Brain oscillations control hand orthosis in a tetraplegic.

The aim of the present study was to investigate whether self-induced brain potential changes could be useful as control signals for patients with severe motor impairment, i.e. due to high-level spinal cord injury. The pilot project was performed in a tetraplegic patient (T.S.), whose residual muscle activity of the upper limbs is restricted to the left biceps. To restore the hand grasp function, an electrical driven hand orthosis fitting his left hand was developed. The operation of this device is directly based on the bioelectrical signals of the brain. After some months of training, T. S. has learned to operate the hand orthosis by mental imagination of specific motor commands.