Towards a user-friendly brain-computer interface: Initial tests in ALS and PLS patients

被引：55

作者：

Bai, Ou ^{[1
,3
]}

Lin, Peter ^{[2
]}

Huang, Dandan ^{[1
]}

Fei, Ding-Yu ^{[1
]}

Floeter, Mary Kay ^{[4
]}

机构：

[1] Virginia Commonwealth Univ, Dept Biomed Engn, EEG & BCI Lab, Richmond, VA 23284 USA

[2] Santa Clara Valley Med Ctr, Dept Neurol, San Jose, CA 95128 USA

[3] NINDS, Human Motor Control Sect, Med Neurol Branch, NIH, Bethesda, MD 20892 USA

[4] NINDS, EMG Sect, NIH, Bethesda, MD 20892 USA

来源：

CLINICAL NEUROPHYSIOLOGY | 2010年 / 121卷 / 08期

关键词：

EEG; Brain-computer interface (BCI); Event-related desynchronization (ERD); Event-related synchronization (ERS); User-friendly; Amyotrophic lateral sclerosis (ALS); Primary lateral sclerosis (PLS); Motor control; AMYOTROPHIC-LATERAL-SCLEROSIS; MOVEMENT BETA-SYNCHRONIZATION; THOUGHT TRANSLATION DEVICE; SUPPORT VECTOR MACHINES; QUALITY-OF-LIFE; MOTOR IMAGERY; PARALYZED PATIENTS; MENTAL PRACTICE; RATING-SCALE; EEG;

D O I：

10.1016/j.clinph.2010.02.157

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Objective: Patients usually require long-term training for effective EEG-based brain-computer interface (BCI) control due to fatigue caused by the demands for focused attention during prolonged BCI operation. We intended to develop a user-friendly BCI requiring minimal training and less mental load. Methods: Testing of BCI performance was investigated in three patients with amyotrophic lateral sclerosis (ALS) and three patients with primary lateral sclerosis (PLS), who had no previous BCI experience. All patients performed binary control of cursor movement. One ALS patient and one PLS patient performed four-directional cursor control in a two-dimensional domain under a BCI paradigm associated with human natural motor behavior using motor execution and motor imagery. Subjects practiced for 510 min and then participated in a multi-session study of either binary control or four-directional control including online BCI game over 1.5-2 h in a single visit. Results: Event-related desynchronization and event-related synchronization in the beta band were observed in all patients during the production of voluntary movement either by motor execution or motor imagery. The online binary control of cursor movement was achieved with an average accuracy about 82.1 +/- 8.2% with motor execution and about 80% with motor imagery, whereas offline accuracy was achieved with 91.4 +/- 3.4% with motor execution and 83.3 +/- 8.9% with motor imagery after optimization. In addition, four-directional cursor control was achieved with an accuracy of 50-60% with motor execution and motor imagery. Conclusion: Patients with ALS or PLS may achieve BCI control without extended training, and fatigue might be reduced during operation of a BCI associated with human natural motor behavior. Significance: The development of a user-friendly BCI will promote practical BCI applications in paralyzed patients. (C) 2010 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved.

引用

页码：1293 / 1303

页数：11

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