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Abstract Patients with neuromuscular disease fail to produce necessary muscle force and have trouble maintaining joint moment required to perform activities of daily living. Measuring muscle force values in patients with neuromuscular disease is important but challenging. Electromyography (EMG) can be used to obtain muscle activation values, which can be converted to muscle forces and joint torques. Surface electrodes can measure activations of superficial muscles, but fine-wire electrodes are needed for deep muscles, although it is invasive and require skilled personnel and preparation time. EMG-driven modeling with surface electrodes alone could underestimate the net torque. In this research, authors propose a methodology to predict muscle activations from deeper muscles of the upper extremity. This method finds missing muscle activation one at a time by combining an EMG-driven musculoskeletal model and muscle synergies. This method tracks inverse dynamics joint moments to determine synergy vector weights and predict muscle activation of selected shoulder and elbow muscles of a healthy subject. In addition, muscle-tendon parameter values (optimal fiber length, tendon slack length, and maximum isometric force) have been personalized to the experimental subject. The methodology is tested for a wide range of rehabilitation tasks of the upper extremity across multiple healthy subjects. Results show this methodology can determine single unmeasured muscle activation up to Pearson's correlation coefficient (R) of 0.99 (root mean squared error, RMSE = 0.001) and 0.92 (RMSE = 0.13) for the elbow and shoulder muscles, respectively, for one degree-of-freedom (DoF) tasks. For more complicated five DoF tasks, activation prediction accuracy can reach up to R = 0.71 (RMSE = 0.29). 

Abstract Cerebrovascular accidents like a stroke can affect the lower limb as well as upper extremity joints (i.e., shoulder, elbow, or wrist) and hinder the ability to produce necessary torque for activities of daily living. In such cases, muscles’ ability to generate forces reduces, thus affecting the joint’s torque production. Understanding how muscles generate forces is a key element to injury detection. Researchers have developed several computational methods to obtain muscle forces and joint torques. Electromyography (EMG) driven modeling is one of the approaches to estimate muscle forces and obtain joint torques from muscle activity measurements. Musculoskeletal models and EMG-driven models require necessary muscle-specific parameters for the calculation. The focus of this study is to investigate the EMG-driven approach along with an upper extremity musculoskeletal model to determine muscle forces of two major muscle groups, biceps brachii and triceps brachii, consisting of seven muscle-tendon units. Estimated muscle forces are used to determine the elbow joint torque. Experimental EMG signals and motion capture data are collected for a healthy subject. The musculoskeletal model is scaled to match the geometric parameters of the subject. Then, the approach calculates muscle forces and joint moment for two tasks: simple elbow flexion extension and triceps kickback. Individual muscle forces and net joint torques for both tasks are estimated. The study also has compared the effect of muscle-tendon parameters (optimal fiber length and tendon slack length) on the estimated results. 

Personalization of gait neuroprosthetics is paramount to ensure their efficacy for users, who experience severe limitations in mobility without an assistive device. Our goal is to develop assistive devices that collaborate with and are tailored to their users, while allowing them to use as much of their existing capabilities as possible. Currently, personalization of devices is challenging, and technological advances are required to achieve this goal. Therefore, this paper presents an overview of challenges and research directions regarding an interface with the peripheral nervous system, an interface with the central nervous system, and the requirements of interface computing architectures. The interface should be modular and adaptable, such that it can provide assistance where it is needed. Novel data processing technology should be developed to allow for real-time processing while accounting for signal variations in the human. Personalized biomechanical models and simulation techniques should be developed to predict assisted walking motions and interactions between the user and the device. Furthermore, the advantages of interfacing with both the brain and the spinal cord or the periphery should be further explored. Technological advances of interface computing architecture should focus on learning on the chip to achieve further personalization. Furthermore, energy consumption should be low to allow for longer use of the neuroprosthesis. In-memory processing combined with resistive random access memory is a promising technology for both. This paper discusses the aforementioned aspects to highlight new directions for future research in gait neuroprosthetics.