Mental imagery for brain-computer interface control and communication in non-responsive individuals.

Abstract:

BACKGROUND:People who survive severe brain damage may eventually develop a prolonged consciousness disorder. Others can regain full consciousness but remain unable to speak or move because of the severity of the lesions, as for those with locked-in syndrome (LIS). Brain-computer interface techniques can be useful to disentangle these states by detecting neurophysiological correlates of conscious processing of information to enable communication with these individuals after the diagnosis. OBJECTIVE:The goal of our study was to evaluate with a user-centered design approach the usability of a mental imagery task to detect signs of voluntary information processing and enabling communication in a group of severely disabled individuals. METHODS:Five individuals with LIS participated in the study. Participants were instructed to imagine hand, arm or feet movements during electroencephalography (EEG) to detect patterns of event-related synchronization/desynchronization associated with each task. After the user-centered design, usability was evaluated (i.e., efficiency, effectiveness and satisfaction). RESULTS:Two participants achieved significant levels of accuracy in 2 different tasks. The associated workload and levels of satisfaction perceived by the users were moderate and were mainly related to the time demand of the task. CONCLUSION:Results showed lack of effectiveness of the task to detect voluntary brain activity and thus detect consciousness or communicate with non-responsive individuals. The application must be modified to be sufficiently satisfying for the intended end-users and suggestions are made in this regard.

journal_name

Ann Phys Rehabil Med

authors

Lugo ZR,Pokorny C,Pellas F,Noirhomme Q,Laureys S,Müller-Putz G,Kübler A

doi

10.1016/j.rehab.2019.02.005

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

21-27

issue

1

eissn

1877-0657

issn

1877-0665

pii

S1877-0657(19)30035-1

journal_volume

63

pub_type

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