Technical innovations in stroke rehabilitation – a survey for development of a non-invasive, brainwave-guided, functional muscle stimulation
Abstract Background Stroke is one of the most frequent causes of death in Germany and the developed countries. After a stroke, those affected often suffer particularly from functional motor restrictions of the upper extremities. Newer techniques such as the BCI-FES systems aim to establish a communi...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-05-01
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| Series: | BMC Neurology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12883-022-02716-z |
| _version_ | 1818213862442270720 |
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| author | Stefanie Liebl Tim Tischendorf Julia Winterlich Tom Schaal |
| author_facet | Stefanie Liebl Tim Tischendorf Julia Winterlich Tom Schaal |
| author_sort | Stefanie Liebl |
| collection | DOAJ |
| description | Abstract Background Stroke is one of the most frequent causes of death in Germany and the developed countries. After a stroke, those affected often suffer particularly from functional motor restrictions of the upper extremities. Newer techniques such as the BCI-FES systems aim to establish a communication channel between the brain and external devices with a neuromuscular intervention. The electrical activity of the brain is measured, processed, translated into control signals and can then be used to control an application. Methods As a mixed-methods design (exploratory design), eight guideline-based expert interviews were conducted first. For the quantitative expert survey, 95 chief physicians from the field of neuromedicine in rehabilitation facilities nationwide were subsequently invited to participate in an online survey. Results In our data analysis, we found that doctors are largely open-minded towards new technical rehabilitation systems. In addition to the proper functioning of the system, they consider the understanding of the functionality and the meaningfulness of the system to be particularly important. In addition, the system should be motivating for individuals, generate meaningful movements, be easy to use, evidence-based and quick to set up. Concerns were expressed regarding the understanding of the system’s processes, especially in the acute phase after a stroke, as well as the excessive expectation of results from the system on the part of the persons. The experts named stroke patients in rehabilitation phase C, which is about mobilization and recovery, as well as all persons who can understand the language requirements as benefiting groups of people. Conclusion The present study shows that more research should and must be done in the field of BCI-FES interfaces, and various development trends have been identified. The system has the potential to play a leading role in the rehabilitation of stroke patients in the future. Nevertheless, more work should be done on the improvement and implementation as well as the system’s susceptibility to interference in everyday patient life. |
| first_indexed | 2024-12-12T06:11:02Z |
| format | Article |
| id | doaj.art-dc3340370adf40eab4a19ffda9f7879a |
| institution | Directory Open Access Journal |
| issn | 1471-2377 |
| language | English |
| last_indexed | 2024-12-12T06:11:02Z |
| publishDate | 2022-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Neurology |
| spelling | doaj.art-dc3340370adf40eab4a19ffda9f7879a2022-12-22T00:35:10ZengBMCBMC Neurology1471-23772022-05-012211910.1186/s12883-022-02716-zTechnical innovations in stroke rehabilitation – a survey for development of a non-invasive, brainwave-guided, functional muscle stimulationStefanie Liebl0Tim Tischendorf1Julia Winterlich2Tom Schaal3Department of Public Health and Health Care Management, West Saxon University of Applied Sciences ZwickauDepartment of Public Health and Health Care Management, West Saxon University of Applied Sciences ZwickauUniversity of Applied Science MittweidaDepartment of Public Health and Health Care Management, West Saxon University of Applied Sciences ZwickauAbstract Background Stroke is one of the most frequent causes of death in Germany and the developed countries. After a stroke, those affected often suffer particularly from functional motor restrictions of the upper extremities. Newer techniques such as the BCI-FES systems aim to establish a communication channel between the brain and external devices with a neuromuscular intervention. The electrical activity of the brain is measured, processed, translated into control signals and can then be used to control an application. Methods As a mixed-methods design (exploratory design), eight guideline-based expert interviews were conducted first. For the quantitative expert survey, 95 chief physicians from the field of neuromedicine in rehabilitation facilities nationwide were subsequently invited to participate in an online survey. Results In our data analysis, we found that doctors are largely open-minded towards new technical rehabilitation systems. In addition to the proper functioning of the system, they consider the understanding of the functionality and the meaningfulness of the system to be particularly important. In addition, the system should be motivating for individuals, generate meaningful movements, be easy to use, evidence-based and quick to set up. Concerns were expressed regarding the understanding of the system’s processes, especially in the acute phase after a stroke, as well as the excessive expectation of results from the system on the part of the persons. The experts named stroke patients in rehabilitation phase C, which is about mobilization and recovery, as well as all persons who can understand the language requirements as benefiting groups of people. Conclusion The present study shows that more research should and must be done in the field of BCI-FES interfaces, and various development trends have been identified. The system has the potential to play a leading role in the rehabilitation of stroke patients in the future. Nevertheless, more work should be done on the improvement and implementation as well as the system’s susceptibility to interference in everyday patient life.https://doi.org/10.1186/s12883-022-02716-zBrain-Computer-InterfaceEEGStrokeMotor rehabilitationFunctional electrical stimulation |
| spellingShingle | Stefanie Liebl Tim Tischendorf Julia Winterlich Tom Schaal Technical innovations in stroke rehabilitation – a survey for development of a non-invasive, brainwave-guided, functional muscle stimulation BMC Neurology Brain-Computer-Interface EEG Stroke Motor rehabilitation Functional electrical stimulation |
| title | Technical innovations in stroke rehabilitation – a survey for development of a non-invasive, brainwave-guided, functional muscle stimulation |
| title_full | Technical innovations in stroke rehabilitation – a survey for development of a non-invasive, brainwave-guided, functional muscle stimulation |
| title_fullStr | Technical innovations in stroke rehabilitation – a survey for development of a non-invasive, brainwave-guided, functional muscle stimulation |
| title_full_unstemmed | Technical innovations in stroke rehabilitation – a survey for development of a non-invasive, brainwave-guided, functional muscle stimulation |
| title_short | Technical innovations in stroke rehabilitation – a survey for development of a non-invasive, brainwave-guided, functional muscle stimulation |
| title_sort | technical innovations in stroke rehabilitation a survey for development of a non invasive brainwave guided functional muscle stimulation |
| topic | Brain-Computer-Interface EEG Stroke Motor rehabilitation Functional electrical stimulation |
| url | https://doi.org/10.1186/s12883-022-02716-z |
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