30 research outputs found

    Time Frequency Feature Extraction Scheme based on MUAP for classification of Neuromuscular Disorders using EMG signals.

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    The features of motor unit action potentials(MUAPs) are extracted from electromyographic (EMG) signals which provide information for diagnosis of neuromuscular disorders. Neuromuscular Disorders are classified into two categories Myopathic and Amyotrophic Lateral Sclerosis(ALS). ALS is a progressive neurodegenerative disease that affects nerve cells in the brain and the spinal cord. The progressive degeneration of the motor neurons in ALS eventually leads to their demise. When the motor neurons die, the ability of the brain to initiate and control muscle movement is lost hence the EMG signals of the patient of this disease are characterized by signals that have a increased value of amplitude , thereby increasing the peak to peak value of the signal. On the other hand Myopathies are a group of disorders characterized by a primary structural or functional impairment of skeletal muscle. They usually affect muscle without involving the nervous system, resulting in muscular weakness hence the EMG signals of the patients of this group of disorder are characterized by signals of shorter duration and smaller amplitude. The aim of this study, is to design a automated system which can classify the signals as ALS , Myopathic and Normal.The proposed scheme employs extracting both time and time–frequency features of a MUAP and then providing it to classifier which can classify the signals as ALS, myopathic and normal.In the proposed system, three classifiers are implemented and their results are evaluated out of which Random Forest classification technique provides the highest accuracy of 97.85%

    Deep learning inspired feature engineering for classifying tremor severity

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    Bio-signals pattern recognition systems can be impacted by several factors with a potential to limit their associated performance and clinical translation. Among these factors, selecting the optimum feature extraction method, that can effectively exploit the interaction between the temporal and spatial information, is the most prominent. Despite the potential of deep learning (DL) models for extracting temporal, spatial, or temporal-spatial information, they are typically restricted by their need for a large amount of training data. The deep wavelet scattering transform (WST) is a relatively recent advancement within the DL literature to replace expensive convolution neural networks models with computationally less demanding methods. However, while some studies have used WST to extract features from biological signals, it has not been investigated before for electromyogram (EMG) and electroencephalogram (EEG) signals feature extraction. To investigate the hypothesis of the usefulness of WST for processing EMG and EEG signals, this study used a tremor dataset collected by the authors from people with tremor disorders. Specifically, the proposed work achieved three goals: (a) study the performance of extracting features from low-density EMG signals (8 channels), using the WST approach, (b) study the effect of extracting the features from high-density EEG signals (33 channels), using WST and study its robustness against changing the spatial and temporal aspects of classification accuracy, and (c) classify tremor severity using the WST method and compare the results with other well-known feature extraction approaches. The classification error rates were significantly reduced (maximum of nearly 12 %) compared with other feature sets

    Telemonitoring Parkinson's disease using machine learning by combining tremor and voice analysis

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    BACKGROUND: With the growing number of the aged population, the number of Parkinson's disease (PD) affected people is also mounting. Unfortunately, due to insufficient resources and awareness in underdeveloped countries, proper and timely PD detection is highly challenged. Besides, all PD patients' symptoms are neither the same nor they all become pronounced at the same stage of the illness. Therefore, this work aims to combine more than one symptom (rest tremor and voice degradation) by collecting data remotely using smartphones and detect PD with the help of a cloud-based machine learning system for telemonitoring the PD patients in the developing countries. METHOD: This proposed system receives rest tremor and vowel phonation data acquired by smartphones with built-in accelerometer and voice recorder sensors. The data are primarily collected from diagnosed PD patients and healthy people for building and optimizing machine learning models that exhibit higher performance. After that, data from newly suspected PD patients are collected, and the trained algorithms are evaluated to detect PD. Based on the majority-vote from those algorithms, PD-detected patients are connected with a nearby neurologist for consultation. Upon receiving patients' feedback after being diagnosed by the neurologist, the system may update the model by retraining using the latest data. Also, the system requests the detected patients periodically to upload new data to track their disease progress. RESULT: The highest accuracy in PD detection using offline data was [Formula: see text] from voice data and [Formula: see text] from tremor data when used separately. In both cases, k-nearest neighbors (kNN) gave the highest accuracy over support vector machine (SVM) and naive Bayes (NB). The application of maximum relevance minimum redundancy (MRMR) feature selection method showed that by selecting different feature sets based on the patient's gender, we could improve the detection accuracy. This study's novelty is the application of ensemble averaging on the combined decisions generated from the analysis of voice and tremor data. The average accuracy of PD detection becomes [Formula: see text] when ensemble averaging was performed on majority-vote from kNN, SVM, and NB. CONCLUSION: The proposed system can detect PD using a cloud-based system for computation, data preserving, and regular monitoring of voice and tremor samples captured by smartphones. Thus, this system can be a solution for healthcare authorities to ensure the older population's accessibility to a better medical diagnosis system in the developing countries, especially in the pandemic situation like COVID-19, when in-person monitoring is minimal

    One central oscillatory drive is compatible with experimental motor unit behaviour in essential and Parkinsonian tremor

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    Pathological tremors are symptomatic to several neurological disorders that are difficult to differentiate and the way by which central oscillatory networks entrain tremorogenic contractions is unknown. We considered the alternative hypotheses that tremor arises from one oscillator (at the tremor frequency) or, as suggested by recent findings from the superimposition of two separate inputs (at the tremor frequency and twice that frequency). Approach. Assuming one central oscillatory network we estimated analytically the relative amplitude of the harmonics of the tremor frequency in the motor neuron output for different temporal behaviors of the oscillator. Next, we analyzed the bias in the relative harmonics amplitude introduced by superimposing oscillations at twice the tremor frequency. These findings were validated using experimental measurements of wrist angular velocity and surface electromyography (EMG) from 22 patients (11 essential tremor, 11 Parkinson’s disease). The ensemble motor unit action potential trains identified from the EMG represented the neural drive to the muscles. Main results. The analytical results showed that the relative power of the tremor harmonics in the analytical models of the neural drive was determined by the variability and duration of the tremor bursts and the presence of the second oscillator biased this power towards higher values. The experimental findings accurately matched the analytical model assuming one oscillator, indicating a negligible functional role of secondary oscillatory inputs. Furthermore, a significant difference in the relative power of harmonics in the neural drive was found across the patient groups, suggesting a diagnostic value of this measure (classification accuracy: 86%). This diagnostic power decreased substantially when estimated from limb acceleration or the EMG. Signficance. The results indicate that the neural drive in pathological tremor is compatible with one central network providing neural oscillations at the tremor frequency. Moreover, the regularity of this neural oscillation varies across tremor pathologies, making the relative amplitude of tremor harmonics a potential biomarker for diagnostic use

    Intelligent Biosignal Processing in Wearable and Implantable Sensors

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    This reprint provides a collection of papers illustrating the state-of-the-art of smart processing of data coming from wearable, implantable or portable sensors. Each paper presents the design, databases used, methodological background, obtained results, and their interpretation for biomedical applications. Revealing examples are brain–machine interfaces for medical rehabilitation, the evaluation of sympathetic nerve activity, a novel automated diagnostic tool based on ECG data to diagnose COVID-19, machine learning-based hypertension risk assessment by means of photoplethysmography and electrocardiography signals, Parkinsonian gait assessment using machine learning tools, thorough analysis of compressive sensing of ECG signals, development of a nanotechnology application for decoding vagus-nerve activity, detection of liver dysfunction using a wearable electronic nose system, prosthetic hand control using surface electromyography, epileptic seizure detection using a CNN, and premature ventricular contraction detection using deep metric learning. Thus, this reprint presents significant clinical applications as well as valuable new research issues, providing current illustrations of this new field of research by addressing the promises, challenges, and hurdles associated with the synergy of biosignal processing and AI through 16 different pertinent studies. Covering a wide range of research and application areas, this book is an excellent resource for researchers, physicians, academics, and PhD or master students working on (bio)signal and image processing, AI, biomaterials, biomechanics, and biotechnology with applications in medicine

    Wearable sensor technologies applied for post-stroke rehabilitation

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    Stroke is a common cerebrovascular disease that is recognized as one of the leading causes of death and ongoing disability around the globe. Stroke can lead to losses of various body functions depending on the affected area of the brain and leave significant impacts to the victim’s daily life. Post-stroke rehabilitation plays an important role in improving the life quality of stroke survivors. Properly designed rehabilitation training programs can not only prevent further functional deterioration, but also helps patients gradually regain their body functionalities. However, the delivery of rehabilitation service can be a complex and labour intensive task. In conventional rehabilitation systems, the chart-based ordinal scales are considered the dominant tools for impairment assessment and the administration of the scales primarily relies on the doctor’s manual observation. Measuring instruments such as strain gauge and force platforms can sometimes be used to collect quantitative evidence for some of the body functions such as grip strength and balance. However, the evaluation of the patients’ impairment level using ordinal scales still depend on the human interpretation of the data which can be both subjective and inefficient. The preferred scale and evaluation standard also vary among institutions across different regions which make the comparison of data difficult and sometimes unreliable. Furthermore, the intensive manual supervision and support required in rehabilitation training session limits the accessibility of the service as the regular visit to qualified hospital can be onerous for many patients and the associated cost can impose an enormous financial burden on both the government and the households. The situation can be even more challenging in developing countries due to higher growing rate of stroke population and more limited medical resources. The works presented in this thesis are focused on exploring the possibilities of integrating wearable sensor and pattern recognition techniques to improve the efficiency and the effectiveness of post-stroke rehabilitation by addressing the abovementioned issues. The study was initiated by a comprehensive literature review on the latest motion tracking technologies and non-visual based Inertia Measurement Unit (IMU) had been selected as the most suitable candidate for motion sensing in unsupervised training environment due to its low-cost and easy-to-operate characteristics. Following the design and construction of the 6-axis IMU based Body Area Network (BAN), a series of stroke patient motion data collection experiments had been conducted in conjunction with the Jiaxing 2nd Hospital Rehabilitation Centre in Zhejiang province, China. The collected motion samples were then investigated using various signal processing algorithms and pattern recognition techniques to achieve the three major objectives: automatic impairment level classification for reducing human effort involved in regular clinical assessment, single-index based limb mobility evaluation for providing objective evidence to support unified body function assessment standards, and training motion classification for enabling home or community based rehabilitation training with reduced supervision. At last, the study has been further expanded by incorporating surface Electromyography (sEMG) signal sampled during rehabilitation exercises as an alternative input to enhance accurate impairment level classification. The outcome of the investigations demonstrate that the wearable technology can play an important role within a tele-rehabilitation system by providing objective, accurate and often realtime indications of the recovery process as well as the assistance for training management

    AN INVESTIGATION OF ELECTROMYOGRAPHIC (EMG) CONTROL OF DEXTROUS HAND PROSTHESES FOR TRANSRADIAL AMPUTEES

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    In reference to IEEE copyrighted material which is used with permission in this thesis, the IEEE does not endorse any of Plymouth University's products or services.There are many amputees around the world who have lost a limb through conflict, disease or an accident. Upper-limb prostheses controlled using surface Electromyography (sEMG) offer a solution to help the amputees; however, their functionality is limited by the small number of movements they can perform and their slow reaction times. Pattern recognition (PR)-based EMG control has been proposed to improve the functional performance of prostheses. It is a very promising approach, offering intuitive control, fast reaction times and the ability to control a large number of degrees of freedom (DOF). However, prostheses controlled with PR systems are not available for everyday use by amputees, because there are many major challenges and practical problems that need to be addressed before clinical implementation is possible. These include lack of individual finger control, an impractically large number of EMG electrodes, and the lack of deployment protocols for EMG electrodes site selection and movement optimisation. Moreover, the inability of PR systems to handle multiple forces is a further practical problem that needs to be addressed. The main aim of this project is to investigate the research challenges mentioned above via non-invasive EMG signal acquisition, and to propose practical solutions to help amputees. In a series of experiments, the PR systems presented here were tested with EMG signals acquired from seven transradial amputees, which is unique to this project. Previous studies have been conducted using non-amputees. In this work, the challenges described are addressed and a new protocol is proposed that delivers a fast clinical deployment of multi-functional upper limb prostheses controlled by PR systems. Controlling finger movement is a step towards the restoration of lost human capabilities, and is psychologically important, as well as physically. A central thread running through this work is the assertion that no two amputees are the same, each suffering different injuries and retaining differing nerve and muscle structures. This work is very much about individualised healthcare, and aims to provide the best possible solution for each affected individual on a case-by-case basis. Therefore, the approach has been to optimise the solution (in terms of function and reliability) for each individual, as opposed to developing a generic solution, where performance is optimised against a test population. This work is unique, in that it contributes to improving the quality of life for each individual amputee by optimising function and reliability. The main four contributions of the thesis are as follows: 1- Individual finger control was achieved with high accuracy for a large number of finger movements, using six optimally placed sEMG channels. This was validated on EMG signals for ten non-amputee and six amputee subjects. Thumb movements were classified successfully with high accuracy for the first time. The outcome of this investigation will help to add more movements to the prosthesis, and reduce hardware and computational complexity. 2- A new subject-specific protocol for sEMG site selection and reliable movement subset optimisation, based on the amputee’s needs, has been proposed and validated on seven amputees. This protocol will help clinicians to perform an efficient and fast deployment of prostheses, by finding the optimal number and locations of EMG channels. It will also find a reliable subset of movements that can be achieved with high performance. 3- The relationship between the force of contraction and the statistics of EMG signals has been investigated, utilising an experimental design where visual feedback from a Myoelectric Control Interface (MCI) helped the participants to produce the correct level of force. Kurtosis values were found to decrease monotonically when the contraction level increased, thus indicating that kurtosis can be used to distinguish different forces of contractions. 4- The real practical problem of the degradation of classification performance as a result of the variation of force levels during daily use of the prosthesis has been investigated, and solved by proposing a training approach and the use of a robust feature extraction method, based on the spectrum. The recommendations of this investigation improve the practical robustness of prostheses controlled with PR systems and progress a step further towards clinical implementation and improving the quality of life of amputees. The project showed that PR systems achieved a reliable performance for a large number of amputees, taking into account real life issues such as individual finger control for high dexterity, the effect of force level variation, and optimisation of the movements and EMG channels for each individual amputee. The findings of this thesis showed that the PR systems need to be appropriately tuned before usage, such as training with multiple forces to help to reduce the effect of force variation, aiming to improve practical robustness, and also finding the optimal EMG channel for each amputee, to improve the PR system’s performance. The outcome of this research enables the implementation of PR systems in real prostheses that can be used by amputees.Ministry of Higher Education and Scientific Research and Baghdad University- Baghdad/Ira

    Wearable Sensing for Solid Biomechanics: A Review

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    Understanding the solid biomechanics of the human body is important to the study of structure and function of the body, which can have a range of applications in health care, sport, well-being, and workflow analysis. Conventional laboratory-based biomechanical analysis systems and observation-based tests are designed only to capture brief snapshots of the mechanics of movement. With recent developments in wearable sensing technologies, biomechanical analysis can be conducted in less-constrained environments, thus allowing continuous monitoring and analysis beyond laboratory settings. In this paper, we review the current research in wearable sensing technologies for biomechanical analysis, focusing on sensing and analytics that enable continuous, long-term monitoring of kinematics and kinetics in a free-living environment. The main technical challenges, including measurement drift, external interferences, nonlinear sensor properties, sensor placement, and muscle variations, that can affect the accuracy and robustness of existing methods and different methods for reducing the impact of these sources of errors are described in this paper. Recent developments in motion estimation in kinematics, mobile force sensing in kinematics, sensor reduction for electromyography, and the future direction of sensing for biomechanics are also discussed
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