Challenges of neural interfaces for stroke motor rehabilitation.

Autor:	Vidaurre C; TECNALIA, Basque Research and Technology Alliance (BRTA), San Sebastian, Spain.; Ikerbasque Science Foundation, Bilbao, Spain., Irastorza-Landa N; TECNALIA, Basque Research and Technology Alliance (BRTA), San Sebastian, Spain., Sarasola-Sanz A; TECNALIA, Basque Research and Technology Alliance (BRTA), San Sebastian, Spain., Insausti-Delgado A; TECNALIA, Basque Research and Technology Alliance (BRTA), San Sebastian, Spain., Ray AM; Institute for Medical Psychology and Behavioral Neurobiology, University of Tübingen, Tübingen, Germany., Bibián C; Institute for Medical Psychology and Behavioral Neurobiology, University of Tübingen, Tübingen, Germany., Helmhold F; Institute for Medical Psychology and Behavioral Neurobiology, University of Tübingen, Tübingen, Germany., Mahmoud WJ; Institute for Medical Psychology and Behavioral Neurobiology, University of Tübingen, Tübingen, Germany., Ortego-Isasa I; TECNALIA, Basque Research and Technology Alliance (BRTA), San Sebastian, Spain., López-Larraz E; Institute for Medical Psychology and Behavioral Neurobiology, University of Tübingen, Tübingen, Germany.; Bitbrain, Zaragoza, Spain., Lozano Peiteado H; TECNALIA, Basque Research and Technology Alliance (BRTA), San Sebastian, Spain., Ramos-Murguialday A; TECNALIA, Basque Research and Technology Alliance (BRTA), San Sebastian, Spain.; Institute for Medical Psychology and Behavioral Neurobiology, University of Tübingen, Tübingen, Germany.
Jazyk:	angličtina
Zdroj:	Frontiers in human neuroscience [Front Hum Neurosci] 2023 Sep 18; Vol. 17, pp. 1070404. Date of Electronic Publication: 2023 Sep 18 (Print Publication: 2023).
DOI:	10.3389/fnhum.2023.1070404
Abstrakt:	More than 85% of stroke survivors suffer from different degrees of disability for the rest of their lives. They will require support that can vary from occasional to full time assistance. These conditions are also associated to an enormous economic impact for their families and health care systems. Current rehabilitation treatments have limited efficacy and their long-term effect is controversial. Here we review different challenges related to the design and development of neural interfaces for rehabilitative purposes. We analyze current bibliographic evidence of the effect of neuro-feedback in functional motor rehabilitation of stroke patients. We highlight the potential of these systems to reconnect brain and muscles. We also describe all aspects that should be taken into account to restore motor control. Our aim with this work is to help researchers designing interfaces that demonstrate and validate neuromodulation strategies to enforce a contingent and functional neural linkage between the central and the peripheral nervous system. We thus give clues to design systems that can improve or/and re-activate neuroplastic mechanisms and open a new recovery window for stroke patients. Competing Interests: EL-L was employed by Bitbrain. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2023 Vidaurre, Irastorza-Landa, Sarasola-Sanz, Insausti-Delgado, Ray, Bibián, Helmhold, Mahmoud, Ortego-Isasa, López-Larraz, Lozano Peiteado and Ramos-Murguialday.)
Databáze:	MEDLINE
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