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  4. Brain-computer interface controlled robotic gait orthosis

Brain-computer interface controlled robotic gait orthosis

Journal of NeuroEngineering and Rehabilitation, 2013 · DOI: 10.1186/1743-0003-10-111 · Published: December 9, 2013

NeurologyRehabilitationBiomedical

Simple Explanation

Individuals with spinal cord injuries often rely on wheelchairs, which can lead to health problems. This study explores using brain-computer interfaces (BCIs) to control robotic devices that help people walk. The study involved recording brain activity (EEG) from participants as they imagined walking. This data was used to create a model that could predict when the person wanted to walk. The brain-computer interface was connected to a robotic gait orthosis (RoGO), a device that helps support and move the legs. Participants were then able to control the RoGO using their thoughts, allowing them to walk on a treadmill.

Study Duration
Not specified
Participants
One able-bodied subject and one subject with paraplegia due to SCI
Evidence Level
Not specified

Key Findings

  • 1
    The EEG prediction model achieved an average offline accuracy of 86.30% across both subjects.
  • 2
    The cross-correlation between the computer cues and the BCI-RoGO walking epochs averaged 0.812.
  • 3
    There were on average 0.8 false alarms per session and no omissions.

Research Summary

This study investigated the feasibility of using a brain-computer interface (BCI) to control a robotic gait orthosis (RoGO) for restoring ambulation in individuals with spinal cord injury (SCI). The results showed that both an able-bodied subject and a subject with paraplegia due to SCI were able to successfully control the BCI-RoGO system using kinesthetic motor imagery (KMI). The study provides preliminary evidence that restoring brain-controlled ambulation after SCI is feasible and justifies future development of BCI-controlled lower extremity prostheses.

Practical Implications

Restoring Ambulation

BCI-controlled lower extremity prostheses have the potential to restore able-body-like ambulation in individuals with SCI, reducing reliance on wheelchairs.

Improved Health Outcomes

Restoring ambulation can potentially reduce the incidence of medical co-morbidities associated with prolonged wheelchair use, such as cardiovascular disease and osteoporosis.

Gait Rehabilitation

The BCI-RoGO system can be applied to gait rehabilitation in incomplete motor SCI, potentially improving neurological outcomes beyond those of standard gait therapy.

Study Limitations

  • 1
    Small sample size (one able-bodied subject and one subject with paraplegia).
  • 2
    The system was tested on a treadmill, not in free overground walking.
  • 3
    The study acknowledges the need to address false alarms.

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