shapes. We performed two user studies: first, an analysis of the required body muscles involved in navigating with the proposed control; and second, an assessment of the HMI compared with a standard joystick through quantitative and qualitative metrics in a narrow circuit task. We concluded that the main user control contribution comes from Rectus Abdominis and Erector Spinae muscle groups at different levels. Finally, the comparative study showed that a joystick still outperforms the proposed HMI in usability perceptions and controllability metrics, however, the smoothness of user control was similar in jerk and fluency. Moreover, users' perceptions showed that hands-free control made it more anthropomorphic, animated, and even safer.

Monica Perusquía-Hernández, David Antonio Gómez Jáuregui, Marisabel Cuberos-Balda et al.

Current technologies have enabled us to track and quantify our physical state and behavior. Self-tracking aims to achieve increased awareness to decrease undesired behaviors and lead to a healthier lifestyle. However, inappropriately communicated self-tracking results might cause the opposite effect. In this work, we propose a subtle self-tracking feedback by mirroring the self's state into an artificial agent. By eliciting empathy towards the artificial agent and fostering helping behaviors, users would help themselves as well. Finally, we reflected on the implications of this design framework, and the methodology to design and implement it. A series of interviews to expert designers pointed out to the importance of having multidisciplinary teams working in parallel. Moreover, an agile methodology with a sprint zero for the initial design, and shifted user research, design, and implementation sprints were proposed. Similar systems with data flow and hardware dependencies would also benefit from the proposed agile design process.