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1.
HardwareX ; 20: e00584, 2024 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-39314536

RESUMEN

Automated remote sensing has revolutionized the fields of wildlife ecology and environmental science. Yet, a cost-effective and flexible approach for large scale monitoring has not been fully developed, resulting in a limited collection of high-resolution data. Here, we describe BioSense, a low-cost and fully programmable automated sensing platform for applications in bioacoustics and environmental studies. Our design offers customization and flexibility to address a broad array of research goals and field conditions. Each BioSense is programmed through an integrated Raspberry Pi computer board and designed to collect and analyze avian vocalizations while simultaneously collecting temperature, humidity, and soil moisture data. We illustrate the different steps involved in manufacturing this sensor including hardware and software design and present the results of our laboratory and field testing in southwestern United States.

2.
PeerJ ; 12: e17854, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39329137

RESUMEN

Background: Bioacoustic monitoring is an effective and minimally invasive method to study wildlife ecology. However, even the state-of-the-art techniques for analyzing birdsongs decrease in accuracy in the presence of extraneous signals such as anthropogenic noise and vocalizations of non-target species. Deep supervised source separation (DSSS) algorithms have been shown to effectively separate mixtures of animal vocalizations. However, in practice, recording sites also have site-specific variations and unique background audio that need to be removed, warranting the need for site-specific data. Methods: Here, we test the potential of training DSSS models on site-specific bird vocalizations and background audio. We used a semiautomated workflow using deep supervised classification and statistical cleaning to label and generate a site-specific source separation dataset by mixing birdsongs and background audio segments. Then, we trained a deep supervised source separation (DSSS) model with this generated dataset. Because most data is passively-recorded and consequently noisy, the true isolated birdsongs are unavailable which makes evaluation challenging. Therefore, in addition to using traditional source separation (SS) metrics, we also show the effectiveness of our site-specific approach using metrics commonly used in ornithological analyses such as automated feature labeling and species-specific trilateration accuracy. Results: Our approach of training on site-specific data boosts the source-to-distortion, source-to-interference, and source-to-artifact ratios (SDR, SIR, and SAR) by 9.33 dB, 24.07 dB, and 3.60 dB respectively. We also find our approach allows for automated feature labeling with single-digit mean absolute percent error and birdsong trilateration accuracy with a mean simulated trilateration error of 2.58 m. Conclusion: Overall, we show that site-specific DSSS is a promising upstream solution for wildlife audio analysis tools that break down in the presence of background noise. By training on site-specific data, our method is robust to unique, site-specific interference that caused previous methods to fail.


Asunto(s)
Acústica , Vocalización Animal , Animales , Vocalización Animal/fisiología , Especificidad de la Especie , Aves/fisiología , Algoritmos , Animales Salvajes
3.
IEEE Trans Biomed Eng ; PP2024 Aug 09.
Artículo en Inglés | MEDLINE | ID: mdl-39120991

RESUMEN

In steady-state visual evoked potential (SSVEP)based brain-computer interfaces (BCIs), various spatial filtering methods based on individual calibration data have been proposed to alleviate the interference of spontaneous activities in SSVEP signals for enhancing the SSVEP detection performance. However, the necessary calibration procedures take time, cause visual fatigue and reduce usability. For the calibration-free scenario, we propose a cross-subject frequency identification method based on transfer superimposed theory for SSVEP frequency decoding. First, a multi-channel signal decomposition model was constructed. Next, we used the cross least squares iterative method to create individual specific transfer spatial filters as well as source subject transfer superposition templates in the source subject. Then, we identified common knowledge among source subjects using a prototype spatial filter to make common transfer spatial filters and common impulse responses. Following, we reconstructed a global transfer superimposition template with SSVEP frequency characteristics. Finally, an ensemble cross-subject transfer learning method was proposed for SSVEP frequency recognition by combining the sourcesubject transfer mode, the global transfer mode, and the sinecosine reference template. Offline tests on two public datasets show that the proposed method significantly outperforms the FBCCA, TTCCA, and CSSFT methods. More importantly, the proposed method can be directly used in online SSVEP recognition without calibration. The proposed algorithm was robust, which is important for a practical BCI.

4.
Front Neurosci ; 17: 1256077, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37920297

RESUMEN

The use of Brain-Computer Interfaces (BCI) as rehabilitation tools for chronically ill neurological patients has become more widespread. BCIs combined with other techniques allow the user to restore neurological function by inducing neuroplasticity through real-time detection of motor-imagery (MI) as patients perform therapy tasks. Twenty-five stroke patients with gait disability were recruited for this study. Participants performed 25 sessions with the MI-BCI and assessment visits to track functional changes during the therapy. The results of this study demonstrated a clinically significant increase in walking speed of 0.19 m/s, 95%CI [0.13-0.25], p < 0.001. Patients also reduced spasticity and improved their range of motion and muscle contraction. The BCI treatment was effective in promoting long-lasting functional improvements in the gait speed of chronic stroke survivors. Patients have more movements in the lower limb; therefore, they can walk better and safer. This functional improvement can be explained by improved neuroplasticity in the central nervous system.

6.
Front Neurosci ; 16: 959339, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36033632

RESUMEN

Objective: Clinical assessment of consciousness relies on behavioural assessments, which have several limitations. Hence, disorder of consciousness (DOC) patients are often misdiagnosed. In this work, we aimed to compare the repetitive assessment of consciousness performed with a clinical behavioural and a Brain-Computer Interface (BCI) approach. Materials and methods: For 7 weeks, sixteen DOC patients participated in weekly evaluations using both the Coma Recovery Scale-Revised (CRS-R) and a vibrotactile P300 BCI paradigm. To use the BCI, patients had to perform an active mental task that required detecting specific stimuli while ignoring other stimuli. We analysed the reliability and the efficacy in the detection of command following resulting from the two methodologies. Results: Over repetitive administrations, the BCI paradigm detected command following before the CRS-R in seven patients. Four clinically unresponsive patients consistently showed command following during the BCI assessments. Conclusion: Brain-Computer Interface active paradigms might contribute to the evaluation of the level of consciousness, increasing the diagnostic precision of the clinical bedside approach. Significance: The integration of different diagnostic methods leads to a better knowledge and care for the DOC.

7.
J Clin Neurophysiol ; 39(1): 32-39, 2022 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-34474428

RESUMEN

SUMMARY: Disorders of consciousness include coma, unresponsive wakefulness syndrome (also known as vegetative state), and minimally conscious state. Neurobehavioral scales such as coma recovery scale-revised are the gold standard for disorder of consciousness assessment. Brain-computer interfaces have been emerging as an alternative tool for these patients. The application of brain-computer interfaces in disorders of consciousness can be divided into four fields: assessment, communication, prediction, and rehabilitation. The operational theoretical model of consciousness that brain-computer interfaces explore was reviewed in this article, with a focus on studies with acute and subacute patients. We then proposed a clinically friendly guideline, which could contribute to the implementation of brain-computer interfaces in neurorehabilitation settings. Finally, we discussed limitations and future directions, including major challenges and possible solutions.


Asunto(s)
Interfaces Cerebro-Computador , Estado de Conciencia , Coma , Trastornos de la Conciencia , Humanos , Estado Vegetativo Persistente
8.
Artículo en Inglés | MEDLINE | ID: mdl-36908334

RESUMEN

The Eighth International Brain-Computer Interface (BCI) Meeting was held June 7-9th, 2021 in a virtual format. The conference continued the BCI Meeting series' interactive nature with 21 workshops covering topics in BCI (also called brain-machine interface) research. As in the past, workshops covered the breadth of topics in BCI. Some workshops provided detailed examinations of specific methods, hardware, or processes. Others focused on specific BCI applications or user groups. Several workshops continued consensus building efforts designed to create BCI standards and increase the ease of comparisons between studies and the potential for meta-analysis and large multi-site clinical trials. Ethical and translational considerations were both the primary topic for some workshops or an important secondary consideration for others. The range of BCI applications continues to expand, with more workshops focusing on approaches that can extend beyond the needs of those with physical impairments. This paper summarizes each workshop, provides background information and references for further study, presents an overview of the discussion topics, and describes the conclusion, challenges, or initiatives that resulted from the interactions and discussion at the workshop.

9.
Front Neurosci ; 14: 591435, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33192277

RESUMEN

INTRODUCTION: Numerous recent publications have explored Brain Computer Interfaces (BCI) systems as rehabilitation tools to help subacute and chronic stroke patients recover upper extremity movement. Recent work has shown that BCI therapy can lead to better outcomes than conventional therapy. BCI combined with other techniques such as Functional Electrical Stimulation (FES) and Virtual Reality (VR) allows to the user restore the neurological function by inducing the neural plasticity through improved real-time detection of motor imagery (MI) as patients perform therapy tasks. METHODS: Fifty-one stroke patients with upper extremity hemiparesis were recruited for this study. All participants performed 25 sessions with the MI BCI and assessment visits to track the functional changes before and after the therapy. RESULTS: The results of this study demonstrated a significant increase in the motor function of the paretic arm assessed by Fugl-Meyer Assessment (FMA-UE), ΔFMA-UE = 4.68 points, P < 0.001, reduction of the spasticity in the wrist and fingers assessed by Modified Ashworth Scale (MAS), ΔMAS-wrist = -0.72 points (SD = 0.83), P < 0.001, ΔMAS-fingers = -0.63 points (SD = 0.82), P < 0.001. Other significant improvements in the grasp ability were detected in the healthy hand. All these functional improvements achieved during the BCI therapy persisted 6 months after the therapy ended. Results also showed that patients with Motor Imagery accuracy (MI) above 80% increase 3.16 points more in the FMA than patients below this threshold (95% CI; [1.47-6.62], P = 0.003). The functional improvement was not related with the stroke severity or with the stroke stage. CONCLUSION: The BCI treatment used here was effective in promoting long lasting functional improvements in the upper extremity in stroke survivors with severe, moderate and mild impairment. This functional improvement can be explained by improved neuroplasticity in the central nervous system.

10.
Front Neurosci ; 14: 582, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32733182

RESUMEN

INTRODUCTION: Recent studies explored promising new quantitative methods to analyze electroencephalography (EEG) signals. This paper analyzes the correlation of two EEG parameters, Brain Symmetry Index (BSI) and Laterality Coefficient (LC), with established functional scales for the stroke assessment. METHODS: Thirty-two healthy subjects and thirty-six stroke patients with upper extremity hemiparesis were recruited for this study. The stroke patients where subdivided in three groups according to the stroke location: Cortical, Subcortical, and Cortical + Subcortical. The participants performed assessment visits to record the EEG in the resting state and perform functional tests using rehabilitation scales. Then, stroke patients performed 25 sessions using a motor-imagery based Brain Computer Interface system (BCI). BSI was calculated with the EEG data in resting state and LC was calculated with the Event-Related Synchronization maps. RESULTS: The results of this study demonstrated significant differences in the BSI between the healthy group and Subcortical group (P = 0.001), and also between the healthy and Cortical+Subcortical group (P = 0.019). No significant differences were found between the healthy group and the Cortical group (P = 0.505). Furthermore, the BSI analysis in the healthy group based on gender showed statistical differences (P = 0.027). In the stroke group, the correlation between the BSI and the functional state of the upper extremity assessed by Fugl-Meyer Assessment (FMA) was also significant, ρ = -0.430 and P = 0.046. The correlation between the BSI and the FMA-Lower extremity was not significant (ρ = -0.063, P = 0.852). Similarly, the LC calculated in the alpha band has significative correlation with FMA of upper extremity (ρ = -0.623 and P < 0.001) and FMA of lower extremity (ρ = -0.509 and P = 0.026). Other important significant correlations between LC and functional scales were observed. In addition, the patients showed an improvement in the FMA-upper extremity after the BCI therapy (ΔFMA = 1 median [IQR: 0-8], P = 0.002). CONCLUSION: The quantitative EEG tools used here may help support our understanding of stroke and how the brain changes during rehabilitation therapy. These tools can help identify changes in EEG biomarkers and parameters during therapy that might lead to improved therapy methods and functional prognoses.

11.
Front Neurosci ; 14: 294, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32327970

RESUMEN

Persons diagnosed with disorders of consciousness (DOC) typically suffer from motor and cognitive disabilities. Recent research has shown that non-invasive brain-computer interface (BCI) technology could help assess these patients' cognitive functions and command following abilities. 20 DOC patients participated in the study and performed 10 vibro-tactile P300 BCI sessions over 10 days with 8-12 runs each day. Vibrotactile tactors were placed on the each patient's left and right wrists and one foot. Patients were instructed, via earbuds, to concentrate and silently count vibrotactile pulses on either their left or right wrist that presented a target stimulus and to ignore the others. Changes of the BCI classification accuracy were investigated over the 10 days. In addition, the Coma Recovery Scale-Revised (CRS-R) score was measured before and after the 10 vibro-tactile P300 sessions. In the first run, 10 patients had a classification accuracy above chance level (>12.5%). In the best run, every patient reached an accuracy ≥60%. The grand average accuracy in the first session for all patients was 40%. In the best session, the grand average accuracy was 88% and the median accuracy across all sessions was 21%. The CRS-R scores compared before and after 10 VT3 sessions for all 20 patients, are showing significant improvement (p = 0.024). Twelve of the twenty patients showed an improvement of 1 to 7 points in the CRS-R score after the VT3 BCI sessions (mean: 2.6). Six patients did not show a change of the CRS-R and two patients showed a decline in the score by 1 point. Every patient achieved at least 60% accuracy at least once, which indicates successful command following. This shows the importance of repeated measures when DOC patients are assessed. The improvement of the CRS-R score after the 10 VT3 sessions is an important issue for future experiments to test the possible therapeutic applications of vibro-tactile and related BCIs with a larger patient group.

12.
Psychophysiology ; 57(7): e13569, 2020 07.
Artículo en Inglés | MEDLINE | ID: mdl-32301143

RESUMEN

Brain-computer interfaces (BCIs) directly measure brain activity with no physical movement and translate the neural signals into messages. BCIs that employ the P300 event-related brain potential often have used the visual modality. The end user is presented with flashing stimuli that indicate selections for communication, control, or both. Counting each flash that corresponds to a specific target selection while ignoring other flashes will elicit P300s to only the target selection. P300 BCIs also have been implemented using auditory or tactile stimuli. P300 BCIs have been used with a variety of applications for severely disabled end users in their homes without frequent expert support. P300 BCI research and development has made substantial progress, but challenges remain before these tools can become practical devices for impaired patients and perhaps healthy people.


Asunto(s)
Percepción Auditiva/fisiología , Interfaces Cerebro-Computador , Electroencefalografía , Potenciales Relacionados con Evento P300/fisiología , Percepción del Tacto/fisiología , Percepción Visual/fisiología , Interfaces Cerebro-Computador/historia , Historia del Siglo XX , Historia del Siglo XXI , Humanos
13.
Cogn Neurodyn ; 14(1): 21-33, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-32015765

RESUMEN

Many studies reported that ERP-based BCIs can provide communication for some people with amyotrophic lateral sclerosis (ALS). ERP-based BCIs often present characters within a matrix that occupies the center of the visual field. However, several studies have identified some concerns with the matrix-based approach. This approach may lead to fatigue and errors resulting from flashing adjacent stimuli, and is impractical for users who might want to use the BCI in tandem with other software or feedback in the center of the monitor. In this paper, we introduce and validate an alternate ERP-based BCI display approach. By presenting stimuli near the periphery of the display, we reduce the adjacency problem and leave the center of the display available for feedback or other applications. Two ERP-based display approaches were tested on 18 ALS patients to: (1) compare performance between a conventional matrix speller paradigm (Matrix-P, mean visual angle 6°) and a new speller paradigm with peripherally distributed stimuli (Peripheral-P, mean visual angle 8.8°); and (2) assess performance while spelling 42 characters online continuously, without a break. In the Peripheral-P condition, 12 subjects attained higher than 80% feedback accuracy during online performance, and 7 of these subjects obtained higher than 90% accuracy. The experimental results showed that the Peripheral-P condition yielded performance comparable to the conventional Matrix-P condition (p > 0.05) in accuracy and information transfer rate. This paper introduces a new display approach that leaves the center of the monitor open for feedback and/or other display elements, such as movies, games, art, or displays from other AAC software or conventional software tools.

14.
Artículo en Inglés | MEDLINE | ID: mdl-33033729

RESUMEN

The Seventh International Brain-Computer Interface (BCI) Meeting was held May 21-25th, 2018 at the Asilomar Conference Grounds, Pacific Grove, California, United States. The interactive nature of this conference was embodied by 25 workshops covering topics in BCI (also called brain-machine interface) research. Workshops covered foundational topics such as hardware development and signal analysis algorithms, new and imaginative topics such as BCI for virtual reality and multi-brain BCIs, and translational topics such as clinical applications and ethical assumptions of BCI development. BCI research is expanding in the diversity of applications and populations for whom those applications are being developed. BCI applications are moving toward clinical readiness as researchers struggle with the practical considerations to make sure that BCI translational efforts will be successful. This paper summarizes each workshop, providing an overview of the topic of discussion, references for additional information, and identifying future issues for research and development that resulted from the interactions and discussion at the workshop.

15.
Front Neurosci ; 12: 423, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30008659

RESUMEN

Persons diagnosed with disorders of consciousness (DOC) typically suffer from motor disablities, and thus assessing their spared cognitive abilities can be difficult. Recent research from several groups has shown that non-invasive brain-computer interface (BCI) technology can provide assessments of these patients' cognitive function that can supplement information provided through conventional behavioral assessment methods. In rare cases, BCIs may provide a binary communication mechanism. Here, we present results from a vibrotactile BCI assessment aiming at detecting command-following and communication in 12 unresponsive wakefulness syndrome (UWS) patients. Two different paradigms were administered at least once for every patient: (i) VT2 with two vibro-tactile stimulators fixed on the patient's left and right wrists and (ii) VT3 with three vibro-tactile stimulators fixed on both wrists and on the back. The patients were instructed to mentally count either the stimuli on the left or right wrist, which may elicit a robust P300 for the target wrist only. The EEG data from -100 to +600 ms around each stimulus were extracted and sub-divided into 8 data segments. This data was classified with linear discriminant analysis (using a 10 × 10 cross validation) and used to calibrate a BCI to assess command following and YES/NO communication abilities. The grand average VT2 accuracy across all patients was 38.3%, and the VT3 accuracy was 26.3%. Two patients achieved VT3 accuracy ≥80% and went through communication testing. One of these patients answered 4 out of 5 questions correctly in session 1, whereas the other patient answered 6/10 and 7/10 questions correctly in sessions 2 and 4. In 6 other patients, the VT2 or VT3 accuracy was above the significance threshold of 23% for at least one run, while in 4 patients, the accuracy was always below this threshold. The study highlights the importance of repeating EEG assessments to increase the chance of detecting command-following in patients with severe brain injury. Furthermore, the study shows that BCI technology can test command following in chronic UWS patients and can allow some of these patients to answer YES/NO questions.

16.
Clin Neurophysiol ; 129(6): 1130-1136, 2018 06.
Artículo en Inglés | MEDLINE | ID: mdl-29627716

RESUMEN

OBJECTIVE: To assess somatosensory discrimination and command following using a vibrotactile P300-based Brain-Computer Interface (BCI) in Unresponsive Wakefulness Syndrome (UWS), and investigate the predictive role of this cognitive process on the clinical outcomes. METHODS: Thirteen UWS patients and six healthy controls each participated in two experimental runs in which they were instructed to count vibrotactile stimuli delivered to the left or right wrist. A BCI determined each subject's task performance based on EEG measures. All of the patients were followed up six months after the BCI assessment, and correlations analysis between accuracy rates and clinical outcome were investigated. RESULTS: Four UWS patients demonstrated clear EEG-based indices of task following in one or both paradigms, which did not correlate with clinical factors. The efficacy of somatosensory discrimination strongly correlated (VT2: R = 0.89, p = 0.0000002, VT3: R = 0.81, p = 0.002) with the clinical outcome at 6-months. The BCI system also yielded the expected results with healthy controls. CONCLUSIONS: Neurophysiological correlates of somatosensory discrimination can be detected in clinically unresponsive patients and are associated with recovery of behavioural responsiveness at six months. SIGNIFICANCE: Quantitative measurements of somatosensory discrimination may increase the diagnostic accuracy of persons with DOCs and provide useful prognostic information.


Asunto(s)
Encéfalo/fisiopatología , Trastornos de la Conciencia/fisiopatología , Discriminación en Psicología/fisiología , Potenciales Relacionados con Evento P300/fisiología , Percepción del Tacto/fisiología , Adulto , Anciano , Anciano de 80 o más Años , Interfaces Cerebro-Computador , Electroencefalografía , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pronóstico , Vigilia/fisiología , Adulto Joven
17.
IEEE Trans Neural Syst Rehabil Eng ; 26(2): 487-497, 2018 02.
Artículo en Inglés | MEDLINE | ID: mdl-28727554

RESUMEN

This paper illustrates a new architecture for a human-humanoid interaction based on EEG-brain computer interface (EEG-BCI) for patients affected by locked-in syndrome caused by Amyotrophic Lateral Sclerosis (ALS). The proposed architecture is able to recognise users' mental state accordingly to the biofeedback factor , based on users' attention, intention, and focus, that is used to elicit a robot to perform customised behaviours. Experiments have been conducted with a population of eight subjects: four ALS patients in a near locked-in status with normal ocular movement and four healthy control subjects enrolled for age, education, and computer expertise. The results showed as three ALS patients have completed the task with 96.67% success; the healthy controls with 100% success; the fourth ALS has been excluded from the results for his low general attention during the task; the analysis of factor highlights as ALS subjects have shown stronger (81.20%) than healthy controls (76.77%). Finally, a post-hoc analysis is provided to show how robotic feedback helps in maintaining focus on expected task. These preliminary data suggest that ALS patients could successfully control a humanoid robot through a BCI architecture, potentially enabling them to conduct some everyday tasks and extend their presence in the environment.


Asunto(s)
Esclerosis Amiotrófica Lateral/rehabilitación , Biorretroalimentación Psicológica/métodos , Interfaces Cerebro-Computador , Cuadriplejía/rehabilitación , Adulto , Algoritmos , Atención , Electroencefalografía , Potenciales Relacionados con Evento P300 , Movimientos Oculares , Femenino , Voluntarios Sanos , Humanos , Masculino , Diseño de Prótesis , Desempeño Psicomotor , Robótica
18.
Artif Organs ; 41(11): E178-E184, 2017 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-29148137

RESUMEN

Conventional therapies do not provide paralyzed patients with closed-loop sensorimotor integration for motor rehabilitation. This work presents the recoveriX system, a hardware and software platform that combines a motor imagery (MI)-based brain-computer interface (BCI), functional electrical stimulation (FES), and visual feedback technologies for a complete sensorimotor closed-loop therapy system for poststroke rehabilitation. The proposed system was tested on two chronic stroke patients in a clinical environment. The patients were instructed to imagine the movement of either the left or right hand in random order. During these two MI tasks, two types of feedback were provided: a bar extending to the left or right side of a monitor as visual feedback and passive hand opening stimulated from FES as proprioceptive feedback. Both types of feedback relied on the BCI classification result achieved using common spatial patterns and a linear discriminant analysis classifier. After 10 sessions of recoveriX training, one patient partially regained control of wrist extension in her paretic wrist and the other patient increased the range of middle finger movement by 1 cm. A controlled group study is planned with a new version of the recoveriX system, which will have several improvements.


Asunto(s)
Interfaces Cerebro-Computador , Encéfalo/fisiopatología , Terapia por Estimulación Eléctrica/instrumentación , Retroalimentación Sensorial , Mano/inervación , Actividad Motora , Parálisis/rehabilitación , Rehabilitación de Accidente Cerebrovascular/instrumentación , Accidente Cerebrovascular/terapia , Adulto , Fenómenos Biomecánicos , Ondas Encefálicas , Enfermedad Crónica , Análisis Discriminante , Terapia por Estimulación Eléctrica/métodos , Electroencefalografía , Diseño de Equipo , Femenino , Humanos , Modelos Lineales , Masculino , Persona de Mediana Edad , Parálisis/diagnóstico , Parálisis/fisiopatología , Reconocimiento de Normas Patrones Automatizadas , Recuperación de la Función , Procesamiento de Señales Asistido por Computador , Accidente Cerebrovascular/diagnóstico , Accidente Cerebrovascular/fisiopatología , Rehabilitación de Accidente Cerebrovascular/métodos , Factores de Tiempo , Resultado del Tratamiento
19.
J Vis Exp ; (126)2017 08 01.
Artículo en Inglés | MEDLINE | ID: mdl-28809822

RESUMEN

In this experiment, we demonstrate a suite of hybrid Brain-Computer Interface (BCI)-based paradigms that are designed for two applications: assessing the level of consciousness of people unable to provide motor response and, in a second stage, establishing a communication channel for these people that enables them to answer questions with either 'yes' or 'no'. The suite of paradigms is designed to test basic responses in the first step and to continue to more comprehensive tasks if the first tests are successful. The latter tasks require more cognitive functions, but they could provide communication, which is not possible with the basic tests. All assessment tests produce accuracy plots that show whether the algorithms were able to detect the patient's brain's response to the given tasks. If the accuracy level is beyond the significance level, we assume that the subject understood the task and was able to follow the sequence of commands presented via earphones to the subject. The tasks require users to concentrate on certain stimuli or to imagine moving either the left or right hand. All tasks are designed around the assumption that the user is unable to use the visual modality, and thus, all stimuli presented to the user (including instructions, cues, and feedback) are auditory or tactile.


Asunto(s)
Interfaces Cerebro-Computador , Comunicación , Trastornos de la Conciencia/fisiopatología , Algoritmos , Encéfalo/fisiología , Trastornos de la Conciencia/diagnóstico , Señales (Psicología) , Electroencefalografía , Diseño de Equipo , Mano , Humanos , Imaginación
20.
Front Neurosci ; 11: 251, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-28529473

RESUMEN

Many patients with locked-in syndrome (LIS) or complete locked-in syndrome (CLIS) also need brain-computer interface (BCI) platforms that do not rely on visual stimuli and are easy to use. We investigate command following and communication functions of mindBEAGLE with 9 LIS, 3 CLIS patients and three healthy controls. This tests were done with vibro-tactile stimulation with 2 or 3 stimulators (VT2 and VT3 mode) and with motor imagery (MI) paradigms. In VT2 the stimulators are fixed on the left and right wrist and the participant has the task to count the stimuli on the target hand in order to elicit a P300 response. In VT3 mode an additional stimulator is placed as a distractor on the shoulder and the participant is counting stimuli either on the right or left hand. In motor imagery mode the participant is instructed to imagine left or right hand movement. VT3 and MI also allow the participant to answer yes and no questions. Healthy controls achieved a mean assessment accuracy of 100% in VT2, 93% in VT3, and 73% in MI modes. They were able to communicate with VT3 (86.7%) and MI (83.3%) after 2 training runs. The patients achieved a mean accuracy of 76.6% in VT2, 63.1% in VT3, and 58.2% in MI modes after 1-2 training runs. 9 out of 12 LIS patients could communicate by using the vibro-tactile P300 paradigms (answered on average 8 out of 10 questions correctly) and 3 out of 12 could communicate with the motor imagery paradigm (answered correctly 4,7 out of 5 questions). 2 out of the 3 CLIS patients could use the system to communicate with VT3 (90 and 70% accuracy). The results show that paradigms based on non-visual evoked potentials and motor imagery can be effective for these users. It is also the first study that showed EEG-based BCI communication with CLIS patients and was able to bring 9 out of 12 patients to communicate with higher accuracies than reported before. More importantly this was achieved within less than 15-20 min.

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