作者
Alexander B Remsik, Keith Dodd, Leroy Williams Jr, Jaclyn Thoma, Tyler Jacobson, Janerra D Allen, Hemali Advani, Rosaleena Mohanty, Matt McMillan, Shruti Rajan, Matt Walczak, Brittany M Young, Zack Nigogosyan, Cameron A Rivera, Mohsen Mazrooyisebdani, Neelima Tellapragada, Leo M Walton, Klevest Gjini, Peter LE Van Kan, Theresa J Kang, Justin A Sattin, Veena A Nair, Dorothy Farrar Edwards, Justin C Williams, Vivek Prabhakaran
发表日期
2018/11/8
期刊
Frontiers in neuroscience
卷号
12
页码范围
752
出版商
Frontiers Media SA
简介
Stroke is a leading cause of persistent upper extremity (UE) motor disability in adults. Brain–computer interface (BCI) intervention has demonstrated potential as a motor rehabilitation strategy for stroke survivors. This sub-analysis of ongoing clinical trial (NCT02098265) examines rehabilitative efficacy of this BCI design and seeks to identify stroke participant characteristics associated with behavioral improvement. Stroke participants (n = 21) with UE impairment were assessed using Action Research Arm Test (ARAT) and measures of function. Nine participants completed three assessments during the experimental BCI intervention period and at 1-month follow-up. Twelve other participants first completed three assessments over a parallel time-matched control period and then crossed over into the BCI intervention condition 1-month later. Participants who realized positive change (≥1 point) in total ARAT performance of the stroke affected UE between the first and third assessments of the intervention period were dichotomized as “responders” (<1 = “non-responders”) and similarly analyzed. Of the 14 participants with room for ARAT improvement, 64% (9/14) showed some positive change at completion and approximately 43% (6/14) of the participants had changes of minimal detectable change (MDC = 3 pts) or minimally clinical important difference (MCID = 5.7 points). Participants with room for improvement in the primary outcome measure made significant mean gains in ARATtotal score at completion (ΔARATtotal = 2, p = 0.028) and 1-month follow-up (ΔARATtotal = 3.4, p = 0.0010), controlling for severity, gender, chronicity, and concordance …
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