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Towards adaptive time-resolved multivariate decoding in brain-computer interface rehabilitation after stroke
Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems. (Neuroengineering group)ORCID iD: 0000-0002-8174-1067
2025 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Stroke is a major cause of long-term disability, often resulting in severe motor impairments. Motor imagery has been proposed as a technique to engage motor networks and promote neuroplasticity, even in the absence of physical movement. Brain–computer interfaces (BCIs) can decode neural activity and provide feedback in a closed loop, supporting reinforcement-based motor learning. BCIs have shown modest but promising results, and their efficiency and usability can be improved by understanding how design choices influence human performance and clinical outcomes. Key challenges include achieving high signal precision through high-dimensional data, delivering real-time feedback under strict latency constraints, and managing non-stationary brain signals within and across sessions. This thesis presents an iterative and exploratory investigation of these challenges. Methods were first developed and validated in healthy participants and later implemented in a clinical intervention with stroke patients. Contributions include classification of motor imagery tasks involving one hand, characterization of motor signals in high-dimensional data, evaluation of system latency for real-time feedback, application of multivariate pattern analysis to capture temporal dynamics of the motor signal, introduction of a continuous metric for motor signal strength linked to visual representations, implementation of a method to set and maintain difficulty level during BCI training, evaluation of adaptive classification methods to maintain performance across sessions, and validation of these methods in a stroke case study. The findings advance understanding of how BCI design parameters affect usability and clinical relevance. By integrating neuroscience, machine learning, and principles of motor learning and neuroplasticity, this work contributes to the development of more effective and personalized BCI systems for stroke rehabilitation.

Place, publisher, year, edition, pages
Västerås: Mälardalen University , 2025. , p. 65
Series
Mälardalen University Press Dissertations, ISSN 1651-4238 ; 450
Keywords [en]
Brain-computer interface, BCI, motor imagery, MI, electroencephalography, EEG
National Category
Neurosciences
Research subject
Electronics
Identifiers
URN: urn:nbn:se:mdh:diva-74060ISBN: 978-91-7485-735-1 (print)OAI: oai:DiVA.org:mdh-74060DiVA, id: diva2:2011186
Public defence
2025-12-17, Rum Pi, Mälardalens Universitet, Västerås, 14:00 (English)
Opponent
Supervisors
Available from: 2025-11-06 Created: 2025-11-04 Last updated: 2025-11-26Bibliographically approved
List of papers
1. Discriminating EEG spectral power related to mental imagery of closing and opening of hand
Open this publication in new window or tab >>Discriminating EEG spectral power related to mental imagery of closing and opening of hand
2019 (English)In: 2019 9TH INTERNATIONAL IEEE/EMBS CONFERENCE ON NEURAL ENGINEERING (NER), IEEE , 2019, p. 307-310Conference paper, Published paper (Refereed)
Abstract [en]

ElectroEncephaloGram (EEG) spectral power has been extensively used to classify Mental Imagery (MI) of movements involving different body parts. However, there is an increasing need to enable classification of MI of movements within the same limb. In this work, EEG spectral power was recorded in seven subjects while they performed MI of closing (grip) and opening (extension of fingers) the hand. The EEG data was analyzed and the feasibility of classifying MI of the two movements were investigated using two different classification algorithms, a linear regression and a Convolutional Neural Network (CNN). Results show that only the CNN is able to significantly classify MI of opening and closing of the hand with an average classification accuracy of 60.4%. This indicates the presence of higher-order non-linear discriminatory information and demonstrates the potential of using CNN in classifying MI of same-limb movements.

Place, publisher, year, edition, pages
IEEE, 2019
Series
International IEEE EMBS Conference on Neural Engineering, ISSN 1948-3546
National Category
Computer and Information Sciences
Identifiers
urn:nbn:se:mdh:diva-44330 (URN)10.1109/NER.2019.8717059 (DOI)000469933200077 ()2-s2.0-85066765799 (Scopus ID)978-1-5386-7921-0 (ISBN)
Conference
9th IEEE/EMBS International Conference on Neural Engineering (NER), MAR 20-23, 2019, San Francisco, CA
Available from: 2019-06-20 Created: 2019-06-20 Last updated: 2025-11-04Bibliographically approved
2. Feature Selection of EEG Oscillatory Activity Related to Motor Imagery Using a Hierarchical Genetic Algorithm
Open this publication in new window or tab >>Feature Selection of EEG Oscillatory Activity Related to Motor Imagery Using a Hierarchical Genetic Algorithm
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2019 (English)In: 2019 IEEE Congress on Evolutionary Computation, CEC 2019 - Proceedings, Institute of Electrical and Electronics Engineers Inc. , 2019, p. 87-94Conference paper, Published paper (Refereed)
Abstract [en]

Motor Imagery (MI) classification from neural activity is thought to represent valuable information that can be provided as real-time feedback during rehabilitation after for example a stroke. Previous studies have suggested that MI induces partly subject-specific EEG activation patterns, suggesting that individualized classification models should be created. However, due to fatigue of the user, only a limited number of samples can be recorded and, for EEG recordings, each sample is often composed of a large number of features. This combination leads to an undesirable input data set for classification. In order to overcome this constraint, we propose a new methodology to create and select features from the EEG signal in two steps. First, the input data is divided into different windows to reduce the cardinality of the input. Secondly, a Hierarchical Genetic Algorithm is used to select relevant features using a novel fitness function which combines the data reduction with a correlation feature selection measure. The methodology has been tested on EEG oscillatory activity recorded from 6 healthy volunteers while they performed an MI task. Results have successfully proven that a classification above 75% can be obtained in a restrictive amount of time (0.02 s), reducing the number of features by almost 90%.

Place, publisher, year, edition, pages
Institute of Electrical and Electronics Engineers Inc., 2019
Keywords
EEG Signal, Hierarchical Genetic Algorithm, Motor Imagery, Classification (of information), Data reduction, Genetic algorithms, Input output programs, Neurons, Activation patterns, Classification models, Correlation features, EEG signals, Healthy volunteers, Real-time feedback, Feature extraction
National Category
Electrical Engineering, Electronic Engineering, Information Engineering
Identifiers
urn:nbn:se:mdh:diva-46543 (URN)10.1109/CEC.2019.8789948 (DOI)000502087100013 ()2-s2.0-85071317681 (Scopus ID)9781728121536 (ISBN)
Conference
2019 IEEE Congress on Evolutionary Computation, CEC 2019, 10 June 2019 through 13 June 2019
Available from: 2019-12-17 Created: 2019-12-17 Last updated: 2025-11-04Bibliographically approved
3. Evaluation of closed-loop feedback system delay a time-critical perspective for neurofeedback training
Open this publication in new window or tab >>Evaluation of closed-loop feedback system delay a time-critical perspective for neurofeedback training
2018 (English)In: BIODEVICES 2018 - 11th International Conference on Biomedical Electronics and Devices, Proceedings; Part of 11th International Joint Conference on Biomedical Engineering Systems and Technologies, BIOSTEC 2018, SciTePress , 2018, p. 187-193Conference paper, Published paper (Refereed)
Abstract [en]

Neurofeedback in real-time has proven effective when subjects learn to control a BCI. To facilitate learning, a closed-loop feedback system should provide neurofeedback with maximal accuracy and minimal delay. In this article, we propose a modular system for real-time neurofeedback experiments and evaluate its performance as a function of increased stress level applied to the system. The system shows stable behavior and decent performance when streaming with many EEG channels (36-72) and 500-5000 Hz, which is common in BCI setups. With very low data loads (1 channel, 500-1000 Hz) the performance dropped significantly and the system became highly unpredictable. We show that the system delays did not correlate linearly with the stress-level applied to the system, emphasizing the importance of system delay tests before conducting real-time BCI-experiments. 

Place, publisher, year, edition, pages
SciTePress, 2018
National Category
Medical Engineering
Identifiers
urn:nbn:se:mdh:diva-40554 (URN)10.5220/0006598301870193 (DOI)2-s2.0-85051747504 (Scopus ID)9789897582776 (ISBN)
Conference
11th International Conference on Biomedical Electronics and Devices, BIODEVICES 2018 - Part of 11th International Joint Conference on Biomedical Engineering Systems and Technologies, BIOSTEC 2018; Funchal, Madeira; Portugal; 19 January 2018 through 21 January 2018
Available from: 2018-08-30 Created: 2018-08-30 Last updated: 2025-11-04Bibliographically approved
4. Time-resolved estimation of strength of Motor Imagery representation by multivariate EEG decoding.
Open this publication in new window or tab >>Time-resolved estimation of strength of Motor Imagery representation by multivariate EEG decoding.
2020 (English)In: Journal of Neural Engineering, ISSN 1741-2560, E-ISSN 1741-2552, Vol. 18, article id 016026Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: Multivariate decoding enables access to information encoded in multiple brain activity features with high temporal resolution. However, whether the strength, of which this information is represented in the brain, can be extracted across time within single trials remains largely unexplored.

APPROACH: In this study, we addressed this question by applying a Support Vector Machine (SVM) to extract Motor Imagery (MI) representations, from Electroencephalogram (EEG) data, and by performing time-resolved single-trial analyses of the multivariate decoding. EEG was recorded from a group of healthy participants during MI of opening and closing of the same hand.

MAIN RESULTS: Cross-temporal decoding revealed both dynamic and stationary MI-relevant features during the task. Specifically, features representing MI evolved dynamically early in the trial and later stabilized into a stationary network of MI features. Using a Hierarchical Genetic Algorithm (HGA) for selection of MI-relevant features, we identified primarily contralateral alpha and beta frequency features over the sensorimotor and parieto-occipital cortices as stationary which extended into a bilateral pattern in the later part of the trial. During the stationary encoding of MI, by extracting the SVM prediction scores, we analyzed MI-relevant EEG activity patterns with respect to the temporal dynamics within single trials. We show that the SVM prediction score correlates to the amplitude of univariate MI-relevant features (as documented from an extensive repertoire of previous MI studies) within single trials, strongly suggesting that these are functional variations of MI strength hidden in trial averages.

SIGNIFICANCE: Our work demonstrates a powerful approach for estimating MI strength continually within single trials, having far-reaching impact for single-trial analyses. In terms of MI neurofeedback for motor rehabilitation, these results set the ground for more refined neurofeedback reflecting the strength of MI that can be provided to patients continually in time.

Keywords
EEG, decoding, motor imagery, multivariate, strength, temporal dynamics, time-resolved
National Category
Other Engineering and Technologies
Identifiers
urn:nbn:se:mdh:diva-52979 (URN)10.1088/1741-2552/abd007 (DOI)000621491200001 ()33264756 (PubMedID)2-s2.0-85102929483 (Scopus ID)
Available from: 2021-01-09 Created: 2021-01-09 Last updated: 2025-11-04Bibliographically approved
5. Exploration of using “distance-to-bound” to manipulate the difficulty during motor imagery BCI training after stroke: A clinical two-cases study
Open this publication in new window or tab >>Exploration of using “distance-to-bound” to manipulate the difficulty during motor imagery BCI training after stroke: A clinical two-cases study
Show others...
2025 (English)Report (Other academic)
Abstract [en]

Objective: Motor Imagery-based Brain-Computer Interfaces (MI-BCIs) is a promising technology for neurorehabilitation after stroke. However, many face challenges in using a BCI because they fail to produce discriminable patterns in their brain activity. Personalizing the BCI task difficulty could help the learning process of these users but there is currently very limited knowledge on which methods can be used online. Our aim was to explore a distance-to-bound approach for adapting MI BCI task difficulty in real time.

Approach: Two chronic stroke patients performed 12 BCI training sessions over 4 weeks during which they performed MI of open- and close hand movements and received continual visual feedback based on multivariate decoding of ongoing electroencephalogram (EEG) activity. The difficulty was increased and adapted in real time based on distance-to-bound decoding metrics and using a multiple-session design we investigated the stability of this approach and how it related to MI-related EEG activity of each patient.

Main results: We show that patients had to produce stronger alpha and beta event-related desynchronization (ERD) activity across the sensorimotor cortical areas of the brain to receive positive feedback. In addition, we show that the online adaptation converged within sessions as well as accommodating for drift in the data both within and between sessions. We suggest that the distance-to-bound approach can effectively be used to control BCI task difficulty and potentially guide patients to produce functionally relevant activity patterns. However, from our results, stronger sensorimotor ERD activity did not consistently correlate to improved motor function. Clinical assessments showed that both patients improved in motor function (+4 and +8.7 change in Fugl-Meyer assessment for upper extremity), however, the correlation to sensorimotor ERD activity was positive for one patient and negative for the other (Pearson’s rho = 0.95, -0.80, p = 0.05, 0.18). . Further, MI pattern strength correlated with clinical motor outcomes (Pearson’s rho = 0.993, -0.849, p = 0.007, 0.151), however positively for one patient and negatively for the other.These results indicate that the translation of distance-to-bound outputs to feedback needs to be individually tailored considering the stroke lesion and EEG activity profiles for each patient.

Significance: This study provides valuable insights and considerations for BCI difficulty adaptation in the aim of developing more effective training protocols in BCI-based stroke rehabilitation.

Publisher
p. 36
Keywords
Brain-computer interface
National Category
Neurosciences
Identifiers
urn:nbn:se:mdh:diva-74059 (URN)
Projects
Motorisk föreställning och återkoppling i strokerehabilitering
Note

Submitted to Journal of Neural Engineering

Available from: 2025-11-03 Created: 2025-11-03 Last updated: 2025-11-17Bibliographically approved
6. EEG non-stationarity across multiple sessions during a Motor Imagery-BCI intervention: two post stroke case series
Open this publication in new window or tab >>EEG non-stationarity across multiple sessions during a Motor Imagery-BCI intervention: two post stroke case series
2021 (English)In: 10th International IEEE EMBS Conference on Neural Engineering NER'21, 2021, p. 817-821Conference paper, Published paper (Refereed)
Abstract [en]

Abstract— Clinical Electroencephalogram (EEG) Brain- Computer-Interface (BCI) rehabilitation largely depend on reliable information extraction from steadily evolving brain features. Non-stationary EEG feature behavior is considered a major challenge and a lot of effort has been devoted to developing adaptive methods to accommodate for this nonstationarity. However, learning- and plasticity-related mechanisms throughout a BCI intervention are additional sources of non-stationarity, that even though expected, we know very little about. In this work, we explore the evolution of Motor Imagery (MI) information extraction across multiple sessions, in two stroke patients, using a fixed and an adaptive Support Vector Machine (SVM) model. We show different behavior of the fixed SVM model for the two patients, indicating that for one patient, relevant MI-related EEG features shifted throughout the intervention. This observation calls for further investigations to better understand the evolution and shift of features across sessions, as well as the impact of using adaptive methods from a clinical outcome perspective.

Keywords
BCI, EEG, stroke, Motor Imagery
National Category
Engineering and Technology Computer and Information Sciences
Identifiers
urn:nbn:se:mdh:diva-53975 (URN)10.1109/NER49283.2021.9441076 (DOI)000681358200161 ()2-s2.0-85107518861 (Scopus ID)978-1-7281-4337-8 (ISBN)
Conference
10th International IEEE EMBS Conference on Neural Engineering NER'21, 04 May 2021, Virtual, Sweden
Projects
Brain technology in stroke rehabilitation – increasing motor recovery
Funder
The Kamprad Family Foundation
Available from: 2021-04-22 Created: 2021-04-22 Last updated: 2025-11-04Bibliographically approved

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