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Brain–Computer Interfaces - Index of

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176 G.R. Müller-Putz et al.<br />

Fig. 3 Application <strong>of</strong> a BCI as a control system for neuroprostheses based on surface (a) and<br />

implanted (b) electrodes, respectively. (c) Grasp pattern for palmar grasp. (d) Grasp pattern for<br />

lateral grasp<br />

muscle function is preserved in both shoulders and in his left biceps muscle for<br />

active elbow flexion, as well as very weak extension. He has no active hand and<br />

finger function. As a preparation for the neuroprosthesis he performed a stimulation<br />

training program using surface electrodes for both shoulders and the left arm/hand<br />

(lasting about 10 months) with increasing stimulation frequency and stimulation<br />

time per day until he achieved a strong and fatigue resistant contraction <strong>of</strong> the paralyzed<br />

muscles <strong>of</strong> the left (non-dominant) forearm and hand. The stimulation device<br />

used for this training was then configured per s<strong>of</strong>tware as a grasp neuroprosthesis<br />

by implementing the stimulation patterns <strong>of</strong> three distinct grasp phases (Microstim,<br />

Krauth & Timmermann, Hamburg, Germany).<br />

The second patient, a 42 year old man called HK, has a neurological status like<br />

TS, with a complete (ASIA A) motor and sensory paralysis at the 5th cervical<br />

spinal vertebra because <strong>of</strong> a car accident in December 1998. His volitional muscle<br />

activation is restricted to both shoulders and bilateral elbow flexion with no active<br />

movements <strong>of</strong> his hands or fingers. He underwent a muscle conditioning program

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