02165nas a2200301 4500008004100000022001400041245015400055210006900209260001300278300000800291490000900299520119500308653000901503653002101512653001101533653001101544653000901555653001601564653001301580653001101593653002601604100002701630700001901657700002301676700002801699700001701727856011901744 2024 eng d a2694-060400aMultidimensional feature analysis shows stratification in robotic-motor-training gains based on the level of pre-training motor impairment in stroke.0 aMultidimensional feature analysis shows stratification in roboti c2024 Jul a1-50 v20243 a

Stroke involves heterogeneity in injury and ongoing endogenous recovery, which are seldom stratified before testing post-stroke robot assisted motor training (RAMT). Pretraining variations, especially sensory-motor differences may also affect the gains achieved from the RAMT. Moreover, one assessment test may not effectively characterize the baseline sensory-motor status or the RAMT gains. Pre-therapy stratification may help personalize therapy and increase therapy gains. Towards this goal, we propose a data-driven approach to assess multiple functional scores with t-distributed stochastic neighbor embedding and affinity propagation clustering, both for pre-therapy and RAMT gains. Data included behavioral scores from 27 people with chronic stroke who underwent RAMT for finger movement. Three clusters were observed at start-of-therapy (SoT), concurrent with the overall impairment level. Four clusters were observed for the RAMT gains, indicating specific improvements. The SoT clusters showed agreement with the RAMT gain clusters, suggesting that the pre-therapy state, assessed across multiple domains, could be useful in guiding RAMT interventions to improve outcomes.

10aAged10aCluster Analysis10aFemale10aHumans10aMale10aMiddle Aged10aRobotics10aStroke10aStroke Rehabilitation1 aRueda-Parra, Sebastian1 aPerry, Joel, C1 aWolbrecht, Eric, T1 aReinkensmeyer, David, J1 aGupta, Disha uhttps://neurotechcenter.org/publications/2024/multidimensional-feature-analysis-shows-stratification-robotic-motor02846nas a2200241 4500008004100000245008500041210006900126260001200195490000600207520209000213653000802303653002502311653001902336653001302355653003002368100002002398700001702418700001902435700002002454700002402474700001702498856008902515 2020 eng d00aBCI-based sensorimotor rhythm training can affect individuated finger movements 0 aBCIbased sensorimotor rhythm training can affect individuated fi c06/20200 v73 aBrain-computer interface (BCI) technology can restore communication and control to people who are severely paralyzed. BCI technology might also be able to enhance rehabilitation of motor function. We have previously shown that pre-movement sensorimotor rhythm (SMR) amplitude affects reaction time and performance on a joystick-based cursor movement task. The present study explores in adults without motor impairment the possibility that pre-movement SMR amplitude affects performance of individuated finger movements. In Phase 1, 8 individuals performed a finger flexion task that was monitored by an exoskeleton. During a 1-sec preparatory period, two colored targets on a video monitor cued flexion of the index finger, middle finger, both fingers, or neither finger; sudden color change then triggered the movement (or non-movement). SMR features (i.e. EEG amplitudes in specific frequency bands at specific scalp locations) in the pre-movement EEG that correlated with movement versus no movement were identified. In Phase 2, the participants learned to increase or decrease these SMR features to control a two-target BCI task. Finally, in Phase 3, they were asked to increase or decrease the SMR features to initiate the finger flexion task of Phase 1 and the impact on finger flexion performance was assessed. After BCI training, pre-movement SMR feature amplitude affected performance in a subset of individuals: lower amplitude was associated with shorter movement onset. In a subset of individuals, the beneficial effect on performance of lower SMR amplitude was greater when both fingers were flexed than when one was flexed and the other remained extended; thus, the impact of SMR amplitude modulation depended on the specificity of the subsequent motor task. These results indicate that BCI-based training of SMR activity in the pre-movement preparatory period can affect finger movements in a subset of individuals. They encourage studies that integrate such training into rehabilitation protocols and examine its capacity to enhance restoration of useful hand function.10aBCI10amovement preparation10aRehabilitation10aRobotics10asensorimotor beta rhythms1 aMcFarland, D.J.1 aNorman, S.L.1 aSarnacki, W.A.1 aWolbrecht, E.T.1 aReinkensmeyer, D.J.1 aWolpaw, J.R. uhttps://www.tandfonline.com/doi/abs/10.1080/2326263X.2020.1763060?journalCode=tbci2002734nas a2200349 4500008004100000022001400041245009000055210006900145260001200214300001100226490000600237520175300243653001001996653002902006653003702035653002802072653001102100653001102111653001602122653000902138653001302147653001302160653001002173653002802183100002302211700001402234700002502248700001802273700001802291700002702309856004802336 2011 eng d a1741-255200aClosing the sensorimotor loop: haptic feedback facilitates decoding of motor imagery.0 aClosing the sensorimotor loop haptic feedback facilitates decodi c06/2011 a0360050 v83 a

The combination of brain-computer interfaces (BCIs) with robot-assisted physical therapy constitutes a promising approach to neurorehabilitation of patients with severe hemiparetic syndromes caused by cerebrovascular brain damage (e.g. stroke) and other neurological conditions. In such a scenario, a key aspect is how to reestablish the disrupted sensorimotor feedback loop. However, to date it is an open question how artificially closing the sensorimotor feedback loop influences the decoding performance of a BCI. In this paper, we answer this issue by studying six healthy subjects and two stroke patients. We present empirical evidence that haptic feedback, provided by a seven degrees of freedom robotic arm, facilitates online decoding of arm movement intention. The results support the feasibility of future rehabilitative treatments based on the combination of robot-assisted physical therapy with BCIs.

10aBrain10aEvoked Potentials, Motor10aEvoked Potentials, Somatosensory10aFeedback, Physiological10aFemale10aHumans10aImagination10aMale10aMovement10aRobotics10aTouch10aUser-Computer Interface1 aGomez-Rodriguez, M1 aPeters, J1 aHill, Jeremy, Jeremy1 aSchölkopf, B1 aGharabaghi, A1 aGrosse-Wentrup, Moritz uhttp://www.ncbi.nlm.nih.gov/pubmed/2147487804251nas a2200505 4500008004100000022001400041245009900055210006900154260001200223300001200235490000700247520283600254653003103090653001503121653001003136653001003146653001003156653002703166653002903193653001103222653001103233653001303244653000903257653001603266653001703282653003303299653001903332653002803351653001303379653002203392653001303414653004303427653002803470653001303498100001603511700002203527700001803549700002103567700001903588700002103607700002203628700002703650700002003677856004803697 2008 eng d a0361-923000aNon-invasive brain-computer interface system: towards its application as assistive technology.0 aNoninvasive braincomputer interface system towards its applicati c04/2008 a796-8030 v753 a

The quality of life of people suffering from severe motor disabilities can benefit from the use of current assistive technology capable of ameliorating communication, house-environment management and mobility, according to the user's residual motor abilities. Brain-computer interfaces (BCIs) are systems that can translate brain activity into signals that control external devices. Thus they can represent the only technology for severely paralyzed patients to increase or maintain their communication and control options. Here we report on a pilot study in which a system was implemented and validated to allow disabled persons to improve or recover their mobility (directly or by emulation) and communication within the surrounding environment. The system is based on a software controller that offers to the user a communication interface that is matched with the individual's residual motor abilities. Patients (n=14) with severe motor disabilities due to progressive neurodegenerative disorders were trained to use the system prototype under a rehabilitation program carried out in a house-like furnished space. All users utilized regular assistive control options (e.g., microswitches or head trackers). In addition, four subjects learned to operate the system by means of a non-invasive EEG-based BCI. This system was controlled by the subjects' voluntary modulations of EEG sensorimotor rhythms recorded on the scalp; this skill was learnt even though the subjects have not had control over their limbs for a long time. We conclude that such a prototype system, which integrates several different assistive technologies including a BCI system, can potentially facilitate the translation from pre-clinical demonstrations to a clinical useful BCI.

10aActivities of Daily Living10aAdolescent10aAdult10aBrain10aChild10aElectroencephalography10aEvoked Potentials, Motor10aFemale10aHumans10aLearning10aMale10aMiddle Aged10aMotor Skills10aMuscular Dystrophy, Duchenne10aPilot Projects10aProstheses and Implants10aRobotics10aSelf-Help Devices10aSoftware10aSpinal Muscular Atrophies of Childhood10aUser-Computer Interface10aVolition1 aCincotti, F1 aMattia, Donatella1 aAloise, Fabio1 aBufalari, Simona1 aSchalk, Gerwin1 aOriolo, Giuseppe1 aCherubini, Andrea1 aMarciani, Maria Grazia1 aBabiloni, Fabio uhttp://www.ncbi.nlm.nih.gov/pubmed/18394526