A BCI-Based Environmental Control System for Patients With Severe Spinal Cord Injuries

TLDR

The study proposes an event‑related potential BCI system that integrates household appliances, a nursing bed, and an intelligent wheelchair to provide daily assistance to patients with severe spinal cord injuries. The system employs an asynchronous mode with pseudo‑keys and a verification mechanism to reduce false operations, and a synchronous mode for device‑function selection to improve accuracy and speed, as evaluated in two experiments with six SCI patients controlling beds, wheelchairs, and household appliances. In these experiments, the system achieved a 10.4 % false‑command rate and a 4.9 % false‑operation ratio, with idle false positives averaging 0.97 per minute but no erroneous actions, and all patients reported satisfactory use, indicating the system can aid daily living.

Abstract

This study proposes an event-related potential (ERP) BCI-based environmental control system that integrates household electrical appliances, a nursing bed, and an intelligent wheelchair to provide daily assistance to paralyzed patients with severe spinal cord injuries (SCIs).An asynchronous mode is used to switch the environmental control system on or off or to select a device (e.g., a TV) for achieving selfpaced control. In the asynchronous mode, we introduce several pseudo-keys and a verification mechanism to effectively reduce the false operation rate. By contrast, when the user selects a function of the device (e.g., a TV channel), a synchronous mode is used to improve the accuracy and speed of BCI detection. Two experiments involving six SCI patients were conducted separately in a nursing bed and a wheelchair, and the patients were instructed to control the nursing bed, the wheelchair, and household electrical appliances (an electric light, an air conditioner, and a TV).The average false rate of BCI commands in the control state was 10.4%, whereas the average false operation ratio was 4.9% (a false BCI command might not necessarily result in a false operation according to our system design). During the idle state, there was an average of 0.97 false positives per minute, which did not result in any false operations.All SCI patients could use the proposed ERP BCIbased environmental control system satisfactorily.The proposed ERP-based environmental control system could be used to assist patients with severe SCIs in their daily lives.