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Rehabilitation with brain-computer interface and upper limb motor function in ischemic stroke: A randomized

Anxin Wang1, Xue Tian2, Di Jiang3

  • 1Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China; China National Clinical Research Center for Neurological Diseases, Beijing Tiantan Hospital, Capital Medical University, Beijing, China; Beijing Municipal Key Laboratory of Clinical Epidemiology, Beijing, China.

Med (New York, N.Y.)
|April 20, 2024
PubMed
Summary

Brain-computer interface (BCI) rehabilitation significantly improved upper limb motor function in ischemic stroke patients. This therapy enhances traditional training, offering a promising approach for stroke recovery.

Keywords:
Translation to patientsbrain-computer interfaceischemic strokemotor imageryrehabilitationupper limb motor function

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Biomedical Engineering

Background:

  • Upper limb motor dysfunction is a significant challenge post-stroke.
  • Brain-computer interface (BCI) systems translate neural signals into commands, aiding rehabilitation.
  • BCI's efficacy in improving motor function in ischemic stroke patients requires further investigation.

Purpose of the Study:

  • To evaluate the efficacy of BCI-based rehabilitation training on upper limb motor function in ischemic stroke patients.
  • To assess the safety of BCI rehabilitation within a 3-month period.

Main Methods:

  • A multicenter, randomized, open-label, blank-controlled trial involving 296 ischemic stroke patients.
  • Participants were assigned to either BCI group or traditional rehabilitation (control) group.
  • The primary outcome was the change in Fugl-Meyer Assessment upper extremity (FMA-UE) score at 1 month.

Main Results:

  • The BCI group showed a significantly greater improvement in FMA-UE scores (13.17) compared to the control group (9.83) at 1 month (p=0.0045).
  • The mean difference in FMA-UE score improvement between groups was 3.35.
  • Adverse events were comparable between the BCI group (22.00%) and the control group (21.23%).

Conclusions:

  • BCI rehabilitation training offers additional benefits for upper limb motor function recovery in ischemic stroke patients.
  • BCI is a safe and effective adjunct to traditional rehabilitation strategies.
  • Further research can explore long-term effects and optimal BCI integration in stroke care.