Augmented Reality (AR) has been proved successful in several applications from surgical training to balance rehabilitation. This work aims to develop an AR system for real-time visualization of an index of muscle activity superimposed to the investigated muscle.

The system includes: (1) a video camera, (2) one or more surface EMG (sEMG) detection/acquisition systems, (3) one processing and visualization unit (Fig. 1).

The system integrates the information from the video camera and from the sEMG systems (the ARV of the sEMG signal epoch corresponding to the current video frame) and creates an “augmented video frame” by coloring the detection systems, identified within the video frame, with a color representative of the muscle activity (blue for low and red for high sEMG activity). The patient or the clinical operator can see the real-time augmented video on a display.

The software can run (1) on a PC using a webcam for video capture and showing the augmented video on a monitor, (2) on a tablet using the integrated camera or (3) on the Epson Moverio BT-300 smartglasses using the see-through modality. Fig. 2 shows the AR feedback during a leg extension exercise; vastus medialis, vastus lateralis and rectus femoralis muscles are monitored using a sEMG bipolar system (Due, OTBioelettronica and LISiN). Fig. 3 shows the AR system used for the monitoring of sEMG activity distribution in the lumbar muscles using a multi-channel sEMG systems (32 channel amplifier by LISiN).

An AR system for the visualization of sEMG activity over the muscles has been developed. The system is currently under validation for augmented biofeedback in sport and rehabilitation in order to verify advantages with respect to standard biofeedback.