康复学报2025,Vol.35Issue(2):212-220,9.DOI:10.3724/SP.J.1329.2025.02015
脑卒中后功能障碍基于运动想象脑机接口应用处方研究
Application Prescription of Brain-Computer Interface Based on Motor Imagery in Post-Stroke Dysfunction
摘要
Abstract
Brain-computer interface(BCI)establishes a direct communication pathway between the brain and external devices,bypassing the peripheral neuromuscular system.This technology has attracted increasing attention in neurorehabilitation research.Particularly,motor imagery-based BCI(MI-BCI)has demonstrated therapeutic potential in post-stroke rehabilitation targeting motor dysfunction,cognitive impairment,and swallowing disorders.However,the lack of standardized treatment protocols significantly hampers clinical efficacy and widespread implementation of MI-BCI interventions.This review examines existing application proto-cols of MI-BCI in treating post-stroke upper/lower limb motor dysfunction,cognitive impairment,and dysphagia,with emphasis on the impact of treatment frequency,total intervention duration,and single-session time allocation on rehabilitation outcomes.Further-more,it explores non-invasive interventions to enhance MI-BCI efficacy,such as visual/auditory feedback,proprioceptive and tactile feedback,virtual reality feedback,and non-invasive brain stimulation techniques.Current limitations in MI-BCI-based stroke reha-bilitation include a lack of standardized protocols for parameter settings(e.g.,treatment frequency,total course duration,single-ses-sion duration)and augmenting therapeutic effects,and technical challenges in signal processing.Future directions should prioritize optimizing application protocols to reduce variability in treatment outcomes,improving system standardization and stability,thereby providing a reference for MI-BCI clinical translation in stroke rehabilitation.关键词
脑卒中/功能障碍/神经康复/脑机接口/运动想象/应用处方Key words
stroke/dysfunction/neurorehabilitation/brain-computer interface/motor imagery/application prescription引用本文复制引用
姜山杉,邱芷晴,尤婷婷,付欣瑜,陈冠州,李昊达,梁柏源,于佳妮,欧海宁..脑卒中后功能障碍基于运动想象脑机接口应用处方研究[J].康复学报,2025,35(2):212-220,9.基金项目
广东省普通高校重点领域专项(2021ZDZX2063) (2021ZDZX2063)
广东省中医院中医康复人才培养项目(01020184) (01020184)
广东省中医院国家自然科学基金培育项目(E57977) (E57977)