BCI move: exploring pediatric BCI-controlled power mobility

IntroductionChildren and young people (CYP) with severe physical disabilities often experience barriers to independent mobility, placing them at risk for developmental impairments and restricting their independence and participation. Pilot work suggests that brain-computer interface (BCIs) could ena...

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Main Authors: Leah Hammond, Danette Rowley, Corinne Tuck, Erica Danielle Floreani, Amy Wieler, Vella Shin-Hyung Kim, Hosein Bahari, John Andersen, Adam Kirton, Eli Kinney-Lang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:Frontiers in Human Neuroscience
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Online Access:https://www.frontiersin.org/articles/10.3389/fnhum.2025.1456692/full
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author Leah Hammond
Danette Rowley
Corinne Tuck
Erica Danielle Floreani
Amy Wieler
Vella Shin-Hyung Kim
Hosein Bahari
John Andersen
John Andersen
Adam Kirton
Adam Kirton
Eli Kinney-Lang
Eli Kinney-Lang
author_facet Leah Hammond
Danette Rowley
Corinne Tuck
Erica Danielle Floreani
Amy Wieler
Vella Shin-Hyung Kim
Hosein Bahari
John Andersen
John Andersen
Adam Kirton
Adam Kirton
Eli Kinney-Lang
Eli Kinney-Lang
author_sort Leah Hammond
collection DOAJ
description IntroductionChildren and young people (CYP) with severe physical disabilities often experience barriers to independent mobility, placing them at risk for developmental impairments and restricting their independence and participation. Pilot work suggests that brain-computer interface (BCIs) could enable powered mobility control for children with motor disabilities. We explored how severely disabled CYP could use BCI to achieve individualized, functional power mobility goals and acquire power mobility skills. We also explored the practicality of pediatric BCI-enabled power mobility.MethodsNine CYP aged 7-17 years with severe physical disabilities and their caregivers participated in up to 12 BCI-enabled power mobility training sessions focused on a personalized power mobility goal. Goal achievement was assessed using the Canadian Occupational Performance Measure (COPM) and Goal Attainment Scaling (GAS). The Assessment for Learning Powered Mobility (ALP) was used to measure session-by-session power mobility skill acquisition. BCI set-up and calibration metrics, perceived workload, and participant engagement were also reported.ResultsSignificant improvements in COPM performance (Z = −2.869, adjusted p = 0.012) and satisfaction scores (Z = −2.809, adjusted p = 0.015) and GAS T scores (Z = −2.805, p = 0.005) were observed following the intervention. ALP scores displayed a small but significant increase over time (R2 = 0.07–0.19; adjusted p = <0.001–0.039), with 7/9 participants achieving increased overall ALP scores following the intervention. Setup and calibration times were practical although calibration consistency was highly variable. Participants reported moderate workload with no significant change over time (R2 = 0.00–0.13; adjusted p = 0.006–1.000), although there was a trend towards increased frustration over time(R2 = 0.13; adjusted p = 0.006).DiscussionParticipants were highly engaged throughout the intervention. BCI-enabled power mobility appears to help CYP with severe physical disabilities achieve personalized power mobility goals and acquire power mobility skills. BCI-enabled power mobility training also appears to be practical, but BCI performance optimization and skill acquisition may be needed to translate this technology into clinical use.
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spelling doaj-art-53f6288f208d4d6183b6acb51a3a8eaa2025-08-20T03:05:55ZengFrontiers Media S.A.Frontiers in Human Neuroscience1662-51612025-04-011910.3389/fnhum.2025.14566921456692BCI move: exploring pediatric BCI-controlled power mobilityLeah Hammond0Danette Rowley1Corinne Tuck2Erica Danielle Floreani3Amy Wieler4Vella Shin-Hyung Kim5Hosein Bahari6John Andersen7John Andersen8Adam Kirton9Adam Kirton10Eli Kinney-Lang11Eli Kinney-Lang12Brain-Computer Interface Program, Imagination Centre, Glenrose Rehabilitation Hospital, Edmonton, AB, CanadaBCI4Kids, Cumming School of Medicine, University of Calgary, Calgary, AB, CanadaBrain-Computer Interface Program, Imagination Centre, Glenrose Rehabilitation Hospital, Edmonton, AB, CanadaBCI4Kids, Cumming School of Medicine, University of Calgary, Calgary, AB, CanadaBCI4Kids, Cumming School of Medicine, University of Calgary, Calgary, AB, CanadaBCI4Kids, Cumming School of Medicine, University of Calgary, Calgary, AB, CanadaBrain-Computer Interface Program, Imagination Centre, Glenrose Rehabilitation Hospital, Edmonton, AB, CanadaBrain-Computer Interface Program, Imagination Centre, Glenrose Rehabilitation Hospital, Edmonton, AB, CanadaDepartment of Pediatrics, University of Alberta, Edmonton, AB, CanadaBCI4Kids, Cumming School of Medicine, University of Calgary, Calgary, AB, CanadaDepartment of Pediatrics, University of Calgary, Calgary, AB, CanadaBCI4Kids, Cumming School of Medicine, University of Calgary, Calgary, AB, CanadaDepartment of Pediatrics, University of Calgary, Calgary, AB, CanadaIntroductionChildren and young people (CYP) with severe physical disabilities often experience barriers to independent mobility, placing them at risk for developmental impairments and restricting their independence and participation. Pilot work suggests that brain-computer interface (BCIs) could enable powered mobility control for children with motor disabilities. We explored how severely disabled CYP could use BCI to achieve individualized, functional power mobility goals and acquire power mobility skills. We also explored the practicality of pediatric BCI-enabled power mobility.MethodsNine CYP aged 7-17 years with severe physical disabilities and their caregivers participated in up to 12 BCI-enabled power mobility training sessions focused on a personalized power mobility goal. Goal achievement was assessed using the Canadian Occupational Performance Measure (COPM) and Goal Attainment Scaling (GAS). The Assessment for Learning Powered Mobility (ALP) was used to measure session-by-session power mobility skill acquisition. BCI set-up and calibration metrics, perceived workload, and participant engagement were also reported.ResultsSignificant improvements in COPM performance (Z = −2.869, adjusted p = 0.012) and satisfaction scores (Z = −2.809, adjusted p = 0.015) and GAS T scores (Z = −2.805, p = 0.005) were observed following the intervention. ALP scores displayed a small but significant increase over time (R2 = 0.07–0.19; adjusted p = <0.001–0.039), with 7/9 participants achieving increased overall ALP scores following the intervention. Setup and calibration times were practical although calibration consistency was highly variable. Participants reported moderate workload with no significant change over time (R2 = 0.00–0.13; adjusted p = 0.006–1.000), although there was a trend towards increased frustration over time(R2 = 0.13; adjusted p = 0.006).DiscussionParticipants were highly engaged throughout the intervention. BCI-enabled power mobility appears to help CYP with severe physical disabilities achieve personalized power mobility goals and acquire power mobility skills. BCI-enabled power mobility training also appears to be practical, but BCI performance optimization and skill acquisition may be needed to translate this technology into clinical use.https://www.frontiersin.org/articles/10.3389/fnhum.2025.1456692/fullbrain-computer interfacepediatricspower mobilitycerebral palsyalternative access technologybrain-machine interface
spellingShingle Leah Hammond
Danette Rowley
Corinne Tuck
Erica Danielle Floreani
Amy Wieler
Vella Shin-Hyung Kim
Hosein Bahari
John Andersen
John Andersen
Adam Kirton
Adam Kirton
Eli Kinney-Lang
Eli Kinney-Lang
BCI move: exploring pediatric BCI-controlled power mobility
Frontiers in Human Neuroscience
brain-computer interface
pediatrics
power mobility
cerebral palsy
alternative access technology
brain-machine interface
title BCI move: exploring pediatric BCI-controlled power mobility
title_full BCI move: exploring pediatric BCI-controlled power mobility
title_fullStr BCI move: exploring pediatric BCI-controlled power mobility
title_full_unstemmed BCI move: exploring pediatric BCI-controlled power mobility
title_short BCI move: exploring pediatric BCI-controlled power mobility
title_sort bci move exploring pediatric bci controlled power mobility
topic brain-computer interface
pediatrics
power mobility
cerebral palsy
alternative access technology
brain-machine interface
url https://www.frontiersin.org/articles/10.3389/fnhum.2025.1456692/full
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