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

Brain-machine interfaces for rehabilitation in stroke: A review

BACKGROUND: Motor paralysis after stroke has devastating consequences for the patients, families and caregivers. Although therapies have improved in the recent years, traditional rehabilitation still fails in patients with severe paralysis. Brain-machine interfaces (BMI) have emerged as a promising tool to guide motor rehabilitation interventions as they can be applied to patients with no residual movement. OBJECTIVE: This paper reviews the efficiency of BMI technologies to facilitate neuroplasticity and motor recovery after stroke. METHODS: We provide an overview of the existing rehabilitation therapies for stroke, the rationale behind the use of BMIs for motor rehabilitation, the current state of the art and the results achieved so far with BMI-based interventions, as well as the future perspectives of neural-machine interfaces. RESULTS: Since the first pilot study by Buch and colleagues in 2008, several controlled clinical studies have been conducted, demonstrating the efficacy of BMIs to facilitate functional recovery in completely paralyzed stroke patients with noninvasive technologies such as the electroencephalogram (EEG). CONCLUSIONS: Despite encouraging results, motor rehabilitation based on BMIs is still in a preliminary stage, and further improvements are required to boost its efficacy. Invasive and hybrid approaches are promising and might set the stage for the next generation of stroke rehabilitation therapies.This study was funded by the Bundesministerium für Bildung und Forschung BMBF MOTORBIC (FKZ13GW0053)andAMORSA(FKZ16SV7754), the Deutsche Forschungsgemeinschaft (DFG), the fortüne-Program of the University of Tübingen (2422-0-0 and 2452-0-0), and the Basque GovernmentScienceProgram(EXOTEK:KK2016/00083). NIL was supported by the Basque Government’s scholarship for predoctoral students

Brain computer interface based robotic rehabilitation with online modification of task speed

We present a systematic approach that enables online modification/adaptation of robot assisted rehabilitation exercises by continuously monitoring intention levels of patients utilizing an electroencephalogram (EEG) based Brain-Computer Interface (BCI). In particular, we use Linear Discriminant Analysis (LDA) to classify event-related synchronization (ERS) and desynchronization (ERD) patterns associated with motor imagery; however, instead of providing a binary classification output, we utilize posterior probabilities extracted from LDA classifier as the continuous-valued outputs to control a rehabilitation robot. Passive velocity field control (PVFC) is used as the underlying robot controller to map instantaneous levels of motor imagery during the movement to the speed of contour following tasks. In other words, PVFC changes the speed of contour following tasks with respect to intention levels of motor imagery. PVFC also allows decoupling of the task and the speed of the task from each other, and ensures coupled stability of the overall robot patient system. The proposed framework is implemented on AssistOn-Mobile - a series elastic actuator based on a holonomic mobile platform, and feasibility studies with healthy volunteers have been conducted test effectiveness of the proposed approach. Giving patients online control over the speed of the task, the proposed approach ensures active involvement of patients throughout exercise routines and has the potential to increase the efficacy of robot assisted therapies

Integrating EEG and MEG signals to improve motor imagery classification in brain-computer interfaces

We propose a fusion approach that combines features from simultaneously recorded electroencephalographic (EEG) and magnetoencephalographic (MEG) signals to improve classification performances in motor imagery-based brain-computer interfaces (BCIs). We applied our approach to a group of 15 healthy subjects and found a significant classification performance enhancement as compared to standard single-modality approaches in the alpha and beta bands. Taken together, our findings demonstrate the advantage of considering multimodal approaches as complementary tools for improving the impact of non-invasive BCIs

GUIDER: a GUI for semiautomatic, physiologically driven EEG feature selection for a rehabilitation BCI

GUIDER is a graphical user interface developed in MATLAB software environment to identify electroencephalography (EEG)-based brain computer interface (BCI) control features for a rehabilitation application (i.e. post-stroke motor imagery training). In this context, GUIDER aims to combine physiological and machine learning approaches. Indeed, GUIDER allows therapists to set parameters and constraints according to the rehabilitation principles (e.g. affected hemisphere, sensorimotor relevant frequencies) and foresees an automatic method to select the features among the defined subset. As a proof of concept, we compared offline performances between manual, just based on operator’s expertise and experience, and GUIDER semiautomatic features selection on BCI data collected from stroke patients during BCI-supported motor imagery training. Preliminary results suggest that this semiautomatic approach could be successfully applied to support the human selection reducing operator dependent variability in view of future multi-centric clinical trials

Rehabilitative devices for a top-down approach

In recent years, neurorehabilitation has moved from a "bottom-up" to a "top down" approach. This change has also involved the technological devices developed for motor and cognitive rehabilitation. It implies that during a task or during therapeutic exercises, new "top-down" approaches are being used to stimulate the brain in a more direct way to elicit plasticity-mediated motor re-learning. This is opposed to "Bottom up" approaches, which act at the physical level and attempt to bring about changes at the level of the central neural system. Areas covered: In the present unsystematic review, we present the most promising innovative technological devices that can effectively support rehabilitation based on a top-down approach, according to the most recent neuroscientific and neurocognitive findings. In particular, we explore if and how the use of new technological devices comprising serious exergames, virtual reality, robots, brain computer interfaces, rhythmic music and biofeedback devices might provide a top-down based approach. Expert commentary: Motor and cognitive systems are strongly harnessed in humans and thus cannot be separated in neurorehabilitation. Recently developed technologies in motor-cognitive rehabilitation might have a greater positive effect than conventional therapies

Brain-Computer Interface: comparison of two control modes to drive a virtual robot

A Brain-Computer Interface (BCI) is a system that enables communication and control that is not based on muscular movements, but on brain activity. Some of these systems are based on discrimination of different mental tasks; usually they match the number of mental tasks to the number of control commands. Previous research at the University of Málaga (UMA-BCI) have proposed a BCI system to freely control an external device, letting the subjects choose among several navigation commands using only one active mental task (versus any other mental activity). Although the navigation paradigm proposed in this system has been proved useful for continuous movements, if the user wants to move medium or large distances, he/she needs to keep the effort of the MI task in order to keep the command. In this way, the aim of this work was to test a navigation paradigm based on the brain-switch mode for ‘forward’ command. In this mode, the subjects used the mental task to switch their state on /off: they stopped if they were moving forward and vice versa. Initially, twelve healthy and untrained subjects participated in this study, but due to a lack of control in previous session, only four subjects participated in the experiment, in which they had to control a virtual robot using two paradigms: one based on continuous mode and another based on switch mode. Preliminary results show that both paradigms can be used to navigate through virtual environments, although with the first one the times needed to complete a path were notably lower.Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech

Games and Brain-Computer Interfaces: The State of the Art

BCI gaming is a very young field; most games are proof-of-concepts. Work that compares BCIs in a game environments with traditional BCIs indicates no negative effects, or even a positive effect of the rich visual environments on the performance. The low transfer-rate of current games poses a problem for control of a game. This is often solved by changing the goal of the game. Multi-modal input with BCI forms an promising solution, as does assigning more meaningful functionality to BCI control