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A clinical screening protocol for the RSVP Keyboard brain-computer interface.
[locked-in syndrome]
Abstract
Purpose
:
To
propose
a
screening
protocol
that
identifies
requisite
sensory
,
motor
,
cognitive
and
communication
skills
for
people
with
locked-
in
syndrome
(
PLIS
)
to
use
the
RSVP
Keyboard
â„¢
brain
-computer
interface
(
BCI
)
.
Method
:
A
multidisciplinary
clinical
team
of
seven
individuals
representing
five
disciplines
identified
requisite
skills
for
the
BCI
RSVP
Keyboard
â„¢
.
They
chose
questions
and
subtests
from
existing
standardized
instruments
for
auditory
comprehension
,
reading
and
spelling
,
modified
them
to
accommodate
nonverbal
response
modalities
,
and
developed
novel
tasks
to
screen
visual
perception
,
sustained
visual
attention
and
working
memory
.
Questions
were
included
about
sensory
skills
,
positioning
,
pain
interference
and
medications
.
The
result
is
a
compilation
of
questions
,
adapted
subtests
and
original
tasks
designed
for
this
new
BCI
system
.
It
was
administered
to
12
PLIS
and
6
healthy
controls
.
Results
:
Administration
required
1
 
h
or
less
.
Yes
/
no
choices
and
eye
gaze
were
adequate
response
modes
for
PLIS
.
Healthy
controls
and
9
PLIS
were
100
%
accurate
on
all
tasks
;
3
PLIS
missed
single
items
.
Conclusions
:
The
RSVP
BCI
screening
protocol
is
a
brief
,
repeatable
technique
for
patients
with
different
levels
of
LIS
to
identify
the
presence
/
absence
of
skills
for
BCI
use
.
Widespread
adoption
of
screening
methods
should
be
a
clinical
goal
and
will
help
standardize
BCI
implementation
for
research
and
intervention
.
Implications
for
Rehabilitation
People
with
locked-
in
syndrome
must
have
certain
sensory
,
motor
,
cognitive
and
communication
skills
to
successfully
use
a
brain
-computer
interface
(
BCI
)
for
communication
.
A
screening
profile
would
be
useful
in
identifying
potentially
suitable
candidates
for
BCI
.
Diseases
Validation
Diseases presenting
"pain"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
aniridia
aromatase deficiency
carcinoma of the gallbladder
cholangiocarcinoma
coats disease
congenital diaphragmatic hernia
congenital toxoplasmosis
cushing syndrome
cutaneous mastocytosis
cystinuria
dedifferentiated liposarcoma
dentin dysplasia
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial mediterranean fever
focal myositis
hirschsprung disease
hodgkin lymphoma, classical
holt-oram syndrome
junctional epidermolysis bullosa
kabuki syndrome
kindler syndrome
lamellar ichthyosis
liposarcoma
locked-in syndrome
lymphangioleiomyomatosis
malignant atrophic papulosis
neuralgic amyotrophy
oligodontia
oral submucous fibrosis
papillon-lefèvre syndrome
phenylketonuria
pleomorphic liposarcoma
primary hyperoxaluria type 1
proteus syndrome
pyomyositis
scrub typhus
sneddon syndrome
systemic capillary leak syndrome
thoracic outlet syndrome
trochlear dysplasia
typhoid
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
wolf-hirschhorn syndrome
This symptom has already been validated