The thought translation device: A neurophysiological approach to communication in total motor paralysis

Andrea Kübler, Boris Kotchoubey, Thilo Hinterberger, Nimr Ghanayim, Juri Perelmouter, Margarete Schauer, Christoph Fritsch, Edward Taub, Niels Birbaumer

Research output: Contribution to journalArticlepeer-review

Abstract

A thought translation device (TTD) for brain-computer communication is described. Three patients diagnosed with amyotrophic lateral sclerosis (ALS), with total motor paralysis, were trained for several months. In order to enable such patients to communicate without any motor activity, a technique was developed where subjects learn to control their slow cortical potentials (SCP) in a 2-s rhythm, producing either cortical negativity or positivity according to the task requirement. SCP differences between a baseline interval and an active control interval are transformed into vertical or horizontal cursor movements on a computer screen. Learning SCP self regulation followed an operant-conditioning paradigm with individualized shaping procedures. After prolonged training over more than 100 sessions, all patients achieved self-control, leading to a 70-80% accuracy for two patients. The learned cortical skill enabled the patients to select letters or words in a language-supporting program (LSP) developed for inter-personal communication. The results demonstrate that the fast and stable SCP self-control can be achieved with operant training and without mediation of any muscle activity. The acquired skill allows communication even in total locked-in states.

Original languageEnglish
Pages (from-to)223-232
Number of pages10
JournalExperimental Brain Research
Volume124
Issue number2
DOIs
Publication statusPublished - 1999

Keywords

  • Amyotrophic lateral sclerosi
  • Brain-computer communication
  • EEG
  • Slow cortical potentials

ASJC Scopus subject areas

  • Neuroscience(all)

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