使用适应性视觉P300脑机接口训练进行中风后失语症康复:随时间推移有所改善,但特异性仍未确定。
Post-stroke aphasia rehabilitation using an adapted visual P300 brain-computer interface training: improvement over time, but specificity remains undetermined.
作者信息
Kleih Sonja C, Botrel Loic
机构信息
Institute of Psychology, Biological Psychology, Clinical Psychology and Psychotherapy, Faculty of Human Sciences, Julius-Maximilians-Universität Würzburg, Würzburg, Germany.
出版信息
Front Hum Neurosci. 2024 May 30;18:1400336. doi: 10.3389/fnhum.2024.1400336. eCollection 2024.
INTRODUCTION
This study aimed to evaluate the efficacy of visual P300 brain-computer interface use to support rehabilitation of chronic language production deficits commonly experienced by individuals with a left-sided stroke resulting in post-stroke aphasia.
METHODS
The study involved twelve participants, but five dropped out. Additionally, data points were missing for three participants in the remaining sample of seven participants. The participants underwent four assessments-a baseline, pre-assessment, post-assessment, and follow-up assessment. Between the pre-and post-assessment, the participants underwent at least 14 sessions of visual spelling using a brain-computer interface. The study aimed to investigate the impact of this intervention on attention, language production, and language comprehension and to determine whether there were any potential effects on quality of life and well-being.
RESULTS
None of the participants showed a consistent improvement in attention. All participants showed an improvement in spontaneous speech production, and three participants experienced a reduction in aphasia severity. We found an improvement in subjective quality of life and daily functioning. However, we cannot rule out the possibility of unspecific effects causing or at least contributing to these results.
CONCLUSION
Due to challenges in assessing the patient population, resulting in a small sample size and missing data points, the results of using visual P300 brain-computer interfaces for chronic post-stroke aphasia rehabilitation are preliminary. Thus, we cannot decisively judge the potential of this approach.
引言
本研究旨在评估视觉P300脑机接口用于支持左侧中风导致中风后失语的个体常见的慢性语言产生缺陷康复的疗效。
方法
该研究涉及12名参与者,但有5人退出。此外,在其余7名参与者的样本中,有3名参与者的数据点缺失。参与者接受了四项评估——基线评估、预评估、后评估和随访评估。在预评估和后评估之间,参与者使用脑机接口进行了至少14次视觉拼写训练。该研究旨在调查这种干预对注意力、语言产生和语言理解的影响,并确定其是否对生活质量和幸福感有任何潜在影响。
结果
没有参与者在注意力方面表现出持续改善。所有参与者的自发语言产生都有改善,3名参与者的失语严重程度有所降低。我们发现主观生活质量和日常功能有改善。然而,我们不能排除非特异性效应导致或至少促成这些结果的可能性。
结论
由于评估患者群体存在挑战,导致样本量小且数据点缺失,使用视觉P300脑机接口进行慢性中风后失语康复的结果是初步的。因此,我们无法决定性地判断这种方法的潜力。