Exoskeleton-assisted gait training with real-time EEG feedback accelerates stroke recovery
Summary
A 12-week RCT of 84 subacute stroke patients compared EEG-driven lower limb exoskeleton training (activating only when motor intention detected) versus conventional exoskeleton training. The EEG-driven group showed 2.1x greater improvement in Fugl-Meyer lower extremity scores and significantly greater corticospinal tract integrity on DTI MRI at 12 weeks.
Why it matters
Motor intention detection driving exoskeleton activation leverages neuroplasticity far more effectively than passive robotic assistance. The DTI MRI findings confirming actual white matter remodeling provide mechanistic validation that EEG-BCI exoskeletons work through true neuroplastic recovery, not just compensation.
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