RT Book, Section T1 Brain–computer interfaces in the completely locked-in state and chronic stroke A1 Chaudhary, U. A1 Birbaumer, N. A1 Ramos-Murguialday, A. AB Brain–computer interfaces (BCIs) use brain activity to control external devices, facilitating paralyzed patients to interact with the environment. In this chapter, we discuss the historical perspective of development of BCIs and the current advances of noninvasive BCIs for communication in patients with amyotrophic lateral sclerosis and for restoration of motor impairment after severe stroke. Distinct techniques have been explored to control a BCI in patient population especially electroencephalography (EEG) and more recently near-infrared spectroscopy (NIRS) because of their noninvasive nature and low cost. Previous studies demonstrated successful communication of patients with locked-in state (LIS) using EEG- and invasive electrocorticography-BCI and intracortical recordings when patients still showed residual eye control, but not with patients with complete LIS (ie, complete paralysis). Recently, a NIRS-BCI and classical conditioning procedure was introduced, allowing communication in patients in the complete locked-in state (CLIS). In severe chronic stroke without residual hand function first results indicate a possible superior motor rehabilitation to available treatment using BCI training. Here we present an overview of the available studies and recent results, which open new doors for communication, in the completely paralyzed and rehabilitation in severely affected stroke patients. We also reflect on and describe possible neuronal and learning mechanisms responsible for BCI control and perspective for future BMI research for communication in CLIS and stroke motor recovery. PB Elsevier B.V. SN 0079-6123 YR 2016 FD 2016 LK https://hdl.handle.net/11556/1816 UL https://hdl.handle.net/11556/1816 LA eng NO Chaudhary , U , Birbaumer , N & Ramos-Murguialday , A 2016 , Brain–computer interfaces in the completely locked-in state and chronic stroke . in Progress in Brain Research . Progress in Brain Research , vol. 228 , Elsevier B.V. , pp. 131-161 . https://doi.org/10.1016/bs.pbr.2016.04.019 NO Publisher Copyright: © 2016 Elsevier B.V. NO We acknowledge the participation of all our patients, funding sources: Ministero della Salute, Rome, Italy Progetto No 2614726: Approchi reabilitativi, Baden-Wurttemberg Stiftung (GRUENS-Rob1), the Indian–European collaborative research and technological development projects (INDIGO-DTB2-051), the Natural Science Foundation of China (NSFC 31450110072), National Natural Science Foundation of China (Grant number: 61550110252), EU COST action TD1006, Deutsche Forschungsgemeinschaft (DFG, Koselleck), Volkswagen Stiftung and Bundes Ministerium fur Bildung und Forschung BMBF MOTOR-BIC (FKZ 13GW0053), Ministry of Science, Research and the Arts of Baden Wüttemberg (Az: 32-729.63-0/5-5), and EMOIO from the Federal ministry of Education and Research (524-4013-16SV7196). DS TECNALIA Publications RD 26 jul 2024