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Thinking and typing

Thursday, March 25, 1999 Published at 13:13 GMT: Scientists in Germany have
developed a computer system that enables people who are completely
paralysed to communicate by interpreting their brainwaves.

Although details of the breakthrough were first reported by BBC News Online
in January, the researchers have now agreed to talk about their work for
the first time and have released pictures of those involved in the study.

A letter written by one of patients has also been published in this week's
science journal Nature.

The computer system depends on an individual's ability to control their
brainwaves. Two electrodes, the size of contact lenses, are taped on to the
head.

This allows an electroencephalogram to detect brain signals, which can be
passed to a computer. By using the power of thought alone, patients can
then drive a cursor on a video screen that selects letters of the alphabet.

"First the patient has to learn consciously to control a particular kind of
brain activity which is called slow cortical potential, which everybody
has," says Professor Niels Birbaumer of the University of Tübingen in Germany.

"It comprises slow changes in the excitation level of the brain. Patients
learning to control this see their own brain activity on a computer screen
in the form of a trace that moves up and down - so they can observe it
continuously.

"Then the computer or a therapist asks the patient to control the shape of
the trace and to use it to move a cursor on the screen.

"The computer helps by saying 'That's good, that's perfect', and so on and
so on."

Patients can write on the screen at a rate of one letter every six seconds,
and by using letters to represent key words that rate can be speeded up
enormously. It can be used to control household appliances such as
television sets.

The device costs about $20,000 to produce.

It will benefit people who suffer from a progressive nervous disease called
Amyotrophic lateral sclerosis (ALS), in which the nerve cells controlling
movement, so-called motor neurons, progressively die off with the result
that patients lose all control over their bodies.

There is no cure or effective treatment. The frustration and horror
experienced by patients who find themselves in such a state was famously
described by Jean-Dominique Bauby's book 'The Diving Bell and The
Butterfly'. Bauby dictated the book, letter by letter, by winking.

"It describes the terrible locked-in state he faced before he died,"
Professor Birbaumer. "Such a state can be brought about by strokes or
accidents as well as Amyotrophic lateral sclerosis.

"The intellect is intact but the muscles are dead. The butterfly is the
patient's thoughts which are trapped in the bell jar of their paralysis.
The thoughts are the only thing left for them."


BBC News Online: Sci/Tech http://news.bbc.co.uk/low/english/sci/tech/

janet paterson - 52 now /41 dx /37 onset - almonte/ontario/canada
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