Transferring a deep learning model from healthy subjects to stroke patients in a motor imagery brain-computer interface.

Objective.Motor imagery (MI) brain-computer interfaces (BCIs) based on electroencephalogram (EEG) have been developed primarily for stroke rehabilitation, however, due to limited stroke data, current deep learning methods for cross-subject classification rely on healthy data. This study aims to assess the feasibility of applying MI-BCI models pre-trained using data from healthy individuals to detect MI in stroke patients.Approach.We introduce a new transfer learning approach where features from two-class MI data of healthy individuals are used to detect MI in stroke patients. We compare the results of the proposed method with those obtained from analyses within stroke data. Experiments were conducted using Deep ConvNet and state-of-the-art subject-specific machine learning MI classifiers, evaluated on OpenBMI two-class MI-EEG data from healthy subjects and two-class MI versus rest data from stroke patients.Main results.Results of our study indicate that through domain adaptation of a model pre-trained using healthy subjects' data, an average MI detection accuracy of 71.15% (±12.46%) can be achieved across 71 stroke patients. We demonstrate that the accuracy of the pre-trained model increased by 18.15% after transfer learning (p<0.001). Additionally, the proposed transfer learning method outperforms the subject-specific results achieved by Deep ConvNet and FBCSP, with significant enhancements of 7.64% (p<0.001) and 5.55% (p<0.001) in performance, respectively. Notably, the healthy-to-stroke transfer learning approach achieved similar performance to stroke-to-stroke transfer learning, with no significant difference (p>0.05). Explainable AI analyses using transfer models determined channel relevance patterns that indicate contributions from the bilateral motor, frontal, and parietal regions of the cortex towards MI detection in stroke patients.Significance.Transfer learning from healthy to stroke can enhance the clinical use of BCI algorithms by overcoming the challenge of insufficient clinical data for optimal training.

Efficacy of Brain-Computer Interface and the Impact of Its Design Characteristics on Poststroke Upper-limb Rehabilitation: A Systematic Review and Meta-analysis of Randomized Controlled Trials.

Background. A number of recent randomized controlled trials reported the efficacy of brain-computer interface (BCI) for upper-limb stroke rehabilitation compared with other therapies. Despite the encouraging results reported, there is a significant variance in the reported outcomes. This paper aims to investigate the effectiveness of different BCI designs on poststroke upper-limb rehabilitation. Methods. The effect sizes of pooled and individual studies were assessed by computing Hedge's g values with a 95% confidence interval. Subgroup analyses were also performed to examine the impact of different BCI designs on the treatment effect. Results. The study included 12 clinical trials involving 298 patients. The analysis showed that the BCI yielded significant superior short-term and long-term efficacy in improving the upper-limb motor function compared to the control therapies (Hedge's g = 0.73 and 0.33, respectively). Based on our subgroup analyses, the BCI studies that used the intention of movement had a higher effect size compared to those used motor imagery (Hedge's g = 1.21 and 0.55, respectively). The BCI studies using band power features had a significantly higher effect size than those using filter bank common spatial patterns features (Hedge's g = 1.25 and - 0.23, respectively). Finally, the studies that used functional electrical stimulation as the BCI feedback had the highest effect size compared to other devices (Hedge's g = 1.2). Conclusion. This meta-analysis confirmed the effectiveness of BCI for upper-limb rehabilitation. Our findings support the use of band power features, the intention of movement, and the functional electrical stimulation in future BCI designs for poststroke upper-limb rehabilitation.

Generative Adversarial Networks-Based Data Augmentation for Brain-Computer Interface.

The performance of a classifier in a brain-computer interface (BCI) system is highly dependent on the quality and quantity of training data. Typically, the training data are collected in a laboratory where the users perform tasks in a controlled environment. However, users' attention may be diverted in real-life BCI applications and this may decrease the performance of the classifier. To improve the robustness of the classifier, additional data can be acquired in such conditions, but it is not practical to record electroencephalogram (EEG) data over several long calibration sessions. A potentially time- and cost-efficient solution is artificial data generation. Hence, in this study, we proposed a framework based on the deep convolutional generative adversarial networks (DCGANs) for generating artificial EEG to augment the training set in order to improve the performance of a BCI classifier. To make a comparative investigation, we designed a motor task experiment with diverted and focused attention conditions. We used an end-to-end deep convolutional neural network for classification between movement intention and rest using the data from 14 subjects. The results from the leave-one subject-out (LOO) classification yielded baseline accuracies of 73.04% for diverted attention and 80.09% for focused attention without data augmentation. Using the proposed DCGANs-based framework for augmentation, the results yielded a significant improvement of 7.32% for diverted attention ( ) and 5.45% for focused attention ( ). In addition, we implemented the method on the data set IVa from BCI competition III to distinguish different motor imagery tasks. The proposed method increased the accuracy by 3.57% ( ). This study shows that using GANs for EEG augmentation can significantly improve BCI performance, especially in real-life applications, whereby users' attention may be diverted.

Prefrontal Cortical Activation While Doing Mindfulness Task: a Pilot Functional Near-Infrared Spectroscopy Study.

Mindfulness interventions are increasingly used in clinical settings. Neurophysiological mechanisms underlying mindfulness offer objective evidence that can help us evaluate the efficacy of mindfulness. Recent advances in technology have facilitated the use of functional Near-Infrared Spectroscopy (fNIRS) as a light weight, portable, and relatively lower cost neuroimaging device as compared to functional Magnetic Resonance Imaging (fMRI). In contrast to numerous fMRI studies, there are scanty investigations using fNIRS to study mindfulness. Hence, this study was done to investigate the feasibility of using a continuous-wave multichannel fNIRS system to study cerebral cortex activations on a mindfulness task versus a baseline task. NIRS data from 14 healthy Asian subjects were collected. A statistical parametric mapping toolbox specific for statistical analysis of NIRS signal called NIRS_SPM was used to study the activations. The results from group analysis performed on the contrast of the mindfulness versus baseline tasks showed foci of activations on the left and central parts of the prefrontal cortex. The findings are consistent with prevailing fMRI studies and show promise of using fNIRS system for studying real-time neurophysiological cortical activations during mindfulness practice.

Weighted Transfer Learning of Dynamic Time Warped Data for Motor Imagery based Brain Computer Interfaces.

A large amount of calibration data is typically needed to train an electroencephalogram (EEG)-based brain-computer interfaces (BCI) due to the non-stationary nature of EEG data. This paper proposes a novel weighted transfer learning algorithm using a dynamic time warping (DTW) based alignment method to alleviate this need by using data from other subjects. DTW-based alignment is first applied to reduce the temporal variations between a specific subject data and the transfer learning data from other subjects. Next, similarity is measured using Kullback Leibler divergence (KL) between the DTW aligned data and the specific subject data. The other subjects' data are then weighted based on their KL similarity to each trials of the specific subject data. This weighted data from other subjects are then used to train the BCI model of the specific subject. An experiment was performed on publicly available BCI Competition IV dataset 2a. The proposed algorithm yielded an average improvement of 9% compared to a subject-specific BCI model trained with 4 trials, and the results yielded an average improvement of 10% compared to naive transfer learning. Overall, the proposed DTW-aligned KL weighted transfer learning algorithm show promise to alleviate the need of large amount of calibration data by using only a short calibration data.

Assessment of the Efficacy of EEG-Based MI-BCI With Visual Feedback and EEG Correlates of Mental Fatigue for Upper-Limb Stroke Rehabilitation.

OBJECTIVE: This single-arm multisite trial investigates the efficacy of the neurostyle brain exercise therapy towards enhanced recovery (nBETTER) system, an electroencephalogram (EEG)-based motor imagery brain-computer interface (MI-BCI) employing visual feedback for upper-limb stroke rehabilitation, and the presence of EEG correlates of mental fatigue during BCI usage. METHODS: A total of 13 recruited stroke patients underwent thrice-weekly nBETTER therapy coupled with standard arm therapy over six weeks. Upper-extremity Fugl-Meyer motor assessment (FMA) scores were measured at baseline (week 0), post-intervention (week 6), and follow-ups (weeks 12 and 24). In total, 11/13 patients (mean age 55.2 years old, mean post-stroke duration 333.7 days, mean baseline FMA 35.5) completed the study. RESULTS: Significant FMA gains relative to baseline were observed at weeks 6 and 24. Retrospectively comparing to the standard arm therapy (SAT) control group and BCI with haptic knob (BCI-HK) intervention group from a previous similar study, the SAT group had no significant gains, whereas the BCI-HK group had significant gains at weeks 6, 12, and 24. EEG analysis revealed significant positive correlations between relative beta power and BCI performance in the frontal and central brain regions, suggesting that mental fatigue may contribute to poorer BCI performance. CONCLUSION: nBETTER, an EEG-based MI-BCI employing only visual feedback, helps stroke survivors sustain short-term FMA improvement. Analysis of EEG relative beta power indicates that mental fatigue may be present. SIGNIFICANCE: This study adds nBETTER to the growing literature of safe and effective stroke rehabilitation MI-BCI, and suggests an additional fatigue-monitoring role in future such BCI.

Mindfulness and hemodynamics in asians: a literature review.

INTRODUCTION: Mindfulness interventions have been increasingly incorporated into clinical settings. Evidence supporting mindfulness practices are predominantly established in Western populations. Neurophysiological evidence has not been established to support the effectiveness of mindfulness practice in Asian populations. Greater understanding of the neurophysiological mechanisms underlying mindfulness would enable hemodynamics as measured by fNIRS to be used to monitor mindfulness practice as an adjunct to psychotherapy with Asian clients. METHOD: Research relating to fNIRS and hemodynamics for mindfulness in Asians was reviewed. The inclusion criteria for this review were recent publications in peer-reviewed journals from 2008 to 2018, with the search terms 'fNIRS', 'hemodynamics' and 'mindfulness', for studies in Asia. FINDINGS: Databases included Medline, PubMed, PSYCINFO, Google Scholar and SCOPUS. Initial searches yielded 86 results. Five duplicated articles were removed, and remaining abstracts were screened; and assessed for eligibility against the structured performa. Three full text papers which fit the inclusion criteria were included in the current review. CONCLUSION: This review highlighted the paucity of rigorous empirically validated research for hemodynamics as measured with fNIRS for mindfulness practice in Asia.

Increased Theta Oscillations During Motor Imagery in a Subject with Late-stage ALS.

Non-invasive brain computer interface (BCI) has been successfully used to control cursors, helicopters and robotic arms. However, this technology is not widely adopted by people with late-stage amyotrophic lateral sclerosis (ALS) due to poor effectiveness. In this study, we attempt to assess the cognitive state of a completely locked-in ALS subject, and her ability to use motor imagery-based BCI for control. The subject achieves above chance level accuracies for both open loop (62.2%) and closed-loop (68.7%) 2-class movement vs. idle decoding. We also observe a prominent theta oscillation with peak frequency at 4.5 Hz during the experiments. Quantification shows that the theta oscillatory power increases during motor imagery tasks compared to idle tasks for both open-loop as well as closed-loop BCI tasks. Furthermore, for closed-loop sessions, theta oscillation power correlates positively with feedback accuracy during movement tasks, and negatively with feedback accuracy during idle tasks. Our study demonstrates the feasibility of motor imagery-based BCI for late-stage ALS subjects, and highlights the importance of feedback during BCI implementation.

Modeling EEG-based Motor Imagery with Session to Session Online Adaptation.

Subject-specific calibration plays an important role in electroencephalography (EEG)-based Brain-Computer Interface (BCI) for Motor Imagery (MI) detection. A calibration session is often introduced to build a subject specific model, which then can be deployed into BCI system for MI detection in the following rehabilitation sessions. The model is termed as a fixed calibration model. Progressive adaptive models can also be built by using data not only from calibration session, but also from available rehabilitation sessions. It was reported that the progressive adaptive model yielded significant improved MI detection compared to the fixed model in a retrospective clinical study. In this work, we deploy the progressive adaptation model in a BCI-based stroke rehabilitation system and bring it online. We dub this system nBETTER (Neurostyle Brain Exercise Therapy Towards Enhanced Recovery). A clinical trial using the nBETTER system was conducted to evaluate the performance of 11 stroke patients who underwent a calibration session followed by 18 rehabilitation sessions over 6 weeks. We conduct retrospective analysis to compare the performance of various modeling strategies: the fixed calibration model, the online progressive adaptation model and a light-weight adaptation model, where the second one is generated online by nBETTER system and the other two models are obtained retrospectively. The mean accuracy of the three models across 11 subjects are 68.17%, 74.04% and 74.53% respectively. Statistical test conducted on the three groups using ANOVA yields a p-value of 9.83-e06. The test result shows that the two adaptation models both have significant different mean from fixed mode. Hence our study confirmed the effectiveness of using the progressive adaptive model for EEGbased BCI to detect MI in an online setting.

Facilitating motor imagery-based brain-computer interface for stroke patients using passive movement.

Motor imagery-based brain-computer interface (MI-BCI) has been proposed as a rehabilitation tool to facilitate motor recovery in stroke. However, the calibration of a BCI system is a time-consuming and fatiguing process for stroke patients, which leaves reduced time for actual therapeutic interaction. Studies have shown that passive movement (PM) (i.e., the execution of a movement by an external agency without any voluntary motions) and motor imagery (MI) (i.e., the mental rehearsal of a movement without any activation of the muscles) induce similar EEG patterns over the motor cortex. Since performing PM is less fatiguing for the patients, this paper investigates the effectiveness of calibrating MI-BCIs from PM for stroke subjects in terms of classification accuracy. For this purpose, a new adaptive algorithm called filter bank data space adaptation (FB-DSA) is proposed. The FB-DSA algorithm linearly transforms the band-pass-filtered MI data such that the distribution difference between the MI and PM data is minimized. The effectiveness of the proposed algorithm is evaluated by an offline study on data collected from 16 healthy subjects and 6 stroke patients. The results show that the proposed FB-DSA algorithm significantly improved the classification accuracies of the PM and MI calibrated models (p < 0.05). According to the obtained classification accuracies, the PM calibrated models that were adapted using the proposed FB-DSA algorithm outperformed the MI calibrated models by an average of 2.3 and 4.5 % for the healthy and stroke subjects respectively. In addition, our results suggest that the disparity between MI and PM could be stronger in the stroke patients compared to the healthy subjects, and there would be thus an increased need to use the proposed FB-DSA algorithm in BCI-based stroke rehabilitation calibrated from PM.

Brain plasticity following MI-BCI training combined with tDCS in a randomized trial in chronic subcortical stroke subjects: a preliminary study.

Brain-computer interface-assisted motor imagery (MI-BCI) or transcranial direct current stimulation (tDCS) has been used in stroke rehabilitation, though their combinatory effect is unknown. We investigated brain plasticity following a combined MI-BCI and tDCS intervention in chronic subcortical stroke patients with unilateral upper limb disability. Nineteen patients were randomized into tDCS and sham-tDCS groups. Diffusion and perfusion MRI, and transcranial magnetic stimulation were used to study structural connectivity, cerebral blood flow (CBF), and corticospinal excitability, respectively, before and 4 weeks after the 2-week intervention. After quality control, thirteen subjects were included in the CBF analysis. Eleven healthy controls underwent 2 sessions of MRI for reproducibility study. Whereas motor performance showed comparable improvement, long-lasting neuroplasticity can only be detected in the tDCS group, where white matter integrity in the ipsilesional corticospinal tract and bilateral corpus callosum was increased but sensorimotor CBF was decreased, particularly in the ipsilesional side. CBF change in the bilateral parietal cortices also correlated with motor function improvement, consistent with the increased white matter integrity in the corpus callosum connecting these regions, suggesting an involvement of interhemispheric interaction. The preliminary results indicate that tDCS may facilitate neuroplasticity and suggest the potential for refining rehabilitation strategies for stroke patients.

EEG-Based Strategies to Detect Motor Imagery for Control and Rehabilitation.

Advances in brain-computer interface (BCI) technology have facilitated the detection of Motor Imagery (MI) from electroencephalography (EEG). First, we present three strategies of using BCI to detect MI from EEG: operant conditioning that employed a fixed model, machine learning that employed a subject-specific model computed from calibration, and adaptive strategy that continuously compute the subject-specific model. Second, we review prevailing works that employed the operant conditioning and machine learning strategies. Third, we present our past work on six stroke patients who underwent a BCI rehabilitation clinical trial with averaged accuracies of 79.8% during calibration and 69.5% across 18 online feedback sessions. Finally, we perform an offline study in this paper on our work employing the adaptive strategy. The results yielded significant improvements of 12% (p < 0.001) and 9% (p < 0.001) using all the data and using limited preceding data respectively in the feedback accuracies. The results showed an increase in the amount of training data yielded improvements. Nevertheless, results of using limited preceding data showed a larger part of the improvement was due to the adaptive strategy and changing subject-specific models did not deteriorate the accuracies. Hence the adaptive strategy is effective in addressing the non-stationarity between calibration and feedback sessions.

A Unified Fisher's Ratio Learning Method for Spatial Filter Optimization.

To detect the mental task of interest, spatial filtering has been widely used to enhance the spatial resolution of electroencephalography (EEG). However, the effectiveness of spatial filtering is undermined due to the significant nonstationarity of EEG. Based on regularization, most of the conventional stationary spatial filter design methods address the nonstationarity at the cost of the interclass discrimination. Moreover, spatial filter optimization is inconsistent with feature extraction when EEG covariance matrices could not be jointly diagonalized due to the regularization. In this paper, we propose a novel framework for a spatial filter design. With Fisher's ratio in feature space directly used as the objective function, the spatial filter optimization is unified with feature extraction. Given its ratio form, the selection of the regularization parameter could be avoided. We evaluate the proposed method on a binary motor imagery data set of 16 subjects, who performed the calibration and test sessions on different days. The experimental results show that the proposed method yields improvement in classification performance for both single broadband and filter bank settings compared with conventional nonunified methods. We also provide a systematic attempt to compare different objective functions in modeling data nonstationarity with simulation studies.To detect the mental task of interest, spatial filtering has been widely used to enhance the spatial resolution of electroencephalography (EEG). However, the effectiveness of spatial filtering is undermined due to the significant nonstationarity of EEG. Based on regularization, most of the conventional stationary spatial filter design methods address the nonstationarity at the cost of the interclass discrimination. Moreover, spatial filter optimization is inconsistent with feature extraction when EEG covariance matrices could not be jointly diagonalized due to the regularization. In this paper, we propose a novel framework for a spatial filter design. With Fisher's ratio in feature space directly used as the objective function, the spatial filter optimization is unified with feature extraction. Given its ratio form, the selection of the regularization parameter could be avoided. We evaluate the proposed method on a binary motor imagery data set of 16 subjects, who performed the calibration and test sessions on different days. The experimental results show that the proposed method yields improvement in classification performance for both single broadband and filter bank settings compared with conventional nonunified methods. We also provide a systematic attempt to compare different objective functions in modeling data nonstationarity with simulation studies.

Facilitating effects of transcranial direct current stimulation on motor imagery brain-computer interface with robotic feedback for stroke rehabilitation.

OBJECTIVE: To investigate the efficacy and effects of transcranial direct current stimulation (tDCS) on motor imagery brain-computer interface (MI-BCI) with robotic feedback for stroke rehabilitation. DESIGN: A sham-controlled, randomized controlled trial. SETTING: Patients recruited through a hospital stroke rehabilitation program. PARTICIPANTS: Subjects (N=19) who incurred a stroke 0.8 to 4.3 years prior, with moderate to severe upper extremity functional impairment, and passed BCI screening. INTERVENTIONS: Ten sessions of 20 minutes of tDCS or sham before 1 hour of MI-BCI with robotic feedback upper limb stroke rehabilitation for 2 weeks. Each rehabilitation session comprised 8 minutes of evaluation and 1 hour of therapy. MAIN OUTCOME MEASURES: Upper extremity Fugl-Meyer Motor Assessment (FMMA) scores measured end-intervention at week 2 and follow-up at week 4, online BCI accuracies from the evaluation part, and laterality coefficients of the electroencephalogram (EEG) from the therapy part of the 10 rehabilitation sessions. RESULTS: FMMA score improved in both groups at week 4, but no intergroup differences were found at any time points. Online accuracies of the evaluation part from the tDCS group were significantly higher than those from the sham group. The EEG laterality coefficients from the therapy part of the tDCS group were significantly higher than those of the sham group. CONCLUSIONS: The results suggest a role for tDCS in facilitating motor imagery in stroke.

A Randomized Controlled Trial of EEG-Based Motor Imagery Brain-Computer Interface Robotic Rehabilitation for Stroke.

Electroencephalography (EEG)-based motor imagery (MI) brain-computer interface (BCI) technology has the potential to restore motor function by inducing activity-dependent brain plasticity. The purpose of this study was to investigate the efficacy of an EEG-based MI BCI system coupled with MIT-Manus shoulder-elbow robotic feedback (BCI-Manus) for subjects with chronic stroke with upper-limb hemiparesis. In this single-blind, randomized trial, 26 hemiplegic subjects (Fugl-Meyer Assessment of Motor Recovery After Stroke [FMMA] score, 4-40; 16 men; mean age, 51.4 years; mean stroke duration, 297.4 days), prescreened with the ability to use the MI BCI, were randomly allocated to BCI-Manus or Manus therapy, lasting 18 hours over 4 weeks. Efficacy was measured using upper-extremity FMMA scores at weeks 0, 2, 4 and 12. ElEG data from subjects allocated to BCI-Manus were quantified using the revised brain symmetry index (rBSI) and analyzed for correlation with the improvements in FMMA score. Eleven and 15 subjects underwent BCI-Manus and Manus therapy, respectively. One subject in the Manus group dropped out. Mean total FMMA scores at weeks 0, 2, 4, and 12 weeks improved for both groups: 26.3±10.3, 27.4±12.0, 30.8±13.8, and 31.5±13.5 for BCI-Manus and 26.6±18.9, 29.9±20.6, 32.9±21.4, and 33.9±20.2 for Manus, with no intergroup differences (P=.51). More subjects attained further gains in FMMA scores at week 12 from BCI-Manus (7 of 11 [63.6%]) than Manus (5 of 14 [35.7%]). A negative correlation was found between the rBSI and FMMA score improvement (P=.044). BCI-Manus therapy was well tolerated and not associated with adverse events. In conclusion, BCI-Manus therapy is effective and safe for arm rehabilitation after severe poststroke hemiparesis. Motor gains were comparable to those attained with intensive robotic therapy (1,040 repetitions/session) despite reduced arm exercise repetitions using EEG-based MI-triggered robotic feedback (136 repetitions/session). The correlation of rBSI with motor improvements suggests that the rBSI can be used as a prognostic measure for BCI-based stroke rehabilitation.

Detection of motor imagery of swallow EEG signals based on the dual-tree complex wavelet transform and adaptive model selection.

OBJECTIVE: Detection of motor imagery of hand/arm has been extensively studied for stroke rehabilitation. This paper firstly investigates the detection of motor imagery of swallow (MI-SW) and motor imagery of tongue protrusion (MI-Ton) in an attempt to find a novel solution for post-stroke dysphagia rehabilitation. Detection of MI-SW from a simple yet relevant modality such as MI-Ton is then investigated, motivated by the similarity in activation patterns between tongue movements and swallowing and there being fewer movement artifacts in performing tongue movements compared to swallowing. APPROACH: Novel features were extracted based on the coefficients of the dual-tree complex wavelet transform to build multiple training models for detecting MI-SW. The session-to-session classification accuracy was boosted by adaptively selecting the training model to maximize the ratio of between-classes distances versus within-class distances, using features of training and evaluation data. MAIN RESULTS: Our proposed method yielded averaged cross-validation (CV) classification accuracies of 70.89% and 73.79% for MI-SW and MI-Ton for ten healthy subjects, which are significantly better than the results from existing methods. In addition, averaged CV accuracies of 66.40% and 70.24% for MI-SW and MI-Ton were obtained for one stroke patient, demonstrating the detectability of MI-SW and MI-Ton from the idle state. Furthermore, averaged session-to-session classification accuracies of 72.08% and 70% were achieved for ten healthy subjects and one stroke patient using the MI-Ton model. SIGNIFICANCE: These results and the subjectwise strong correlations in classification accuracies between MI-SW and MI-Ton demonstrated the feasibility of detecting MI-SW from MI-Ton models.

Motor imagery BCI for upper limb stroke rehabilitation: An evaluation of the EEG recordings using coherence analysis.

Brain-computer interface (BCI) technology has the potential as a post-stroke rehabilitation tool, and the efficacy of the technology is most often demonstrated through output peripherals such as robots, orthosis and computers. In this study, the EEG signals recorded during the course of upper limb stroke rehabilitaion using motor imagery BCI were analyzed to better understand the effect of BCI therapy for post-stroke rehabilitation. The stroke patients recruited underwent 10 sessions of 1-hour BCI with robotic feedback for 2 weeks, 5 times a week. The analysis was performed by computing the coherences of the EEG in the lesion and contralesion side of the hemisphere from each session, and the coherence index of the lesion hemisphere (0 ≤ CI ≤ 1) was computed. The coherence index represents the rate of activation of the lesion hemisphere, and the correlation with the Fugl-Meyer assessment (FMA) before and after the BCI therapy was investigated. Significant improvement in the FMA scores was reported for five of the six patients (p = 0.01). The analysis showed that the number of sessions with CI ≥ 0.5 correlated with the change in the FMA scores. This suggests that post-stroke motor recovery best results from the activation in the lesion hemisphere, which is in agreement with previous studies performed using multimodal imaging technologies.

Feature consistency-based model adaptation in session-to-session classification: a study using motor imagery of swallow EEG signals.

The performance degradation for session to session classification in brain computer interface is a critical problem. This paper proposes a novel method for model adaptation based on motor imagery of swallow EEG signal for dysphagia rehabilitation. A small amount of calibration testing data is utilized to select the model catering for test data. The features of the training and calibration testing data are firstly clustered and each cluster is labeled by the dominant label of the training data. The cluster with the minimum impurity is selected and the number of features consistent with the cluster label are calculated for both training and calibration testing data. Finally, the training model with the maximum number of consistent features is selected. Experiments conducted on motor imagery of swallow EEG data achieved an average accuracy of 74.29% and 72.64% with model adaptation for Laplacian derivates of power features and wavelet features, respectively. Further, an average accuracy increase of 2.9% is achieved with model adaptation using wavelet features, in comparison with that achieved without model adaptation, which is significant at 5% significance level as demonstrated in the statistical test.

Improving session-to-session transfer performance of motor imagery-based BCI using Adaptive Extreme Learning Machine.

Non-stationarity of electroencephalograph (EEG) data from session-to-session transfer is one of the challenges for EEG-based brain-computer interface systems, which can inversely affect their performance. Among methods proposed to address non-stationarity, adaptation is a promising method. In this study, an adaptive extreme learning machine (AELM) is proposed to update the initial classifier from the calibration session by using chunks of EEG data from the evaluation session whereby the common spatial pattern (CSP) algorithm is used to extract the most discriminative features. The effectiveness of the proposed algorithm is on motor imagery data collected from 12 healthy subjects during a calibration session and an evaluation session on a separate day. The results from the proposed AELM were compared with non-adaptive ELM and SVM classifiers. The results showed that AELM was significantly better (p=0.03). Moreover, the results also showed that accumulating the evaluation session data and using them for adapting the classifier will significantly improve the performance (p=0.001). Hence, the proposed AELM is effective in addressing the non-stationarity of EEG signal for online BCI systems.

Resting state changes in functional connectivity correlate with movement recovery for BCI and robot-assisted upper-extremity training after stroke.

BACKGROUND: Robot-assisted training may improve motor function in some hemiparetic patients after stroke, but no physiological predictor of rehabilitation progress is reliable. Resting state functional magnetic resonance imaging (RS-fMRI) may serve as a method to assess and predict changes in the motor network. OBJECTIVE: The authors examined the effects of upper-extremity robot-assisted rehabilitation (MANUS) versus an electroencephalography-based brain computer interface setup with motor imagery (MI EEG-BCI) and compared pretreatment and posttreatment RS-fMRI. METHODS: In all, 9 adults with upper-extremity paresis were trained for 4 weeks with a MANUS shoulder-elbow robotic rehabilitation paradigm. In 3 participants, robot-assisted movement began if no voluntary movement was initiated within 2 s. In 6 participants, MI-BCI-based movement was initiated if motor imagery was detected. RS-fMRI and Fugl-Meyer (FM) upper-extremity motor score were assessed before and after training. RESULTS: . The individual gain in FM scores over 12 weeks could be predicted from functional connectivity changes (FCCs) based on the pre-post differences in RS-fMRI measurements. Both the FM gain and FCC were numerically higher in the MI-BCI group. Increases in FC of the supplementary motor area, the contralesional and ipsilesional motor cortex, and parts of the visuospatial system with mostly association cortex regions and the cerebellum correlated with individual upper-extremity function improvement. CONCLUSION: FCC may predict the steepness of individual motor gains. Future training could therefore focus on directly inducing these beneficial increases in FC. Evaluation of the treatment groups suggests that MI is a potential facilitator of such neuroplasticity.