AccScience Publishing / AIH / Online First / DOI: 10.36922/aih.3732
ORIGINAL RESEARCH ARTICLE

Exploring the viability of robotic technology integrated with Vivaldi artificial intelligence for functional assessment in amyotrophic lateral sclerosis

Jacopo Luca Casiraghi1† Andrea Lizio1† Silvia Bolognini2 David Tessaro3 Matteo Xia3 Giacomo Sommavilla3 Matteo Cestari3 Elena Carraro1 Francesca Gerardi1 Stefano Regondi1,2 Raffaele Pugliese2* Valeria Ada Sansone1,4 Federica Cerri1
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1 NEuroMuscular Omnicenter, Milan, Italy
2 Nemo Lab, ASST GOM Niguarda Cà Granda Hospital, Milan, Italy
3 Omitech, Padova, Italy
4 Neurorehabilitation Unit, University of Milan, Milano, Italy
Submitted: 21 May 2024 | Accepted: 29 July 2024 | Published: 27 September 2024
© 2024 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

In this study, we explore the feasibility and efficacy of leveraging Sanbot Elf – a humanoid intelligent assistive robot – integrated with artificial intelligence (AI), specifically the Vivaldi AI system, for functional assessment in amyotrophic lateral sclerosis (ALS) patients. Our investigation involves evaluating and comparing the performance of the Sanbot Elf in administering the ALS Functional Rating Scale–Revised (ALSFRS-R) to that of human operators, using a structured format where patients respond with either “yes” or “no” answers. This approach is intentionally adopted to minimize ambiguity in patient responses. Patients were given the option to respond either verbally or by utilizing the touchscreen display, particularly beneficial for those experiencing dysarthria or hypophonia. In addition, we examined patient emotional responses to this novel approach. A cohort of 28 ALS patients participated in the study, with a subset undergoing longitudinal follow-up assessments. Our results demonstrate strong agreement between human and robotic administrations of the ALSFRS-R, indicating the potential for AI-enabled robotics to accurately assess ALS functional status. Furthermore, the patients’ feedback underscores their acceptability of this technology as a supportive tool in healthcare settings. Our findings also highlight the potential benefits of employing robotic devices with algorithmic capabilities, such as the binary tree method, in hospitals. Moreover, such integration has the potential to alleviate operators’ workload. Importantly, this research contributes to the burgeoning field of AI-enabled healthcare operations, highlighting the promising role of robotic systems in enhancing functional assessment and management of ALS.

Keywords
Artificial intelligence
Robotic technology
Functional assessment
Amyotrophic lateral sclerosis
Healthcare operations
Longitudinal study
Funding
This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
Conflict of interest
The authors declare that they have no competing interests.
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Artificial Intelligence in Health, Electronic ISSN: 3029-2387 Print ISSN: 3041-0894, Published by AccScience Publishing