Challenges of neural interfaces for stroke motor rehabilitation

More than 85% of stroke survivors suffer from different degrees of disability for the rest of their lives. They will require support that can vary from occasional to full time assistance. These conditions are also associated to an enormous economic impact for their families and health care systems....

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Main Authors: Carmen Vidaurre, Nerea Irastorza-Landa, Andrea Sarasola-Sanz, Ainhoa Insausti-Delgado, Andreas M. Ray, Carlos Bibián, Florian Helmhold, Wala J. Mahmoud, Iñaki Ortego-Isasa, Eduardo López-Larraz, Héctor Lozano Peiteado, Ander Ramos-Murguialday
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-09-01
Series:Frontiers in Human Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnhum.2023.1070404/full
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author Carmen Vidaurre
Carmen Vidaurre
Nerea Irastorza-Landa
Andrea Sarasola-Sanz
Ainhoa Insausti-Delgado
Andreas M. Ray
Carlos Bibián
Florian Helmhold
Wala J. Mahmoud
Iñaki Ortego-Isasa
Eduardo López-Larraz
Eduardo López-Larraz
Héctor Lozano Peiteado
Ander Ramos-Murguialday
Ander Ramos-Murguialday
author_facet Carmen Vidaurre
Carmen Vidaurre
Nerea Irastorza-Landa
Andrea Sarasola-Sanz
Ainhoa Insausti-Delgado
Andreas M. Ray
Carlos Bibián
Florian Helmhold
Wala J. Mahmoud
Iñaki Ortego-Isasa
Eduardo López-Larraz
Eduardo López-Larraz
Héctor Lozano Peiteado
Ander Ramos-Murguialday
Ander Ramos-Murguialday
author_sort Carmen Vidaurre
collection DOAJ
description More than 85% of stroke survivors suffer from different degrees of disability for the rest of their lives. They will require support that can vary from occasional to full time assistance. These conditions are also associated to an enormous economic impact for their families and health care systems. Current rehabilitation treatments have limited efficacy and their long-term effect is controversial. Here we review different challenges related to the design and development of neural interfaces for rehabilitative purposes. We analyze current bibliographic evidence of the effect of neuro-feedback in functional motor rehabilitation of stroke patients. We highlight the potential of these systems to reconnect brain and muscles. We also describe all aspects that should be taken into account to restore motor control. Our aim with this work is to help researchers designing interfaces that demonstrate and validate neuromodulation strategies to enforce a contingent and functional neural linkage between the central and the peripheral nervous system. We thus give clues to design systems that can improve or/and re-activate neuroplastic mechanisms and open a new recovery window for stroke patients.
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spelling doaj.art-5e0c5760a49f4a61ac688155394e9ed42023-09-19T06:20:52ZengFrontiers Media S.A.Frontiers in Human Neuroscience1662-51612023-09-011710.3389/fnhum.2023.10704041070404Challenges of neural interfaces for stroke motor rehabilitationCarmen Vidaurre0Carmen Vidaurre1Nerea Irastorza-Landa2Andrea Sarasola-Sanz3Ainhoa Insausti-Delgado4Andreas M. Ray5Carlos Bibián6Florian Helmhold7Wala J. Mahmoud8Iñaki Ortego-Isasa9Eduardo López-Larraz10Eduardo López-Larraz11Héctor Lozano Peiteado12Ander Ramos-Murguialday13Ander Ramos-Murguialday14TECNALIA, Basque Research and Technology Alliance (BRTA), San Sebastian, SpainIkerbasque Science Foundation, Bilbao, SpainTECNALIA, Basque Research and Technology Alliance (BRTA), San Sebastian, SpainTECNALIA, Basque Research and Technology Alliance (BRTA), San Sebastian, SpainTECNALIA, Basque Research and Technology Alliance (BRTA), San Sebastian, SpainInstitute for Medical Psychology and Behavioral Neurobiology, University of Tübingen, Tübingen, GermanyInstitute for Medical Psychology and Behavioral Neurobiology, University of Tübingen, Tübingen, GermanyInstitute for Medical Psychology and Behavioral Neurobiology, University of Tübingen, Tübingen, GermanyInstitute for Medical Psychology and Behavioral Neurobiology, University of Tübingen, Tübingen, GermanyTECNALIA, Basque Research and Technology Alliance (BRTA), San Sebastian, SpainInstitute for Medical Psychology and Behavioral Neurobiology, University of Tübingen, Tübingen, GermanyBitbrain, Zaragoza, SpainTECNALIA, Basque Research and Technology Alliance (BRTA), San Sebastian, SpainTECNALIA, Basque Research and Technology Alliance (BRTA), San Sebastian, SpainInstitute for Medical Psychology and Behavioral Neurobiology, University of Tübingen, Tübingen, GermanyMore than 85% of stroke survivors suffer from different degrees of disability for the rest of their lives. They will require support that can vary from occasional to full time assistance. These conditions are also associated to an enormous economic impact for their families and health care systems. Current rehabilitation treatments have limited efficacy and their long-term effect is controversial. Here we review different challenges related to the design and development of neural interfaces for rehabilitative purposes. We analyze current bibliographic evidence of the effect of neuro-feedback in functional motor rehabilitation of stroke patients. We highlight the potential of these systems to reconnect brain and muscles. We also describe all aspects that should be taken into account to restore motor control. Our aim with this work is to help researchers designing interfaces that demonstrate and validate neuromodulation strategies to enforce a contingent and functional neural linkage between the central and the peripheral nervous system. We thus give clues to design systems that can improve or/and re-activate neuroplastic mechanisms and open a new recovery window for stroke patients.https://www.frontiersin.org/articles/10.3389/fnhum.2023.1070404/fullstrokemotor rehabilitationneural interfacesneurofeedbackrehabilitative technology
spellingShingle Carmen Vidaurre
Carmen Vidaurre
Nerea Irastorza-Landa
Andrea Sarasola-Sanz
Ainhoa Insausti-Delgado
Andreas M. Ray
Carlos Bibián
Florian Helmhold
Wala J. Mahmoud
Iñaki Ortego-Isasa
Eduardo López-Larraz
Eduardo López-Larraz
Héctor Lozano Peiteado
Ander Ramos-Murguialday
Ander Ramos-Murguialday
Challenges of neural interfaces for stroke motor rehabilitation
Frontiers in Human Neuroscience
stroke
motor rehabilitation
neural interfaces
neurofeedback
rehabilitative technology
title Challenges of neural interfaces for stroke motor rehabilitation
title_full Challenges of neural interfaces for stroke motor rehabilitation
title_fullStr Challenges of neural interfaces for stroke motor rehabilitation
title_full_unstemmed Challenges of neural interfaces for stroke motor rehabilitation
title_short Challenges of neural interfaces for stroke motor rehabilitation
title_sort challenges of neural interfaces for stroke motor rehabilitation
topic stroke
motor rehabilitation
neural interfaces
neurofeedback
rehabilitative technology
url https://www.frontiersin.org/articles/10.3389/fnhum.2023.1070404/full
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