Nearly 746,000 people sustain a spinal cord injury every year, with dramatic human, societal, and economic costs, leading to impairment or complete loss of motor functions. Motor Brain-Machine Interfaces (BMIs) translate brain neural signals into commands to external effectors. BMIs raise hopes that limb mobility may be restored, providing patients with control over orthoses, prostheses, or over their own limbs using electrical stimulation. One of the main challlenges in the field of BMI is the need for regular and time-consuming calibration of the systems by a team of experts which prevents dissemination to a large patient population.
To address the need of the largest number of patients with SCI, the next generation of BMI needs to be compatible with daily, autonomous use.
BMIs aim at translating brain neural signals into commands to robotic [1] or implanted electrical stimulator [2] [3] effectors. The ongoing clinical trials carried out by EPFL, and CEA (STIMO-BSI - NCT04632290, UP2 - NCT05665998 and ‘BCI & Tetraplegia’ - NCT02550522) raise great hopes for SCI patients. They effectively assess the feasibility of chronic motor BMIs, based on the WIMAGINE® wireless Electrocorticogram (ECoG) recording implant, for long-term use in daily life.
Epidural spinal stimulation on the other hand aims to translate the commands into electrical stimulator effectors. ONWARD has developed ARCIM Therapy, an implantable medical grade neurostimulation platform with unique real-time control capabilities. This platform includes a implantable pulse generator (IPG) that enables real-time control of 16 stimulation channels.
In the NEMO-BMI project, we will develop new auto-adaptive algorithms for brain decoding and spinal cord stimulation that will significantly contribute to enhancing knowledge on brain adaptation mechanisms. We foresee novelty in the design and implementation of neuromorphic hardware to sustain fast, secure, miniaturized and low-power neuroprosthetics.
[1] for public access: English Portal - An unprecedented neuroprosthetic allows a tetraplegic patient fitted with an exoskeleton to move (cea.fr) or for the scientific article: Benabid et al, An exoskeleton controlled by an epidural wireless brain–machine interface in a tetraplegic patient: a proof-of-concept demonstration, The Lancet Neurology, 2019,
https://doi.org/10.1016/S1474-4422(19)30321-7(opens in new window)[2] Wagner, F.B. Mignardot, JB., Le Goff-Mignardot, C.G. et al. Targeted neurotechnology restores walking in humans with spinal cord injury. Nature 563, 65–71 (2018).
https://doi.org/10.1038/s41586-018-0649-2(opens in new window) [3] Henri Lorach, Guillaume Charvet, Jocelyne Bloch, Grégoire Courtine, Brain–spine interfaces to reverse paralysis , National Science Review, Volume 9, Issue 10, October 2022, nwac009,
https://doi.org/10.1093/nsr/nwac009(opens in new window)