Closed-Loop Brain–Machine–Body Interfaces for Noninvasive Rehabilitation of Movement Disorders
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- 作者：Frédéric D. Broccard (1) (2)
Tim Mullen (3)
Yu Mike Chi (4)
David Peterson (1) (5)
John R. Iversen (3)
Mike Arnold (6)
Kenneth Kreutz-Delgado (3)
Tzyy-Ping Jung (3)
Scott Makeig (3)
Howard Poizner (1)
Terrence Sejnowski (1) (5) (7)
Gert Cauwenberghs (1) (2) - 关键词：Brain–machine–body interface ; Closed ; loop systems ; Movement disorders ; Noninvasive ; Rehabilitation
- 刊名：Annals of Biomedical Engineering
- 出版年：2014
- 出版时间：August 2014
- 年：2014
- 卷：42
- 期：8
- 页码：1573-1593
- 全文大小：3,456 KB
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Tim Mullen (3)
Yu Mike Chi (4)
David Peterson (1) (5)
John R. Iversen (3)
Mike Arnold (6)
Kenneth Kreutz-Delgado (3)
Tzyy-Ping Jung (3)
Scott Makeig (3)
Howard Poizner (1)
Terrence Sejnowski (1) (5) (7)
Gert Cauwenberghs (1) (2)
1. Institute for Neural Computation, University of California San Diego, La Jolla, CA, 92093, USA
2. Department of Bioengineering, University of California San Diego, La Jolla, CA, 92093, USA
3. Swartz Center for Computational Neuroscience, University of California San Diego, La Jolla, CA, 92093, USA
4. Cognionics Inc., San Diego, CA, 92121, USA
5. Computational Neuroscience Laboratory, Salk Institute for Biological Studies, La Jolla, CA, 92037, USA
6. Isoloader USA Inc., 1745 Eolus Ave, Encinitas, CA, 92024-1519, USA
7. Howard Hughes Medical Institute, 9500 Gilman Dr, La Jolla, CA, 92093, USA - ISSN：1573-9686
文摘
Traditional approaches for neurological rehabilitation of patients affected with movement disorders, such as Parkinson’s disease (PD), dystonia, and essential tremor (ET) consist mainly of oral medication, physical therapy, and botulinum toxin injections. Recently, the more invasive method of deep brain stimulation (DBS) showed significant improvement of the physical symptoms associated with these disorders. In the past several years, the adoption of feedback control theory helped DBS protocols to take into account the progressive and dynamic nature of these neurological movement disorders that had largely been ignored so far. As a result, a more efficient and effective management of PD cardinal symptoms has emerged. In this paper, we review closed-loop systems for rehabilitation of movement disorders, focusing on PD, for which several invasive and noninvasive methods have been developed during the last decade, reducing the complications and side effects associated with traditional rehabilitation approaches and paving the way for tailored individual therapeutics. We then present a novel, transformative, noninvasive closed-loop framework based on force neurofeedback and discuss several future developments of closed-loop systems that might bring us closer to individualized solutions for neurological rehabilitation of movement disorders.