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  4. EEG-Based Brain–Computer Interfaces for Communication and Rehabilitation of People with Motor Impairment: A Novel Approach of the 21st Century

EEG-Based Brain–Computer Interfaces for Communication and Rehabilitation of People with Motor Impairment: A Novel Approach of the 21st Century

Front. Hum. Neurosci., 2018 · DOI: 10.3389/fnhum.2018.00014 · Published: January 31, 2018

Assistive TechnologyNeurologyNeurorehabilitation

Simple Explanation

Brain-computer interfaces (BCIs) offer a promising solution for people with motor impairments, enabling communication and rehabilitative therapy by translating brain signals into commands for external devices. BCI systems record brain activity using techniques like EEG, and extract useful signals to control devices, allowing individuals to communicate and interact with the environment without using their peripheral nervous system and muscles. EEG-based BCI systems use different EEG modalities like slow cortical potentials (SCPs), sensorimotor rhythms (SMR), and P300 potentials to promote communication, environmental control, and rehabilitation based on different EEG signals.

Study Duration
Not specified
Participants
Review article, includes multiple studies with various participant numbers
Evidence Level
Review

Key Findings

  • 1
    EEG-based BCI systems show potential for clinical use in helping paralyzed individuals control neuroprostheses, wheelchairs, and electrical appliances for communication and rehabilitation.
  • 2
    BCI systems using slow cortical potentials (SCPs) require user training to shift the polarity of their SCPs for communication, enabling users to select letters, words, or pictograms.
  • 3
    Sensorimotor rhythm (SMR)-based BCI systems allow individuals with neuromuscular disorders to modulate their SMR for communication and control, often through motor imagery, though they require extensive training.

Research Summary

This review synthesizes findings on non-invasive EEG-based BCI systems for communication, control, and rehabilitation of people with motor impairments, highlighting the value of this technology and its role in improving their lives. EEG-based BCI systems utilize different control mechanisms to assess accuracy and information transfer rate, with the goal of enabling users to modulate brain patterns for various applications, including medical, clinical, and entertainment purposes. Despite high performance rates in some studies, many others show extremely low performance in terms of accuracy and information transfer rate, with contextual factors and individual differences significantly impacting BCI system effectiveness.

Practical Implications

Enhanced Communication

BCIs can provide a means of communication for individuals with severe motor impairments, allowing them to interact with the world and express themselves.

Improved Motor Rehabilitation

BCIs, combined with traditional therapies, can help individuals regain motor control and improve their overall functional abilities.

Increased Independence

BCIs can enable individuals with motor impairments to control external devices and appliances, increasing their independence and quality of life.

Study Limitations

  • 1
    Extensive training is often required for users to effectively control BCI systems.
  • 2
    Performance can vary significantly depending on the individual and the severity of their motor impairment.
  • 3
    Current BCI systems often have low information transfer rates, limiting their practical application in daily life.

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