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Updated: Oct 18, 2025

Electroencephalography Network Indices as Biomarkers of Upper Limb Impairment in Chronic Stroke
Published on: July 14, 2023
Detection of Error-Related Potentials in Stroke Patients from EEG Using an Artificial Neural Network.
Nayab Usama1, Imran Khan Niazi1,2,3, Kim Dremstrup1
1Department of Health Science and Technology, Aalborg University, 9000 Aalborg, Denmark.
Classifying error-related potentials (ErrPs) in stroke patients is possible, but requires user- and session-specific calibration for optimal brain-computer interface (BCI) performance. This research highlights ErrPs
Area of Science:
- Neuroscience
- Biomedical Engineering
- Rehabilitation Science
Background:
- Error-related potentials (ErrPs) are neural signals indicating errors, proposed for enhancing brain-computer interface (BCI) performance.
- In stroke rehabilitation, ErrPs could minimize BCI calibration time by enabling continuous adaptation and individualized BCI performance.
- Accurate labeling of ErrP data is crucial for effective BCI adaptation in stroke patients.
Purpose of the Study:
- To classify single-trial ErrPs in individuals with stroke.
- To assess the test-retest reliability of ErrP classification.
- To compare different classifier calibration schemes (within-day, between-day, across-participant) using artificial neural networks (ANN) and linear discriminant analysis (LDA) with waveform features.
Main Methods:
- Twenty-five individuals with stroke performed a sham BCI task with error/correct feedback, while continuous EEG was recorded.
- EEG data were segmented into ErrP and NonErrP epochs and classified using ANN (temporal features or entire epoch) and shrinkage LDA.
- Waveform features from the sensorimotor cortex were used for physiological interpretability.
Main Results:
- Within-day calibration achieved 90% classification accuracy with ANN using the entire epoch, decreasing to 86% (ANN, temporal features) and 69% (LDA).
- Poor test-retest reliability was observed between sessions; other calibration schemes yielded 63-72% accuracy, with LDA performing best.
- No correlation was found between stroke impairment level and classification accuracy.
Conclusions:
- ErrPs can be classified in individuals with stroke, but optimal decoding necessitates user- and session-specific calibration.
- The use of ErrP/NonErrP waveform features allows for physiologically meaningful interpretation of classifier outputs.
- Findings support the potential of ErrPs for continuous data labeling in BCIs for stroke rehabilitation, potentially improving BCI performance.
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