03082nas a2200313   4500008004100000022001400041245013800055210006900193260001600262490000700278520206400285653001002349653002102359653002502380653002702405653003702432653001102469653001102480653000902491653001702500653001602517653003102533653002502564653001602589100001702605700002102622700001302643856011202656       2026                        eng d  a1741-255200aMethodological optimization for eliciting robust median nerve somatosensory evoked potentials for realtime single trial applications.0 aMethodological optimization for eliciting robust median nerve so  c2026 Jan 090 v233 a<p>Single-trial measurement of median nerve somatosensory evoked potentials (SEPs) with noninvasive electroencephalography (EEG) is challenging due to low signal-to-noise ratio (SNR), limiting its use in real-time neurorehabilitation applications. We describe and evaluate methodological optimizations for eliciting reliable median nerve SEPs measurable in real time, with reduced reliance on post-processing.In twelve healthy participants, two sessions each, SEPs were assessed at three pulse widths (0.1, 0.5, 1 ms), at a low-frequency stimulation (0.5 Hz ± 10%), and at an intensity sufficient to evoke consistent and robust sensory nerve action potentials and compound muscle action potentials. The evoked potential operant conditioning system platform was used to monitor responses in real time. Feasibility was also evaluated in a participant with incomplete spinal cord injury (iSCI).SEP P50 and N70 were reliably elicited in healthy participants, and in individual with iSCI, across all tested pulse widths with minimal discomfort. N70 amplitude increased significantly with pulse width (χ2= 17.64,= 0.0001,= 0.80), while P50 amplitude remained unchanged. SNR showed a significant pulse width-dependent increase (χ2= 7.82,= 0.02,= 0.35) with improvements of 40% and 52% at 0.5 and 1 ms, respectively. N70 single-trial separability significantly improved at 1 ms (AUC of 0.83,χ2= 8.17,= 0.017), including the iSCI participant (0.84-less impaired hand, 0.79-more impaired hand). Test-retest reliability (intraclass correlation coefficient = 0.70-0.84,< 0.05) was highest at 0.5 ms, indicating more consistent N70 and P50 measurements across sessions at a longer pulse width.Robust median nerve SEPs can be measured at single trials with methodological optimizations such as a longer pulse width (0.5-1 ms), low frequency (0.5 Hz), a consistent afferent excitation guided by nerve and muscle responses, and a robust EEG acquisition system. This setup can be useful for real time SEP-based brain computer interface applications for rehabilitation.</p>10aAdult10aComputer Systems10aElectric Stimulation10aElectroencephalography10aEvoked Potentials, Somatosensory10aFemale10aHumans10aMale10aMedian Nerve10aMiddle Aged10aReproducibility of Results10aSpinal Cord Injuries10aYoung Adult1 aGupta, Disha1 aBrangaccio, Jodi1 aHill, NJ  uhttps://www.neurotechcenter.org/publications/2026/methodological-optimization-eliciting-robust-median-nerve02169nas a2200301   4500008004100000022001400041245015400055210006900209260001300278300000800291490000900299520119500308653000901503653002101512653001101533653001101544653000901555653001601564653001301580653001101593653002601604100002701630700001901657700002301676700002801699700001701727856012301744       2024                        eng d  a2694-060400aMultidimensional feature analysis shows stratification in robotic-motor-training gains based on the level of pre-training motor impairment in stroke.0 aMultidimensional feature analysis shows stratification in roboti  c2024 Jul  a1-50 v20243 a<p>Stroke involves heterogeneity in injury and ongoing endogenous recovery, which are seldom stratified before testing post-stroke robot assisted motor training (RAMT). Pretraining variations, especially sensory-motor differences may also affect the gains achieved from the RAMT. Moreover, one assessment test may not effectively characterize the baseline sensory-motor status or the RAMT gains. Pre-therapy stratification may help personalize therapy and increase therapy gains. Towards this goal, we propose a data-driven approach to assess multiple functional scores with t-distributed stochastic neighbor embedding and affinity propagation clustering, both for pre-therapy and RAMT gains. Data included behavioral scores from 27 people with chronic stroke who underwent RAMT for finger movement. Three clusters were observed at start-of-therapy (SoT), concurrent with the overall impairment level. Four clusters were observed for the RAMT gains, indicating specific improvements. The SoT clusters showed agreement with the RAMT gain clusters, suggesting that the pre-therapy state, assessed across multiple domains, could be useful in guiding RAMT interventions to improve outcomes.</p>10aAged10aCluster Analysis10aFemale10aHumans10aMale10aMiddle Aged10aRobotics10aStroke10aStroke Rehabilitation1 aRueda-Parra, Sebastian1 aPerry, Joel, C1 aWolbrecht, Eric, T1 aReinkensmeyer, David, J1 aGupta, Disha  uhttps://www.neurotechcenter.org/publications/2024/multidimensional-feature-analysis-shows-stratification-robotic-motor