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Reach and grasp by people with tetraplegia using a neurally controlled robotic arm


Paralysis following spinal cord injury, brainstem stroke, amyotrophic lateral sclerosis and other disorders can disconnect the brain from the body, eliminating the ability to perform volitional movements. A neural interface system1,2,3,4,5 could restore mobility and independence for people with paralysis by translating neuronal activity directly into control signals for assistive devices. We have previously shown that people with long-standing tetraplegia can use a neural interface system to move and click a computer cursor and to control physical devices6,7,8. Able-bodied monkeys have used a neural interface system to control a robotic arm9, but it is unknown whether people with profound upper extremity paralysis or limb loss could use cortical neuronal ensemble signals to direct useful arm actions. Here we demonstrate the ability of two people with long-standing tetraplegia to use neural interface system-based control of a robotic arm to perform three-dimensional reach and grasp movements. Participants controlled the arm and hand over a broad space without explicit training, using signals decoded from a small, local population of motor cortex (MI) neurons recorded from a 96-channel microelectrode array. One of the study participants, implanted with the sensor 5 years earlier, also used a robotic arm to drink coffee from a bottle. Although robotic reach and grasp actions were not as fast or accurate as those of an able-bodied person, our results demonstrate the feasibility for people with tetraplegia, years after injury to the central nervous system, to recreate useful multidimensional control of complex devices directly from a small sample of neural signals.

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Figure 1: Experimental setup and performance metrics.
Figure 2: Participant S3 drinking from a bottle using the DLR robotic arm.
Figure 3: Examples of neural signals from three sessions and two participants.

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We thank participants S3 and T2 for their dedication to this research. We thank M. Black for initial guidance in the BrainGate–DLR research. We thank E. Gallivan, E. Berhanu, D. Rosler, L. Barefoot, K. Centrella and B. King for their contributions to this research. We thank G. Friehs and E. Eskandar for their surgical contributions. We thank K. Knoper for assistance with illustrations. We thank D. Van Der Merwe and DEKA Research and Development for their technical support. The contents do not represent the views of the Department of Veterans Affairs or the United States Government. The research was supported by the Rehabilitation Research and Development Service, Office of Research and Development, Department of Veterans Affairs (Merit Review Awards B6453R and A6779I; Career Development Transition Award B6310N). Support was also provided by the National Institutes of Health: NINDS/NICHD (RC1HD063931), NIDCD (R01DC009899), NICHD-NCMRR (N01HD53403 and N01HD10018), NIBIB (R01EB007401), NINDS-Javits (NS25074); a Memorandum of Agreement between the Defense Advanced Research Projects Agency (DARPA) and the Department of Veterans Affairs; the Doris Duke Charitable Foundation; the MGH-Deane Institute for Integrated Research on Atrial Fibrillation and Stroke; Katie Samson Foundation; Craig H. Neilsen Foundation; the European Commission’s Seventh Framework Programme through the project The Hand Embodied (grant 248587). The pilot clinical trial into which participant S3 was recruited was sponsored in part by Cyberkinetics Neurotechnology Systems (CKI).

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Authors and Affiliations



J.P.D. and L.R.H. conceived, planned and directed the BrainGate research and the DEKA sessions. J.P.D., L.R.H. and P.v.d.S. conceived, planned and directed the DLR robot control sessions. J.P.D. and P.v.d.S. are co-senior authors. D.B., B.J., N.Y.M., J.D.S. and J.V. contributed equally to this work and are listed alphabetically. J.D.S., J.V. and D.B. developed the BrainGate–DLR interface. D.B., J.D.S. and J.L. developed the BrainGate–DEKA interface. D.B. and J.V. created the three-dimensional motorized target placement system. B.J., N.Y.M. and D.B. designed the behavioural task, the neural signal processing approach, the filter building approach and the performance metrics. B.J., N.Y.M. and D.B. performed data analysis, further guided by L.R.H., J.D.S. and J.P.D. N.Y.M., L.R.H. and J.P.D. drafted the manuscript, which was further edited by all authors. D.B. and J.D.S. engineered the BrainGate neural interface system/assistive technology system. J.V. and S.H. developed the reactive planner for the Light-Weight Robot III (LWR). S.H. developed the internal control framework of the Light-Weight Robot III. The internal control framework of the DEKA arm was developed by DEKA. L.R.H. is principal investigator of the pilot clinical trial. S.S.C. is clinical co-investigator of the pilot clinical trial and assisted in the clinical oversight of these participants.

Corresponding authors

Correspondence to Leigh R. Hochberg or John P. Donoghue.

Ethics declarations

Competing interests

J.P.D. is a former chief scientific officer and director of CKI; he held stocks and received compensation. L.R.H. received research support from Massachusetts General and Spaulding Rehabilitation Hospitals, which in turn received clinical trial support from CKI. J.D.S. received compensation as a consultant for CKI. CKI ceased operations in 2009, before the collection of data reported in this manuscript. The BrainGate pilot clinical trials are now administered by Massachusetts General Hospital.

Supplementary information

Supplementary Information

This file contains Supplementary Figures 1-9 and Supplementary Table 1 providing additional results, a Supplementary Discussion regarding multidimensional robotic and prosthetic limb control and neural signals, Supplementary Movie Legends demonstrating neural control of reach and grasp by people with tetraplegia and Supplementary References. (PDF 17887 kb)

Supplementary Movie 1

This file contains Supplementary Movie 1 which shows neuronal ensemble control of the DLR robot arm and hand for three-dimensional reach and grasp by a woman with tetraplegia, trial day 1959. (MOV 24495 kb)

Supplementary Movie 2

This file contains Supplementary Movie 2 which shows neuronal ensemble control of the DEKA prosthetic arm and hand by a woman with tetraplegia, trial day 1974. (MOV 25133 kb)

Supplementary Movie 3

This file contains Supplementary Movie 3 which shows neuronal ensemble control of the DEKA prosthetic arm and hand by a gentleman with tetraplegia (Participant T2), trial day 166. (MOV 25604 kb)

Supplementary Movie 4

This file contains Supplementary Movie 4 which shows BrainGate-enabled drinking from a bottle by S3, using neurally-controlled 2-D movement and hand state control of the DLR robot arm, trial day 1959. (MOV 24748 kb)

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Hochberg, L., Bacher, D., Jarosiewicz, B. et al. Reach and grasp by people with tetraplegia using a neurally controlled robotic arm. Nature 485, 372–375 (2012).

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