Evidence map›Paper›PMID 29950436›Full record

ArticleNeurology2018

Independent home use of a brain-computer interface by people with amyotrophic lateral sclerosis.

Jonathan R Wolpaw, Richard S Bedlack, Domenic J Reda, Robert J Ringer, Patricia G Banks, Theresa M Vaughan, Susan M Heckman, Lynn M McCane, Charles S Carmack, Stefan Winden and 10 more

2 registry-linked trialsAbstract read
In one paragraph

Article in Neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 51 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06810219 narecruitingnot on this mapstarted 2025, after this paper: background citation

Cognixion ALS BCI Longitudinal Study

TypeinterventionalSponsorCognixionRan2025 to 2025Enrolled10ConditionsALS (Amyotrophic Lateral Sclerosis)ArmsCognixion ONE
NCT07209943 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Cognixion Pass Through Study

TypeinterventionalSponsorCognixionRan2025 to 2026Enrolled10ConditionsALS (Amyotrophic Lateral Sclerosis), TBI Traumatic Brain Injury, SCI - Spinal Cord Injury, StrokeArmsCognixion + Apple Vision Pro
3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Brain-computer interface: an update for the clinicians.Frontiers in human neuroscience · 2026
    Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. [Performance evaluation of a wearable steady-state visual evoked potential based brain-computer interface in real-life scenario].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2025
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Review
  19. Review
  20. Can vibrotactile stimulation and tDCS help inefficient BCI users?Journal of neuroengineering and rehabilitation · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

Jonathan R WolpawFrom the Department of Neurology (J.R.W., D.S.H.), Albany Stratton Veterans Affairs Medical Center; Wadsworth Center (J.R.W., T.M.V., S.M.H., L.M.M., C.S.C., S.W., D.J.M., E.W.S.), National Center for Adaptive Neurotechnologies, New York State Department of Health, Albany; Durham Veterans Affairs Medical Center (R.S.B.) and Department of Neurology (R.S.B.), Duke University School of Medicine, NC; Veterans Affairs Cooperative Studies Program Coordinating Center (D.J.R., H.S., T.P.), Hines VA Medical Center, IL; Veterans Affairs Cooperative Studies Program Clinical Research Pharmacy Coordinating Center (R.J.R.) and University of New Mexico College of Pharmacy; Department of Neurology (P.G.B.), Louis Stokes Cleveland Veterans Affairs Medical Center, OH; Providence Veterans Affairs Medical Center (A.C.L.) and Department of Neurology, Brown University, RI; Veterans Affairs Connecticut Healthcare System (H.S.P.) and Department of Neurology, Yale School of Medicine, New Haven, CT; Department of Communication Science and Disorders (K.J.H.), University of Pittsburgh, PA; Cooperative Studies Program Central Office (D.G.H.), Department of Veterans Affairs Office of Research & Development, Washington, DC; and Louis Stokes Cleveland Veterans Affairs Medical Center (R.L.R.) and Department of Neurology, Case Western Reserve University School of Medicine, OH. jonathan.wolpaw@health.ny.gov.
Richard S BedlackFrom the Department of Neurology (J.R.W., D.S.H.), Albany Stratton Veterans Affairs Medical Center; Wadsworth Center (J.R.W., T.M.V., S.M.H., L.M.M., C.S.C., S.W., D.J.M., E.W.S.), National Center for Adaptive Neurotechnologies, New York State Department of Health, Albany; Durham Veterans Affairs Medical Center (R.S.B.) and Department of Neurology (R.S.B.), Duke University School of Medicine, NC; Veterans Affairs Cooperative Studies Program Coordinating Center (D.J.R., H.S., T.P.), Hines VA Medical Center, IL; Veterans Affairs Cooperative Studies Program Clinical Research Pharmacy Coordinating Center (R.J.R.) and University of New Mexico College of Pharmacy; Department of Neurology (P.G.B.), Louis Stokes Cleveland Veterans Affairs Medical Center, OH; Providence Veterans Affairs Medical Center (A.C.L.) and Department of Neurology, Brown University, RI; Veterans Affairs Connecticut Healthcare System (H.S.P.) and Department of Neurology, Yale School of Medicine, New Haven, CT; Department of Communication Science and Disorders (K.J.H.), University of Pittsburgh, PA; Cooperative Studies Program Central Office (D.G.H.), Department of Veterans Affairs Office of Research & Development, Washington, DC; and Louis Stokes Cleveland Veterans Affairs Medical Center (R.L.R.) and Department of Neurology, Case Western Reserve University School of Medicine, OH.
Domenic J RedaFrom the Department of Neurology (J.R.W., D.S.H.), Albany Stratton Veterans Affairs Medical Center; Wadsworth Center (J.R.W., T.M.V., S.M.H., L.M.M., C.S.C., S.W., D.J.M., E.W.S.), National Center for Adaptive Neurotechnologies, New York State Department of Health, Albany; Durham Veterans Affairs Medical Center (R.S.B.) and Department of Neurology (R.S.B.), Duke University School of Medicine, NC; Veterans Affairs Cooperative Studies Program Coordinating Center (D.J.R., H.S., T.P.), Hines VA Medical Center, IL; Veterans Affairs Cooperative Studies Program Clinical Research Pharmacy Coordinating Center (R.J.R.) and University of New Mexico College of Pharmacy; Department of Neurology (P.G.B.), Louis Stokes Cleveland Veterans Affairs Medical Center, OH; Providence Veterans Affairs Medical Center (A.C.L.) and Department of Neurology, Brown University, RI; Veterans Affairs Connecticut Healthcare System (H.S.P.) and Department of Neurology, Yale School of Medicine, New Haven, CT; Department of Communication Science and Disorders (K.J.H.), University of Pittsburgh, PA; Cooperative Studies Program Central Office (D.G.H.), Department of Veterans Affairs Office of Research & Development, Washington, DC; and Louis Stokes Cleveland Veterans Affairs Medical Center (R.L.R.) and Department of Neurology, Case Western Reserve University School of Medicine, OH.
Robert J RingerFrom the Department of Neurology (J.R.W., D.S.H.), Albany Stratton Veterans Affairs Medical Center; Wadsworth Center (J.R.W., T.M.V., S.M.H., L.M.M., C.S.C., S.W., D.J.M., E.W.S.), National Center for Adaptive Neurotechnologies, New York State Department of Health, Albany; Durham Veterans Affairs Medical Center (R.S.B.) and Department of Neurology (R.S.B.), Duke University School of Medicine, NC; Veterans Affairs Cooperative Studies Program Coordinating Center (D.J.R., H.S., T.P.), Hines VA Medical Center, IL; Veterans Affairs Cooperative Studies Program Clinical Research Pharmacy Coordinating Center (R.J.R.) and University of New Mexico College of Pharmacy; Department of Neurology (P.G.B.), Louis Stokes Cleveland Veterans Affairs Medical Center, OH; Providence Veterans Affairs Medical Center (A.C.L.) and Department of Neurology, Brown University, RI; Veterans Affairs Connecticut Healthcare System (H.S.P.) and Department of Neurology, Yale School of Medicine, New Haven, CT; Department of Communication Science and Disorders (K.J.H.), University of Pittsburgh, PA; Cooperative Studies Program Central Office (D.G.H.), Department of Veterans Affairs Office of Research & Development, Washington, DC; and Louis Stokes Cleveland Veterans Affairs Medical Center (R.L.R.) and Department of Neurology, Case Western Reserve University School of Medicine, OH.
Patricia G BanksFrom the Department of Neurology (J.R.W., D.S.H.), Albany Stratton Veterans Affairs Medical Center; Wadsworth Center (J.R.W., T.M.V., S.M.H., L.M.M., C.S.C., S.W., D.J.M., E.W.S.), National Center for Adaptive Neurotechnologies, New York State Department of Health, Albany; Durham Veterans Affairs Medical Center (R.S.B.) and Department of Neurology (R.S.B.), Duke University School of Medicine, NC; Veterans Affairs Cooperative Studies Program Coordinating Center (D.J.R., H.S., T.P.), Hines VA Medical Center, IL; Veterans Affairs Cooperative Studies Program Clinical Research Pharmacy Coordinating Center (R.J.R.) and University of New Mexico College of Pharmacy; Department of Neurology (P.G.B.), Louis Stokes Cleveland Veterans Affairs Medical Center, OH; Providence Veterans Affairs Medical Center (A.C.L.) and Department of Neurology, Brown University, RI; Veterans Affairs Connecticut Healthcare System (H.S.P.) and Department of Neurology, Yale School of Medicine, New Haven, CT; Department of Communication Science and Disorders (K.J.H.), University of Pittsburgh, PA; Cooperative Studies Program Central Office (D.G.H.), Department of Veterans Affairs Office of Research & Development, Washington, DC; and Louis Stokes Cleveland Veterans Affairs Medical Center (R.L.R.) and Department of Neurology, Case Western Reserve University School of Medicine, OH.
Theresa M VaughanFrom the Department of Neurology (J.R.W., D.S.H.), Albany Stratton Veterans Affairs Medical Center; Wadsworth Center (J.R.W., T.M.V., S.M.H., L.M.M., C.S.C., S.W., D.J.M., E.W.S.), National Center for Adaptive Neurotechnologies, New York State Department of Health, Albany; Durham Veterans Affairs Medical Center (R.S.B.) and Department of Neurology (R.S.B.), Duke University School of Medicine, NC; Veterans Affairs Cooperative Studies Program Coordinating Center (D.J.R., H.S., T.P.), Hines VA Medical Center, IL; Veterans Affairs Cooperative Studies Program Clinical Research Pharmacy Coordinating Center (R.J.R.) and University of New Mexico College of Pharmacy; Department of Neurology (P.G.B.), Louis Stokes Cleveland Veterans Affairs Medical Center, OH; Providence Veterans Affairs Medical Center (A.C.L.) and Department of Neurology, Brown University, RI; Veterans Affairs Connecticut Healthcare System (H.S.P.) and Department of Neurology, Yale School of Medicine, New Haven, CT; Department of Communication Science and Disorders (K.J.H.), University of Pittsburgh, PA; Cooperative Studies Program Central Office (D.G.H.), Department of Veterans Affairs Office of Research & Development, Washington, DC; and Louis Stokes Cleveland Veterans Affairs Medical Center (R.L.R.) and Department of Neurology, Case Western Reserve University School of Medicine, OH.
Susan M HeckmanFrom the Department of Neurology (J.R.W., D.S.H.), Albany Stratton Veterans Affairs Medical Center; Wadsworth Center (J.R.W., T.M.V., S.M.H., L.M.M., C.S.C., S.W., D.J.M., E.W.S.), National Center for Adaptive Neurotechnologies, New York State Department of Health, Albany; Durham Veterans Affairs Medical Center (R.S.B.) and Department of Neurology (R.S.B.), Duke University School of Medicine, NC; Veterans Affairs Cooperative Studies Program Coordinating Center (D.J.R., H.S., T.P.), Hines VA Medical Center, IL; Veterans Affairs Cooperative Studies Program Clinical Research Pharmacy Coordinating Center (R.J.R.) and University of New Mexico College of Pharmacy; Department of Neurology (P.G.B.), Louis Stokes Cleveland Veterans Affairs Medical Center, OH; Providence Veterans Affairs Medical Center (A.C.L.) and Department of Neurology, Brown University, RI; Veterans Affairs Connecticut Healthcare System (H.S.P.) and Department of Neurology, Yale School of Medicine, New Haven, CT; Department of Communication Science and Disorders (K.J.H.), University of Pittsburgh, PA; Cooperative Studies Program Central Office (D.G.H.), Department of Veterans Affairs Office of Research & Development, Washington, DC; and Louis Stokes Cleveland Veterans Affairs Medical Center (R.L.R.) and Department of Neurology, Case Western Reserve University School of Medicine, OH.
Lynn M McCaneFrom the Department of Neurology (J.R.W., D.S.H.), Albany Stratton Veterans Affairs Medical Center; Wadsworth Center (J.R.W., T.M.V., S.M.H., L.M.M., C.S.C., S.W., D.J.M., E.W.S.), National Center for Adaptive Neurotechnologies, New York State Department of Health, Albany; Durham Veterans Affairs Medical Center (R.S.B.) and Department of Neurology (R.S.B.), Duke University School of Medicine, NC; Veterans Affairs Cooperative Studies Program Coordinating Center (D.J.R., H.S., T.P.), Hines VA Medical Center, IL; Veterans Affairs Cooperative Studies Program Clinical Research Pharmacy Coordinating Center (R.J.R.) and University of New Mexico College of Pharmacy; Department of Neurology (P.G.B.), Louis Stokes Cleveland Veterans Affairs Medical Center, OH; Providence Veterans Affairs Medical Center (A.C.L.) and Department of Neurology, Brown University, RI; Veterans Affairs Connecticut Healthcare System (H.S.P.) and Department of Neurology, Yale School of Medicine, New Haven, CT; Department of Communication Science and Disorders (K.J.H.), University of Pittsburgh, PA; Cooperative Studies Program Central Office (D.G.H.), Department of Veterans Affairs Office of Research & Development, Washington, DC; and Louis Stokes Cleveland Veterans Affairs Medical Center (R.L.R.) and Department of Neurology, Case Western Reserve University School of Medicine, OH.
Charles S CarmackFrom the Department of Neurology (J.R.W., D.S.H.), Albany Stratton Veterans Affairs Medical Center; Wadsworth Center (J.R.W., T.M.V., S.M.H., L.M.M., C.S.C., S.W., D.J.M., E.W.S.), National Center for Adaptive Neurotechnologies, New York State Department of Health, Albany; Durham Veterans Affairs Medical Center (R.S.B.) and Department of Neurology (R.S.B.), Duke University School of Medicine, NC; Veterans Affairs Cooperative Studies Program Coordinating Center (D.J.R., H.S., T.P.), Hines VA Medical Center, IL; Veterans Affairs Cooperative Studies Program Clinical Research Pharmacy Coordinating Center (R.J.R.) and University of New Mexico College of Pharmacy; Department of Neurology (P.G.B.), Louis Stokes Cleveland Veterans Affairs Medical Center, OH; Providence Veterans Affairs Medical Center (A.C.L.) and Department of Neurology, Brown University, RI; Veterans Affairs Connecticut Healthcare System (H.S.P.) and Department of Neurology, Yale School of Medicine, New Haven, CT; Department of Communication Science and Disorders (K.J.H.), University of Pittsburgh, PA; Cooperative Studies Program Central Office (D.G.H.), Department of Veterans Affairs Office of Research & Development, Washington, DC; and Louis Stokes Cleveland Veterans Affairs Medical Center (R.L.R.) and Department of Neurology, Case Western Reserve University School of Medicine, OH.
Stefan WindenFrom the Department of Neurology (J.R.W., D.S.H.), Albany Stratton Veterans Affairs Medical Center; Wadsworth Center (J.R.W., T.M.V., S.M.H., L.M.M., C.S.C., S.W., D.J.M., E.W.S.), National Center for Adaptive Neurotechnologies, New York State Department of Health, Albany; Durham Veterans Affairs Medical Center (R.S.B.) and Department of Neurology (R.S.B.), Duke University School of Medicine, NC; Veterans Affairs Cooperative Studies Program Coordinating Center (D.J.R., H.S., T.P.), Hines VA Medical Center, IL; Veterans Affairs Cooperative Studies Program Clinical Research Pharmacy Coordinating Center (R.J.R.) and University of New Mexico College of Pharmacy; Department of Neurology (P.G.B.), Louis Stokes Cleveland Veterans Affairs Medical Center, OH; Providence Veterans Affairs Medical Center (A.C.L.) and Department of Neurology, Brown University, RI; Veterans Affairs Connecticut Healthcare System (H.S.P.) and Department of Neurology, Yale School of Medicine, New Haven, CT; Department of Communication Science and Disorders (K.J.H.), University of Pittsburgh, PA; Cooperative Studies Program Central Office (D.G.H.), Department of Veterans Affairs Office of Research & Development, Washington, DC; and Louis Stokes Cleveland Veterans Affairs Medical Center (R.L.R.) and Department of Neurology, Case Western Reserve University School of Medicine, OH.
Dennis J McFarlandFrom the Department of Neurology (J.R.W., D.S.H.), Albany Stratton Veterans Affairs Medical Center; Wadsworth Center (J.R.W., T.M.V., S.M.H., L.M.M., C.S.C., S.W., D.J.M., E.W.S.), National Center for Adaptive Neurotechnologies, New York State Department of Health, Albany; Durham Veterans Affairs Medical Center (R.S.B.) and Department of Neurology (R.S.B.), Duke University School of Medicine, NC; Veterans Affairs Cooperative Studies Program Coordinating Center (D.J.R., H.S., T.P.), Hines VA Medical Center, IL; Veterans Affairs Cooperative Studies Program Clinical Research Pharmacy Coordinating Center (R.J.R.) and University of New Mexico College of Pharmacy; Department of Neurology (P.G.B.), Louis Stokes Cleveland Veterans Affairs Medical Center, OH; Providence Veterans Affairs Medical Center (A.C.L.) and Department of Neurology, Brown University, RI; Veterans Affairs Connecticut Healthcare System (H.S.P.) and Department of Neurology, Yale School of Medicine, New Haven, CT; Department of Communication Science and Disorders (K.J.H.), University of Pittsburgh, PA; Cooperative Studies Program Central Office (D.G.H.), Department of Veterans Affairs Office of Research & Development, Washington, DC; and Louis Stokes Cleveland Veterans Affairs Medical Center (R.L.R.) and Department of Neurology, Case Western Reserve University School of Medicine, OH.
Eric W SellersFrom the Department of Neurology (J.R.W., D.S.H.), Albany Stratton Veterans Affairs Medical Center; Wadsworth Center (J.R.W., T.M.V., S.M.H., L.M.M., C.S.C., S.W., D.J.M., E.W.S.), National Center for Adaptive Neurotechnologies, New York State Department of Health, Albany; Durham Veterans Affairs Medical Center (R.S.B.) and Department of Neurology (R.S.B.), Duke University School of Medicine, NC; Veterans Affairs Cooperative Studies Program Coordinating Center (D.J.R., H.S., T.P.), Hines VA Medical Center, IL; Veterans Affairs Cooperative Studies Program Clinical Research Pharmacy Coordinating Center (R.J.R.) and University of New Mexico College of Pharmacy; Department of Neurology (P.G.B.), Louis Stokes Cleveland Veterans Affairs Medical Center, OH; Providence Veterans Affairs Medical Center (A.C.L.) and Department of Neurology, Brown University, RI; Veterans Affairs Connecticut Healthcare System (H.S.P.) and Department of Neurology, Yale School of Medicine, New Haven, CT; Department of Communication Science and Disorders (K.J.H.), University of Pittsburgh, PA; Cooperative Studies Program Central Office (D.G.H.), Department of Veterans Affairs Office of Research & Development, Washington, DC; and Louis Stokes Cleveland Veterans Affairs Medical Center (R.L.R.) and Department of Neurology, Case Western Reserve University School of Medicine, OH.
Hairong ShiFrom the Department of Neurology (J.R.W., D.S.H.), Albany Stratton Veterans Affairs Medical Center; Wadsworth Center (J.R.W., T.M.V., S.M.H., L.M.M., C.S.C., S.W., D.J.M., E.W.S.), National Center for Adaptive Neurotechnologies, New York State Department of Health, Albany; Durham Veterans Affairs Medical Center (R.S.B.) and Department of Neurology (R.S.B.), Duke University School of Medicine, NC; Veterans Affairs Cooperative Studies Program Coordinating Center (D.J.R., H.S., T.P.), Hines VA Medical Center, IL; Veterans Affairs Cooperative Studies Program Clinical Research Pharmacy Coordinating Center (R.J.R.) and University of New Mexico College of Pharmacy; Department of Neurology (P.G.B.), Louis Stokes Cleveland Veterans Affairs Medical Center, OH; Providence Veterans Affairs Medical Center (A.C.L.) and Department of Neurology, Brown University, RI; Veterans Affairs Connecticut Healthcare System (H.S.P.) and Department of Neurology, Yale School of Medicine, New Haven, CT; Department of Communication Science and Disorders (K.J.H.), University of Pittsburgh, PA; Cooperative Studies Program Central Office (D.G.H.), Department of Veterans Affairs Office of Research & Development, Washington, DC; and Louis Stokes Cleveland Veterans Affairs Medical Center (R.L.R.) and Department of Neurology, Case Western Reserve University School of Medicine, OH.
Tamara PaineFrom the Department of Neurology (J.R.W., D.S.H.), Albany Stratton Veterans Affairs Medical Center; Wadsworth Center (J.R.W., T.M.V., S.M.H., L.M.M., C.S.C., S.W., D.J.M., E.W.S.), National Center for Adaptive Neurotechnologies, New York State Department of Health, Albany; Durham Veterans Affairs Medical Center (R.S.B.) and Department of Neurology (R.S.B.), Duke University School of Medicine, NC; Veterans Affairs Cooperative Studies Program Coordinating Center (D.J.R., H.S., T.P.), Hines VA Medical Center, IL; Veterans Affairs Cooperative Studies Program Clinical Research Pharmacy Coordinating Center (R.J.R.) and University of New Mexico College of Pharmacy; Department of Neurology (P.G.B.), Louis Stokes Cleveland Veterans Affairs Medical Center, OH; Providence Veterans Affairs Medical Center (A.C.L.) and Department of Neurology, Brown University, RI; Veterans Affairs Connecticut Healthcare System (H.S.P.) and Department of Neurology, Yale School of Medicine, New Haven, CT; Department of Communication Science and Disorders (K.J.H.), University of Pittsburgh, PA; Cooperative Studies Program Central Office (D.G.H.), Department of Veterans Affairs Office of Research & Development, Washington, DC; and Louis Stokes Cleveland Veterans Affairs Medical Center (R.L.R.) and Department of Neurology, Case Western Reserve University School of Medicine, OH.
Donald S HigginsFrom the Department of Neurology (J.R.W., D.S.H.), Albany Stratton Veterans Affairs Medical Center; Wadsworth Center (J.R.W., T.M.V., S.M.H., L.M.M., C.S.C., S.W., D.J.M., E.W.S.), National Center for Adaptive Neurotechnologies, New York State Department of Health, Albany; Durham Veterans Affairs Medical Center (R.S.B.) and Department of Neurology (R.S.B.), Duke University School of Medicine, NC; Veterans Affairs Cooperative Studies Program Coordinating Center (D.J.R., H.S., T.P.), Hines VA Medical Center, IL; Veterans Affairs Cooperative Studies Program Clinical Research Pharmacy Coordinating Center (R.J.R.) and University of New Mexico College of Pharmacy; Department of Neurology (P.G.B.), Louis Stokes Cleveland Veterans Affairs Medical Center, OH; Providence Veterans Affairs Medical Center (A.C.L.) and Department of Neurology, Brown University, RI; Veterans Affairs Connecticut Healthcare System (H.S.P.) and Department of Neurology, Yale School of Medicine, New Haven, CT; Department of Communication Science and Disorders (K.J.H.), University of Pittsburgh, PA; Cooperative Studies Program Central Office (D.G.H.), Department of Veterans Affairs Office of Research & Development, Washington, DC; and Louis Stokes Cleveland Veterans Affairs Medical Center (R.L.R.) and Department of Neurology, Case Western Reserve University School of Medicine, OH.
Albert C LoFrom the Department of Neurology (J.R.W., D.S.H.), Albany Stratton Veterans Affairs Medical Center; Wadsworth Center (J.R.W., T.M.V., S.M.H., L.M.M., C.S.C., S.W., D.J.M., E.W.S.), National Center for Adaptive Neurotechnologies, New York State Department of Health, Albany; Durham Veterans Affairs Medical Center (R.S.B.) and Department of Neurology (R.S.B.), Duke University School of Medicine, NC; Veterans Affairs Cooperative Studies Program Coordinating Center (D.J.R., H.S., T.P.), Hines VA Medical Center, IL; Veterans Affairs Cooperative Studies Program Clinical Research Pharmacy Coordinating Center (R.J.R.) and University of New Mexico College of Pharmacy; Department of Neurology (P.G.B.), Louis Stokes Cleveland Veterans Affairs Medical Center, OH; Providence Veterans Affairs Medical Center (A.C.L.) and Department of Neurology, Brown University, RI; Veterans Affairs Connecticut Healthcare System (H.S.P.) and Department of Neurology, Yale School of Medicine, New Haven, CT; Department of Communication Science and Disorders (K.J.H.), University of Pittsburgh, PA; Cooperative Studies Program Central Office (D.G.H.), Department of Veterans Affairs Office of Research & Development, Washington, DC; and Louis Stokes Cleveland Veterans Affairs Medical Center (R.L.R.) and Department of Neurology, Case Western Reserve University School of Medicine, OH.
Huned S PatwaFrom the Department of Neurology (J.R.W., D.S.H.), Albany Stratton Veterans Affairs Medical Center; Wadsworth Center (J.R.W., T.M.V., S.M.H., L.M.M., C.S.C., S.W., D.J.M., E.W.S.), National Center for Adaptive Neurotechnologies, New York State Department of Health, Albany; Durham Veterans Affairs Medical Center (R.S.B.) and Department of Neurology (R.S.B.), Duke University School of Medicine, NC; Veterans Affairs Cooperative Studies Program Coordinating Center (D.J.R., H.S., T.P.), Hines VA Medical Center, IL; Veterans Affairs Cooperative Studies Program Clinical Research Pharmacy Coordinating Center (R.J.R.) and University of New Mexico College of Pharmacy; Department of Neurology (P.G.B.), Louis Stokes Cleveland Veterans Affairs Medical Center, OH; Providence Veterans Affairs Medical Center (A.C.L.) and Department of Neurology, Brown University, RI; Veterans Affairs Connecticut Healthcare System (H.S.P.) and Department of Neurology, Yale School of Medicine, New Haven, CT; Department of Communication Science and Disorders (K.J.H.), University of Pittsburgh, PA; Cooperative Studies Program Central Office (D.G.H.), Department of Veterans Affairs Office of Research & Development, Washington, DC; and Louis Stokes Cleveland Veterans Affairs Medical Center (R.L.R.) and Department of Neurology, Case Western Reserve University School of Medicine, OH.
Katherine J HillFrom the Department of Neurology (J.R.W., D.S.H.), Albany Stratton Veterans Affairs Medical Center; Wadsworth Center (J.R.W., T.M.V., S.M.H., L.M.M., C.S.C., S.W., D.J.M., E.W.S.), National Center for Adaptive Neurotechnologies, New York State Department of Health, Albany; Durham Veterans Affairs Medical Center (R.S.B.) and Department of Neurology (R.S.B.), Duke University School of Medicine, NC; Veterans Affairs Cooperative Studies Program Coordinating Center (D.J.R., H.S., T.P.), Hines VA Medical Center, IL; Veterans Affairs Cooperative Studies Program Clinical Research Pharmacy Coordinating Center (R.J.R.) and University of New Mexico College of Pharmacy; Department of Neurology (P.G.B.), Louis Stokes Cleveland Veterans Affairs Medical Center, OH; Providence Veterans Affairs Medical Center (A.C.L.) and Department of Neurology, Brown University, RI; Veterans Affairs Connecticut Healthcare System (H.S.P.) and Department of Neurology, Yale School of Medicine, New Haven, CT; Department of Communication Science and Disorders (K.J.H.), University of Pittsburgh, PA; Cooperative Studies Program Central Office (D.G.H.), Department of Veterans Affairs Office of Research & Development, Washington, DC; and Louis Stokes Cleveland Veterans Affairs Medical Center (R.L.R.) and Department of Neurology, Case Western Reserve University School of Medicine, OH.
Grant D HuangFrom the Department of Neurology (J.R.W., D.S.H.), Albany Stratton Veterans Affairs Medical Center; Wadsworth Center (J.R.W., T.M.V., S.M.H., L.M.M., C.S.C., S.W., D.J.M., E.W.S.), National Center for Adaptive Neurotechnologies, New York State Department of Health, Albany; Durham Veterans Affairs Medical Center (R.S.B.) and Department of Neurology (R.S.B.), Duke University School of Medicine, NC; Veterans Affairs Cooperative Studies Program Coordinating Center (D.J.R., H.S., T.P.), Hines VA Medical Center, IL; Veterans Affairs Cooperative Studies Program Clinical Research Pharmacy Coordinating Center (R.J.R.) and University of New Mexico College of Pharmacy; Department of Neurology (P.G.B.), Louis Stokes Cleveland Veterans Affairs Medical Center, OH; Providence Veterans Affairs Medical Center (A.C.L.) and Department of Neurology, Brown University, RI; Veterans Affairs Connecticut Healthcare System (H.S.P.) and Department of Neurology, Yale School of Medicine, New Haven, CT; Department of Communication Science and Disorders (K.J.H.), University of Pittsburgh, PA; Cooperative Studies Program Central Office (D.G.H.), Department of Veterans Affairs Office of Research & Development, Washington, DC; and Louis Stokes Cleveland Veterans Affairs Medical Center (R.L.R.) and Department of Neurology, Case Western Reserve University School of Medicine, OH.
Robert L RuffFrom the Department of Neurology (J.R.W., D.S.H.), Albany Stratton Veterans Affairs Medical Center; Wadsworth Center (J.R.W., T.M.V., S.M.H., L.M.M., C.S.C., S.W., D.J.M., E.W.S.), National Center for Adaptive Neurotechnologies, New York State Department of Health, Albany; Durham Veterans Affairs Medical Center (R.S.B.) and Department of Neurology (R.S.B.), Duke University School of Medicine, NC; Veterans Affairs Cooperative Studies Program Coordinating Center (D.J.R., H.S., T.P.), Hines VA Medical Center, IL; Veterans Affairs Cooperative Studies Program Clinical Research Pharmacy Coordinating Center (R.J.R.) and University of New Mexico College of Pharmacy; Department of Neurology (P.G.B.), Louis Stokes Cleveland Veterans Affairs Medical Center, OH; Providence Veterans Affairs Medical Center (A.C.L.) and Department of Neurology, Brown University, RI; Veterans Affairs Connecticut Healthcare System (H.S.P.) and Department of Neurology, Yale School of Medicine, New Haven, CT; Department of Communication Science and Disorders (K.J.H.), University of Pittsburgh, PA; Cooperative Studies Program Central Office (D.G.H.), Department of Veterans Affairs Office of Research & Development, Washington, DC; and Louis Stokes Cleveland Veterans Affairs Medical Center (R.L.R.) and Department of Neurology, Case Western Reserve University School of Medicine, OH.

Funding

Training and DisseminationP41EB018783 · NIBIB · WADSWORTH CENTER · PI Peter Brunner, Jonathan Rickel Wolpaw · 2014 to 2026
$15.4M
NIBIB NIH HHS P41 EB018783
6 · The paper itself

Abstract

objectiveTo assess the reliability and usefulness of an EEG-based brain-computer interface (BCI) for patients with advanced amyotrophic lateral sclerosis (ALS) who used it independently at home for up to 18 months.

methodsOf 42 patients consented, 39 (93%) met the study criteria, and 37 (88%) were assessed for use of the Wadsworth BCI. Nine (21%) could not use the BCI. Of the other 28, 27 (men, age 28-79 years) (64%) had the BCI placed in their homes, and they and their caregivers were trained to use it. Use data were collected by Internet. Periodic visits evaluated BCI benefit and burden and quality of life.

resultsOver subsequent months, 12 (29% of the original 42) left the study because of death or rapid disease progression and 6 (14%) left because of decreased interest. Fourteen (33%) completed training and used the BCI independently, mainly for communication. Technical problems were rare. Patient and caregiver ratings indicated that BCI benefit exceeded burden. Quality of life remained stable. Of those not lost to the disease, half completed the study; all but 1 patient kept the BCI for further use.

conclusionThe Wadsworth BCI home system can function reliably and usefully when operated by patients in their homes. BCIs that support communication are at present most suitable for people who are severely disabled but are otherwise in stable health. Improvements in BCI convenience and performance, including some now underway, should increase the number of people who find them useful and the extent to which they are used.

Indexed as

AdultAgedAmyotrophic Lateral SclerosisBrain-Computer InterfacesElectroencephalographyHome Care ServicesHumansMaleMiddle AgedSelf CareTherapy, Computer-AssistedUnited StatesUnited States Department of Veterans Affairs

Identifiers

PMID29950436
PMCPMC6059033

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.