Related Experiment Video
Updated: May 7, 2026

A Protocol for Comprehensive Assessment of Bulbar Dysfunction in Amyotrophic Lateral Sclerosis ALS
Published on: February 21, 2011
A high-performance speech neuroprosthesis
Francis R Willett1, Erin M Kunz2,3, Chaofei Fan4
1Howard Hughes Medical Institute at Stanford University, Stanford, CA, USA. willett2@gmail.com.
This study introduces a new speech brain-computer interface (BCI) that decodes attempted speech from neural signals. This advanced BCI significantly improves accuracy and speed for communication restoration in individuals with paralysis.
Area of Science:
- Neuroscience
- Biomedical Engineering
- Rehabilitation Technology
Background:
- Brain-computer interfaces (BCIs) offer a potential communication pathway for individuals with severe paralysis.
- Existing speech BCIs have limitations in accuracy and vocabulary size, hindering effective communication.
- Amyotrophic lateral sclerosis (ALS) progressively impairs speech, necessitating advanced assistive technologies.
Purpose of the Study:
- To develop and evaluate a high-performance speech-to-text BCI using intracortical microelectrode recordings.
- To assess the BCI's accuracy and speed in decoding attempted speech from a participant with ALS.
- To investigate neural coding principles relevant to speech BCI development.
Main Methods:
- Utilized intracortical microelectrode arrays to record spiking neural activity during attempted speech.
- Developed decoding algorithms to translate neural signals into text.
- Evaluated performance using word error rates across different vocabulary sizes and measured decoding speed.
Main Results:
- Achieved a 9.1% word error rate on a 50-word vocabulary, a 2.7-fold improvement over prior state-of-the-art.
- Demonstrated the first successful large-vocabulary (125,000 words) decoding with a 23.8% word error rate.
- Reached a decoding speed of 62 words per minute, 3.4 times faster than previous records.
Conclusions:
- High-resolution neural recordings enable accurate and rapid speech decoding via BCIs.
- The neural code for speech contains features that facilitate robust decoding even after prolonged paralysis.
- This BCI technology presents a viable approach to restoring communication for non-speaking individuals.
Related Concept Videos
Nonconscious Mimicry
Muscles for Facial Expressions
Higher Mental Functions of the Brain: Language
Language formation and comprehension take place in the dominant hemisphere. The dominant hemisphere is responsible for understanding the meaning of spoken, written, or sign language, as well as the ability to communicate. For most people, the left hemisphere is the dominant one. The right hemisphere, then, gives tone and emotional context to the...
Larynx
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids,...
Neural Control of Respiration
Respiratory Centers in the Brainstem
Two primary areas comprise the respiratory center: the medullary respiratory center in the medulla oblongata and the pontine respiratory group in the pons. The...
Facial Feedback Hypothesis

