A comparison of the effects of electrode implantation and targeting on pattern classification accuracy for prosthesis control

Electromyography data for non-invasive naturally-controlled robotic hand prostheses

Recent advances in rehabilitation robotics suggest that it may be possible for hand-amputated subjects to recover at least a significant part of the lost hand functionality. The control of robotic prosthetic hands using non-invasive techniques is still a challenge in real life: myoelectric prostheses give limited control capabilities, the control is often unnatural and must be learned through long training times. Meanwhile, scientific literature results are promising but they are still far from fulfilling real-life needs. This work aims to close this gap by allowing worldwide research groups to develop and test movement recognition and force control algorithms on a benchmark scientific database. The database is targeted at studying the relationship between surface electromyography, hand kinematics and hand forces, with the final goal of developing non-invasive, naturally controlled, robotic hand prostheses. The validation section verifies that the data are similar to data acquired in real-life conditions, and that recognition of different hand tasks by applying state-of-the-art signal features and machine-learning algorithms is possible.

Spatial correlation of high density EMG signals provides features robust to electrode number and shift in pattern recognition for myocontrol

Research on pattern recognition for myoelectric control has usually focused on a small number of electromyography (EMG) channels because of better clinical acceptability and low computational load with respect to multi-channel EMG. However, recently, high density (HD) EMG technology has substantially improved, also in practical usability, and can thus be applied in myocontrol. HD EMG provides several closely spaced recordings in multiple locations over the skin surface. This study considered the use of HD EMG for controlling upper limb prostheses, based on pattern recognition. In general, robustness and reliability of classical pattern recognition systems are influenced by electrode shift in dons and doff, and by the presence of malfunctioning channels. The aim of this study is to propose a new approach to attenuate these issues. The HD EMG grid of electrodes is an ensemble of sensors that records data spatially correlated. The experimental variogram, which is a measure of the degree of spatial correlation, was used as feature for classification, contrary to previous approaches that are based on temporal or frequency features. The classification based on the variogram was tested on seven able-bodied subjects and one subject with amputation, for the classification of nine and seven classes, respectively. The performance of the proposed approach was comparable with the classic methods based on time-domain and autoregressive features (average classification accuracy over all methods ∼ 95% for nine classes). However, the new spatial features demonstrated lower sensitivity to electrode shift ( ± 1 cm) with respect to the classic features . When even just one channel was noisy, the classification accuracy dropped by ∼ 10% for all methods. However, the new method could be applied without any retraining to a subset of high-quality channels whereas the classic methods require retraining when some channels are omitted. In conclusion, the new spatial feature space proposed in this study improved the robustness to electrode number and shift in myocontrol with respect to previous approaches.

Extrinsic finger and thumb muscles command a virtual hand to allow individual finger and grasp control

Fine-wire intramuscular electrodes were used to obtain electromyogram (EMG) signals from six extrinsic hand muscles associated with the thumb, index, and middle fingers. Subjects' EMG activity was used to control a virtual three-degree-of-freedom (DOF) hand as they conformed the hand to a sequence of hand postures testing two controllers: direct EMG control and pattern recognition control. Subjects tested two conditions using each controller: starting the hand from a predefined neutral posture before each new posture and starting the hand from the previous posture in the sequence. Subjects demonstrated their abilities to simultaneously, yet individually, move all three DOFs during the direct EMG control trials; however, results showed subjects did not often utilize this feature. Performance metrics such as failure rate and completion time showed no significant difference between the two controllers.

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.

A state-based, proportional myoelectric control method: online validation and comparison with the clinical state-of-the-art

BACKGROUND

Current clinical myoelectric systems provide unnatural prosthesis control, with limited functionality. In this study, we propose a proportional state-based control method, which allows switching between functions in a more natural and intuitive way than the traditional co-contraction switch method.

METHODS

We validated the ability of the proposed system to provide precise control in both position and velocity modes. Two tests were performed with online visual feedback, involving target reaching and direct force control in grasping. The performance of the system was evaluated both on a subject with limb deficiency and in 9 intact-limbed subjects, controlling two degrees of freedom (DoF) of the hand and wrist.

RESULTS

The system allowed completion of the tasks involving 1-DoF with task completion rate >96% and of those involving 2-DoF with completion rate >91%. When compared with the clinical/industrial state-of-the-art approach and with a classic pattern recognition approach, the proposed method significantly improved the performance in the 2-DoF tasks. The completion rate in grasping force control was >97% on average.

CONCLUSIONS

These results indicate that, using the proposed system, subjects were successfully able to operate two DoFs, and to achieve precise force control in grasping. Thus, the proposed state-based method could be a suitable alternative for commercial myoelectric devices, providing reliable and intuitive control of two DoFs.

On the usability of intramuscular EMG for prosthetic control: a Fitts' Law approach

Previous studies on intramuscular EMG based control used offline data analysis. The current study investigates the usability of intramuscular EMG in two degree-of-freedom using a Fitts' Law approach by combining classification and proportional control to perform a task, with real time feedback of user performance. Nine able-bodied subjects participated in the study. Intramuscular and surface EMG signals were recorded concurrently from the right forearm. Five performance metrics (Throughput,Path efficiency, Average Speed, Overshoot and Completion Rate) were used for quantification of usability. Intramuscular EMG based control performed significantly better than surface EMG for Path Efficiency (80.5±2.4% vs. 71.5±3.8%, P=0.004) and Overshoot (22.0±3.0% vs. 45.1±6.6%, P=0.01). No difference was found between Throughput and Completion Rate. However the Average Speed was significantly higher for surface (51.8±5.5%) than for intramuscular EMG (35.7±2.7%). The results obtained in this study imply that intramuscular EMG has great potential as control source for advanced myoelectric prosthetic devices.

Real-time and offline performance of pattern recognition myoelectric control using a generic electrode grid with targeted muscle reinnervation patients

Targeted muscle reinnervation (TMR) is a surgical technique that creates myoelectric prosthesis control sites for high-level amputees. The electromyographic (EMG) signal patterns provided by the reinnervated muscles are well-suited for pattern recognition control. Pattern recognition allows for control of a greater number of degrees of freedom (DOF) than the conventional, EMG amplitude-based approach. Previous pattern recognition studies have shown benefit in placing electrodes directly over the reinnervated muscles. Localizing the optimal TMR locations is inconvenient and time consuming. In this contribution, we demonstrate that a clinically practical grid arrangement of electrodes yields real-time control performance that is equivalent to, or better than, the site-specific electrode placement for simultaneous control of multiple DOFs using pattern recognition. Additional findings indicate that grid-like electrode arrangement yields significantly lower classification errors for classifiers with a large number of movement classes ( > 9). These findings suggest that a grid electrode arrangement can be effectively used to control a multi-DOF upper limb prosthesis while reducing the time and effort associated with fitting the prosthesis due to clinical localization of control sites on amputee patients.

Spatial localization of electromyographic amplitude distributions associated to the activation of dorsal forearm muscles

In this study we investigated whether the spatial distribution of surface electromyographic (EMG) amplitude can be used to describe the activation of muscle portions with different biomechanical actions. Ten healthy subjects performed isometric contractions aimed to selectively activate a number of forearm muscles or muscle subportions. Monopolar electromyographic signals were collected with an electrode grid of 128 electrodes placed on the proximal, dorsal portion of the forearm. The monopolar EMG amplitude [root mean square (RMS) value] distribution was calculated for each contraction, and high-amplitude channels were identified through an automatic procedure; the position of the EMG source was estimated with the barycenter of these channels. Each of the contractions tested was associated to a specific EMG amplitude distribution, whose location in space was consistent with the expected anatomical position of the main agonist muscle (or subportion). The position of each source was significantly different from the others in at least one direction (ANOVA; transversally to the forearm: P < 0.01, F = 125.92; longitudinally: P < 0.01, F = 35.83). With such an approach, we could distinguish the spatial position of EMG distributions related to the activation of contiguous muscles [e.g., extensor carpi ulnaris (ECU) and extensor digitorum communis (EDC)], different heads of the same muscle (i.e., extensor carpi radialis (ECR) brevis and longus) and different functional compartments (i.e., EDC, middle, and ring fingers). These findings are discussed in terms of how forces along a given direction can be produced by recruiting population of motor units clustered not only in specific muscles, but also in muscle sub-portions. In addition, this study supports the use of high-density EMG systems to characterize the activation of muscle subportions with different biomechanical actions.

Recognition of hand movements in a trans-radial amputated subject by sEMG

Trans-radially amputated persons who own a myoelectric prosthesis have currently some control via surface electromyography (sEMG). However, the control systems are still limited (as they include very few movements) and not always natural (as the subject has to learn to associate movements of the muscles with the movements of the prosthesis). The Ninapro project tries helping the scientific community to overcome these limits through the creation of electromyography data sources to test machine learning algorithms. In this paper the results gained from first tests made on an amputated subject with the Ninapro acquisition protocol are detailed. In agreement with neurological studies on cortical plasticity and on the anatomy of the forearm, the amputee produced stable signals for each movement in the test. Using a k-NN classification algorithm, we obtain an average classification rate of 61.5% on all 53 movements. Successively, we simplify the task reducing the number of movements to 13, resulting in no misclassified movements. This shows that for fewer movements a very high classification accuracy is possible without the subject having to learn the movements specifically.

Wrist torque estimation during simultaneous and continuously changing movements: surface vs. untargeted intramuscular EMG

In this paper, the predictive capability of surface and untargeted intramuscular electromyography (EMG) was compared with respect to wrist-joint torque to quantify which type of measurement better represents joint torque during multiple degrees-of-freedom (DoF) movements for possible application in prosthetic control. Ten able-bodied subjects participated in the study. Surface and intramuscular EMG was recorded concurrently from the right forearm. The subjects were instructed to track continuous contraction profiles using single and combined DoF in two trials. The association between torque and EMG was assessed using an artificial neural network. Results showed a significant difference between the two types of EMG (P < 0.007) for all performance metrics: coefficient of determination (R(2)), Pearson correlation coefficient (PCC), and root mean square error (RMSE). The performance of surface EMG (R(2) = 0.93 ± 0.03; PCC = 0.98 ± 0.01; RMSE = 8.7 ± 2.1%) was found to be superior compared with intramuscular EMG (R(2) = 0.80 ± 0.07; PCC = 0.93 ± 0.03; RMSE = 14.5 ± 2.9%). The higher values of PCC compared with R(2) indicate that both methods are able to track the torque profile well but have some trouble (particularly intramuscular EMG) in estimating the exact amplitude. The possible cause for the difference, thus the low performance of intramuscular EMG, may be attributed to the very high selectivity of the recordings used in this study.

Surface versus untargeted intramuscular EMG based classification of simultaneous and dynamically changing movements

The pattern recognition-based myoelectric control scheme is in the process of being implemented in clinical settings, but it has been mainly tested on sequential and steady state data. This paper investigates the ability of pattern recognition to resolve movements that are simultaneous and dynamically changing and compares the use of surface and untargeted intramuscular EMG signals for this purpose. Ten able-bodied subjects participated in the study. Both EMG types were recorded concurrently from the right forearm. The subjects were instructed to track dynamic contraction profiles using single and combined degrees of freedom in three trials. During trials one and two, the amplitude and the frequency of the profile were kept constant (nonmodulated data), and during trial three, the two parameters were modulated (modulated data). The results showed that the performance was up to 93% for nonmodulated tasks, but highly depended on the nature of the data used. Surface and untargeted intramuscular EMG had equal performance for data of similar nature (nonmodulated), but the performance of intramuscular EMG decreased, compared to surface, when tested on modulated data. However, the results of intramuscular recordings obtained in this study are promising for future use of implantable electrodes, because, besides the value added in terms of potential chronic implantation, the performance is theoretically the same as for surface EMG provided that enough information is captured in the recordings. Nevertheless, care should be taken when training the system since data obtained from selective recordings probably need more training data to generalize to new signals.

Classification of simultaneous movements using surface EMG pattern recognition

Advanced upper limb prostheses capable of actuating multiple degrees of freedom (DOFs) are now commercially available. Pattern recognition algorithms that use surface electromyography (EMG) signals show great promise as multi-DOF controllers. Unfortunately, current pattern recognition systems are limited to activate only one DOF at a time. This study introduces a novel classifier based on Bayesian theory to provide classification of simultaneous movements. This approach and two other classification strategies for simultaneous movements were evaluated using nonamputee and amputee subjects classifying up to three DOFs, where any two DOFs could be classified simultaneously. Similar results were found for nonamputee and amputee subjects. The new approach, based on a set of conditional parallel classifiers was the most promising with errors significantly less (p < 0.05) than a single linear discriminant analysis (LDA) classifier or a parallel approach. For three-DOF classification, the conditional parallel approach had error rates of 6.6% on discrete and 10.9% on combined motions, while the single LDA had error rates of 9.4% on discrete and 14.1% on combined motions. The low error rates demonstrated suggest than pattern recognition techniques on surface EMG can be extended to identify simultaneous movements, which could provide more life-like motions for amputees compared to exclusively classifying sequential movements.

Hysteresis in the electromyography-force relationship: toward an optimal model for the estimation of force

INTRODUCTION

In this study we analyzed the presence of hysteresis in the relationship between features of electromyography (EMG) and force.

METHODS

Intramuscular EMG and surface EMG (sEMG) were recorded concurrently from the flexor digitorum profundus muscle from 0% to 100% maximum voluntary contraction (MVC) in 11 subjects. Two features, mean absolute value (MAV) and Wilson amplitude (WAMP), were computed using either the first-order (poly1) or third-order (poly3) polynomial.

RESULTS

We detected hysteresis in the EMG-force relationship for both features in all subjects. In general, the hysteresis-based models performed better than the overall model (which does not take into account the hysteresis in the EMG-force relationship), with R(2) values about 0.98 (averaged across subjects) and root mean square error around 5% of the MVC force.

CONCLUSION

These results imply the existence of a path-dependent model, which may improve the accuracy of force estimation. Muscle Nerve, 2012.

Control of hand prostheses using peripheral information

Several efforts have been carried out to enhance dexterous hand prosthesis control by impaired individuals. Choosing which voluntary signal to use for control purposes is a critical element to achieve this goal. This review presents and discusses the recent results achieved by using electromyographic signals, recorded either with surface (sEMG) or intramuscular (iEMG) electrodes, and electroneurographic (ENG) signals. The potential benefits and shortcomings of the different approaches are described with a particular attention to the definition of all the steps required to achieve an effective hand prosthesis control in the different cases. Finally, a possible roadmap in the field is also presented.

On the viability of implantable electrodes for the natural control of artificial limbs: review and discussion

The control of robotic prostheses based on pattern recognition algorithms is a widely studied subject that has shown promising results in acute experiments. The long-term implementation of this technology, however, has not yet been achieved due to practical issues that can be mainly attributed to the use of surface electrodes and their highly environmental dependency. This paper describes several implantable electrodes and discusses them as a solution for the natural control of artificial limbs. In this context "natural" is defined as producing control over limb movement analogous to that of an intact physiological system. This includes coordinated and simultaneous movements of different degrees of freedom. It also implies that the input signals must come from nerves or muscles that were originally meant to produce the intended movement and that feedback is perceived as originating in the missing limb without requiring burdensome levels of concentration. After scrutinizing different electrode designs and their clinical implementation, we concluded that the epimysial and cuff electrodes are currently promising candidates to achieving a long-term stable and natural control of robotic prosthetics, provided that communication from the electrodes to the outside of the body is guaranteed.

Decoding of individuated finger movements using surface EMG and input optimization applying a genetic algorithm

In this paper we present surface electromyo-graphic (EMG) data collected from 16 channels on five unimpaired subjects and one transradial amputee performing 12 individual finger movements and a rest class. EMG were processed using a traditional Time Domain feature-set and classifiers: a Linear Discriminant Analysis (LDA) a k-Nearest Neighbors (k-NN) and Support Vector Machine (SVM). Using continuous datasets we show that it is possible to achieve an accuracy up to 80% across subjects. Thereafter possibilities to reduce the numbers of channels physically required, as well as the number of features have been investigated by means of a developed Genetic Algorithm (GA) that included a bonus system to reward eliminated features and channels. The classification was performed firstly on the full datasets and in later runs using the GA. The GA demonstrated high redundancy in the recorded 16 channel data as well as the insignificance of certain features. Although the GA optimization yielded to reduce 8 to 11 channels depending on the subject, such reduction had little to no effect on the classification accuracies.

Electromyogram-based neural network control of transhumeral prostheses

Upper-limb amputation can cause a great deal of functional impairment for patients, particularly for those with amputation at or above the elbow. Our long-term objective is to improve functional outcomes for patients with amputation by integrating a fully implanted electromyographic (EMG) recording system with a wireless telemetry system that communicates with the patient's prosthesis. We believe that this should generate a scheme that will allow patients to robustly control multiple degrees of freedom simultaneously. The goal of this study is to evaluate the feasibility of predicting dynamic arm movements (both flexion/extension and pronation/supination) based on EMG signals from a set of muscles that would likely be intact in patients with transhumeral amputation. We recorded movement kinematics and EMG signals from seven muscles during a variety of movements with different complexities. Time-delayed artificial neural networks were then trained offline to predict the measured arm trajectories based on features extracted from the measured EMG signals. We evaluated the relative effectiveness of various muscle subsets. Predicted movement trajectories had average root-mean-square errors of approximately 15.7° and 24.9° and average R(2) values of approximately 0.81 and 0.46 for elbow flexion/extension and forearm pronation/supination, respectively.

High density electromyography data of normally limbed and transradial amputee subjects for multifunction prosthetic control

Pattern recognition based control of powered upper limb myoelectric prostheses offers a means of extracting more information from the available muscles than conventional methods. By identifying repeatable patterns of muscle activity across multiple muscle sites rather than relying on independent EMG signals it is possible to provide more natural, reliable control of myoelectric prostheses. The purposes of this study were to (1) determine if participants can perform distinctive muscle activation patterns associated with multiple wrist and hand movements reliably and (2) to show that high density EMG can be applied individually to determine the electrode location of a clinically acceptable number of electrodes (maximally eight) to classify multiple wrist and hand movements reliably in transradial amputees. Eight normally limbed subjects (five female, three male) and four transradial amputee subjects (two traumatic and congenital) subjects participated in this study, which examined the classification accuracies of a pattern recognition control system. It was found that tasks could be classified with high accuracy (85-98%) with normally limbed subjects (10-13 tasks) and with amputees (4-6) tasks. In healthy subjects, reducing the number of electrodes to eight did not affect accuracy significantly when those electrodes were optimally placed, but did reduce accuracy significantly when those electrodes were distributed evenly. In the amputee subjects, reducing the number of electrodes up to 4 did not affect classification accuracy or the number of tasks with high accuracy, independent of whether those remaining electrodes were evenly distributed or optimally placed. The findings in healthy subjects suggest that high density EMG testing is a useful tool to identify optimal electrode sites for pattern recognition control, but its use in amputees still has to be proven. Instead of just identifying the electrode sites where EMG activity is strong, clinicians will be able to choose the electrode sites that provide the most important information for classification.

Quantification of feature space changes with experience during electromyogram pattern recognition control

Pattern recognition of the electromyogram (EMG) has been demonstrated in the laboratory to be a successful alternative to conventional control methods for myoelectric prostheses. Pattern recognition control is dependent upon both machine and user learning; the user learns to generate distinct classes of muscle activity while the machine learns to interpret them. With experience, users may learn to generate distinct classes by reducing intraclass variability or by increasing interclass distance. The goal of this study was to identify which of these strategies best explained differences in EMG patterns between subjects with and without experience using pattern recognition control. We compared classification errors of novice nonamputee subjects with experienced nonamputee subjects. We found that after brief exposure to the control method, classification error in novices was reduced, although not to the level of experienced subjects. While the level of intraclass variability in novices was similar to that of the experienced subjects, they did not achieve the same level of interclass distance. These differences can be used to guide the development of much needed rehabilitation methods to train subjects to use pattern recognition devices. In particular we recommend training protocols that emphasize increasing the interclass distance.

Performance of pattern recognition myoelectric control using a generic electrode grid with targeted muscle reinnervation patients

Targeted muscle reinnervation (TMR) is a surgical technique that creates myoelectric prosthesis control sites for high-level amputees. The electromyographic signal patterns provided by the reinnervated muscles are well-suited for pattern recognition (PR) control. PR control uses more electrodes compared to conventional amplitude control techniques but their placement on the residual limb is less critical than for conventional amplitude control. In this contribution, we demonstrate that classification error and real-time control performances using a generically placed electrode grid were equivalent or superior to the performance when using targeted electrode placements on two transhumeral amputee subjects with TMR. When using a grid electrode layout, subjects were able to complete actions 0.290 sec to 1 sec faster and with greater accuracy as compared to clinically localized electrode placement (mean classification error of 1.35% and 3.2%, respectively, for a 5 movement-class classifier).These findings indicate that a grid electrode arrangement has the potential to improve control of a myoelectric prosthesis while reducing the time and effort associated with fitting the prosthesis due to clinical localization of control sites on amputee patients.

Improving myoelectric pattern recognition robustness to electrode shift by changing interelectrode distance and electrode configuration

Pattern recognition of myoelectric signals for prosthesis control has been extensively studied in research settings and is close to clinical implementation. These systems are capable of intuitively controlling the next generation of dexterous prosthetic hands. However, pattern recognition systems perform poorly in the presence of electrode shift, defined as movement of surface electrodes with respect to the underlying muscles. This paper focused on investigating the optimal interelectrode distance, channel configuration, and electromyography feature sets for myoelectric pattern recognition in the presence of electrode shift. Increasing interelectrode distance from 2 to 4 cm improved pattern recognition system performance in terms of classification error and controllability (p < 0.01). Additionally, for a constant number of channels, an electrode configuration that included electrodes oriented both longitudinally and perpendicularly with respect to muscle fibers improved robustness in the presence of electrode shift (p < 0.05). We investigated the effect of the number of recording channels with and without electrode shift and found that four to six channels were sufficient for pattern recognition control. Finally, we investigated different feature sets for pattern recognition control using a linear discriminant analysis classifier and found that an autoregressive set significantly (p < 0.01) reduced sensitivity to electrode shift compared to a traditional time-domain feature set.

Subject-specific myoelectric pattern classification of functional hand movements for stroke survivors

In this study, we developed a robust subject-specific electromyography (EMG) pattern classification technique to discriminate intended manual tasks from muscle activation patterns of stroke survivors. These classifications will enable volitional control of assistive devices, thereby improving their functionality. Twenty subjects with chronic hemiparesis participated in the study. Subjects were instructed to perform six functional tasks while their muscle activation patterns were recorded by ten surface electrodes placed on the forearm and hand of the impaired limb. In order to identify intended functional tasks, a pattern classifier using linear discriminant analysis was applied to the EMG feature vectors. The classification accuracy was mainly affected by the impairment level of the subject. Mean classification accuracy was 71.3% for moderately impaired subjects (Chedoke Stage of Hand 4 and 5), and 37.9% for severely impaired subjects (Chedoke Stage of Hand 2 and 3). Most misclassification occurred between grip tasks of similar nature, for example, among pinch, key, and three-fingered grips, or between cylindrical and spherical grips. EMG signals from the intrinsic hand muscles significantly contributed to the inter-task variability of the feature vectors, as assessed by the inter-task squared Euclidean distance, thereby indicating the importance of intrinsic hand muscles in functional manual tasks. This study demonstrated the feasibility of the EMG pattern classification technique to discern the intent of stroke survivors. Future work should concentrate on the construction of a subject-specific EMG classification paradigm that carefully considers both functional and physiological impairment characteristics of each subject in the target task selection and electrode placement procedures.

The effects of electrode size and orientation on the sensitivity of myoelectric pattern recognition systems to electrode shift

Myoelectric pattern recognition systems for prosthesis control are often studied in controlled laboratory settings, but obstacles remain to be addressed before they are clinically viable. One important obstacle is the difficulty of maintaining system usability with socket misalignment. Misalignment inevitably occurs during prosthesis donning and doffing, producing a shift in electrode contact locations. We investigated how the size of the electrode detection surface and the placement of electrode poles (electrode orientation) affected system robustness with electrode shift. Electrodes oriented parallel to muscle fibers outperformed electrodes oriented perpendicular to muscle fibers in both shift and no-shift conditions (p < 0.01). Another finding was the significant difference (p < 0.01) in performance for the direction of electrode shift. Shifts perpendicular to the muscle fibers reduced classification accuracy and real-time controllability much more than shifts parallel to the muscle fibers. Increasing the size of the electrode detection surface was found to help reduce classification accuracy sensitivity to electrode shifts in a direction perpendicular to the muscle fibers but did not improve the real-time controllability of the pattern recognition system. One clinically important result was that a combination of longitudinal and transverse electrodes yielded high controllability with and without electrode shift using only four physical electrode pole locations.

Multiple binary classifications via linear discriminant analysis for improved controllability of a powered prosthesis

This paper describes a novel pattern recognition based myoelectric control system that uses parallel binary classification and class specific thresholds. The system was designed with an intuitive configuration interface, similar to existing conventional myoelectric control systems. The system was assessed quantitatively with a classification error metric and functionally with a clothespin test implemented in a virtual environment. For each case, the proposed system was compared to a state-of-the-art pattern recognition system based on linear discriminant analysis and a conventional myoelectric control scheme with mode switching. These assessments showed that the proposed control system had a higher classification error ( p < 0.001) but yielded a more controllable myoelectric control system ( p < 0.001) as measured through a clothespin usability test implemented in a virtual environment. Furthermore, the system was computationally simple and applicable for real-time embedded implementation. This work provides the basis for a clinically viable pattern recognition based myoelectric control system which is robust, easily configured, and highly usable.

Implantable myoelectric sensors (IMESs) for intramuscular electromyogram recording

We have developed a multichannel electrogmyography sensor system capable of receiving and processing signals from up to 32 implanted myoelectric sensors (IMES). The appeal of implanted sensors for myoelectric control is that electromyography (EMG) signals can be measured at their source providing relatively cross-talk-free signals that can be treated as independent control sites. An external telemetry controller receives telemetry sent over a transcutaneous magnetic link by the implanted electrodes. The same link provides power and commands to the implanted electrodes. Wireless telemetry of EMG signals from sensors implanted in the residual musculature eliminates the problems associated with percutaneous wires, such as infection, breakage, and marsupialization. Each implantable sensor consists of a custom-designed application-specified integrated circuit that is packaged into a biocompatible RF BION capsule from the Alfred E. Mann Foundation. Implants are designed for permanent long-term implantation with no servicing requirements. We have a fully operational system. The system has been tested in animals. Implants have been chronically implanted in the legs of three cats and are still completely operational four months after implantation.

A pneumatically powered knee-ankle-foot orthosis (KAFO) with myoelectric activation and inhibition

BACKGROUND

The goal of this study was to test the mechanical performance of a prototype knee-ankle-foot orthosis (KAFO) powered by artificial pneumatic muscles during human walking. We had previously built a powered ankle-foot orthosis (AFO) and used it effectively in studies on human motor adaptation, locomotion energetics, and gait rehabilitation. Extending the previous AFO to a KAFO presented additional challenges related to the force-length properties of the artificial pneumatic muscles and the presence of multiple antagonistic artificial pneumatic muscle pairs.

METHODS

Three healthy males were fitted with custom KAFOs equipped with artificial pneumatic muscles to power ankle plantar flexion/dorsiflexion and knee extension/flexion. Subjects walked over ground at 1.25 m/s under four conditions without extensive practice: 1) without wearing the orthosis, 2) wearing the orthosis with artificial muscles turned off, 3) wearing the orthosis activated under direct proportional myoelectric control, and 4) wearing the orthosis activated under proportional myoelectric control with flexor inhibition produced by leg extensor muscle activation. We collected joint kinematics, ground reaction forces, electromyography, and orthosis kinetics.

RESULTS

The KAFO produced approximately 22%-33% of the peak knee flexor moment, approximately 15%-33% of the peak extensor moment, approximately 42%-46% of the peak plantar flexor moment, and approximately 83%-129% of the peak dorsiflexor moment during normal walking. With flexor inhibition produced by leg extensor muscle activation, ankle (Pearson r-value = 0.74 +/- 0.04) and knee ( r = 0.95 +/- 0.04) joint kinematic profiles were more similar to the without orthosis condition compared to when there was no flexor inhibition (r = 0.49 +/- 0.13 for ankle, p = 0.05, and r = 0.90 +/- 0.03 for knee, p = 0.17).

CONCLUSION

The proportional myoelectric control with flexor inhibition allowed for a more normal gait than direct proportional myoelectric control. The current orthosis design provided knee torques smaller than the ankle torques due to the trade-off in torque and range of motion that occurs with artificial pneumatic muscles. Future KAFO designs could incorporate cams, gears, or different actuators to transmit greater torque to the knee.

Spatial filtering improves EMG classification accuracy following targeted muscle reinnervation

The combination of targeted muscle reinnervation (TMR) and pattern classification of electromyography (EMG) has shown great promise for multifunctional myoelectric prosthesis control. In this study, we hypothesized that surface EMG recordings with high spatial resolution over reinnervated muscles could capture focal muscle activity and improve the classification accuracy of identifying intended movements. To test this hypothesis, TMR subjects with transhumeral or shoulder disarticulation amputations were recruited. Spatial filters such as single differential filters, double differential filters, and various two-dimensional, high-order spatial filters were used, and the classification accuracies for fifteen different movements were calculated. Compared with monopolar recordings, spatially localized EMG signals produced increased accuracy in identifying the TMR patients' movement intents, especially for hand movements. When the number of EMG signals was constrained to 12, the double differential filters gave 5-15% higher classification accuracies than the filters with lower spatial resolution, but resulted in comparable accuracies to the filters with higher spatial resolution. These results suggest that double differential EMG recordings may further improve the TMR-based neural interface for robust, multifunctional control of artificial arms.