The DOI matches its Crossref record; 38 of the 38 references it cites were found in a registry or an index.
EMG-based prediction of step direction for a better control of lower limb wearable devices
Open accessAbstract
BACKGROUND AND OBJECTIVES: Lower-limb wearable devices can significantly improve the quality of life of subjects suffering from debilitating conditions, such as amputations, neurodegenerative disorders, and stroke-related impairments. Current control approaches, limited to forward walking, fall short of replicating the complexity of human locomotion in complex environments, such as uneven terrains or crowded places. Here we propose a high-level controller based on two Support Vector Machines exploiting four surface electromyography (EMG) signals of the thigh muscles to detect the onset (Toe-off intention decoder) and the direction (Directional EMG decoder) of the upcoming step. METHODS AND MATERIALS: We validated a preliminary version of the approach by acquiring EMG signals from ten healthy subjects, performing steps in four directions (forward, backward, right, and left), in three different settings (ground-level walking, stairs, and ramps), and in both steady-state and static conditions. Both the Toe-off intention and Directional EMG decoders have been tested with a 5-fold cross-validation repeated five times, using linear and radial-basis-function kernels, and by changing the classification output timing, from 200 ms before to 50 ms after the toe-off. RESULTS: The Toe-off intention decoder reached a median accuracy of 83.34 % (interquartile range (IQR): 6.48) and specificity of 92.72 % (IQR: 3.62) in its radial-basis-function version, while the Directional EMG decoder's median accuracy ranged between 73.92 % (IQR: 5.8), 200 ms before the toe-off, to 92.91 % (IQR: 4.11), 50 ms after the toe-off, with the radial-basis-function kernel implementation. For both the Toe-off intention and Directional EMG decoders the radial-basis-function version achieved better performances than the linear one (Wilcoxon signed rank test, p < 0.05). CONCLUSIONS AND SIGNIFICANCE: The combination of the two decoders proved to be a promising solution to detect the step initiation and classify its direction, paving the way for wearable devices with a broader range of movements and more degrees of freedom, ultimately promoting usability in uncontrolled settings and better reactions to external perturbations. Additionally, the encumbrance of the setup is limited to the thigh of the leg of interest, which simplifies the implementation in compact devices, concurrently limiting the sensors worn by the subject.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Capture bioelectrical signals (e.g., EMG) and | bioelectrical impedance (BI) variations via | electrodes 6,207 .”
From Recent advances in intelligent wearable systems: from multiscale biomechanical features towards human motion intent prediction (2026) · cites this paper as [209]
Citations
Cites
Robotics and autonomous systems
Knasel, T. (1988) · Robotics Auton. Syst. · doi:10.1016/0921-8890(88)90002-4 · Cited by 4,003
Estimating the Prevalence of Limb Loss in the United States: 2005 to 2050
Ziegler‐Graham, K., MacKenzie, E. J., Ephraim, P. L., Travison, T. G., & Brookmeyer, R. (2008) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2007.11.005 · Cited by 2,951
Control strategies for active lower extremity prosthetics and orthotics: a review
Tucker, M. R., Olivier, J., Pagel, A., Bleuler, H., Bouri, M., Lambercy, O., Millán, J. D. R., Riener, R., Vallery, H., & Gassert, R. (2015) · Journal of NeuroEngineering and Rehabilitation · doi:10.1186/1743-0003-12-1 · Cited by 1,047
Esquenazi, A., Talaty, M., Packel, A., & Saulino, M. (2012) · American Journal of Physical Medicine & Rehabilitation · doi:10.1097/phm.0b013e318269d9a3 · Cited by 958
Forecasting the Future of Stroke in the United States
Ovbiagele, B. I., Goldstein, L. B., Higashida, R. T., Howard, V. J., Johnston, S. C., Khavjou, O., Lackland, D. T., Lichtman, J. H., Mohl, S., Sacco, R. L., et al. (2013) · Stroke · doi:10.1161/str.0b013e31829734f2 · Cited by 834
Powered ankle-foot prosthesis to assist level-ground and stair-descent gaits
Au, S. K., Berniker, M., & Herr, H. (2008) · Neural Networks · doi:10.1016/j.neunet.2008.03.006 · Cited by 498
Intention-Based EMG Control for Powered Exoskeletons
Lenzi, T., Rossi, S., Vitiello, N., & Carrozza, M. C. (2012) · IEEE Transactions on Biomedical Engineering · doi:10.1109/tbme.2012.2198821 · Cited by 399
Bionic ankle–foot prosthesis normalizes walking gait for persons with leg amputation
Herr, H. M., & Grabowski, A. M. (2012) · Proceedings of the Royal Society B: Biological Sciences · doi:10.1098/rspb.2011.1194 · Cited by 391
Sockets for Limb Prostheses: A Review of Existing Technologies and Open Challenges
Paternò, L., Ibrahimi, M., Gruppioni, E., Menciassi, A., & Ricotti, L. (2018) · IEEE Transactions on Biomedical Engineering · doi:10.1109/tbme.2017.2775100 · Cited by 306
Toward higher-performance bionic limbs for wider clinical use
Farina, D., Vujaklija, I., Brånemark, R., Bull, A. M. J., Dietl, H., Graimann, B., Hargrove, L. J., Hoffmann, K.-P., Huang, H., Ingvarsson, T., et al. (2021) · Nature Biomedical Engineering · doi:10.1038/s41551-021-00732-x · Cited by 263
Self-citationAnatomy and Human Movement: Structure and Function
Palastanga, N., Field, D., & Soames, R. W. (2011) · Cited by 263
A survey of sensor fusion methods in wearable robotics
Novak, D., & Riener, R. (2015) · Robotics and Autonomous Systems · doi:10.1016/j.robot.2014.08.012 · Cited by 252
Fleming, A., Stafford, N. E., Huang, S., Hu, X., Ferris, D. P., & Huang, H. (2021) · Journal of Neural Engineering · doi:10.1088/1741-2552/ac1176 · Cited by 236
2009 IEEE International Conference on Rehabilitation Robotics
(2009) · doi:10.1109/icorr15062.2009 · Cited by 191
Influence of lateral destabilization on compensatory stepping responses
Maki, B. E., McIlroy, W. E., & Perry, S. D. (1996) · Journal of Biomechanics · doi:10.1016/0021-9290(95)00053-4 · Cited by 151
An EMG-Position Controlled System for an Active Ankle-Foot Prosthesis: An Initial Experimental Study
Au, S. K., Bonato, P., & Herr, H. (2005) · International Conference on Rehabilitation Robotics · doi:10.1109/icorr.2005.1501123 · Cited by 147
Mendez, J., Hood, S., Gunnel, A., & Lenzi, T. (2020) · Science Robotics · doi:10.1126/scirobotics.aba6635 · Cited by 105
Actively controlled lateral gait assistance in a lower limb exoskeleton
Wang, L., Wang, S., van Asseldonk, E. H. F., & van der Kooij, H. (2013) · IEEE/RSJ International Conference on Intelligent Robots and Systems (IROS) · doi:10.1109/iros.2013.6696467 · Cited by 99
Detection of the onset of gait initiation using kinematic sensors and EMG in transfemoral amputees
Wentink, E. C., Schut, V. G. H., Prinsen, E. C., Rietman, J. S., & Veltink, P. H. (2013) · Gait & Posture · doi:10.1016/j.gaitpost.2013.08.008 · Cited by 92
Intention detection of gait initiation using EMG and kinematic data
Wentink, E. C., Beijen, S. I., Hermens, H. J., Rietman, J. S., & Veltink, P. H. (2012) · Gait & Posture · doi:10.1016/j.gaitpost.2012.07.013 · Cited by 78
Adaptive Slope Walking With a Robotic Transtibial Prosthesis Based on Volitional EMG Control
Chen, B., Wang, Q., & Wang, L. (2014) · IEEE/ASME Transactions on Mechatronics · doi:10.1109/tmech.2014.2365877 · Cited by 72
Proportional EMG control of ankle plantar flexion in a powered transtibial prosthesis
Wang, J., Kannape, O. A., & Herr, H. (2013) · International Conference on Rehabilitation Robotics · doi:10.1109/icorr.2013.6650391 · Cited by 67
Kinematic comparison of walking on uneven ground using powered and unpowered prostheses
Gates, D. H., Aldridge, J. M., & Wilken, J. M. (2013) · Clinical Biomechanics · doi:10.1016/j.clinbiomech.2013.03.005 · Cited by 66
Toward Real-Time Automated Detection of Turns during Gait Using Wearable Inertial Measurement Units
Novak, D., Goršič, M., Podobnik, J., & Munih, M. (2014) · Sensors · doi:10.3390/s141018800 · Cited by 64
An Experimental Powered Lower Limb Prosthesis Using Proportional Myoelectric Control
Huang, S., Wensman, J. P., & Ferris, D. P. (2014) · Journal of Medical Devices · doi:10.1115/1.4026633 · Cited by 63
Khairuddin, I. M., Sidek, S. N., Majeed, A. P. P. A., Razman, M. A. M., Puzi, A. A., & Yusof, H. M. (2021) · PeerJ Computer Science · doi:10.7717/peerj-cs.379 · Cited by 63
Dawley, J. A., Fite, K. B., & Fulk, G. D. (2013) · International Conference on Rehabilitation Robotics · doi:10.1109/icorr.2013.6650389 · Cited by 57
Rehman, R. Z. U., Klocke, P., Hryniv, S., Galna, B., Rochester, L., Din, S. D., & Alcock, L. (2020) · Sensors · doi:10.3390/s20185377 · Cited by 51
Pieringer, D. S., Grimmer, M., Russold, M., & Riener, R. (2017) · International Conference on Rehabilitation Robotics · doi:10.1109/icorr.2017.8009420 · Cited by 48
Online Adaptive Prediction of Human Motion Intention Based on sEMG
Ding, Z., Yang, C., Wang, Z., Yin, X., & Jiang, F. (2021) · Sensors · doi:10.3390/s21082882 · Cited by 40
Alili, A., Fleming, A., Nalam, V., Liu, M., Dean, J. C., & Huang, H. (2023) · IEEE Transactions on Biomedical Engineering · doi:10.1109/tbme.2023.3301444 · Cited by 33
Decomposition-Based Control for a Powered Knee and Ankle Transfemoral Prosthesis
Varol, H. A., & Goldfarb, M. (2007) · International Conference on Rehabilitation Robotics · doi:10.1109/icorr.2007.4428514 · Cited by 28
Turn Intent Detection For Control of a Lower Limb Prosthesis
Pew, C., & Klute, G. K. (2017) · IEEE Transactions on Biomedical Engineering · doi:10.1109/tbme.2017.2721300 · Cited by 25
Toward the Development of User-Centered Neurointegrated Lower Limb Prostheses
Barberi, F., Anselmino, E., Mazzoni, A., Goldfarb, M. T., & Micera, S. (2023) · IEEE Reviews in Biomedical Engineering · doi:10.1109/rbme.2023.3309328 · Cited by 25
Self-citationLópez, A. M., Alvarez, J. C., & Álvarez, D. (2019) · Applied Sciences · doi:10.3390/app9030361 · Cited by 17
Early decoding of walking tasks with minimal set of EMG channels
Barberi, F., Iberite, F., Anselmino, E., Randi, P., Sacchetti, R., Gruppioni, E., Mazzoni, A., & Micera, S. (2023) · Journal of Neural Engineering · doi:10.1088/1741-2552/acc901 · Cited by 17
Self-citationAnticipatory detection of turning in humans for intuitive control of robotic mobility assistance
Farkhatdinov, I., Roehri, N., & Burdet, E. (2017) · Bioinspiration & Biomimetics · doi:10.1088/1748-3190/aa80ad · Cited by 12
Cited by
Sorted by citations
Tigrini, A., Mobarak, R., Mengarelli, A., Khushaba, R. N., Al-Timemy, A. H., Verdini, F., Gambi, E., Fioretti, S., & Burattini, L. (2024) · Sensors · doi:10.3390/s24175828 · Cited by 29
Guo, W., Katiyar, S. A., Davis, S., & Nefti‐Meziani, S. (2025) · Machines · doi:10.3390/machines13111020 · Cited by 10
Chen, S., Peng, C., Yang, B., Lin, J., Zhou, L., Jiang, Z., Liu, Z., Liu, Y., & Tang, L. (2026) · npj Artificial Intelligence · doi:10.1038/s44387-026-00083-5 · Cited by 9
Ghislieri, M., Locoratolo, L., Sciscenti, F., Lanotte, M., Rizzi, L., & Agostini, V. (2026) · IEEE Transactions on Neural Systems and Rehabilitation Engineering · doi:10.1109/tnsre.2026.3682388 · Cited by 2
Attention-fused residual transformer CNN for robust lower limb movement recognition
Anitha, A., & Auxillia, D. J. (2025) · Automatika · doi:10.1080/00051144.2025.2513734 · Cited by 1
Metadata
- Authors
- Anselmino, E., Mazzoni, A., & Micera, S.
- Affiliations
- Scuola Superiore Sant'Anna (IT)
- Corresponding author
- Anselmino, Eugenio
- Venue
- Computer Methods and Programs in Biomedicine
- Publisher
- Elsevier BV
- Published
- 2024-09
- Volume
- 254
- Pages
- 108305
- ISSN
- 0169-2607 (ISSN-L)
- OpenAlex
- W4399989365
- Cited by
- 15
- References
- 38
- Citations by year
- 2026: 7 · 2025: 6 · 2024: 2
- FWCI
- 1.65
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Computer Methods and Programs in Biomedicine (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Infoscience (Ecole Polytechnique Fédérale de Lausanne) (submittedVersion)
- CINECA IRIS Institutional Research Information System (Sant'Anna School of Advanced Studies) (submittedVersion, other-oa)
- Topics
- Physical Sciences › Engineering › Biomedical Engineering › Muscle activation and electromyography studies
- Physical Sciences › Engineering › Biomedical Engineering › Prosthetics and Rehabilitation Robotics
- Life Sciences › Neuroscience › Cognitive Neuroscience › EEG and Brain-Computer Interfaces
- Keywords
- surface electromyography, support vector machine, thigh muscle, gait control, high-level control, Gaussian kernel, assistive robotics, neuroprosthetics, amputation, stroke rehabilitation, neurodegenerative diseases, external disturbances
- MeSH terms
- Wearable Electronic Devices, Adult, Algorithms, Electromyography, Female, Humans, Male, Signal Processing, Computer-Assisted, Walking, Muscle, Skeletal, Lower Extremity, Young Adult, Support Vector Machine
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review