A lower-limb motor imagery BCI using virtual reality and novel calibration strategy in post-stroke patients

一种利用虚拟现实和新型校准策略的下肢运动想象脑机接口在卒中后患者中的应用

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Abstract

ABSTRACT: This study proposes a novel two-step calibration strategy in a Motor Imagery (MI)-based Brain-Computer Interface (BCI) system for lower-limb post-stroke patients rehabilitation, using electroencephalography (EEG) signals, a virtual reality serious game, and a pedal end-effector. This research proposes a novel MI feature extraction algorithm combining EEG data from pedaling MI and actual movements using k-Nearest Neighbors (k-NN) and probability analysis. The extracted features are used to re-calibrate the BCI system, and improve its accuracy. Initially, participants performed 20 MI trials without feedback (open-loop, Calibration Mode #1) while receiving passive movement. During this phase, EEG data were processed using the Riemannian Geometry method to train a Linear Discriminant Analysis (LDA) classifier. In the second step (closed-loop, Calibration Mode #2), feedback through passive movement was provided, changing the pedal’s speed according to the MI classification consistency. A chronic post-stroke patient tested the proposed BCI system, first receiving transcranial Direct Current Stimulation (tDCS) before each session. The calibration strategy improved classification accuracy from 52.60% (Mode #1) to 86.74% (Mode #2). The classification remained effective throughout sessions, allowing for immediate feedback-driven training while collecting more reliable EEG MI data. The BCI developed here is able to provide post-stroke patient rehabilitation by engaging lower-limb central and peripheral mechanisms through simultaneous MI and passive pedaling during extended workout sessions. GRAPHICAL ABSTRACT: [Figure: see text]

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