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Paper (6) A Review on EMG/EEG Based Control Scheme
of Upper Limb Rehabilitation Robots for Stroke
Patients The different types of robotic exoskeletons for upper limb stroke rehabilitation together with control strategies involving EMG and EEG signals are discussed in this paper. The paper describes history and future of exoskeleton devices, beginning with the year 1960 and the purpose of their use in providing motor functions to the stroke patients. Target Region Type of Sensor Used Advantage 9- sEMG electrodes and one Range of motion and user-exoskeleton Elbow and wrist load cell coupling Arm Myo Armband Lightweight and home-based used 2- electrodes (Personal-EMG, Elbow joint Wearable and comfortable Osaka The comfortable, lightweight, and sleek profile Elbow joint MyoWare and strong Effective force transmission and tendon- Hand Myo Armband driven systems Elbow, wrist, and Compact, lightweight and low-power Pair of sEMG electrodes fingers requirement Hand Pair of sEMG electrodes Low cost and lightweight Comfortable, lightweight, simple, and Wrist MyoWare and gyroscope low cost Wrist and hand 150 embedded electrodes Portable, comfortable and lightweight. Low cost and allows for autonomous finger Hand Myo Armband movement. Table 6.1: Classification of Upper Limb Exoskeletons Thus, the needs of multi DOF exoskeletons accompanied with use of EMG and EEG for control are described as crucial for classification. The paper also subdivides the various exoskeleton kinds and control techniques, but mainly discussing their efficiency to neurorehabilitation. These systems are critically dependent on the integration of EMG and EEG signals. It is crucial to use EMG signals in order to control the muscle contracting and to have the ability to translate a patients’ intentions into motion. Yet, signals originating from paralyzed limbs are normally low amplitude, thus possibly reducing the utility of these systems. While compared to the other readings like the ECG, the EEG recording of the signals delivers the non-invasive brain activity measurement which in conjunction with the motor and the brain functions can be synchronized during the rehabilitation. The use of integrated EMG/EEG has proven to have better results in controlling exoskeleton outcomes resulting from higher patient engagement and motion intentions. Some of the control strategies and sensor applications used when proposing the idea for the use of EMG and EEG for real-time movement control are explained throughout the paper. The paper also presents the topic of application of EEG-based neurofeedback techniques in cognitive and psychological rehabilitation. Soft exoskeletons are appreciated for their comfort and light-weighting, nonetheless they do not always provide the similar control as of hard ones. In general, the comparison of these and other exoskeletons shows the effectiveness of such approach in the range of rehabilitation applications: from the healthy people to those who had stroke. Most of the work sixty-four percent employed electromyography (EMG) to measure muscle activity during tasks including elbow and wrist flexion/extension; the same study fifty percent used electroencephalography (EEG) to measure the brain activity most often used together with EMG. For instance, upper limb exoskeletons and robotic hands were useful in the engagement of movements like grasping and flexing the fingers as captured by differences in success across tasks and participants. These technologies are crucial in aiding motor function and rehabilitation since the data show an expansion in emergent research from 2017 to 2023, of exoskeleton technology. In general the studies give evidence of the possibilities that exoskeletons can enhance the rehabilitation process and the quality of life of the stroke survivor as well as enhance primary ability in healthy individuals. The paper also discusses the present rehabilitation methods reflecting on the format on sample, frequency and duration to enhance the measurement of recovery. Here, the authors suggest that while Rehabilitation Outcomes with EEG/EMG Systems has provided great insight and inspiration in upper limb stroke rehabilitation, more research and large-scale clinical trial are still on the way to maximize the efficacy of EEG/EMG based robotic exoskeletons.