Hybrid brain-computer interface with motor imagery and error-related brain activity

Design of a brain-machine interface for reducing false activations of a lower-limb exoskeleton based on error related potential

BACKGROUND AND OBJECTIVE

Brain-Machine Interfaces (BMIs) based on a motor imagination paradigm provide an intuitive approach for the exoskeleton control during gait. However, their clinical applicability remains difficulted by accuracy limitations and sensitivity to false activations. A proposed improvement involves integrating the BMI with methods based on detecting Error Related Potentials (ErrP) to self-tune erroneous commands and enhance not only the system accuracy, but also its usability. The aim of the current research is to characterize the ErrP at the beginning of the gait with a lower limb exoskeleton to reduce the false starts in the BMI system. Furthermore, this study is valuable for determining which type of feedback, Tactile, Visual, or Visuo-Tactile, achieves the best performance in evoking and detecting the ErrP.

METHODS

The initial phase of the research concentrates on detecting ErrP at the beginning of gait to improve the efficiency of an asynchronous BMI based on motor imagery (BMI-MI) to control a lower limb exoskeleton. Initially, an experimental protocol is designed to evoke ErrP at the start of gait, employing three different stimuli: Tactile, Visual, and Visuo-Tactile. An iterative selection process is then utilized to characterize ErrP in both time and frequency domains and fine-tune various parameters, including electrode distribution, feature combinations, and classifiers. A generic classifier with 6 subjects is employed to configure an ensemble classification system for detecting ErrP and reducing the false starts.

RESULTS

The ensembled system configured with the selected parameters yields an average correction of false starts of 72.60 % ± 10.23, highlighting its corrective efficacy. Tactile feedback emerges as the most effective stimulus, outperforming Visual and Visuo-Tactile feedback in both training types.

CONCLUSIONS

The results suggest promising prospects for reducing the false starts when integrating ErrP with BMI-MI, employing Tactile feedback. Consequently, the security of the system is enhanced. Subsequent, further research efforts will focus on detecting error potential during movement for gait stop, in order to limit undesired stops.

Multi-Task Heterogeneous Ensemble Learning-Based Cross-Subject EEG Classification Under Stroke Patients

Robot-assisted motor training is applied for neurorehabilitation in stroke patients, using motor imagery (MI) as a representative paradigm of brain-computer interfaces to offer real-life assistance to individuals facing movement challenges. However, the effectiveness of training with MI may vary depending on the location of the stroke lesion, which should be considered. This paper introduces a multi-task electroencephalogram-based heterogeneous ensemble learning (MEEG-HEL) specifically designed for cross-subject training. In the proposed framework, common spatial patterns were used for feature extraction, and the features according to stroke lesions are shared and selected through sequential forward floating selection. The heterogeneous ensembles were used as classifiers. Nine patients with chronic ischemic stroke participated, engaging in MI and motor execution (ME) paradigms involving finger tapping. The classification criteria for the multi-task were established in two ways, taking into account the characteristics of stroke patients. In the cross-subject session, the first involved a direction recognition task for two-handed classification, achieving a performance of 0.7419 (±0.0811) in MI and 0.7061 (±0.1270) in ME. The second task focused on motor assessment for lesion location, resulting in a performance of 0.7457 (±0.1317) in MI and 0.6791 (±0.1253) in ME. Comparing the specific-subject session, except for ME on the motor assessment task, performance on both tasks was significantly higher than the cross-subject session. Furthermore, classification performance was similar to or statistically higher in cross-subject sessions compared to baseline models. The proposed MEEG-HEL holds promise in improving the practicality of neurorehabilitation in clinical settings and facilitating the detection of lesions.

Effect of motion state variability on error-related potentials during continuous feedback paradigms and their consequences for classification

BACKGROUND

An erroneous motion would elicit the error-related potential (ErrP) when humans monitor the behavior of the external devices. This EEG modality has been largely applied to brain-computer interface in an active or passive manner with discrete visual feedback. However, the effect of variable motion state on ErrP morphology and classification performance raises concerns when the interaction is conducted with continuous visual feedback.

NEW METHOD

In the present study, we designed a cursor control experiment. Participants monitored a continuously moving cursor to reach the target on one side of the screen. Motion state varied multiple times with two factors: (1) motion direction and (2) motion speed. The effects of these two factors on the morphological characteristics and classification performance of ErrP were analyzed. Furthermore, an offline simulation was performed to evaluate the effectiveness of the proposed extended ErrP-decoder in resolving the interference by motion direction changes.

RESULTS

The statistical analyses revealed that motion direction and motion speed significantly influenced the amplitude of feedback-ERN and frontal-Pe components, while only motion direction significantly affected the classification performance.

COMPARISON WITH EXISTING METHODS

Significant deviation was found in ErrP detection utilizing classical correct-versus-erroneous event training. However, this bias can be alleviated by 16% by the extended ErrP-decoder.

CONCLUSION

The morphology and classification performance of ErrP signal can be affected by motion state variability during continuous feedback paradigms. The results enhance the comprehension of ErrP morphological components and shed light on the detection of BCI's error behavior in practical continuous control.

A Review of Online Classification Performance in Motor Imagery-Based Brain–Computer Interfaces for Stroke Neurorehabilitation

Motor imagery (MI)-based brain–computer interfaces (BCI) have shown increased potential for the rehabilitation of stroke patients; nonetheless, their implementation in clinical practice has been restricted due to their low accuracy performance. To date, although a lot of research has been carried out in benchmarking and highlighting the most valuable classification algorithms in BCI configurations, most of them use offline data and are not from real BCI performance during the closed-loop (or online) sessions. Since rehabilitation training relies on the availability of an accurate feedback system, we surveyed articles of current and past EEG-based BCI frameworks who report the online classification of the movement of two upper limbs in both healthy volunteers and stroke patients. We found that the recently developed deep-learning methods do not outperform the traditional machine-learning algorithms. In addition, patients and healthy subjects exhibit similar classification accuracy in current BCI configurations. Lastly, in terms of neurofeedback modality, functional electrical stimulation (FES) yielded the best performance compared to non-FES systems.

Single trial detection of error-related potentials in brain-machine interfaces: a survey and comparison of methods

Objective.Error-related potential (ErrP) is a potential elicited in the brain when humans perceive an error. ErrPs have been researched in a variety of contexts, such as to increase the reliability of brain-computer interfaces (BCIs), increase the naturalness of human-machine interaction systems, teach systems, as well as study clinical conditions. Still, there is a significant challenge in detecting ErrP from a single trial, which may hamper its effective use. The literature presents ErrP detection accuracies quite variable across studies, which raises the question of whether this variability depends more on classification pipelines or on the quality of elicited ErrPs (mostly directly related to the underlying paradigms).Approach.With this purpose, 11 datasets have been used to compare several classification pipelines which were selected according to the studies that reported online performance above 75%. We also analyze the effects of different steps of the pipelines, such as resampling, window selection, augmentation, feature extraction, and classification.Main results.From our analysis, we have found that shrinkage-regularized linear discriminant analysis is the most robust method for classification, and for feature extraction, using Fisher criterion beamformer spatial features and overlapped window averages result in better classification performance. The overall experimental results suggest that classification accuracy is highly dependent on user tasks in BCI experiments and on signal quality (in terms of ErrP morphology, signal-to-noise ratio (SNR), and discrimination).Significance.This study contributes to the BCI research field by responding to the need for a guideline that can direct researchers in designing ErrP-based BCI tasks by accelerating the design steps.

EEG hybrid brain-computer interfaces: A scoping review applying an existing hybrid-BCI taxonomy and considerations for pediatric applications

Most hybrid brain-computer interfaces (hBCI) aim at improving the performance of single-input BCI. Many combinations are possible to configure an hBCI, such as using multiple brain input signals, different stimuli or more than one input system. Multiple studies have been done since 2010 where such interfaces have been tested and analyzed. Results and conclusions are promising but little has been discussed as to what is the best approach for the pediatric population, should they use hBCI as an assistive technology. Children might face greater challenges when using BCI and might benefit from less complex interfaces. Hence, in this scoping review we included 42 papers that developed hBCI systems for the purpose of control of assistive devices or communication software, and we analyzed them through the lenses of potential use in clinical settings and for children. We extracted taxonomic categories proposed in previous studies to describe the types of interfaces that have been developed. We also proposed interface characteristics that could be observed in different hBCI, such as type of target, number of targets and number of steps before selection. Then, we discussed how each of the extracted characteristics could influence the overall complexity of the system and what might be the best options for applications for children. Effectiveness and efficiency were also collected and included in the analysis. We concluded that the least complex hBCI interfaces might involve having a brain inputs and an external input, with a sequential role of operation, and visual stimuli. Those interfaces might also use a minimal number of targets of the strobic type, with one or two steps before the final selection. We hope this review can be used as a guideline for future hBCI developments and as an incentive to the design of interfaces that can also serve children who have motor impairments.

Application of a Brain-Computer Interface System with Visual and Motor Feedback in Limb and Brain Functional Rehabilitation after Stroke: Case Report

(1) Objective: To investigate the feasibility, safety, and effectiveness of a brain-computer interface (BCI) system with visual and motor feedback in limb and brain function rehabilitation after stroke. (2) Methods: First, we recruited three hemiplegic stroke patients to perform rehabilitation training using a BCI system with visual and motor feedback for two consecutive days (four sessions) to verify the feasibility and safety of the system. Then, we recruited five other hemiplegic stroke patients for rehabilitation training (6 days a week, lasting for 12-14 days) using the same BCI system to verify the effectiveness. The mean and Cohen's w were used to compare the changes in limb motor and brain functions before and after training. (3) Results: In the feasibility verification, the continuous motor state switching time (CMSST) of the three patients was 17.8 ± 21.0s, and the motor state percentages (MSPs) in the upper and lower limb training were 52.6 ± 25.7% and 72.4 ± 24.0%, respectively. The effective training revolutions (ETRs) per minute were 25.8 ± 13.0 for upper limb and 24.8 ± 6.4 for lower limb. There were no adverse events during the training process. Compared with the baseline, the motor function indices of the five patients were improved, including sitting balance ability, upper limb Fugel-Meyer assessment (FMA), lower limb FMA, 6 min walking distance, modified Barthel index, and root mean square (RMS) value of triceps surae, which increased by 0.4, 8.0, 5.4, 11.4, 7.0, and 0.9, respectively, and all had large effect sizes (Cohen's w ≥ 0.5). The brain function indices of the five patients, including the amplitudes of the motor evoked potentials (MEP) on the non-lesion side and lesion side, increased by 3.6 and 3.7, respectively; the latency of MEP on the non-lesion side was shortened by 2.6 ms, and all had large effect sizes (Cohen's w ≥ 0.5). (4) Conclusions: The BCI system with visual and motor feedback is applicable in active rehabilitation training of stroke patients with hemiplegia, and the pilot results show potential multidimensional benefits after a short course of treatment.

Review of brain encoding and decoding mechanisms for EEG-based brain-computer interface

A brain-computer interface (BCI) can connect humans and machines directly and has achieved successful applications in the past few decades. Many new BCI paradigms and algorithms have been developed in recent years. Therefore, it is necessary to review new progress in BCIs. This paper summarizes progress for EEG-based BCIs from the perspective of encoding paradigms and decoding algorithms, which are two key elements of BCI systems. Encoding paradigms are grouped by their underlying neural meachanisms, namely sensory- and motor-related, vision-related, cognition-related and hybrid paradigms. Decoding algorithms are reviewed in four categories, namely decomposition algorithms, Riemannian geometry, deep learning and transfer learning. This review will provide a comprehensive overview of both modern primary paradigms and algorithms, making it helpful for those who are developing BCI systems.