Attention-Controlled Assistive Wrist Rehabilitation Using a Low-Cost EEG Sensor

It is essential to make sure patients be actively involved in motor training using robot-assisted rehabilitation to achieve better rehabilitation outcomes. This paper introduces an attention-controlled wrist rehabilitation method using a low-cost EEG sensor. Active rehabilitation training is realized using a threshold of the attention level measured by the low-cost EEG sensor as a switch for a flexible wrist exoskeleton assisting wrist flexion/extension and radial/ulnar deviation. We present a prototype implementation of this active training method and provide a preliminary evaluation. The feasibility of the attention-based control was proven with the overall actuation success rate of 95%. The experimental results also proved that the visual guidance was helpful for the users to concentrate on the wrist rehabilitation training: two types of visual guidance, namely, looking at the hand motion shown on a video and looking at the user’s own hand had no significant performance difference. A general threshold of a certain group of users can be utilized in the wrist robot control rather than a customized threshold to simplify the procedure.

[1]  M. Molinari,et al.  Brain–computer interface boosts motor imagery practice during stroke recovery , 2015, Annals of neurology.

[2]  C P Neu,et al.  In vivo kinematic behavior of the radio-capitate joint during wrist flexion-extension and radio-ulnar deviation. , 2001, Journal of biomechanics.

[3]  Fabien Lotte,et al.  Using Recent BCI Literature to Deepen our Understanding of Clinical Neurofeedback: A Short Review , 2018, Neuroscience.

[4]  Jumpei Arata,et al.  Low-Profile Two-Degree-of-Freedom Wrist Exoskeleton Device Using Multiple Spring Blades , 2018, IEEE Robotics and Automation Letters.

[5]  Cuntai Guan,et al.  Brain-Computer Interface in Stroke Rehabilitation , 2013, J. Comput. Sci. Eng..

[6]  Tomás Ward,et al.  A novel BCI-controlled pneumatic glove system for home-based neurorehabilitation , 2014, 2014 36th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[7]  Carlo Menon,et al.  Towards the development of a portable wrist exoskeleton , 2011, 2011 IEEE International Conference on Robotics and Biomimetics.

[8]  Louise Ada,et al.  Neurorehabilitation splinting: theory and principles of clinical use. , 2011, NeuroRehabilitation.

[9]  B. Johansson,et al.  Current trends in stroke rehabilitation. A review with focus on brain plasticity , 2011, Acta neurologica Scandinavica.

[10]  E. Hagert,et al.  Proprioception of the wrist joint: a review of current concepts and possible implications on the rehabilitation of the wrist. , 2010, Journal of hand therapy : official journal of the American Society of Hand Therapists.

[11]  Ning Jiang,et al.  An Accurate, Versatile, and Robust Brain Switch for Neurorehabilitation , 2014, Brain-Computer Interface Research.

[12]  D. Hammond,et al.  What is Neurofeedback: An Update , 2011 .

[13]  Volker Dietz,et al.  Restoration of sensorimotor functions after spinal cord injury. , 2014, Brain : a journal of neurology.

[14]  H.I. Krebs,et al.  Robot-Aided Neurorehabilitation: A Robot for Wrist Rehabilitation , 2007, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[15]  George Nikolakopoulos,et al.  Motion control of a novel robotic wrist exoskeleton via pneumatic muscle actuators , 2015, 2015 IEEE 20th Conference on Emerging Technologies & Factory Automation (ETFA).

[16]  Hong Kai Yap,et al.  A soft exoskeleton for hand assistive and rehabilitation application using pneumatic actuators with variable stiffness , 2015, 2015 IEEE International Conference on Robotics and Automation (ICRA).

[17]  M. Arbib,et al.  Mirror neurons: Functions, mechanisms and models , 2013, Neuroscience Letters.

[18]  Jing Wang,et al.  The Study of Object-Oriented Motor Imagery Based on EEG Suppression , 2015, PloS one.

[19]  Hermano I Krebs,et al.  Rehabilitation robotics: pilot trial of a spatial extension for MIT-Manus , 2004, Journal of NeuroEngineering and Rehabilitation.

[20]  Cuntai Guan,et al.  Brain-computer interface-based robotic end effector system for wrist and hand rehabilitation: results of a three-armed randomized controlled trial for chronic stroke , 2014, Front. Neuroeng..

[21]  R. Nudo Mechanisms for recovery of motor function following cortical damage , 2006, Current Opinion in Neurobiology.

[22]  Erik Larsen Classification of EEG Signals in a Brain-Computer Interface System , 2011 .

[23]  D. Hammond,et al.  What Is Neurofeedback , 2007 .

[24]  Samia Nefti-Meziani,et al.  Wrist rehabilitation exoskeleton robot based on pneumatic soft actuators , 2016, 2016 International Conference for Students on Applied Engineering (ICSAE).

[25]  P. Giannoni,et al.  Wrist Rehabilitation in Chronic Stroke Patients by Means of Adaptive, Progressive Robot-Aided Therapy , 2014, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[26]  Dario Farina,et al.  A Novel Brain-Computer Interface for Chronic Stroke Patients , 2014 .

[27]  Guanghua Xu,et al.  A review: Motor rehabilitation after stroke with control based on human intent , 2018, Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine.

[28]  Kup-Sze Choi,et al.  Improving the discrimination of hand motor imagery via virtual reality based visual guidance , 2016, Comput. Methods Programs Biomed..

[29]  Carlo Menon,et al.  Assisting drinking with an affordable BCI-controlled wearable robot and electrical stimulation: a preliminary investigation , 2014, Journal of NeuroEngineering and Rehabilitation.