EEG-Controlled Functional Electrical Stimulation Therapy With Automated Grasp Selection: A Proof-of-Concept Study.

Background: Functional electrical stimulation therapy (FEST) is a promising intervention for the restoration of upper extremity function after cervical spinal cord injury (SCI). Objectives: This study describes and evaluates a novel FEST system designed to incorporate voluntary movement attempts and...

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Publicado en:Topics in Spinal Cord Injury Rehabilitation Vol. 24; no. 3; pp. 265 - 275
Autores principales: Jirapat Likitlersuang, Koh, Ryan, Xinyi Gong, Jovanovic, Lazar, Bolivar-Tellería, Isabel, Myers, Matthew, Zariffa, José, Márquez-Chin, César
Formato: pictorial research tables/charts Journal Article
Publicado: KnowledgeWorks Global, Ltd Summer2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Summer2018
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      pub: KnowledgeWorks Global, Ltd
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        10.1310/sci2403-265
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        atl: EEG-Controlled Functional Electrical Stimulation Therapy With Automated Grasp Selection: A Proof-of-Concept Study.
      aug:
        au:
          Jirapat Likitlersuang
          Koh, Ryan
          Xinyi Gong
          Jovanovic, Lazar
          Bolivar-Tellería, Isabel
          Myers, Matthew
          Zariffa, José
          Márquez-Chin, César
        affil: Toronto Rehabilitation Institute - University Health Network, Toronto, Canada
      sug:
        subj:
          Electroencephalography
          Electrical Stimulation, Functional
          Grip Strength
          Human
          Adult
          Male
          Female
          Myoelectric Prosthesis
          Brain-Computer Interfaces
          Upper Extremity
          Functional Status
          Spinal Cord Injuries
          Electrodes
          Scales
          Adult: 19-44 years
          Male
          Female
      ab: Background: Functional electrical stimulation therapy (FEST) is a promising intervention for the restoration of upper extremity function after cervical spinal cord injury (SCI). Objectives: This study describes and evaluates a novel FEST system designed to incorporate voluntary movement attempts and massed practice of functional grasp through the use of brain-computer interface (BCI) and computer vision (CV) modules. Methods: An EEG-based BCI relying on a single electrode was used to detect movement initiation attempts. A CV system identified the target object and selected the appropriate grasp type. The required grasp type and trigger command were sent to an FES stimulator, which produced one of four multichannel muscle stimulation patterns (precision, lateral, palmar, or lumbrical grasp). The system was evaluated with five neurologically intact participants and one participant with complete cervical SCI. Results: An integrated BCI-CV-FES system was demonstrated. The overall classification accuracy of the CV module was 90.8%, when selecting out of a set of eight objects. The average latency for the BCI module to trigger the movement across all participants was 5.9 ± 1.5 seconds. For the participant with SCI alone, the CV accuracy was 87.5% and the BCI latency was 5.3 ± 9.4 seconds. Conclusion: BCI and CV methods can be integrated into an FEST system without the need for costly resources or lengthy setup times. The result is a clinically relevant system designed to promote voluntary movement attempts and more repetitions of varied functional grasps during FEST.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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