Multi-Channel FES Gait Rehabilitation Assistance System Based on Adaptive sEMG Modulation

Functional electrical stimulation (FES) can be used to stimulate the lower-limb muscles to provide walking assistance to stroke patients. However, the existing surface electromyography (sEMG)-based FES control methods mostly only consider a single muscle with a fixed stimulation intensity and freque...

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Main Authors: Chunfu Lu, Ruite Ge, Zhichuan Tang, Xiaoyun Fu, Lekai Zhang, Keshuai Yang, Xuan Xu
Format: Article
Language:English
Published: IEEE 2023-01-01
Series:IEEE Transactions on Neural Systems and Rehabilitation Engineering
Subjects:
Online Access:https://ieeexplore.ieee.org/document/10246446/
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author Chunfu Lu
Ruite Ge
Zhichuan Tang
Xiaoyun Fu
Lekai Zhang
Keshuai Yang
Xuan Xu
author_facet Chunfu Lu
Ruite Ge
Zhichuan Tang
Xiaoyun Fu
Lekai Zhang
Keshuai Yang
Xuan Xu
author_sort Chunfu Lu
collection DOAJ
description Functional electrical stimulation (FES) can be used to stimulate the lower-limb muscles to provide walking assistance to stroke patients. However, the existing surface electromyography (sEMG)-based FES control methods mostly only consider a single muscle with a fixed stimulation intensity and frequency. This study proposes a multi-channel FES gait rehabilitation assistance system based on adaptive myoelectric modulation. The proposed system collects sEMG of the vastus lateralis muscle on the non-affected side to predict the sEMG values of four targeted lower-limb muscles on the affected side using a bidirectional long short-term memory (BILSTM) model. Next, the proposed system modulates the real-time FES output frequency for four targeted muscles based on the predicted sEMG values to provide muscle force compensation. Fifteen healthy subjects were recruited to participate in an offline model-building experiment conducted to evaluate the feasibility of the proposed BILSTM model in predicting the sEMG values. The experimental results showed that the <inline-formula> <tex-math notation="LaTeX">$\text{R}^{{2}}$ </tex-math></inline-formula> value of the best-obtained prediction result reached 0.85 using the BILSTM model, which was significantly higher than that using traditional prediction methods. Moreover, two patients after stroke were recruited in the online assisted-walking experiment to verify the effectiveness of the proposed walking-assistance system. The experimental results showed that the activation of the target muscles of the patients was higher after FES, and the gait movement data were significantly different before and after FES. The proposed system can be effectively applied to walking assistance for stroke patients, and the experimental results can provide new ideas and methods for sEMG-controlled FES rehabilitation applications.
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spelling doaj.art-50d3ea3369224f1aa6bd59c7c8ae50df2023-09-18T23:00:10ZengIEEEIEEE Transactions on Neural Systems and Rehabilitation Engineering1558-02102023-01-01313652366310.1109/TNSRE.2023.331361710246446Multi-Channel FES Gait Rehabilitation Assistance System Based on Adaptive sEMG ModulationChunfu Lu0https://orcid.org/0009-0004-2217-7031Ruite Ge1https://orcid.org/0009-0000-9700-4072Zhichuan Tang2https://orcid.org/0000-0002-1730-1120Xiaoyun Fu3https://orcid.org/0009-0002-0538-6144Lekai Zhang4https://orcid.org/0000-0002-8136-5882Keshuai Yang5https://orcid.org/0009-0004-6048-3064Xuan Xu6https://orcid.org/0009-0002-7665-8880Industrial Design Institute, Zhejiang University of Technology, Hangzhou, ChinaIndustrial Design Institute, Zhejiang University of Technology, Hangzhou, ChinaIndustrial Design Institute, Zhejiang University of Technology, Hangzhou, ChinaIndustrial Design Institute, Zhejiang University of Technology, Hangzhou, ChinaIndustrial Design Institute, Zhejiang University of Technology, Hangzhou, ChinaIndustrial Design Institute, Zhejiang University of Technology, Hangzhou, ChinaIndustrial Design Institute, Zhejiang University of Technology, Hangzhou, ChinaFunctional electrical stimulation (FES) can be used to stimulate the lower-limb muscles to provide walking assistance to stroke patients. However, the existing surface electromyography (sEMG)-based FES control methods mostly only consider a single muscle with a fixed stimulation intensity and frequency. This study proposes a multi-channel FES gait rehabilitation assistance system based on adaptive myoelectric modulation. The proposed system collects sEMG of the vastus lateralis muscle on the non-affected side to predict the sEMG values of four targeted lower-limb muscles on the affected side using a bidirectional long short-term memory (BILSTM) model. Next, the proposed system modulates the real-time FES output frequency for four targeted muscles based on the predicted sEMG values to provide muscle force compensation. Fifteen healthy subjects were recruited to participate in an offline model-building experiment conducted to evaluate the feasibility of the proposed BILSTM model in predicting the sEMG values. The experimental results showed that the <inline-formula> <tex-math notation="LaTeX">$\text{R}^{{2}}$ </tex-math></inline-formula> value of the best-obtained prediction result reached 0.85 using the BILSTM model, which was significantly higher than that using traditional prediction methods. Moreover, two patients after stroke were recruited in the online assisted-walking experiment to verify the effectiveness of the proposed walking-assistance system. The experimental results showed that the activation of the target muscles of the patients was higher after FES, and the gait movement data were significantly different before and after FES. The proposed system can be effectively applied to walking assistance for stroke patients, and the experimental results can provide new ideas and methods for sEMG-controlled FES rehabilitation applications.https://ieeexplore.ieee.org/document/10246446/BILSTMEMG predictionfunctional electrical stimulationgait rehabilitation
spellingShingle Chunfu Lu
Ruite Ge
Zhichuan Tang
Xiaoyun Fu
Lekai Zhang
Keshuai Yang
Xuan Xu
Multi-Channel FES Gait Rehabilitation Assistance System Based on Adaptive sEMG Modulation
IEEE Transactions on Neural Systems and Rehabilitation Engineering
BILSTM
EMG prediction
functional electrical stimulation
gait rehabilitation
title Multi-Channel FES Gait Rehabilitation Assistance System Based on Adaptive sEMG Modulation
title_full Multi-Channel FES Gait Rehabilitation Assistance System Based on Adaptive sEMG Modulation
title_fullStr Multi-Channel FES Gait Rehabilitation Assistance System Based on Adaptive sEMG Modulation
title_full_unstemmed Multi-Channel FES Gait Rehabilitation Assistance System Based on Adaptive sEMG Modulation
title_short Multi-Channel FES Gait Rehabilitation Assistance System Based on Adaptive sEMG Modulation
title_sort multi channel fes gait rehabilitation assistance system based on adaptive semg modulation
topic BILSTM
EMG prediction
functional electrical stimulation
gait rehabilitation
url https://ieeexplore.ieee.org/document/10246446/
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AT zhichuantang multichannelfesgaitrehabilitationassistancesystembasedonadaptivesemgmodulation
AT xiaoyunfu multichannelfesgaitrehabilitationassistancesystembasedonadaptivesemgmodulation
AT lekaizhang multichannelfesgaitrehabilitationassistancesystembasedonadaptivesemgmodulation
AT keshuaiyang multichannelfesgaitrehabilitationassistancesystembasedonadaptivesemgmodulation
AT xuanxu multichannelfesgaitrehabilitationassistancesystembasedonadaptivesemgmodulation