A peer-reviewed preclinical study places a deterministic state machine beneath a multimodal TIAGo rehabilitation workflow. The robot handles predefined low-risk phases, while malaise, stop requests, repeated refusal or unresolved speech events move the system into a waiting state for a therapist to resume, repeat, skip or terminate. Sixteen healthy participants completed two sessions one month apart without a safety-related interruption; mean SUS scores were 73.75 and 79.69. Suspicious dialogue transcripts still appeared in 14.2% and 17.1% of 240 interactions. This is technical feasibility, not clinical efficacy: no stroke patients participated, failures were not systematically injected and emergency-stop latency was not measured.
A question for designCould clinical automation make escalation a first-class interaction state whose trigger, authority and next options remain unmistakable to the therapist?*5