Brain‐machine interface of upper limb recovery in stroke patients rehabilitation: A systematic review.

Background: Technologies such as brain‐computer interfaces are able to guide mental practice, in particular motor imagery performance, to promote recovery in stroke patients, as a combined approach to conventional therapy. Objective: The aim of this systematic review was to provide a status report r...

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Published in:Physiotherapy Research International Vol. 24; no. 2
Main Authors: Carvalho, Raquel, Dias, Nuno, Cerqueira, João José
Format: research systematic review tables/charts Journal Article
Published: Wiley-Blackwell Apr2019
Online Access:View this record in EBSCOhost
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      dt: Apr2019
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1002/pri.1764
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        atl: Brain‐machine interface of upper limb recovery in stroke patients rehabilitation: A systematic review.
      aug:
        au:
          Carvalho, Raquel
          Dias, Nuno
          Cerqueira, João José
        affil: Department of Physical Therapy, CESPU, Institute of Research and Advanced Training in Health Sciences and Technologies, Gandra Portugal
      sug:
        subj:
          Brain-Computer Interfaces
          Hemiplegia Rehabilitation
          Recovery
          Upper Extremity Physiopathology
          Stroke Patients
          Human
          Systematic Review
          Motor Activity
          PubMed
          Physiotherapy Evidence Database
          Electroencephalography
          Scales
          Biofeedback
          Electric Stimulation
      ab: Background: Technologies such as brain‐computer interfaces are able to guide mental practice, in particular motor imagery performance, to promote recovery in stroke patients, as a combined approach to conventional therapy. Objective: The aim of this systematic review was to provide a status report regarding advances in brain‐computer interface, focusing in particular in upper limb motor recovery. Methods: The databases PubMed, Scopus, and PEDro were systematically searched for articles published between January 2010 and December 2017. The selected studies were randomized controlled trials involving brain‐computer interface interventions in stroke patients, with upper limb assessment as primary outcome measures. Reviewers independently extracted data and assessed the methodological quality of the trials, using the PEDro methodologic rating scale. Results: From 309 titles, we included nine studies with high quality (PEDro ≥ 6). We found that the most common interface used was non‐invasive electroencephalography, and the main neurofeedback, in stroke rehabilitation, was usually visual abstract or a combination with the control of an orthosis/robotic limb. Moreover, the Fugl–Meyer Assessment Scale was a major outcome measure in eight out of nine studies. In addition, the benefits of functional electric stimulation associated to an interface were found in three studies. Conclusions: Neurofeedback training with brain‐computer interface systems seem to promote clinical and neurophysiologic changes in stroke patients, in particular those with long‐term efficacy.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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