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In this communication, a translational roadmap for a noninvasive Brain Machine Interface (BMI) system for rehabilitation is presented. This multi-faceted project addresses important engineering, clinical, end user and regulatory challenges. The goal is to improve the feasibility of at-home neurorehabilitation for patients with chronic stroke by providing a low-cost, portable, form fitting, reliable, and easy-to-use system. The proposed BMI system is also designed to enable direct communication between the end-user and clinician, allowing for continuous patient specific rehabilitation optimization.
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This content will become publicly available on March 1, 2026
At-Home Stroke Neurorehabilitation: Early Findings with the NeuroExo BCI System
Background: Democratized access to safe and effective robotic neurorehabilitation for stroke survivors requires innovative, affordable solutions that can be used not only in clinics but also at home. This requires the high usability of the devices involved to minimize costs associated with support from physical therapists or technicians. Methods: This paper describes the early findings of the NeuroExo brain–machine interface (BMI) with an upper-limb robotic exoskeleton for stroke neurorehabilitation. This early feasibility study consisted of a six-week protocol, with an initial training and BMI calibration phase at the clinic followed by 60 sessions of neuromotor therapy at the homes of the participants. Pre- and post-assessments were used to assess users’ compliance and system performance. Results: Participants achieved a compliance rate between 21% and 100%, with an average of 69%, while maintaining adequate signal quality and a positive perceived BMI performance during home usage with an average Likert scale score of four out of five. Moreover, adequate signal quality was maintained for four out of five participants throughout the protocol. These findings provide valuable insights into essential components for comprehensive rehabilitation therapy for stroke survivors. Furthermore, linear mixed-effects statistical models showed a significant reduction in trial duration (p-value < 0.02) and concomitant changes in brain patterns (p-value < 0.02). Conclusions: the analysis of these findings suggests that a low-cost, safe, simple-to-use BMI system for at-home stroke rehabilitation is feasible.
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- PAR ID:
- 10617426
- Publisher / Repository:
- MDPI
- Date Published:
- Journal Name:
- Sensors
- Volume:
- 25
- Issue:
- 5
- ISSN:
- 1424-8220
- Page Range / eLocation ID:
- 1322
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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In this communication, a translational roadmap for a noninvasive Brain Machine Interface (BMI) system for rehabilitation is presented. This multi-faceted project addresses important engineering, clinical, end user and regulatory challenges. The goal is to improve the feasibility of at-home neurorehabilitation for patients with chronic stroke by providing a low-cost, portable, form fitting, reliable, and easy-to-use system. The proposed BMI system is also designed to enable direct communication between the end-user and clinician, allowing for continuous patient-specific rehabilitation optimization.more » « less
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