Why we should systematically assess, control and report somatosensory impairments in BCI-based motor rehabilitation after stroke studies
The neuronal loss resulting from stroke forces 80% of the patients to undergo motor rehabilitation, for which Brain-Computer Interfaces (BCIs) and NeuroFeedback (NF) can be used. During the rehabilitation, when patients attempt or imagine performing a movement, BCIs/NF provide them with a synchroniz...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-01-01
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| Series: | NeuroImage: Clinical |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213158220302540 |
| _version_ | 1818595854822408192 |
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| author | Léa Pillette Fabien Lotte Bernard N’Kaoua Pierre-Alain Joseph Camille Jeunet Bertrand Glize |
| author_facet | Léa Pillette Fabien Lotte Bernard N’Kaoua Pierre-Alain Joseph Camille Jeunet Bertrand Glize |
| author_sort | Léa Pillette |
| collection | DOAJ |
| description | The neuronal loss resulting from stroke forces 80% of the patients to undergo motor rehabilitation, for which Brain-Computer Interfaces (BCIs) and NeuroFeedback (NF) can be used. During the rehabilitation, when patients attempt or imagine performing a movement, BCIs/NF provide them with a synchronized sensory (e.g., tactile) feedback based on their sensorimotor-related brain activity that aims at fostering brain plasticity and motor recovery. The co-activation of ascending (i.e., somatosensory) and descending (i.e., motor) networks indeed enables significant functional motor improvement, together with significant sensorimotor-related neurophysiological changes. Somatosensory abilities are essential for patients to perceive the feedback provided by the BCI system. Thus, somatosensory impairments may significantly alter the efficiency of BCI-based motor rehabilitation. In order to precisely understand and assess the impact of somatosensory impairments, we first review the literature on post-stroke BCI-based motor rehabilitation (14 randomized clinical trials). We show that despite the central role that somatosensory abilities play on BCI-based motor rehabilitation post-stroke, the latter are rarely reported and used as inclusion/exclusion criteria in the literature on the matter. We then argue that somatosensory abilities have repeatedly been shown to influence the motor rehabilitation outcome, in general. This stresses the importance of also considering them and reporting them in the literature in BCI-based rehabilitation after stroke, especially since half of post-stroke patients suffer from somatosensory impairments. We argue that somatosensory abilities should systematically be assessed, controlled and reported if we want to precisely assess the influence they have on BCI efficiency. Not doing so could result in the misinterpretation of reported results, while doing so could improve (1) our understanding of the mechanisms underlying motor recovery (2) our ability to adapt the therapy to the patients’ impairments and (3) our comprehension of the between-subject and between-study variability of therapeutic outcomes mentioned in the literature. |
| first_indexed | 2024-12-16T11:22:38Z |
| format | Article |
| id | doaj.art-747544a942f94d829b9cc27f47a78997 |
| institution | Directory Open Access Journal |
| issn | 2213-1582 |
| language | English |
| last_indexed | 2024-12-16T11:22:38Z |
| publishDate | 2020-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | NeuroImage: Clinical |
| spelling | doaj.art-747544a942f94d829b9cc27f47a789972022-12-21T22:33:26ZengElsevierNeuroImage: Clinical2213-15822020-01-0128102417Why we should systematically assess, control and report somatosensory impairments in BCI-based motor rehabilitation after stroke studiesLéa Pillette0Fabien Lotte1Bernard N’Kaoua2Pierre-Alain Joseph3Camille Jeunet4Bertrand Glize5Inria, 200 av.de la Vieille Tour, 33400 Talence, France; LaBRI (Univ.Bordeaux, CNRS, Bordeaux-INP), 351, cours de la Libération, 33405 Talence, France; Corresponding author at: Inria, 200 av.de la Vieille Tour, 33400 Talence, France.Inria, 200 av.de la Vieille Tour, 33400 Talence, France; LaBRI (Univ.Bordeaux, CNRS, Bordeaux-INP), 351, cours de la Libération, 33405 Talence, FranceHandicap, Activity, Cognition, Health, Inserm/University of Bordeaux, 146 rue Léo Saignat, 33076 Bordeaux cedex, FranceHandicap, Activity, Cognition, Health, Inserm/University of Bordeaux, 146 rue Léo Saignat, 33076 Bordeaux cedex, France; Service MPR Pôle de Neurosciences Cliniques CHU, University of Bordeaux, Place Amélie Raba-Léon, 33000 Bordeaux cedex, FranceCLLE (CNRS, Univ.Toulouse Jean Jaurès), 5 Allées Antonio Machado, 31058 Toulouse cedex 9, FranceHandicap, Activity, Cognition, Health, Inserm/University of Bordeaux, 146 rue Léo Saignat, 33076 Bordeaux cedex, France; Service MPR Pôle de Neurosciences Cliniques CHU, University of Bordeaux, Place Amélie Raba-Léon, 33000 Bordeaux cedex, FranceThe neuronal loss resulting from stroke forces 80% of the patients to undergo motor rehabilitation, for which Brain-Computer Interfaces (BCIs) and NeuroFeedback (NF) can be used. During the rehabilitation, when patients attempt or imagine performing a movement, BCIs/NF provide them with a synchronized sensory (e.g., tactile) feedback based on their sensorimotor-related brain activity that aims at fostering brain plasticity and motor recovery. The co-activation of ascending (i.e., somatosensory) and descending (i.e., motor) networks indeed enables significant functional motor improvement, together with significant sensorimotor-related neurophysiological changes. Somatosensory abilities are essential for patients to perceive the feedback provided by the BCI system. Thus, somatosensory impairments may significantly alter the efficiency of BCI-based motor rehabilitation. In order to precisely understand and assess the impact of somatosensory impairments, we first review the literature on post-stroke BCI-based motor rehabilitation (14 randomized clinical trials). We show that despite the central role that somatosensory abilities play on BCI-based motor rehabilitation post-stroke, the latter are rarely reported and used as inclusion/exclusion criteria in the literature on the matter. We then argue that somatosensory abilities have repeatedly been shown to influence the motor rehabilitation outcome, in general. This stresses the importance of also considering them and reporting them in the literature in BCI-based rehabilitation after stroke, especially since half of post-stroke patients suffer from somatosensory impairments. We argue that somatosensory abilities should systematically be assessed, controlled and reported if we want to precisely assess the influence they have on BCI efficiency. Not doing so could result in the misinterpretation of reported results, while doing so could improve (1) our understanding of the mechanisms underlying motor recovery (2) our ability to adapt the therapy to the patients’ impairments and (3) our comprehension of the between-subject and between-study variability of therapeutic outcomes mentioned in the literature.http://www.sciencedirect.com/science/article/pii/S2213158220302540Stroke rehabilitationNeurofeedbackBrain-computer interfacesMotor recoverySomatosensory impairments |
| spellingShingle | Léa Pillette Fabien Lotte Bernard N’Kaoua Pierre-Alain Joseph Camille Jeunet Bertrand Glize Why we should systematically assess, control and report somatosensory impairments in BCI-based motor rehabilitation after stroke studies NeuroImage: Clinical Stroke rehabilitation Neurofeedback Brain-computer interfaces Motor recovery Somatosensory impairments |
| title | Why we should systematically assess, control and report somatosensory impairments in BCI-based motor rehabilitation after stroke studies |
| title_full | Why we should systematically assess, control and report somatosensory impairments in BCI-based motor rehabilitation after stroke studies |
| title_fullStr | Why we should systematically assess, control and report somatosensory impairments in BCI-based motor rehabilitation after stroke studies |
| title_full_unstemmed | Why we should systematically assess, control and report somatosensory impairments in BCI-based motor rehabilitation after stroke studies |
| title_short | Why we should systematically assess, control and report somatosensory impairments in BCI-based motor rehabilitation after stroke studies |
| title_sort | why we should systematically assess control and report somatosensory impairments in bci based motor rehabilitation after stroke studies |
| topic | Stroke rehabilitation Neurofeedback Brain-computer interfaces Motor recovery Somatosensory impairments |
| url | http://www.sciencedirect.com/science/article/pii/S2213158220302540 |
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