Towards unlocking motor control in spinal cord injured by applying an online EEG-based framework to decode motor intention, trajectory and error processing.

Brain-computer interfaces (BCIs) can translate brain signals directly into commands for external devices. Electroencephalography (EEG)-based BCIs mostly rely on the classification of discrete mental states, leading to unintuitive control. The ERC-funded project "Feel Your Reach" aimed to establish a novel framework based on continuous decoding of hand/arm movement intention, for a more natural and intuitive control. Over the years, we investigated various aspects of natural control, however, the individual components had not yet been integrated. Here, we present a first implementation of the framework in a comprehensive online study, combining (i) goal-directed movement intention, (ii) trajectory decoding, and (iii) error processing in a unique closed-loop control paradigm. Testing involved twelve able-bodied volunteers, performing attempted movements, and one spinal cord injured (SCI) participant. Similar movement-related cortical potentials and error potentials to previous studies were revealed, and the attempted movement trajectories were overall reconstructed. Source analysis confirmed the involvement of sensorimotor and posterior parietal areas for goal-directed movement intention and trajectory decoding. The increased experiment complexity and duration led to a decreased performance than each single BCI. Nevertheless, the study contributes to understanding natural motor control, providing insights for more intuitive strategies for individuals with motor impairments.

EEG patterns of self-paced movement imaginations towards externally-cued and internally-selected targets.

In this study, we investigate the neurophysiological signature of the interacting processes which lead to a single reach-and-grasp movement imagination (MI). While performing this task, the human healthy participants could either define their movement targets according to an external cue, or through an internal selection process. After defining their target, they could start the MI whenever they wanted. We recorded high density electroencephalographic (EEG) activity and investigated two neural correlates: the event-related potentials (ERPs) associated with the target selection, which reflect the perceptual and cognitive processes prior to the MI, and the movement-related cortical potentials (MRCPs), associated with the planning of the self-paced MI. We found differences in frontal and parietal areas between the late ERP components related to the internally-driven selection and the externally-cued process. Furthermore, we could reliably estimate the MI onset of the self-paced task. Next, we extracted MRCP features around the MI onset to train classifiers of movement vs. rest directly on self-paced MI data. We attained performance significantly higher than chance level for both time-locked and asynchronous classification. These findings contribute to the development of more intuitive brain-computer interfaces in which movement targets are defined internally and the movements are self-paced.

Decoding natural reach-and-grasp actions from human EEG.

OBJECTIVE: Despite the high number of degrees of freedom of the human hand, most actions of daily life can be executed incorporating only palmar, pincer and lateral grasp. In this study we attempt to discriminate these three different executed reach-and-grasp actions utilizing their EEG neural correlates. APPROACH: In a cue-guided experiment, 15 healthy individuals were asked to perform these actions using daily life objects. We recorded 72 trials for each reach-and-grasp condition and from a no-movement condition. MAIN RESULTS: Using low-frequency time domain features from 0.3 to 3 Hz, we achieved binary classification accuracies of 72.4%, STD ± 5.8% between grasp types, for grasps versus no-movement condition peak performances of 93.5%, STD ± 4.6% could be reached. In an offline multiclass classification scenario which incorporated not only all reach-and-grasp actions but also the no-movement condition, the highest performance could be reached using a window of 1000 ms for feature extraction. Classification performance peaked at 65.9%, STD ± 8.1%. Underlying neural correlates of the reach-and-grasp actions, investigated over the primary motor cortex, showed significant differences starting from approximately 800 ms to 1200 ms after the movement onset which is also the same time frame where classification performance reached its maximum. SIGNIFICANCE: We could show that it is possible to discriminate three executed reach-and-grasp actions prominent in people's everyday use from non-invasive EEG. Underlying neural correlates showed significant differences between all tested conditions. These findings will eventually contribute to our attempt of controlling a neuroprosthesis in a natural and intuitive way, which could ultimately benefit motor impaired end users in their daily life actions.

Advantages of EEG phase patterns for the detection of gait intention in healthy and stroke subjects.

OBJECTIVE: One use of EEG-based brain-computer interfaces (BCIs) in rehabilitation is the detection of movement intention. In this paper we investigate for the first time the instantaneous phase of movement related cortical potential (MRCP) and its application to the detection of gait intention. APPROACH: We demonstrate the utility of MRCP phase in two independent datasets, in which 10 healthy subjects and 9 chronic stroke patients executed a self-initiated gait task in three sessions. Phase features were compared to more conventional amplitude and power features. MAIN RESULTS: The neurophysiology analysis showed that phase features have higher signal-to-noise ratio than the other features. Also, BCI detectors of gait intention based on phase, amplitude, and their combination were evaluated under three conditions: session-specific calibration, intersession transfer, and intersubject transfer. Results show that the phase based detector is the most accurate for session-specific calibration (movement intention was correctly detected in 66.5% of trials in healthy subjects, and in 63.3% in stroke patients). However, in intersession and intersubject transfer, the detector that combines amplitude and phase features is the most accurate one and the only that retains its accuracy (62.5% in healthy subjects and 59% in stroke patients) w.r.t. session-specific calibration. SIGNIFICANCE: MRCP phase features improve the detection of gait intention and could be used in practice to remove time-consuming BCI recalibration.

EEG neural correlates of goal-directed movement intention.

Using low-frequency time-domain electroencephalographic (EEG) signals we show, for the same type of upper limb movement, that goal-directed movements have different neural correlates than movements without a particular goal. In a reach-and-touch task, we explored the differences in the movement-related cortical potentials (MRCPs) between goal-directed and non-goal-directed movements. We evaluated if the detection of movement intention was influenced by the goal-directedness of the movement. In a single-trial classification procedure we found that classification accuracies are enhanced if there is a goal-directed movement in mind. Furthermore, by using the classifier patterns and estimating the corresponding brain sources, we show the importance of motor areas and the additional involvement of the posterior parietal lobule in the discrimination between goal-directed movements and non-goal-directed movements. We discuss next the potential contribution of our results on goal-directed movements to a more reliable brain-computer interface (BCI) control that facilitates recovery in spinal-cord injured or stroke end-users.

Detecting intention to walk in stroke patients from pre-movement EEG correlates.

BACKGROUND: Most studies in the field of brain-computer interfacing (BCI) for lower limbs rehabilitation are carried out with healthy subjects, even though insights gained from healthy populations may not generalize to patients in need of a BCI. METHODS: We investigate the ability of a BCI to detect the intention to walk in stroke patients from pre-movement EEG correlates. Moreover, we also investigated how the motivation of the patients to execute a task related to the rehabilitation therapy affects the BCI accuracy. Nine chronic stroke patients performed a self-initiated walking task during three sessions, with an intersession interval of one week. RESULTS: Using a decoder that combines temporal and spectral sparse classifiers we detected pre-movement state with an accuracy of 64 % in a range between 18 % and 85.2 %, with the chance level at 4 %. Furthermore, we found a significantly strong positive correlation (r = 0.561, p = 0.048) between the motivation of the patients to perform the rehabilitation related task and the accuracy of the BCI detector of their intention to walk. CONCLUSIONS: We show that a detector based on temporal and spectral features can be used to classify pre-movement state in stroke patients. Additionally, we found that patients' motivation to perform the task showed a strong correlation to the attained detection rate of their walking intention.

Continuous detection of the self-initiated walking pre-movement state from EEG correlates without session-to-session recalibration.

OBJECTIVE: Brain-computer interfaces (BCI) as a rehabilitation tool have been used to restore functions in patients with motor impairments by actively involving the central nervous system and triggering prosthetic devices according to the detected pre-movement state. However, since EEG signals are highly variable between subjects and recording sessions, typically a BCI is calibrated at the beginning of each session. This process is inconvenient especially for patients suffering locomotor disabilities in maintaining a bipedal position for a longer time. This paper presents a continuous EEG decoder of a pre-movement state in self-initiated walking and the usage of this decoder from session to session without recalibrating. APPROACH: Ten healthy subjects performed a self-initiated walking task during three sessions, with an intersession interval of one week. The implementation of our continuous decoder is based on the combination of movement-related cortical potential (MRCP) and event-related desynchronization (ERD) features with sparse classification models. MAIN RESULTS: During intrasession our technique detects the pre-movement state with 70% accuracy. Moreover this decoder can be applied from session to session without recalibration, with a decrease in performance of about 4% on a one- or two-week intersession interval. SIGNIFICANCE: Our detection model operates in a continuous manner, which makes it a straightforward asset for rehabilitation scenarios. By using both temporal and spectral information we attained higher detection rates than the ones obtained with the MRCP and ERD detection models, both during the intrasession and intersession conditions.

Intersession adaptation of the EEG-based detector of self-paced walking intention in stroke patients.

Brain-computer interfaces (BCIs) have been used in patients with motor impairments as a rehabilitation tool, allowing the control of prosthetic devices with their brain signals. Typically, before each rehabilitation session a calibration phase is recorded to account for session-specific signal changes. Calibration is often an inconvenient process due to its length and patients' fatigue-proneness. This paper focuses on improving the performance of an EEG-based detector of walking intention for intersession transfer. Nine stroke subjects executed a self-paced walking task during three sessions, with one week between sessions. We performed an intersession adaptation by using 80% of one session's data and an additional 20% of a next session for training, and then we tested the detection model on the remaining part of the next session. In practice, this would constitute a longer initial calibration (40 minutes) and a shorter recalibration in subsequent sessions (10 minutes). After training set adaption we attain an average increase in performance of 13.5% over non-adaptive training. Furthermore, we used an approximation of Kullback-Leibler (KL) divergence to quantify the difference between training and testing sets for the non-adaptive and adaptive transfer. As a potential explanation for the improvement of intersession performance, we found a significant decrease in KL-divergence in the case of adaptive transfer.