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Fig. 1 | BioMedical Engineering OnLine

Fig. 1

From: Why brain-controlled neuroprosthetics matter: mechanisms underlying electrical stimulation of muscles and nerves in rehabilitation

Fig. 1

a Neurophysiological mechanisms of electrical stimulation of muscles and nerves—Illustration of the peripheral pathway generated via the efferent (motor) volley, and afferent (sensory) pathways, generated via the sensory volley during functional electrical stimulation (FES) of muscles and nerves. The antidromic activation along the motor axons and the sensory feedback traverses the spinal cord and activates the sensorimotor cortical networks to synapse with the cortical (descending) signals from the brain when a brain-computer interface (BCI) is used to trigger electrical stimulation. The figure shows electrode placement on the nerve trunk—peripheral nerve stimulation (PNS; black anode) and on the muscle belly—motor point stimulation (MPS; gray anode). b BCI activation of electrical stimulation—Illustration shows the components of the BCI system that can be used to trigger electrical stimulation of muscles and nerves via FES using non-invasive brain oscillatory recordings through electroencephalography (EEG). The main components include: (1) calibration of the state decoder (offline); and (2) control of FES system in real-time (online). During online control of FES, participants should perform functional tasks

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