02156nas a2200337 4500008004100000022001400041245008300055210006900138260001200207300000700219490000700226520120000233653001001433653002001443653001101463653002401474653001701498653001301515653002301528653002401551653002801575653001301603653004101616653002801657100001901685700001901704700001801723700001601741700001301757856004801770 2009 eng d a1092-068400aEvolution of brain-computer interfaces: going beyond classic motor physiology.0 aEvolution of braincomputer interfaces going beyond classic motor c07/2009 aE40 v273 a

The notion that a computer can decode brain signals to infer the intentions of a human and then enact those intentions directly through a machine is becoming a realistic technical possibility. These types of devices are known as brain-computer interfaces (BCIs). The evolution of these neuroprosthetic technologies could have significant implications for patients with motor disabilities by enhancing their ability to interact and communicate with their environment. The cortical physiology most investigated and used for device control has been brain signals from the primary motor cortex. To date, this classic motor physiology has been an effective substrate for demonstrating the potential efficacy of BCI-based control. However, emerging research now stands to further enhance our understanding of the cortical physiology underpinning human intent and provide further signals for more complex brain-derived control. In this review, the authors report the current status of BCIs and detail the emerging research trends that stand to augment clinical applications in the future.

10aBrain10aCerebral Cortex10aHumans10aMan-Machine Systems10aMotor Cortex10aMovement10aMovement Disorders10aNeuronal Plasticity10aProstheses and Implants10aResearch10aSignal Processing, Computer-Assisted10aUser-Computer Interface1 aLeuthardt, E C1 aSchalk, Gerwin1 aRoland, Jarod1 aRouse, Adam1 aMoran, D uhttp://www.ncbi.nlm.nih.gov/pubmed/1956989201030nas a2200325 4500008004100000022001400041245010300055210006900158260001200227300001200239490000700251653002000258653002600278653002700304653002500331653002200356653002200378653002300400653001200423653002800435653002800463100002000491700001900511700002200530700002200552700002500574700002200599700001900621856006400640 2008 eng d a1529-240100aAdvanced neurotechnologies for chronic neural interfaces: new horizons and clinical opportunities.0 aAdvanced neurotechnologies for chronic neural interfaces new hor c11/2008 a11830-80 v2810aCerebral Cortex10aElectrodes, Implanted10aElectroencephalography10aElectronics, Medical10aElectrophysiology10aEvoked Potentials10aMovement Disorders10aNeurons10aProstheses and Implants10aUser-Computer Interface1 aKipke, Daryl, R1 aShain, William1 aBuzsáki, György1 aFetz, Eberhard, E1 aHenderson, Jaimie, M1 aHetke, Jamille, F1 aSchalk, Gerwin uhttp://www.ncbi.nlm.nih.gov/pubmed/19005048?report=abstract04251nas a2200505 4500008004100000022001400041245009900055210006900154260001200223300001200235490000700247520283600254653003103090653001503121653001003136653001003146653001003156653002703166653002903193653001103222653001103233653001303244653000903257653001603266653001703282653003303299653001903332653002803351653001303379653002203392653001303414653004303427653002803470653001303498100001603511700002203527700001803549700002103567700001903588700002103607700002203628700002703650700002003677856004803697 2008 eng d a0361-923000aNon-invasive brain-computer interface system: towards its application as assistive technology.0 aNoninvasive braincomputer interface system towards its applicati c04/2008 a796-8030 v753 a

The quality of life of people suffering from severe motor disabilities can benefit from the use of current assistive technology capable of ameliorating communication, house-environment management and mobility, according to the user's residual motor abilities. Brain-computer interfaces (BCIs) are systems that can translate brain activity into signals that control external devices. Thus they can represent the only technology for severely paralyzed patients to increase or maintain their communication and control options. Here we report on a pilot study in which a system was implemented and validated to allow disabled persons to improve or recover their mobility (directly or by emulation) and communication within the surrounding environment. The system is based on a software controller that offers to the user a communication interface that is matched with the individual's residual motor abilities. Patients (n=14) with severe motor disabilities due to progressive neurodegenerative disorders were trained to use the system prototype under a rehabilitation program carried out in a house-like furnished space. All users utilized regular assistive control options (e.g., microswitches or head trackers). In addition, four subjects learned to operate the system by means of a non-invasive EEG-based BCI. This system was controlled by the subjects' voluntary modulations of EEG sensorimotor rhythms recorded on the scalp; this skill was learnt even though the subjects have not had control over their limbs for a long time. We conclude that such a prototype system, which integrates several different assistive technologies including a BCI system, can potentially facilitate the translation from pre-clinical demonstrations to a clinical useful BCI.

10aActivities of Daily Living10aAdolescent10aAdult10aBrain10aChild10aElectroencephalography10aEvoked Potentials, Motor10aFemale10aHumans10aLearning10aMale10aMiddle Aged10aMotor Skills10aMuscular Dystrophy, Duchenne10aPilot Projects10aProstheses and Implants10aRobotics10aSelf-Help Devices10aSoftware10aSpinal Muscular Atrophies of Childhood10aUser-Computer Interface10aVolition1 aCincotti, F1 aMattia, Donatella1 aAloise, Fabio1 aBufalari, Simona1 aSchalk, Gerwin1 aOriolo, Giuseppe1 aCherubini, Andrea1 aMarciani, Maria Grazia1 aBabiloni, Fabio uhttp://www.ncbi.nlm.nih.gov/pubmed/1839452603287nas a2200265 4500008004100000022001400041245007900055210006900134260001200203300002600215490000700241520252600248653001002774653001102784653002402795653001302819653001702832653002802849653002802877100001902905700001902924700001302943700001702956856004802973 2006 eng d a1524-404000aThe emerging world of motor neuroprosthetics: a neurosurgical perspective.0 aemerging world of motor neuroprosthetics a neurosurgical perspec c07/2006 a1-14; discussion 1-140 v593 a

A MOTOR NEUROPROSTHETIC device, or brain computer interface, is a machine that can take some type of signal from the brain and convert that information into overt device control such that it reflects the intentions of the user's brain. In essence, these constructs can decode the electrophysiological signals representing motor intent. With the parallel evolution of neuroscience, engineering, and rapid computing, the era of clinical neuroprosthetics is approaching as a practical reality for people with severe motor impairment. Patients with such diseases as spinal cord injury, stroke, limb loss, and neuromuscular disorders may benefit through the implantation of these brain computer interfaces that serve to augment their ability to communicate and interact with their environment. In the upcoming years, it will be important for the neurosurgeon to understand what a brain computer interface is, its fundamental principle of operation, and what the salient surgical issues are when considering implantation. We review the current state of the field of motor neuroprosthetics research, the early clinical applications, and the essential considerations from a neurosurgical perspective for the future.

10aBrain10aHumans10aMan-Machine Systems10aMovement10aNeurosurgery10aProstheses and Implants10aUser-Computer Interface1 aLeuthardt, E C1 aSchalk, Gerwin1 aMoran, D1 aOjemann, J G uhttp://www.ncbi.nlm.nih.gov/pubmed/1682329402332nas a2200457 4500008004100000022001400041245009000055210006900145260001200214300001100226490000700237520103300244653000901277653003401286653002701320653002901347653003701376653001101413653001101424653001601435653000901451653001601460653001701476653001301493653001401506653002301520653002801543653002501571653002201596653002801618100001501646700001501661700002301676700002401699700001601723700001901739700002601758700002101784700002101805856004801826 2005 eng d a1526-632X00aPatients with ALS can use sensorimotor rhythms to operate a brain-computer interface.0 aPatients with ALS can use sensorimotor rhythms to operate a brai c05/2005 a1775-70 v643 a

People with severe motor disabilities can maintain an acceptable quality of life if they can communicate. Brain-computer interfaces (BCIs), which do not depend on muscle control, can provide communication. Four people severely disabled by ALS learned to operate a BCI with EEG rhythms recorded over sensorimotor cortex. These results suggest that a sensorimotor rhythm-based BCI could help maintain quality of life for people with ALS.

10aAged10aAmyotrophic Lateral Sclerosis10aElectroencephalography10aEvoked Potentials, Motor10aEvoked Potentials, Somatosensory10aFemale10aHumans10aImagination10aMale10aMiddle Aged10aMotor Cortex10aMovement10aParalysis10aPhotic Stimulation10aProstheses and Implants10aSomatosensory Cortex10aTreatment Outcome10aUser-Computer Interface1 aKübler, A1 aNijboer, F1 aMellinger, Jürgen1 aVaughan, Theresa, M1 aPawelzik, H1 aSchalk, Gerwin1 aMcFarland, Dennis, J.1 aBirbaumer, Niels1 aWolpaw, Jonathan uhttp://www.ncbi.nlm.nih.gov/pubmed/15911809