The DOI matches its Crossref record; 47 of the 49 references it cites were found in a registry or an index.
Transferring brain-computer interfaces beyond the laboratory: Successful application control for motor-disabled users
Open accessAbstract
Objectives Brain-computer interfaces (BCIs) are no longer only used by healthy participants under controlled conditions in laboratory environments, but also by patients and end-users, controlling applications in their homes or clinics, without the BCI experts around. But are the technology and the field mature enough for this? Especially the successful operation of applications - like text entry systems or assistive mobility devices such as tele-presence robots - requires a good level of BCI control. How much training is needed to achieve such a level? Is it possible to train naïve end-users in 10 days to successfully control such applications?Materials and methods In this work, we report our experiences of training 24 motor-disabled participants at rehabilitation clinics or at the end-users' homes, without BCI experts present. We also share the lessons that we have learned through transferring BCI technologies from the lab to the user's home or clinics.Results The most important outcome is that 50% of the participants achieved good BCI performance and could successfully control the applications (tele-presence robot and text-entry system). In the case of the tele-presence robot the participants achieved an average performance ratio of 0.87 (max. 0.97) and for the text entry application a mean of 0.93 (max. 1.0). The lessons learned and the gathered user feedback range from pure BCI problems (technical and handling), to common communication issues among the different people involved, and issues encountered while controlling the applications.Conclusion The points raised in this paper are very widely applicable and we anticipate that they might be faced similarly by other groups, if they move on to bringing the BCI technology to the end-user, to home environments and towards application prototype control.
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In the citing paper
“Firstly, works where users acquired BCI control (able-bodied [3,25] and end-users [40,41,51,62,63]) do not report any learning metric over time.”
From The Cybathlon BCI race: Successful longitudinal mutual learning with two tetraplegic users (2018) · cites this paper as [51]
In the citing paper
“Secondly, other training studies claim learnability in BCIs only on the grounds of improved online classification accuracy [9,27,30,31,33,35,51] or application performances [36,37].”
From The Cybathlon BCI race: Successful longitudinal mutual learning with two tetraplegic users (2018) · cites this paper as [51]
In the citing paper
“The Brain Tweakers participation in the Cybathlon BCI race relied on the EEG-based MI BCI design previously developed in CNBI, which had already been shown to allow end-users to successfully operate a number of BCI prototypes [51].”
From The Cybathlon BCI race: Successful longitudinal mutual learning with two tetraplegic users (2018) · cites this paper as [51]
In the citing paper
“We denote that our training apparatus, which certainly falls under the category of “conventional” MI BCI training protocols relying on visual feedback training on top of initial machine calibration with spontaneous SMRs, has been very similar to the one we have applied in our previous work [51].”
From The Cybathlon BCI race: Successful longitudinal mutual learning with two tetraplegic users (2018) · cites this paper as [51]
In the citing paper
“Second, training with the BCI application rather than towards it—like in [51] and most other studies—had a profound impact, as shown in Fig 6, for both application performances and subject learning.”
From The Cybathlon BCI race: Successful longitudinal mutual learning with two tetraplegic users (2018) · cites this paper as [51]
In the citing paper
“There, a considerable number of end-users failed to acquire BCI control, especially those without distinct spontaneous SMRs at training onset.”
From The Cybathlon BCI race: Successful longitudinal mutual learning with two tetraplegic users (2018) · cites this paper as [51]
In the citing paper
“P1 had several years prior participated in the MI BCI studies reported in [35,51,71], while P2 was BCI naive at the onset of his Cybathlon training.”
From The Cybathlon BCI race: Successful longitudinal mutual learning with two tetraplegic users (2018) · cites this paper as [51]
Citations
Cites
Brain–computer interfaces for communication and control
Wolpaw, J. R., Birbaumer, N., McFarland, D. J., Pfurtscheller, G., & Vaughan, T. M. (2002) · Clinical Neurophysiology · doi:10.1016/s1388-2457(02)00057-3 · Cited by 7,927
Event-related EEG/MEG synchronization and desynchronization: basic principles
Pfurtscheller, G., & Lopes da Silva, F. H. (1999) · Clinical Neurophysiology · doi:10.1016/s1388-2457(99)00141-8 · Cited by 7,328
Motor imagery and direct brain-computer communication
Pfurtscheller, G., & Neuper, C. (2001) · Proceedings of the IEEE · doi:10.1109/5.939829 · Cited by 1,990
A spelling device for the paralysed
Birbaumer, N., Ghanayim, N., Hinterberger, T., Iversen, I., Kotchoubey, B., Kübler, A., Perelmouter, J., Taub, E., & Flor, H. (1999) · Nature · doi:10.1038/18581 · Cited by 1,577
Proceedings of IEEE International Conference on Systems, Man and Cybernetics
(1994) · Conference proceedings/Conference proceedings - IEEE International Conference on Systems, Man, and Cybernetics · doi:10.1109/icsmc.1994.399796 · Cited by 1,342
Combining brain-computer interfaces and assistive technologies: state-of-the-art and challenges
Millán, J. D. R. (2010) · Frontiers in Neuroscience · doi:10.3389/fnins.2010.00161 · Cited by 905
Self-citationThe neurophysiological basis of motor imagery
Decety, J. (1996) · Behavioural Brain Research · doi:10.1016/0166-4328(95)00225-1 · Cited by 842
Noninvasive Brain-Actuated Control of a Mobile Robot by Human EEG
Millán, J. D. R., Frédéric Renkens, B., Mourino, J., & Wulfram Gerstner, B. (2004) · IEEE Transactions on Biomedical Engineering · doi:10.1109/tbme.2004.827086 · Cited by 753
Self-citationNeuper, C., Scherer, R., Reiner, M., & Pfurtscheller, G. (2005) · Cognitive Brain Research · doi:10.1016/j.cogbrainres.2005.08.014 · Cited by 744
Galán, F., Nuttin, M., Lew, E. Y. L., Ferrez, P. W., Vanacker, G., Philips, J., & Millán, J. D. R. (2008) · Clinical Neurophysiology · doi:10.1016/j.clinph.2008.06.001 · Cited by 676
Self-citationEhrsson, H. H., Geyer, S., & Naito, E. (2003) · Journal of Neurophysiology · doi:10.1152/jn.01113.2002 · Cited by 659
How many people are able to control a P300-based brain-computer interface (BCI)?
Guger, C., Daban, S., Sellers, E., Holzner, C., Krausz, G., Carabalona, R., Gramatica, F., & Edlinger, G. (2009) · Neuroscience Letters · doi:10.1016/j.neulet.2009.06.045 · Cited by 652
Mental imaging of motor activity in humans
Jeannerod, M., & Frak, V. (1999) · Current Opinion in Neurobiology · doi:10.1016/s0959-4388(99)00038-0 · Cited by 561
How many people are able to operate an EEG-based brain-computer interface (BCI)?
Guger, C., Edlinger, G., Harkam, W., Niedermayer, I., & Pfurtscheller, G. (2003) · IEEE Transactions on Neural Systems and Rehabilitation Engineering · doi:10.1109/tnsre.2003.814481 · Cited by 526
Sellers, E. W., Krusienski, D. J., McFarland, D. J., Vaughan, T. M., & Wolpaw, J. R. (2006) · Biological Psychology · doi:10.1016/j.biopsycho.2006.04.007 · Cited by 510
Kübler, A., & Birbaumer, N. (2008) · Clinical Neurophysiology · doi:10.1016/j.clinph.2008.06.019 · Cited by 441
Brain-Controlled Wheelchairs: A Robotic Architecture
Carlson, T., & Millán, J. D. R. (2013) · IEEE Robotics & Automation Magazine · doi:10.1109/mra.2012.2229936 · Cited by 431
Self-citationSteady-State VEP-Based Brain-Computer Interface Control in an Immersive 3D Gaming Environment
Lalor, E. C., Kelly, S. P., Finucane, C., Burke, R., Smith, R. O., Reilly, R. B., & McDarby, G. (2005) · EURASIP Journal on Advances in Signal Processing · doi:10.1155/asp.2005.3156 · Cited by 421
Robot-aided neurorehabilitation of the upper extremities
Riener, R., Nef, T., & Colombo, G. (2005) · Medical & Biological Engineering & Computing · doi:10.1007/bf02345116 · Cited by 406
Control of a humanoid robot by a noninvasive brain–computer interface in humans
Bell, C. J., Shenoy, P., Chalodhorn, R., & Rao, R. P. N. (2008) · Journal of Neural Engineering · doi:10.1088/1741-2560/5/2/012 · Cited by 395
Clerc, M., Bougrain, L., & Lotte, F. (2010) · Human-computer interaction series · doi:10.1007/978-1-84996-272-8 · Cited by 391
Dynamics of behavior: Theory and applications for autonomous robot architectures
Schöner, G., Dose, M., & Engels, C. (1995) · Robotics and Autonomous Systems · doi:10.1016/0921-8890(95)00049-6 · Cited by 334
Toward Unsupervised Adaptation of LDA for Brain–Computer Interfaces
Vidaurre, C., Kawanabe, M., von Bünau, P., Blankertz, B., & Müller, K. R. (2010) · IEEE Transactions on Biomedical Engineering · doi:10.1109/tbme.2010.2093133 · Cited by 296
Optimal Computer Search Trees and Variable-Length Alphabetical Codes
Hu, T. C., & Tucker, A. C. (1971) · SIAM Journal on Applied Mathematics · doi:10.1137/0121057 · Cited by 291
Design, Implementation and Clinical Tests of a Wire-Based Robot for Neurorehabilitation
Rosati, G., Gallina, P., & Masiero, S. (2007) · IEEE Transactions on Neural Systems and Rehabilitation Engineering · doi:10.1109/tnsre.2007.908560 · Cited by 267
Leeb, R., Sagha, H., Chavarriaga, R., & Millán, J. D. R. (2011) · Journal of Neural Engineering · doi:10.1088/1741-2560/8/2/025011 · Cited by 245
Self-citationAutocalibration and recurrent adaptation: Towards a plug and play online ERD-BCI
Faller, J., Vidaurre, C., Solis-Escalante, T., Neuper, C., & Scherer, R. (2012) · IEEE Transactions on Neural Systems and Rehabilitation Engineering · doi:10.1109/tnsre.2012.2189584 · Cited by 180
Tools for brain-computer interaction: a general concept for a hybrid BCI
Müller-Putz, G. (2011) · Frontiers in Neuroinformatics · doi:10.3389/fninf.2011.00030 · Cited by 146
Brain-controlled telepresence robot by motor-disabled people
Tonin, L., Carlson, T., Leeb, R., & Millán, J. D. R. (2011) · Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) · doi:10.1109/iembs.2011.6091049 · Cited by 132
Self-citationThe role of shared-control in BCI-based telepresence
Tonin, L., Leeb, R., Tavella, M., Perdikis, S., & Millán, J. D. R. (2010) · Conference proceedings/Conference proceedings - IEEE International Conference on Systems, Man, and Cybernetics · doi:10.1109/icsmc.2010.5642338 · Cited by 125
Self-citationNessi: An EEG-Controlled Web Browser for Severely Paralyzed Patients
Bensch, M., Karim, A. A., Mellinger, J., Hinterberger, T., Tangermann, M., Bogdan, M., Rosenstiel, W., & Birbaumer, N. (2007) · Computational Intelligence and Neuroscience · doi:10.1155/2007/71863 · Cited by 102
Designing for uncertain, asymmetric control: Interaction design for brain–computer interfaces
Williamson, J. H., Murray‐Smith, R., Blankertz, B., Krauledat, M., & Müller, K. R. (2009) · International Journal of Human-Computer Studies · doi:10.1016/j.ijhcs.2009.05.009 · Cited by 101
Walking by Thinking: The Brainwaves Are Crucial, Not the Muscles!
Leeb, R., Keinrath, C., Friedman, D. A., Guger, C., Scherer, R., Neuper, C., Garau, M., Antley, A., Steed, A. J., Slater, M., et al. (2006) · PRESENCE Virtual and Augmented Reality · doi:10.1162/pres.15.5.500 · Cited by 99
Self-citationBrain-computer interfaces — the key for the conscious brain locked into a paralyzed body
Kübler, A., & Neumann, N. (2005) · Progress in brain research · doi:10.1016/s0079-6123(05)50035-9 · Cited by 91
Thinking Penguin: Multimodal Brain–Computer Interface Control of a VR Game
Leeb, R., Lancelle, M., Kaiser, V., Fellner, D. W., & Pfurtscheller, G. (2013) · IEEE Transactions on Computational Intelligence and AI in Games · doi:10.1109/tciaig.2013.2242072 · Cited by 91
Self-citationRiccio, A., Leotta, F., Bianchi, L., Aloise, F., Zickler, C., Hoogerwerf, E.-J., Kübler, A., Donatella Mattia, A., & Febo Cincotti, A. (2011) · Journal of Neural Engineering · doi:10.1088/1741-2560/8/2/025028 · Cited by 89
Brain-computer interfaces for hci and games
Nijholt, A., Tan, D. S., Allison, B. Z., Millán, J. D. R., & Graimann, B. (2008) · CHI Conference Extended Abstracts on Human Factors in Computing Systems (CHI EA) · doi:10.1145/1358628.1358958 · Cited by 77
Self-citationFacing the challenge: Bringing brain–computer interfaces to end-users
Kübler, A., Donatella Mattia, A., Rupp, R., & Tangermann, M. (2013) · Artificial Intelligence in Medicine · doi:10.1016/j.artmed.2013.08.002 · Cited by 71
Lotte, F., van Langhenhove, A., Lamarche, F., Ernest, T., Renard, Y., Arnaldi, B., & Lécuyer, A. (2010) · PRESENCE Virtual and Augmented Reality · doi:10.1162/pres.19.1.54 · Cited by 63
Feature Extraction for Multi-class BCI using Canonical Variates Analysis
Galán, F., Ferrez, P. W., Oliva, F., Guàrdia‐Olmos, J., & Millán, J. D. R. (2007) · IEEE International Symposium on Intelligent Signal Processing, · doi:10.1109/wisp.2007.4447615 · Cited by 62
Self-citationLearning discriminative patterns for self-paced EEG-based motor imagery detection
Ang, K. K. (2012) · Frontiers in Neuroscience · doi:10.3389/fnins.2012.00007 · Cited by 41
Implementation of a telemonitoring system for the control of an EEG-based brain-computer interface
Müller, G., Neuper, C., & Pfurtscheller, G. (2003) · IEEE Transactions on Neural Systems and Rehabilitation Engineering · doi:10.1109/tnsre.2003.810423 · Cited by 40
2007 IEEE International Symposium on Intelligent Signal Processing
(2007) · doi:10.1109/wisp12421.2007 · Cited by 39
Online modulation of the level of assistance in shared control systems
Carlson, T., Leeb, R., Chavarriaga, R., & Millán, J. D. R. (2012) · Conference proceedings/Conference proceedings - IEEE International Conference on Systems, Man, and Cybernetics · doi:10.1109/icsmc.2012.6378307 · Cited by 27
Self-citationA supervised recalibration protocol for unbiased BCI
Perdikis, S., Tavella, M., Leeb, R., Chavarriaga, R., & Millán, J. D. R. (2011) · Infoscience (Ecole Polytechnique Fédérale de Lausanne) · Cited by 6
Self-citationToward online detection of BCI performance degradation
Sagha, H., Perdikis, S., Millán, J. D. R., & Chavarriaga, R. (2012) · Infoscience (Ecole Polytechnique Fédérale de Lausanne) · Cited by 1
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Self-citationNoninvasive Brain-Computer Interfaces Based on Sensorimotor Rhythms
He, B., Baxter, B., Edelman, B. J., Cline, C. C., & Ye, W. W. (2015) · Proceedings of the IEEE · doi:10.1109/jproc.2015.2407272 · Cited by 233
Towards Independence: A BCI Telepresence Robot for People With Severe Motor Disabilities
Leeb, R., Tonin, L., Rohm, M., Desideri, L., Carlson, T., & Millan, J. D. R. (2015) · Proceedings of the IEEE · doi:10.1109/jproc.2015.2419736 · Cited by 187
Self-citationBorton, D., Micera, S., Millán, J. D. R., & Courtine, G. (2013) · Science Translational Medicine · doi:10.1126/scitranslmed.3005968 · Cited by 171
Self-citationThe Cybathlon BCI race: Successful longitudinal mutual learning with two tetraplegic users
Perdikis, S., Tonin, L., Saeedi, S., Schneider, C., & Millán, J. D. R. (2018) · PLOS Biology · doi:10.1371/journal.pbio.2003787 · Cited by 166
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Metadata
- Authors
- Leeb, R., Perdikis, S., Tonin, L., Biasiucci, A., Tavella, M., Creatura, M., Molina, A., Al-Khodairy, A., Carlson, T., & Millán, J. D. R.
- Affiliations
- École Polytechnique Fédérale de Lausanne (CH)
- Clinique Romande de Réadaptation (CH)
- Corresponding author
- Leeb, Robert
- Venue
- Artificial Intelligence in Medicine
- Publisher
- Elsevier BV
- Published
- 2013-10
- Volume
- 59
- Issue
- 2
- Pages
- 121-132
- ISSN
- 0933-3657 (ISSN-L)
- OpenAlex
- W1999296691
- Cited by
- 166
- References
- 49
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 12 · 2023: 7 · 2022: 14 · 2021: 9 · 2020: 20 · 2019: 11 · 2018: 11 · 2017: 12 · 2016: 17 · 2015: 21 · 2014: 14 · 2013: 4
- FWCI
- 10.20
- Type
- journal article
- Language
- en
- Open access
- green
- infoscience.epfl.ch
- Locations
- Artificial Intelligence in Medicine (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Infoscience (Ecole Polytechnique Fédérale de Lausanne) (submittedVersion)
- Infoscience (Ecole Polytechnique Fédérale de Lausanne) (submittedVersion, cc-by-nc-nd)
- Padua Research Archive (University of Padova) (submittedVersion)
- Funders
- European ICT programme project TOBI: Tools for Brain-Computer Interaction
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › EEG and Brain-Computer Interfaces
- Physical Sciences › Computer Science › Human-Computer Interaction › Gaze Tracking and Assistive Technology
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Keywords
- brain-computer interface, motor impairment, assistive technology, end-user training, technology transfer, rehabilitation centers, user feedback, BCI performance
- MeSH terms
- Adult, Electroencephalography, Female, Persons with Disabilities, Humans, Male, Middle Aged, Paralysis, Brain-Computer Interfaces
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