Evidence map›Paper›PMID 30458838›Full record

Trial reportJournal of neuroengineering and rehabilitation2018

On the design of EEG-based movement decoders for completely paralyzed stroke patients.

Martin Spüler, Eduardo López-Larraz, Ander Ramos-Murguialday

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of neuroengineering and rehabilitation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

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

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Martin SpülerDepartment of Computer Engineering, Wilhelm-Schickard-Institute, University of Tübingen, Sand 14, 72076, Tübingen, Germany.
Eduardo López-LarrazInstitute of Medical Psychology and Behavioral Neurobiology, University of Tübingen, Silcherstr. 5, 72076, Tübingen, Germany.
Ander Ramos-MurguialdayInstitute of Medical Psychology and Behavioral Neurobiology, University of Tübingen, Silcherstr. 5, 72076, Tübingen, Germany. ander.ramos-murguialday@uni-tuebingen.de.ORCID 0000-0002-1549-4029

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBrain machine interface (BMI) technology has demonstrated its efficacy for rehabilitation of paralyzed chronic stroke patients. The critical component in BMI-training consists of the associative connection (contingency) between the intention and the feedback provided. However, the relationship between the BMI design and its performance in stroke patients is still an open question.

methodsIn this study we compare different methodologies to design a BMI for rehabilitation and evaluate their effects on movement intention decoding performance. We analyze the data of 37 chronic stroke patients who underwent 4 weeks of BMI intervention with different types of association between their brain activity and the proprioceptive feedback. We simulate the pseudo-online performance that a BMI would have under different conditions, varying: (1) the cortical source of activity (i.e., ipsilesional, contralesional, bihemispheric), (2) the type of spatial filter applied, (3) the EEG frequency band, (4) the type of classifier; and also evaluated the use of residual EMG activity to decode the movement intentions.

resultsWe observed a significant influence of the different BMI designs on the obtained performances. Our results revealed that using bihemispheric beta activity with a common average reference and an adaptive support vector machine led to the best classification results. Furthermore, the decoding results based on brain activity were significantly higher than those based on muscle activity.

conclusionsThis paper underscores the relevance of the different parameters used to decode movement, using EEG in severely paralyzed stroke patients. We demonstrated significant differences in performance for the different designs, which supports further research that should elucidate if those approaches leading to higher accuracies also induce higher motor recovery in paralyzed stroke patients.

Indexed as

Brain-Computer InterfacesSignal Processing, Computer-AssistedAgedDouble-Blind MethodElectroencephalographyFemaleHumansMaleMiddle AgedParalysisStrokeStroke RehabilitationBrain machine interface (BMI)NeuroprosthesesProprioceptive feedback, motor rehabilitation, stroke, NeurotechnologyRehabilitation robotics

Identifiers

PMID30458838
PMCPMC6247630

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Registered trials

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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.