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  1. Abstract Background

    Human-human (HH) interaction mediated by machines (e.g., robots or passive sensorized devices), which we call human-machine-human (HMH) interaction, has been studied with increasing interest in the last decade. The use of machines allows the implementation of different forms of audiovisual and/or physical interaction in dyadic tasks. HMH interaction between two partners can improve the dyad’s ability to accomplish a joint motor task (task performance) beyond either partner’s ability to perform the task solo. It can also be used to more efficiently train an individual to improve their solo task performance (individual motor learning). We review recent research on the impact of HMH interaction on task performance and individual motor learning in the context of motor control and rehabilitation, and we propose future research directions in this area.

    Methods

    A systematic search was performed on the Scopus, IEEE Xplore, and PubMed databases. The search query was designed to find studies that involve HMH interaction in motor control and rehabilitation settings. Studies that do not investigate the effect of changing the interaction conditions were filtered out. Thirty-one studies met our inclusion criteria and were used in the qualitative synthesis.

    Results

    Studies are analyzed based on their results related to the effects of interaction type (e.g., audiovisual communication and/or physical interaction), interaction mode (collaborative, cooperative, co-active, and competitive), and partner characteristics. Visuo-physical interaction generally results in better dyadic task performance than visual interaction alone. In cases where the physical interaction between humans is described by a spring, there are conflicting results as to the effect of the stiffness of the spring. In terms of partner characteristics, having a more skilled partner improves dyadic task performance more than having a less skilled partner. However, conflicting results were observed in terms of individual motor learning.

    Conclusions

    Although it is difficult to draw clear conclusions as to which interaction type, mode, or partner characteristic may lead to optimal task performance or individual motor learning, these results show the possibility for improved outcomes through HMH interaction. Future work that focuses on selecting the optimal personalized interaction conditions and exploring their impact on rehabilitation settings may facilitate the transition of HMH training protocols to clinical implementations.

     
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  2. null (Ed.)
    Abstract Studying the human brain during interpersonal interaction allows us to answer many questions related to motor control and cognition. For instance, what happens in the brain when two people walking side by side begin to change their gait and match cadences? Adapted from the neuroimaging techniques used in single-brain measurements, hyperscanning (HS) is a technique used to measure brain activity from two or more individuals simultaneously. Thus far, HS has primarily focused on healthy participants during social interactions in order to characterize inter-brain dynamics. Here, we advocate for expanding the use of this electroencephalography hyperscanning (EEG-HS) technique to rehabilitation paradigms in individuals with neurological diagnoses, namely stroke, spinal cord injury (SCI), Parkinson’s disease (PD), and traumatic brain injury (TBI). We claim that EEG-HS in patient populations with impaired motor function is particularly relevant and could provide additional insight on neural dynamics, optimizing rehabilitation strategies for each individual patient. In addition, we discuss future technologies related to EEG-HS that could be developed for use in the clinic as well as technical limitations to be considered in these proposed settings. 
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  3. null (Ed.)
    Interest in the investigation of novel software and control algorithms for wearable robotics is growing. However, entry into this field requires a significant investment in a testing platform. This work introduces CANopen Robot Controller (CORC)—an open source software stack designed to accelerate the development of robot software and control algorithms—justifying its choice of platform, describing its overall structure, and demonstrating its viability on two distinct platforms. 
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  4. null (Ed.)
    Over the past few decades, there have been many studies of human-human physical interaction to better understand why humans physically interact so effectively and how dyads outperform individuals in certain motor tasks. Because of the different methodologies and experimental setups in these studies, however, it is difficult to draw general conclusions as to the reasons for this improved performance. In this study, we propose an open-source experimental framework for the systematic study of the effect of human-human interaction, as mediated by robots, at the ankle joint. We also propose a new framework to study various interactive behaviors (i.e., collaborative, cooperative, and competitive tasks) that can be emulated using a virtual spring connecting human pairs. To validate the proposed experimental framework, we perform a transparency analysis, which is closely related to haptic rendering performance. We compare muscle EMG and ankle motion data while subjects are barefoot, attached to the unpowered robot, and attached to the powered robot implementing transparency control. We also validate the performance in rendering a virtual springs covering a range of stiffness values (5-50 Nm/rad) while the subjects track several desired trajectories(sine waves at frequencies between 0.1 and 1.1 Hz). Finally, we study the performance of the system in human-human interaction under nine different interactive conditions. Finally, we demonstrate the feasibility of the system in studying human-human interaction under different interactive behaviors. 
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