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Challenges in clinical applications of brain computer interfaces in individuals with spinal cord injury

Brain computer interfaces (BCIs) are devices that measure brain activities and translate them into control signals used for a variety of applications. Among them are systems for communication, environmental control, neuroprostheses, exoskeletons, or restorative therapies. Over the last years the tec...

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Detalles Bibliográficos
Autor principal: Rupp, Rüdiger
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4174119/
https://www.ncbi.nlm.nih.gov/pubmed/25309420
http://dx.doi.org/10.3389/fneng.2014.00038
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author Rupp, Rüdiger
author_facet Rupp, Rüdiger
author_sort Rupp, Rüdiger
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description Brain computer interfaces (BCIs) are devices that measure brain activities and translate them into control signals used for a variety of applications. Among them are systems for communication, environmental control, neuroprostheses, exoskeletons, or restorative therapies. Over the last years the technology of BCIs has reached a level of matureness allowing them to be used not only in research experiments supervised by scientists, but also in clinical routine with patients with neurological impairments supervised by clinical personnel or caregivers. However, clinicians and patients face many challenges in the application of BCIs. This particularly applies to high spinal cord injured patients, in whom artificial ventilation, autonomic dysfunctions, neuropathic pain, or the inability to achieve a sufficient level of control during a short-term training may limit the successful use of a BCI. Additionally, spasmolytic medication and the acute stress reaction with associated episodes of depression may have a negative influence on the modulation of brain waves and therefore the ability to concentrate over an extended period of time. Although BCIs seem to be a promising assistive technology for individuals with high spinal cord injury systematic investigations are highly needed to obtain realistic estimates of the percentage of users that for any reason may not be able to operate a BCI in a clinical setting.
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spelling pubmed-41741192014-10-10 Challenges in clinical applications of brain computer interfaces in individuals with spinal cord injury Rupp, Rüdiger Front Neuroeng Neuroscience Brain computer interfaces (BCIs) are devices that measure brain activities and translate them into control signals used for a variety of applications. Among them are systems for communication, environmental control, neuroprostheses, exoskeletons, or restorative therapies. Over the last years the technology of BCIs has reached a level of matureness allowing them to be used not only in research experiments supervised by scientists, but also in clinical routine with patients with neurological impairments supervised by clinical personnel or caregivers. However, clinicians and patients face many challenges in the application of BCIs. This particularly applies to high spinal cord injured patients, in whom artificial ventilation, autonomic dysfunctions, neuropathic pain, or the inability to achieve a sufficient level of control during a short-term training may limit the successful use of a BCI. Additionally, spasmolytic medication and the acute stress reaction with associated episodes of depression may have a negative influence on the modulation of brain waves and therefore the ability to concentrate over an extended period of time. Although BCIs seem to be a promising assistive technology for individuals with high spinal cord injury systematic investigations are highly needed to obtain realistic estimates of the percentage of users that for any reason may not be able to operate a BCI in a clinical setting. Frontiers Media S.A. 2014-09-24 /pmc/articles/PMC4174119/ /pubmed/25309420 http://dx.doi.org/10.3389/fneng.2014.00038 Text en Copyright © 2014 Rupp. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neuroscience
Rupp, Rüdiger
Challenges in clinical applications of brain computer interfaces in individuals with spinal cord injury
title Challenges in clinical applications of brain computer interfaces in individuals with spinal cord injury
title_full Challenges in clinical applications of brain computer interfaces in individuals with spinal cord injury
title_fullStr Challenges in clinical applications of brain computer interfaces in individuals with spinal cord injury
title_full_unstemmed Challenges in clinical applications of brain computer interfaces in individuals with spinal cord injury
title_short Challenges in clinical applications of brain computer interfaces in individuals with spinal cord injury
title_sort challenges in clinical applications of brain computer interfaces in individuals with spinal cord injury
topic Neuroscience
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4174119/
https://www.ncbi.nlm.nih.gov/pubmed/25309420
http://dx.doi.org/10.3389/fneng.2014.00038
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