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Spinal Excitability Mediates Reflex-Evoked Force in Intrinsic Versus Extrinsic Finger Muscles 脊髓兴奋性介导内源性与外源性手指肌肉的反射诱发力。
IF 5.2 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2026-01-12 DOI: 10.1109/TNSRE.2026.3653297
Susan K. Coltman;Luis Vargas;Xiaogang Hu
Restoring dexterous hand function after neurological injury requires precise control over distinct muscles with different neuromuscular architectures. The extrinsic and intrinsic muscles of the human hand differ in anatomy, motor unit structure, and neural input; however, their relative efficiency in converting evoked reflex activity into functional muscle forces, essential for the development of neural stimulation strategies, remains unclear. H-reflex-based stimulation preferentially recruits small and fatigue-resistant motor units through spinal pathways, offering advantages over direct M-wave activation for fine control of finger forces and sustained muscle activation. Here, we quantified reflex-mediated force transmission in these muscle groups using transcutaneous nerve stimulation, high-density electromyography, and finger-specific force measurements in 12 neurologically intact adults. We found that intrinsic muscles produced significantly greater normalized H-reflex-evoked force than extrinsic muscles, a muscle effect consistent across all fingers. This difference was strongly predicted by spinal excitability, as indexed by the ratio between the maximum amplitudes of H-reflex and M-wave, which emerged as a key mechanistic determinant of reflex force efficiency. Notably, greater force selectivity, as measured by a lower finger coactivation index, was associated with enhanced reflex output, suggesting that improved spatial targeting amplifies functional benefits. Higher trial-to-trial variability in intrinsic muscles likely reflects greater cortical modulation, suggesting the need for adaptive stimulation strategies. These results reveal fundamental differences in reflex transmission efficiency between intrinsic and extrinsic hand muscles, providing physiological evidence for optimizing fatigue-resistant neural stimulation protocols in assistive and rehabilitation technologies.
神经损伤后恢复灵巧手功能需要对不同神经肌肉结构的不同肌肉进行精确控制。人手的外在肌肉和内在肌肉在解剖结构、运动单元结构和神经输入方面有所不同;然而,它们在将诱发反射活动转化为功能性肌肉力量方面的相对效率,对于神经刺激策略的发展至关重要,仍然不清楚。基于h反射的刺激通过脊髓通路优先招募小的和抗疲劳的运动单位,在精细控制手指力量和持续的肌肉激活方面比直接m波激活有优势。在这里,我们通过经皮神经刺激、高密度肌电图和手指特异性力测量来量化这些肌肉群中反射介导的力传递。我们发现内在肌肉比外在肌肉产生更大的标准化h反射诱发力,这种肌肉效应在所有手指上都是一致的。这种差异可以通过脊髓兴奋性来预测,通过h反射和m波的最大振幅之比来表示,这是反射力效率的关键机制决定因素。值得注意的是,更大的力选择性(用食指共激活指数衡量)与反射输出增强有关,这表明空间瞄准能力的提高放大了功能效益。内在肌肉试验间较高的可变性可能反映了更大的皮质调节,这表明需要适应性刺激策略。这些结果揭示了手部内源性和外源性肌肉反射传递效率的根本差异,为辅助和康复技术中抗疲劳神经刺激方案的优化提供了生理学证据。
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引用次数: 0
Real-Time OpenSim via IMUs for Full Body Kinematics During Gait, Sports, Exercise, and Dance Movements 实时OpenSim通过imu在步态,运动,锻炼和舞蹈动作的全身运动学。
IF 5.2 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2026-01-12 DOI: 10.1109/TNSRE.2026.3653477
Chenquan Xu;Yuanshuo Tan;Zach Strout;Guoxing Liu;Kezhe Zhu;Hong Wang;Peter B. Shull
Despite the growing demand for healthcare services due to an aging population, patients often avoid traditional rehabilitation centers due to high costs, time constraints, and discomfort experienced in laboratory or hospital settings. Home-based rehabilitation offers a promising alternative, but real-time kinematic monitoring and assessment remain challenging. We thus propose a real-time, wireless, portable approach for computing full-body kinematics through OpenSim. Twenty-two subjects performed walking, running, squatting, boxing, yoga, dance, badminton, stair climbing, and seated extremity exercise movements, while wearing 12 SageMotion inertial measurement units (IMUs). Real-time IMU kinematics were computed at 20 Hz and offline kinematics at 100 Hz and were compared with reference optical motion capture kinematics to determine accuracy. Real-time walking and stair climbing were most accurate, both with median RMSE of 5.3 deg. The most accurate joint angle was lumber rotation with median RMSE of 2.7 deg, and the overall median RMSE for all activities across all joints was 7.4 deg. Overall mean RMSE between real-time and offline IMU estimation was 0.7 deg, and mean latency from IMU data reception at the processing hub to kinematics generation was 31.7 ms. This approach could dramatically improve clinical and remote care by enabling rapid assessment and real-time biofeedback for rehabilitation, with potential to significantly enhance patient assessment and treatment outcomes.
尽管由于人口老龄化,对医疗保健服务的需求不断增长,但由于成本高、时间限制以及在实验室或医院环境中体验到的不适,患者通常会避开传统的康复中心。以家庭为基础的康复提供了一个很有前途的选择,但实时运动监测和评估仍然具有挑战性。因此,我们提出了一种实时、无线、便携式的方法,通过OpenSim计算全身运动学。22名受试者佩戴12个SageMotion惯性测量单元(imu),进行步行、跑步、下蹲、拳击、瑜伽、舞蹈、羽毛球、爬楼梯和坐姿肢体运动。在20 Hz下计算实时IMU运动学,在100 Hz下计算离线运动学,并与参考光学运动捕捉运动学进行比较,以确定精度。实时行走和爬楼梯最准确,均为5.3度的中位数RMSE。最准确的关节角度是木材旋转,中位数RMSE为2.7度,所有关节的所有活动的总体中位数RMSE为7.4度。实时和离线IMU估计之间的总体平均RMSE为0.7度,从处理中心接收IMU数据到生成运动学的平均延迟为31.7毫秒。这种方法可以通过快速评估和实时康复生物反馈显著改善临床和远程护理,有可能显著提高患者评估和治疗结果。
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引用次数: 0
Biomechanical Trade-Offs in Knee Brace Stiffness: Dynamic Stability During Single-Leg Lateral Landings in Young Males 膝关节支撑刚度的生物力学权衡:年轻男性单腿侧着地时的动态稳定性。
IF 5.2 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2026-01-12 DOI: 10.1109/TNSRE.2026.3653016
Dongxu Wang;Yang Song;Dong Sun;Fengping Li;Diwei Chen;Zhanyi Zhou;Qiaolin Zhang;Xuanzhen Cen;Bálint Kovács;Zixiang Gao;Liangliang Xiang;Yaodong Gu
This study investigated the effects of knee braces with differing stiffness on in vivo knee kinematics and neuromuscular control during single-leg lateral landings. 14 healthy males performed landings under three conditions: no brace (Control), low-stiffness (Type-1), and high-stiffness (Type-2). Kinematics were quantified via dual fluoroscopic imaging, and sEMG recorded seven lower-limb muscles. Brace mechanics were assessed via three-point bending. Statistical analysis used repeated-measures ANOVA (α = 0.05). Kinematically, neither brace restricted knee flexion. Both significantly reduced varus angle (Type-1: 27–100% stance, ${p} = 0.043$ ; Type-2: 60–100% stance, ${p} = 0.033$ ), and Type-2 also lowered peak sagittal flexion acceleration (5.0 rad/s2, ${p} = 0.013$ ). Neuromuscularly, Type-1 enhanced multiplanar control, advancing rectus femoris (154.7 ms vs. Type-2, ${p} = 0.005$ ) and vastus lateralis (35.6 ms vs. Control, ${p} = 0.046$ ) activation without increasing rotational instability. Conversely, Type-2 demonstrated a trade-off: despite earlier vastus medialis activation (43.6 ms vs. Control, ${p} = 0.011$ ), it significantly delayed gluteus medius activation (23.9 ms vs. Type-1, ${p} = 0.037$ ) and, critically, exacerbated compensatory internal-rotation acceleration (3.3 rad/s2 vs. Type-1, ${p} = 0.006$ ) at peak flexion. The low-stiffness brace leveraged neuromuscular coordination for multiplanar stability, whereas the high-stiffness brace improved frontal-plane protection at the cost of rotational instability. These findings provide biomechanical evidence for the synergistic optimization of mechanical support and neuromuscular adaptation in knee brace design for populations with similar characteristics to the young male athletes studied herein.
本研究研究了不同刚度的膝关节支架对单腿侧着地时膝关节运动学和神经肌肉控制的影响。14名健康男性在三种情况下进行了着陆:无支架(对照组)、低刚度(1型)和高刚度(2型)。运动学通过双透视成像进行量化,肌电图记录了7块下肢肌肉。通过三点弯曲评估支撑力学。统计学分析采用重复测量方差分析(α = 0.05)。运动学上,两个支架都没有限制膝关节屈曲。两者均显著降低了内翻角(1型:27-100%站立,p = 0.043; 2型:60-100%站立,p = 0.033), 2型也降低了矢状面屈曲加速度峰值(5.0 rad/s²,p = 0.013)。神经肌肉方面,1型增强了多平面控制,推进股直肌(154.7 ms比2型,p = 0.005)和股外侧肌(35.6 ms比对照组,p = 0.046)激活,而不增加旋转不稳定性。相反,2型表现出一种权衡:尽管股内侧肌激活较早(43.6 ms比对照组,p = 0.011),但它显著延迟了臀中肌激活(23.9 ms比1型,p = 0.037),而且,严重的是,在屈曲峰值时加剧了代偿性内旋加速(3.3 rad/s²比1型,p = 0.006)。低刚度支具利用神经肌肉协调来实现多平面稳定性,而高刚度支具以牺牲旋转不稳定性为代价来改善前平面保护。这些发现为机械支持和神经肌肉适应在膝托设计中的协同优化提供了生物力学证据,适用于与本文研究的年轻男性运动员具有相似特征的人群。
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引用次数: 0
Virtual Reality as a Platform for Upper-Limb Prosthetic Control Modes Evaluation and Early-Stage Design 虚拟现实作为上肢假肢控制模式评估与前期设计平台。
IF 5.2 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2026-01-12 DOI: 10.1109/TNSRE.2026.3652083
Yunmei Liu;Junho Park;Daniel Delgado;Austin Music;Joseph Berman;Jaime Ruiz;David Kaber;He Huang;Maryam Zahabi
This study investigated the potential of using virtual reality (VR) as a platform for early-stage design of upper-limb prostheses as well as evaluation with a focus on performance, cognitive workload and usability. Three prosthetic device control modes (Direct Control, DC; Pattern Recognition, PR; and Continuous Control, CC) were compared across physical device (PD) and VR settings. Results indicated that task performance was generally lower in VR than in PD for DC and CC modes, likely due to the reduction of haptic cues and stricter spatial-alignment requirements in the VR interaction setting. PR mode, however, showed consistent performance across settings, highlighting its resilience to sensory limitations in VR. Cognitive workload differed by mode, with DC showing reduced workload in VR due to visual task performance aids (e.g., automatic counting of successful clothespin relocations or door-handle turns), while the PR and CC modes produced higher perceived workload, likely due to the VR simulation control demands. Usability scores were consistent across settings and control modes, highlighting the reliability of VR as a platform for early-stage prosthetic evaluation. These findings highlight the potential of VR as a cost-effective, accessible platform to refine prosthetic control algorithms and facilitate user adaptation, while also emphasizing the need for enhancements, such as haptic feedback to improve VR applicability for advanced design and development.
本研究探讨了将虚拟现实(VR)作为上肢假肢早期设计平台的潜力,以及对其性能、认知负荷和可用性的评估。三种假肢装置控制模式(直接控制,DC;模式识别,PR;和连续控制,CC)在物理设备(PD)和VR设置中进行了比较。结果表明,在DC和CC模式下,VR的任务表现普遍低于PD,这可能是由于VR交互设置中触觉线索的减少和更严格的空间对齐要求。然而,PR模式在不同设置下表现一致,突出了其对VR感官限制的弹性。认知工作量因模式而异,由于视觉任务执行辅助(例如,自动计数成功的衣夹移动或门把手转动),DC模式在VR中显示出减少的工作量,而PR和CC模式产生更高的感知工作量,可能是由于VR模拟控制需求。在不同的设置和控制模式下,可用性得分是一致的,这突出了VR作为早期假肢评估平台的可靠性。这些发现突出了VR作为一个具有成本效益的、可访问的平台的潜力,可以改进假肢控制算法并促进用户适应,同时也强调了增强功能的必要性,例如触觉反馈,以提高VR在高级设计和开发中的适用性。
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引用次数: 0
Assessing the Utility of Fronto-Parietal and Cingulo-Opercular Networks in Predicting the Trial Success of Brain-Machine Interfaces for Upper Extremity Stroke Rehabilitation 评估额顶叶和cinguo -眼网络在预测上肢卒中康复脑机接口试验成功中的效用。
IF 5.2 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2026-01-12 DOI: 10.1109/TNSRE.2026.3653049
Gokul Krishna Raja Padmaja;Nikunj Arunkumar Bhagat;Pragathi Priyadharsini Balasubramani
Brain-machine interfaces (BMIs) have the potential to improve stroke rehabilitation by actively facilitating sensory-cognitive-motor connections to restore movement. However, individuals with cognitive impairments are often excluded from BMI-based neurorehabilitation due to concerns about impaired cognition, specifically reduced attention and executive control. We propose leveraging the trial-wise dynamics of large-scale cognitive control networks—specifically, the frontoparietal (FPN) and cingulo-opercular (CON) networks—to build neural markers of cognitive control. Using existing BMI datasets, we demonstrate that trial-wise activity within these networks predicts motor task performance, suggesting that cognitive control signals in these networks could serve as adaptive modulations for BMI-based rehabilitation. Our system is able to predict unsuccessful BMI trials at the population level about 84.2% of the time on average, with an overall mean accuracy of 72.2% in a 3-fold cross-validation. Additionally, in a leave-one-subject-out validation, our system achieved 71% specificity on average, with an overall mean accuracy of 68.3%. Notably, model performance varies across subjects, with some individuals showing up to 92% specificity and 100% sensitivity. Unlike previous studies that primarily focus on resting-state data, our findings point toward the untapped potential of incorporating cognitive network state monitoring into BMI systems to optimize online performance through trials. Specifically, we suggest that our pre-trained models can be fine-tuned with subject-specific information to design more targeted rehabilitation programs that enhance motor performance by identifying precise attention and learning tasks to improve the successful response of the network model in patients with significant cognitive impairment.
脑机接口(bmi)通过积极促进感觉-认知-运动连接来恢复运动,具有改善中风康复的潜力。然而,有认知障碍的个体往往被排除在基于bmi的神经康复之外,因为他们担心认知障碍,特别是注意力和执行控制能力下降。我们建议利用大规模认知控制网络的试验动态-特别是额顶叶(FPN)和扣谷-眼(CON)网络-来建立认知控制的神经标记。利用现有的BMI数据集,我们证明了这些网络中的试验活动可以预测运动任务的表现,这表明这些网络中的认知控制信号可以作为基于BMI的康复的适应性调节。我们的系统平均能够在84.2%的时间内预测人群水平上不成功的BMI试验,在3倍交叉验证中,总体平均准确率为72.2%。此外,在留一受试者验证中,我们的系统平均达到了71%的特异性,总体平均准确率为68.3%。值得注意的是,模型的性能因受试者而异,有些个体显示出高达92%的特异性和100%的灵敏度。与以往主要关注静息状态数据的研究不同,我们的研究结果指出了将认知网络状态监测纳入BMI系统以通过试验优化在线表现的未开发潜力。具体来说,我们建议我们的预训练模型可以根据受试者特定的信息进行微调,以设计更有针对性的康复方案,通过识别精确的注意力和学习任务来提高运动表现,从而提高网络模型在严重认知障碍患者中的成功反应。
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引用次数: 0
Investigating the Effects of Repeated Transcutaneous Spinal Cord Stimulation on Spasticity and Gait in Multiple Sclerosis: A Case Series 研究反复经皮脊髓刺激对多发性硬化症患者痉挛和步态的影响:一个病例系列。
IF 5.2 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2026-01-12 DOI: 10.1109/TNSRE.2026.3653653
E. L. Spieker;C. Otto;K. Ruprecht;T. Schauer;C. Salchow-Hömmen;N. Wenger
Leg spasticity and gait impairments are common symptoms in Primary and Secondary Progressive Multiple Sclerosis (PPMS, SPMS). Transcutaneous Spinal Cord Stimulation (tSCS) has been shown to alleviate these symptoms in individuals with spinal cord injury. Here, we present the first case series (German Clinical Trials Register DRKS00032742) that determines the effect of repeatedly applied tSCS in progressive MS. Nine participants, experiencing spasticity and gait impairments, received 30 min of tSCS (biphasic pulses, 50 Hz) twice a week for four weeks. Before, during, and one week after termination of the treatment, we monitored spasticity with the Modified Ashworth Scale (MAS) and a reduced version of the Tardieu Scale, as well as gait performance, and gait kinematics. Additionally, patient-reported outcome measures were determined. We observed moderate and large effect sizes after seven tSCS treatments in the bilateral MAS (p = 0.34) and bilateral Tardieu sum score, (p = 0.11) respectively. These effects persisted on a moderate level at follow-up. The performance in clinical gait tests showed mixed results with negligible, small and moderate effects at the end of the treatment. Subjective questionnaires revealed a large effect on fatigue and no effect on patient-reported gait deficits. We observed small effects on the range of motion of the hip and knee at the end of the treatment period. This case series suggests that repeated application of tSCS may help reduce spasticity in individuals with progressive MS. These findings highlight the need for further investigation in controlled study designs beyond a single-arm approach, such as randomized controlled trials.
腿部痉挛和步态障碍是原发性和继发性进行性多发性硬化症(PPMS, SPMS)的常见症状。经皮脊髓刺激(tSCS)已被证明可以减轻脊髓损伤患者的这些症状。在这里,我们提出了第一个病例系列(德国临床试验注册DRKS00032742),确定了反复应用tSCS对进展性ms的影响。9名患有痉挛和步态障碍的参与者,每周接受两次30分钟的tSCS(双相脉冲,50 Hz),持续四周。在治疗结束前、治疗期间和治疗结束后一周,我们用改良Ashworth量表(MAS)和简化版Tardieu量表监测痉挛,以及步态表现和步态运动学。此外,确定了患者报告的结果测量。我们观察到7次tSCS治疗对双侧MAS (p = 0.34)和双侧Tardieu sum评分(p = 0.11)的影响分别为中等和较大。这些影响在随访中保持在中等水平。临床步态测试的表现在治疗结束时显示出可忽略、小和中等影响的混合结果。主观调查问卷显示对疲劳有很大影响,对患者报告的步态缺陷没有影响。我们观察到在治疗期结束时,对髋关节和膝关节的活动范围有很小的影响。这一系列病例表明,反复应用tSCS可能有助于减少进行性多发性硬化症患者的痉挛。这些发现强调了在单臂方法之外的对照研究设计中进一步研究的必要性,如随机对照试验。
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引用次数: 0
Multimodal Location-Dependent Biomechanical Characterization and Numerical Modeling of Inhomogeneous Median Nerve in Carpal Tunnel 腕管内非均匀正中神经的多模态定位生物力学特征及数值模拟。
IF 5.2 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2026-01-06 DOI: 10.1109/TNSRE.2026.3651294
Lu Yu;Linjing Peng;Jingyi Jia;Yu Wei;Yiping Du;Yaokai Gan;Zhe Xu;Yifei Yao
This study assessed location-dependent inhomogeneity in the intracarpal median nerve of healthy subjects using a multimodal framework integrating subject-specific finite element analysis (FEA), ultrasound, and diffusion tensor imaging (DTI). Dynamic B-mode ultrasonography tracked segmental nerve displacement during finger flexion in subjects, with axial strain quantified via speckle cross-correlation. Cross-sectional ultrasound measured nerve cross-sectional area and flattening ratio. Twelve subject-specific FEA models analyzed stress distributions in the nerve, while DTI evaluated diffusion tensor of the median nerve indicating microstructural properties. Correlations between biomechanical and microstructural parameters were examined. Results showed that cross-sectional area, axial strain, von Mises stress, maximum principal stress, and frictional anisotropy of the median nerve decreased from the carpal tunnel inlet to outlet. Strong and significant correlations (r>0.8, P<0.05) were found among these parameters. Our findings in healthy individuals suggest that segmental nerve displacement creates localized strain, particularly at the carpal tunnel inlet. These potential biomechanical vulnerabilities could contribute to the initiation or progression of Carpal Tunnel Syndrome, a hypothesis requiring further clinical investigation.
本研究采用多模态框架,结合受试者特异性有限元分析(FEA)、超声和弥散张量成像(DTI),评估了健康受试者腕内正中神经的位置依赖性不均匀性。动态b型超声追踪受试者手指屈曲时的节段性神经位移,轴向应变通过散斑互相关量化。横断超声测量神经横截面积和压平比。12个受试者特定的FEA模型分析了神经中的应力分布,而DTI评估了正中神经的扩散张量,表明微观结构特性。研究了生物力学和微观结构参数之间的相关性。结果表明,从腕管入口到出口,正中神经的横截面积、轴向应变、von Mises应力、最大主应力和摩擦各向异性均减小。相关性强且显著(P < 0.05, P < 0.05)
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引用次数: 0
3-D Printed Watermill-Like Semi-Dry Electrodes for BCI Applications. 用于BCI应用的3D打印水磨式半干电极。
IF 5.2 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2026-01-01 DOI: 10.1109/TNSRE.2026.3650950
Chi-Ming Chung, Ching-Hung Tsai, Yu-Lin Chu, Chih-Hao Hsu, Jui-Bang Lu, Yun-Chieh Hsu, Yu-Jung Su, Yang Wu, Cian-Fong Hung, Yu Te Wang

Wet electrodes with conductive gel are widely applied as the gold standard for recording EEG signals due to their low impedance between the scalp and the electrode. However, their extensive preparation time before data collection and the required cleaning afterward make them impractical for real-world Brain-Computer Interface (BCI) applications. Recent advancements in semi-dry electrodes, which use a minimal amount of conductive material and achieve a comparable signal-to-noise quality to wet electrodes, present an alternative approach for continuous EEG monitoring when comparing to dry electrodes. Our prior study introduced a potential solution for overcoming challenges related to hair-layer penetration and dose control through 3D-printed, watermill-shaped EEG electrodes. Based on those promising results, this study prototypes three designs of watermill-shaped EEG electrodes and refines the fabrication process to scale production and accommodate diverse hairstyles in real-world scenarios. Eight different wig styles which were made of either human or synthetic hair were tested in offline experiments to evaluate hair-layer penetration performance and gel-applying application efficiency. In the real-world experiment, 15 participants with varying hairstyles were recruited in neurophysiological experiments. Statistical analysis revealed that the watermill electrodes consumed significantly less gel than wet electrodes (p<0.001), with the star electrode requiring the fewest mean rolls to achieve target impedance (1.94 rolls). The results demonstrate that the watermill-shaped electrode effectively works across different hairstyles, ensuring consistent hair-layer penetration and controlled application of conductive material. These findings establish the proposed electrode as a viable semi-dry solution for real-world BCI applications.

带有导电凝胶的湿电极由于其在头皮和电极之间的低阻抗而被广泛应用为记录EEG信号的金标准。然而,它们在数据收集前的大量准备时间和之后所需的清洁使得它们在现实世界的脑机接口(BCI)应用中不切实际。与干电极相比,半干电极使用最少量的导电材料,实现了与湿电极相当的信噪比质量,最近在半干电极方面取得了进展,为连续EEG监测提供了一种替代方法。我们之前的研究介绍了一种潜在的解决方案,通过3d打印的水磨形状脑电图电极来克服与头发层渗透和剂量控制相关的挑战。基于这些有希望的结果,本研究原型设计了三种水磨坊形状的脑电图电极,并改进了制造工艺,以大规模生产,并适应现实世界中不同的发型。在线下实验中测试了8种不同假发样式,分别由人发和合成头发制成,以评估发层渗透性能和涂胶效率。在现实世界的实验中,我们招募了15名不同发型的参与者进行神经生理实验。统计分析表明,水磨电极消耗的凝胶明显少于湿电极(p
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引用次数: 0
Large Language Models Improve Scene-Invariant Detection of Behavior of Risk in Dementia Residential Care Across Multiple Surveillance Camera Views. 大型语言模型改进了跨多个监控摄像头视图的痴呆症住院护理风险行为的场景不变检测。
IF 5.2 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2026-01-01 DOI: 10.1109/TNSRE.2026.3656747
Pratik K Mishra, Babak Taati, Bing Ye, Kristine Newman, Alex Mihailidis, Andrea Iaboni, Shehroz S Khan

Behavioral and psychological symptoms of dementia pose challenges to the safety and well-being of individuals in residential care. The integration of video surveillance in common areas of these settings presents a valuable opportunity for developing automated deep learning methods capable of identifying such behavior of risk. By issuing real-time alerts, these methods can support timely staff intervention and reduce the likelihood of incidents escalating. However, a persistent limitation is the considerable drop in performance when these methods are deployed in environments unseen during training. To address this issue, we propose an unsupervised scene-invariant fusion-based deep learning network. It combines language model-based captioning and scoring with video anomaly detection scoring to improve the generalization performance for unseen camera scenes. The video anomaly detection scoring uses a depth-weighted spatio-temporal autoencoder to reduce false positives, and the caption-based scoring uses a large language model to generate anomaly scores from captions of video frames. The study uses video data collected from nine individuals with dementia, recorded via three distinct hallway-mounted cameras in a dementia unit. The performance was investigated in both the same camera and cross-camera settings, where the proposed method performed consistently better than the existing methods. The proposed approach obtained the best area under receiver operating characteristic curve performance of 0.855, 0.84 and 0.805 for the three cameras. This work motivates further research to develop cross-camera behavior of risk detection systems for people with dementia in care environments.

痴呆症的行为和心理症状对住院护理人员的安全和福祉构成挑战。在这些设置的公共区域集成视频监控为开发能够识别此类风险行为的自动化深度学习方法提供了宝贵的机会。通过发布实时警报,这些方法可以支持及时的工作人员干预,并减少事件升级的可能性。然而,一个持久的限制是,当这些方法部署在训练期间看不见的环境中时,性能会大幅下降。为了解决这个问题,我们提出了一种基于无监督场景不变融合的深度学习网络。它将基于语言模型的字幕和评分与视频异常检测评分相结合,提高了对未见过的摄像机场景的泛化性能。视频异常检测评分使用深度加权时空自编码器来减少误报,基于字幕的评分使用大型语言模型从视频帧的字幕中生成异常评分。这项研究使用了从9名痴呆症患者身上收集的视频数据,这些数据是通过痴呆病房走廊上安装的三个不同的摄像头记录的。在同一摄像机和跨摄像机设置下对性能进行了研究,其中所提出的方法的性能始终优于现有方法。该方法在接收机工作特性曲线性能下的最佳面积分别为0.855、0.84和0.805。这项工作激发了进一步的研究,为护理环境中的痴呆症患者开发跨摄像机行为的风险检测系统。
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引用次数: 0
Autonomic Nervous System Adaptation to Supernumerary Robotic Finger Use: Coherence Analysis of RR Intervals Before and After Training. 自主神经系统对多余机械手指使用的适应:训练前后RR间隔的一致性分析。
IF 5.2 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2026-01-01 DOI: 10.1109/TNSRE.2026.3658402
Sona Al Younis, Mohammad I Awad, Rateb Katmah, Feryal A Alskafi, Herbert F Jelinek, Kinda Khalaf

Supernumerary robotic fingers (SRFs) are wearable assistive devices, which are increasingly incorporated into robotic rehabilitation programs aimed at restoring upper-limb function and promoting task-specific compensation. Despite growing evidence of SRF efficacy in improving motor performance, limited attention has been given to physiological adaptation and autonomic nervous system (ANS) integration during SRF use. This study investigated phase coherence (PC) and amplitude-weighted phase coherence (AWPC) of RR intervals derived from photoplethysmogram (PPG) as noninvasive biomarkers for autonomic nervous system adaptation during SRF-assisted activities of daily living. Thirty healthy participants completed a baseline (no SRF), pre-training SRF application and post-training SRF use, including rest periods protocol. Drinking water, driving and shape sorting were the functional activities of daily living (ADLs) that had to be completed. The results for PC and AWPC in the low (0.04-0.15) and high (0.15-0.4) frequency bands indicated an overall significant reduction in stress associated with SRF use (p <0.05). During the shape sorting task, post-training AWPC was significantly higher than in the pre-training phase (p = 0.037), and PC also increased significantly (p = 0.044), indicating enhanced vagal modulation. Driving task AWPC improved in the high-frequency band increasing from $0.68~pm ~0.12$ (no SRF) to $0.74~pm ~0.10$ (pre-training SRF) and $0.79~pm ~0.09$ (post-training SRF), while PC increased from $0.54~pm ~0.11$ to $0.62~pm ~0.08$ after training demonstrating significant task, phase, and frequency-specific alterations in autonomic coherence. This work provides an innovative perspective on physiological embodiment and how robotic compensation/augmentation improve both motor performance and physiological regulation. PD analysis indicated central autonomic adaptation. The current findings support the integration of coherence-based autonomic measures into assistive device evaluation frameworks to optimize training protocols and personalize robotic rehabilitation strategies.

多余机器人手指(srf)是一种可穿戴的辅助设备,越来越多地被纳入机器人康复计划,旨在恢复上肢功能和促进任务特异性补偿。尽管越来越多的证据表明SRF在改善运动表现方面的有效性,但SRF使用过程中对生理适应和自主神经系统(ANS)整合的关注有限。本研究将光容积描记图(PPG)得出的RR间隔期相相干性(PC)和振幅加权相相干性(AWPC)作为srf辅助日常生活活动中自主神经系统适应性的无创生物标志物进行了研究。30名健康参与者完成了基线(无SRF)、训练前SRF应用和训练后SRF使用,包括休息时间方案。饮水、驾驶、形状整理是日常生活中必须完成的功能活动。低频段(0.04-0.15)和高频段(0.15-0.4)的PC和AWPC的结果表明,SRF使用的应力总体上显着降低(p
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引用次数: 0
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IEEE Transactions on Neural Systems and Rehabilitation Engineering
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