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by
DANIEL GRAUPE *
RUEY WEN LIU **
and
GEORGE S. MOSCHYTZ ***
i
Ab s t r a c t
T h e r e c e n t progress i n neural networks (NN) opens a p p l i c a t i o n s ( c o n t r o l o f prostheses, o f neuromuscular
a v a s t f i e l d o f o p p o r t u n i t i e s t o t h e processing o f
medical s i g n a l s and images. The p a r t i c u l a r a t t r a c t i o n
o f NN f o r such a p p l i c a t i o n s l i e s i n t h e n o n l i n e a r and
pacemakers, e t c ...
s t i m u l a t i o n , o f a r t i f i c i a l organs, o f implants,
).
o f t e n non-analytical nature o f b i o l o g i c a l signals. I n t h i s paper we d e s c r i b e two a p p l i c a t i o n s o f NN
To i l l u s t r a t e a t l e a s t a few aspects o f such t h a t are being studied a t t h e authors' laboratories,
a p p l i c a t i o n s , we discuss two s p e c i f i c a p p l i c a t i o n s , and which a r e intended t o p r o v i d e an i l l u s t r a t i o n o f
b o t h r e l a t e d t o t h e authors' research i n t o some o f t h e c a p a b i l i t i e s o f NN-based medical s i g n a l
e l e c t r m y o g r a p h i c (EMG) s i g n a l s. The f i r s t concerns processing. One a p p l i c a t i o n i s m a i n l y o f d i a g n o s t i c
t h e decomposition o f s u r f a c e (transcutaneous) EMG i n t o s i g n i f i c a n c e , though i t has a l s o f u n c t i o n a l p o t e n t i a l ,
i t s i n a c c e s s i b l e motor u n i t a c t i o n p o t e n t i a l s (MUAP) as a p o s s i b l e approach t o c o n t r o l o f f u n c t i o n a l
f o r t h e purpose o f determining t h e sequence o f s i n g l e neuromuscular s t i m u l a t i o n (FNS) i n paraplegics. The
( o r groups) o f MUAP which form t h e corresponding other a p p l i c a t i o n i s mainly functional ( f o r c o n t r o l l i n g
s u r f a c e EMG s i g n a l . I f extended t o EMG FNS), though d i a g n o s t i c uses a r e possible. The f i r s t
surface-electrode arrays, t h i s should a l s o y i e l d a p p l i c a t i o n i s t o an i n v e r s e processing problem and t h e
i n f o r m a t i o n on l o c a t i o n s o f motor u n i t s (MU) r e l a t i v e second i s t o a s i g n a t u r e ( p a t e r n ) d i s c r i m i n a t i o n
t o e l e c t r o d e l o c a t i o n i n t h e array. T h i s a p p l i c a t i o n problem. Both a p p l i c a t i o n s employ s u r f a c e (EMG) as
i s o f importance b o t h as a non-invasive d i a g n o s t i c obtained i n v i v o from hunan p a t i e n t s d u r i n g t e s t s o r
t o o l , t o y i e l d i n f o r m a t i o n on s i n g l e o r group MU w h i l e performing normal tasks. The f i r s t a p p l i c a t i o n
i n n e r v a t i o n d u r i n g normal- o r t e s t - a c t i v i t y o f a i s an EMG decomposition problem t h a t f o l l o w s one o f t h e
p a t i e n t . It can a l s o serve f o r subsequent c o n t r o l o f a u t h o r ' s work on decomposition o f [6,7]. The second i s
prostheses , orthoses , o r f u n c t i o n a l neuromuscular based on previous work o f another author on EMG
s t i m u l a t i o n (FNS) o f paraplegics. s i g n a t u r e d i s c r i m i n a t i o n t o c o n t r o l a r t i f i c i a l 1 imbs i n
The second a p p l i c a t i o n concerns t h e d i s c r i m i n a t i o n amputees [8,9] and t o c o n t r o l walking under FNS i n
between intended walking f u n c t i o n s ( t o be a c t i v a t e d by (complete) p a r a p l e g i c s [10,11,12] and which f a c i l i t a t e d
FNS) o f p a r a p l e g i c s from parameters o f s i g n a t u r e such walking ( w h i l e using non-NN p a t t e r n
p a t t e r n s (AR parameters o r e q u i v a l e n t ) o f above-lesion discrimination) a t that author's lab f o r the l a s t
s u r f a c e EMG. This above-lesion EMG i s as generated b y several years.
n a t u r a l posture changes o f a p a r a p l e g i c ' s upper t r u n k
when preparing t o perform t h e r e s p e c t i v e 2. Decomposition o f Surface EMG S i g n a l s
wal k i n g - r e l a t e d f u n c t i o n ( t a k i n g r i g h t o r l e f t s t e p 2.1 The Nature o f t h e Surface EMG S ivg n a l
e t c ...),t h u s c o n t r o l l i n g FNS t o paralyzed limbs. The s u r f a c e EMG s i g n a l i s a s i g n a l t h a t i s picked
The two a p p l i c a t i o n s above, one being a d i a g n o s t i c up b y transcutaneous e l e c t r o d e s attached t o t h e s u r f a c e
i n v e r s e problem and t h e o t h e r b e i n g a f u n c t i o n a l o f t h e s k i n and which c o n s i s t o f t h e e l e c t r i c a l
p a t t e r n - d i s c r i m i n a t i o n problem, a r e intended t o response o f a muscle i n response t o t r a i n s o f
i l l u s t r a t e some o f t h e o p p o r t u n i t i e s provided by i n d i v i d u a l e l e c t r i c a l s i g n a l s o f a m u l t i t u d e (hundreds
medical a p p l i c a t i o n s o f NN. i n major muscles) o f motor neurons [14]. The
e l e c t r i c a l a c t i v i t y o f a motor neuron i s i n t u r n a
1. I n t r o d u c t i o n
- sequence o f more-or-less f i x e d - f o r m s i g n a l s known as
The r e c e n t advances i n neural network t h e o r y m o t o r - u n i t a c t i o n p o t e n t i a l s (MUAP) produced and
[l-51 and i t s a p p l i c a t i o n s now y i e l d a r e a l i s t i c prorogated t o t h e muscl e-fiber/neuron i n t e r f a c e and
and powerful t o o l t o deal w i t h a wide a r r a y o f which a r e t h e motor neuron's (MU'S) response t o a t r a i n
signal and image processing, d i s c r i m i n a t i o n and o f t r i g g e r i n g impulses i n p u t t e d t o t h e MU from t h e
d e c i s i o n problems, e s p e c i a l l y those t h a t a r e ill s p i n a l cord and hence from t h e c e n t r a l nervous system
defined, n o n l i n e a r and which a r e even (CNS). The s u r f a c e EMG i s t h u s a s p a t i a l i n t e g r a t i o n
n o n - a n a l y t i c a l , o r which d e f y a n a l y t i c a l a n a l y s i s o f a m u l t i t u d e o f such MUAP's. There can be several
w i t h conventional Von-Neunan-based computing ( t e n s o f such f i b e r s ) connected t o a s i n g l e MU.
machines ( a t l e a s t , a t reasonable computational Thousands o r tens o f thousands o f such f i b e r s thus
power and programming time). Medical d a t a and c o n s t i t u t e a m a j o r muscle, such as t h e biceps o r
medical s i g n a l s o r images f i t v e r y much t h e above quadriceps muscle i n man. See Fig. 1. The i n d i v i d u a l
d e s c r i p t i o n o f a non1 i n e a r o r non-analytical MUAP s i g n a l ( X o f Figure 1 i n v o l v e s r a t h e r complex
nature. It i s thus a n a t u r a l area f o r v a s t dynamics, and o f a more-or-less f i x e d shape, as
o p p o r t u n t i e s i n a p p l y i n g neural nets, b o t h f o r shown i n Fig. 2, where t ,. i s t h e i n s t a n t o f a neural
medical diagnosis and f o r f u n c t i o n a l medical ( f i r i n g ) a t t h e i n p u t t o o d e MU, coming from t h e s p i n a l
c o r d (SC), where a l s o t h e t i m e scales i n v o l v e d can be
*Dept. o f E l e c t r i c a l Engineering & Computer considered f i x e d (as f i r s t approximation, a t l e a s t ) f o r
Science, U n i v e r s i t y o f I l l i n o i s a t Chicago (UIC), a g i v e n muscle. Gain (amplitude) terms and low-pass
Chicago, IL. t i m e constant element terms should c o n t r i b u t e t o
**Dept. o f E l e c t r i c a l & Computer Engineering, changes o f these p a t t e r n s . These terms w i l l be
U n i v e r s i t y o f Notre Dame, Notre Dame, IN. i n t r o d u c e d l a t e r , t h e g a i n terms b e i n g one aspect o f
Drs. Graupe and L i u a r e members o f t h e j o i n t what i s t o be determined f o r each MUAP b y t h e h as i s
UIC-Notre Dame Research Center on Signal & Image t ,. ( i n f a c t , a sequence o f t ,.(K) f"r t h e k' h
Processing i n Medicine which supported t h i s f p r ? n g o f MUi). A few hundred8 b f MU s may be nvolved
research i n p a r t .
* * * I n s t i t u t e o f Signal & I n f o r m a t i o n Processing,
ETH (Swiss Federal I n s t i t u t e o f Techno1 ogy) ,
Zurich, Switzerland.
344
2.4 Spacial L o c a l i z a t i o n o f Motor U n i t s v i a
Decomposition from t l e c t r o d e Arrays Our NN d e c i s i o n problem i s thus formulated as f o l l o w s :
'tor d i a g n o s t i c n e u r o l o g i c a l Studies [14] and f o r Given a s e t o f i d e n t i f i e d t i m e s e r i e s (say, AR)
using EMG f o r c o n t r o l o f prostheses [8,9] and o f
e l e c t r i c a l s t i m u l a t i o n i n p a r a p l e g i c s [lo-131, n o t t h e
parameters a. , which walk f u n c t i o n F
should t h e FhS c o n t r o l l e r a c t i v a t e ? J
[j=l, ... m]
decomposition i t s e l f i s o f importance b u t t h e a b i l i t y 3.3 The NN S o l u t i o n t o t h e Signature D i s c r i m i n a t i o n
t o o b t a i n ( i n a non-invasive manner) a mapping o f Problem
i n n e r v a t i o n across a muscle o r a group o f adjacent y t Y be t h e s e t o f EMG s i g n a l s y ( t ) o f a
muscles. The present surface e l e c t r o d e approach has p a r t i c u l a r patient. Let there e x i s t a p a r t i t i o n o f Y
a1 so t h e advantage (vs. imp1 anted e l e c t r o d e s ) t h a t t h e i n t o a f i n i t e number o f groups, say 5 groups as
p a t i e n t i s n o t conscious o r c o n s t r a i n e d i n normal f o l l ows :
movements b y t h e electrodes. Y1 -
Stand up
When an a r r a y o f s u r f a c e e l e c t r o d e s as i n Sections Y - R i g h t l e g up
2.1, 2.2 i s considered, t o which decomposition i s -
L e f t l e g up
a p p l i e d as i n Sections 2.2, 2.3, approximate s p a t i a l '9 - S i t down
mapping can be accomplished.
( 1) becomes
For t h i s purpose eqn. Y - D h ' t change s t a t u s
The d i s c r i m i n a t i o i problem i s t o f i n d a p a r t i t i o n which
N
yh(t) =.E
1-51
Kih pih(t-tih), ...
h=l R (11)
separates each group from others. Furthermore, a f t e r
t h e p a r t i t i o n i s made, t h e d i s c r i m i n a t o r should
i d e n t i f y t h e c o r r e c t group f o r each incoming EMG
R b e i n g t h e nunber o f e l e c t r o d e s i n t h e a r r a y . signal.
Once NN-based decomposition has been performed per The neural network can be used t o s o l v e t h i s
each member o f t h e array, i.e., p e r each y ( t ) , d i s c r i m i n a t i o n problem, provided t h e f o l l o w i n g
l o c a l i z a t i o n can be performed v i a considervng r e l a t i v e c o n d i t i o n i s met. Each s i g n a l y ( t ) can be represented
gains o f members o f a sequence o f one e l e c t r o d e vs. an b y a s e t o f f i n i t e number o f parameters, say { x , x ,
adjacent e l e c t r o d e , when accounting f o r times o f
arrival.
...,..., xn R"), so t h a t i t s associated f i v e groubs X:,
Furthermore, when accounting f o r propagation
v e l o c i t i e s , MAUP's o f branches o f t h e same MU can be
X
n%ber o f 8yperplanes i n R .
X can be p a r t i t i g n e d b y a s e t o f f i n t i e
To f i n d t h e s u i t a b l e s e t
o f parameters f o r a g i v e n problem i s sometimes t h e most
mapped and i n t e r - r e l a t e d [14]. The mapping may be d i f f i c u l t problem. For example, t h e sampled v a l u e l y }
performed b y another NN subsystem, though conventional o f y ( t ) i s n o t s u i t a b l e f o r t h i s purpose. Graupe, e t
c o r r e l a t i o n a l g o r i t h m s can a1 so be e f f e c t i v e l y used a1 [8-13 ] have found t h a t i f t h e AR c o e f f i c i e n t s i s
f o..r t h i s DurDose. used then t h e f i v e groups can indeed be separated b y a
3. Funct;on' D i s c r i m i n a t i o n from Surface EMG s e t o f f i n i t e numbers o f hyperplanes. S p e c i f i c a l l y ,
Signatures f o r Control1 i n g Neuromuscular l e t t h e AR t i m e s e r i e s model f o r t h e l e f t and t h e r i g h t
S t i m u l a t i o n i n Paraplegics EMG s i g n a l be g i v e n as f o l l o w s :
3.1 F u n c t i o n a l Neuromuscular S t i m u l a t i o n (FNS)
EMG Signature D i s c r i m i n a t i o n
I t was shown i n [8,9] t h a t t h e parameters o f a
t i m e s e r i e s model o f t h e s u r f a c e EMG It was found i n [8-131 that i f t h e f o l l o w i n g parameters
(electromyographic) s i g n a l can serve as parameters t o a r e used:
c o n t r o l a r t i f i c i a l l i m b s i n amputees and e l e c t r i c a l x = a ( r i g h t EMG s i g n a l )
neuromuscular s t i m u l a t i o n (ENS) i n p a r a p l e g i c s x1 = a1 ( r i g h t EMG s i g n a l )
[lo-131. Such c o n t r o l i s based on t h e n a t u r e o f t h e x2 = a2 ( r i g h t EMG s i g n a l )
s u r f a c e EMG s i g n a l as t h e e l e c t r i c a l response o f t h e x4 = 3 V a r i ~ n c e( r i g h t EMG s i g n a l )
muscle a t t h e s k i n ' s s u r f a c e t o t h e f i r i n g o f motor and s i m i l a r l y x ,x ,x and x a r e d e f i n e d f o r
neurons which cause t h a t muscle t o c o n t r a c t . EMG s i g n a l , the;\ t f i e Z o r r e s p h d i n g parameters
Consequently, changes i n modes ( p a t t e r n s ) of muscle
c o n t r a c t i o n i n m a j o r muscles ( o r a t an e l e c t r o d e
( x ,! , ..., x ) o f EMG s i g n a l s can indeed be separated
by'li8ear hypesplanes i n R .
l o c a t i o n which r e c e i v e s an EMG s i g n a l generated b y Based on t h e above, a m u l t i - l a y e r neural n e t can
neural f i r i n g a t adjacent muscles) produce changes i n be constructed. The number o f perceptrons a t t h e i n p u t
t h e EMG t i m e - s e r i e s parameters, such as t h e AR l a y e r i s determined by t h e number o f parameters needed
(autoregressive) parameters. Hence c o n t r a c t i o n o r t o represent each s i g n a l . The number o f perceptrons i n
posture changes a t c h e s t muscles above t h e l e v e l o f a t h e o u t p u t l a y e r i s determined by t h e number o f groups
s p i n a l - c o r d l e s i o n i n p a r a p l e i c s , when t h e p a t i e n t needed t o be p a r t i t i o n e d i n t o . The number o f
prepares h i m s e l f t o execute a walking f u n c t i o n , i s perceptrons i n t h e hidden (middle) l a y e r i s determined
r e f l e c t e d by a s e t o f AR ( o r ARMA, etc. ..) parameters b y t h e number o f hyperplanes needed t o separate these
t h a t a r e more o r l e s s unique and repeatable f o r such groups. A (8,3,5) m u l t i - l a y e r neural networks i s shown
an intended walking f u n c t i o n . i n F i g u r e 4.
3.2 The Signature D i s c r i m i n a t i o n Problem The x . ' s , z . ' s and u . ' s a r e t h e i n p u t s , o u t p u t s
The AR model o f t h e d i s c r e t e - t i m e tF/jG s i g n a l y ( k ) and i n t e r m & d i a t e ' v a r i a b l e & r e s p e c t i v e l y . The o u t p u t s
is d e s c r i b a b l e by: a r e ComDuted as f o l l o w s :
y(t) = . k a i Y k - i
1=1
+ Wk i1 ... k=0,1,2, (12)
w b e i n g i n a c c e s s i b l e w h i t e noise. 3
d e d e c i s i o n t o a c t i v a t e a p a r t i c u l a r walk f u n c t i o n 'h = g ( ~ l v i h u i ' e h ) (16)
( r i g h t step, l e f t step, s i t down, e t c ...) by ENS f s
thus based on t h e parameter v e c t o r 1 f [a
being w i t h i n a c e r t a i n subspace o f t h e pahameters
...an] where g i s t h e sigmoid f u n c t i o n
A 1
space. Once i t i s determined t h a t a i s w i t h i n t h e g(x) = -x (17)
a p p r o p r i a t e region, ENS i s a p p l i e d To t h e paralyzed l+e
l i m b s t o a c t i v a t e t h e d e s i r e d walk f u n c t i o n
corresponding (by precal i b r a t i o n ) t o t h a t f u n c t i o n .
See Fig. 3.
and v.
adjust&. lJ '
w . ., 8 and 0. a r e t h e parameters t o be
345
o u t p u t d. For example, i f x belongs t o Group 2, t h e n [5] Gorman, R.P. and Sejnowski, T.J., Analysis o f
d = (O,l,O,O,O,). We would l i k e t o have z = d f o r
Hidden U n i t s i n a Layered Netowrk Trained t o
every i n p u t x. Now, f o r a s e t o f t r a i n i n g i n p u t s
C l a s s i f y Sonar Targets Neural Networks, Vol. 1, no.
{ x ( k ) I k = ~,2,...,n}, t h e c o e f f i c i e n t s a r e adjusted i n
t h e f o l l o w i n g way. 1, pp. 75-90, 1988.
Step 1: I n i t i a l l y , s e t a l l c o e f f i c i e n t s E61 Haas, W.F., Studer, R.M., Meyer, M. and Moschytz,
G.S.. EMG Analvsis Svstem f o r ShaDes and
v ( l ) , w ( l ) , Q ( l ) and d(1) t o small I n n e r v a t i o n S t i t i s t i i s o f Motor k i t s , Electroenaph
random nunbers.
Clin. Neurol., Vol. 66, p. 42, 1987.
Step 2: Compute u(1) and z ( 1 ) from x ( 1 ) by
Haas. W.F.. Studer. R.M.. Moschvtz. G.S. and Mever.
(1) and (+ M., Computer-AidedsElectromyog6phy, Proc. IEEE" .
Step 3: Adjust t h e c o e f f i c i e n t s b y t h e
I n t e r n a t . Symp on C i r c u i t s & Sys. (ISCAS), pp.
f o l l o w i n g formulae:
6 . ( k) = z . ( k) (1-2.( k) ) ( dj ( k) ) ,
2131-2134. H e l s i n k i . June 1988.
J j=1,+,...,5 J
[8] Graupe, D; and Cline, W.K., Functional Separation
E
J
o f EMG Signals v i a ARMA I d e n t i f i c a t i o n Methods f o r
Prosthesis Control Purposes, IEEE Trans. on
A i( k ) = Ui ( k ) ( l - u i ( k ) ) ,E s . ( k ) v i j ( k ) 3 icf,2,?
Systems, Men & Cybernb., Vol. SMC-5, pp. 252-259,
J=1
v . . ( k t l ) = v . . ( k ) + n6.(k)ui(k) 1975.
d ? ( k + l ) = e l l ) + n6.(i!) [9] Graupe, D., Magnussen, J. and Beex, A.M., A
w J(kt1) = w .(k) +
j ! ( k t l ) = Pn(k)+ q ~ . ( k )
$k)xn , n=1,2 ,...,
8
Microcomputer Control o f Upper-Limb Prostheses v i a
M y o e l e c t r i c Signal I d e n t i f i c a t i o n , IEEE Trans. on
Automaic Control, Vol. 23, pp. 538-544, 1978.
and p i s a'constant thosen detween 0 and. 1.
Step 4: Repeat s t e p 2 u n t i l t h e process i s -ClOJ
- Graupe, D.. Kra1.i. A. and Kohn, K.H.. ComDuterized
Signal - D i s c r i m i n a t i o n o f AbovelLesion EMG f o r
convergent.
I f and when t h e process i s convergent t h e n t h e neural S t i m u l a t i n g Peripheral Nerves o f Complete
n e t becomes a d i s c r i m i n a t o r , which w i l l y i e l d t h e Paraplegics, Proc. IFAC Symp. on Prosthesis
Control, Columbus, OH, Feb. 1982.
c o r r e c t output f o r each i n p u t , provided t h a t t h e
t r a i n i n g i n p u t sequence i s w i d e l y e x c i t e d , i.e., it
[ll] Graupe, D. and Kohn, K.H., Basseas, S. and
Naccarato, E., Electromyographic Control o f
covers t h e f i v e groups e x t e n s i v e l y .
Note t h a t t h e neural network d i s c r i m i n a t o r i s Functional E l e c t r i c a l S t i m u l a t i o n o f Selected
patient-independent. Each p a t i e n t can t r a i n t h e Paraplegics, Orthopedics, Vol. 7, pp. 1134-1138,
d i s c r i m i n a t o r h i m s e l f b y mere pressing o f 4 d e s i r e d 1984.
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hundres [14]. Via NN, 1 t o 5 channels w i l l s u f f i c e t o
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s o l u t i o n b y conventional A I has a1 ready been t e s t e d Decision C i r c u i t and a Linear ProaramininQ C i r c u i t .
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346
2
i=l
SC - Spinal Cord
T
FA.-?. The MUAP Signal- ( s i n g l e MU] Fig. 3. Parameter Space f o r 2 = [a,,a,]