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.

Profile

Junichi Ushida

Department of Biosciences & Informatics

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.

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Each issue of the New “Kyurizukai” introduces a promising young researcher. Featured in this issue is Assistant Professor Junichi Ushiba who spearheads BMI – the highly expected research field to be used as an application for rehabilitation.

BMI to Revolutionize Rehabilitation

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

BMI enables your willpower to move an object

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.

BMI to Revolutionize Rehabilitation

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).

BMI enables your willpower to move an object

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.

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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.

(Reporter & text writer:Shinko Yuri)

Bridging studies on the brain and the computer

Dr. Ushiba, the leader of the BMI project, first became absorbed in the computer as an elementary school student and was captivated by wonders of the brain during his junior high school days. (Please see pages 4~5 for an interview with Dr. Ushiba!) He has been engaged in studies on information engineering and electrical engineering with the Faculty of Science and Technology at the Yagami Campus in Yokohama City ever since he joined Professor Tomita’s laboratory to complete his graduation research paper as an undergraduate. Then he took up and pursued studies in neurophysiology at the School of Medicine in Shinanomachi, Shinjuku, Tokyo and with the Tsukigase Rehabilitation Center in Izu City, Shizuoka. He says, “Both studies in the brain and computer have been the natural course of events for me. So I have long felt that my academic position should be in how I can fuse these two fields into one.”
And it was in 2006 that Dr. Ushiba began to address research into the BMI, the system that directly links the brain to the computer. To begin with, he examined what brain waves would be generated from the somatic sensorymotor area of the cerebrum (the area presiding over senses and motion) when an able-bodied person does exercises or imagines doing exercises. The somatic sensory-motor area has specific places responsible for controlling the motion or sensation of arms, legs, shoulders or the torso, respectively. Dr. Ushiba mentioned, “Similar brain waves are generated from the same place of the motor area either when you are actually moving your legs or when just imaging so.”
Thus he also developed a method to accumulate data on interrelation between the types of motions and brain wave patterns and process such data in real time. His next challenge was the de velopment of a system designed to move an avatar with brain waves as introduced at the beginning of this article. Successfully developed within only six months, the purpose of the system was to use the BMI as an effective communication tool for those patients who cannot move their bodies due to damage to the spinal cord or ALS (amyotrophic lateral sclerosis). “For nearly ten years, I’ve conducted neurophysiological experiments jointly with doctors at the School of Medicine to identify differences in kinesthesia between able-bodied persons and disabled persons. These efforts seem to be the key to the smooth progress of our development.”

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\nWith 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).
\nHowever, 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). ","linkurl":""}

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.’

Making BMI a tool for rehabilitation

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.”

Seeking linkage between brain activity and movement

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.

(Reporter & text writer:Shinko Yuri)

Listening to what Assistant Professor Junichi Ushiba says

Interest in computing and interest in the brain

As an up-and-coming researcher, you must be leading a busy and fulfilling life. To begin with, may I ask in what kind of family atmosphere were you brought up in?

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.’

A little over five years have passed since you began to teach at the university.
What is your impression of actually having worked there? When do you find your job rewarding or difficult?

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.

What was the motive that got you interested in computers?

When I was an elementary school fifth grader, my school offered an extracurricular computer class. Several PC units were made available to applicants who were taught programming during after-school hours. At the invitation of a friend, I attended a session. This was the very first time for me to play with a computer. In those days very few Japanese households had a computer and my home was no exception. So my school was the only place where I could play with computers.
During summer vacation, a Keio University professor opened a computer class on the Faculty of Science and Technology campus, which I also attended. I was amazed at several graduate students each writing a computer program there, which greatly impressed and motivated me. Since that time, I have been totally fascinated by the computer world. Popular pastimes that excited elementary school kids of those days were manga and TV cartoons, but my parents didn’t allow me to watch them. Perhaps that’s why my interest was directed to computers.
In those days, artificial intelligence (AI) was in fashion. One day, a postgraduate student visited our elementary school, bringing with him his program for an automated conversation system. It was something like a “Riddle” game. If you gave it hints one by one, the system finally responded with a correct answer. When it gave us a wrong answer, we taught it a correct answer, then it would learn and provide the correct answer from the next time. May perception at that time was that the computer could work only as instructed. This was my immovable perception of computers then. So the fact that humans can create artificial intelligence was totally new to me. I was taken aback.
When I was a junior high school student, Dr. Katsuhiko Mikoshiba (now with RIKEN), one of our alumni, visited our school and gave a lecture about the brain – another first experience for me. He talked about brain enthusiastically and the content of this speech was also very attractive. Later on, I applied to attend a lecture featuring Dr. Gen Matsumoto (then with the Electrotechnical Laboratory), a celebrated brain scientist. Indeed, I was under the strong stimulus of these two scientists. For me, their impressions are still strong and vivid.
At my junior high school’s annual presentation of free studies that are done during summer vacation, I unveiled a computer program I had developed on my own. I created a program simulating an urban redevelopment after the Gulf War, as a first grader; a study on morphing using an initial-stage hand scanner, as a second grader; and, as a third grader, a ray tracing program designed to estimate how a polygonal cone throws its shadow according to the position of a light source.
On Saturday every week, I visited a postgraduate at his residence to have him teach me the required algorithm. It was a private lesson. I really liked computing.

Your enthusiasm for computing sounds almost maniacal.
Aside from it, what kind of boy were you like at school and home?

I did not stand out. I was neither good at sports nor a focus of attention among my classmates. Although I kept company with any type of my classmates, I always did things alone both a school and at home when it came to my favorite pursuits. I think I’ve done what I wanted to at an unrestricted pace. I’ve never felt a sense of alienation at all.

That is an age when various stimuli can come from various directions.
Was it possible for you to carry through your interests?

Although I entered a high school with a reputation for computer education, I joined the brass music club where I played trumpet, and even formed a band of our own. The reason is that the computer world in those days saw the debut of Windows with a complex and hard-to-operate system, which spoiled my interest to some extent.
Meanwhile, I continued to cherish a strong interest in the brain. Pedantically I liked visiting libraries and bookshops to hunt up difficult-looking books. I sharply reacted to terms such as “artificial intelligence” and “artificial life.” I received strong impetus when I knew that a postgraduate student at the university campus adjacent to our high school was translating a recently published book on artificial life, saying to myself “Wow, such an amazing student is so close to me!” Artificial intelligence and artificial life can create functions intrinsically peculiar to the brain or life whereas the computer can do only what it is instructed to. The fact that it can give rise to phenomena that was not designed was nothing less than a wonder. Why and how on earth is it possible? These questions intrigued me very much.
As the university entrance exam season approached, I hesitated as to whether I should choose the medical course or science and technology course. Finally I made up my mind to choose the latter because professors specializing in biosignaling were there and I also liked computers. At that time Keio’s Faculty of Science and Technology just added a new department known as the Department of Applied Physics and Physico-Informatics, which I chose and entered. This is because the department had a close relationship with the School of Medicine and there were professors specializing in neurology and the muscular system.
Though admitted to this department, I was weak in mathematics. In fact, my math performance as a junior high student was “C”. It was only in the junior year that I became really motivated to study hard. Instead of learning the basics merely as the basics, I came to understand that the basics are necessary because there are such-and-such fields of application, or “exits” you might say. This is how I became self-motivated for learning. I’m of a type who begins to learn the basics required only after I can identify how a particular field of study can be useful for society.
I joined Professor Yutaka Tomita’s laboratory mainly because Professor Tomita was engaged in research into rehabilitation and maintained a good contact with the School of Medicine. Immediately after joining the laboratory, I was lucky enough to be introduced to a Medical School professor and launch a joint research project.

Attraction of universities allured me to teach at my alma mater

I’ve had familiarity with campus life partly because I was raised in a scholastic family and partly because I visited university campuses from time to time since my elementary school days.
Through such experiences, I found that universities are a wonderful world where everyone is doing creative work and both the young and the experienced are getting along with each other in friendly and liberal manners. This impression remained unchanged even after I became a university student myself. I was so attracted by the university that I found it as a place of my calling. Actually I didn’t stop even for a moment to look around for opportunities of employment with prosperous businesses.
I like Keio’s unrestricted climate. I also like Keio because it maintains a campus-wide collaboration and network that allows, for example, university instructors to visit its elementary school and junior high students to visit the university for learning. Even alumni visit the campus to give lectures. When I decided to work for the university, I found Keio much more attractive compared with businesses.
As a junior high student, I was given a stimulus by Dr. Mikoshiba. Following suit, I myself sometimes visit the junior high school to talk about my specialty – research on BMI. This year is the fourth year since I began this initiative. Only recently I visited Keio’s girls’ high school. It would be good if I could repay to young students some of what I was given as a youngster.

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Thank you very much for your time.

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)

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