Feasibility of task-specific brain-machine interface training for upper-extremity paralysis in patients with chronic hemiparetic stroke.

Abstract:

OBJECTIVE:Brain-machine interface training was developed for upper-extremity rehabilitation for patients with severe hemiparesis. Its clinical application, however, has been limited because of its lack of feasibility in real-world rehabilitation settings. We developed a new compact task-specific brain-machine interface system that enables task-specific training, including reach-and-grasp tasks, and studied its clinical feasibility and effectiveness for upper-extremity motor paralysis in patients with stroke. DESIGN:Prospective beforeâ€"after study. SUBJECTS:Twenty-six patients with severe chronic hemiparetic stroke. METHODS:Participants were trained with the brain-machine interface system to pick up and release pegs during 40-min sessions and 40 min of standard occupational therapy per day for 10 days. Fugl-Meyer upper-extremity motor (FMA) and Motor Activity Log-14 amount of use (MAL-AOU) scores were assessed before and after the intervention. To test its feasibility, 4 occupational therapists who operated the system for the first time assessed it with the Quebec User Evaluation of Satisfaction with assistive Technology (QUEST) 2.0. RESULTS:FMA and MAL-AOU scores improved significantly after brain-machine interface training, with the effect sizes being medium and large, respectively (p<0.01, d=0.55; p<0.01, d=0.88). QUEST effectiveness and safety scores showed feasibility and satisfaction in the clinical setting. CONCLUSION:Our newly developed compact brain-machine interface system is feasible for use in real-world clinical settings.

journal_name

J Rehabil Med

authors

Nishimoto A,Kawakami M,Fujiwara T,Hiramoto M,Honaga K,Abe K,Mizuno K,Ushiba J,Liu M

doi

10.2340/16501977-2275

subject

Has Abstract

pub_date

2018-01-10 00:00:00

pages

52-58

issue

1

eissn

1650-1977

issn

1651-2081

journal_volume

50

pub_type

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