Many studies applying Brain-Computer Interfaces (BCIs) based on Motor Imagery (MI) tasks for rehabilitation have demonstrated the important role of detecting the Event-Related Desynchronization (ERD) to recognize the user's motor intention. Nowadays, the development of MI-based BCI approaches without or very few calibration stages session-by-session for different days or weeks is still an open and emergent scope. In this work, a new scheme is proposed by applying Convolutional Neural Networks (CNN) for MI classification, using an end-to-end Shallow architecture that contains two convolutional layers for temporal and spatial feature extraction. We hypothesize that a BCI designed for capturing event-related desynchronization/synchronization (ERD/ERS) at the CNN input, with an adequate network design, may enhance the MI classification with less calibration stage. The proposed system using the same architecture was tested on three public datasets through multiple experiments, including both subject-specific and nonsubject-specific training. Comparable and also superior results with respect to the state-of-the-art were obtained. On subjects whose EEG data were never used in the training process, our scheme also achieved promising results with respect to existing non-subject-specific BCIs, which is other progress to facilitate the clinical application.
Backgrounds: Exoskeletons development arises with a leading role in neurorehabilitation technologies; however, very few prototypes for upper limbs have been tested, contrasted and duly certified in terms of their effectiveness in clinical environments in order to incorporate into the health system. The purpose of this pilot study was to determine if robotic therapy of Hemiplegic Shoulder Pain (HSP) could lead to functional improvement in terms of diminishing of pain, spasticity, subluxation, the increasing of tone and muscle strength, and the satisfaction degree. Methods: An experimental study was conducted in 16 patients with painful shoulder post-ischemic stroke in two experimental groups: conventional and robotic therapy. At different stages of its evolution, the robotic therapy effectiveness applied with anti-gravitational movements was evaluated. Clinical trial was developed at the Physical Medicine and Rehabilitation Department of the Surgical Clinical Hospital "Dr. Juan Bruno Zayas Alfonso" in Santiago de Cuba, from September 2016 -March 2018. Among other variables: the presence of humeral scapular subluxation (HSS), pain, spasticity, mobility, tone and muscle strength, and the satisfaction degree were recorded. Results with 95% reliability were compared between admission and third months of treatment. The Mann-Whitney U-Test, Chi-Square and Fisher's Exact Tests were used as comparison criteria. Results: Robotic therapy positively influenced in the decrease and annulment of pain and the spasticity degree, reaching a range increase of joint movement and the improvement of muscle tone.
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