Advantages of EEG phase patterns for the detection of gait intention in healthy and stroke subjects

EEG generation mechanism of lower limb active movement intention and its virtual reality induction enhancement: a preliminary study

Introduction

Active rehabilitation requires active neurological participation when users use rehabilitation equipment. A brain-computer interface (BCI) is a direct communication channel for detecting changes in the nervous system. Individuals with dyskinesia have unclear intentions to initiate movement due to physical or psychological factors, which is not conducive to detection. Virtual reality (VR) technology can be a potential tool to enhance the movement intention from pre-movement neural signals in clinical exercise therapy. However, its effect on electroencephalogram (EEG) signals is not yet known. Therefore, the objective of this paper is to construct a model of the EEG signal generation mechanism of lower limb active movement intention and then investigate whether VR induction could improve movement intention detection based on EEG.

Methods

Firstly, a neural dynamic model of lower limb active movement intention generation was established from the perspective of signal transmission and information processing. Secondly, the movement-related EEG signal was calculated based on the model, and the effect of VR induction was simulated. Movement-related cortical potential (MRCP) and event-related desynchronization (ERD) features were extracted to analyze the enhancement of movement intention. Finally, we recorded EEG signals of 12 subjects in normal and VR environments to verify the effectiveness and feasibility of the above model and VR induction enhancement of lower limb active movement intention for individuals with dyskinesia.

Results

Simulation and experimental results show that VR induction can effectively enhance the EEG features of subjects and improve the detectability of movement intention.

Discussion

The proposed model can simulate the EEG signal of lower limb active movement intention, and VR induction can enhance the early and accurate detectability of lower limb active movement intention. It lays the foundation for further robot control based on the actual needs of users.

Prediction of Gait Kinematics and Kinetics: A Systematic Review of EMG and EEG Signal Use and Their Contribution to Prediction Accuracy

Human-machine interfaces hold promise in enhancing rehabilitation by predicting and responding to subjects' movement intent. In gait rehabilitation, neural network architectures utilize lower-limb muscle and brain activity to predict continuous kinematics and kinetics during stepping and walking. This systematic review, spanning five databases, assessed 16 papers meeting inclusion criteria. Studies predicted lower-limb kinematics and kinetics using electroencephalograms (EEGs), electromyograms (EMGs), or a combination with kinematic data and anthropological parameters. Long short-term memory (LSTM) and convolutional neural network (CNN) tools demonstrated highest accuracies. EEG focused on joint angles, while EMG predicted moments and torque joints. Useful EEG electrode locations included C3, C4, Cz, P3, F4, and F8. Vastus Lateralis, Rectus Femoris, and Gastrocnemius were the most commonly accessed muscles for kinematic and kinetic prediction using EMGs. No studies combining EEGs and EMGs to predict lower-limb kinematics and kinetics during stepping or walking were found, suggesting a potential avenue for future development in this technology.

Electroencephalographic Recording of the Movement-Related Cortical Potential in Ecologically Valid Movements: A Scoping Review

The movement-related cortical potential (MRCP) is a brain signal that can be recorded using surface electroencephalography (EEG) and represents the cortical processes involved in movement preparation. The MRCP has been widely researched in simple, single-joint movements, however, these movements often lack ecological validity. Ecological validity refers to the generalizability of the findings to real-world situations, such as neurological rehabilitation. This scoping review aimed to synthesize the research evidence investigating the MRCP in ecologically valid movement tasks. A search of six electronic databases identified 102 studies that investigated the MRCP during multi-joint movements; 59 of these studies investigated ecologically valid movement tasks and were included in the review. The included studies investigated 15 different movement tasks that were applicable to everyday situations, but these were largely carried out in healthy populations. The synthesized findings suggest that the recording and analysis of MRCP signals is possible in ecologically valid movements, however the characteristics of the signal appear to vary across different movement tasks (i.e., those with greater complexity, increased cognitive load, or a secondary motor task) and different populations (i.e., expert performers, people with Parkinson’s Disease, and older adults). The scarcity of research in clinical populations highlights the need for further research in people with neurological and age-related conditions to progress our understanding of the MRCPs characteristics and to determine its potential as a measure of neurological recovery and intervention efficacy. MRCP-based neuromodulatory interventions applied during ecologically valid movements were only represented in one study in this review as these have been largely delivered during simple joint movements. No studies were identified that used ecologically valid movements to control BCI-driven external devices; this may reflect the technical challenges associated with accurately classifying functional movements from MRCPs. Future research investigating MRCP-based interventions should use movement tasks that are functionally relevant to everyday situations. This will facilitate the application of this knowledge into the rehabilitation setting.

Brain activity during real-time walking and with walking interventions after stroke: a systematic review

Investigations of real-time brain activations during walking have become increasingly important to aid in recovery of walking after a stroke. Individual brain activation patterns can be a valuable biomarker of neuroplasticity during the rehabilitation process and can result in improved personalized medicine for rehabilitation. The purpose of this systematic review is to explore the brain activation characteristics during walking post-stroke by determining: (1) if different components of gait (i.e., initiation/acceleration, steady-state, complex) result in different brain activations, (2) whether brain activations differ from healthy individuals. Six databases were searched resulting in 22 studies. Initiation/acceleration showed bilateral activation in frontal areas; steady-state and complex walking showed broad activations with the majority exploring and finding increases in frontal regions and some studies also showing increases in parietal activation. Asymmetrical activations were often related to performance asymmetry and were more common in studies with slower gait speed. Hyperactivations and asymmetrical activations commonly decreased with walking interventions and as walking performance improved. Hyperactivations often persisted in individuals who had experienced severe strokes. Only a third of the studies included comparisons to a healthy group: individuals post-stroke employed greater brain activation compared to young adults, while comparisons to older adults were less clear and limited. Current literature suggests some indicators of walking recovery however future studies investigating more brain regions and comparisons with healthy age-matched adults are needed to further understand the effect of stroke on walking-related brain activation.

Distinct cortical networks for hand movement initiation and directional processing: An EEG study

Movement preparation and initiation have been shown to involve large scale brain networks. Recent findings suggest that movement preparation and initiation are represented in functionally distinct cortical networks. In electroencephalographic (EEG) recordings, movement initiation is reflected as a strong negative potential at medial central channels that is phase-locked to the movement onset - the movement-related cortical potential (MRCP). Movement preparation describes the process of transforming high level movement goals to low level commands. An integral part of this transformation process is directional processing (i.e., where to move). The processing of movement direction during visuomotor and oculomotor tasks is associated with medial parieto-occipital cortex (PO) activity, phase-locked to the presentation of potential movement goals. We surmised that the network generating the MRCP (movement initiation) would encode less information about movement direction than the parieto-occipital network processing movement direction. Here, we studied delta band EEG activity during center-out reaching movements (2D; 4 directions) in visuomotor and oculomotor tasks. In 15 healthy participants, we found a consistent representation of movement direction in PO 300–400 ​ms after the direction cue irrespective of the task. Despite generating the MRCP, sensorimotor areas (SM) encoded less information about the movement direction than PO. Moreover, the encoded directional information in SM was less consistent across participants and specific to the visuomotor task. In a classification approach, we could infer the four movement directions from the delta band EEG activity with moderate accuracies up to 55.9%. The accuracies for cue-aligned data were significantly higher than for movement onset-aligned data in either task, which also suggests a stronger representation of movement direction during movement preparation. Therefore, we present direct evidence that EEG delta band amplitude modulations carry information about both arm movement initiation and movement direction, and that they are represented in two distinct cortical networks.

•

Delta band EEG carries information about arm movement initiation and direction.

•

Movement initiation and direction are represented in two distinct cortical networks.

•

Information about movement direction is primarily encoded in parieto-occipital areas.

•

The activity in parieto-occipital areas is phase-locked to the direction cue.

Decoding hand movements from human EEG to control a robotic arm in a simulation environment

OBJECTIVE

Daily life tasks can become a significant challenge for motor impaired persons. Depending on the severity of their impairment, they require more complex solutions to retain an independent life. Brain-computer interfaces (BCIs) are targeted to provide an intuitive form of control for advanced assistive devices such as robotic arms or neuroprostheses. In our current study we aim to decode three different executed hand movements in an online BCI scenario from electroencephalographic (EEG) data.

APPROACH

Immersed in a desktop-based simulation environment, 15 non-disabled participants interacted with virtual objects from daily life by an avatar's robotic arm. In a short calibration phase, participants performed executed palmar and lateral grasps and wrist supinations. Using this data, we trained a classification model on features extracted from the low frequency time domain. In the subsequent evaluation phase, participants controlled the avatar's robotic arm and interacted with the virtual objects in case of a correct classification.

MAIN RESULTS

On average, participants scored online 48% of all movement trials correctly (3-condition scenario, adjusted chance level 40%, alpha = 0.05). The underlying movement-related cortical potentials (MRCPs) of the acquired calibration data show significant differences between conditions over contralateral central sensorimotor areas, which are retained in the data acquired from the online BCI use.

SIGNIFICANCE

We could show the successful online decoding of two grasps and one wrist supination movement using low frequency time domain features of the human EEG. These findings can potentially contribute to the development of a more natural and intuitive BCI-based control modality for upper limb motor neuroprostheses or robotic arms for people with motor impairments.

Decoding Movement-Related Cortical Potentials Based on Subject-Dependent and Section-Wise Spectral Filtering

An important challenge in developing a movement-related cortical potential (MRCP)-based brain-machine interface (BMI) is an accurate decoding of the user intention for real-world environments. However, the performance remains insufficient for real-time decoding owing to the endogenous signal characteristics compared to other BMI paradigms. This study aims to enhance the MRCP decoding performance from the perspective of preprocessing techniques (i.e., spectral filtering). To the best of our knowledge, existing MRCP studies have used spectral filters with a fixed frequency bandwidth for all subjects. Hence, we propose a subject-dependent and section-wise spectral filtering (SSSF) method that considers the subjects' individual MRCP characteristics for two different temporal sections. In this study, MRCP data were acquired under a powered exoskeleton environments in which the subjects conducted self-initiated walking. We evaluated our method using both our experimental data and a public dataset (BNCI Horizon 2020). The decoding performance using the SSSF was 0.86 (±0.09), and the performance on the public dataset was 0.73 (±0.06) across all subjects. The experimental results showed a statistically significant enhancement ( ) compared with the fixed frequency bands used in previous methods on both datasets. In addition, we presented successful decoding results from a pseudo-online analysis. Therefore, we demonstrated that the proposed SSSF method can involve more meaningful MRCP information than conventional methods.

Electroencephalography

The electroencephalogram (EEG) was invented almost 100 years ago and is still a method of choice for many research questions, even applications-from functional brain imaging in neuroscientific investigations during movement to real-time applications like brain-computer interfacing. This chapter gives some background information on the establishment and properties of the EEG. This chapter starts with a closer look at the sources of EEG at a micro or neuronal level, followed by recording techniques, types of electrodes, and common EEG artifacts. Then an overview on EEG phenomena, namely, spontaneous EEG and event-related potentials build the middle part of this chapter. The last part discusses brain signals, which are used in current BCI research, including short descriptions and examples of applications.

Decoder calibration with ultra small current sample set for intracortical brain-machine interface

OBJECTIVE

Intracortical brain-machine interfaces (iBMIs) aim to restore efficient communication and movement ability for paralyzed patients. However, frequent recalibration is required for consistency and reliability, and every recalibration will require relatively large most current sample set. The aim in this study is to develop an effective decoder calibration method that can achieve good performance while minimizing recalibration time.

APPROACH

Two rhesus macaques implanted with intracortical microelectrode arrays were trained separately on movement and sensory paradigm. Neural signals were recorded to decode reaching positions or grasping postures. A novel principal component analysis-based domain adaptation (PDA) method was proposed to recalibrate the decoder with only ultra small current sample set by taking advantage of large historical data, and the decoding performance was compared with other three calibration methods for evaluation.

MAIN RESULTS

The PDA method closed the gap between historical and current data effectively, and made it possible to take advantage of large historical data for decoder recalibration in current data decoding. Using only ultra small current sample set (five trials of each category), the decoder calibrated using the PDA method could achieve much better and more robust performance in all sessions than using other three calibration methods in both monkeys.

SIGNIFICANCE

(1) By this study, transfer learning theory was brought into iBMIs decoder calibration for the first time. (2) Different from most transfer learning studies, the target data in this study were ultra small sample set and were transferred to the source data. (3) By taking advantage of historical data, the PDA method was demonstrated to be effective in reducing recalibration time for both movement paradigm and sensory paradigm, indicating a viable generalization. By reducing the demand for large current training data, this new method may facilitate the application of intracortical brain-machine interfaces in clinical practice.

The Advantage of Low-Delta Electroencephalogram Phase Feature for Reconstructing the Center-Out Reaching Hand Movements

It is an emerging frontier of research on the use of neural signals for prosthesis control, in order to restore lost function to amputees and patients after spinal cord injury. Compared to the invasive neural signal based brain-machine interface (BMI), a non-invasive alternative, i.e., the electroencephalogram (EEG)-based BMI would be more widely accepted by the patients above. Ideally, a real-time continuous neuroprosthestic control is required for practical applications. However, conventional EEG-based BMIs mainly deal with the discrete brain activity classification. Until recently, the literature has reported several attempts for achieving the real-time continuous control by reconstructing the continuous movement parameters (e.g., speed, position, etc.) from the EEG recordings, and the low-frequency band EEG is consistently reported to encode the continuous motor control information. Previous studies with executed movement tasks have extensively relied on the amplitude representation of such slow oscillations of EEG signals for building models to decode kinematic parameters. Inspired by the recent successes of instantaneous phase of low-frequency invasive brain signals in the motor control and sensory processing domains, this study examines the extension of such a slow-oscillation phase representation to the reconstructing two-dimensional hand movements, with the non-invasive EEG signals for the first time. The data for analysis are collected on five healthy subjects performing 2D hand center-out reaching along four directions in two sessions. On representative channels over the cortices encoding the execution information of reaching movements, we show that the low-delta EEG phase representation is characterized by higher signal-to-noise ratio and stronger modulation by the movement tasks, compared to the low-delta EEG amplitude representation. Furthermore, we have tested the low-delta EEG phase representation with two commonly used linear decoding models. The results demonstrate that the low-delta EEG phase based decoders lead to superior performance for 2D executed movement reconstruction to its amplitude based counterparts, as well as the other-frequency band amplitude and power based features. Thus, our study contributes to improve the movement reconstruction from EEG by introducing a new feature set based on the low-delta EEG phase patterns, and demonstrates its potential for continuous fine motion control of neuroprostheses.

Warped phase coherence: An empirical synchronization measure combining phase and amplitude information

The entrainment between weakly coupled nonlinear oscillators, as well as between complex signals such as those representing physiological activity, is frequently assessed in terms of whether a stable relationship is detectable between the instantaneous phases extracted from the measured or simulated time-series via the analytic signal. Here, we demonstrate that adding a possibly complex constant value to this normally null-mean signal has a non-trivial warping effect. Among other consequences, this introduces a level of sensitivity to the amplitude fluctuations and average relative phase. By means of simulations of Rössler systems and experiments on single-transistor oscillator networks, it is shown that the resulting coherence measure may have an empirical value in improving the inference of the structural couplings from the dynamics. When tentatively applied to the electroencephalogram recorded while performing imaginary and real movements, this straightforward modification of the phase locking value substantially improved the classification accuracy. Hence, its possible practical relevance in brain-computer and brain-machine interfaces deserves consideration.

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

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

Application of the Stockwell Transform to Electroencephalographic Signal Analysis during Gait Cycle

The analysis of electroencephalographic signals in frequency is usually not performed by transforms that can extract the instantaneous characteristics of the signal. However, the non-steady state nature of these low voltage electrical signals makes them suitable for this kind of analysis. In this paper a novel tool based on Stockwell transform is tested, and compared with techniques such as Hilbert-Huang transform and Fast Fourier Transform, for several healthy individuals and patients that suffer from lower limb disability. Methods are compared with the Weighted Discriminator, a recently developed comparison index. The tool developed can improve the rehabilitation process associated with lower limb exoskeletons with the help of a Brain-Machine Interface.

Personalized Offline and Pseudo-Online BCI Models to Detect Pedaling Intent

The aim of this work was to design a personalized BCI model to detect pedaling intention through EEG signals. The approach sought to select the best among many possible BCI models for each subject. The choice was between different processing windows, feature extraction algorithms and electrode configurations. Moreover, data was analyzed offline and pseudo-online (in a way suitable for real-time applications), with a preference for the latter case. A process for selecting the best BCI model was described in detail. Results for the pseudo-online processing with the best BCI model of each subject were on average 76.7% of true positive rate, 4.94 false positives per minute and 55.1% of accuracy. The personalized BCI model approach was also found to be significantly advantageous when compared to the typical approach of using a fixed feature extraction algorithm and electrode configuration. The resulting approach could be used to more robustly interface with lower limb exoskeletons in the context of the rehabilitation of stroke patients.