Developing rehabilitation into a science, making BMI available to patients
Dr. Ushiba is devoted to research into application of Brain-Machine Interface (BMI) to rehabilitation. As an elementary school boy, he happened to find computing as a field that aroused his passion and was absorbed in it. Next, what caught his interest during junior high school days were wonders of the brain. Ever since, both fields of intellectual interest have become the interfacing guide for Dr. Ushiba’s career as a researcher and are now beginning to take a concrete shape in his research into BMI with the objective that it will be made available for many patients one day.
He has been engaged in research on the motor control mechanism concerning human autokinesia and reflex. For the past several years, he focused on the development of Brain-Machine Interface (BMI) applying scientific knowledge accumulated so far. In 2003, he became a visiting researcher at the Center for Sensory-Motor Interaction of Alborg University, Denmark. In 2004, he obtained a doctorate (engineering) and became a Research Associate at Keio University. From 2007 to date, he serves as an Assistant Professor at Keio University Faculty of Science and Technology.
Linking your “Will” to “Movement”
A man is plodding along a freezing snowy path. It’s true walking on a snowy mountain path is tough, but his movement is unnaturally awkward. Moving straight forward for a while, then abruptly turning to the right or left, and even turning backward at times . . . His destination seems nearby. He keeps walking desperately, putting forth his last efforts. At last, he arrived at a small hut on the snow-covered mountain. A sigh of relief . . .
Several young men suddenly ran out of the hut. Surrounding the man, they unanimously said, “Congratulations!” “Thank you,” the man responded vigorously
The young men who ran up to the man were undergraduate and graduate s t u d e n t s o f t h e To m i t a - Us h i b a Laboratory, Department of Biosciences and Informatics, Faculty of Science and Technology, Keio University and the person who struggled along to the hut was Mr. K., a former systems engineer aged 41. Mr. K. is suffering from myodystrophy. For the past 30 years, he has been unable to move his arms and legs. The man who had made his way through the snow was K’s avatar in his Second Life in the virtual world. The students’ avatars surrounded K’s avatar.
While the students manipulate the PC keyboards to move their own avatars, Mr. K. himself moves his avatar only by concentrating his “willpower.” This magical ability to “move an object with willpower” is the BMI (Brain-Machine Interface). The BMI is a new concept system that embodies the fusion of knowledge from neuro and medical sciences and the latest in information engineering. Assistant Professor Junichi Ushiba is spearheading this R&D project – an up-and-coming researcher aged 31 and 184cm tall.
Mr. K. has several electrodes attached to his head. As he pictures images in his brain (activating his brain), such as “going straight, or turning to the right,” the corresponding brain wave patterns are sent out as signals. By transferring these signals into the computer, it is possible to move an avatar in the virtual world. The use of BMI makes it possible even to move a piece of equipment or a system in the real world by concentrating one’s willpower.
But when it comes to those who are physically disabled and have never moved their body for a long time, producing brain activity to create an imaged motion is difficult, resulting in failure to generate appropriate brain waves geared to the intended motion. Therefore, “rehabilitation” becomes necessary to activate the brain. Mr. K. took up the challenge of the “Second Life” again and again and finally succeeded in sending his avatar to the destination. This is why the fellow young researchers of the TomitaUshiba Laboratory ran up to congratulate him.
BMI directly moves a wheelchair, electrical appliance, artificial arm, avatar and the like by reading the brain’s motion instructions from brain waves and analyzing them using a computer. Much is expected of the BMI as a technology that may enhance the quality of life for patients suffering from damage to the spinal cord or limb dismemberment.
Linking your “Will” to “Movement”
In the case of patients suffering from damage to the spinal cord, etc., their nerve conduction route that transmits brain’s motion instructions (will) to the pertinent muscle (movement) is severed. Here BMI serves as a bypass, linking the will to movement.
With stroke patients, brain’s motion instructions cannot be properly transmitted to the muscle, disabling the movement. This also makes it impossible for feedback of sensation to be generated (a).
However, feedback can be generated if BMI is used since it enables the arm to move in response to motion instructions. It is presumed that the maintenance of the route from the brain to the muscle and vice versa stimulates rehabilitation (b).
The young men who ran up to the man were undergraduate and graduate s t u d e n t s o f t h e To m i t a - Us h i b a Laboratory, Department of Biosciences and Informatics, Faculty of Science and Technology, Keio University and the person who struggled along to the hut was Mr. K., a former systems engineer aged 41. Mr. K. is suffering from myodystrophy. For the past 30 years, he has been unable to move his arms and legs. The man who had made his way through the snow was K’s avatar in his Second Life in the virtual world. The students’ avatars surrounded K’s avatar.
While the students manipulate the PC keyboards to move their own avatars, Mr. K. himself moves his avatar only by concentrating his “willpower.” This magical ability to “move an object with willpower” is the BMI (Brain-Machine Interface). The BMI is a new concept system that embodies the fusion of knowledge from neuro and medical sciences and the latest in information engineering. Assistant Professor Junichi Ushiba is spearheading this R&D project – an up-and-coming researcher aged 31 and 184cm tall.
Mr. K. has several electrodes attached to his head. As he pictures images in his brain (activating his brain), such as “going straight, or turning to the right,” the corresponding brain wave patterns are sent out as signals. By transferring these signals into the computer, it is possible to move an avatar in the virtual world. The use of BMI makes it possible even to move a piece of equipment or a system in the real world by concentrating one’s willpower.
But when it comes to those who are physically disabled and have never moved their body for a long time, producing brain activity to create an imaged motion is difficult, resulting in failure to generate appropriate brain waves geared to the intended motion. Therefore, “rehabilitation” becomes necessary to activate the brain. Mr. K. took up the challenge of the “Second Life” again and again and finally succeeded in sending his avatar to the destination. This is why the fellow young researchers of the TomitaUshiba Laboratory ran up to congratulate him.
He was quick to structure the required BMI system and embarked on joint experiments with the School of Medicine. In this BMI rehabilitation system, the patient’s paralyzed hand is fixed on a box that houses an electric motor. As the patient exercises his willpower to stretch his fingers, his brain wave signals are transmitted to the control signal of the motor via BMI, and then the motor moves to stretch the fingers. However, the motor cannot be switched ON unless the brain wave pattern coincides with that for the stretching of fingers, i.e. unless proper brain activity is generated.
For patients suffering from paralysis for years, this approach often does not work well at first because they can hardly picture the image of their paralyzed hand. If they force themselves to concentrate their willpower, unnecessary force is placed on the other hand that is not paralyzed, which works to alter the brain wave pattern. Dr. Ushiba adds, “But as they continue practicing by trial and error, they become able to do it properly while relaxing. Training is the key.” Once the brain has been rehabilitated, positive changes become visible on the muscle side, too. The paralyzed hand muscle, with which no electric potential was formerly found, begins to show electric potential of muscle activity when the patient properly concentrates his/her willpower to stretch the fingers during the BMI-based rehabilitation.
As a result of such training, some patients began to feel some improvement, though slightly, in their finger movement while others became willing to use their paralyzed hand. The trend of BMI use for rehabilitation is increasing in the world. And it was Dr. Ushiba and his group who first proved that BMI is effective for rehabilitation.
As for research objectives for the future, he mentions as follows: (1) to shed light on the mechanism of BMI rehabilitation with which recovery is promoted; (2) to create an even more efficient BMI rehabilitation system based on the knowledge obtained in (1) above; and (3) to make the system less expensive to make it easily available to patients. To achieve these objectives, no one can predict what will pop up out of his brain that is packed with creative ideas like the cartoon character Doraemon’s magical pocket.
I grew up in a family in which my father taught French literature at a university and my mother taught French conversation and did translation. It’s a totally liberal arts-oriented family. As I saw my father spending much of his time in his study, I came to feel that being a university professor might be an enviable profession. This yearning seems to be the beginning that motivated me into life as a researcher. (laughter) Against such a family background, I had always been told, ‘You do whatever you like. But once you get started, do it to the very end with a sense of responsibility.’
In Dr. Ushiba’s brain, perspectives, knowledge, methodology and techniques in a wide range of f ields such as neuroscience, brain science, informatics and information engineering, among others, are accumulated and exist as an interdisciplinary wealth. In addition, on-the-scene feelings and experiences acquired at the medical care forefront are also an asset. He has opened up new BMI horizons by flexibly combining and deepening them. A fine example is the new concept calling for BMI to serve as a“rehabilitation tool for physical functions of arms.”
Conventionally, BMIs in the medical care field have been developed from the perspective of “substituting physical functions of arms, legs, etc. for the physically disabled.” But the foremost cause of physical disability is stroke. Many patients with stroke suffer paralysis on either the right or left side of their body and so do not require function compensation. Unlike cases of damage to the spinal cord and ALS, there are good possibilities that they can recover their impaired functions to a certain extent through proper rehabilitation. Dr. Ushiba says, “That’s the key point. Yes, one day it dawned on me that BMI could be very instrumental in rehabilitation.”
He was quick to structure the required BMI system and embarked on joint experiments with the School of Medicine. In this BMI rehabilitation system, the patient’s paralyzed hand is fixed on a box that houses an electric motor. As the patient exercises his willpower to stretch his fingers, his brain wave signals are transmitted to the control signal of the motor via BMI, and then the motor moves to stretch the fingers. However, the motor cannot be switched ON unless the brain wave pattern coincides with that for the stretching of fingers, i.e. unless proper brain activity is generated.
For patients suffering from paralysis for years, this approach often does not work well at first because they can hardly picture the image of their paralyzed hand. If they force themselves to concentrate their willpower, unnecessary force is placed on the other hand that is not paralyzed, which works to alter the brain wave pattern. Dr. Ushiba adds, “But as they continue practicing by trial and error, they become able to do it properly while relaxing. Training is the key.” Once the brain has been rehabilitated, positive changes become visible on the muscle side, too. The paralyzed hand muscle, with which no electric potential was formerly found, begins to show electric potential of muscle activity when the patient properly concentrates his/her willpower to stretch the fingers during the BMI-based rehabilitation.
As a result of such training, some patients began to feel some improvement, though slightly, in their finger movement while others became willing to use their paralyzed hand. The trend of BMI use for rehabilitation is increasing in the world. And it was Dr. Ushiba and his group who first proved that BMI is effective for rehabilitation.
As for research objectives for the future, he mentions as follows: (1) to shed light on the mechanism of BMI rehabilitation with which recovery is promoted; (2) to create an even more efficient BMI rehabilitation system based on the knowledge obtained in (1) above; and (3) to make the system less expensive to make it easily available to patients. To achieve these objectives, no one can predict what will pop up out of his brain that is packed with creative ideas like the cartoon character Doraemon’s magical pocket.
Listening to what Assistant Professor Junichi Ushiba says
I grew up in a family in which my father taught French literature at a university and my mother taught French conversation and did translation. It’s a totally liberal arts-oriented family. As I saw my father spending much of his time in his study, I came to feel that being a university professor might be an enviable profession. This yearning seems to be the beginning that motivated me into life as a researcher. (laughter) Against such a family background, I had always been told, ‘You do whatever you like. But once you get started, do it to the very end with a sense of responsibility.’
It’s delightful to see my students doing good jobs in the business world. I feel extremely rewarded as a teacher especially when some of my former students tell me something like, “Your advice at that time was so precious and encouraging.”
On the other hand, I always feel a certain kind of difficulty because I’m always dealing with students – “humans.” There were occasions where my sincerity couldn’t be understood by students, which was so depressing I lost confidence. I know it’s not good if I’m too obtrusive when giving students advice or instruction, but there are students who want to be advised more specifically and attentively. Really puzzling, isn’t it? Some say, “What you say is too difficult” whereas others say, “It’s too simple.” By trial and error I’m always looking for the medium acceptable by most students.
For undergraduates, I teach biocybernetics and statistics. I’m also in charge of experiment classes. When it comes to actual research work, I may be a bit too exacting toward my students. Aside from research and education, the number of tasks I carry out is increasing, such as coordination with School of Medicine, general tasks for the campus, lectures at medical or engineering academic society meetings, and tasks related to industry-academia collaboration.
Your enthusiasm for computing sounds almost maniacal.
Aside from it, what kind of boy were you like at school and home?
That is an age when various stimuli can come from various directions.
Was it possible for you to carry through your interests?
Attraction of universities allured me to teach at my alma mater
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A student : Dr. Ushiba is sharp and has great foresight. He is very expressive which is a rare type in the scientific field. This sensei is also good at stirring up students, which makes our laboratory a pleasant place.
His secretary : Dr. Ushiba’s weak point is getting things around him in order. Is it because his brain is too nimble for reality to catch up with, I wonder? When it comes to tasks, he gives me instructions gently and attentively. This reminds me of his smile-provoking image as a good Papa at home.
Interviewer : As I observed him, Dr. Ushiba seems to be a type who can produce excellent results without getting tense. He reminds me of those days when he was a computer boy. But Dr. Ushiba, you have a long way to go. Please take care of yourself and do not accumulate your fatigue from overworking.
(Reporter & text writer : Etsuko Furukori)