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Hand Gesture Intention Detection Using sEMG and Transfer Learning in Stroke Survivors
IEEE Journal of Biomedical and Health Informatics
|May 13, 2026
Summary
Transfer learning effectively classifies surface electromyography (sEMG) signals in stroke patients by using healthy data to pretrain models. This approach significantly improves control for wearable assistive technologies, even with severe motor impairments.
Area of Science:
- Biomedical Engineering
- Rehabilitation Technology
- Machine Learning
Background:
- Surface electromyography (sEMG) offers intuitive control for assistive devices in motor-impaired individuals.
- Accurate sEMG classification is challenging in stroke patients due to altered neuromuscular patterns, especially with severe impairments.
Purpose of the Study:
- To investigate the efficacy of transfer learning for classifying sEMG signals in stroke patients with varying impairment levels.
- To enhance the performance of wearable assistive technology control systems for individuals post-stroke.
Main Methods:
- A transfer learning approach was employed, pretraining a model on healthy sEMG data (Ninapro DB5) and adapting it to stroke patient data.
- Ten stroke patients performed hand gestures across various arm postures using a Myo armband.
- Multiple transfer learning configurations were tested by adjusting frozen layers.
Main Results:
- The best transfer learning model achieved 93.6% overall accuracy across all stroke participants.
- Specific accuracies included 84.32% for severe, 97.42% for moderate, and 99.07% for low impairments.
- Training solely on stroke data yielded a significantly lower accuracy of 46%.
Conclusions:
- Transfer learning significantly enhances sEMG pattern recognition in stroke patients, even with limited individual data.
- Leveraging healthy sEMG data is crucial for developing robust and adaptive control systems for post-stroke rehabilitation.
- This methodology supports inclusive wearable technology design for diverse motor impairment levels.

