TY - JOUR
T1 - An EEG Tool for Monitoring Patient Engagement during Stroke Rehabilitation
T2 - A Feasibility Study
AU - Bartur, Gadi
AU - Joubran, Katherin
AU - Peleg-Shani, Sara
AU - Vatine, Jean Jacques
AU - Shahaf, Goded
N1 - Funding Information:
The authors wish to thank the participants for their cooperation in the experiment. This project is funded by the Israeli Ministry of Science, Technology and Space under Grant Alona14835.
Publisher Copyright:
© 2017 Gadi Bartur et al.
PY - 2017/1/1
Y1 - 2017/1/1
N2 - Objective. Patient engagement is of major significance in neural rehabilitation. We developed a real-time EEG marker for attention, the Brain Engagement Index (BEI). In this work we investigate the relation between the BEI and temporary functional change during a rehabilitation session. Methods. First part: 13 unimpaired controls underwent BEI monitoring during motor exercise of varying levels of difficulty. Second part: 18 subacute stroke patients underwent standard motor rehabilitation with and without use of real-time BEI feedback regarding their level of engagement. Single-session temporary functional changes were evaluated based on videos taken before and after training on a given task. Two assessors, blinded to feedback use, assessed the change following single-session treatments. Results. First part: a relation between difficulty of exercise and BEI was identified. Second part: temporary functional change was associated with BEI level regardless of the use of feedback. Conclusions. This study provides preliminary evidence that when BEI is higher, the temporary functional change induced by the treatment session is better. Further work is required to expand this preliminary study and to evaluate whether such temporary functional change can be harnessed to improve clinical outcome.
AB - Objective. Patient engagement is of major significance in neural rehabilitation. We developed a real-time EEG marker for attention, the Brain Engagement Index (BEI). In this work we investigate the relation between the BEI and temporary functional change during a rehabilitation session. Methods. First part: 13 unimpaired controls underwent BEI monitoring during motor exercise of varying levels of difficulty. Second part: 18 subacute stroke patients underwent standard motor rehabilitation with and without use of real-time BEI feedback regarding their level of engagement. Single-session temporary functional changes were evaluated based on videos taken before and after training on a given task. Two assessors, blinded to feedback use, assessed the change following single-session treatments. Results. First part: a relation between difficulty of exercise and BEI was identified. Second part: temporary functional change was associated with BEI level regardless of the use of feedback. Conclusions. This study provides preliminary evidence that when BEI is higher, the temporary functional change induced by the treatment session is better. Further work is required to expand this preliminary study and to evaluate whether such temporary functional change can be harnessed to improve clinical outcome.
UR - http://www.scopus.com/inward/record.url?scp=85031946662&partnerID=8YFLogxK
U2 - 10.1155/2017/9071568
DO - 10.1155/2017/9071568
M3 - Article
C2 - 29147661
AN - SCOPUS:85031946662
SN - 2314-6133
VL - 2017
JO - BioMed Research International
JF - BioMed Research International
M1 - 9071568
ER -