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The force generated by the muscles involved in an action is produced by common synaptic inputs received by the engaged motor neurons. The purpose of our study was to identify the low-dimensional latent components, defined hereafter as neural modules, underlying the discharge rates of the motor units from two knee extensors (vastus medialis and lateralis) and two hand muscles (index and thumb muscles) during isometric contractions. The neural modules were extracted by factor analysis from the pooled motor units and no assumptions were made regarding the orthogonality of the modules or the association between the modules and each muscle. Factor analysis identified two independent neural modules that captured most of the covariance in the discharge rates of the motor units in the synergistic muscles. Although the neural modules were strongly correlated with the discharge rates of motor units in each of the synergistic pair of muscles, not all motor units in a muscle were correlated with the neural module for that muscle. The distribution of motor units across the pair of neural modules differed for each muscle: 80% of the motor units in first dorsal interosseous were more strongly correlated with the neural module for that muscle, whereas the proportion was 70%, 60%, and 45% for the thenar, vastus medialis, and vastus lateralis muscles. All other motor units either belonged to both modules or to the module for the other muscle (15% for vastus lateralis). Based on a simulation of 480 integrate-and-fire neurons receiving independent and common inputs, we demonstrate that factor analysis identifies the three neural modules with high levels of accuracy. Our results indicate that the correlated discharge rates of motor units arise from at least two sources of common synaptic input that are not distributed homogeneously among the motor neurons innervating synergistic muscles.

Wearable sensor systems are of increasing interest in clinical gait analysis. However, little information about gait dynamics of patients under free living conditions is available, due to the challenges of integrating such systems unobtrusively into a patient’s everyday live. To address this limitation, new, fully integrated low power sensor insoles are proposed, to target applications particularly in home-monitoring scenarios. The insoles combine inertial as well as pressure sensors and feature wireless synchronization to acquire biomechanical data of both feet with a mean timing offset of 15.0 μs. The proposed system was evaluated on 15 patients with mild to severe gait disorders against the GAITRite® system as reference. Gait events based on the insoles’ pressure sensors were manually extracted to calculate temporal gait features such as double support time and double support. Compared to the reference system a mean error of 0.06 s ±0.06 s and 3.89 % ±2.61 % was achieved, respectively. The proposed insoles proved their ability to acquire synchronized gait parameters and address the requirements for home-monitoring scenarios, pushing the boundaries of clinical gait analysis.

Theories on the neural control of movement are largely based on movement-sensing devices that capture the dynamics of predefined anatomical landmarks. Neuromuscular interfaces, such as surface electromyography (sEMG), can in theory surpass the limitations imposed by motion-based technologies by sensing the motor commands transmitted by the final pathway of movement, the motor units. The recording of motor unit activity may allow the prediction of the kinetics and kinematics continuously in time and space, without being limited to several biological and physical boundaries that digital cameras or inertial sensors suffer. However, current sEMG decoding algorithms can only predict few degrees of freedom (<3). By combining markerless machine vision and high-density sEMG electrodes, we aimed to test the hypothesis that a physiologically inspired deep neural network can reconstruct the movement of the human hand as precise as digital cameras and with the additional benefit of predicting the underlying forces (i.e., grasping a cup of coffee). We demonstrate that our deep learning model can continuously predict all degrees of freedom of the hand with negligible errors during natural motion tasks from 320 sEMG sensors placed only on the extrinsic hand muscles. Our deep learning model was able to display the 3D hand kinematics and the full force range of the hand digits during isometric contractions. The current results demonstrate that deep learning applied to EMG signals gives access to an unprecedented representation of the final neural code of movement.