Academic Journal

Motor imagery-based brain-computer interface training for post-stroke upper limb dysfunction: systematic review and meta-analysis.

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Τίτλος: Motor imagery-based brain-computer interface training for post-stroke upper limb dysfunction: systematic review and meta-analysis.
Συγγραφείς: Yang Z; Department of Rehabilitation, Tianyou Hospital, Wuhan University of Science and Technology, Wuhan, China., Zhang S; Department of Rehabilitation, Tianyou Hospital, Wuhan University of Science and Technology, Wuhan, China., Wang D; Department of Medical Imaging, Tianyou Hospital, Wuhan University of Science and Technology, Wuhan, China., Guan M; Department of Rehabilitation, Tianyou Hospital, Wuhan University of Science and Technology, Wuhan, China., Qiao L; Department of Rehabilitation, Tianyou Hospital, Wuhan University of Science and Technology, Wuhan, China.
Πηγή: Brain impairment : a multidisciplinary journal of the Australian Society for the Study of Brain Impairment [Brain Impair] 2026 Sep 24; Vol. 27 (3).
Τύπος έκδοσης: Journal Article; Systematic Review; Meta-Analysis
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: CSIRO Publishing Country of Publication: Australia NLM ID: 101121542 Publication Model: Print Cited Medium: Internet ISSN: 1839-5252 (Electronic) Linking ISSN: 18395252 NLM ISO Abbreviation: Brain Impair Subsets: MEDLINE
Imprint Name(s): Publication: 2024-: Clayton VIC : CSIRO Publishing
Original Publication: Bowen Hills, QLD, Australia : Published for the ASSBI by Australian Academic Press, c2000-
Ιατρικοί όροι (MeSH): Stroke Rehabilitation*/methods , Upper Extremity*/physiopathology , Stroke*/complications , Stroke*/physiopathology , Hemiplegia*/rehabilitation , Hemiplegia*/etiology , Hemiplegia*/physiopathology , Brain-Computer Interfaces* , Imagery, Psychotherapy*, Humans ; Recovery of Function
Περίληψη: Background: Motor imagery-based brain-computer Interface (MI-BCI) utilises electroencephalographic signals from imagined limb movements for control commands, enabling real-time interaction with external devices. Clinical trials suggest its potential for upper limb recovery post-stroke. This study aims to systematically evaluate the effectiveness of MI-BCI on upper limb motor function in patients with post-stroke hemiplegia.
Methods: A comprehensive search was conducted across PubMed, Cochrane Library, Web of Science and Embase through March 2026 for randomised controlled trials assessing MI-BCI effects on upper limb motor impairments post-stroke. A systematic review and meta-analysis were performed.
Results: The analysis included 27 studies for systematic review, with meta-analyses encompassing 24 studies involving 846 participants. MI-BCI training showed statistically significant improvements in measures of isolated limb movement and fine motor control, specifically the Fugl-Meyer Assessment for Upper Extremity (s.m.d. 0.31, 95% CI: 0.18-0.45; I² = 17%) and the Wolf Motor Function Test (s.m.d. 0.45, 95% CI: 0.24-0.66; I² = 39%).
Conclusions: MI-BCI training can improve upper limb motor function, particularly for isolated movements and fine motor control, in stroke patients. Its effects on complex functional activities, activities of daily living and spasticity were not significant in the current evidence. Due to heterogeneity in control conditions (including sham interventions) across studies, the current evidence does not support definitive conclusions regarding its superiority over standardised traditional rehabilitation.
(© 2026 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of the Australasian Society for the Study of Brain Impairment.)
Grant Information: WJ2025M167 Hubei Province Health Technology Projects
Contributed Indexing: Keywords: brain–computer interface; hand dysfunction; meta-analysis; motor imagery; neurofeedback; rehabilitation; stroke; systematic review; upper limb dysfunction
Entry Date(s): Date Created: 20260722 Date Completed: 20260722 Latest Revision: 20260821
Update Code: 20260821
DOI: 10.1071/IB25022
PMID: 42486778
Βάση Δεδομένων: MEDLINE
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  Data: Motor imagery-based brain-computer interface training for post-stroke upper limb dysfunction: systematic review and meta-analysis.
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  Data: <searchLink fieldCode="AU" term="%22Yang+Z%22">Yang Z</searchLink>; Department of Rehabilitation, Tianyou Hospital, Wuhan University of Science and Technology, Wuhan, China.<br /><searchLink fieldCode="AU" term="%22Zhang+S%22">Zhang S</searchLink>; Department of Rehabilitation, Tianyou Hospital, Wuhan University of Science and Technology, Wuhan, China.<br /><searchLink fieldCode="AU" term="%22Wang+D%22">Wang D</searchLink>; Department of Medical Imaging, Tianyou Hospital, Wuhan University of Science and Technology, Wuhan, China.<br /><searchLink fieldCode="AU" term="%22Guan+M%22">Guan M</searchLink>; Department of Rehabilitation, Tianyou Hospital, Wuhan University of Science and Technology, Wuhan, China.<br /><searchLink fieldCode="AU" term="%22Qiao+L%22">Qiao L</searchLink>; Department of Rehabilitation, Tianyou Hospital, Wuhan University of Science and Technology, Wuhan, China.
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  Data: <searchLink fieldCode="JN" term="%22101121542%22">Brain impairment : a multidisciplinary journal of the Australian Society for the Study of Brain Impairment</searchLink> [Brain Impair] 2026 Sep 24; Vol. 27 (3).
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  Data: Journal Article; Systematic Review; Meta-Analysis
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  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22CSIRO+Publishing%22">CSIRO Publishing </searchLink><i>Country of Publication: </i>Australia <i>NLM ID: </i>101121542 <i>Publication Model: </i>Print <i>Cited Medium: </i>Internet <i>ISSN: </i>1839-5252 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2218395252%22">18395252 </searchLink><i>NLM ISO Abbreviation: </i>Brain Impair <i>Subsets: </i>MEDLINE
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  Data: <i>Publication</i>: 2024-: Clayton VIC : CSIRO Publishing<br /><i>Original Publication</i>: Bowen Hills, QLD, Australia : Published for the ASSBI by Australian Academic Press, c2000-
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  Data: <searchLink fieldCode="MM" term="%22Stroke+Rehabilitation%22">Stroke Rehabilitation*</searchLink>/<searchLink fieldCode="MM" term="%22Stroke+Rehabilitation+methods%22">methods</searchLink> <br /><searchLink fieldCode="MM" term="%22Upper+Extremity%22">Upper Extremity*</searchLink>/<searchLink fieldCode="MM" term="%22Upper+Extremity+physiopathology%22">physiopathology</searchLink> <br /><searchLink fieldCode="MM" term="%22Stroke%22">Stroke*</searchLink>/<searchLink fieldCode="MM" term="%22Stroke+complications%22">complications</searchLink> <br /><searchLink fieldCode="MM" term="%22Stroke%22">Stroke*</searchLink>/<searchLink fieldCode="MM" term="%22Stroke+physiopathology%22">physiopathology</searchLink> <br /><searchLink fieldCode="MM" term="%22Hemiplegia%22">Hemiplegia*</searchLink>/<searchLink fieldCode="MM" term="%22Hemiplegia+rehabilitation%22">rehabilitation</searchLink> <br /><searchLink fieldCode="MM" term="%22Hemiplegia%22">Hemiplegia*</searchLink>/<searchLink fieldCode="MM" term="%22Hemiplegia+etiology%22">etiology</searchLink> <br /><searchLink fieldCode="MM" term="%22Hemiplegia%22">Hemiplegia*</searchLink>/<searchLink fieldCode="MM" term="%22Hemiplegia+physiopathology%22">physiopathology</searchLink> <br /><searchLink fieldCode="MM" term="%22Brain-Computer+Interfaces%22">Brain-Computer Interfaces*</searchLink> <br /><searchLink fieldCode="MM" term="%22Imagery%2C+Psychotherapy%22">Imagery, Psychotherapy*</searchLink><br /><searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Recovery+of+Function%22">Recovery of Function</searchLink>
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  Data: Background: Motor imagery-based brain-computer Interface (MI-BCI) utilises electroencephalographic signals from imagined limb movements for control commands, enabling real-time interaction with external devices. Clinical trials suggest its potential for upper limb recovery post-stroke. This study aims to systematically evaluate the effectiveness of MI-BCI on upper limb motor function in patients with post-stroke hemiplegia.<br />Methods: A comprehensive search was conducted across PubMed, Cochrane Library, Web of Science and Embase through March 2026 for randomised controlled trials assessing MI-BCI effects on upper limb motor impairments post-stroke. A systematic review and meta-analysis were performed.<br />Results: The analysis included 27 studies for systematic review, with meta-analyses encompassing 24 studies involving 846 participants. MI-BCI training showed statistically significant improvements in measures of isolated limb movement and fine motor control, specifically the Fugl-Meyer Assessment for Upper Extremity (s.m.d. 0.31, 95% CI: 0.18-0.45; I² = 17%) and the Wolf Motor Function Test (s.m.d. 0.45, 95% CI: 0.24-0.66; I² = 39%).<br />Conclusions: MI-BCI training can improve upper limb motor function, particularly for isolated movements and fine motor control, in stroke patients. Its effects on complex functional activities, activities of daily living and spasticity were not significant in the current evidence. Due to heterogeneity in control conditions (including sham interventions) across studies, the current evidence does not support definitive conclusions regarding its superiority over standardised traditional rehabilitation.<br /> (© 2026 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of the Australasian Society for the Study of Brain Impairment.)
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  Data: WJ2025M167 Hubei Province Health Technology Projects
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  Data: <i>Keywords: </i>brain–computer interface; hand dysfunction; meta-analysis; motor imagery; neurofeedback; rehabilitation; stroke; systematic review; upper limb dysfunction
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