Implanted cortical neuroprosthetics for speech and movement restoration

William R. Muirhead*, Hugo Layard Horsfall, Christine Aicardi, Jacques Carolan, Harith Akram, Anne Vanhoestenberghe, Andreas T. Schaefer, Hani J. Marcus

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

Implanted cortical neuroprosthetics (ICNs) are medical devices developed to replace dysfunctional neural pathways by creating information exchange between the brain and a digital system which can facilitate interaction with the external world. Over the last decade, researchers have explored the application of ICNs for diverse conditions including blindness, aphasia, and paralysis. Both transcranial and endovascular approaches have been used to record neural activity in humans, and in a laboratory setting, high-performance decoding of the signals associated with speech intention has been demonstrated. Particular progress towards a device which can move into clinical practice has been made with ICNs focussed on the restoration of speech and movement. This article provides an overview of contemporary ICNs for speech and movement restoration, their mechanisms of action and the unique ethical challenges raised by the field.

Original languageEnglish
Pages (from-to)7156-7168
Number of pages13
JournalJournal of Neurology
Volume271
Issue number11
DOIs
Publication statusPublished - 24 Oct 2024

Keywords

  • Brain–computer interface
  • Motor neuroprosthesis
  • Neurological disease
  • Neuromotor prosthesis
  • Neuroprosthetic
  • Neurotechnology

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