Multisession, noninvasive closed-loop neuroprosthetic control of grasping by upper limb amputees

Merging Humans and Neuroprosthetics through Regenerative Peripheral Nerve Interfaces

Limb amputations can be devastating and significantly affect an individual's independence, leading to functional and psychosocial challenges in nearly 2 million people in the United States alone. Over the past decade, robotic devices driven by neural signals such as neuroprostheses have shown great potential to restore the lost function of limbs, allowing amputees to regain movement and sensation. However, current neuroprosthetic interfaces have challenges in both signal quality and long-term stability. To overcome these limitations and work toward creating bionic limbs, the Neuromuscular Laboratory at University of Michigan Plastic Surgery has developed the Regenerative Peripheral Nerve Interface (RPNI). This surgical construct embeds a transected peripheral nerve into a free muscle graft, effectively amplifying small peripheral nerve signals to provide enhanced control signals for a neuroprosthetic limb. Furthermore, the RPNI has the potential to provide sensory feedback to the user and facilitate neuroprosthesis embodiment. This review focuses on the animal studies and clinical trials of the RPNI to recapitulate the promising trajectory toward neurobionics where the boundary between an artificial device and the human body becomes indistinct. This paper also sheds light on the prospects of the improvement and dissemination of the RPNI technology.

Exploring EEG spectral and temporal dynamics underlying a hand grasp movement

For brain-computer interfaces, resolving the differences between pre-movement and movement requires decoding neural ensemble activity in the motor cortex's functional regions and behavioural patterns. Here, we explored the underlying neural activity and mechanisms concerning a grasped motor task by recording electroencephalography (EEG) signals during the execution of hand movements in healthy subjects. The grasped movement included different tasks; reaching the target, grasping the target, lifting the object upwards, and moving the object in the left or right directions. 163 trials of EEG data were acquired from 30 healthy participants who performed the grasped movement tasks. Rhythmic EEG activity was analysed during the premovement (alert task) condition and compared against grasped movement tasks while the arm was moved towards the left or right directions. The short positive to negative deflection that initiated around -0.5ms as a wave before the onset of movement cue can be used as a potential biomarker to differentiate movement initiation and movement. A rebound increment of 14% of beta oscillations and 26% gamma oscillations in the central regions was observed and could be used to distinguish pre-movement and grasped movement tasks. Comparing movement initiation to grasp showed a decrease of 10% in beta oscillations and 13% in gamma oscillations, and there was a rebound increment 4% beta and 3% gamma from grasp to grasped movement. We also investigated the combination MRCPs and spectral estimates of α, β, and γ oscillations as features for machine learning classifiers that could categorize movement conditions. Support vector machines with 3rd order polynomial kernel yielded 70% accuracy. Pruning the ranked features to 5 leaf nodes reduced the error rate by 16%. For decoding grasped movement and in the context of BCI applications, this study identifies potential biomarkers, including the spatio-temporal characteristics of MRCPs, spectral information, and choice of classifiers for optimally distinguishing initiation and grasped movement.

Involvement of the Rostromedial Prefrontal Cortex in Human-Robot Interaction: fNIRS Evidence From a Robot-Assisted Motor Task

Assistive exoskeleton robots are being widely applied in neurorehabilitation to improve upper-limb motor and somatosensory functions. During robot-assisted exercises, the central nervous system appears to highly attend to external information-processing (IP) to efficiently interact with robotic assistance. However, the neural mechanisms underlying this process remain unclear. The rostromedial prefrontal cortex (rmPFC) may be the core of the executive resource allocation that generates biases in the allocation of processing resources toward an external IP according to current behavioral demands. Here, we used functional near-infrared spectroscopy to investigate the cortical activation associated with executive resource allocation during a robot-assisted motor task. During data acquisition, participants performed a right-arm motor task using elbow flexion-extension movements in three different loading conditions: robotic assistive loading (ROB), resistive loading (RES), and non-loading (NON). Participants were asked to strive for kinematic consistency in their movements. A one-way repeated measures analysis of variance and general linear model-based methods were employed to examine task-related activity. We demonstrated that hemodynamic responses in the ventral and dorsal rmPFC were higher during ROB than during NON. Moreover, greater hemodynamic responses in the ventral rmPFC were observed during ROB than during RES. Increased activation in ventral and dorsal rmPFC subregions may be involved in the executive resource allocation that prioritizes external IP during human-robot interactions. In conclusion, these findings provide novel insights regarding the involvement of executive control during a robot-assisted motor task.

Auxiliary controller design and performance comparative analysis in closed-loop brain-machine interface system

Brain-machine interface (BMI) can realize information interaction between the brain and external devices, and yet the control accuracy is limited by the change of electroencephalogram signals. The introduction of auxiliary controller can overcome the above problems, but the performance of different auxiliary controllers is quite different. Hence, in this paper, we comprehensively compare and analyze the performance of different auxiliary controllers to provide a theoretical basis for designing BMI system. The main work includes: (1) designing four kinds of auxiliary controllers based on simultaneous perturbation stochastic approximation-function approximator (SPSA-FA), iterative feedback tuning-PID (IFT-PID), model predictive control (MPC) and model-free control (MFC); (2) based on the model of improved single-joint information transmission, constructing the closed-loop BMI systems with the decoder-based Wiener filter; and (3) comparing their performance in the constructed closed-loop BMI systems for dynamic motion restoration. The results show that the order of tracking accuracy is MPC, IFT-PID, SPSA-FA, MFC, and the order of time consumed is opposite. A good control effectiveness is achieved at the expense of time, so a suitable auxiliary controller should be selected according to the actual requirements.

Online control of an assistive active glove by slow cortical signals in patients with amyotrophic lateral sclerosis

Objective.A brain-computer interface (BCI) allows users to control external devices using brain signals that can be recorded non-invasively via electroencephalography (EEG). Movement related cortical potentials (MRCPs) are an attractive option for BCI control since they arise naturally during movement execution and imagination, and therefore, do not require an extensive training. This study tested the feasibility of online detection of reaching and grasping using MRCPs for the application in patients suffering from amyotrophic lateral sclerosis (ALS).Approach.A BCI system was developed to trigger closing of a soft assistive glove by detecting a reaching movement. The custom-made software application included data collection, a novel method for collecting the input data for classifier training from the offline recordings based on a sliding window approach, and online control of the glove. Eight healthy subjects and two ALS patients were recruited to test the developed BCI system. They performed assessment blocks without the glove active (NG), in which the movement detection was indicated by a sound feedback, and blocks (G) in which the glove was controlled by the BCI system. The true positive rate (TPR) and the positive predictive value (PPV) were adopted as the outcome measures. Correlation analysis between forehead EEG detecting ocular artifacts and sensorimotor area EEG was conducted to confirm the validity of the results.Main results.The overall median TPR and PPV were >0.75 for online BCI control, in both healthy individuals and patients, with no significant difference across the blocks (NG versus G).Significance.The results demonstrate that cortical activity during reaching can be detected and used to control an external system with a limited amount of training data (30 trials). The developed BCI system can be used to provide grasping assistance to ALS patients.

Concerns in the Blurred Divisions between Medical and Consumer Neurotechnology

Neurotechnology has traditionally been central to the diagnosis and treatment of neurological disorders. While these devices have initially been utilized in clinical and research settings, recent advancements in neurotechnology have yielded devices that are more portable, user-friendly, and less expensive. These improvements allow laypeople to monitor their brain waves and interface their brains with external devices. Such improvements have led to the rise of wearable neurotechnology that is marketed to the consumer. While many of the consumer devices are marketed for innocuous applications, such as use in video games, there is potential for them to be repurposed for medical use. How do we manage neurotechnologies that skirt the line between medical and consumer applications and what can be done to ensure consumer safety? Here, we characterize neurotechnology based on medical and consumer applications and summarize currently marketed uses of consumer-grade wearable headsets. We lay out concerns that may arise due to the similar claims associated with both medical and consumer devices, the possibility of consumer devices being repurposed for medical uses, and the potential for medical uses of neurotechnology to influence commercial markets related to employment and self-enhancement.

A Roadmap Towards Standards for Neurally Controlled End Effectors

The control and manipulation of various types of end effectors such as powered exoskeletons, prostheses, and ‘neural’ cursors by brain-machine interface (BMI) systems has been the target of many research projects. A seamless “plug and play” interface between any BMI and end effector is desired, wherein similar user's intent cause similar end effectors to behave identically. This report is based on the outcomes of an IEEE Standards Association Industry Connections working group on End Effectors for Brain-Machine Interfacing that convened to identify and address gaps in the existing standards for BMI-based solutions with a focus on the end-effector component. A roadmap towards standardization of end effectors for BMI systems is discussed by identifying current device standards that are applicable for end effectors. While current standards address basic electrical and mechanical safety, and to some extent, performance requirements, several gaps exist pertaining to unified terminologies, data communication protocols, patient safety and risk mitigation.

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.

Multivariate Analysis of Electrophysiological Signals Reveals the Temporal Properties of Visuomotor Computations for Precision Grips

The frontoparietal networks underlying grasping movements have been extensively studied, especially using fMRI. Accordingly, whereas much is known about their cortical locus much less is known about the temporal dynamics of visuomotor transformations. Here, we show that multivariate EEG analysis allows for detailed insights into the time course of visual and visuomotor computations of precision grasps. Male and female human participants first previewed one of several objects and, upon its reappearance, reached to grasp it with the thumb and index finger along one of its two symmetry axes. Object shape classifiers reached transient accuracies of 70% at ∼105 ms, especially based on scalp sites over visual cortex, dropping to lower levels thereafter. Grasp orientation classifiers relied on a system of occipital-to-frontal electrodes. Their accuracy rose concurrently with shape classification but ramped up more gradually, and the slope of the classification curve predicted individual reaction times. Further, cross-temporal generalization revealed that dynamic shape representation involved early and late neural generators that reactivated one another. In contrast, grasp computations involved a chain of generators attaining a sustained state about 100 ms before movement onset. Our results reveal the progression of visual and visuomotor representations over the course of planning and executing grasp movements.SIGNIFICANCE STATEMENT Grasping an object requires the brain to perform visual-to-motor transformations of the object's properties. Although much of the neuroanatomic basis of visuomotor transformations has been uncovered, little is known about its time course. Here, we orthogonally manipulated object visual characteristics and grasp orientation, and used multivariate EEG analysis to reveal that visual and visuomotor computations follow similar time courses but display different properties and dynamics.

Decoding natural reach-and-grasp actions from human EEG

OBJECTIVE

Despite the high number of degrees of freedom of the human hand, most actions of daily life can be executed incorporating only palmar, pincer and lateral grasp. In this study we attempt to discriminate these three different executed reach-and-grasp actions utilizing their EEG neural correlates.

APPROACH

In a cue-guided experiment, 15 healthy individuals were asked to perform these actions using daily life objects. We recorded 72 trials for each reach-and-grasp condition and from a no-movement condition.

MAIN RESULTS

Using low-frequency time domain features from 0.3 to 3 Hz, we achieved binary classification accuracies of 72.4%, STD  ±  5.8% between grasp types, for grasps versus no-movement condition peak performances of 93.5%, STD  ±  4.6% could be reached. In an offline multiclass classification scenario which incorporated not only all reach-and-grasp actions but also the no-movement condition, the highest performance could be reached using a window of 1000 ms for feature extraction. Classification performance peaked at 65.9%, STD  ±  8.1%. Underlying neural correlates of the reach-and-grasp actions, investigated over the primary motor cortex, showed significant differences starting from approximately 800 ms to 1200 ms after the movement onset which is also the same time frame where classification performance reached its maximum.

SIGNIFICANCE

We could show that it is possible to discriminate three executed reach-and-grasp actions prominent in people's everyday use from non-invasive EEG. Underlying neural correlates showed significant differences between all tested conditions. These findings will eventually contribute to our attempt of controlling a neuroprosthesis in a natural and intuitive way, which could ultimately benefit motor impaired end users in their daily life actions.

Exploring representations of human grasping in neural, muscle and kinematic signals

Movement covariates, such as electromyographic or kinematic activity, have been proposed as candidates for the neural representation of hand control. However, it remains unclear how these movement covariates are reflected in electroencephalographic (EEG) activity during different stages of grasping movements. In this exploratory study, we simultaneously acquired EEG, kinematic and electromyographic recordings of human subjects performing 33 types of grasps, yielding the largest such dataset to date. We observed that EEG activity reflected different movement covariates in different stages of grasping. During the pre-shaping stage, centro-parietal EEG in the lower beta frequency band reflected the object's shape and size, whereas during the finalization and holding stages, contralateral parietal EEG in the mu frequency band reflected muscle activity. These findings contribute to the understanding of the temporal organization of neural grasping patterns, and could inform the design of noninvasive neuroprosthetics and brain-computer interfaces with more natural control.

EEG-Based Control for Upper and Lower Limb Exoskeletons and Prostheses: A Systematic Review

Electroencephalography (EEG) signals have great impact on the development of assistive rehabilitation devices. These signals are used as a popular tool to investigate the functions and the behavior of the human motion in recent research. The study of EEG-based control of assistive devices is still in early stages. Although the EEG-based control of assistive devices has attracted a considerable level of attention over the last few years, few studies have been carried out to systematically review these studies, as a means of offering researchers and experts a comprehensive summary of the present, state-of-the-art EEG-based control techniques used for assistive technology. Therefore, this research has three main goals. The first aim is to systematically gather, summarize, evaluate and synthesize information regarding the accuracy and the value of previous research published in the literature between 2011 and 2018. The second goal is to extensively report on the holistic, experimental outcomes of this domain in relation to current research. It is systematically performed to provide a wealthy image and grounded evidence of the current state of research covering EEG-based control for assistive rehabilitation devices to all the experts and scientists. The third goal is to recognize the gap of knowledge that demands further investigation and to recommend directions for future research in this area.

Changes in cortical network connectivity with long-term brain-machine interface exposure after chronic amputation

Studies on neural plasticity associated with brain-machine interface (BMI) exposure have primarily documented changes in single neuron activity, and largely in intact subjects. Here, we demonstrate significant changes in ensemble-level functional connectivity among primary motor cortical (MI) neurons of chronically amputated monkeys exposed to control a multiple-degree-of-freedom robot arm. A multi-electrode array was implanted in M1 contralateral or ipsilateral to the amputation in three animals. Two clusters of stably recorded neurons were arbitrarily assigned to control reach and grasp movements, respectively. With exposure, network density increased in a nearly monotonic fashion in the contralateral monkeys, whereas the ipsilateral monkey pruned the existing network before re-forming a denser connectivity. Excitatory connections among neurons within a cluster were denser, whereas inhibitory connections were denser among neurons across the two clusters. These results indicate that cortical network connectivity can be modified with BMI learning, even among neurons that have been chronically de-efferented and de-afferented due to amputation.