Papers for
rehabilitation device developers
Papers whose findings have a practical use for this group, as judged from the abstract. Open a paper to read what it means in practice.
Reflex informed learning improves muscle driven human walking control
Reflex-Informed Neuromuscular Reinforcement Learning for Muscle-Driven Locomotion
Abstract: Muscle-driven locomotion provides a physically grounded approach to generating realistic human movement. However, achieving both physiological plausibility and adaptability to changes in musculoskeletal capacity and external disturbances remains a fundamental challenge. To address this limitation, we propose a Reflex-Informed Neuromuscular Reinforcement Learning framework for muscle-driven locomotion. Within this framework, a fixed phase-dependent reflex controller serves as the underlying neuromuscular control mechanism, while the reinforcement learning policy produces four biomechanically meaningful residual parameters to modulate key reflex gains and thresholds associated with hip swing, knee support, and ankle propulsion according to the current state. Experimental results demonstrate that the proposed framework generates physiologically plausible locomotion with improved kinematic accuracy and dynamic consistency, as well as better bilateral symmetry and stride-to-stride consistency under nominal walking conditions. The learned policy remains robust under muscle weakness and external perturbations without retraining.
Deep learning predicts finger movements from muscle signals after stroke
Deep Neural Networks for Learning Intent from sEMG Signals to Support Hardware Devices for Post-Stroke Neurorehabilitation
Abstract: Finger-specific motor intent is a clinically meaningful control signal for post-stroke neurorehabilitation, where residual muscle activity may remain measurable despite weak or incomplete movement. We study five-finger multilabel intent decoding from impaired-arm high-density surface electromyography (sEMG) in PhysioMio, a bilateral longitudinal dataset collected from stroke patients. A common processing protocol aligns movement labels, applies 20--450 Hz Butterworth filtering and Symlet-4 wavelet denoising, segments overlapping 200 ms windows, and extracts twelve time- and frequency-domain descriptors per channel. Direct LSTM, CNN, and GNN baselines reveal complementary behavior: the LSTM attains the highest subset accuracy (0.545), whereas the GNN attains the highest macro F1 (0.706) and macro AUPRC (0.776). Architecture search then identifies CNN-Large as the strongest single-split CNN, with 0.593 subset accuracy and 0.714 macro F1, while CNN-Micro provides a compact architecture for embedded inference. To match a four-sensor hardware design, we retrain CNN-Micro using channels associated with ECRB, ECRL, FDS, and FDP and exclude the ground electrode from model input. Across five seeds, cross-channel knowledge distillation improves the four-channel student over direct training, reaching $0.5219 \pm 0.0114$ subset accuracy, $0.7612 \pm 0.0038$ finger accuracy, and $0.6095 \pm 0.0058$ macro F1. The selected 123K-parameter model accepts nine windows of 48 features and has been exported to ONNX. These results establish a reproducible software path from post-stroke sEMG to compact five-finger intent prediction for subsequent hardware-in-the-loop evaluation.