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Robotic orthosis compared to virtual hand for Brain–Computer Interface feedback

Cantillo-Negrete Jessica, Carino-Escobar Ruben I., Carrillo-Mora Paul, Barraza-Madrigal José A., Arias-Carrión Oscar

Biocybernetics and Biomedical Engineering

2019

Vol. 39, no. 2

263--272

Brain–Computer Interfaces (BCI) allow the control of external devices by decoding the users' intentions from their central nervous system. Feedback, one of the main elements of a closed- loop BCI, is used to enhance the user's performance. The present work aimed to compare the effect of two different feedback sources; congruent anatomical visual hand representation and passive hand movement on BCI performance and cortical activations. Electroencephalography of 12 healthy right-handed subjects was recorded to set a BCI activated by right-hand motor imagery. Afterward, the subjects were asked to control the system by imagining the movement. The system provided either visual feedback, shown on a computer screen or kinesthetic feedback, provided by a robotic hand orthosis. Differences in performance and cortical activations were assessed, using classification accuracy and event-related desynchronization/synchronization in μ and β bands, respectively. Performance was significantly better with kinesthetic feedback as it allowed for higher correct classification of motor imagery. Cortical activations in the ipsilateral central channel in μ were different between the two feedback modalities. Our results imply that healthy subjects can achieve a greater degree of control using a motor imagery-based BCI with kinesthetic feedback than with anatomically congruent visual feedback. Furthermore, cortical activation differences show that kinesthetic feedback seems to elicit higher recruitment of sensorimotor cortex brain cells, which probably reflects enhanced local information modulation related to fine motor processing. Therefore, kinesthetic feedback provided by a robotic orthosis could be a more suitable feedback strategy for BCI systems designed for neuromodulation and neurorehabilitation.