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Combination of brain-computer interface training and goal-directed physical therapy in chronic stroke: a case report.
- Source :
-
Neurorehabilitation and neural repair [Neurorehabil Neural Repair] 2010 Sep; Vol. 24 (7), pp. 674-9. Date of Electronic Publication: 2010 Jun 02. - Publication Year :
- 2010
-
Abstract
- Background: There is no accepted and efficient rehabilitation strategy to reduce focal impairments for patients with chronic stroke who lack residual movements.<br />Methods: A 67-year-old hemiplegic patient with no active finger extension was trained with a brain-computer interface (BCI) combined with a specific daily life-oriented physiotherapy. The BCI used electrical brain activity (EEG) and magnetic brain activity (MEG) to drive an orthosis and a robot affixed to the patient's affected upper extremity, which enabled him to move the paralyzed arm and hand driven by voluntary modulation of micro-rhythm activity. In addition, the patient practiced goal-directed physiotherapy training. Over 1 year, he completed 3 training blocks. Arm motor function, gait capacities (using Fugl-Meyer Assessment, Wolf Motor Function Test, Modified Ashworth Scale, 10-m walk speed, and goal attainment score), and brain reorganization (functional MRI, MEG) were repeatedly assessed.<br />Results: The ability of hand and arm movements as well as speed and safety of gait improved significantly (mean 46.6%). Improvement of motor function was associated with increased micro-oscillations in the ipsilesional motor cortex.<br />Conclusion: This proof-of-principle study suggests that the combination of BCI training with goal-directed, active physical therapy may improve the motor abilities of chronic stroke patients despite apparent initial paralysis.
- Subjects :
- Aged
Chronic Disease
Hemiplegia physiopathology
Humans
Male
Physical Therapy Modalities instrumentation
Robotics instrumentation
Robotics trends
Stroke physiopathology
Computers trends
Hemiplegia rehabilitation
Physical Therapy Modalities trends
Robotics methods
Stroke Rehabilitation
User-Computer Interface
Subjects
Details
- Language :
- English
- ISSN :
- 1552-6844
- Volume :
- 24
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Neurorehabilitation and neural repair
- Publication Type :
- Academic Journal
- Accession number :
- 20519741
- Full Text :
- https://doi.org/10.1177/1545968310368683