Deep Neural Networks for Learning Intent from sEMG Signals to Support Hardware Devices for Post-Stroke Neurorehabilitation

Abstract

Finger-specific motor intent is a clinically meaningful control signal for post-stroke neurorehabilitation, where residual muscle activity may remain measurable despite weak or incomplete movement. We study five-finger multilabel intent decoding from impaired-arm high-density surface electromyography (sEMG) in PhysioMio, a bilateral longitudinal dataset collected from stroke patients. A common processing protocol aligns movement labels, applies 20--450 Hz Butterworth filtering and Symlet-4 wavelet denoising, segments overlapping 200 ms windows, and extracts twelve time- and frequency-domain descriptors per channel. Direct LSTM, CNN, and GNN baselines reveal complementary behavior: the LSTM attains the highest subset accuracy (0.545), whereas the GNN attains the highest macro F1 (0.706) and macro AUPRC (0.776). Architecture search then identifies CNN-Large as the strongest single-split CNN, with 0.593 subset accuracy and 0.714 macro F1, while CNN-Micro provides a compact architecture for embedded inference. To match a four-sensor hardware design, we retrain CNN-Micro using channels associated with ECRB, ECRL, FDS, and FDP and exclude the ground electrode from model input. Across five seeds, cross-channel knowledge distillation improves the four-channel student over direct training, reaching $0.5219 \pm 0.0114$ subset accuracy, $0.7612 \pm 0.0038$ finger accuracy, and $0.6095 \pm 0.0058$ macro F1. The selected 123K-parameter model accepts nine windows of 48 features and has been exported to ONNX. These results establish a reproducible software path from post-stroke sEMG to compact five-finger intent prediction for subsequent hardware-in-the-loop evaluation.