Brain computer interfaces for cognitive enhancement in older people - challenges and applications: a systematic review.

IF 3.4 2区医学 Q2 GERIATRICS & GERONTOLOGY BMC Geriatrics Pub Date : 2025-01-16 DOI:10.1186/s12877-025-05676-4

Ping-Chen Tsai, Asangaedem Akpan, Kea-Tiong Tang, Heba Lakany

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Abstract

Background: Brain-computer interface (BCI) offers promising solutions to cognitive enhancement in older people. Despite the clear progress received, there is limited evidence of BCI implementation for rehabilitation. This systematic review addresses BCI applications and challenges in the standard practice of EEG-based neurofeedback (NF) training in healthy older people or older people with mild cognitive impairment (MCI).

Methods: Articles were searched via MEDLINE, PubMed, SCOPUS, SpringerLink, and Web of Science. 16 studies between 1st January 2010 to 1st November 2024 are included after screening using PRISMA. The risk of bias, system design, and neurofeedback protocols are reviewed.

Results: The successful BCI applications in NF trials in older people were biased by the randomisation process and outcome measurement. Although the studies demonstrate promising results in effectiveness of research-grade BCI for cognitive enhancement in older people, it is premature to make definitive claims about widespread BCI usability and applicability.

Significance: This review highlights the common issues in the field of EEG-based BCI for older people. Future BCI research could focus on trial design and BCI performance gaps between the old and the young to develop a robust BCI system that compensates for age-related declines in cognitive and motor functions.

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增强老年人认知能力的脑机接口——挑战与应用：系统综述。

背景：脑机接口（BCI）为老年人的认知增强提供了有希望的解决方案。尽管取得了明显的进展，但BCI用于康复的证据有限。本系统综述探讨了脑电基础神经反馈（NF）训练在健康老年人或轻度认知障碍老年人（MCI）标准实践中的应用和挑战。方法：通过MEDLINE， PubMed， SCOPUS， SpringerLink和Web of Science检索文章，使用PRISMA筛选后纳入2010年1月1日至2024年11月1日的16项研究。本文回顾了偏倚风险、系统设计和神经反馈协议。结果：BCI在老年人NF试验中的成功应用受到随机化过程和结果测量的偏倚。尽管这些研究证明了研究级脑机接口对老年人认知增强的有效性，但对脑机接口的广泛可用性和适用性做出明确的断言还为时过早。意义：本综述强调了基于脑电图的老年人脑机接口领域的常见问题。未来的脑机接口研究可以集中在试验设计和老年和年轻人之间的脑机接口性能差距上，以开发一个强大的脑机接口系统，以补偿与年龄相关的认知和运动功能下降。

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来源期刊

BMC Geriatrics GERIATRICS & GERONTOLOGY-

CiteScore

5.70

自引率

7.30%

发文量

873

审稿时长

20 weeks

期刊介绍： BMC Geriatrics is an open access journal publishing original peer-reviewed research articles in all aspects of the health and healthcare of older people, including the effects of healthcare systems and policies. The journal also welcomes research focused on the aging process, including cellular, genetic, and physiological processes and cognitive modifications.