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Updated: Jul 26, 2025

A Structured Rehabilitation Protocol for Improved Multifunctional Prosthetic Control: A Case Study
Published on: November 6, 2015
Human-machine interface for two-dimensional steering control with the auricular muscles
Daniel J L L Pinheiro1,2, Jean Faber1,3, Silvestro Micera2,4
1Division of Neuroscience, Department of Neurology and Neurosurgery, Neuroengineering and Neurocognition Laboratory, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil.
This study introduces a new way for people to control devices using their auricular muscles (AM). Naïve participants learned to move a cursor with two degrees of freedom, showing improved performance and low cognitive load, paving the way for new brain-computer interfaces.
Area of Science:
- Biomedical Engineering
- Neuroscience
- Rehabilitation Technology
Background:
- Human-machine interfaces (HMIs) offer potential for individuals with motor disabilities, such as spinal cord injury, to regain control over external devices.
- Existing HMI solutions require improvements in decoding algorithms, hardware, and user learning.
- Auricular muscles (AMs) are vestigial muscles often preserved after neurological damage, making them a promising target for HMIs.
Purpose of the Study:
- To develop and evaluate a novel decoding and training paradigm for HMIs using auricular muscles.
- To enable naïve participants to control a two-dimensional virtual cursor with two degrees of freedom using their AMs.
- To assess the learning curve, performance, and cognitive load associated with this AM-based HMI.
Main Methods:
- Surface electromyographic (sEMG) signals from AMs were used to modulate cursor velocity and direction in a 2D space.
- A locking mechanism was implemented to allow independent control and stopping of cursor movement along each axis.
- A five-session training protocol with a center-out task was administered to five non-disabled volunteers, including a dual-task condition to assess cognitive load.
Main Results:
- Participants demonstrated significant improvement in task success rate (from 52.78% to 72.22%) and trajectory performance after training.
- The AM-based HMI was effective even under cognitively demanding dual-task conditions (66.67% success rate).
- Participants reported reduced mental demand and effort in later training sessions, as measured by the Nasa Task Load Index.
Conclusions:
- Naïve individuals can learn to effectively control a two-degrees-of-freedom cursor using their auricular muscles with minimal cognitive burden.
- This novel AM-based decoding and training paradigm represents a promising first step towards developing advanced HMIs for individuals with motor impairments.
- The preserved nature of AMs post-neurological injury highlights their potential for restoring functional control in assistive technologies.
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