04388nas a2200385 4500008004100000022001400041245009500055210006900150260001200219300001100231490000800242520325500250653001003505653003403515653002103549653001003570653003603580653002403616653002703640653002103667653001103688653000903699653004103708653002803749100002603777700002503803700001403828700001903842700001403861700001503875700002503890700002103915700001803936856004803954 2011 eng d a1872-895200aTransition from the locked in to the completely locked-in state: a physiological analysis.0 aTransition from the locked in to the completely lockedin state a c06/2011 a925-330 v1223 a

OBJECTIVE: 

To clarify the physiological and behavioral boundaries between locked-in (LIS) and the completely locked-in state (CLIS) (no voluntary eye movements, no communication possible) through electrophysiological data and to secure brain-computer-interface (BCI) communication.

METHODS: 

Electromyography from facial muscles, external anal sphincter (EAS), electrooculography and electrocorticographic data during different psychophysiological tests were acquired to define electrophysiological differences in an amyotrophic lateral sclerosis (ALS) patient with an intracranially implanted grid of 112 electrodes for nine months while the patient passed from the LIS to the CLIS.

RESULTS: 

At the very end of the LIS there was no facial muscle activity, nor external anal sphincter but eye control. Eye movements were slow and lasted for short periods only. During CLIS event related brainpotentials (ERP) to passive limb movements and auditory stimuli were recorded, vibrotactile stimulation of different body parts resulted in no ERP response.

CONCLUSIONS: 

The results presented contradict the commonly accepted assumption that the EAS is the last remaining muscle under voluntary control and demonstrate complete loss of eye movements in CLIS. The eye muscle was shown to be the last muscle group under voluntary control. The findings suggest ALS as a multisystem disorder, even affecting afferent sensory pathways.

SIGNIFICANCE: 

Auditory and proprioceptive brain-computer-interface (BCI) systems are the only remaining communication channels in CLIS.

10aAdult10aAmyotrophic Lateral Sclerosis10aArea Under Curve10aBrain10aCommunication Aids for Disabled10aDisease Progression10aElectroencephalography10aElectromyography10aHumans10aMale10aSignal Processing, Computer-Assisted10aUser-Computer Interface1 aMurguialday, Ramos, A1 aHill, Jeremy, Jeremy1 aBensch, M1 aMartens, S M M1 aHalder, S1 aNijboer, F1 aSchoelkopf, Bernhard1 aBirbaumer, Niels1 aGharabaghi, A uhttp://www.ncbi.nlm.nih.gov/pubmed/2088829202392nas a2200361 4500008004100000022001400041245008900055210006900144260001200213300001600225490000800241520135100249653003401600653002901634653002501663653002901688653000901717653001901726100001601745700002001761700001701781700001901798700001301817700001901830700001401849700001501863700002301878700002401901700002101925700002101946700001501967856004801982 2008 eng d a1388-245700aA P300-based brain-computer interface for people with amyotrophic lateral sclerosis.0 aP300based braincomputer interface for people with amyotrophic la c08/2008 a1909–19160 v1193 aOBJECTIVE: The current study evaluates the efficacy of a P300-based brain-computer interface (BCI) communication device for individuals with advanced ALS. METHODS: Participants attended to one cell of a N x N matrix while the N rows and N columns flashed randomly. Each cell of the matrix contained one character. Every flash of an attended character served as a rare event in an oddball sequence and elicited a P300 response. Classification coefficients derived using a stepwise linear discriminant function were applied to the data after each set of flashes. The character receiving the highest discriminant score was presented as feedback. RESULTS: In Phase I, six participants used a 6 x 6 matrix on 12 separate days with a mean rate of 1.2 selections/min and mean online and offline accuracies of 62% and 82%, respectively. In Phase II, four participants used either a 6 x 6 or a 7 x 7 matrix to produce novel and spontaneous statements with a mean online rate of 2.1 selections/min and online accuracy of 79%. The amplitude and latency of the P300 remained stable over 40 weeks. CONCLUSIONS: Participants could communicate with the P300-based BCI and performance was stable over many months. SIGNIFICANCE: BCIs could provide an alternative communication and control technology in the daily lives of people severely disabled by ALS.10aAmyotrophic Lateral Sclerosis10abrain-computer interface10aelectroencephalogram10aevent-related potentials10aP30010aRehabilitation1 aNijboer, F.1 aSellers, E., W.1 aMellinger, J1 aJordan, M., A.1 aMatuz, T1 aFurdea, Adrian1 aHalder, S1 aMochty, U.1 aKrusienski, D., J.1 aVaughan, Theresa, M1 aWolpaw, Jonathan1 aBirbaumer, Niels1 aKübler, A uhttp://www.ncbi.nlm.nih.gov/pubmed/1857198402332nas a2200457 4500008004100000022001400041245009000055210006900145260001200214300001100226490000700237520103300244653000901277653003401286653002701320653002901347653003701376653001101413653001101424653001601435653000901451653001601460653001701476653001301493653001401506653002301520653002801543653002501571653002201596653002801618100001501646700001501661700002301676700002401699700001601723700001901739700002601758700002101784700002101805856004801826 2005 eng d a1526-632X00aPatients with ALS can use sensorimotor rhythms to operate a brain-computer interface.0 aPatients with ALS can use sensorimotor rhythms to operate a brai c05/2005 a1775-70 v643 a

People with severe motor disabilities can maintain an acceptable quality of life if they can communicate. Brain-computer interfaces (BCIs), which do not depend on muscle control, can provide communication. Four people severely disabled by ALS learned to operate a BCI with EEG rhythms recorded over sensorimotor cortex. These results suggest that a sensorimotor rhythm-based BCI could help maintain quality of life for people with ALS.

10aAged10aAmyotrophic Lateral Sclerosis10aElectroencephalography10aEvoked Potentials, Motor10aEvoked Potentials, Somatosensory10aFemale10aHumans10aImagination10aMale10aMiddle Aged10aMotor Cortex10aMovement10aParalysis10aPhotic Stimulation10aProstheses and Implants10aSomatosensory Cortex10aTreatment Outcome10aUser-Computer Interface1 aKübler, A1 aNijboer, F1 aMellinger, Jürgen1 aVaughan, Theresa, M1 aPawelzik, H1 aSchalk, Gerwin1 aMcFarland, Dennis, J.1 aBirbaumer, Niels1 aWolpaw, Jonathan uhttp://www.ncbi.nlm.nih.gov/pubmed/1591180902756nas a2200433 4500008004100000022001400041245011000055210006900165260001200234300001200246490000700258520140000265653001001665653001501675653003401690653002801724653001001752653001401762653002301776653002701799653002201826653001101848653003101859653003201890653002801922100002401950700002601974700001902000700002402019700001902043700002102062700002002083700002002103700002402123700002002147700002302167700002102190856011102211 2004 eng d a0018-929400aThe BCI Competition 2003: Progress and perspectives in detection and discrimination of EEG single trials.0 aBCI Competition 2003 Progress and perspectives in detection and  c06/2004 a1044-510 v513 aInterest in developing a new method of man-to-machine communication--a brain-computer interface (BCI)--has grown steadily over the past few decades. BCIs create a new communication channel between the brain and an output device by bypassing conventional motor output pathways of nerves and muscles. These systems use signals recorded from the scalp, the surface of the cortex, or from inside the brain to enable users to control a variety of applications including simple word-processing software and orthotics. BCI technology could therefore provide a new communication and control option for individuals who cannot otherwise express their wishes to the outside world. Signal processing and classification methods are essential tools in the development of improved BCI technology. We organized the BCI Competition 2003 to evaluate the current state of the art of these tools. Four laboratories well versed in EEG-based BCI research provided six data sets in a documented format. We made these data sets (i.e., labeled training sets and unlabeled test sets) and their descriptions available on the Internet. The goal in the competition was to maximize the performance measure for the test labels. Researchers worldwide tested their algorithms and competed for the best classification results. This paper describes the six data sets and the results and function of the most successful algorithms.10aAdult10aAlgorithms10aAmyotrophic Lateral Sclerosis10aArtificial Intelligence10aBrain10aCognition10aDatabases, Factual10aElectroencephalography10aEvoked Potentials10aHumans10aReproducibility of Results10aSensitivity and Specificity10aUser-Computer Interface1 aBlankertz, Benjamin1 aMüller, Klaus-Robert1 aCurio, Gabriel1 aVaughan, Theresa, M1 aSchalk, Gerwin1 aWolpaw, Jonathan1 aSchlögl, Alois1 aNeuper, Christa1 aPfurtscheller, Gert1 aHinterberger, T1 aSchröder, Michael1 aBirbaumer, Niels uhttps://neurotechcenter.org/publications/2004/bci-competition-2003-progress-and-perspectives-detection-and