EMG-Based Real-Time Linear-Nonlinear Cascade Regression Decoding of Shoulder, Elbow, and Wrist Movements in Able-Bodied Persons and Stroke Survivors.

Objective: This study aimed to decode shoulder, elbow and wrist dynamic movements continuously and simultaneously based on multi-channel surface electromyography signals, useful for electromyography controlled exoskeleton robots for upper-limb rehabilitation. Methods: Ten able-bodied subjects and ten stroke subjects were instructed to voluntarily move the shoulder, elbow and wrist joints back and forth in a horizontal plane with an exoskeleton robot. The shoulder, elbow and wrist movements and surface electromyography signals from six muscles crossing the joints were recorded. A set of three parallel linear-nonlinear cascade decoders was developed to continuously estimate the selected shoulder, elbow and wrist movements based on a generalized linear model using the anterior deltoid, posterior deltoid, biceps brachii, long head triceps brachii, flexor carpi radialis, and extensor carpi radialis muscle electromyography signals as the model inputs. Results: The decoder performed well for both healthy and stroke populations. As movement smoothness decreased, decoding performance decreased for the stroke population. Conclusion: The proposed method is capable of simultaneously and continuously estimating multi-joint movements of the human arm in real-time by characterizing the nonlinear mappings between muscle activity and kinematic signals based on linear regression. Significance: This may prove useful in developing myoelectric controlled exoskeletons for motor rehabilitation of neurological disorders. [ABSTRACT FROM AUTHOR]