Combining brain-computer interfaces and assistive technologies: state-of-the-art and challenges

In recent years, new research has brought the field of EEG-based Brain-Computer Interfacing (BCI) out of its infancy and into a phase of relative maturity through many demonstrated prototypes such as brain-controlled wheelchairs, keyboards, and computer games. With this proof-of-concept phase in the past, the time is now ripe to focus on the development of practical BCI technologies that can be brought out of the lab and into real-world applications. In particular, we focus on the prospect of improving the lives of countless disabled individuals through a combination of BCI technology with existing assistive technologies (AT). In pursuit of more practical BCIs for use outside of the lab, in this paper, we identify four application areas where disabled individuals could greatly benefit from advancements in BCI technology, namely,“Communication and Control”, “Motor Substitution”, “Entertainment”, and “Motor Recovery”. We review the current state of the art and possible future developments, while discussing the main research issues in these four areas. In particular, we expect the most progress in the development of technologies such as hybrid BCI architectures, user-machine adaptation algorithms, the exploitation of users’ mental states for BCI reliability and confidence measures, the incorporation of principles in human-computer interaction (HCI) to improve BCI usability, and the development of novel BCI technology including better EEG devices

Unimanual versus bimanual motor imagery classifiers for assistive and rehabilitative brain computer interfaces

Bimanual movements are an integral part of everyday activities and are often included in rehabilitation therapies. Yet electroencephalography (EEG) based assistive and rehabilitative brain computer interface (BCI) systems typically rely on motor imagination (MI) of one limb at the time. In this study we present a classifier which discriminates between uni-and bimanual MI. Ten able bodied participants took part in cue based motor execution (ME) and MI tasks of the left (L), right (R) and both (B) hands. A 32 channel EEG was recorded. Three linear discriminant analysis classifiers, based on MI of L-B, B-R and B--L hands were created, with features based on wide band Common Spatial Patterns (CSP) 8-30 Hz, and band specifics Common Spatial Patterns (CSPb). Event related desynchronization (ERD) was significantly stronger during bimanual compared to unimanual ME on both hemispheres. Bimanual MI resulted in bilateral parietally shifted ERD of similar intensity to unimanual MI. The average classification accuracy for CSP and CSPb was comparable for L-R task (73±9% and 75±10% respectively) and for L-B task (73±11% and 70±9% respectively). However, for R-B task (67±3% and 72±6% respectively) it was significantly higher for CSPb (p=0.0351). Six participants whose L-R classification accuracy exceeded 70% were included in an on-line task a week later, using the unmodified offline CSPb classifier, achieving 69±3% and 66±3% accuracy for the L-R and R-B tasks respectively. Combined uni and bimanual BCI could be used for restoration of motor function of highly disabled patents and for motor rehabilitation of patients with motor deficits

Enhancement of Robot-Assisted Rehabilitation Outcomes of Post-Stroke Patients Using Movement-Related Cortical Potential

Post-stroke rehabilitation is essential for stroke survivors to help them regain independence and to improve their quality of life. Among various rehabilitation strategies, robot-assisted rehabilitation is an efficient method that is utilized more and more in clinical practice for motor recovery of post-stroke patients. However, excessive assistance from robotic devices during rehabilitation sessions can make patients perform motor training passively with minimal outcome. Towards the development of an efficient rehabilitation strategy, it is necessary to ensure the active participation of subjects during training sessions. This thesis uses the Electroencephalography (EEG) signal to extract the Movement-Related Cortical Potential (MRCP) pattern to be used as an indicator of the active engagement of stroke patients during rehabilitation training sessions. The MRCP pattern is also utilized in designing an adaptive rehabilitation training strategy that maximizes patients’ engagement. This project focuses on the hand motor recovery of post-stroke patients using the AMADEO rehabilitation device (Tyromotion GmbH, Austria). AMADEO is specifically developed for patients with fingers and hand motor deficits. The variations in brain activity are analyzed by extracting the MRCP pattern from the acquired EEG data during training sessions. Whereas, physical improvement in hand motor abilities is determined by two methods. One is clinical tests namely Fugl-Meyer Assessment (FMA) and Motor Assessment Scale (MAS) which include FMA-wrist, FMA-hand, MAS-hand movements, and MAS-advanced hand movements’ tests. The other method is the measurement of hand-kinematic parameters using the AMADEO assessment tool which contains hand strength measurements during flexion (force-flexion), and extension (force-extension), and Hand Range of Movement (HROM)

Detecting intention to walk in stroke patients from pre-movement EEG correlates

Background: Most studies in the field of brain-computer interfacing (BCI) for lower limbs rehabilitation are carried out with healthy subjects, even though insights gained from healthy populations may not generalize to patients in need of a BCI. Methods: We investigate the ability of a BCI to detect the intention to walk in stroke patients from pre-movement EEG correlates. Moreover, we also investigated how the motivation of the patients to execute a task related to the rehabilitation therapy affects the BCI accuracy. Nine chronic stroke patients performed a self-initiated walking task during three sessions, with an intersession interval of one week. Results: Using a decoder that combines temporal and spectral sparse classifiers we detected pre-movement state with an accuracy of 64 % in a range between 18 % and 85.2 %, with the chance level at 4 %. Furthermore, we found a significantly strong positive correlation (r = 0.561, p = 0.048) between the motivation of the patients to perform the rehabilitation related task and the accuracy of the BCI detector of their intention to walk. Conclusions: We show that a detector based on temporal and spectral features can be used to classify pre-movement state in stroke patients. Additionally, we found that patients'' motivation to perform the task showed a strong correlation to the attained detection rate of their walking intention