Decoding of Ankle Joint Movements in Stroke Patients Using Surface Electromyography

Stroke is a cerebrovascular disease (CVD), which results in hemiplegia, paralysis, or death. Conventionally, a stroke patient requires prolonged sessions with physical therapists for the recovery of motor function. Various home-based rehabilitative devices are also available for upper limbs and require minimal or no assistance from a physiotherapist. However, there is no clinically proven device available for functional recovery of a lower limb. In this study, we explored the potential use of surface electromyography (sEMG) as a controlling mechanism for the development of a home-based lower limb rehabilitative device for stroke patients. In this experiment, three channels of sEMG were used to record data from 11 stroke patients while performing ankle joint movements. The movements were then decoded from the sEMG data and their correlation with the level of motor impairment was investigated. The impairment level was quantified using the Fugl-Meyer Assessment (FMA) scale. During the analysis, Hudgins time-domain features were extracted and classified using linear discriminant analysis (LDA) and artificial neural network (ANN). On average, 63.86% ± 4.3% and 67.1% ± 7.9% of the movements were accurately classified in an offline analysis by LDA and ANN, respectively. We found that in both classifiers, some motions outperformed others (p < 0.001 for LDA and p = 0.014 for ANN). The Spearman correlation (ρ) was calculated between the FMA scores and classification accuracies. The results indicate that there is a moderately positive correlation (ρ = 0.75 for LDA and ρ = 0.55 for ANN) between the two of them. The findings of this study suggest that a home-based EMG system can be developed to provide customized therapy for the improvement of functional lower limb motion in stroke patients

Prediction of isometric motor tasks and effort levels based on high-density EMG in patients with incomplete spinal cord injury

Objective. The development of modern assistive and rehabilitation devices requires reliable and easy-to-use methods to extract neural information for control of devices. Group-specific pattern recognition identifiers are influenced by inter-subject variability. Based on high-density EMG (HD-EMG) maps, our research group has already shown that inter-subject muscle activation patterns exist in a population of healthy subjects. The aim of this paper is to analyze muscle activation patterns associated with four tasks (flexion/extension of the elbow, and supination/pronation of the forearm) at three different effort levels in a group of patients with incomplete Spinal Cord Injury (iSCI). Approach. Muscle activation patterns were evaluated by the automatic identification of these four isometric tasks along with the identification of levels of voluntary contractions. Two types of classifiers were considered in the identification: linear discriminant analysis and support vector machine. Main results. Results show that performance of classification increases when combining features extracted from intensity and spatial information of HD-EMG maps (accuracy = 97.5%). Moreover, when compared to a population with injuries at different levels, a lower variability between activation maps was obtained within a group of patients with similar injury suggesting stronger task-specific and effort-level-specific co-activation patterns, which enable better prediction results. Significance. Despite the challenge of identifying both the four tasks and the three effort levels in patients with iSCI, promising results were obtained which support the use of HD-EMG features for providing useful information regarding motion and force intentionPeer ReviewedPostprint (author's final draft

Development of an EMG-based Muscle Health Model for Elbow Trauma Patients

Musculoskeletal (MSK) conditions are a leading cause of pain and disability worldwide. Rehabilitation is critical for recovery from these conditions and for the prevention of long-term disability. Robot-assisted therapy has been demonstrated to provide improvements to stroke rehabilitation in terms of efficiency and patient adherence. However, there are no wearable robot-assisted solutions for patients with MSK injuries. One of the limiting factors is the lack of appropriate models that allow the use of biosignals as an interface input. Furthermore, there are no models to discern the health of MSK patients as they progress through their therapy. This thesis describes the design, data collection, analysis, and validation of a novel muscle health model for elbow trauma patients. Surface electromyography (sEMG) data sets were collected from the injured arms of elbow trauma patients performing 10 upper-limb motions. The data were assessed and compared to sEMG data collected from the patients\u27 contralateral healthy limbs. A statistical analysis was conducted to identify trends relating the sEMG signals to muscle health. sEMG-based classification models for muscle health were developed. Relevant sEMG features were identified and combined into feature sets for the classification models. The classifiers were used to distinguish between two levels of health: healthy and injured (50% baseline accuracy rate). Classification models based on individual motions achieved cross-validation accuracies of 48.2--79.6%. Following feature selection and optimization of the models, cross-validation accuracies of up to 82.1% were achieved. This work suggests that there is a potential for implementing an EMG-based model of muscle health in a rehabilitative elbow brace to assess patients recovering from MSK elbow trauma. However, more research is necessary to improve the accuracy and the specificity of the classification models

Myoelectric Control Systems for Hand Rehabilitation Device: A Review

One of the challenges of the hand rehabilitation device is to create a smooth interaction between the device and user. The smooth interaction can be achieved by considering myoelectric signal generated by human's muscle. Therefore, the so-called myoelectric control system (MCS) has been developed since the 1940s. Various MCS's has been proposed, developed, tested, and implemented in various hand rehabilitation devices for different purposes. This article presents a review of MCS in the existing hand rehabilitation devices. The MCS can be grouped into main groups, the non-pattern recognition and pattern recognition ones. In term of implementation, it can be classified as MCS for prosthetic and exoskeleton hand. Main challenges for MCS today is the robustness issue that hampers the implementation of MCS on the clinical application

Enhanced Deep Transfer Learning Model based on Spatial-Temporal driven Scalograms for Precise Decoding of Motor Intent in Stroke Survivors

Motor function loss greatly impacts post-stroke survivors while performing activities of daily living. In the recent years, intelligent rehabilitation robotics have been proposed to enable the patients recover their lost limb functions. Besides, a large proportion of these robots function in passive mode that only allow users to navigate trajectories that rarely align with their limb movement intent, thus precluding full functional recovery. A potential solution would be to explore utilizing an efficient Transfer Learning based Convolutional Neural Network (TL-CNN) to decode multiple classes of post-stroke patients’ motion intentions towards realizing dexterously active robotic training during rehabilitation. In this regard, we propose and examined for the first time, the use of Spatial-Temporal Descriptor based Continuous Wavelet Transform (STD-CWT) as input to TL-CNN to optimally decode limb movement intent patterns of stroke patients to provide adequate input for active motor training in rehabilitation robots. Importantly, we examined the proposed (STD-CWT) method on three distinct wavelets including the Morse, Amor, and Bump, and compared their decoding outcomes with those of the commonly adopted CWT technique under similar experimental conditions. Our method was validated using electromyogram signals of five stroke survivors who performed up to twenty-two distinct limb motions. The obtained results showed that the proposed technique recorded a significantly higher decoding (p<0.05) and converges faster compared to the commonly adopted method. The proposed method equally recorded obvious class separability for individual movement classes across the stroke patients. Findings from this study suggest that the STD-CWT Scalograms would provide potential inputs for robust decoding of motor intent that may facilitate intuitively active motor training in stroke rehabilitation robots. © 20XX IEEE. Personal use of this material is permitted. Permission from IEEE must be obtained for all other uses, in any current or future media, including reprinting/republishing this material for advertising or promotional purposes, creating new collective works, for resale or redistribution to servers or lists, or reuse of any copyrighted component of this work in other works

Biosignal‐based human–machine interfaces for assistance and rehabilitation : a survey

As a definition, Human–Machine Interface (HMI) enables a person to interact with a device. Starting from elementary equipment, the recent development of novel techniques and unobtrusive devices for biosignals monitoring paved the way for a new class of HMIs, which take such biosignals as inputs to control various applications. The current survey aims to review the large literature of the last two decades regarding biosignal‐based HMIs for assistance and rehabilitation to outline state‐of‐the‐art and identify emerging technologies and potential future research trends. PubMed and other databases were surveyed by using specific keywords. The found studies were further screened in three levels (title, abstract, full‐text), and eventually, 144 journal papers and 37 conference papers were included. Four macrocategories were considered to classify the different biosignals used for HMI control: biopotential, muscle mechanical motion, body motion, and their combinations (hybrid systems). The HMIs were also classified according to their target application by considering six categories: prosthetic control, robotic control, virtual reality control, gesture recognition, communication, and smart environment control. An ever‐growing number of publications has been observed over the last years. Most of the studies (about 67%) pertain to the assistive field, while 20% relate to rehabilitation and 13% to assistance and rehabilitation. A moderate increase can be observed in studies focusing on robotic control, prosthetic control, and gesture recognition in the last decade. In contrast, studies on the other targets experienced only a small increase. Biopotentials are no longer the leading control signals, and the use of muscle mechanical motion signals has experienced a considerable rise, especially in prosthetic control. Hybrid technologies are promising, as they could lead to higher performances. However, they also increase HMIs’ complex-ity, so their usefulness should be carefully evaluated for the specific application

Towards electrodeless EMG linear envelope signal recording for myo-activated prostheses control

After amputation, the residual muscles of the limb may function in a normal way, enabling the electromyogram (EMG) signals recorded from them to be used to drive a replacement limb. These replacement limbs are called myoelectric prosthesis. The prostheses that use EMG have always been the first choice for both clinicians and engineers. Unfortunately, due to the many drawbacks of EMG (e.g. skin preparation, electromagnetic interferences, high sample rate, etc.); researchers have aspired to find suitable alternatives. One proposes the dry-contact, low-cost sensor based on a force-sensitive resistor (FSR) as a valid alternative which instead of detecting electrical events, detects mechanical events of muscle. FSR sensor is placed on the skin through a hard, circular base to sense the muscle contraction and to acquire the signal. Similarly, to reduce the output drift (resistance) caused by FSR edges (creep) and to maintain the FSR sensitivity over a wide input force range, signal conditioning (Voltage output proportional to force) is implemented. This FSR signal acquired using FSR sensor can be used directly to replace the EMG linear envelope (an important control signal in prosthetics applications). To find the best FSR position(s) to replace a single EMG lead, the simultaneous recording of EMG and FSR output is performed. Three FSRs are placed directly over the EMG electrodes, in the middle of the targeted muscle and then the individual (FSR1, FSR2 and FSR3) and combination of FSR (e.g. FSR1+FSR2, FSR2-FSR3) is evaluated. The experiment is performed on a small sample of five volunteer subjects. The result shows a high correlation (up to 0.94) between FSR output and EMG linear envelope. Consequently, the usage of the best FSR sensor position shows the ability of electrode less FSR-LE to proportionally control the prosthesis (3-D claw). Furthermore, FSR can be used to develop a universal programmable muscle signal sensor that can be suitable to control the myo-activated prosthesis