Therapeutic Effectiveness of Brain Computer Interfaces in Stroke Patients: A Systematic Review.

Brain Computer Interfaces Clinical Neurology Stroke

Journal

Journal of experimental neurology
ISSN: 2692-2819
Titre abrégé: J Exp Neurol
Pays: United States
ID NLM: 101768514

Informations de publication

Date de publication:
2023
Historique:
medline: 6 10 2023
pubmed: 6 10 2023
entrez: 6 10 2023
Statut: ppublish

Résumé

Brain-computer interfaces (BCIs) are a rapidly advancing field which utilizes brain activity to control external devices for a myriad of functions, including the restoration of motor function. Clinically, BCIs have been especially impactful in patients who suffer from stroke-mediated damage. However, due to the rapid advancement in the field, there is a lack of accepted standards of practice. Therefore, the aim of this systematic review is to summarize the current literature published regarding the efficacy of BCI-based rehabilitation of motor dysfunction in stroke patients. This systematic review was performed in accordance with the guidelines set forth by the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) 2020 statement. PubMed, Embase, and Cochrane Library were queried for relevant articles and screened for inclusion criteria by two authors. All discrepancies were resolved by discussion among both reviewers and subsequent consensus. 11/12 (91.6%) of studies focused on upper extremity outcomes and reported larger initial improvements for participants in the treatment arm (using BCI) as compared to those in the control arm (no BCI). 2/2 studies focused on lower extremity outcomes reported improvements for the treatment arm compared to the control arm. This systematic review illustrates the utility BCI has for the restoration of upper extremity and lower extremity motor function in stroke patients and supports further investigation of BCI for other clinical indications.

Sections du résumé

Background UNASSIGNED
Brain-computer interfaces (BCIs) are a rapidly advancing field which utilizes brain activity to control external devices for a myriad of functions, including the restoration of motor function. Clinically, BCIs have been especially impactful in patients who suffer from stroke-mediated damage. However, due to the rapid advancement in the field, there is a lack of accepted standards of practice. Therefore, the aim of this systematic review is to summarize the current literature published regarding the efficacy of BCI-based rehabilitation of motor dysfunction in stroke patients.
Methodology UNASSIGNED
This systematic review was performed in accordance with the guidelines set forth by the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) 2020 statement. PubMed, Embase, and Cochrane Library were queried for relevant articles and screened for inclusion criteria by two authors. All discrepancies were resolved by discussion among both reviewers and subsequent consensus.
Results UNASSIGNED
11/12 (91.6%) of studies focused on upper extremity outcomes and reported larger initial improvements for participants in the treatment arm (using BCI) as compared to those in the control arm (no BCI). 2/2 studies focused on lower extremity outcomes reported improvements for the treatment arm compared to the control arm.
Discussion/Conclusion UNASSIGNED
This systematic review illustrates the utility BCI has for the restoration of upper extremity and lower extremity motor function in stroke patients and supports further investigation of BCI for other clinical indications.

Identifiants

pubmed: 37799298
doi: 10.33696/neurol.4.077
pmc: PMC10552326
mid: NIHMS1927631
doi:

Types de publication

Journal Article

Langues

eng

Pagination

87-93

Subventions

Organisme : NINDS NIH HHS
ID : R25 NS108939
Pays : United States

Déclaration de conflit d'intérêts

Conflicts of Intrest None.

Références

J Neural Eng. 2011 Aug;8(4):046028
pubmed: 21750369
Neurorehabil Neural Repair. 2019 Mar;33(3):188-198
pubmed: 30722727
Front Neurosci. 2020 Aug 14;14:809
pubmed: 32922254
Comput Intell Neurosci. 2020 Feb 7;2020:4876397
pubmed: 32089668
Nat Rev Neurol. 2016 Sep;12(9):513-25
pubmed: 27539560
Sensors (Basel). 2021 Jun 23;21(13):
pubmed: 34201788
IEEE Trans Neural Syst Rehabil Eng. 2021;29:2569-2577
pubmed: 34871175
Front Neurosci. 2015 Jun 12;9:217
pubmed: 26124702
Evid Based Complement Alternat Med. 2021 Nov 03;2021:1116126
pubmed: 34777531
Cell Metab. 2012 May 2;15(5):703-12
pubmed: 22560222
Am J Speech Lang Pathol. 2018 Feb 6;27(1):1-12
pubmed: 29318256
Front Hum Neurosci. 2014 Mar 07;8:125
pubmed: 24639642
Sensors (Basel). 2021 Aug 26;21(17):
pubmed: 34502636
Front Hum Neurosci. 2022 Jul 27;16:952380
pubmed: 35966988
IEEE Trans Biomed Eng. 2020 Mar;67(3):786-795
pubmed: 31180829
Front Behav Neurosci. 2014 Nov 25;8:392
pubmed: 25505392
BMJ. 2021 Mar 29;372:n71
pubmed: 33782057
IEEE Trans Biomed Eng. 2020 Dec;67(12):3339-3351
pubmed: 32248089
Neural Plast. 2020 Dec 13;2020:8882764
pubmed: 33414824
Neurotherapeutics. 2022 Jan;19(1):263-273
pubmed: 35099768
Neurotherapeutics. 2020 Apr;17(2):635-650
pubmed: 31802435
J Neuroeng Rehabil. 2021 Jan 23;18(1):15
pubmed: 33485365
Nat Commun. 2018 Jun 20;9(1):2421
pubmed: 29925890
IEEE Trans Neural Syst Rehabil Eng. 2022;30:1737-1744
pubmed: 35731756
Physiother Theory Pract. 2022 Sep;38(9):1126-1134
pubmed: 33026895
Front Hum Neurosci. 2021 Jun 07;15:656975
pubmed: 34163342
Neurol Ther. 2022 Jun;11(2):679-695
pubmed: 35174449
Sci Rep. 2019 Jan 29;9(1):874
pubmed: 30696881

Auteurs

Yordan P Penev (YP)

ICollege of Medicine, University of Florida, Gainesville, Florida, USA.

Alice Beneke (A)

ICollege of Medicine, University of Florida, Gainesville, Florida, USA.

Kevin T Root (KT)

ICollege of Medicine, University of Florida, Gainesville, Florida, USA.

Emily Meisel (E)

ICollege of Medicine, University of Florida, Gainesville, Florida, USA.

Sean Kwak (S)

ICollege of Medicine, University of Florida, Gainesville, Florida, USA.

Michael J Diaz (MJ)

ICollege of Medicine, University of Florida, Gainesville, Florida, USA.

Julia L Root (JL)

University of Florida, Gainesville, Florida, USA.

Mohammad R Hosseini (MR)

Department of Neurosurgery, University of Florida, Gainesville, Florida, USA.

Brandon Lucke-Wold (B)

Department of Neurosurgery, University of Florida, Gainesville, Florida, USA.

Classifications MeSH