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O Uso de Brain Computer Interface na Intervenção em Pessoas com Afasia Pós-Acidente Vascular Cerebral: Uma Revisão Sistemática
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Advisor(s)
Abstract(s)
Introdução: A afasia pós-acidente vascular cerebral tem um impacto significativo ao nível da qualidade de vida da pessoa com esta alteração e nos recursos exigi-dos no setor da saúde. Tem existido um interesse crescente em investigar novas metodologias de intervenção, como as que integram a tecnologia brain computer interface (BCI). O objetivo deste trabalho é analisar de que forma a utilização desta tecnologia em contexto terapêutico poderá potenciar a recuperação das competên-cias linguísticas e comunicativas das pessoas com afasia.
Método: Revisão sistemática da literatura através das diretrizes do Preferred Re-porting Items for Systematic Reviews and Meta-Analyses (PRISMA), envolvendo pesquisas nas bases de dados PubMed Central, SciELO, LILACS, Web of Science e nas bases de dados integradas na plataforma EBSCO HOST, sem restrição temporal ou de língua, com o recurso a termos MeSH (Medical Subject Headings) e a termos não padronizados, em inglês. O processo de seleção dos estudos foi efetuado de forma independente por dois investigadores via plataforma Rayyan®. A análise de evidên-cia dos estudos elegíveis em triagem foi realizada através do modelo de níveis de evidência e qualidade dos estudos John Hopkins.Resultados: Obteve-se um total de 198 artigos, dos quais quatro foram incluídos nesta revisão sistemática, após eliminação de duplicados e aplicação dos critérios de elegibilidade. A intervenção terapêutica com base num sistema BCI poderá po-tenciar o reforço da rede linguística e a restruturação das redes funcionais de pes-soas com afasia, devido ao mecanismo de neurofeedback que proporciona. Alguns autores encorajam o desenvolvimento de sistemas BCI com a integração de dife-rentes técnicas (e.g. ressonância magnética funcional em combinação com o eletro-encefalograma). A investigação nesta área é recente, sendo os estudos escassos e maioritariamente de tipologia quasi-experimental. Os artigos incluídos nesta revisão apresentam uma qualidade de evidência reduzida.
Conclusão: A utilização de BCI poderá ter uma influência positiva na reabilitação da linguagem e comunicação de pessoas com afasia. Porém, a integração desta tecnologia recente na intervenção terapêutica enfrenta, ainda, vários desafios, sendo necessários estudos mais robustos que permitam a criação de protocolos específicos e diretrizes clínicas.
Introduction: Post-stroke aphasia has a significant impact on the quality of life of the person with this disorder and on the resources required in the health sector. There has been growing interest in investigating new intervention methodologies, such as those that integrate brain computer interface (BCI) technology. The aim of this paper is to anal-yse how the use of this technology in a therapeutic context can enhance the recovery of language and communication skills in people with aphasia. Method: Systematic literature review using the Preferred Reporting Items for System-atic Reviews and Meta-Analyses (PRISMA) guidelines, involving searches in the PubMed Central, SciELO, LILACS, Web of Science databases and the databases integrated into the EBSCO HOST platform, with no time or language restrictions, using MeSH (Medical Subject Headings) and entry terms in English. The study selection process was carried out independently by two of the authors through the Rayyan® software. The evidence analysis of the eligible studies in screening was carried out using the John Hopkins mod-el of levels of evidence and quality of studies.Results: A total of 198 articles were obtained, of which four were included in this systematic review after eliminating duplicates and applying the eligibility criteria. Thera-peutic intervention based on a BCI system could strengthen the linguistic network and rebalance the functional networks of people with aphasia, due to the neurofeedback mechanism it provides. Some authors encourage the development of BCI systems with the integration of different techniques (such as functional magnetic resonance imaging in combination with electroencephalography). Research in this area is recent, and stud-ies are scarce and mostly quasi-experimental. The articles included in this review have a low quality of evidence. Conclusion: The use of brain computer interface systems could have a positive influ-ence on the language and communication rehabilitation of people with aphasia. How-ever, the integration of this recent technology into therapeutic intervention still faces several challenges, and more robust studies are needed to create specific protocols and clinical guidelines.
Introduction: Post-stroke aphasia has a significant impact on the quality of life of the person with this disorder and on the resources required in the health sector. There has been growing interest in investigating new intervention methodologies, such as those that integrate brain computer interface (BCI) technology. The aim of this paper is to anal-yse how the use of this technology in a therapeutic context can enhance the recovery of language and communication skills in people with aphasia. Method: Systematic literature review using the Preferred Reporting Items for System-atic Reviews and Meta-Analyses (PRISMA) guidelines, involving searches in the PubMed Central, SciELO, LILACS, Web of Science databases and the databases integrated into the EBSCO HOST platform, with no time or language restrictions, using MeSH (Medical Subject Headings) and entry terms in English. The study selection process was carried out independently by two of the authors through the Rayyan® software. The evidence analysis of the eligible studies in screening was carried out using the John Hopkins mod-el of levels of evidence and quality of studies.Results: A total of 198 articles were obtained, of which four were included in this systematic review after eliminating duplicates and applying the eligibility criteria. Thera-peutic intervention based on a BCI system could strengthen the linguistic network and rebalance the functional networks of people with aphasia, due to the neurofeedback mechanism it provides. Some authors encourage the development of BCI systems with the integration of different techniques (such as functional magnetic resonance imaging in combination with electroencephalography). Research in this area is recent, and stud-ies are scarce and mostly quasi-experimental. The articles included in this review have a low quality of evidence. Conclusion: The use of brain computer interface systems could have a positive influ-ence on the language and communication rehabilitation of people with aphasia. How-ever, the integration of this recent technology into therapeutic intervention still faces several challenges, and more robust studies are needed to create specific protocols and clinical guidelines.
Description
Keywords
Acidente Vascular Cerebral/complicações Afasia/etiologia Afasia/reabilitação Interfaces Cérebro-Computador Neurorretroalimentação Reabilitação de Acidente Vascular Cerebral Aphasia/etiology Aphasia/rehabilitation Brain-Computer Interfaces Neurofeedback Stroke/complications Stroke Rehabilitation
Pedagogical Context
Citation
Branquinho, A. S., Maia, P., & Tello Rodrigues, I. (2025). O Uso de Brain Computer Interface na Intervenção em Pessoas com Afasia Pós-Acidente Vascular Cerebral: Uma Revisão Sistemática. Sinapse, 25(2), 58–69. https://doi.org/10.46531/sinapse/AR/81/2025
Publisher
Sociedade Portuguesa de Neurologia