脑机接口:中风后康复的新时代

​Brain-Computer Interface: A New Era for Post-Stroke Rehabilitation

CEA-Leti Original
摘要
法国原子能委员会(CEA)于2025年3月启动AUDACE研究计划,获法国政府4000万欧元资助,联合80多个学术伙伴;旗下CEA-Leti在BrainSync项目中利用WIMAGINE脑机接口技术开发针对中风后上肢运动障碍的神经康复平台,并已联合格勒诺布尔和圣艾蒂安大学医院申请临床试验。该技术曾帮助四肢瘫痪患者控制外骨骼、截瘫患者恢复自然行走,新应用通过实时耦合运动意图与感觉反馈促进神经可塑性,并获欧盟欧洲创新理事会资助。

2025年3月,法国CEA启动了大规模研究计划Audace!,该计划受法国政府委托、由France 2030出资4000万欧元,汇集CEA全部研究领域以及法国80多个学术合作伙伴,支持约10个项目,目标是引入新科学概念并突破技术瓶颈。作为该计划的一部分,CEA-Leti在BrainSync项目下开发基于脑机接口的卒中后康复新疗法。

CEA-Leti依托其独特的WIMAGINE®脑机接口技术。该技术此前已实现两项世界首创并发表于《柳叶刀神经病学》和《自然》:2019年,一名四肢瘫痪患者利用脑活动控制四肢外骨骼;2023年,一名截瘫患者通过CEA的WIMAGINE®技术与EPFL、CHUV、UNIL以及ONWARD Medical(瑞士洛桑)开发的植入式脊髓刺激疗法结合,恢复了自然行走能力。

CEA-Leti软件经理Serpil Karakas正在探索将该技术用于开发神经康复平台,使卒中患者能够进行康复训练,特别针对上肢活动受限和运动障碍患者。神经技术研究员Lucas Struber表示,CEA-Leti、格勒诺布尔大学医院和圣艾蒂安大学医院已向监管机构申请开展临床试验。该脑机接口康复原理是实时耦合脑电检测到的运动意图与相应的感觉运动反馈(如刺激、机器人辅助或虚拟反馈),通过反复关联促进神经可塑性、强化相关神经通路,从而支持功能恢复。

除法国政府通过Audace!计划提供的支持外,CEA-Leti团队的工作还获得欧盟委员会欧洲创新委员会在Horizon Europe计划下的资助。

Summary
CEA launched the €40 million France 2030-backed AUDACE program in March 2025, mobilizing over 80 academic partners, with CEA-Leti’s BrainSync project developing a WIMAGINE-based brain-computer interface for post-stroke upper-limb rehabilitation. CEA-Leti researchers Serpil Karakas and Lucas Struber are working with Grenoble and Saint-Étienne university hospitals and have applied for clinical-trial authorization, building on technology that previously enabled paralyzed patients to control an exoskeleton or walk naturally with ONWARD Medical and EPFL/CHUV/UNIL partners. The European Innovation Council also supports the effort, which aims to use real-time brain-motor feedback to boost neuroplasticity and functional recovery.

In March 2025, at the French government’s request, CEA launched Audace!, a €40 million France 2030 program

Résumé
En mars 2025, le CEA a lancé le programme de recherche AUDACE, doté de 40 millions d’euros dans le cadre de France 2030 et mobilisant plus de 80 partenaires académiques. Le CEA-Leti y participe via le projet BrainSync, porté notamment par Serpil Karakas et Lucas Struber, pour développer une interface cerveau-machine WIMAGINE® destinée à la rééducation post-AVC, avec un essai clinique prévu aux CHU de Grenoble et de Saint-Étienne. Cette technologie, déjà à l’origine de deux premières mondiales, bénéficie aussi du soutien du Conseil européen de l’innovation.

​​​​​​​​​​​In March 2025, CEA launched a bold and ambitious research programAUDACEthat mobilizes allCEA research fields, as well as over 80 academic partners throughout France supporting around 10 projects.

​Begun at the request of the French government with funding of €40 million under France 2030, Audace! aims to bring new scientific concepts to CEA labs and to remove technological barriers to development of promising technologies. CEA-Leti's participation includes development on a brain-computer interface new therapy for poststroke rehabilitation in the context of theBrainSyncproject.

​The unique WIMAGINE®brain–machine interface technology has already contributed to two world-first achievements published inThe LancetNeurologyandNature.

In 2019, a tetraplegic patient was able to use brain activity to control a four-limb exoskeleton. In 2023, a paraplegic patient regained natural control of walking through the combination of CEA's WIMAGINE®technology with an implantedspinal cord stimulation therapy developed by EPFL, CHUV, UNIL, and ONWARD Medical (Lausanne, Switzerland).

Serpil Karakas, software manager at CEA-Leti, is now exploring the use of this technology to develop a neurorehabilitation platform that would enable post-stroke patients to carry out rehabilitation sessions. This approach is particularly aimed at patients with limited upper-limb mobility, especially those experiencing motor impairment.

Neurotechnology researcher Lucas Struber said CEA-Leti, Grenoble University Hospital and Saint-Étienne University Hospital have applied for authorization from regulatory authorities to conduct a clinical trial aimed at enabling post-stroke rehabilitation using these BCI. The principle of a BCI for rehabilitation relies on establishing a real-time coupling between detected motor intention in brain activity and corresponding sensorimotor feedback (e.g., stimulation, robotic assistance, or virtual feedback). This repeated association could promote neuroplasticity by strengthening relevant neural pathways, thereby potentially supporting functional recovery potential.

In addition to support from the French government under the Audace! program, the CEA-Leti team's work is supported by the European Commission through a grant from the European Innovation Council (EIC) under the Horizon Europe program.

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