Accurate binary classification of electroencephalography (EEG) signals is a challenging task for the development of motor imagery (MI) brain-computer interface (BCI) systems. In this study, two sliding window techniques are proposed to enhance the binary classification of MI. The first one calculates the longest consecutive repetition (LCR) of the sequence of prediction of all the sliding windows and is named SW-LCR. The second calculates the mode of the sequence of prediction of all the sliding windows and is named SW-Mode. Common spatial pattern (CSP) is used for extracting features with linear discriminant analysis (LDA) used for classification of each time window. Both the SW-LCR and SW-Mode are applied on publicly available BCI Competition IV-2a data set of healthy individuals and on a stroke patients' data set. Compared with the existing state of the art, the SW-LCR performed better in the case of healthy individuals and SW-Mode performed better on stroke patients' data set for left- versus right-hand MI with lower standard deviation. For both the data sets, the classification accuracy (CA) was approximately 80% and kappa (κ) was 0.6. The results show that the sliding window-based prediction of MI using SW-LCR and SW-Mode is robust against intertrial and intersession inconsistencies in the time of activation within a trial and thus can lead to a reliable performance in a neurorehabilitative BCI setting.

Appropriately combining mental practice (MP) and physical practice (PP) in a poststroke rehabilitation is critical for ensuring a substantially positive rehabilitation outcome. Here, we present a rehabilitation protocol incorporating a separate active PP stage followed by MP stage, using a hand exoskeleton and brain-computer interface (BCI). The PP stage was mediated by a force sensor feedback-based assist-as-needed control strategy, whereas the MP stage provided BCI-based multimodal neurofeedback combining anthropomorphic visual feedback and proprioceptive feedback of the impaired hand extension attempt. A six week long clinical trial was conducted on four hemiparetic stroke patients (screened out of 16) with a left-hand disability. The primary outcome, motor functional recovery, was measured in terms of changes in grip-strength (GS) and action research arm test (ARAT) scores; whereas the secondary outcome, usability of the system was measured in terms of changes in mood, fatigue, and motivation on a visual-analog-scale. A positive rehabilitative outcome was found as the group mean changes from the baseline in the GS and ARAT were +6.38 kg and +5.66 accordingly. The VAS scale measurements also showed betterment in mood ( $-$ 1.38), increased motivation (+2.10) and reduced fatigue ( $-$ 0.98) as compared to the baseline. Thus, the proposed neurorehabilitation protocol is found to be promising both in terms of clinical effectiveness and usability.

Corticomuscular coupling has been investigated for long, to find out the underlying mechanisms behind cortical drives to produce different motor tasks. Although important in rehabilitation perspective, the use of corticomuscular coupling for driving brain-computer interface (BCI)-based neurorehabilitation is much ignored. This is primarily due to the fact that the EEG-EMG coherence popularly used to compute corticomuscular coupling, fails to produce sufficient accuracy in single-trial based prediction of motor tasks in a BCI system. In this study, we have introduced a new corticomuscular feature extraction method based on the correlation between band-limited power time-courses (CBPT) associated with EEG and EMG. 16 healthy individuals and 8 hemiplegic patients participated in a BCI-based hand orthosis triggering task, to test the performance of the CBPT method. The healthy population was equally divided into two groups; one experimental group for CBPT-based BCI experiment and another control group for EEG-EMG coherence based BCI experiment. The classification accuracy of the CBPT-based BCI system was found to be 92.81 ± 2.09% for the healthy experimental group and 84.53 ± 4.58% for the patients' group. The CBPT method significantly (p-value < 0.05) outperformed the conventional EEG-EMG coherence method in terms of classification accuracy. The experimental results clearly indicate that the EEG-EMG CBPT is a better alternative as a corticomuscular feature to drive a BCI system. Additionally, it is also feasible to use the proposed method to design BCI-based robotic neurorehabilitation paradigms.

A major issue in electroencephalogram (EEG) based brain-computer interfaces (BCIs) is the intrinsic non-stationarities in the brain waves, which may degrade the performance of the classifier, while transitioning from calibration to feedback generation phase. The non-stationary nature of the EEG data may cause its input probability distribution to vary over time, which often appear as a covariate shift. To adapt to the covariate shift, we had proposed an adaptive learning method in our previous work and tested it on offline standard datasets. This paper presents an online BCI system using previously developed covariate shift detection (CSD)-based adaptive classifier to discriminate between mental tasks and generate neurofeedback in the form of visual and exoskeleton motion. The CSD test helps prevent unnecessary retraining of the classifier. The feasibility of the developed online-BCI system was first tested on 10 healthy individuals, and then on 10 stroke patients having hand disability. A comparison of the proposed online CSD-based adaptive classifier with conventional non-adaptive classifier has shown a significantly (p≤0.01) higher classification accuracy in both the cases of healthy and patient groups. The results demonstrate that the online CSD-based adaptive BCI system is superior to the non-adaptive BCI system and it is feasible to be used for actuating hand exoskeleton for the stroke-rehabilitation applications.

The need for repeated calibration and accounting for inter subject variability is a major challenge for the practical applications of a brain-computer interface. The problem becomes more severe when it is applied for the neurorehabilitation of stroke patients where the brain-activation pattern may differ quite a bit as compared to healthy individuals due to the altered neurodynamics because of a lesion. There were several approaches to handle this problem in the past that depend on creating customized features that can be generalized among the individual subjects. Recently, several deep learning architectures came into the picture although they often failed to produce superior accuracy as compared to the traditional approaches and mostly do not follow an end-to-end architecture as they depend on custom features. However, a few of them have the promising ability to create more generalizable features in an end-to-end fashion such as the popular EEGNet architecture. Although EEGNet was applied for decoding stroke patient’s motor imagery (MI) data with limited success it failed to achieve superior performance over the traditional methods. In this study, we have augmented the EEGNet based decoding by introducing a post-processing step called the longest consecutive repetition (LCR) in a sliding window-based approach and named it EEGNet+LCR. The proposed approach was tested on a dataset of 10 hemiparetic stroke patients’ MI data set yielding superior performance against the only EEGNet and a more traditional approach such as common spatial pattern (CSP)+support vector machine (SVM) for both within- and cross-subject decoding of MI signals. We also observed comparable and satisfactory performance of the EEGNet+LCR in both the within- and cross-subject categories which are rarely found in literature making it a promising candidate to realize practically feasible BCI for stroke rehabilitation.

Brain-computer interface (BCI) performance is often impacted due to the inherent non-stationarity in the recorded EEG signals coupled with a high variability across subjects. This study proposes a novel method using Logistic Regression with Tangent Space-based Transfer Learning (LR-TSTL) for motor imagery (MI)-based BCI classification problems. The single-trial covariance matrix (CM) features computed from the EEG signals are transformed into a Riemannian geometry frame and tangent space features are computed by considering the lower triangular matrix. These are then further classified using the logistic regression model to improve classification accuracy. The performance of LR-TSTL is tested on healthy subjects’ dataset as well as on stroke patients’ dataset. As compared to existing within-subject learning approaches the proposed method gave an equivalent or better performance in terms of average classification accuracy (78.95±11.68%), while applied as leave-one-out cross-subject learning for healthy subjects. Interestingly, for the patient dataset LR-TSTL significantly (p<0.05) outperformed the current benchmark performance by achieving an average classification accuracy of 81.75±6.88%. The results show that the proposed method for cross-subject learning has the potential to realize the next generation of calibration-free BCI technologies with enhanced practical usability especially in the case of neurorehabilitative BCI designs for stroke patients.B.