Research on Biomedical Engineering
Research on Biomedical Engineering
Original Article

Analysis of the use of a robot to improve social skills in children with autism spectrum disorder

Valadão, Carlos Torturella; Goulart, Christiane; Rivera, Hamilton; Caldeira, Eliete; Bastos Filho, Teodiano Freire; Frizera-Neto, Anselmo; Carelli, Ricardo

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Introduction: Autism Spectrum Disorder is a set of developmental disorders that imply in poor social skills, lack of interest in activities and interaction with people. Treatments rely on teaching social skills and in such therapies robotics may offer aid. This work is a pilot study, which aims to show the development and usage of a ludic mobile robot for stimulating social skills in ASD children. Methods: A mobile robot with a special costume and a monitor to display multimedia contents was designed to interact with ASD children. A mediator controls the robot’s movements in a room prepared for interactive sessions. Sessions are recorded to assess the following social skills: eye gazing, touching the robot and imitating the mediator. The interaction is evaluated using the Goal Attainment Scale and Likert scale. Ten children were evaluated (50% with ASD), using as inclusion criteria children with age 7-8, without use of medication, and without tendency to aggression or stereotyped movements. Results: It was observed that the ASD group touched the robot about twice more in average than the control group (CG). They also looked away and imitated the mediator in a quite similar way as the CG, and showed extra social skills (verbal and non-verbal communication). These results are considered an advance in terms of improvement of social skills in ASD children. Conclusions: Our studies indicate that the robot stimulated social skills in 4/5 of the ASD children, which shows that its concepts are useful to improve socialization and quality of life.


Autism spectrum disorder, Social skills, Social robots, Assistive technology.


American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington: APA; 2013.

Anzalone SM, Tilmont E, Boucenna S, Xavier J, Jouen AL, Bodeau N, Maharatna K, Chetouani M, Cohen D. How children with autism spectrum disorder behave and explore the 4-dimensional (spatial 3D + time) environment during a joint attention induction task with a robot. Research in Autism Spectrum Disorders. 2014; 8(7):814-26.

Autism Grande Cause. [internet]. Le Chesnay; 2012 [cited 2016 Feb 13]. Available from:

Autism Resource Centre. [internet]. Singapore; 2013 [cited 2016 Feb 13]. Available from:

Autism Society. [internet]. Maryland; 2016 [cited 2016 Feb 13]. Available from:

Bartneck C, Kulic D, Croft E, Zoghbi S. Measurement instruments for the anthropomorphism, animacy, likeability, perceived intelligence, and perceived safety of robots. International Journal of Social Robotics. 2009; 1(1):71-81.

Bekele ET, Lahiri U, Swanson AR, Crittendon JA, Warren ZE, Sarkar N. A step towards developing adaptive robot-mediated intervention architecture (ARIA) for children with autism. IEEE Transactions on Neural Systems and Rehabilitation Engineering. 2013; 21(2):289-99. PMid:23221831.

Brasil. Ministério da Saúde. Diretrizes de atenção à reabilitação da pessoa com Transtornos do Espectro do Autismo (TEA). Brasília: MS; 2013.

Cabibihan JJ, Javed H, Ang M, Aljunied SM. Why robots? A survey on the roles and benefits of social robots in the therapy of children with autism. International Journal of Social Robotics. 2013; 5(4):593-618.

Centers for Disease Control and Prevention. Autism spectrum disorders: data and statistics [internet]. CDC; 2013 [cited 2016 Feb 13]. Available from:

Costa S, Lehmann H, Dautenhahn K, Robins B, Soares F. Using a humanoid robot to elicit body awareness and appropriate physical interaction in children with autism. International Journal of Social Robotics. 2015; 7(2):265-78.

Dautenhahn K. Roles and functions of robots in human society: implications from research in autism therapy. Robotica. 2003; 21(4):443-52.

Duquette A, Michaud F, Mercier H. Exploring the use of a mobile robot as an imitation agent with children with low-functioning autism. Autonomous Robots. 2008; 24(2):147-57.

Elsabbagh M, Divan G, Koh YJ, Kim YS, Kauchali S, Marcín C, Montiel-Nava C, Patel V, Paula CS, Wang C, Yasamy MT, Fombonne E. Global prevalence of autism and other pervasive developmental disorders. Autism Research. 2012; 5(3):160-79. PMid:22495912.

Fombonne E. Epidemiology of pervasive developmental disorders. Pediatric Research. 2009; 65(6):591-8. PMid:19218885.

Giullian N, Ricks D, Atherton A, Colton M, Goodrich M, Brinton B. Detailed requirements for robots in autism therapy. In: Conference Proceedings – IEEE International Conference on Systems, Man and Cybernetics; 10-13 Oct. 2010; Istanbul, Turkey. Istanbul: IEEE; 2010. p. 2595-602.

Goodrich MA, Colton M, Brinton B, Fujiki M, Atherton JA, Robinson L, Ricks D, Maxfield MH, Acerson A. Incorporating a robot into an autism therapy team. IEEE Intelligent Systems. 2012; 27(2):52-9.

Honda H, Shimizu Y, Rutter M. No effect of MMR withdrawal on the incidence of autism: a total population study. Journal of Child Psychology and Psychiatry, and Allied Disciplines. 2005; 46(6):572-9. PMid:15877763.

Ingersoll B. Brief report: effect of a focused imitation intervention on social functioning in children with autism. Journal of Autism and Developmental Disorders. 2012; 42(8):1768-73. PMid:22146934.

Kim ES, Berkovits LD, Bernier EP, Leyzberg D, Shic F, Paul R, Scassellati B. Social robots as embedded reinforcers of social behavior in children with autism. Journal of Autism and Developmental Disorders. 2013; 43(5):1038-49. PMid:23111617.

Kiresuk TJ, Sherman RE. Goal attainment scaling: a general method for evaluating comprehensive community mental health programs. Community Mental Health Journal. 1968; 4(6):443-53. PMid:24185570.

Klin A. Autismo e síndrome de Asperger: uma visão geral. Revista Brasileira de Psiquiatria (Sao Paulo, Brazil). 2006; 28(Suppl. 1):3-11.

Knapp EL. Nonverbal communication in human interaction. California: Holt, Rinehart and Winston; 1978.

Kozima H, Michalowski MP, Nakagawa C. Keepon: a playful robot for research, therapy, and entertainment. International Journal of Social Robotics. 2009; 1(1):3-18.

Krasny-Pacini A, Hiebel J, Pauly F, Godon S, Chevignard M. Goal attainment scaling in rehabilitation: a literature-based update. annals of physical and rehabilitation medicine. Elsevier Masson SAS. 2013; 56(3):212-30. PMid: 23562111.

Lamas WQ, Tani HM, Sousa JSS, Reis LOM. An oximetry-based method for monitoring reactions of autistic subjects under music auditions. Revista Brasileira de Engenharia Biomédica. 2009; 25(3):175-84.

Leventhal BL, Koh Y, Ph D, Laska E, Ph D, Lim E, Kim S, Kim Y, Lee H, Song D, Grinker RR, Ph D. Prevalence of Autism Spectrum Disorders in a Total Population Sample Young. The American Journal of Psychiatry. 2013; 170(904-912):689. PMid: 21558103.

Lord C, Cook EH, Leventhal BL, Amaral DG. Autism spectrum disorders. Neuron. 2000; 28(2):355-63. PMid:11144346.

Michaud F, Clavet A. RoboToy contest: designing mobile robotic toys for autistic children. Artificial Intelligence. 2001; 1-4.

Michaud F, Duquette A, Nadeau I. Characteristics of mobile robotics toys for children with pervasive developmental disorders. In: Proceedings of the IEEE International Conference on Systems, Man and Cybernetics; 5-8 Oct. 2003; Washington, USA. Washington, D.C.: IEEE; 2003. p. 2938-43.

Norris S, Pare JR, Starky S. Childhood Autism in Canada: some issues relating to behavioural intervention. Canada Library of Parliament; 2006.

Paron-Wildes AJ. Sensory stimulation and Autistic children. Implications. 2005; 06(04):1-5.

Robins B, Dautenhahn K, te Boekhorst R, Billard A. Effects of repeated exposure to a humanoid robot on children with autism: designing a more inclusive world. London: Springer; 2004. p. 225-36.

Robins B, Dautenhahn K, Dubowski J. Does appearance matter in the interaction of children with autism with a humanoid robot? Interaction Studies. 2006;7(3):509-42.

Robins B, Dautenhahn K. Tactile interactions with a humanoid robot: novel play scenario implementations with children with autism. International Journal of Social Robotics. 2014; 6(3):397-415.

Rossignol DA, Frye RE. Mitochondrial dysfunction in autism spectrum disorders: a systematic review and meta-analysis. Molecular psychiatry. Nature Publishing Group. 2012; 17(3):290-314. PMid:21263444.

Rutter M. Aetiology of autism: findings and questions. Journal of Intellectual Disability Research. 2005; 49(4):231-8. PMid:15816809.

Salter T, Dautenhahn K, Te Boekhorst R. Learning about natural human-robot interaction styles. Robotics and Autonomous Systems. 2006; 54(2):127-34.

Scassellati B, Admoni H, Matarić M. Robots for use in autism research. Annual Review of Biomedical Engineering. 2012; 14(1):275-94. PMid:22577778.

Shamsuddin S, Yussof H, Ismail LI, Mohamed S, Hanapiah FA, Zahari NI. Initial response in HRI: a case study on evaluation of child with autism spectrum disorders interacting with a humanoid robot NAO. Procedia Engineering. 2012; 41:1448-55.

Simut RE, Vanderfaeillie J, Peca A, Van de Perre G, Vanderborght B. Children with autism spectrum disorders make a fruit salad with probo, the social robot: An interaction study. Journal of Autism and Developmental Disorders. 2015; 46(1):113-26. PMid: 26304031.

The National Autistic Society. Communicating and interacting [internet]. London: The National Autistic Society; 2015 [cited 2016 Feb 16]. Available from:

Turner-Stokes L. Goal attainment scaling (GAS) in rehabilitation: a practical guide. Clinical Rehabilitation. 2009; 23(4):362-70. PMid:19179355.

Valadao CT. Social interaction with autistic child using robot [internet]. Youtube; 2016 [cited 2016 Feb 16]. Available from:

Wada K, Shibata T, Saito T, Tanie K. Effects of robot-assisted activity for elderly people and nurses at a day service center. Proceedings of the IEEE. 2004; 92(11): 1780-8.

Wainer J, Robins B, Amirabdollahian F, Dautenhahn K. Using the humanoid robot KASPAR to autonomously play triadic games and facilitate collaborative play among children with autism. IEEE Transactions on Autonomous Mental Development. 2014; 6(3):183-99.

Warren Z, Zheng Z, Das S, Young EM, Swanson A, Weitlauf A, Sarkar N. Brief Report: development of a robotic intervention platform for young children with ASD. Journal of Autism and Developmental Disorders. 2015; 45(12):3870-6. PMid: 25503680.
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