MyoGestic: EMG Interfacing Framework for Decoding Multiple Spared Degrees of Freedom of the Hand in Individuals with Neural Lesions

Restoring limb motor function in individuals with spinal cord injury (SCI), stroke, or amputation remains a critical challenge, one which affects millions worldwide. Recent studies show through surface electromyography (EMG) that spared motor neurons can still be voluntarily controlled, even without visible limb movement . These signals can be decoded and used for motor intent estimation; however, current wearable solutions lack the necessary hardware and software for intuitive interfacing of the spared degrees of freedom after neural injuries. To address these limitations, we developed a wireless, high-density EMG bracelet, coupled with a novel software framework, MyoGestic. Our system allows rapid and tailored adaptability of machine learning models to the needs of the users, facilitating real-time decoding of multiple spared distinctive degrees of freedom. In our study, we successfully decoded the motor intent from two participants with SCI, two with spinal stroke , and three amputees in real-time, achieving several controllable degrees of freedom within minutes after wearing the EMG bracelet. We provide a proof-of-concept that these decoded signals can be used to control a digitally rendered hand, a wearable orthosis, a prosthesis, or a 2D cursor. Our framework promotes a participant-centered approach, allowing immediate feedback integration, thus enhancing the iterative development of myocontrol algorithms. The proposed open-source software framework, MyoGestic, allows researchers and patients to focus on the augmentation and training of the spared degrees of freedom after neural lesions, thus potentially bridging the gap between research and clinical application and advancing the development of intuitive EMG interfaces for diverse neural lesions.