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Updated: Jun 9, 2025

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Published on: November 19, 2017
Implanted cortical neuroprosthetics for speech and movement restoration
William R Muirhead1,2,3, Hugo Layard Horsfall4,5, Christine Aicardi6
1The National Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK. william.muirhead@crick.ac.uk.
Implanted cortical neuroprosthetics (ICNs) offer new hope for restoring speech and movement by bridging the brain and digital systems. These advanced devices are paving the way for clinical applications in neurological conditions.
Area of Science:
- Biomedical Engineering
- Neuroscience
- Rehabilitation Technology
Background:
- Implanted cortical neuroprosthetics (ICNs) are emerging medical devices designed to restore function by enabling brain-digital system communication.
- Research over the past decade has investigated ICNs for conditions such as blindness, aphasia, and paralysis.
- Significant advancements have been made in decoding neural signals for speech and movement intentions.
Purpose of the Study:
- To provide an overview of current implanted cortical neuroprosthetics for speech and movement restoration.
- To explain the mechanisms of action for these neuroprosthetic devices.
- To discuss the unique ethical considerations associated with ICNs.
Main Methods:
- Review of contemporary research and clinical applications of ICNs.
- Analysis of transcranial and endovascular approaches for neural recording.
- Examination of signal decoding techniques for speech and movement intention.
Main Results:
- Demonstrated high-performance decoding of speech intention signals in laboratory settings.
- Progress towards clinical translation of ICNs for speech and movement restoration.
- Identification of key mechanisms underlying ICN functionality.
Conclusions:
- ICNs show significant promise for restoring lost functions like speech and movement.
- Further development is needed to address clinical implementation and ethical challenges.
- The field is rapidly advancing, with potential for transformative impact on patient care.
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