BCI-based Robot Rehabilitation Framework for Stroke Patients M. Gomez-Rodriguez 1,2 J. Peters 1 J.. Hill 1 A. Gharabaghi 3 B. Schölkopf 1 M.. Grosse-Wentrup.

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BCI-based Robot Rehabilitation Framework for Stroke Patients M. Gomez-Rodriguez 1,2 J. Peters 1 J.. Hill 1 A. Gharabaghi 3 B. Schölkopf 1 M.. Grosse-Wentrup 1 1 MPI for Biological Cybernetics 2 Stanford University 3 University Hospital Tuebingen International BCI Meeting, June 2010

Introduction Stroke: leading cause of long-term motor disability among adults. BCIs + robot-assisted physical therapy → neurorehabilitation of stroke patients. Brain signal based reinforcement of the patient's intent to move using a robot arm → Hebbian rule-based *. We close the loop!! * T. H. Murphy, and D. Corbett. Plasticity during stroke recovery: from synapse to behaviour. Nature Review Neurosci. 2009, 10-12, Current rehabilitative interventions do not help for severe motor impairment. Loop is broken!!

Challenges 1. Instantaneous feedback Make the subjects think they are controlling the robot arm. Synchronize user’s attempt and robot action. 2. High accuracy (user’s control) 3. High specificity (ECoG vs EEG)

M. Gomez-Rodriguez, M. Grosse-Wentrup, J. Peters, G. Naros, J. Hill, B. Schölkopf, and A. Gharabaghi. Epidural ECoG Online Decoding of Arm Movement Intention in Hemiparesis. ICPR Workshop on Brain Decoding, M. Gomez-Rodriguez, J. Peters, J. Hill, B. Schölkopf, A. Gharabaghi, and M. Grosse-Wentrup. Closing the Sensorimotor Loop: Haptic Feedback Facilitates Decoding of Arm Movement Imagery. SMC Workshop in Shared-Control for BMI, Progress to date On-line decoding (Epidural ECoG) M. Gomez-Rodriguez, M. Grosse-Wentrup, J. Peters, G. Naros, J. Hill, B. Schölkopf, and A. Gharabaghi. Epidural ECoG Online Decoding of Arm Movement Intention in Hemiparesis. ICPR Workshop on Brain Decoding, Haptic feedback helps on-line decoding M. Gomez-Rodriguez, J. Peters, J. Hill, B. Schölkopf, A. Gharabaghi, and M. Grosse-Wentrup. Closing the Sensorimotor Loop: Haptic Feedback Facilitates Decoding of Arm Movement Imagery. SMC Workshop in Shared-Control for BMI, 2010.

Epidural ECoG on-line decoding On-line decoding (Epidural ECoG) M. Gomez-Rodriguez, M. Grosse-Wentrup, J. Peters, G. Naros, J. Hill, B. Schölkopf, and A. Gharabaghi. Epidural ECoG Online Decoding of Arm Movement Intention in Hemiparesis. ICPR Workshop on Brain Decoding, 2010.

Epidural ECoG on-line decoding: Setup 96 epidural ECoG electrodes: somato-sensory, motor and pre- motor cortex. 65-year old male, right-sided hemiparesis (hemorrhagic stroke in left thalamus) Subject’s task: attempt to move the right arm forward or backward. M. Gomez-Rodriguez, M. Grosse-Wentrup, J. Peters, G. Naros, J. Hill, B. Schölkopf, and A. Gharabaghi. Epidural ECoG Online Decoding of Arm Movement Intention in Hemiparesis. ICPR Workshop on Brain Decoding, 2010.

Epidural ECoG on-line decoding: Results On-line decoding of arm movement intention of a stroke patient → ~90% accuracy. High accuracy Information given by each electrode for on-line decoding → cortical reorganization caused by the stroke. High specificity M. Gomez-Rodriguez, M. Grosse-Wentrup, J. Peters, G. Naros, J. Hill, B. Schölkopf, and A. Gharabaghi. Epidural ECoG Online Decoding of Arm Movement Intention in Hemiparesis. ICPR Workshop on Brain Decoding, 2010.

Haptic feedback helps on-line decoding M. Gomez-Rodriguez, J. Peters, J. Hill, B. Schölkopf, A. Gharabaghi, and M. Grosse-Wentrup. Closing the Sensorimotor Loop: Haptic Feedback Facilitates Decoding of Arm Movement Imagery. SMC Workshop in Shared-Control for BMI, 2010.

Haptic feedback helps on-line decoding: Setup 6 right handed healthy subjects, 35 EEG electrodes Subject’s task: think about moving the arm forward or backward. A robot arm guides subject’s arm → On-line Haptic feedback (every 300 ms go/no go) M. Gomez-Rodriguez, J. Peters, J. Hill, B. Schölkopf, A. Gharabaghi, and M. Grosse-Wentrup. Closing the Sensorimotor Loop: Haptic Feedback Facilitates Decoding of Arm Movement Imagery. SMC Workshop in Shared-Control for BMI, 2010.

Haptic feedback helps on-line decoding: Results Sensory area is more informative when haptic feedback is provided. Haptic feedback increases discriminative power of the neural signals. The Beta band increases its discriminative power during haptic feedback. Haptic FeedbackNo Haptic Feedback Haptic Feedback No Haptic Feedback M. Gomez-Rodriguez, J. Peters, J. Hill, B. Schölkopf, A. Gharabaghi, and M. Grosse-Wentrup. Closing the Sensorimotor Loop: Haptic Feedback Facilitates Decoding of Arm Movement Imagery. SMC Workshop in Shared-Control for BMI, 2010.

Conclusions With Epidural ECoG, High accuracy High specificity Haptic feedback improves on-line decoding. Our framework closes the sensory motor loop. Next step: combine ECoG decoding in stroke patients with haptic feedback!

Thank You!