Toaddressthesechallenges,weproposeMiSO(MicroStimulationOptimization), a closed-loop stimulation framework to drive neural population activity toward specified states by optimizing over a large stimulation parameter space.

Objective: Machine learning (ML) models are increasingly used to generate electrical stimulation patterns in neuroprosthetic devices such as visual prostheses. While these models promise precise and personalized control, they also introduce new safety risks when model outputs are delivered directly to neural tissue. We propose a systematic, quantitative approach to detect and characterize unsafe stimulation patterns in ML-driven neurostimulation systems. Approach: We adapt an automated software testing technique known as coverage-guided fuzzing to the domain of neural stimulation. Here, fuzzing performs stress testing by perturbing model inputs and tracking whether resulting stimulation violates biophysical limits on charge density, instantaneous current, or electrode co-activation. The framework treats encoders as black boxes and steers exploration with coverage metrics that quantify how broadly test cases span the space of possible outputs and violation types. Main results: Applied to deep stimulus encoders for the retina and cortex, the method systematically reveals diverse stimulation regimes that exceed established safety limits. Two violation-output coverage metrics identify the highest number and diversity of unsafe outputs, enabling interpretable comparisons across architectures and training strategies. Significance: Violation-focused fuzzing reframes safety assessment as an empirical, reproducible process. By transforming safety from a training heuristic into a measurable property of the deployed model, it establishes a foundation for evidence-based benchmarking, regulatory readiness, and ethical assurance in next-generation neural interfaces.

Brain stimulation has the potential to create desired neural population activity states.

This study proposes a generalizable encoding strategy that maps tactile sensor data to electrical stimulation patterns, enabling neural organoids to perform an open-loop artificial tactile Braille classification task. Human forebrain organoids cultured on a low-density microelectrode array (MEA) are systematically stimulated to characterize the relationship between electrical stimulation parameters (number of pulse, phase amplitude, phase duration, and trigger delay) and organoid responses, measured as spike activity and spatial displacement of the center of activity. Implemented on event-based tactile inputs recorded from the Evetac sensor, our system achieved an average Braille letter classification accuracy of 61 percent with a single organoid, which increased significantly to 83 percent when responses from a three-organoid ensemble were combined. Additionally, the multi-organoid configuration demonstrated enhanced robustness against various types of artificially introduced noise. This research demonstrates the potential of organoids as low-power, adaptive bio-hybrid computational elements and provides a foundational encoding framework for future scalable bio-hybrid computing architectures.

Cochlear implants (CIs) are surgically implanted hearing devices, which allow to restore a sense of hearing in people suffering from profound hearing loss. Wireless streaming of audio from external devices to CI signal processors has become common place. Specialized compression based on the stimulation patterns of a CI by deep recurrent autoencoders can decrease the power consumption in such a wireless streaming application through bit-rate reduction at zero latency. While previous research achieved considerable bit-rate reductions, model sizes were ignored, which can be of crucial importance in hearing-aids due to their limited computational resources. This work investigates maximizing objective speech intelligibility of the coded stimulation patterns of deep recurrent autoencoders while minimizing model size. For this purpose, a pruning-aware loss is proposed, which captures the impact of pruning during training. This training with a pruning-aware loss is compared to conventional magnitude-informed pruning and is found to yield considerable improvements in objective intelligibility, especially at higher pruning rates. After fine-tuning, little to no degradation of objective intelligibility is observed up to a pruning rate of about 55\,\%. The proposed pruning-aware loss yields substantial gains in objective speech intelligibility scores after pruning compared to the magnitude-informed baseline for pruning rates above 45\,\%.

Functional electrical stimulation (FES) has been increasingly integrated with other rehabilitation devices, including robots. FES cycling is one of the common FES applications in rehabilitation, which is performed by stimulating leg muscles in a certain pattern. The appropriate pattern varies across individuals and requires manual tuning which can be time-consuming and challenging for the individual user. Here, we present an AI-based method for finding the patterns, which requires no extra hardware or sensors. Our method has two phases, starting with finding model-based patterns using reinforcement learning and detailed musculoskeletal models. The models, built using open-source software, can be customised through our automated script and can be therefore used by non-technical individuals without extra cost. Next, our method fine-tunes the pattern using real cycling data. We test our both in simulation and experimentally on a stationary tricycle. In the simulation test, our method can robustly deliver model-based patterns for different cycling configurations. The experimental evaluation shows that our method can find a model-based pattern that induces higher cycling speed than an EMG-based pattern. By using just 100 seconds of cycling data, our method can deliver a fine-tuned pattern that gives better cycling performance. Beyond FES cycling, this work is a showcase, displaying the feasibility and potential of human-in-the-loop AI in real-world rehabilitation.

Objective: A major challenge in designing closed-loop brain-computer interfaces is finding optimal stimulation patterns as a function of ongoing neural activity for different subjects and objectives. Approach: To achieve goal-directed closed-loop neurostimulation, we propose "neural co-processors" which use artificial neural networks and deep learning to learn optimal closed-loop stimulation policies, shaping neural activity and bridging injured neural circuits for targeted repair and rehabilitation. The co-processor adapts the stimulation policy as the biological circuit itself adapts to the stimulation, achieving a form of brain-device co-adaptation. Here we use simulations to lay the groundwork for future in vivo tests of neural co-processors. We leverage a cortical model of grasping, to which we applied various forms of simulated lesions, allowing us to develop the critical learning algorithms and study adaptations to non-stationarity. Main results: Our simulations show the ability of a neural co-processor to learn a stimulation policy using a supervised learning approach, and to adapt that policy as the underlying brain and sensors change. Our co-processor successfully co-adapted with the simulated brain to accomplish the reach-and-grasp task after a variety of lesions were applied, achieving recovery towards healthy function. Significance: Our results provide the first proof-of-concept demonstration of a co-processor for adaptive activity-dependent closed-loop neurostimulation, optimizing for a rehabilitation goal. While a gap remains between simulations and applications, our results provide insights on how co-processors may be developed for learning complex adaptive stimulation policies for a variety of neural rehabilitation and neuroprosthetic applications.

Brain-computer interfaces (BCIs) use decoding algorithms to control prosthetic devices based on brain signals for restoration of lost function. Computer-brain interfaces (CBIs), on the other hand, use encoding algorithms to transform external sensory signals into neural stimulation patterns for restoring sensation or providing sensory feedback for closed-loop prosthetic control. In this article, we introduce brain co-processors, devices that combine decoding and encoding in a unified framework using artificial intelligence (AI) to supplement or augment brain function. Brain co-processors can be used for a range of applications, from inducing Hebbian plasticity for rehabilitation after brain injury to reanimating paralyzed limbs and enhancing memory. A key challenge is simultaneous multi-channel neural decoding and encoding for optimization of external behavioral or task-related goals. We describe a new framework for developing brain co-processors based on artificial neural networks, deep learning and reinforcement learning. These "neural co-processors" allow joint optimization of cost functions with the nervous system to achieve desired behaviors. By coupling artificial neural networks with their biological counterparts, neural co-processors offer a new way of restoring and augmenting the brain, as well as a new scientific tool for brain research. We conclude by discussing the potential applications and ethical implications of brain co-processors.

The field of brain-computer interfaces is poised to advance from the traditional goal of controlling prosthetic devices using brain signals to combining neural decoding and encoding within a single neuroprosthetic device. Such a device acts as a "co-processor" for the brain, with applications ranging from inducing Hebbian plasticity for rehabilitation after brain injury to reanimating paralyzed limbs and enhancing memory. We review recent progress in simultaneous decoding and encoding for closed-loop control and plasticity induction. To address the challenge of multi-channel decoding and encoding, we introduce a unifying framework for developing brain co-processors based on artificial neural networks and deep learning. These "neural co-processors" can be used to jointly optimize cost functions with the nervous system to achieve desired behaviors ranging from targeted neuro-rehabilitation to augmentation of brain function.

Abstract-- Spinal cord stimulation has enabled humans with motor complete spinal cord injury (SCI) to independently stand and recover some lost autonomic function. Quantifying the quality of bipedal standing under spinal stimulation is important for spinal rehabilitation therapies and for new strategies that seek to combine spinal stimulation and rehabilitative robots (such as exoskeletons) in real time feedback. To study the potential for automated electromyography (EMG) analysis in SCI, we evaluated the standing quality of paralyzed patients undergoing electrical spinal cord stimulation using both video and multi-channel surface EMG recordings during spinal stimulation therapy sessions. The quality of standing under different stimulation settings was quantified manually by experienced clinicians. By correlating features of the recorded EMG activity with the expert evaluations, we show that multi-channel EMG recording can provide accurate, fast, and robust estimation for the quality of bipedal standing in spinally stimulated SCI patients. Moreover, our analysis shows that the total number of EMG channels needed to effectively predict standing quality can be reduced while maintaining high estimation accuracy, which provides more flexibility for rehabilitation robotic systems to incorporate EMG recordings. I. INTRODUCTION Spinal Cord Injury (SCI) is a debilitating condition that afflicts 350,000 people in the U.S., and 5 million worldwide. Electrical spinal stimulation, using multi-electrode arrays implanted in the epidural space over the lumbosacral spinal cord (see Figure 1), has enabled motor complete paralyzed SCI sufferers to achieve independent weight bearing standing, some weight-assisted stepping, and partial recovery of lost autonomic function.