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Updated: Oct 19, 2025

Assessment and Communication for People with Disorders of Consciousness
Published on: August 1, 2017
Historical perspectives, challenges, and future directions of implantable brain-computer interfaces for sensorimotor
Santosh Chandrasekaran1, Matthew Fifer2, Stephan Bickel3,4,5
1Neural Bypass and Brain Computer Interface Laboratory, Feinstein Institutes for Medical Research, Northwell Health, Manhasset, NY, USA.
Brain-computer interface technology, born from early electrical studies, offers communication and movement restoration for patients. This review covers historical context, current challenges, and participant achievements in brain-computer interface development.
Area of Science:
- Neuroscience
- Biomedical Engineering
- Rehabilitation Technology
Background:
- Early experiments explored the relationship between electricity, brain activity, and bodily movement.
- The development of brain-computer interface (BCI) technology has evolved significantly over decades.
- BCI technology holds promise for diverse applications, including assistive communication and restoring lost function.
Purpose of the Study:
- To review the historical development of brain-computer interface technology.
- To explore the technical and surgical challenges hindering widespread BCI deployment.
- To highlight the achievements of individuals participating in BCI clinical studies.
Main Methods:
- Historical perspective review of electrical stimulation and recording in neuroscience.
- Analysis of current technical and surgical challenges in BCI development.
- Case study highlights of clinical trial participant successes.
Main Results:
- BCI technology has progressed from early electrical studies to advanced applications.
- Significant technical and surgical hurdles remain for widespread clinical adoption of BCIs.
- Clinical study participants have demonstrated remarkable progress and paved the way for future advancements.
Conclusions:
- BCI technology has a rich history rooted in understanding neural electrical activity.
- Overcoming technical and surgical challenges is crucial for realizing the full potential of BCIs.
- The bravery and achievements of clinical participants underscore the transformative impact of BCI research.
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