Ultrasound Features of Skeletal Muscle Can Predict Kinematics of Upcoming Lower-Limb Motion

Seamless integration of lower-limb assistive devices with the human body requires an intuitive human-machine interface, which would benefit from predicting the intent of individuals in advance of the upcoming motion. Ultrasound imaging was recently introduced as an intuitive sensing interface. The objective of the present study was to investigate the predictability of joint kinematics using ultrasound features of the rectus femoris muscle during a non-weight-bearing knee extension/flexion. Motion prediction accuracy was evaluated in 67 ms increments, up to 600 ms in time. Statistical analysis was used to evaluate the feasibility of motion prediction, and the linear mixed-effects model was used to determine a prediction time window where the joint angle prediction error is barely perceivable by the sample population, hence clinically reliable. Surprisingly, statistical tests revealed that the prediction accuracy of the joint angle was more sensitive to temporal shifts than the accuracy of the joint angular velocity prediction. Overall, predictability of the upcoming joint kinematics using ultrasound features of skeletal muscle was confirmed, and a time window for a statistically and clinically reliable prediction was found between 133 and 142 ms. A reliable prediction of user intent may provide the time needed for processing, control planning, and actuation of the assistive devices at critical points during ambulation, contributing to the intuitive behavior of lower-limb assistive devices.