Evaluation of Switch and Continuous Navigation Paradigms to Command a Brain-Controlled Wheelchair.

A brain-computer interface (BCI) is a technology allowing patients with severe motor dysfunctions to use their electroencephalographic signals to create a communication channel to control devices. The objective of this paper is to study the feasibility of continuous and switch control modes for a brain-controlled wheelchair (BCW) using sensorimotor rhythms (SMR) modulated through a right-hand motor imagery task. Previous studies, which used a continuous navigation control with SMR, have reported the difficulty of maintaining the motor imagery task for a long time, especially for the forward command. The switch control has been presented as a proposal that may help to solve this issue since this task is only used temporary for either disabling or enabling the movement. Regarding the methodology, 10 of 15 able-bodied users, who had overcome the criterion of 30% error rate in the calibration phase, controlled the BCW using both paradigms. The navigation tasks consisted of a straight path divided in five sections: in three of them the users had to move forward, and in the other two the users had to maintain their position. To assess user performance in the device management, a usability approach was adopted, measuring the factors of effectiveness, efficiency, and satisfaction. Then, variables related to the time employed and commands selected by the user or parameters related to the confusion matrix were applied. In addition, the scores in NASA-TLX and two questionnaires were considered to discuss the user experience controlling the wheelchair. Despite the results showed that the best system for a specific user relies on his/her abilities and preferences, the switch control mode obtained better accuracy (0.59 ± 0.17 for continuous and 0.72 ± 0.05 for switch). Furthermore, the switch paradigm can be recommended for the advance sections as with it users could complete the advance sections in less time (42.2 ± 28.7 s for continuous and 15.47 ± 3.43 s for switch), while the continuous mode seems to be better at keeping the wheelchair stopped (42.45 ± 16.01 s for continuous and 24.35 ± 10.94 s for switch).