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用于中风后上肢运动恢复的脑机接口:现状与发展前景(综述)

Brain-Computer Interfaces for Upper Limb Motor Recovery after Stroke: Current Status and Development Prospects (Review).

作者信息

Mokienko O A, Lyukmanov R Kh, Bobrov P D, Suponeva N A, Piradov M A

机构信息

MD, PhD, Researcher, Brain-Computer Interface Group of Institute for Neurorehabilitation and Restorative Technologies; Research Center of Neurology, 80 Volokolamskoe Shosse, Moscow, 125367, Russia; Senior Researcher, Mathematical Neurobiology of Learning Laboratory; Institute of Higher Nervous Activity and Neurophysiology of Russian Academy of Sciences, 5A Butlerova St., Moscow, 117485, Russia.

MD, PhD, Head of the Brain-Computer Interface Group of Institute for Neurorehabilitation and Restorative Technologies; Research Center of Neurology, 80 Volokolamskoe Shosse, Moscow, 125367, Russia.

出版信息

Sovrem Tekhnologii Med. 2023;15(6):63-73. doi: 10.17691/stm2023.15.6.07. Epub 2023 Dec 27.

DOI:10.17691/stm2023.15.6.07
PMID:39944367
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11811833/
Abstract

Brain-computer interfaces (BCIs) are a group of technologies that allow mental training with feedback for post-stroke motor recovery. Varieties of these technologies have been studied in numerous clinical trials for more than 10 years, and their construct and software are constantly being improved. Despite the positive treatment results and the availability of registered medical devices, there are currently a number of problems for the wide clinical application of BCI technologies. This review provides information on the most studied types of BCIs and its training protocols and describes the evidence base for the effectiveness of BCIs for upper limb motor recovery after stroke. The main problems of scaling this technology and ways to solve them are also described.

摘要

脑机接口(BCIs)是一组技术,可实现带有反馈的心理训练,以促进中风后运动功能恢复。这些技术的多种类型已在众多临床试验中研究了10多年,其结构和软件也在不断改进。尽管取得了积极的治疗效果且已有注册医疗设备,但目前脑机接口技术在广泛临床应用方面仍存在一些问题。本综述提供了关于研究最多的脑机接口类型及其训练方案的信息,并描述了脑机接口对中风后上肢运动恢复有效性的证据基础。还介绍了扩大该技术应用规模的主要问题及解决方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89f1/11811833/d1dadcb442c0/STM-15-6-07-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89f1/11811833/d1dadcb442c0/STM-15-6-07-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89f1/11811833/d1dadcb442c0/STM-15-6-07-g001.jpg

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本文引用的文献

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Verum versus Sham brain-computer interface on upper limb function recovery after stroke: A systematic review and meta-analysis of randomized controlled trials.真脑-假脑机接口在脑卒中后上肢功能恢复中的作用:一项随机对照试验的系统评价和荟萃分析。
Medicine (Baltimore). 2023 Jun 30;102(26):e34148. doi: 10.1097/MD.0000000000034148.
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Evidence of neuroplasticity with brain-computer interface in a randomized trial for post-stroke rehabilitation: a graph-theoretic study of subnetwork analysis.
脑机接口在中风后康复随机试验中的神经可塑性证据:基于子网络分析的图论研究
Front Neurol. 2023 Jun 6;14:1135466. doi: 10.3389/fneur.2023.1135466. eCollection 2023.
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Functional-oriented, portable brain-computer interface training for hand motor recovery after stroke: a randomized controlled study.面向功能的便携式脑机接口训练对中风后手运动功能恢复的影响:一项随机对照研究
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Modern Rehabilitation Technologies of Patients with Motor Disorders at an Early Rehabilitation of Stroke (Review).现代康复技术在脑卒中早期康复中对运动障碍患者的治疗作用(综述)。
Sovrem Tekhnologii Med. 2022;14(6):64-78. doi: 10.17691/stm2022.14.6.07. Epub 2022 Nov 28.
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IEEE Trans Neural Syst Rehabil Eng. 2023;31:2268-2278. doi: 10.1109/TNSRE.2023.3272372. Epub 2023 May 12.
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