Brain computer interface training with motor imagery and functional electrical stimulation for patients with severe upper limb paresis after stroke: a randomized controlled pilot trial

Journal of NeuroEngineering and Rehabilitation, Год журнала: 2024, Номер 21(1)

Опубликована: Янв. 20, 2024

Язык: Английский

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Stroke Rehabilitation: Synopsis of the 2024 U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guidelines

Annals of Internal Medicine, Год журнала: 2025, Номер unknown

Опубликована: Янв. 20, 2025

In July 2024, the U.S. Department of Veterans Affairs (VA) and Defense (DOD) released a joint update their 2019 clinical practice guideline (CPG) for management stroke rehabilitation. This synopsis is condensed version 2024 CPG, highlighting key aspects development process describing major recommendations. The VA/DOD Evidence-Based Practice Work Group convened work group (WG) that included stakeholders conformed to Institute Medicine's tenets trustworthy CPGs. WG conducted patient focus group, developed questions, systematically searched evaluated literature (English-language publications from 1 2018 2 May 2023). GRADE (Grading Recommendations Assessment, Development Evaluation) system was used evaluate evidence. 47 recommendations along with algorithms rehabilitation in inpatient outpatient settings. Stakeholders outside reviewed CPG before approval by Group. summarizes where evidence strongest support guidelines crucial areas relevant primary care physicians: transition community (case management, psychosocial or behavioral interventions); motor therapy (task-specific practice, mirror therapy, rhythmic auditory stimulation, electrical botulinum toxin spasticity); dysphagia, aphasia, cognition (chin tuck against resistance, respiratory muscle strength training); mental health (selective serotonin reuptake inhibitor use, psychotherapy, mindfulness-based therapies treatment but not prevention depression).

Язык: Английский

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Efficacy and safety of brain–computer interface for stroke rehabilitation: an overview of systematic review

Frontiers in Human Neuroscience, Год журнала: 2025, Номер 19

Опубликована: Март 6, 2025

Background Stroke is a major global health challenge that significantly influences public health. In stroke rehabilitation, brain–computer interfaces (BCI) offer distinct advantages over traditional training programs, including improved motor recovery and greater neuroplasticity. Here, we provide first re-evaluation of systematic reviews meta-analyses to further explore the safety clinical efficacy BCI in rehabilitation. Methods A standardized search was conducted databases up October 2024. We assessed quality literature based on following aspects: AMSTAR-2, PRISMA, publication year, study design, homogeneity, bias. The data were subsequently visualized as radar plots, enabling comprehensive rigorous evaluation literature. Results initially identified 908 articles and, after removing duplicates, screened titles abstracts 407 articles. total 18 studies satisfied inclusion criteria included. showed concerning moderate, which can relatively good evidence. Conclusion It has been proven BCI-combined treatment improve upper limb function daily life for patients, especially those subacute phase, demonstrating safety. However, its effects improving speech function, lower long-term outcomes require Multicenter, follow-up are needed increase reliability results. Clinical Trial Registration https://www.crd.york.ac.uk/PROSPERO/view/CRD42024562114 , CRD42023407720.

Язык: Английский

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Sensorimotor Rhythm-Based Brain–Computer Interfaces for Motor Tasks Used in Hand Upper Extremity Rehabilitation after Stroke: A Systematic Review

Brain Sciences, Год журнала: 2022, Номер 13(1), С. 56 - 56

Опубликована: Дек. 28, 2022

Brain–computer interfaces (BCIs) are becoming more popular in the neurological rehabilitation field, and sensorimotor rhythm (SMR) is a type of brain oscillation that can be captured analyzed BCIs. Previous reviews have testified to efficacy BCIs, but seldom they discussed motor task adopted BCIs experiments detail, as well whether feedback suitable for them. We focused on tasks SMR-based corresponding feedback, searched articles PubMed, Embase, Cochrane library, Web Science, Scopus found 442 articles. After series screenings, 15 randomized controlled studies were eligible analysis. imagery (MI) or attempt (MA) common experimental paradigms EEG-based trials. Imagining/attempting grasp extend fingers most common, there multi-joint movements, including wrist, elbow, shoulder. There various types MI MA hand grasping extension. Proprioception was used frequently variety forms. Orthosis, robot, exoskeleton, functional electrical stimulation assist paretic limb movement, visual primary combined However, during recovery process, many bottleneck problems recovery, such flaccid paralysis opening fingers. In practice, we should mainly focus patients’ difficulties, design one patients, with assistance FES, other help them complete grasp, finger extension, thumb opposition, motion. Future research neurophysiological changes improvements further elaboration neurophysiology function.

Язык: Английский

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Brain–Computer Interface Using Functional Near-Infrared Spectroscopy for Post-Stroke Motor Rehabilitation: Case Series

Annals of Clinical and Experimental Neurology, Год журнала: 2024, Номер 17(4), С. 82 - 88

Опубликована: Янв. 5, 2024

Introduction. Non-invasive brain–computer interfaces (BCIs) enable feedback motor imagery [MI] training in neurological patients to support their rehabilitation. Nowadays, the use of BCIs based on functional near-infrared spectroscopy (fNIRS) for rehabilitation is yet be investigated. Objective: To evaluate potential fNIRS BCI hand MI comprehensive post-stroke Materials and methods. This pilot study included clinically stable with mild-to-moderate paresis. In addition standard rehabilitation, underwent 10 nine-minute sessions. quality control, we assessed percentage time during which classifier accurately detected patient's mental state. We scored function using Action Research Arm Test (ARAT) Fugl-Meyer Assessment (FMA). Results. The 5 at 1 day 12 months stroke. All participants completed study. achieved control rates higher than random (41–68%). While three demonstrated significant improvements ARAT scores, one them also showed an improvement FMA score. reported experiencing drowsiness training. Conclusions. Post-stroke can operate system under investigation. suggest adjusting system, extending duration training, incorporating electromyostimulation enhance effectiveness.

Язык: Английский

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Neural Interface-Based Motor Neuroprosthesis in Poststroke Upper Limb Neurorehabilitation: An Individual Patient Data Meta-analysis

Archives of Physical Medicine and Rehabilitation, Год журнала: 2024, Номер unknown

Опубликована: Апрель 1, 2024

Objective To determine the efficacy of neural interface-, including brain-computer interface (BCI), based neurorehabilitation through conventional and individual patient data (IPD) meta-analysis, to assess clinical parameters associated with positive response interface-based neurorehabilitation. Data Sources PubMed, EMBASE, Cochrane Library databases up February 2022 were reviewed. Study Selection Studies using interface-controlled physical effectors (FES and/or powered exoskeletons) reported Fugl-Meyer Assessment-upper extremity (FMA-UE) scores identified. This meta-analysis was prospectively registered on PROSPERO (#CRD42022312428). PRISMA guidelines followed. Extraction Change in FMA-UE pooled estimate mean effect size. Subgroup analyses performed both study-level variables IPD. Synthesis Forty-six studies containing 617 patients included. Twenty-nine involving 214 score increased by a 5.23 (95% CI: 3.85 6.61). Systems that used motor attempt resulted greater gain than imagery, as did training lasting >4 versus ≤4 weeks. On IPD analysis, time-to-improvement above MCID 12 weeks 7 not reached). At 6 months, 58% improved 41 70%). Patients severe impairment (p=0.042) age >50 years (p=0.0022) correlated failure improve univariate log-rank tests. However, these factors only borderline significant multivariate Cox analysis (HR 0.15, p = 0.08 HR 0.47, 0.06, respectively). Conclusion Neural rehabilitation though modest reductions post-stroke should be considered for wider applications stroke

Язык: Английский

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Estimation of Upper Limb Motor Function and Its Use in Activities of Daily Living Based on the Performance Time Required for the Cylinder Transfer Task in Patients with Post-Stroke Mild Hemiparesis: A Cross-Sectional Study

Journal of Clinical Medicine, Год журнала: 2025, Номер 14(5), С. 1591 - 1591

Опубликована: Фев. 26, 2025

Background/Objective: Evaluating the upper limb function of paretic and non-paretic sides patients post-stroke is important for predicting efficient use limbs in activities daily living. Although there are evaluation methods that can quantify bilateral function, they insufficient understanding motor characteristics individual patients. In this study, we aimed to quantitatively evaluate from performance time cylinder transfer task The Southampton Hand Assessment Procedure estimate status paralyzed limb. Methods: This cross-sectional study included 88 participants with hemiparesis post-stroke. Performance three phases total these were measured. Moreover, existing assessments made. Results: side showed a significant correlation assessments. A regression model was calculated score assessment each phase. Conclusions: new method useful tool monitoring recovery paralysis It our hope clinicians will objective data provide more effective rehabilitation treatment recovering stroke.

Язык: Английский

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The brain-computer interface in the recovery of upper limb motor function after stroke

Neurology neuropsychiatry Psychosomatics, Год журнала: 2025, Номер 17(2), С. 93 - 99

Опубликована: Апрель 21, 2025

Brain-computer interface (BCI) technology is a promising development for restoring motor functions of the upper limb (UL). The article presents data randomized clinical trials from 2016 to 2024 years on use BCIs in post-stroke dysfunction UL, depending severity paresis, time starting and length rehabilitation period, training mode evaluated indicator. BCI stimulates neuroplasticity, which confirmed by functional magnetic resonance imaging data. efficacy UL function after stroke shown according Fugl-Meyer Assessment (FMA) Action Research Arm Test (ARAT) patients with moderate severe paresis. Data duration motor, cognitive emotional improvement impact independence are only available limited number studies require further investigation.

Язык: Английский

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Neurofeedback and Brain–Computer Interface-Based Methods for Post-stroke Rehabilitation

Applied Psychophysiology and Biofeedback, Год журнала: 2025, Номер unknown

Опубликована: Май 28, 2025

Язык: Английский

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Brain–Computer Interfaces with Intracortical Implants for Motor and Communication Functions Compensation: Review of Recent Developments

Sovremennye tehnologii v medicine, Год журнала: 2024, Номер 16(1), С. 78 - 78

Опубликована: Фев. 28, 2024

Brain-computer interfaces allow the exchange of data between brain and an external device, bypassing muscular system. Clinical studies invasive brain-computer interface technologies have been conducted for over 20 years. During this time, there has a continuous improvement approaches to neuronal signal processing in order improve quality control devices. Currently, with intracortical implants completely paralyzed patients robotic limbs self-service, use computer or tablet, type text, reproduce speech at optimal speed. Studies regularly provide new fundamental on functioning central nervous In recent years, breakthrough discoveries achievements annually made sphere. This review analyzes results clinical experiments implants, provides information stages technology development, its main achievements.

Язык: Английский

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