Empowering High-Level Spinal Cord Injury Patients in Daily Tasks With a Hybrid Gaze and FEMG-Controlled Assistive Robotic System.

Individuals with high-level spinal cord injuries often face significant challenges in performing essential daily tasks due to their motor impairments. Consequently, the development of reliable, hands-free human-computer interfaces (HCI) for assistive devices is vital for enhancing their quality of life. However, existing methods, including eye-tracking and facial electromyogram (FEMG) control, have demonstrated limitations in stability and efficiency. To address these shortcomings, this paper presents an innovative hybrid control system that seamlessly integrates gaze and FEMG signals. When deployed as a hybrid HCI, this system has been successfully used to assist individuals with high-level spinal cord injuries in performing activities of daily living (ADLs), including tasks like eating, pouring water, and pick-and-place. Importantly, our experimental results confirm that our hybrid control method expedites the performance in pick-place tasks, achieving an average completion time of 34.3 s, which denotes a 28.8% and 21.8% improvement over pure gaze-based control and pure FEMG-based control, respectively. With practice, participants experienced up to a 44% efficiency improvement using the hybrid control method. This state-of-the-art system offers a highly precise and reliable intention interface, suitable for daily use by individuals with high-level spinal cord injuries, ultimately enhancing their quality of life and independence.