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2019 | OriginalPaper | Buchkapitel

Feasibility of Brain-Computer Interface Triggered Functional Electrical Stimulation and Avatar for Motor Improvement in Chronic Stroke Patients

verfasst von : Woosang Cho, Alexander Heilinger, Rupert Ortner, Nensi Murovec, Ren Xu, Manuela Zehetner, Johannes Gruenwald, Stefan Schobesberger, Armin Schnuerer, Christoph Guger

Erschienen in: Converging Clinical and Engineering Research on Neurorehabilitation III

Verlag: Springer International Publishing

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Abstract

We present the feasibility of a complete rehabilitation system based on brain computer interface (BCI) triggered functional electrical stimulation (FES) and avatar mirroring to improve the function of the paretic limbs. The system was tested on two chronic stroke patients with 25 BCI training sessions over 13 weeks. The Upper-Extremity Fugl-Meyer Assessment (FMA-UE) and the Modified Ashworth Scale (MAS) were improved in both patients, however, one patient showed more improvement than the other, for whom the longer time since the stroke (31 years vs. 4 years), no residual motor function in the paretic wrist, and poor BCI performance may have limited recovery. Randomized controlled studies are necessary to show the effectiveness of the BCI-FES-avatar system with a larger sample size and matched parameters between test and control groups.

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Literatur
1.
Zurück zum Zitat Ang, K.K., Guan, C., Phua, K.S., Wang, C., Zhou, L., Tang, K.Y., Ephraim Joseph, G.J., Kuah, C.W.K., Chua, K.S.G.: Brain-computer interface-based robotic end effector system for wrist and hand rehabilitation: results of a three-armed randomized controlled trial for chronic stroke. Front. Neuroeng. 7, 30 (2014)CrossRef Ang, K.K., Guan, C., Phua, K.S., Wang, C., Zhou, L., Tang, K.Y., Ephraim Joseph, G.J., Kuah, C.W.K., Chua, K.S.G.: Brain-computer interface-based robotic end effector system for wrist and hand rehabilitation: results of a three-armed randomized controlled trial for chronic stroke. Front. Neuroeng. 7, 30 (2014)CrossRef
2.
Zurück zum Zitat Ono, T., Shindo, K., Kawashima, K., Ota, N., Ito, M., Ota, T., Mukaino, M., Fujiwara, T., Kimura, A., Liu, M., Ushiba, J.: Brain-computer interface with somatosensory feedback improves functional recovery from severe hemiplegia due to chronic stroke. Front. Neuroeng. 7(July), 19 (2014) Ono, T., Shindo, K., Kawashima, K., Ota, N., Ito, M., Ota, T., Mukaino, M., Fujiwara, T., Kimura, A., Liu, M., Ushiba, J.: Brain-computer interface with somatosensory feedback improves functional recovery from severe hemiplegia due to chronic stroke. Front. Neuroeng. 7(July), 19 (2014)
3.
Zurück zum Zitat Cauraugh, J., Light, K., Kim, S., Thigpen, M., Behrman, A.: Chronic motor dysfunction after stroke : recovering wrist and finger extension by electromyography-triggered neuromuscular stimulation. Stroke 31, 1360–1364 (2000)CrossRef Cauraugh, J., Light, K., Kim, S., Thigpen, M., Behrman, A.: Chronic motor dysfunction after stroke : recovering wrist and finger extension by electromyography-triggered neuromuscular stimulation. Stroke 31, 1360–1364 (2000)CrossRef
4.
Zurück zum Zitat Sabut, S.K., Sikdar, C., Kumar, R., Mahadevappa, M.: Functional electrical stimulation of dorsiflexor muscle: Effects on dorsiflexor strength, plantarflexor spasticity, and motor recovery in stroke patients. NeuroRehabilitation 29(4), 393–400 (2011) Sabut, S.K., Sikdar, C., Kumar, R., Mahadevappa, M.: Functional electrical stimulation of dorsiflexor muscle: Effects on dorsiflexor strength, plantarflexor spasticity, and motor recovery in stroke patients. NeuroRehabilitation 29(4), 393–400 (2011)
5.
Zurück zum Zitat Irimia, D.C., Cho, W., Ortner, R., Allison, B.Z., Ignat, B.E., Edlinger, G., Guger, C.: Brain-computer interfaces with multi-sensory feedback for stroke rehabilitation: a case study. Artif. Organs. 41(11), E178–E184 (2017)CrossRef Irimia, D.C., Cho, W., Ortner, R., Allison, B.Z., Ignat, B.E., Edlinger, G., Guger, C.: Brain-computer interfaces with multi-sensory feedback for stroke rehabilitation: a case study. Artif. Organs. 41(11), E178–E184 (2017)CrossRef
6.
Zurück zum Zitat Page, S.J., Fulk, G.D., Boyne, P.: Clinically important differences for the upper-extremity fugl-meyer scale in people with minimal to moderate impairment due to chronic stroke. Phys. Ther. 92(6), 791–798 (2012)CrossRef Page, S.J., Fulk, G.D., Boyne, P.: Clinically important differences for the upper-extremity fugl-meyer scale in people with minimal to moderate impairment due to chronic stroke. Phys. Ther. 92(6), 791–798 (2012)CrossRef
Metadaten
Titel
Feasibility of Brain-Computer Interface Triggered Functional Electrical Stimulation and Avatar for Motor Improvement in Chronic Stroke Patients
verfasst von
Woosang Cho
Alexander Heilinger
Rupert Ortner
Nensi Murovec
Ren Xu
Manuela Zehetner
Johannes Gruenwald
Stefan Schobesberger
Armin Schnuerer
Christoph Guger
Copyright-Jahr
2019
DOI
https://doi.org/10.1007/978-3-030-01845-0_219

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