Recovery of the motor function of the arm with the aid of a hand exoskeleton controlled by a brain–computer interface in a patient with an extensive brain lesion
- Authors: Biryukova E.V.1,2, Pavlova O.G.1, Kurganskaya M.E.1, Bobrov P.D.1, Turbina L.G.3, Frolov A.A.1,2,4, Davydov V.I.1, Silchenko A.V.1,5, Mokienko O.A.6
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Affiliations:
- Institute of Higher Nervous Activity and Neurophysiology
- Pirogov National Medical Research University
- Vladimirskii Regional Clinical Research Institute
- Technical University of Ostrava
- Moscow State University
- Center of Neurology Research
- Issue: Vol 42, No 1 (2016)
- Pages: 13-23
- Section: Article
- URL: https://journals.rcsi.science/0362-1197/article/view/176524
- DOI: https://doi.org/10.1134/S0362119716010035
- ID: 176524
Cite item
Abstract
The dynamics of motor function recovery in a patient with an extensive brain lesion has been investigated during a course of neurorehabilitation assisted by a hand exoskeleton controlled by a brain–computer interface. Biomechanical analysis of the movements of the paretic arm recorded during the rehabilitation course was used for an unbiased assessment of motor function. Fifteen procedures involving hand exoskeleton control (one procedure per week) yielded the following results: (a) the velocity profile for targeted movements of the paretic hand became nearly bell-shaped; (b) the patient began to extend and abduct the hand, which was flexed and adducted at the beginning of the course; and (c) the patient started supinating the forearm, which was pronated at the beginning of the rehabilitation course. The first result is interpreted as improvement of the general level of control over the paretic hand, and the two other results are interpreted as a decrease in spasticity of the paretic hand.
About the authors
E. V. Biryukova
Institute of Higher Nervous Activity and Neurophysiology; Pirogov National Medical Research University
Author for correspondence.
Email: ebiryukova@mail.ru
Russian Federation, Moscow; Moscow
O. G. Pavlova
Institute of Higher Nervous Activity and Neurophysiology
Email: ebiryukova@mail.ru
Russian Federation, Moscow
M. E. Kurganskaya
Institute of Higher Nervous Activity and Neurophysiology
Email: ebiryukova@mail.ru
Russian Federation, Moscow
P. D. Bobrov
Institute of Higher Nervous Activity and Neurophysiology
Email: ebiryukova@mail.ru
Russian Federation, Moscow
L. G. Turbina
Vladimirskii Regional Clinical Research Institute
Email: ebiryukova@mail.ru
Russian Federation, Moscow
A. A. Frolov
Institute of Higher Nervous Activity and Neurophysiology; Pirogov National Medical Research University; Technical University of Ostrava
Email: ebiryukova@mail.ru
Russian Federation, Moscow; Moscow; Ostrava
V. I. Davydov
Institute of Higher Nervous Activity and Neurophysiology
Email: ebiryukova@mail.ru
Russian Federation, Moscow
A. V. Silchenko
Institute of Higher Nervous Activity and Neurophysiology; Moscow State University
Email: ebiryukova@mail.ru
Russian Federation, Moscow; Moscow
O. A. Mokienko
Center of Neurology Research
Email: ebiryukova@mail.ru
Russian Federation, Moscow