RT info:eu-repo/semantics/article T1 Interaction with a hand rehabilitation exoskeleton in EMG-driven bilateral therapy: Influence of visual biofeedback on the users’ performance A1 Cisnal de la Rica, Ana A1 Gordaliza Pastor, Paula A1 Pérez Turiel, Javier A1 Fraile Marinero, Juan Carlos K1 Biofeedback K1 Biorretroalimentación K1 Biological control systems K1 Sistemas de control biológico K1 Biomedicine K1 Electromyography K1 Electromiografía K1 Human robot interaction K1 Rehabilitation technology K1 Robotics K1 Robotics in medicine K1 Robótica K1 Robotic exoskeletons K1 Neuromuscular diseases - Treatment K1 Enfermedades neuromusculares - Tratamiento K1 32 Ciencias Médicas K1 6103.08 Rehabilitación K1 3314 Tecnología Médica AB The effectiveness of EMG biofeedback with neurorehabilitation robotic platforms has not been previously addressed. The present work evaluates the influence of an EMG-based visual biofeedback on the user performance when performing EMG-driven bilateral exercises with a robotic hand exoskeleton. Eighteen healthy subjects were asked to perform 1-min randomly generated sequences of hand gestures (rest, open and close) in four different conditions resulting from the combination of using or not (1) EMG-based visual biofeedback and (2) kinesthetic feedback from the exoskeleton movement. The user performance in each test was measured by computing similarity between the target gestures and the recognized user gestures using the L2 distance. Statistically significant differences in the subject performance were found in the type of provided feedback (p-value 0.0124). Pairwise comparisons showed that the L2 distance was statistically significantly lower when only EMG-based visual feedback was present (2.89 ± 0.71) than with the presence of the kinesthetic feedback alone (3.43 ± 0.75, p-value = 0.0412) or the combination of both (3.39 ± 0.70, p-value = 0.0497). Hence, EMG-based visual feedback enables subjects to increase their control over the movement of the robotic platform by assessing their muscle activation in real time. This type of feedback could benefit patients in learning more quickly how to activate robot functions, increasing their motivation towards rehabilitation. PB MDPI SN 1424-8220 YR 2023 FD 2023 LK https://uvadoc.uva.es/handle/10324/63594 UL https://uvadoc.uva.es/handle/10324/63594 LA eng NO Sensors, 2023, Vol. 23, Nº. 4, 2048 NO Producción Científica DS UVaDOC RD 08-nov-2024