Literature DB >> 12705420

Clinical application of an EEG-based brain-computer interface: a case study in a patient with severe motor impairment.

C Neuper1, G R Müller, A Kübler, N Birbaumer, G Pfurtscheller.   

Abstract

OBJECTIVE: This case study describes how a completely paralyzed patient, diagnosed with severe cerebral palsy, was trained over a period of several months to use an electroencephalography (EEG)-based brain-computer interface (BCI) for verbal communication.
METHODS: EEG feedback training was performed in the patient's home (clinic), supervised from a distant laboratory with the help of a 'telemonitoring system'. Online feedback computation was based on single-trial analysis and classification of specific band power features of the spontaneous EEG. Task-related changes in brain oscillations over the course of training steps was investigated by quantifying time-frequency maps of event-related (de-)synchronization (ERD/ERS).
RESULTS: The patient learned to 'produce' two distinct EEG patterns, beta band ERD during movement imagery vs. no ERD during relaxing, and to use this for BCI-controlled spelling. Significant learning progress was found as a function of training session, resulting in an average accuracy level of 70% (correct responses) for letter selection. 'Copy spelling' was performed with a rate of approximately one letter per min.
CONCLUSIONS: The proposed BCI training procedure, based on electroencephalogram (EEG) biofeedback and concomitant adaptation of feature extraction and classification, may improve actual levels of communication ability in locked-in patients. 'Telemonitoring-assisted' BCI training facilitates clinical application in a larger number of patients.

Entities:  

Mesh:

Year:  2003        PMID: 12705420     DOI: 10.1016/s1388-2457(02)00387-5

Source DB:  PubMed          Journal:  Clin Neurophysiol        ISSN: 1388-2457            Impact factor:   3.708


  49 in total

Review 1.  Brain-computer interfaces in medicine.

Authors:  Jerry J Shih; Dean J Krusienski; Jonathan R Wolpaw
Journal:  Mayo Clin Proc       Date:  2012-02-10       Impact factor: 7.616

2.  Study of discriminant analysis applied to motor imagery bipolar data.

Authors:  Carmen Vidaurre; Reinhold Scherer; Rafael Cabeza; Alois Schlögl; Gert Pfurtscheller
Journal:  Med Biol Eng Comput       Date:  2006-12-01       Impact factor: 2.602

3.  Describing different brain computer interface systems through a unique model: a UML implementation.

Authors:  Lucia Rita Quitadamo; Maria Grazia Marciani; Gian Carlo Cardarilli; Luigi Bianchi
Journal:  Neuroinformatics       Date:  2008-07-08

4.  Brain-computer interfaces and communication in paralysis: extinction of goal directed thinking in completely paralysed patients?

Authors:  A Kübler; N Birbaumer
Journal:  Clin Neurophysiol       Date:  2008-09-27       Impact factor: 3.708

5.  Identification of task parameters from movement-related cortical potentials.

Authors:  Ying Gu; Omar Feix do Nascimento; Marie-Françoise Lucas; Dario Farina
Journal:  Med Biol Eng Comput       Date:  2009-12       Impact factor: 2.602

6.  Optimized stimulus presentation patterns for an event-related potential EEG-based brain-computer interface.

Authors:  Jing Jin; Brendan Z Allison; Eric W Sellers; Clemens Brunner; Petar Horki; Xingyu Wang; Christa Neuper
Journal:  Med Biol Eng Comput       Date:  2010-10-02       Impact factor: 2.602

Review 7.  Guidelines for Feature Matching Assessment of Brain-Computer Interfaces for Augmentative and Alternative Communication.

Authors:  Kevin M Pitt; Jonathan S Brumberg
Journal:  Am J Speech Lang Pathol       Date:  2018-08-06       Impact factor: 2.408

8.  Offline Identification of Imagined Speed of Wrist Movements in Paralyzed ALS Patients from Single-Trial EEG.

Authors:  Ying Gu; Dario Farina; Ander Ramos Murguialday; Kim Dremstrup; Pedro Montoya; Niels Birbaumer
Journal:  Front Neurosci       Date:  2009-08-10       Impact factor: 4.677

9.  P300-Based Brain-Computer Interface Communication: Evaluation and Follow-up in Amyotrophic Lateral Sclerosis.

Authors:  Stefano Silvoni; Chiara Volpato; Marianna Cavinato; Mauro Marchetti; Konstantinos Priftis; Antonio Merico; Paolo Tonin; Konstantinos Koutsikos; Fabrizio Beverina; Francesco Piccione
Journal:  Front Neurosci       Date:  2009-06-19       Impact factor: 4.677

10.  Temporal coding of brain patterns for direct limb control in humans.

Authors:  Gernot R Müller-Putz; Reinhold Scherer; Gert Pfurtscheller; Christa Neuper
Journal:  Front Neurosci       Date:  2010-06-18       Impact factor: 4.677

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