Brain-computer interface training combined with transcranial direct current stimulation in patients with chronic severe hemiparesis: Proof of concept study

Journal of Rehabilitation Medicine

Volumn 47, Issue 4, 2015, Pages 318-324

  Kasashima Shindo, Yuko ^a   Fujiwara, Toshiyuki ^a,b   Ushiba, Junichi ^c   Matsushika, Yayoi ^c   Kamatani, Daiki ^a   Oto, Misa ^c   Ono, Takashi ^c   Nishimoto, Atsuko ^a   Shindo, Keiichiro ^a   Kawakami, Michiyuki ^a   Tsuji, Tetsuya ^a   Liu, Meigen ^a  

^a KEIO UNIVERSITY SCHOOL OF MEDICINE   (Japan)

^b TOKAI UNIVERSITY SCHOOL OF MEDICINE   (Japan)

^c KEIO UNIVERSITY   (Japan)

Author keywords

Brain stimulation; Brain machine interface; Electroencephalography; Event related desynchronization; Rehabilitation; Stroke; Upper extremity motor function

Indexed keywords

BRAIN COMPUTER INTERFACE; FEMALE; HUMAN; MALE; MIDDLE AGED; PARESIS; PATHOPHYSIOLOGY; PROCEDURES; STROKE; TRANSCRANIAL DIRECT CURRENT STIMULATION; UPPER LIMB; UTILIZATION;

BRAIN-COMPUTER INTERFACES; FEMALE; HUMANS; MALE; MIDDLE AGED; PARESIS; STROKE; TRANSCRANIAL DIRECT CURRENT STIMULATION; UPPER EXTREMITY;

EID: 84929580023     PISSN: 16501977     EISSN: 16512081     Source Type: Journal    
DOI: 10.2340/16501977-1925     Document Type: Article

References (35)

1. Duncan PW, Lai SM, Keighley J. Defining post-stroke recovery: implications for design and interpretation of drug trials. Neuropharmacology 2000; 39: 835-841.
2. Hendricks HT, van Limbeek J, Geurts AC, Zwarts, MJ. Motor recovery after stroke: a systematic review of the literature. Arch Phys Med Rehabil 2002; 83: 1629-1637.
3. Langhorne P, Coupar F, Pollock A. Motor recovery after stroke: a systematic review. Lancet Neurol 2009; 8: 741-754.
4. Wolf SL, W instein CJ, Miller JP, T hompson PA, T aub E, Uswatte G, et al. Retention of upper limb function in stroke survivors who have received constraint-induced movement therapy: the EXCITE randomised trial. Lancet Neurol 2008; 7: 33-40.
5. Reinkensmeyer DJ, Wolbrecht ET, Chan V, Chou C, Cramer SC, Bobrow JE. Comparison of three-dimensional, assist-as-needed robotic arm/hand movement training provided with Pneu-WREX to conventional tabletop therapy after chronic stroke. Am J Phys Med Rehabil 2012; 91: S232-S241.
6. Fujiwara T, Kasashima Y, Honaga K, Muraoka Y, Tsuji T, Osu R, et al. Motor improvement and corticospinal modulation induced by hybrid assistive neuromuscular dynamic stimulation (HAND S) therapy in patients with chronic stroke. Neurorehabil Neural Repair 2009; 23: 125-132.
7. Buch E, Weber C, Cohen LG, Braun C, Dimyan MA, Ard T, et al. Think to move: a neuromagnetic brain-computer interface (BCI) system for chronic stroke. Stroke 2008; 39: 910-917.
8. Shindo K, Kawashima K, Ushiba J, Ota N, Ito M, Ota T, et al. Effects of neurofeedback training with an electroencephalogram-based Brain Computer Interface for hand paralysis in patients with chronic stroke - a preliminary case series study. J Rehabil Med 2011; 43: 951-957.
9. Ramos-Murguialday A, Broetz D, Rea M, Läer L, Yilmaz O, Brasil FL, et al. Brain-machine-interface in chronic stroke rehabilitation: a controlled study. Ann Neurol 2013; 74: 100-108.
10. Mukaino M, Ono T, Shindo K, Fujiwara T, Ota T, Kimura A, et al. Efficacy of brain-computer interface-driven neuromuscular electrical stimulation for chronic paresis after stroke. J Rehabil Med 2014; 46: 378-382.
11. Li M, Liu Y, Wu Y, Liu S, Jia J, Zhang L. Neurophysiological substrates of stroke patients with motor imagery-based braincomputer interface training. Int J Neurosci 2014; 124: 403-415.
12. Daly JJ, Wolpaw JR. Brain-computer interfaces in neurological rehabilitation. Lancet Neurol 2008; 7: 1032-1043.
13. Pfurtscheller G, Lopes da Silva FH. Event-related EEG/MEG synchronization and desynchronization: basic principles. Clin Neurophysiol 1999; 110: 1842-1857.
14. Kasashima Y, Fujiwara T, Matsushika Y, Tsuji T, Hase K, Ushiyama J, et al. Modulation of event-related desynchronization during motor imagery with transcranial direct current stimulation (tDCS) in patients with chronic hemiparetic stroke. Exp Brain Res 2012; 221: 263-268.
15. Nitsche MA, Paulus W. Excitability changes induced in the human motor cortex by weak transcranial direct current stimulation. J Physiol 2000; 527: 633-639.
16. Bolognini N, Vallar G, Casati C, Latif LA, El-Nazer R, Williams J, et al. Neurophysiological and behavioral effects of tDCS combined with constraint-induced movement therapy in poststroke patients. Neurorehabil Neural Repair 2011; 25: 819-829.
17. Ochi M, Saeki S, Oda T, Matsushima Y, Hachisuka K. Effects of anodal and cathodal transcranial direct current stimulation combined with robotic therapy on severely affected arms in chronic stroke patients. J Rehabil Med 2013; 45: 137-140.
18. Fritsch B, Reis J, Martinowich K, Schambra HM, Ji Y, Cohen LG, et al. Direct current stimulation promotes BDNF-dependent synaptic plasticity: potential implications for motor learning. Neuron 2010; 66: 198-204.
19. Matsumoto J, Fujiwara T, Takahashi O, Liu M, Kimura A, Ushiba J. Modulation of mu rhythm desynchronization during imagery by transcranial direct current stimulation. J Neuroeng Rehabil 2010; 7: 27.
20. Guger C, Edlinger G, Harkam W, Niedermayer I, Pfurtscheller G. How many people are able to operate an EEG-based brain-computer interface (BCI)? IEEE Trans Neural Syst Rehabil Eng 2003; 11: 145-147.
21. Fugl-Meyer AR, Jaasko L, Leyman I, Olsson S, Steglind S. The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance. Scand J Rehabil Med 1975; 7: 13-31.
22. Platz T, Pinkowski C, van Wijck F, Johnson G. Arm rehabilitation measurement; manual for performance and scoring of the Fugl-Meyer test (arm function), action research arm test, and the box and block test. Baden-Baden: Deutsher Wissenshafts-Verlag; 2005.
23. Platz T, Pinkowski C, van Wijck F, Kim I, di Bella, P, Johnson G. Reliability and validity of arm function assessment with standardized guidelines for the Fugl-Meyer Test, Action Research Arm Test and Box and Block Test: a multicenter study. Clin Rehabil 2005; 19: 404-411.
24. Bohannon RW, Smith MB. Interrater reliability of a modified Ashworth scale of muscle spasticity. Phys Ther 1987; 67: 206-207.
25. Kothari RU, Brott T, Broderick JP, Barsan WG, Sauerbeck LR, Zuccarello M, et al. The ABCs of measuring intracerebral hemorrhage volumes. Stroke 1996; 27: 1304-1305.
26. Bindman LJ, Lippold OC, Redfearn JW. The action of brief polarizing currents on the cerebral cortex of the rat (1) during current flow and (2) in the production of long-lasting after-effects. J Physiol 1964; 172: 369-382.
27. Purpura DP, Mcmurtry JG. Intracellular activities and evoked potential changes during polarization of motor cortex. J Neurophysiol 1965; 28: 166-185.
28. Nitsche MA, Fricke K, Henschke U, Schlitterlau A, Liebetanz D, Lang N, et al. Pharmacological modulation of cortical excitability shifts induced by transcranial direct current stimulation in humans. J Physiol 2003; 553: 293-301.
29. Takemi M, Masakado Y, Liu M, Ushiba J. Event-related desynchronization reflects downregulation of intracortical inhibition in human primary motor cortex. J Neurophysiol 2013; 110: 1158-1166.
30. Yuan H, Perdoni C, Yang L, He B. Differential electrophysiological coupling for positive and negative BOLD responses during unilateral hand movements. J Neurosci 2011; 31: 9585-9593.
31. Bastani A, Jaberzadeh S. Does anodal transcranial direct current stimulation enhance excitability of the motor cortex and motor function in healthy individuals and subjects with stroke: a systematic review and meta-analysis. Clin Neurophysiol 2012; 123: 644-657.
32. Hummel F, Celnik P, Giraux P, Floel A, Wu WH, Gerloff C, et al. Effects of non-invasive cortical stimulation on skilled motor function in chronic stroke. Brain 2005; 128: 490-499.
33. Conroy SS, Whitall J, Dipietro L, Jones-Lush LM, Zhan M, Finley MA, et al. Effect of gravity on robot-assisted motor training after chronic stroke: a randomized trial. Arch Phys Med Rehabil 2011; 92: 1754-1761.
34. Housman SJ, Scott KM, Reinkensmeyer DJ. A randomized controlled trial of gravity-supported, computer-enhanced arm exercise for individuals with severe hemiparesis. Neurorehabil Neural Repair 2009; 23: 505-514.
35. Lang N, Nitsche MA, Paulus W, Rothwell JC, Lemon RN. Effects of transcranial direct current stimulation over the human motor cortex on corticospinal and transcallosal excitability. Exp Brain Res 2004; 156: 439-443.