HD-EEG Based Classification of Motor-Imagery Related Activity in Patients With Spinal Cord Injury

Brain-computer interface enhanced by virtual reality training for controlling a lower limb exoskeleton

This study explores the use of a brain-computer interface (BCI) based on motor imagery (MI) for the control of a lower limb exoskeleton to aid in motor recovery after a neural injury. The BCI was evaluated in ten able-bodied subjects and two patients with spinal cord injuries. Five able-bodied subjects underwent a virtual reality (VR) training session to accelerate training with the BCI. Results from this group were compared with a control group of five able-bodied subjects, and it was found that the employment of shorter training by VR did not reduce the effectiveness of the BCI and even improved it in some cases. Patients gave positive feedback about the system and were able to handle experimental sessions without reaching high levels of physical and mental exertion. These results are promising for the inclusion of BCI in rehabilitation programs, and future research should investigate the potential of the MI-based BCI system.

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.

Locked-in syndrome revisited

The locked-in syndrome (LiS) is characterized by quadriplegia with preserved vertical eye and eyelid movements and retained cognitive abilities. Subcategorization, aetiologies and the anatomical foundation of LiS are discussed. The damage of different structures in the pons, mesencephalon and thalamus are attributed to symptoms of classical, complete and incomplete LiS and the locked-in plus syndrome, which is characterized by additional impairments of consciousness, making the clinical distinction to other chronic disorders of consciousness at times difficult. Other differential diagnoses are cognitive motor dissociation (CMD) and akinetic mutism. Treatment options are reviewed and an early, interdisciplinary and aggressive approach, including the provision of psychological support and coping strategies is favoured. The establishment of communication is a main goal of rehabilitation. Finally, the quality of life of LiS patients and ethical implications are considered. While patients with LiS report a high quality of life and well-being, medical professionals and caregivers have largely pessimistic perceptions. The negative view on life with LiS must be overthought and the autonomy and dignity of LiS patients prioritized. Knowledge has to be disseminated, diagnostics accelerated and technical support system development promoted. More well-designed research but also more awareness of the needs of LiS patients and their perception as individual persons is needed to enable a life with LiS that is worth living.

Feasibility of using discrete Brain Computer Interface for people with Multiple Sclerosis

AIM

Brain-Computer Interfaces (BCIs) hold promise to provide people with partial or complete paralysis, the ability to control assistive technology. This study reports offline classification of imagined and executed movements of the upper and lower limb in one participant with multiple sclerosis and people with no limb function deficits.

METHODS

We collected neural signals using electroencephalography (EEG) while participants performed executed and imagined motor tasks as directed by prompts shown on a screen.

RESULTS

Participants with no limb function attained >70% decoding accuracy on their best-imagined task compared to rest and on at-least one task comparison. The participant with multiple sclerosis also achieved accuracies within the range of participants with no limb function loss.Clinical Relevance - While only one case study is provided it was promising that the participant with MS was able to achieve comparable classification to that of the seven healthy controls. Further studies are needed to assess whether people suffering from MS may be able to use a BCI to improve their quality of life.

A BCI System Based on Motor Imagery for Assisting People with Motor Deficiencies in the Limbs

Motor deficiencies constitute a significant problem affecting millions of people worldwide. Such people suffer from a debility in daily functioning, which may lead to decreased and incoherence in daily routines and deteriorate their quality of life (QoL). Thus, there is an essential need for assistive systems to help those people achieve their daily actions and enhance their overall QoL. This study proposes a novel brain–computer interface (BCI) system for assisting people with limb motor disabilities in performing their daily life activities by using their brain signals to control assistive devices. The extraction of useful features is vital for an efficient BCI system. Therefore, the proposed system consists of a hybrid feature set that feeds into three machine-learning (ML) classifiers to classify motor Imagery (MI) tasks. This hybrid feature selection (FS) system is practical, real-time, and an efficient BCI with low computation cost. We investigate different combinations of channels to select the combination that has the highest impact on performance. The results indicate that the highest achieved accuracies using a support vector machine (SVM) classifier are 93.46% and 86.0% for the BCI competition III–IVa dataset and the autocalibration and recurrent adaptation dataset, respectively. These datasets are used to test the performance of the proposed BCI. Also, we verify the effectiveness of the proposed BCI by comparing its performance with recent studies. We show that the proposed system is accurate and efficient. Future work can apply the proposed system to individuals with limb motor disabilities to assist them and test their capability to improve their QoL. Moreover, the forthcoming work can examine the system’s performance in controlling assistive devices such as wheelchairs or artificial limbs.