Abstract
Upper extremity (UE) neuromuscular dysfunction critically affects post-stroke patients from performing activities of daily life. In this regard, various rehabilitation robotics have been developed for providing assistive and/or resistive forces that allow stroke survivors to train their arms towards regaining the lost arm function. However, most of the rehabilitation systems function in a passively such that they only allow patients navigate already-defined trajectories that often does not align with their UE movement intention, thus hindering adequate motor function recovery. One possible way to address this problem is to use a decoded UE motion intent to trigger active and intuitive motor training for the patients, which would help restore their UE arm functions. In this study, a new approach based on spatiotemporal neuromuscular descriptor and adaptive filtering technique (STD-AFT) is proposed to optimally characterize multiple patterns of UE movements in post-stroke patients towards providing inputs for intelligently driven motor training in the rehabilitation robotic systems. The proposed STD-AFT performance was systematically investigated and assessed in comparison with commonly adopted methods via high-density surface electromyogram recordings obtained from post-stroke survivors who performed 21 distinct classes of pre-defined limb movements. Furthermore, the movement intent decoding was done using four different classification algorithms. The experimental results showed that the proposed STD-AFT achieved significant improvement of up to 13.36% (p < 0.05) in characterizing the multiple patterns of movement intents with relatively lower standard-error value even in the presence of the external interference in form of noise compared to the existing benchmark methods. Also, the STD-AFT showed obvious pattern seperability for individual movement class in a two-dimensional space. The outcomes of this study suggest that the proposed STD-AFT could provide potential inputs for active and intuitive motor training in robotic systems targeted towards stroke-rehabilitation.
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Acknowledgements
The Research work was supported in part by the National Natural Science Foundation of China under Grants (#U1613222, #81850410557, #U1613228, #81771927), the Shenzhen Science and Technology Program (#SGLH20180625142402055), and CAS President’s International Fellowship Initiative Grant (#2019PB0036). Mojisola G. Asogbon Samuel sincerely appreciate the support of Chinese Government Scholarship in the pursuit of a PhD degree at the University of Chinese Academy of Sciences, Beijing, China.
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Samuel, O.W., Asogbon, M.G., Geng, Y. et al. Decoding movement intent patterns based on spatiotemporal and adaptive filtering method towards active motor training in stroke rehabilitation systems. Neural Comput & Applic 33, 4793–4806 (2021). https://doi.org/10.1007/s00521-020-05536-9
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DOI: https://doi.org/10.1007/s00521-020-05536-9