Clinical practice of Brain–Machine interfaces in neurological disorders

Neurological disorders, such as Parkinson’s disease, stroke, and spinal cord injury, present significant global health challenges, contributing to high morbidity, mortality, and loss of functional independence for afflicted patients. Brain–machine interfaces (BMIs) have emerged as a transformative t...

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Main Authors: Kaishan Wang, Penghu Wei, Yongzhi Shan, Guoguang Zhao
Format: Article
Language:English
Published: Elsevier 2025-09-01
Series:EngMedicine
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Online Access:http://www.sciencedirect.com/science/article/pii/S2950489925000363
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author Kaishan Wang
Penghu Wei
Yongzhi Shan
Guoguang Zhao
author_facet Kaishan Wang
Penghu Wei
Yongzhi Shan
Guoguang Zhao
author_sort Kaishan Wang
collection DOAJ
description Neurological disorders, such as Parkinson’s disease, stroke, and spinal cord injury, present significant global health challenges, contributing to high morbidity, mortality, and loss of functional independence for afflicted patients. Brain–machine interfaces (BMIs) have emerged as a transformative technology with promising potential for the diagnosis, treatment, and management of these conditions. By creating a direct communication interface between the brain and external devices, BMIs allow patients with severe neurological impairments to regain partial motor function, engage in nonverbal communication, and restore control over lost physiological functions. This review provides a comprehensive overview of recent clinical advancements in BMI applications for neurological disorders, including motor, consciousness, and affective disorders. This study highlights the utility of BMIs in improving motor and sensory functions, enabling communication between severely disabled patients, and delivering targeted therapeutic interventions. Current challenges such as the complexity of neural signal decoding, ethical considerations, and limited accessibility are critically examined. The review outlines prospective future directions, underscoring the importance of integrating artificial intelligence, machine learning, and multimodal signal processing to enhance the precision, adaptability, and clinical efficacy of brain-machine interface technology.
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spelling doaj-art-431b0a0098b14fd79e2a4e38b4e32c932025-08-20T03:09:05ZengElsevierEngMedicine2950-48992025-09-012310009010.1016/j.engmed.2025.100090Clinical practice of Brain–Machine interfaces in neurological disordersKaishan Wang0Penghu Wei1Yongzhi Shan2Guoguang Zhao3Department of Neurosurgery, Xuanwu Hospital Capital Medical University, Beijing, 100053, China; Clinical Research Center for Epilepsy Capital Medical University, Beijing, 100053, China; Beijing Municipal Geriatric Medical Research Center, Beijing, 100053, ChinaDepartment of Neurosurgery, Xuanwu Hospital Capital Medical University, Beijing, 100053, China; Clinical Research Center for Epilepsy Capital Medical University, Beijing, 100053, China; Beijing Municipal Geriatric Medical Research Center, Beijing, 100053, China; Corresponding author. Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45 Changchun Street, Xicheng District, Beijing, 100053, China.Department of Neurosurgery, Xuanwu Hospital Capital Medical University, Beijing, 100053, China; Clinical Research Center for Epilepsy Capital Medical University, Beijing, 100053, China; Corresponding author. Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45 Changchun Street, Xicheng District, Beijing, 100053, China.Department of Neurosurgery, Xuanwu Hospital Capital Medical University, Beijing, 100053, China; Clinical Research Center for Epilepsy Capital Medical University, Beijing, 100053, China; Beijing Municipal Geriatric Medical Research Center, Beijing, 100053, China; Corresponding author. Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45 Changchun Street, Xicheng District, Beijing, 100053, China.Neurological disorders, such as Parkinson’s disease, stroke, and spinal cord injury, present significant global health challenges, contributing to high morbidity, mortality, and loss of functional independence for afflicted patients. Brain–machine interfaces (BMIs) have emerged as a transformative technology with promising potential for the diagnosis, treatment, and management of these conditions. By creating a direct communication interface between the brain and external devices, BMIs allow patients with severe neurological impairments to regain partial motor function, engage in nonverbal communication, and restore control over lost physiological functions. This review provides a comprehensive overview of recent clinical advancements in BMI applications for neurological disorders, including motor, consciousness, and affective disorders. This study highlights the utility of BMIs in improving motor and sensory functions, enabling communication between severely disabled patients, and delivering targeted therapeutic interventions. Current challenges such as the complexity of neural signal decoding, ethical considerations, and limited accessibility are critically examined. The review outlines prospective future directions, underscoring the importance of integrating artificial intelligence, machine learning, and multimodal signal processing to enhance the precision, adaptability, and clinical efficacy of brain-machine interface technology.http://www.sciencedirect.com/science/article/pii/S2950489925000363Brain-machine interfacesEpilepsyParkinson’s diseaseAlzheimer’s diseaseNeurological conditionsNeurosurgery
spellingShingle Kaishan Wang
Penghu Wei
Yongzhi Shan
Guoguang Zhao
Clinical practice of Brain–Machine interfaces in neurological disorders
EngMedicine
Brain-machine interfaces
Epilepsy
Parkinson’s disease
Alzheimer’s disease
Neurological conditions
Neurosurgery
title Clinical practice of Brain–Machine interfaces in neurological disorders
title_full Clinical practice of Brain–Machine interfaces in neurological disorders
title_fullStr Clinical practice of Brain–Machine interfaces in neurological disorders
title_full_unstemmed Clinical practice of Brain–Machine interfaces in neurological disorders
title_short Clinical practice of Brain–Machine interfaces in neurological disorders
title_sort clinical practice of brain machine interfaces in neurological disorders
topic Brain-machine interfaces
Epilepsy
Parkinson’s disease
Alzheimer’s disease
Neurological conditions
Neurosurgery
url http://www.sciencedirect.com/science/article/pii/S2950489925000363
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AT yongzhishan clinicalpracticeofbrainmachineinterfacesinneurologicaldisorders
AT guoguangzhao clinicalpracticeofbrainmachineinterfacesinneurologicaldisorders