733 research outputs found

    Classification of different reaching movements from the same limb using EEG

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    Objective. Brain–computer-interfaces (BCIs) have been proposed not only as assistive technologies but also as rehabilitation tools for lost functions. However, due to the stochastic nature, poor spatial resolution and signal to noise ratio from electroencephalography (EEG), multidimensional decoding has been the main obstacle to implement non-invasive BCIs in real-live rehabilitation scenarios. This study explores the classification of several functional reaching movements from the same limb using EEG oscillations in order to create a more versatile BCI for rehabilitation. Approach. Nine healthy participants performed four 3D center-out reaching tasks in four different sessions while wearing a passive robotic exoskeleton at their right upper limb. Kinematics data were acquired from the robotic exoskeleton. Multiclass extensions of Filter Bank Common Spatial Patterns (FBCSP) and a linear discriminant analysis (LDA) classifier were used to classify the EEG activity into four forward reaching movements (from a starting position towards four target positions), a backward movement (from any of the targets to the starting position and rest). Recalibrating the classifier using data from previous or the same session was also investigated and compared. Main results. Average EEG decoding accuracy were significantly above chance with 67%, 62.75%, and 50.3% when decoding three, four and six tasks from the same limb, respectively. Furthermore, classification accuracy could be increased when using data from the beginning of each session as training data to recalibrate the classifier. Significance. Our results demonstrate that classification from several functional movements performed by the same limb is possible with acceptable accuracy using EEG oscillations, especially if data from the same session are used to recalibrate the classifier. Therefore, an ecologically valid decoding could be used to control assistive or rehabilitation mutli-degrees of freedom (DoF) robotic devices using EEG data. These results have important implications towards assistive and rehabilitative neuroprostheses control in paralyzed patients.This study was funded by the Baden-Württemberg Stiftung (GRUENS), the Deutsche Forschungsgemeinschaft (DFG, Koselleck and SP-1533/2-1), Bundes Ministerium für Bildung und Forschung BMBF MOTORBIC (FKZ 13GW0053), the fortune-Program of the University of Tübingen (2422-0-0), and AMORSA (FKZ 16SV7754). A Sarasola-Sanz’s work is supported by the La Caixa-DAAD scholarship, and N IrastorzaLanda’s work by the Basque Government and IKERBASQUE, Basque Foundation for Science

    A transfer learning algorithm to reduce brain-computer interface calibration time for long-term users

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    Current motor imagery-based brain-computer interface (BCI) systems require a long calibration time at the beginning of each session before they can be used with adequate levels of classification accuracy. In particular, this issue can be a significant burden for long term BCI users. This article proposes a novel transfer learning algorithm, called r-KLwDSA, to reduce the BCI calibration time for long-term users. The proposed r-KLwDSA algorithm aligns the user's EEG data collected in previous sessions to the few EEG trials collected in the current session, using a novel linear alignment method. Thereafter, the aligned EEG trials from the previous sessions and the few EEG trials from the current sessions are fused through a weighting mechanism before they are used for calibrating the BCI model. To validate the proposed algorithm, a large dataset containing the EEG data from 11 stroke patients, each performing 18 BCI sessions, was used. The proposed framework demonstrated a significant improvement in the classification accuracy, of over 4% compared to the session-specific algorithm, when there were as few as two trials per class available from the current session. The proposed algorithm was particularly successful in improving the BCI accuracy of the sessions that had initial session-specific accuracy below 60%, with an average improvement of around 10% in the accuracy, leading to more stroke patients having meaningful BCI rehabilitation

    Use of Electroencephalography Brain-Computer Interface Systems as a Rehabilitative Approach for Upper Limb Function After a Stroke: A Systematic Review

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    Background: Brain-computer interface (BCI) systems have been suggested as a promising tool for neurorehabilitation. However, to date, there is a lack of homogeneous findings. Furthermore, no systematic reviews have analyzed the degree of validation of these interventions for upper limb (UL) motor rehabilitation poststroke. Objectives: The study aims were to compile all available studies that assess an UL intervention based on an electroencephalography (EEG) BCI system in stroke; to analyze the methodological quality of the studies retrieved; and to determine the effects of these interventions on the improvement of motor abilities. Type: This was a systematic review. Literature Survey: Searches were conducted in PubMed, PEDro, Embase, Cumulative Index to Nursing and Allied Health, Web of Science, and Cochrane Central Register of Controlled Trial from inception to September 30, 2015. Methodology: This systematic review compiles all available studies that assess UL intervention based on an EEG-BCI system in patients with stroke, analyzing their methodological quality using the Critical Review Form for Quantitative Studies, and determining the grade of recommendation of these interventions for improving motor abilities as established by the Oxford Centre for Evidence-based Medicine. The articles were selected according to the following criteria: studies evaluating an EEG-based BCI intervention; studies including patients with a stroke and hemiplegia, regardless of lesion origin or temporal evolution; interventions using an EEG-based BCI to restore functional abilities of the affected UL, regardless of the interface used or its combination with other therapies; and studies using validated tools to evaluate motor function. Synthesis: After the literature search, 13 articles were included in this review: 4 studies were randomized controlled trials; 1 study was a controlled study; 4 studies were case series studies; and 4 studies were case reports. The methodological quality of the included papers ranged from 6 to 15, and the level of evidence varied from 1b to 5. The articles included in this review involved a total of 141 stroke patients. Conclusions: This systematic review suggests that BCI interventions may be a promising rehabilitation approach in subjects with stroke. Level of Evidence: I

    A Multi-Modal, Modified-Feedback and Self-Paced Brain-Computer Interface (BCI) to Control an Embodied Avatar's Gait

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    Brain-computer interfaces (BCI) have been used to control the gait of a virtual self-avatar with the aim of being used in gait rehabilitation. A BCI decodes the brain signals representing a desire to do something and transforms them into a control command for controlling external devices. The feelings described by the participants when they control a self-avatar in an immersive virtual environment (VE) demonstrate that humans can be embodied in the surrogate body of an avatar (ownership illusion). It has recently been shown that inducing the ownership illusion and then manipulating the movements of one’s self-avatar can lead to compensatory motor control strategies. In order to maximize this effect, there is a need for a method that measures and monitors embodiment levels of participants immersed in virtual reality (VR) to induce and maintain a strong ownership illusion. This is particularly true given that reaching a high level of both BCI performance and embodiment are inter-connected. To reach one of them, the second must be reached as well. Some limitations of many existing systems hinder their adoption for neurorehabilitation: 1- some use motor imagery (MI) of movements other than gait; 2- most systems allow the user to take single steps or to walk but do not allow both, which prevents users from progressing from steps to gait; 3- most of them function in a single BCI mode (cue-paced or self-paced), which prevents users from progressing from machine-dependent to machine-independent walking. Overcoming the aforementioned limitations can be done by combining different control modes and options in one single system. However, this would have a negative impact on BCI performance, therefore diminishing its usefulness as a potential rehabilitation tool. In this case, there will be a need to enhance BCI performance. For such purpose, many techniques have been used in the literature, such as providing modified feedback (whereby the presented feedback is not consistent with the user’s MI), sequential training (recalibrating the classifier as more data becomes available). This thesis was developed over 3 studies. The objective in study 1 was to investigate the possibility of measuring the level of embodiment of an immersive self-avatar, during the performing, observing and imagining of gait, using electroencephalogram (EEG) techniques, by presenting visual feedback that conflicts with the desired movement of embodied participants. The objective of study 2 was to develop and validate a BCI to control single steps and forward walking of an immersive virtual reality (VR) self-avatar, using mental imagery of these actions, in cue-paced and self-paced modes. Different performance enhancement strategies were implemented to increase BCI performance. The data of these two studies were then used in study 3 to construct a generic classifier that could eliminate offline calibration for future users and shorten training time. Twenty different healthy participants took part in studies 1 and 2. In study 1, participants wore an EEG cap and motion capture markers, with an avatar displayed in a head-mounted display (HMD) from a first-person perspective (1PP). They were cued to either perform, watch or imagine a single step forward or to initiate walking on a treadmill. For some of the trials, the avatar took a step with the contralateral limb or stopped walking before the participant stopped (modified feedback). In study 2, participants completed a 4-day sequential training to control the gait of an avatar in both BCI modes. In cue-paced mode, they were cued to imagine a single step forward, using their right or left foot, or to walk forward. In the self-paced mode, they were instructed to reach a target using the MI of multiple steps (switch control mode) or maintaining the MI of forward walking (continuous control mode). The avatar moved as a response to two calibrated regularized linear discriminant analysis (RLDA) classifiers that used the μ power spectral density (PSD) over the foot area of the motor cortex as features. The classifiers were retrained after every session. During the training, and for some of the trials, positive modified feedback was presented to half of the participants, where the avatar moved correctly regardless of the participant’s real performance. In both studies, the participants’ subjective experience was analyzed using a questionnaire. Results of study 1 show that subjective levels of embodiment correlate strongly with the power differences of the event-related synchronization (ERS) within the μ frequency band, and over the motor and pre-motor cortices between the modified and regular feedback trials. Results of study 2 show that all participants were able to operate the cued-paced BCI and the selfpaced BCI in both modes. For the cue-paced BCI, the average offline performance (classification rate) on day 1 was 67±6.1% and 86±6.1% on day 3, showing that the recalibration of the classifiers enhanced the offline performance of the BCI (p < 0.01). The average online performance was 85.9±8.4% for the modified feedback group (77-97%) versus 75% for the non-modified feedback group. For self-paced BCI, the average performance was 83% at switch control and 92% at continuous control mode, with a maximum of 12 seconds of control. Modified feedback enhanced BCI performances (p =0.001). Finally, results of study 3 show that the constructed generic models performed as well as models obtained from participant-specific offline data. The results show that there it is possible to design a participant-independent zero-training BCI.Les interfaces cerveau-ordinateur (ICO) ont été utilisées pour contrôler la marche d'un égo-avatar virtuel dans le but d'être utilisées dans la réadaptation de la marche. Une ICO décode les signaux du cerveau représentant un désir de faire produire un mouvement et les transforme en une commande de contrôle pour contrôler des appareils externes. Les sentiments décrits par les participants lorsqu'ils contrôlent un égo-avatar dans un environnement virtuel immersif démontrent que les humains peuvent être incarnés dans un corps d'un avatar (illusion de propriété). Il a été récemment démontré que provoquer l’illusion de propriété puis manipuler les mouvements de l’égo-avatar peut conduire à des stratégies de contrôle moteur compensatoire. Afin de maximiser cet effet, il existe un besoin d'une méthode qui mesure et surveille les niveaux d’incarnation des participants immergés dans la réalité virtuelle (RV) pour induire et maintenir une forte illusion de propriété. D'autre part, atteindre un niveau élevé de performances (taux de classification) ICO et d’incarnation est interconnecté. Pour atteindre l'un d'eux, le second doit également être atteint. Certaines limitations de plusieurs de ces systèmes entravent leur adoption pour la neuroréhabilitation: 1- certains utilisent l'imagerie motrice (IM) des mouvements autres que la marche; 2- la plupart des systèmes permettent à l'utilisateur de faire des pas simples ou de marcher mais pas les deux, ce qui ne permet pas à un utilisateur de passer des pas à la marche; 3- la plupart fonctionnent en un seul mode d’ICO, rythmé (cue-paced) ou auto-rythmé (self-paced). Surmonter les limitations susmentionnées peut être fait en combinant différents modes et options de commande dans un seul système. Cependant, cela aurait un impact négatif sur les performances de l’ICO, diminuant ainsi son utilité en tant qu'outil potentiel de réhabilitation. Dans ce cas, il sera nécessaire d'améliorer les performances des ICO. À cette fin, de nombreuses techniques ont été utilisées dans la littérature, telles que la rétroaction modifiée, le recalibrage du classificateur et l'utilisation d'un classificateur générique. Le projet de cette thèse a été réalisé en 3 études, avec objectif d'étudier dans l'étude 1, la possibilité de mesurer le niveau d'incarnation d'un égo-avatar immersif, lors de l'exécution, de l'observation et de l'imagination de la marche, à l'aide des techniques encéphalogramme (EEG), en présentant une rétroaction visuelle qui entre en conflit avec la commande du contrôle moteur des sujets incarnés. L'objectif de l'étude 2 était de développer un BCI pour contrôler les pas et la marche vers l’avant d'un égo-avatar dans la réalité virtuelle immersive, en utilisant l'imagerie motrice de ces actions, dans des modes rythmés et auto-rythmés. Différentes stratégies d'amélioration des performances ont été mises en œuvre pour augmenter la performance (taux de classification) de l’ICO. Les données de ces deux études ont ensuite été utilisées dans l'étude 3 pour construire des classificateurs génériques qui pourraient éliminer la calibration hors ligne pour les futurs utilisateurs et raccourcir le temps de formation. Vingt participants sains différents ont participé aux études 1 et 2. Dans l'étude 1, les participants portaient un casque EEG et des marqueurs de capture de mouvement, avec un avatar affiché dans un casque de RV du point de vue de la première personne (1PP). Ils ont été invités à performer, à regarder ou à imaginer un seul pas en avant ou la marche vers l’avant (pour quelques secondes) sur le tapis roulant. Pour certains essais, l'avatar a fait un pas avec le membre controlatéral ou a arrêté de marcher avant que le participant ne s'arrête (rétroaction modifiée). Dans l'étude 2, les participants ont participé à un entrainement séquentiel de 4 jours pour contrôler la marche d'un avatar dans les deux modes de l’ICO. En mode rythmé, ils ont imaginé un seul pas en avant, en utilisant leur pied droit ou gauche, ou la marche vers l’avant . En mode auto-rythmé, il leur a été demandé d'atteindre une cible en utilisant l'imagerie motrice (IM) de plusieurs pas (mode de contrôle intermittent) ou en maintenir l'IM de marche vers l’avant (mode de contrôle continu). L'avatar s'est déplacé en réponse à deux classificateurs ‘Regularized Linear Discriminant Analysis’ (RLDA) calibrés qui utilisaient comme caractéristiques la densité spectrale de puissance (Power Spectral Density; PSD) des bandes de fréquences µ (8-12 Hz) sur la zone du pied du cortex moteur. Les classificateurs ont été recalibrés après chaque session. Au cours de l’entrainement et pour certains des essais, une rétroaction modifiée positive a été présentée à la moitié des participants, où l'avatar s'est déplacé correctement quelle que soit la performance réelle du participant. Dans les deux études, l'expérience subjective des participants a été analysée à l'aide d'un questionnaire. Les résultats de l'étude 1 montrent que les niveaux subjectifs d’incarnation sont fortement corrélés à la différence de la puissance de la synchronisation liée à l’événement (Event-Related Synchronization; ERS) sur la bande de fréquence μ et sur le cortex moteur et prémoteur entre les essais de rétroaction modifiés et réguliers. L'étude 2 a montré que tous les participants étaient capables d’utiliser le BCI rythmé et auto-rythmé dans les deux modes. Pour le BCI rythmé, la performance hors ligne moyenne au jour 1 était de 67±6,1% et 86±6,1% au jour 3, ce qui montre que le recalibrage des classificateurs a amélioré la performance hors ligne du BCI (p <0,01). La performance en ligne moyenne était de 85,9±8,4% pour le groupe de rétroaction modifié (77-97%) contre 75% pour le groupe de rétroaction non modifié. Pour le BCI auto-rythmé, la performance moyenne était de 83% en commande de commutateur et de 92% en mode de commande continue, avec un maximum de 12 secondes de commande. Les performances de l’ICO ont été améliorées par la rétroaction modifiée (p = 0,001). Enfin, les résultats de l'étude 3 montrent que pour la classification des initialisations des pas et de la marche, il a été possible de construire des modèles génériques à partir de données hors ligne spécifiques aux participants. Les résultats montrent la possibilité de concevoir une ICO ne nécessitant aucun entraînement spécifique au participant

    EEG and ECoG features for Brain Computer Interface in Stroke Rehabilitation

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    The ability of non-invasive Brain-Computer Interface (BCI) to control an exoskeleton was used for motor rehabilitation in stroke patients or as an assistive device for the paralyzed. However, there is still a need to create a more reliable BCI that could be used to control several degrees of Freedom (DoFs) that could improve rehabilitation results. Decoding different movements from the same limb, high accuracy and reliability are some of the main difficulties when using conventional EEG-based BCIs and the challenges we tackled in this thesis. In this PhD thesis, we investigated that the classification of several functional hand reaching movements from the same limb using EEG is possible with acceptable accuracy. Moreover, we investigated how the recalibration could affect the classification results. For this reason, we tested the recalibration in each multi-class decoding for within session, recalibrated between-sessions, and between sessions. It was shown the great influence of recalibrating the generated classifier with data from the current session to improve stability and reliability of the decoding. Moreover, we used a multiclass extension of the Filter Bank Common Spatial Patterns (FBCSP) to improve the decoding accuracy based on features and compared it to our previous study using CSP. Sensorimotor-rhythm-based BCI systems have been used within the same frequency ranges as a way to influence brain plasticity or controlling external devices. However, neural oscillations have shown to synchronize activity according to motor and cognitive functions. For this reason, the existence of cross-frequency interactions produces oscillations with different frequencies in neural networks. In this PhD, we investigated for the first time the existence of cross-frequency coupling during rest and movement using ECoG in chronic stroke patients. We found that there is an exaggerated phase-amplitude coupling between the phase of alpha frequency and the amplitude of gamma frequency, which can be used as feature or target for neurofeedback interventions using BCIs. This coupling has been also reported in another neurological disorder affecting motor function (Parkinson and dystonia) but, to date, it has not been investigated in stroke patients. This finding might change the future design of assistive or therapeuthic BCI systems for motor restoration in stroke patients

    MEG:hen perustuvan aivo-tietokone -käyttöliittymän kehitys

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    Brain–computer interfaces (BCI) have recently gained interest both in basic neuroscience and clinical interventions. The majority of noninvasive BCIs measure brain activity with electroencephalography (EEG). However, the real-time signal analysis and decoding of brain activity suffer from low signal-to-noise ratio and poor spatial resolution of EEG. These limitations could be overcome by using magnetoencephalography (MEG) as an alternative measurement modality. The aim of this thesis is to develop an MEG-based BCI for decoding hand motor imagery, which could eventually serve as a therapeutic method for patients recovering from e.g. cerebral stroke. Here, machine learning methods for decoding motor imagery -related brain activity are validated with healthy subjects’ MEG measurements. The first part of the thesis (Study I) involves a comparison of feature extraction methods for classifying left- vs right-hand motor imagery (MI), and MI vs rest. It was found that spatial filtering and further extraction of bandpower features yield better classification accuracy than time–frequency features extracted from parietal gradiometers. Furthermore, prior spatial filtering improved the discrimination capability of time–frequency features. The training data for a BCI is typically collected in the beginning of each measurement session. However, as this can be time-consuming and exhausting for the subject, the training data from other subjects’ measurements could be used as well. In the second part of the thesis (Study II), methods for across-subject classification of MI were compared. The results showed that a classifier based on multi-task learning with a l2,1-norm regularized logistic regression was the best method for across-subject decoding for both MEG and EEG. In Study II, we also compared the decoding results of simultaneously measured EEG and MEG data, and investigated whether the MEG responses to passive hand movements could be used to train a classifier to detect MI. MEG yielded altogether slightly, but not significantly, better results than EEG. Training the classifiers with subject’s own or other subjects’ passive movements did not result in high accuracy, which indicates that passive movements should not be used for calibrating an MI-BCI. The methods presented in this thesis are suitable for a real-time MEG-based BCI. The decoding results can be used as a benchmark when developing other classifiers specifically for motor imagery -related MEG data.Aivo-tietokone -käyttöliittymät (brain–computer interface; BCI) ovat viime aikoina herättäneet kiinnostusta niin neurotieteen perustutkimuksessa kuin kliinisissä interventioissakin. Suurin osa ei-invasiivisista BCI:stä mittaa aivotoimintaa elektroenkefalografialla (EEG). EEG:n matala signaali-kohinasuhde ja huono avaruudellinen resoluutio kuitenkin hankaloittavat reaaliaikais-ta signaalianalyysia ja aivotoiminnan luokittelua. Nämä rajoitteet voidaan kiertää käyttämällä magnetoenkefalografiaa (MEG) vaihtoehtoisena mittausmenetelmänä. Tämän työn tavoitteena on kehittää käden liikkeen kuvittelua luokitteleva, MEG:hen perustuva BCI, jota voidaan myöhemmin käyttää terapeuttisena menetelmänä esimerkiksi aivoinfarktista toipuvien potilaiden kuntoutuk-sessa. Tutkimuksessa validoidaan terveillä koehenkilöillä tehtyjen MEG-mittausten perusteella koneoppimismenetelmiä, joilla luokitellaan liikkeen kuvittelun aiheuttamaa aivotoimintaa. Ensimmäisessä osatyössä (Tutkimus I) vertailtiin piirteenirrotusmenetelmiä, joita käytetään erottamaan toisistaan vasemman ja oikean käden kuvittelu sekä liikkeen kuvittelu ja lepotila. Ha-vaittiin, että avaruudellisesti suodatettujen signaalien taajuuskaistan teho luokittelupiirteenä tuotti parempia luokittelutarkkuuksia kuin parietaalisista gradiometreistä mitatut aika-taajuuspiirteet. Lisäksi edeltävä avaruudellinen suodatus paransi aika-taajuuspiirteiden erottelukykyä luokittelu-tehtävissä.BCI:n opetusdata kerätään yleensä kunkin mittauskerran alussa. Koska tämä voi kuitenkin olla aikaavievää ja uuvuttavaa koehenkilölle, opetusdatana voidaan käyttää myös muilta koehenkilöiltä kerättyjä mittaussignaaleja. Toisessa osatyössä (Tutkimus II) vertailtiin koehenkilöiden väliseen luo-kitteluun soveltuvia menetelmiä. Tulosten perusteella monitehtäväoppimista ja l2,1-regularisoitua logistista regressiota käyttävä luokittelija oli paras menetelmä koehenkilöiden väliseen luokitteluun sekä MEG:llä että EEG:llä. Toisessa osatyössä vertailtiin myös samanaikaisesti mitattujen MEG:n ja EEG:n tuottamia luokit-telutuloksia, sekä tutkittiin voidaanko passiivisten kädenliikkeiden aikaansaamia MEG-vasteita käyttää liikkeen kuvittelua tunnistavien luokittelijoiden opetukseen. MEG tuotti hieman, muttei merkittävästi, parempia tuloksia kuin EEG. Luokittelijoiden opetus koehenkilöiden omilla tai mui-den koehenkilöiden passiiviliikkeillä ei tuottanut hyviä luokittelutarkkuuksia, mikä osoittaa että passiiviliikkeitä ei tulisi käyttää liikkeen kuvittelua tunnistavan BCI:n kalibrointiin. Työssä esitettyjä menetelmiä voidaan käyttää reaaliaikaisessa MEG-BCI:ssä. Luokittelutuloksia voidaan käyttää vertailukohtana kehitettäessä muita liikkeen kuvitteluun liittyvän MEG-datan luokittelijoita

    Transfer Learning for Motor Imagery based Brain Computer Interfaces

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    Current electroencephalogram (EEG) based brain-computer interface (BCI) systems have limited real-world practicality due to a number of issues, including the long calibration period required before each use. This thesis focuses on reducing the time required to calibrate the BCI system without sacrificing classification accuracy. To address this issue, previously collected EEG data could be potentially mined and reused in calibrating the BCI model for a new user/session. However, this is not a trivial task due to two key challenges. First, there are considerable non-stationarities between the current and previously collected EEG signals. Secondly, due to between-session variations, not all the previously collected EEG signals are helpful in training the new BCI model. Initially, the thesis explored the application of distribution alignment techniques to reduce the effects of EEG non-stationarity. A novel multiclass data space alignment (MDSA) algorithm was proposed and evaluated. Our results showed that the proposed MDSA alignment algorithm successfully improved the classification accuracy and reduced the effects of non-stationarity. The thesis then addressed the second challenge by developing a new framework. This framework utilised a new algorithm that identifies whether or not the new session would benefit from transfer learning. If so, a novel similarity measurement, called the Jensen-Shannon Ratio (JSR), was proposed to select one of the past session for training the BCI model. The proposed framework outperformed state-of-the-art algorithms when there were as few as five labelled trials per class available from the new session. Despite success to some extent the proposed framework was limited to a binary selection between only one of the past sessions and current data for training the BCI model. Finally, the thesis utilised the findings of the previous research in order to address both challenges. A novel transfer learning framework was proposed for long-term BCI users. The proposed framework utilised regularisation, alignment and weighting to train a BCI which outperformed state-of-the-art algorithms even when only two trials per class from the new session were available

    Comparing Recalibration Strategies for Electroencephalography-Based Decoders of Movement Intention in Neurological Patients with Motor Disability

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    Motor rehabilitation based on the association of electroencephalographic (EEG) activity and proprioceptive feedback has been demonstrated as a feasible therapy for patients with paralysis. To promote long-lasting motor recovery, these interventions have to be carried out across several weeks or even months. The success of these therapies partly relies on the performance of the system decoding movement intentions, which normally has to be recalibrated to deal with the nonstationarities of the cortical activity. Minimizing the recalibration times is important to reduce the setup preparation and maximize the effective therapy time. To date, a systematic analysis of the effect of recalibration strategies in EEG-driven interfaces for motor rehabilitation has not yet been performed. Data from patients with stroke (4 patients, 8 sessions) and spinal cord injury (SCI) (4 patients, 5 sessions) undergoing two different paradigms (self-paced and cue-guided, respectively) are used to study the performance of the EEG-based classification of motor intentions. Four calibration schemes are compared, considering different combinations of training datasets from previous and/or the validated session. The results show significant differences in classifier performances in terms of the true and false positives (TPs) and (FPs). Combining training data from previous sessions with data from the validation session provides the best compromise between the amount of data needed for calibration and the classifier performance. With this scheme, the average true (false) positive rates obtained are 85.3% (17.3%) and 72.9% (30.3%) for the self-paced and the cue-guided protocols, respectively. These results suggest that the use of optimal recalibration schemes for EEG-based classifiers of motor intentions leads to enhanced performances of these technologies, while not requiring long calibration phases prior to starting the intervention

    User Based Development and Test of the EXOTIC Exoskeleton:Empowering Individuals with Tetraplegia Using a Compact, Versatile, 5-DoF Upper Limb Exoskeleton Controlled through Intelligent Semi-Automated Shared Tongue Control

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    This paper presents the EXOTIC- a novel assistive upper limb exoskeleton for individuals with complete functional tetraplegia that provides an unprecedented level of versatility and control. The current literature on exoskeletons mainly focuses on the basic technical aspects of exoskeleton design and control while the context in which these exoskeletons should function is less or not prioritized even though it poses important technical requirements. We considered all sources of design requirements, from the basic technical functions to the real-world practical application. The EXOTIC features: (1) a compact, safe, wheelchair-mountable, easy to don and doff exoskeleton capable of facilitating multiple highly desired activities of daily living for individuals with tetraplegia; (2) a semi-automated computer vision guidance system that can be enabled by the user when relevant; (3) a tongue control interface allowing for full, volitional, and continuous control over all possible motions of the exoskeleton. The EXOTIC was tested on ten able-bodied individuals and three users with tetraplegia caused by spinal cord injury. During the tests the EXOTIC succeeded in fully assisting tasks such as drinking and picking up snacks, even for users with complete functional tetraplegia and the need for a ventilator. The users confirmed the usability of the EXOTIC

    Error-related potentials for adaptive decoding and volitional control

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    Locked-in syndrome (LIS) is a condition characterized by total or near-total paralysis with preserved cognitive and somatosensory function. For the locked-in, brain-machine interfaces (BMI) provide a level of restored communication and interaction with the world, though this technology has not reached its fullest potential. Several streams of research explore improving BMI performance but very little attention has been given to the paradigms implemented and the resulting constraints imposed on the users. Learning new mental tasks, constant use of external stimuli, and high attentional and cognitive processing loads are common demands imposed by BMI. These paradigm constraints negatively affect BMI performance by locked-in patients. In an effort to develop simpler and more reliable BMI for those suffering from LIS, this dissertation explores using error-related potentials, the neural correlates of error awareness, as an access pathway for adaptive decoding and direct volitional control. In the first part of this thesis we characterize error-related local field potentials (eLFP) and implement a real-time decoder error detection (DED) system using eLFP while non-human primates controlled a saccade BMI. Our results show specific traits in the eLFP that bridge current knowledge of non-BMI evoked error-related potentials with error-potentials evoked during BMI control. Moreover, we successfully perform real-time DED via, to our knowledge, the first real-time LFP-based DED system integrated into an invasive BMI, demonstrating that error-based adaptive decoding can become a standard feature in BMI design. In the second part of this thesis, we focus on employing electroencephalography error-related potentials (ErrP) for direct volitional control. These signals were employed as an indicator of the user’s intentions under a closed-loop binary-choice robot reaching task. Although this approach is technically challenging, our results demonstrate that ErrP can be used for direct control via binary selection and, given the appropriate levels of task engagement and agency, single-trial closed-loop ErrP decoding is possible. Taken together, this work contributes to a deeper understanding of error-related potentials evoked during BMI control and opens new avenues of research for employing ErrP as a direct control signal for BMI. For the locked-in community, these advancements could foster the development of real-time intuitive brain-machine control
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