Brain-computer interfaces have been a novel approach to translate human intentions into movement commands in robotic systems. This paper describes an electroencephalogram-based brain-controlled lower-limb exoskeleton for gait training, as a proof of concept towards rehabilitation with human-in-the-loop. Instead of using conventional single electroencephalography correlates, e.g., evoked P300 or spontaneous motor imagery, we propose a novel framework integrated two asynchronous signal modalities, i.e., sensorimotor rhythms (SMRs) and movement-related cortical potentials (MRCPs). We executed experiments in a biologically inspired and customized lower-limb exoskeleton where subjects (N = 6) actively controlled the robot using their brain signals. Each subject performed three consecutive sessions composed of offline training, online visual feedback testing, and online robot-control recordings. Post hoc evaluations were conducted including mental workload assessment, feature analysis, and statistics test. An average robot-control accuracy of 80.16% ± 5.44% was obtained with the SMR-based method, while estimation using the MRCP-based method yielded an average performance of 68.62% ± 8.55%. The experimental results showed the feasibility of the proposed framework with all subjects successfully controlled the exoskeleton. The current paradigm could be further extended to paraplegic patients in clinical trials.

Brain-machine interfaces have been used to incorporate the user intention to trigger robotic devices by decoding movement onset from electroencephalography. Active neural participation is crucial to promote brain plasticity thus to enhance the opportunity of motor recovery. This paper presents the decoding of lower-limb movement-related cortical potentials with continuous classification and asynchronous detection. We executed experiments in a customized gait trainer, where 10 healthy subjects performed self-initiated ankle plantar flexion. We further analyzed the features, evaluated the impact of the limb side, and compared the proposed framework with other typical decoding methods. No significant differences were observed between the left and right legs in terms of neural signatures of movement and classification performance. We obtained a higher true positive rate, lower false positives, and comparable latencies with respect to the existing online detection methods. This paper demonstrates the feasibility of the proposed framework to build a closed-loop gait trainer. Potential applications include gait training neurorehabilitation in clinical trials.

As a leading cause of loss of functional movement, stroke often makes it difficult for patients to walk. Interventions to aid motor recovery in stroke patients should be carried out as a matter of urgency. However, muscle activity in the knee is usually too weak to generate overt movements, which poses a challenge for early post-stroke rehabilitation training. Although electromyography (EMG)-controlled exoskeletons have the potential to solve this problem, most existing robotic devices in rehabilitation centers are expensive, technologically complex, and allow only low training intensity. To address these problems, we have developed an EMG-controlled knee exoskeleton for use at home to assist stroke patients in their rehabilitation. EMG signals of the subject are acquired by an easy-to-don EMG sensor and then processed by a Kalman filter to control the exoskeleton autonomously. A newly-designed game is introduced to improve rehabilitation by encouraging patients' involvement in the training process. Six healthy subjects took part in an initial test of this new training tool. The test showed that subjects could use their EMG signals to control the exoskeleton to assist them in playing the game. Subjects found the rehabilitation process interesting, and they improved their control performance through 20-block training, with game scores increasing from 41.3 ± 15.19 to 78.5 ± 25.2. The setup process was simplified compared to traditional studies and took only 72 s according to test on one healthy subject. The time lag of EMG signal processing, which is an important aspect for real-time control, was significantly reduced to about 64 ms by employing a Kalman filter, while the delay caused by the exoskeleton was about 110 ms. This easy-to-use rehabilitation tool has a greatly simplified training process and allows patients to undergo rehabilitation in a home environment without the need for a therapist to be present. It has the potential to improve the intensity of rehabilitation and the outcomes for stroke patients in the initial phase of rehabilitation.

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This work presents an electroencephalography (EEG)-based Brain-computer Interface (BCI) that decodes cerebral activities to control a lower-limb gait training exoskeleton. Motor imagery (MI) of flexion and extension of both legs was distinguished from the EEG correlates. We executed experiments with 5 able-bodied individuals under a realistic rehabilitation scenario. The Power Spectral Density (PSD) of the signals was extracted with sliding windows to train a linear discriminate analysis (LDA) classifier. An average classification accuracy of 0.67±0.07 and AUC of 0.77±0.06 were obtained in online recordings, which confirmed the feasibility of decoding these signals to control the gait trainer. In addition, discriminative feature analysis was conducted to show the modulations during the mental tasks. This study can be further implemented with different feedback modalities to enhance the user performance.