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  4. DiSCIoser: unlocking recovery potential of arm sensorimotor functions after spinal cord injury by promoting activity-dependent brain plasticity by means of brain-computer interface technology: a randomized controlled trial to test efficacy

DiSCIoser: unlocking recovery potential of arm sensorimotor functions after spinal cord injury by promoting activity-dependent brain plasticity by means of brain-computer interface technology: a randomized controlled trial to test efficacy

BMC Neurology, 2023 · DOI: https://doi.org/10.1186/s12883-023-03442-w · Published: October 19, 2023

Spinal Cord InjuryNeurologyNeurorehabilitation

Simple Explanation

This study investigates using Brain-Computer Interfaces (BCIs) to help people with spinal cord injuries regain arm and hand function. BCI-supported motor imagery training is designed “to engage the sensorimotor system and thus facilitate the neuroplasticity to eventually optimize upper limb sensorimotor functional recovery in patients with SCI during the subacute phase”. The study will compare BCI-assisted hand motor imagery training with hand motor imagery training alone. Both interventions are delivered “as add-on to standard rehabilitation care”, three times a week for 12 weeks. The researchers expect that the BCI-based approach “to promote meaningful cortical sensorimotor plasticity and eventually maximize recovery of arm functions in traumatic cervical subacute SCI.”

Study Duration
12 weeks
Participants
30 participants with traumatic cervical SCI
Evidence Level
Level 1: Randomized controlled trial

Key Findings

  • 1
    The primary outcome measure is the Graded Redefined Assessment of Strength, Sensibility and Prehension (GRASSP) somatosensory sub-score.
  • 2
    Secondary outcome measures include motor and functional scores of the GRASSP, clinical, neuropsychological, neurophysiological and neuroimaging measures.
  • 3
    The study hypothesizes that BCI-supported MI training will boost the effect of MI training by promoting cortical sensorimotor plasticity and maximizing hand function recovery.

Research Summary

The DiSCIoser study is a randomized controlled trial designed to evaluate the effectiveness of BCI-assisted motor imagery (MI) training in improving hand sensorimotor function in patients with traumatic spinal cord injury (SCI). The trial will involve 30 participants with subacute cervical SCI, randomly assigned to either a BCI-assisted MI training group or a control group receiving MI training without BCI support. Both groups will receive standard rehabilitation care in addition to the assigned intervention. The primary outcome measure is the change in GRASSP somatosensory scores, with secondary outcomes including motor function, independence measures, and neurophysiological assessments. The study aims to demonstrate that BCI-based interventions can promote cortical sensorimotor plasticity and enhance arm function recovery in SCI patients.

Practical Implications

Clinical Application

The study could provide evidence for integrating BCI-assisted MI training into standard SCI rehabilitation protocols.

Technological Advancement

The research will contribute to optimizing BCI technology for therapeutic interventions in SCI beyond assistive tools.

Neuroplasticity Understanding

The study will enhance the understanding of cortical sensorimotor plasticity in SCI recovery.

Study Limitations

  • 1
    Single-center study
  • 2
    Sample size of 30 participants
  • 3
    Focus on subacute cervical SCI

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