Kinney-Lang E, Auyeung B, Escudero J
Institute for Digital Communications, School of Engineering, The University of Edinburgh, Edinburgh EH9 3FB, UK.
J Neural Eng. 2016 Dec;13(6):061002. doi: 10.1088/1741-2560/13/6/061002. Epub 2016 Oct 20.
Rehabilitation applications using brain-computer interfaces (BCI) have recently shown encouraging results for motor recovery. Effective BCI neurorehabilitation has been shown to exploit neuroplastic properties of the brain through mental imagery tasks. However, these applications and results are currently restricted to adults. A systematic search reveals there is essentially no literature describing motor rehabilitative BCI applications that use electroencephalograms (EEG) in children, despite advances in such applications with adults. Further inspection highlights limited literature pursuing research in the field, especially outside of neurofeedback paradigms. Then the question naturally arises, do current literature trends indicate that EEG based BCI motor rehabilitation applications could be translated to children? To provide further evidence beyond the available literature for this particular topic, we present an exploratory survey examining some of the indirect literature related to motor rehabilitation BCI in children. Our goal is to establish if evidence in the related literature supports research on this topic and if the related studies can help explain the dearth of current research in this area. The investigation found positive literature trends in the indirect studies which support translating these BCI applications to children and provide insight into potential pitfalls perhaps responsible for the limited literature. Careful consideration of these pitfalls in conjunction with support from the literature emphasize that fully realized motor rehabilitation BCI applications for children are feasible and would be beneficial. • BCI intervention has improved motor recovery in adult patients and offer supplementary rehabilitation options to patients. • A systematic literature search revealed that essentially no research has been conducted bringing motor rehabilitation BCI applications to children, despite advances in BCI. • Indirect studies discovered from the systematic literature search, i.e. neurorehabilitation in children via BCI for autism spectrum disorder, provide insight into translating motor rehabilitation BCI applications to children. • Translating BCI applications to children is a relevant, important area of research which is relatively barren.
近年来,利用脑机接口(BCI)的康复应用在运动功能恢复方面取得了令人鼓舞的成果。有效的BCI神经康复已被证明可通过心理意象任务来利用大脑的神经可塑性。然而,这些应用和成果目前仅限于成人。系统检索发现,尽管成人在这方面的应用有所进展,但基本上没有文献描述在儿童中使用脑电图(EEG)的运动康复BCI应用。进一步研究发现,该领域的相关文献有限,尤其是在神经反馈范式之外。于是自然会产生一个问题,当前的文献趋势是否表明基于EEG的BCI运动康复应用可以推广到儿童?为了提供超出现有文献的更多证据,我们进行了一项探索性调查,研究一些与儿童运动康复BCI相关的间接文献。我们的目标是确定相关文献中的证据是否支持对该主题的研究,以及相关研究是否有助于解释该领域当前研究匮乏的原因。调查发现间接研究中有积极的文献趋势,支持将这些BCI应用推广到儿童,并深入了解可能导致文献有限的潜在陷阱。仔细考虑这些陷阱并结合文献支持强调,全面实现的儿童运动康复BCI应用是可行的且有益的。
• BCI干预改善了成年患者的运动恢复,并为患者提供了补充康复选择。
• 系统的文献检索显示,尽管BCI技术有所进步,但基本上没有关于将运动康复BCI应用于儿童的研究。
• 从系统文献检索中发现的间接研究,即通过BCI对儿童自闭症谱系障碍进行神经康复,为将运动康复BCI应用推广到儿童提供了见解。
• 将BCI应用推广到儿童是一个相关且重要的研究领域,但目前相对空白。