Abstract
Brain Computer Interface (BCI) systems potentially provide those with disabilities an alternative means to communicate and control their environment, increasing independence and quality of life. The goal of our study was to examine the effect of disease progression on the efficiency of communication using a P300 BCI speller. To address this, BCI data was analyzed from 19 people living with ALS at various stages of disease. Accuracy in word spelling showed significant correlation to ALSFRS-R score, a measure of disease severity and worsening function, with decreased accuracy as the disease progressed. This decrease in accuracy may be attributed to system components and methodology that lead to an increase in fatigue for people with less function, but alternatively may be due to the progressive changes in neural networks as the patient progresses. Adjustments to BCI systems, use of alternative event potentials, or alternative technologies may be necessary to optimize BCI use in ALS.
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Acknowledgments
We would like to thank the participants, ALS Hope Foundation, and former students who collected the data: J. Moraveck, R. Mareck, M. Chin, T. Montez, D. Richter.
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Dryden, E., Sahal, M., Feldman, S., Ayaz, H., Heiman-Patterson, T. (2021). Amyotrophic Lateral Sclerosis Disease Progression Presents Difficulties in Brain Computer Interface Use. In: Ayaz, H., Asgher, U., Paletta, L. (eds) Advances in Neuroergonomics and Cognitive Engineering. AHFE 2021. Lecture Notes in Networks and Systems, vol 259. Springer, Cham. https://doi.org/10.1007/978-3-030-80285-1_9
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