Brain-computer communication:: Self-regulation of slow cortical potentials for verbal communication
Brain-computer communication:: Self-regulation of slow cortical potentials for verbal communication
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DOI:
10.1053/apmr.2001.26621
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发表时间:
2001-11-01
影响因子:
4.3
通讯作者:
Birbaumer, NP
中科院分区:
文献类型:
--
作者:
K端bler, A;Neumann, N;Birbaumer, NP
Objective: To test a training procedure designed to enable severely paralyzed patients to communicate by means of self-regulation of slow cortical potentials.Design: Application of the Thought Translation Device to evaluate the procedure in patients with late-stage amyotrophic lateral sclerosis (ALS).Setting: Training sessions in the patients' homes.Participants: Two male patients with late-stage ALS.Interventions: Patients learned voluntary control of their slow cortical potentials by means of an interface between the brain and a computer. Training was based on visual feedback of slow cortical potentials shifts and operant learning principles. The learning process was divided into small steps of increasing difficulty.Main Outcome Measures: Accuracy of self-control of slow cortical potentials (percentage of correct responses). Learning progress calculated as a function of training session.Results: Within 3 to 8 weeks, both patients learned to self-regulate their slow cortical potentials and to use this skill to select letters or words in the Language Support Program.Conclusions: This training schedule is the first to enable severely paralyzed patients to communicate without any voluntary muscle control by using self-regulation of an electroencephalogram potential only. The protocol could be a model for training patients in other brain-computer interface techniques. (C) 2001 by the American Congress of Rehabilitation Medicine and th American Academy of Physical Medicine and Rehabilitation.