Design and Performance Evaluation of a Low-Cost High-SNR EOG Sensing System for Arabic Locked-In Syndrome Communication

Sensors (Basel). 2026 Apr 15;26(8):2425. doi: 10.3390/s26082425.

ABSTRACT

Locked-in Syndrome (LIS) is a neurological condition in which individuals remain conscious but experience complete paralysis of voluntary muscles, except for eye movements-highlighting the need for reliable assistive communication technologies. This study presents the design and evaluation of an Arabic electrooculogram (EOG)-based communication system with adaptive classification capabilities for LIS applications. A custom-designed EOG acquisition circuit incorporating filtering and amplification stages was implemented and compared with the OpenBCI Cyton board. The system employed a hybrid classification approach combining amplitude, temporal, and statistical features to distinguish between blinks and voluntary vertical eye movements. Testing with ten healthy subjects yielded a mean classification accuracy of 83.96% ± 4.59% and an information transfer rate of 10.43 letters per minute, corresponding to a 30.38% improvement over conventional approaches. The custom-designed circuit achieved a signal-to-noise ratio of 25.21 dB, outperforming the OpenBCI Cyton board by 8% while reducing system cost by 62%. The integration with a Morse code-based interface enabled Arabic letter composition, while the system incorporated auto-completion and text-to-speech functionalities to further enhance communication efficiency. This cost-effective solution addresses a critical gap in assistive technologies for Arabic-speaking individuals with LIS and shows strong potential for enhancing their communication abilities and overall quality of life.

PMID:42076534 | PMC:PMC13120290 | DOI:10.3390/s26082425