If we don't even know what the neural correlates of walking in the real world are how the hell can we expect robotics to recover us to that state?
Th latest here:
Neural Decoding of Robot-Assisted Gait during Rehabilitation after Stroke
American Journal of Physical Medicine & Rehabilitation:
February 23, 2018 - Volume Publish Ahead of Print - Issue -
p
doi: 10.1097/PHM.0000000000000914
Research Article: PDF Only
Objective Advancements
in robot-assisted gait rehabilitation and brain-machine interfaces
(BMI) may enhance stroke physiotherapy by engaging patients while
providing information about robot-induced cortical adaptations. We
investigate the feasibility of decoding walking from brain activity in
stroke survivors during therapy using a powered exoskeleton integrated
with an electroencephalography (EEG)-based BMI.
Design The H2 powered exoskeleton was designed for overground gait training with actuated hip, knee and ankle joints. It was integrated with active-electrode EEG and evaluated in hemiparetic stroke survivors over 12 sessions/4 weeks. A continuous-time Kalman decoder operating on delta-band EEG was designed to estimate gait kinematics.
Results Five chronic stroke patients completed the study with improvements in walking distance and speed training over 4 weeks, correlating with increased offline decoding accuracy. Accuracies of predicted joint angles improved with session and gait speed, suggesting an improved neural representation for gait, and the feasibility to design an EEG-based BMI to monitor brain activity or control a rehabilitative exoskeleton.
Conclusion The Kalman decoder showed increased accuracies as the longitudinal training intervention progressed in the stroke participants. These results demonstrate the feasibility of studying changes in patterns of neuroelectric cortical activity during post-stroke rehabilitation and represent the first step in developing a BMI for controlling powered exoskeletons.
Design The H2 powered exoskeleton was designed for overground gait training with actuated hip, knee and ankle joints. It was integrated with active-electrode EEG and evaluated in hemiparetic stroke survivors over 12 sessions/4 weeks. A continuous-time Kalman decoder operating on delta-band EEG was designed to estimate gait kinematics.
Results Five chronic stroke patients completed the study with improvements in walking distance and speed training over 4 weeks, correlating with increased offline decoding accuracy. Accuracies of predicted joint angles improved with session and gait speed, suggesting an improved neural representation for gait, and the feasibility to design an EEG-based BMI to monitor brain activity or control a rehabilitative exoskeleton.
Conclusion The Kalman decoder showed increased accuracies as the longitudinal training intervention progressed in the stroke participants. These results demonstrate the feasibility of studying changes in patterns of neuroelectric cortical activity during post-stroke rehabilitation and represent the first step in developing a BMI for controlling powered exoskeletons.
