A new Perspective on ISA-Equipment:assistive Devices for Drives with acquired Brain Injury

Intelligent Speed Adaptation [ISA] has proved successful at reducing the speed of normal drivers. However, until now the potential of ISA as an assistive device has been neglected. Two case studies were conducted to test ISA as a support for drivers with acquired brain injury [ABI] in driving with appropriate speed and thereby releasing cognitive capacity for other aspects of driving. The participants were two persons with ABI, who had retained their driving licenses. They were interviewed about their driving strategies before installation of ISA, and about their experience driving with ISA after the test period. The effect of ISA on the participants’ speed is analyzed and combined with their evaluation of the utility of ISA. The results suggest that with further customisation ISA may be a suitable “cognitive prosthesis” for drivers with ABI, but with some reservations towards certain cognitive deficits

A New Perspective on ISA-Equipment: Assistive devices for Drivers with Acquired Brain Injury

Intelligent Speed Adaptation [ISA] has proved successful at reducing the speed of normal drivers. However, until now the potential of ISA as an assistive device has been neglected. Two case studies were conducted to test ISA as a support for drivers with acquired brain injury [ABI] in driving with appropriate speed and thereby releasing cognitive capacity for other aspects of driving. The participants were two persons with ABI, who had retained their driving licenses. They were interviewed about their driving strategies before installation of ISA, and about their experience driving with ISA after the test period. The effect of ISA on the participants’ speed is analyzed and combined with their evaluation of the utility of ISA. The results suggest that with further customisation ISA may be a suitable “cognitive prosthesis” for drivers with ABI, but with some reservations towards certain cognitive deficits

The Berlin Brain–Computer Interface: Non-Medical Uses of BCI Technology

Brain–computer interfacing (BCI) is a steadily growing area of research. While initially BCI research was focused on applications for paralyzed patients, increasingly more alternative applications in healthy human subjects are proposed and investigated. In particular, monitoring of mental states and decoding of covert user states have seen a strong rise of interest. Here, we present some examples of such novel applications which provide evidence for the promising potential of BCI technology for non-medical uses. Furthermore, we discuss distinct methodological improvements required to bring non-medical applications of BCI technology to a diversity of layperson target groups, e.g., ease of use, minimal training, general usability, short control latencies

Past, Present, and Future of EEG-Based BCI Applications

An electroencephalography (EEG)-based brain–computer interface (BCI) is a system that provides a pathway between the brain and external devices by interpreting EEG. EEG-based BCI applications have initially been developed for medical purposes, with the aim of facilitating the return of patients to normal life. In addition to the initial aim, EEG-based BCI applications have also gained increasing significance in the non-medical domain, improving the life of healthy people, for instance, by making it more efficient, collaborative and helping develop themselves. The objective of this review is to give a systematic overview of the literature on EEG-based BCI applications from the period of 2009 until 2019. The systematic literature review has been prepared based on three databases PubMed, Web of Science and Scopus. This review was conducted following the PRISMA model. In this review, 202 publications were selected based on specific eligibility criteria. The distribution of the research between the medical and non-medical domain has been analyzed and further categorized into fields of research within the reviewed domains. In this review, the equipment used for gathering EEG data and signal processing methods have also been reviewed. Additionally, current challenges in the field and possibilities for the future have been analyzed

TBI-Apps.com: Teaching Caregivers How to Use Mobile Applications as Compensatory Cognitive Aids for Traumatic Brain Injury

Long-term cognitive deficits resulting from traumatic brain injury (TBI) can profoundly impact a person’s role competence and ability to perform daily activities (AOTA, 2014a). Mobile technologies, including smartphones and tablets, have shown potential as effective compensatory aids for memory and executive functioning in individuals with TBI (Waite, 2012). A website was created to provide caregivers tools to independently select, program, and use Apple iOS devices with TBI survivors. The website featured five tutorials for iOS applications, one tutorial for an iOS accessibility feature, and tips for teaching application use to individuals with TBI. It also included general information on the effects of TBI and ways iOS devices might be adapted for TBI survivors. The website was piloted with five people to assess its effectiveness. Piloters completed a quiz on website content and provided feedback and suggestions for expansion. Resources that encourage using everyday technology to improve the match between a person’s abilities, the environment, and occupational demands may help individuals with TBI increase occupational engagement and performance

Semi-autonomous vehicles as a cognitive assistive device for older adults

Losing the capacity to drive due to age-related cognitive decline can have a detrimental impact on the daily life functioning of older adults living alone and in remote areas. Semi-autonomous vehicles (SAVs) could have the potential to preserve driving independence of this population with high health needs. This paper explores if SAVs could be used as a cognitive assistive device for older aging drivers with cognitive challenges. We illustrate the impact of age-related changes of cognitive functions on driving capacity. Furthermore, following an overview on the current state of SAVs, we propose a model for connecting cognitive health needs of older drivers to SAVs. The model demonstrates the connections between cognitive changes experienced by aging drivers, their impact on actual driving, car sensors' features, and vehicle automation. Finally, we present challenges that should be considered when using the constantly changing smart vehicle technology, adapting it to aging drivers and vice versa. This paper sheds light on age-related cognitive characteristics that should be considered when developing future SAVs manufacturing policies which may potentially help decrease the impact of cognitive change on older adult drivers

Analysis of sensorimotor rhythms based on lower-limbs motor imagery for brain-computer interface

Over recent years significant advancements in the field of assistive technologies have been observed. One of the paramount needs for the development and advancement that urged researchers to contribute in the field other than congenital or diagnosed chronic disorders, is the rising number of affectees from accidents, natural calamity (due to climate change), or warfare, worldwide resulting in spinal cord injuries (SCI), neural disorder, or amputation (interception) of limbs, that impede a human to live a normal life. In addition to this, more than ten million people in the world are living with some form of handicap due to the central nervous system (CNS) disorder, which is precarious. Biomedical devices for rehabilitation are the center of research focus for many years. For people with lost motor control, or amputation, but unscathed sensory control, instigation of control signals from the source, i.e. electrophysiological signals, is vital for seamless control of assistive biomedical devices. Control signals, i.e. motion intentions, arouse    in the sensorimotor cortex of the brain that can be detected using invasive or non-invasive modality. With non-invasive modality, the electroencephalography (EEG) is used to record these motion intentions encoded in electrical activity of the cortex, and are deciphered to recognize user intent for locomotion. They are further transferred to the actuator, or end effector of the assistive device for control purposes. This can be executed via the brain-computer interface (BCI) technology. BCI is an emerging research field that establishes a real-time bidirectional connection between the human brain and a computer/output device. Amongst its diverse applications, neurorehabilitation to deliver sensory feedback and brain controlled biomedical devices for rehabilitation are most popular. While substantial literature on control of upper-limb assistive technologies controlled via BCI is there, less is known about the lower-limb (LL) control of biomedical devices for navigation or gait assistance via BCI. The types  of EEG signals compatible with an independent BCI are the oscillatory/sensorimotor rhythms (SMR) and event-related potential (ERP). These signals have successfully been used in BCIs for navigation control of assistive devices. However, ERP paradigm accounts for a voluminous setup for stimulus presentation to the user during operation of BCI assistive device. Contrary to this, the SMR does not require large setup for activation of cortical activity; it instead depends on the motor imagery (MI) that is produced synchronously or asynchronously by the user. MI is a covert cognitive process also termed kinaesthetic motor imagery (KMI) and elicits clearly after rigorous training trials, in form of event-related desynchronization (ERD) or synchronization (ERS), depending on imagery activity or resting period. It usually comprises of limb movement tasks, but is not limited to it in a BCI paradigm. In order to produce detectable features that correlate to the user¿s intent, selection of cognitive task is an important aspect to improve the performance of a BCI. MI used in BCI predominantly remains associated with the upper- limbs, particularly hands, due to the somatotopic organization of the motor cortex. The hand representation area is substantially large, in contrast to the anatomical location of the LL representation areas in the human sensorimotor cortex. The LL area is located within the interhemispheric fissure, i.e. between the mesial walls of both hemispheres of the cortex. This makes it arduous to detect EEG features prompted upon imagination of LL. Detailed investigation of the ERD/ERS in the mu and beta oscillatory rhythms during left and right LL KMI tasks is required, as the user¿s intent to walk is of paramount importance associated to everyday activity. This is an important area of research, followed by the improvisation of the already existing rehabilitation system that serves the LL affectees. Though challenging, solution to these issues is also imperative for the development of robust controllers that follow the asynchronous BCI paradigms to operate LL assistive devices seamlessly. This thesis focusses on the investigation of cortical lateralization of ERD/ERS in the SMR, based on foot dorsiflexion KMI and knee extension KMI separately. This research infers the possibility to deploy these features in real-time BCI by finding maximum possible classification accuracy from the machine learning (ML) models. EEG signal is non-stationary, as it is characterized by individual-to-individual and trial-to-trial variability, and a low signal-to-noise ratio (SNR), which is challenging. They are high in dimension with relatively low number of samples available for fitting ML models to the data. These factors account for ML methods that were developed into the tool of choice  to analyse single-trial EEG data. Hence, the selection of appropriate ML model for true detection of class label with no tradeoff of overfitting is crucial. The feature extraction part of the thesis constituted of testing the band-power (BP) and the common spatial pattern (CSP) methods individually. The study focused on the synchronous BCI paradigm. This was to ensure the exhibition of SMR for the possibility of a practically viable control system in a BCI. For the left vs. right foot KMI, the objective was to distinguish the bilateral tasks, in order to use them as unilateral commands in a 2-class BCI for controlling/navigating a robotic/prosthetic LL for rehabilitation. Similar was the approach for left-right knee KMI. The research was based on four main experimental studies. In addition to the four studies, the research is also inclusive of the comparison of intra-cognitive tasks within the same limb, i.e. left foot vs. left knee and right foot vs. right knee tasks, respectively (Chapter 4). This added to another novel contribution towards the findings based on comparison of different tasks within the same LL. It provides basis to increase the dimensionality of control signals within one BCI paradigm, such as a BCI-controlled LL assistive device with multiple degrees of freedom (DOF) for restoration of locomotion function. This study was based on analysis of statistically significant mu ERD feature using BP feature extraction method. The first stage of this research comprised of the left vs. right foot KMI tasks, wherein the ERD/ERS that elicited in the mu-beta rhythms were analysed using BP feature extraction method (Chapter 5). Three individual features, i.e. mu ERD, beta ERD, and beta ERS were investigated on EEG topography and time-frequency (TF) maps, and average time course of power percentage, using the common average reference and bipolar reference methods. A comparative study was drawn for both references to infer the optimal method. This was followed by ML, i.e. classification of the three feature vectors (mu ERD, beta ERD, and beta ERS), using linear discriminant analysis (LDA), support vector machine (SVM), and k-nearest neighbour (KNN) algorithms, separately. Finally, the multiple correction statistical tests were done, in order to predict maximum possible classification accuracy amongst all paradigms for the most significant feature. All classifier models were supported with the statistical techniques of k-fold cross validation and evaluation of area under receiver-operator characteristic curves (AUC-ROC) for prediction of the true class label. The highest classification accuracy of 83.4% ± 6.72 was obtained with KNN model for beta ERS feature. The next study was based on enhancing the classification accuracy obtained from previous study. It was based on using similar cognitive tasks as study in Chapter 5, however deploying different methodology for feature extraction and classification procedure. In the second study, ERD/ERS from mu and beta rhythms were extracted using CSP and filter bank common spatial pattern (FBCSP) algorithms, to optimize the individual spatial patterns (Chapter 6). This was followed by ML process, for which the supervised logistic regression (Logreg) and LDA were deployed separately. Maximum classification accuracy resulted in 77.5% ± 4.23 with FBCSP feature vector and LDA model, with a maximum kappa coefficient of 0.55 that is in the moderate range of agreement between the two classes. The left vs. right foot discrimination results were nearly same, however the BP feature vector performed better than CSP. The third stage was based on the deployment of novel cognitive task of left vs. right knee extension KMI. Analysis of the ERD/ERS in the mu-beta rhythms was done for verification of cortical lateralization via BP feature vector (Chapter 7). Similar to Chapter 5, in this study the analysis of ERD/ERS features was done on the EEG topography and TF maps, followed by the determination of average time course and peak latency of feature occurrence. However, for this study, only mu ERD and beta ERS features were taken into consideration and the EEG recording method only comprised of common average reference. This was due to the established results from the foot study earlier, in Chapter 5, where beta ERD features showed less average amplitude. The LDA and KNN classification algorithms were employed. Unexpectedly, the left vs. right knee KMI reflected the highest accuracy of 81.04% ± 7.5 and an AUC-ROC = 0.84, strong enough to be used in a real-time BCI as two independent control features. This was using KNN model for beta ERS feature. The final study of this research followed the same paradigm as used in Chapter 6, but for left vs. right knee KMI cognitive task (Chapter 8). Primarily this study aimed at enhancing the resulting accuracy from Chapter 7, using CSP and FBCSP methods with Logreg and LDA models respectively. Results were in accordance with those of the already established foot KMI study, i.e. BP feature vector performed better than the CSP. Highest classification accuracy of 70.00% ± 2.85 with kappa score of 0.40 was obtained with Logreg using FBCSP feature vector. Results stipulated the utilization of ERD/ERS in mu and beta bands, as independent control features for discrimination of bilateral foot or the novel bilateral knee KMI tasks. Resulting classification accuracies implicate that any 2-class BCI, employing unilateral foot, or knee KMI, is suitable for real-time implementation. In conclusion, this thesis demonstrates the possible EEG pre-processing, feature extraction and classification methods to instigate a real-time BCI from the conducted studies. Following this, the critical aspects of latency in information transfer rate, SNR, and tradeoff between dimensionality and overfitting needs to be taken care of, during design of real-time BCI controller. It also highlights that there is a need for consensus over the development of standardized methods of cognitive tasks for MI based BCI. Finally, the application of wireless EEG for portable assistance is essential as it will contribute to lay the foundations of the development of independent asynchronous BCI based on SMR