RT Journal Article T1 Design and effectiveness evaluation of mirror myoelectric interfaces: a novel method to restore movement in hemiplegic patients: a novel method to restore movement in hemiplegic patients A1 Sarasola-Sanz, Andrea A1 Irastorza-Landa, Nerea A1 López-Larraz, Eduardo A1 Shiman, Farid A1 Spüler, Martin A1 Birbaumer, Niels A1 Ramos-Murguialday, Ander AB The motor impairment occurring after a stroke is characterized by pathological muscle activation patterns or synergies. However, while robot-aided myoelectric interfaces have been proposed for stroke rehabilitation, they do not address this issue, which might result in inefficient interventions. Here, we present a novel paradigm that relies on the correction of the pathological muscle activity as a way to elicit rehabilitation, even in patients with complete paralysis. Previous studies demonstrated that there are no substantial inter-limb differences in the muscle synergy organization of healthy individuals. We propose building a subject-specific model of muscle activity from the healthy limb and mirroring it to use it as a learning tool for the patient to reproduce the same healthy myoelectric patterns on the paretic limb during functional task training. Here, we aim at understanding how this myoelectric model, which translates muscle activity into continuous movements of a 7-degree of freedom upper limb exoskeleton, could transfer between sessions, arms and tasks. The experiments with 8 healthy individuals and 2 chronic stroke patients proved the feasibility and effectiveness of such myoelectric interface. We anticipate the proposed method to become an efficient strategy for the correction of maladaptive muscle activity and the rehabilitation of stroke patients. SN 2045-2322 YR 2018 FD 2018-12-01 LA eng NO Sarasola-Sanz , A , Irastorza-Landa , N , López-Larraz , E , Shiman , F , Spüler , M , Birbaumer , N & Ramos-Murguialday , A 2018 , ' Design and effectiveness evaluation of mirror myoelectric interfaces: a novel method to restore movement in hemiplegic patients : a novel method to restore movement in hemiplegic patients ' , Scientific Reports , vol. 8 , no. 1 , 16688 . https://doi.org/10.1038/s41598-018-34785-x NO Publisher Copyright: © 2018, The Author(s). DS TECNALIA Publications RD 3 jul 2024