Spasticity assessment with muscle coactivation of elbow flexors during passive stretch in Post-stroke Hemiplegia.

the assessment of muscle properties is an essential prerequisite in the treatment of post-stroke muscle spasticity. Previous studies have shown that muscle coactivation, which reflects the simultaneous activation of agonist and antagonist muscle groups, is associated with muscle spasticity during voluntary contraction. However, current spasticity assessment approaches do not often consider muscle coactivation for passive contraction measured with surface electromyography (sEMG). The purpose here is to evaluate the validity and reliability of muscle co-activation based on sEMG for assessing spasticity of post-stroke patients. This study was conducted on 39 chronic hemiplegia post-stroke patients with varying degrees of elbow flexor spasticity. The severity of spasticity was assessed with Modified Ashworth Scale (MAS). The patients produced elbow flexion passively on affected arm. Two-channel surface sEMG recordings were acquired simultaneously for the biceps and triceps muscles. The effectiveness and reliability of the EMG-based spasticity assessment method were evaluated using Spearman's correlation analysis and intra class correlation coefficients (ICCs). The results showed that there was a statistically significant positive relationship between the level of activity and the coactivation index (R=0.710, P=0.003), while the ICCs for intra trial measures ranged between 0.928 and 0.976. Muscle coactivation is a promising tool for continuously quantifying muscle spasticity in post-stroke patients, suggesting that the EMG-based muscle coactivation index could be useful for assessing motor function.

A Transfer Learning based Cross-subject Generic Model for Continuous Estimation of Finger Joint Angles from a New User.

Continuous estimation of finger joints based on surface electromyography (sEMG) has attracted much attention in the field of human-machine interface (HMI). A couple of deep learning models were proposed to estimate the finger joint angles for specific subject. When applied onto a new subject, however, the performance of the subject-specific model would degrade significantly due to the inter-subject differences. Therefore, a novel cross-subject generic (CSG) model was proposed in this study to estimate continuous kinematics of finger joints for new users. Firstly, a multi-subject model based on the LSTA-Conv network was built by using sEMG and finger joint angles data from multiple subjects. Then, the subjects adversarial knowledge (SAK) transfer learning strategy was adopted to calibrate the multi-subject model with the training data from a new user. With the updated model parameters and the testing data from the new user, multiple finger joint angles could be estimated afterwards. The overall performance of the CSG model for new users was validated on three public datasets from Ninapro. The results showed that the newly proposed CSG model significantly outperformed five subject-specific models and two transfer learning models in terms of Pearson correlation coefficient, root mean square error, and coefficient of determination. Comparison analysis showed that both the long short-term feature aggregation (LSTA) module and the SAK transfer learning strategy contributed to the CSG model. Moreover, increasing number of subjects in training set improved the generalization capability of the CSG model. The novel CSG model would facilitate the application of robotic hand control and other HMI settings.

Identifying oscillations under multi-site sensory stimulation for high-level peripheral nerve injured patients: a pilot study.

Objective.For high-level peripheral nerve injuryed (PNI) patients with severe sensory dysfunction of upper extremities, identifying the multi-site tactile stimulation is of great importance to provide neurorehabilitation with sensory feedback. In this pilot study, we showed the feasibility of identifying multi-site and multi-intensity tactile stimulation in terms of electroencephalography (EEG).Approach.Three high-level PNI patients and eight non-PNI participants were recruited in this study. Four different sites over the upper arm, forearm, thumb finger and little finger were randomly stimulated at two intensities (both sensory-level) based on the transcutaneous electrical nerve stimulation. Meanwhile, 64-channel EEG signals were recorded during the passive tactile sense stimulation on each side.Main results.The spatial-spectral distribution of brain oscillations underlying multi-site sensory stimulation showed dominant power attenuation over the somatosensory and prefrontal cortices in both alpha-band (8-12 Hz) and beta-band (13-30 Hz). But there was no significant difference among different stimulation sites in terms of the averaged power spectral density over the region of interest. By further identifying different stimulation sites using temporal-spectral features, we found the classification accuracies were all above 89% for the affected arm of PNI patients, comparable to that from their intact side and that from the non-PNI group. When the stimulation site-intensity combinations were treated as eight separate classes, the classification accuracies were ranging from 88.89% to 99.30% for the affected side of PNI subjects, similar to that from their non-affected side and that from the non-PNI group. Other performance metrics, including specificity, precision, and F1-score, also showed a sound identification performance for both PNI patients and non-PNI subjects.Significance.These results suggest that reliable brain oscillations could be evoked and identified well, even though induced tactile sense could not be discerned by the PNI patients. This study have implication for facilitating bidirectional neurorehabilitation systems with sensory feedback.

Applying muscle synergy analysis to forearm high-density electromyography of healthy people.

Introduction: Muscle synergy is regarded as a motor control strategy deployed by the central nervous system (CNS). Clarifying the modulation of muscle synergies under different strength training modes is important for the rehabilitation of motor-impaired patients. Methods: To represent the subtle variation of neuromuscular activities from the smaller forearm muscles during wrist motion, we proposed to apply muscle synergy analysis to preprocessed high-density electromyographic data (HDEMG). Here, modulation of muscle synergies within and across the isometric and isotonic training modes for strengthening muscles across the wrist were investigated. Surface HDEMGs were recorded from healthy subjects (N = 10). Three different HDEMG electrode configurations were used for comparison and validation of the extracted muscle synergies. The cosine of principal angles (CPA) and the Euclidian distance (ED) between synergy vectors were used to evaluate the intra- and inter-mode similarity of muscle synergies. Then, how the activation coefficients modulate the excitation of specific synergy under each mode was examined by pattern recognition. Next, for a closer look at the mode-specific synergies and the synergies shared by the two training modes, k-means clustering was applied. Results: We observed high similarity of muscle synergies across different tasks within each training mode, but decreased similarity of muscle synergies across different training modes. Both intra- and intermode similarity of muscle synergies were consistently robust to electrode configurations regardless of the similarity metric used. Discussion: Overall, our findings suggest that applying muscle synergy analysis to HDEMG is feasible, and that the traditional muscle synergies defined by whole-muscle components may be broadened to include sub-muscle components represented by the HDEMG channels. This work may lead to an appropriate neuromuscular analysis method for motor function evaluation in clinical settings and provide valuable insights for the prescription of rehabilitation training therapies.

In-Situ Measuring sEMG and Muscle Shape Change with a Flexible and Stretchable Hybrid Sensor for Hand Gesture Recognition.

The accurate recognition of hand motion intentions is an essential prerequisite for efficient human-machine interaction (HMI) systems such as multifunctional prostheses and rehabilitation robots. Surface electromyography (sEMG) signals and muscle shape change (MSC) signals which are usually detected with different types of sensors have been used for human hand motion intention recognition. However, using different sensors to measure sEMG and MSC respectively, it would be inconvenient and add deploying difficulty for human-machine interaction systems. In this study, a novel flexible and stretchable sensor was fabricated with a nano gold conductive material, which could simultaneously sense both sEMG and MSC signals. Accordingly, a wireless signal acquisition device was developed to record both sEMG and MSC signals with the fabricated hybrid sensors. The performance of the proposed in-situ dual-mode signal measurement (IDSM) system was evaluated by the recording signal quality and the accuracy of hand gesture recognition. The results demonstrated that by using two pairs of the hybrid sensors, the proposed IDSM system could obtain two-channel sEMG at a noise level of about 0.89 µVrms and four-channel MSC with a resolution of about 0.1 Ω. For a recognition task of 11 classes of hand gestures, the results showed that only with two pairs of the hybrid sensors, the average accuracy over all the subjects was 95.6 ± 2.9%, which was about 7% higher than that with two-channel sEMG and six-channel accelerometer signals. These results suggest that the proposed IDSM method would be an efficient way to simplify the human-machine interaction system with fewer sensors for high recognition accuracy of hand motions.

A Low-rank Spatiotemporal based EEG Multi-Artifacts Cancellation Method for Enhanced ConvNet-DL's Motor Imagery Characterization.

Multi-channel Electroencephalograph (EEG) signal is an important source of neural information for motor imagery (MI) limb movement intent decoding. The decoded MI movement intent often serve as potential control input for brain-computer interface (BCI) based rehabilitation robots. However, the presence of multiple dynamic artifacts in EEG signal leads to serious processing challenge that affects the BCI system in practical settings. Hence, this study propose a hybrid approach based on Low-rank spatiotemporal filtering technique for concurrent elimination of multiple EEG artifacts. Afterwards, a convolutional neural network based deep learning model (ConvNet-DL) that extracts neural information from the cleaned EEG signal for MI tasks decoding was built. The proposed method was studied in comparison with existing artifact removal methods using EEG signals of transhumeral amputees who performed five different MI tasks. Remarkably, the proposed method led to significant improvements in MI task decoding accuracy for the ConvNet-DL model in the range of 8.00~13.98%, while up to 14.38% increment was recorded in terms of the MCC: Mathew correlation coefficients at p<0.05. Also, a signal to error ratio of more than 11 dB was recorded by the proposed method.Clinical Relevance- This study showed that a combination of the proposed hybrid EEG artifact removal method and ConvNet-DL can significantly improve the decoding accuracy of MI upper limb movement tasks. Our findings may provide potential control input for BCI rehabilitation robotic systems.

Changes in synchronization of the motor unit in muscle fatigue condition during the dynamic and isometric contraction in the Biceps Brachii muscle.

The fatigue-induced neuromuscular mechanism remains to be fully elucidated. So far, the macroscopic mechanism using global surface electromyogram (sEMG) has been widely investigated. However, the microscopic mechanism using high-level neural information based on motor unit (MU) spike train from the spinal cord lacks attention, especially for the conditions under dynamic contraction task. The synchronization of the MU spike train is generally assumed to be an excellent indicator to represent the activities of spinal nerves. Accordingly, this study employed synchronization of MU spike train decomposed from high-density sEMG (HD-sEMG) to investigate the fatigue condition in muscular contractions within the Biceps Brachii muscle under both isometric and dynamic contraction tasks, giving a complete picture of the microscopic fatigue mechanism. We compared the synchronization of MU in Delta (1-4 Hz), alpha (8-12 Hz), Beta (15-30 Hz), and Gamma (30-60 Hz) frequency bands during the fatigue condition induced by different contractions. Our results showed that MU synchronization increased significantly (p<0.05) in all frequency bands across the two contraction tasks. The results indicate that the microscopic fatigue mechanism of Biceps Brachii muscle does not vary due to different contraction tasks.

Robustness of Muscle Synergies under Variant Muscle Contraction Force during Forearm Movements.

The Electromyography-based Pattern-Recognition (EMG-PR) framework has been investigated for almost three decades towards developing an intuitive myoelectric prosthesis. To utilize the knowledge of the underlying neurophysiological processes of natural movements, the concept of muscle synergy has been applied in prosthesis control and proved to be of great potential recently. For a muscle-synergy-based myoelectric system, the variation of muscle contraction force is also a confounding factor. This study evaluates the robustness of muscle synergies under a variant force level for forearm movements. Six channels of forearm surface EMG were recorded from six healthy subjects when they performed 4 movements (hand open, hand close, wrist flexion, and wrist extension) using low, moderate, and high force, respectively. Muscle synergies were extracted from the EMG using the alternating nonnegativity constrained least squares and active set (NNLS) algorithm. Three analytic strategies were adopted to examine whether muscle synergies were conserved under different force levels. Our results consistently showed that there exists fixed, robust muscle synergies across force levels. This outcome would provide valuable insights to the implementation of muscle- synergy-based assistive technology for the upper extremity.

Characterizing Multiple Patterns of Motor Intent Using Spatial-Temporal Information for Intuitively Active Motor Training in Stroke Survivors.

Upper extremity motor function loss severely affects stroke survivors during daily life activities. Different rehabilitation robotic systems have been developed to allow stroke survivors regain their motor function. Meanwhile, most of the robots only operate in a passive mode and restrict the users to navigate predefined trajectories which may not align with their motion intent, thus limiting motor recovery. One way to resolve this issue would be to utilize a decoded movement intent to trigger intuitively active motor training for patients. In this direction, this study proposed and investigated the use of spatial-temporal neuromuscular descriptor (STD) for optimal decoding of multiple patterns of movement intents in patient to provide inputs for active motor training in the rehabilitation robotic systems. The STD performance was validated using High-Density surface electromyogram recordings from five stroke survivors who performed 21 limb movements. Experimental results show that the STD achieved a significant reduction in limb movement classification error (13.36%) even in the presence of the inevitable White Gaussian Noise compared to other methods (p<0.05). The STD also showed obvious class separability for individual movement. Findings from this study suggest that the STD may provide potential inputs for intuitively active motor training in stroke rehabilitation robotic systems.Clinical Relevance- This study showed that spatial-temporal neuromuscular information could aid adequate decoding of movement intents upon which intuitively active motor training could be achieved in stroke rehabilitation robotic systems.

Modulation of muscle synergies for multiple forearm movements under variant force and arm position constraints.

OBJECTIVE: To promote clinical applications of muscle-synergy-based neurorehabilitation techniques, this study aims to clarify any potential modulations of both the muscular compositions and temporal activations of forearm muscle synergies for multiple movements under variant force levels and arm positions. APPROACH: Two groups of healthy subjects participated in this study. Electromyography (EMG) signals were collected when they performed four hand and wrist movements under variant constraints-three different force levels for one group and five arm positions for the other. Muscle synergies were extracted from the EMGs, and their robustness across variant force levels and arm positions was separately assessed by evaluating their across-condition structure similarity, cross-validation, and cluster analysis. The synergies' activation coefficients across the variant constraints were also compared, and the coefficients were used to discriminate the different force levels and the arm positions, respectively. MAIN RESULTS: Overall, the muscle synergies were relatively fixed across variant constraints, but they were more robust to variant forces than to changing arm positions. The activations of muscle synergies depended largely on the level of contraction force and could discriminate the force levels very well, but the coefficients corresponding to different arm positions discriminated the positions with lower accuracy. Similar results were found for all types of forearm movement analyzed. SIGNIFICANCE: With our experiment and subject-specific analysis, only slight modulation of the muscular compositions of forearm muscle synergies was found under variant force and arm position constraints. Our results may shed valuable insights to future design of both muscle-synergy-based assistive robots and motor-function assessments.

Towards resolving the co-existing impacts of multiple dynamic factors on the performance of EMG-pattern recognition based prostheses.

BACKGROUND AND OBJECTIVE: Mobility of subject (MoS) and muscle contraction force variation (MCFV) have been shown to individually degrade the performance of multiple degrees of freedom electromyogram (EMG) pattern recognition (PR) based prostheses control systems. Though these factors (MoS-MCFV) co-exist simultaneously in the practical use of the prosthesis, their combined impact on PR-based system has rarely been studied especially in the context of amputees who are the target users of the device. METHODS: To address this problem, this study systematically investigated the co-existing impact of MoS-MCFV on the performance of PR-based movement intent classifier, using EMG recordings acquired from eight participants who performed multiple classes of targeted limb movements across static and non-static scenarios with three distinct muscle contraction force levels. Then, a robust feature extraction method that is invariant to the combined effect of MoS-MCFV, namely, invariant time-domain descriptor (invTDD), was proposed to optimally characterize the multi-class EMG signal patterns in the presence of both factors. RESULTS: Experimental results consistently showed that the proposed invTDD method could significantly mitigate the co-existing impact of MoS-MCFV on PR-based movement-intent classifier with error reduction in the range of 7.50%~17.97% (p<0.05), compared to the commonly applied methods. Further evaluation using 2-dimentional principal component analysis (PCA) technique, revealed that the proposed invTDD method has obvious class-separability in the PCA feature space, with a significantly lower standard error (0.91%) compared to the existing methods. CONCLUSION: This study offers compelling insight on how to develop accurately robust multiple degrees of freedom control scheme for multifunctional prostheses that would be clinically viable. Also, the study may spur positive advancement in other application areas of medical robotics that adopts myoelectric control schemes such as the electric wheelchair and human-computer-interaction systems.

Spatio-Temporal Based Descriptor for Limb Movement-Intent Characterization in EMG-Pattern Recognition System.

Electromyogram (EMG) pattern-recognition (PR) is the most widely adopted prostheses/rehabilitation robots control method that seamlessly support multi-degrees of freedom (MDF) function in an intuitive fashion. The feature extraction framework applied in such PR-based control essentially determines the control performance of the prosthetic device. Based on the drawbacks of the commonly utilized feature extraction methods, this study proposed a spatio-temporal-based feature set (STFS) that might optimally characterize EMG signal patterns even in the presence of white Gaussian noise (WGN) to realize consistently accurate and stable decoding of multiple classes of limb-movements. For benchmark evaluation, the performance of the proposed STFS method was examined in comparison to notable existing popular methods using high density surface EMG recordings from 8 amputees, with metrics such as classification error (CE) and feature-space separability index. Compared to the existing methods, the STFS recorded substantial reduction of up 16.73% even in the presence the inevitable WGN at p<; 0.05. Also, with principal component analysis concept, the proposed STFS feature-space indicates obvious class separability compared to the previous methods. Therefore, the newly proposed STFS method could potentially facilitate the realization of consistently accurate and reliable PR-based control for MDF prostheses/rehabilitation robots.

A Novel Time-Domain Descriptor for Improved Prediction of Upper Limb Movement Intent in EMG-PR System.

Electromyogram pattern recognition (EMG-PR) based control is a potential method capable of providing intuitively dexterous control functions in upper limb prostheses. Meanwhile, the feature extraction method adopted in EMG-PR based control is considered as an important factor that influences the performance of the prostheses. By exploiting the limitations of the existing feature extraction methods, this study proposed a new feature extraction method to effectively characterize EMG signal patterns associated with different limb movement intent. The performance of the proposed 2-dimensional novel time-domain feature set (NTDFS) was investigated using classification accuracy and feature space separability metrics across five subjects' EMG recordings, and compared with four different existing methods. In comparison to four other previously proposed feature extraction methods, the NTDFS achieved significantly better performance with increment in accuracy in the range of 5.20% ∼ 8.40% at p<0.05. Additionally, by applying principal component analysis (PCA) technique, the PCA feature space for NTDFS show obvious class separability in comparison to the other existing feature extraction methods. Thus, the proposed NTDFS may facilitate the development of accurate and robust clinically viable EMG-PR based prostheses.

Towards Efficient Decoding of Multiple Classes of Motor Imagery Limb Movements Based on EEG Spectral and Time Domain Descriptors.

To control multiple degrees of freedom (MDoF) upper limb prostheses, pattern recognition (PR) of electromyogram (EMG) signals has been successfully applied. This technique requires amputees to provide sufficient EMG signals to decode their limb movement intentions (LMIs). However, amputees with neuromuscular disorder/high level amputation often cannot provide sufficient EMG control signals, and thus the applicability of the EMG-PR technique is limited especially to this category of amputees. As an alternative approach, electroencephalograph (EEG) signals recorded non-invasively from the brain have been utilized to decode the LMIs of humans. However, most of the existing EEG based limb movement decoding methods primarily focus on identifying limited classes of upper limb movements. In addition, investigation on EEG feature extraction methods for the decoding of multiple classes of LMIs has rarely been considered. Therefore, 32 EEG feature extraction methods (including 12 spectral domain descriptors (SDDs) and 20 time domain descriptors (TDDs)) were used to decode multiple classes of motor imagery patterns associated with different upper limb movements based on 64-channel EEG recordings. From the obtained experimental results, the best individual TDD achieved an accuracy of 67.05 ± 3.12% as against 87.03 ± 2.26% for the best SDD. By applying a linear feature combination technique, an optimal set of combined TDDs recorded an average accuracy of 90.68% while that of the SDDs achieved an accuracy of 99.55% which were significantly higher than those of the individual TDD and SDD at p < 0.05. Our findings suggest that optimal feature set combination would yield a relatively high decoding accuracy that may improve the clinical robustness of MDoF neuroprosthesis. TRIAL REGISTRATION: The study was approved by the ethics committee of Institutional Review Board of Shenzhen Institutes of Advanced Technology, and the reference number is SIAT-IRB-150515-H0077.

Resolving the adverse impact of mobility on myoelectric pattern recognition in upper-limb multifunctional prostheses.

Electromyogram pattern recognition (EMG-PR) based control for upper-limb prostheses conventionally focuses on the classification of signals acquired in a controlled laboratory setting. In such a setting, relatively stable and high performances are often reported because subjects could consistently perform muscle contractions corresponding to a targeted limb motion. Meanwhile the clinical implementation of EMG-PR method is characterized by degradations in stability and classification performances due to the disparities between the constrained laboratory setting and clinical use. One of such disparities is the mobility of subject that would cause changes in the EMG signal patterns when eliciting identical limb motions in mobile scenarios. In this study, the effect of mobility on the performance of EMG-PR motion classifier was firstly investigated based on myoelectric and accelerometer signals acquired from six upper-limb amputees across four scenarios. Secondly, three methods were proposed to mitigate such effect on the EMG-PR motion classifier. From the obtained results, an average classification error (CE) of 9.50% (intra-scenario) was achieved when data from the same scenarios were used to train and test the EMG-PR classifier, while the CE increased to 18.48% (inter-scenario) when trained and tested with dataset from different scenarios. This implies that mobility would significantly lead to about 8.98% increase of classification error (p < 0.05). By applying the proposed methods, the degradation in classification performance was significantly reduced from 8.98% to 1.86% (Dual-stage sequential method), 3.17% (Hybrid strategy), and 4.64% (Multi-scenario strategy). Hence, the proposed methods may potentially improve the clinical robustness of the currently available multifunctional prostheses. TRIAL REGISTRATION: The study was approved by the ethics committee of Institutional Review Board of Shenzhen Institutes of Advanced Technology, and the reference number is SIAT-IRB-150515-H0077.

Improving the Robustness of Real-Time Myoelectric Pattern Recognition against Arm Position Changes in Transradial Amputees.

Previous studies have showed that arm position variations would significantly degrade the classification performance of myoelectric pattern-recognition-based prosthetic control, and the cascade classifier (CC) and multiposition classifier (MPC) have been proposed to minimize such degradation in offline scenarios. However, it remains unknown whether these proposed approaches could also perform well in the clinical use of a multifunctional prosthesis control. In this study, the online effect of arm position variation on motion identification was evaluated by using a motion-test environment (MTE) developed to mimic the real-time control of myoelectric prostheses. The performance of different classifier configurations in reducing the impact of arm position variation was investigated using four real-time metrics based on dataset obtained from transradial amputees. The results of this study showed that, compared to the commonly used motion classification method, the CC and MPC configurations improved the real-time performance across seven classes of movements in five different arm positions (8.7% and 12.7% increments of motion completion rate, resp.). The results also indicated that high offline classification accuracy might not ensure good real-time performance under variable arm positions, which necessitated the investigation of the real-time control performance to gain proper insight on the clinical implementation of EMG-pattern-recognition-based controllers for limb amputees.

A novel channel selection method for multiple motion classification using high-density electromyography.

BACKGROUND: Selecting an appropriate number of surface electromyography (EMG) channels with desired classification performance and determining the optimal placement of EMG electrodes would be necessary and important in practical myoelectric control. In previous studies, several methods such as sequential forward selection (SFS) and Fisher-Markov selector (FMS) have been used to select the appropriate number of EMG channels for a control system. These exiting methods are dependent on either EMG features and/or classification algorithms, which means that when using different channel features or classification algorithm, the selected channels would be changed. In this study, a new method named multi-class common spatial pattern (MCCSP) was proposed for EMG selection in EMG pattern-recognition-based movement classification. Since MCCSP is independent on specific EMG features and classification algorithms, it would be more convenient for channel selection in developing an EMG control system than the exiting methods. METHODS: The performance of the proposed MCCSP method in selecting some optimal EMG channels (designated as a subset) was assessed with high-density EMG recordings from twelve mildly-impaired traumatic brain injury (TBI) patients. With the MCCSP method, a subset of EMG channels was selected and then used for motion classification with pattern recognition technique. In order to justify the performance of the MCCSP method against different electrode configurations, features and classification algorithms, two electrode configurations (unipolar and bipolar) as well as two EMG feature sets and two types of pattern recognition classifiers were considered in the study, respectively. And the performance of the proposed MCCSP method was compared with that of two exiting channel selection methods (SFS and FMS) in EMG control system. RESULTS: The results showed that in comparison with the previously used SFS and FMS methods, the newly proposed MCCSP method had better motion classification performance. Moreover, a fixed combination of the selected EMG channels was obtained when using MCCSP. CONCLUSIONS: The proposed MCCSP method would be a practicable means in channel selection and would facilitate the design of practical myoelectric control systems in the active rehabilitation of mildly-impaired TBI patients and in other rehabilitation applications such as the multifunctional myoelectric prostheses for limb amputees.

Using speech for mode selection in control of multifunctional myoelectric prostheses.

Electromyogram (EMG) recorded from residual muscles of limbs is considered as suitable control information for motorized prostheses. However, in case of high-level amputations, the residual muscles are usually limited, which may not provide enough EMG for flexible control of myoelectric prostheses with multiple degrees of freedom of movements. Here, we proposed a control strategy, where the speech signals were used as additional information and combined with the EMG signals to realize more flexible control of multifunctional prostheses. By replacing the traditional "sequential mode-switching (joint-switching)", the speech signals were used to select a mode (joint) of the prosthetic arm, and then the EMG signals were applied to determine a motion class involved in the selected joint and to execute the motion. Preliminary results from three able-bodied subjects and one transhumeral amputee demonstrated the proposed strategy could achieve a high mode-selection rate and enhance the operation efficiency, suggesting the strategy may improve the control performance of commercial myoelectric prostheses.

Pattern recognition based forearm motion classification for patients with chronic hemiparesis.

To make full use of electromyography (EMG) that contains rich information of muscular activities in active rehabilitation for motor hemiparetic patients, a couple of recent studies have explored the feasibility of applying pattern recognition technique to the classification of multiple motion classes for stroke survivors and reported some promising results. However, it still remains unclear if kinematics signals could also bring good motion classification performance, particularly for patients after traumatic brain damage. In this study, the kinematics signals was used for motion classification analysis in three stroke survivors and two patients after traumatic brain injury, and compared with EMG. The results showed that an average classification error of 7.9 ± 6.8% for the affected arm over all subjects could be achieved with a linear classifier when they performed multiple fine movements, 7.9% lower than that when using EMG. With either kind of signals, the motor control ability of the affected arm degraded significantly in comparison to the intact side. The preliminary results suggested the great promise of kinematics information as well as the biological signals in detecting user's conscious effort for robot-aided active rehabilitation.

Toward attenuating the impact of arm positions on electromyography pattern-recognition based motion classification in transradial amputees.

BACKGROUND: Electromyography (EMG) pattern-recognition based control strategies for multifunctional myoelectric prosthesis systems have been studied commonly in a controlled laboratory setting. Before these myoelectric prosthesis systems are clinically viable, it will be necessary to assess the effect of some disparities between the ideal laboratory setting and practical use on the control performance. One important obstacle is the impact of arm position variation that causes the changes of EMG pattern when performing identical motions in different arm positions. This study aimed to investigate the impacts of arm position variation on EMG pattern-recognition based motion classification in upper-limb amputees and the solutions for reducing these impacts. METHODS: With five unilateral transradial (TR) amputees, the EMG signals and tri-axial accelerometer mechanomyography (ACC-MMG) signals were simultaneously collected from both amputated and intact arms when performing six classes of arm and hand movements in each of five arm positions that were considered in the study. The effect of the arm position changes was estimated in terms of motion classification error and compared between amputated and intact arms. Then the performance of three proposed methods in attenuating the impact of arm positions was evaluated. RESULTS: With EMG signals, the average intra-position and inter-position classification errors across all five arm positions and five subjects were around 7.3% and 29.9% from amputated arms, respectively, about 1.0% and 10% low in comparison with those from intact arms. While ACC-MMG signals could yield a similar intra-position classification error (9.9%) as EMG, they had much higher inter-position classification error with an average value of 81.1% over the arm positions and the subjects. When the EMG data from all five arm positions were involved in the training set, the average classification error reached a value of around 10.8% for amputated arms. Using a two-stage cascade classifier, the average classification error was around 9.0% over all five arm positions. Reducing ACC-MMG channels from 8 to 2 only increased the average position classification error across all five arm positions from 0.7% to 1.0% in amputated arms. CONCLUSIONS: The performance of EMG pattern-recognition based method in classifying movements strongly depends on arm positions. This dependency is a little stronger in intact arm than in amputated arm, which suggests that the investigations associated with practical use of a myoelectric prosthesis should use the limb amputees as subjects instead of using able-body subjects. The two-stage cascade classifier mode with ACC-MMG for limb position identification and EMG for limb motion classification may be a promising way to reduce the effect of limb position variation on classification performance.