脑机接口:脑卒中后康复的新时代

​Brain-Computer Interface: A New Era for Post-Stroke Rehabilitation

CEA-Leti Original
摘要
法国CEA在法国2030计划下资助4000万欧元启动AUDACE研究项目,CEA-Leti团队参与BrainSync子项目,利用已有世界首创成果的WIMAGINE®脑机接口技术开发中风后上肢康复疗法,并与格勒诺布尔及圣艾蒂安大学医院联合申请临床试验,通过实时耦合运动意图与感觉反馈促进神经可塑性,该项目同时获欧盟EIC资助。

2025年3月,法国原子能委员会(CEA)启动了名为AUDACE的大型跨学科研究计划,汇集CEA旗下所有研究领域以及全国80余家学术伙伴,支持约10个前沿项目。该计划应法国政府要求设立,在“法国2030”框架下获得4000万欧元资助,旨在向CEA实验室引入新科学概念,并突破阻碍高潜力技术发展的技术壁垒。其中,CEA-Leti研究所在BrainSync项目中主导开发一种基于脑机接口(BCI)的中风后康复新疗法。

CEA-Leti的独特WIMAGINE®脑机接口技术已创下两项世界纪录,成果分别发表于《柳叶刀-神经病学》和《自然》。2019年,一名四肢瘫痪患者通过该技术用脑活动控制四外骨骼;2023年,一名截瘫患者借助WIMAGINE®与瑞士洛桑联邦理工学院(EPFL)、洛桑大学医院(CHUV)、洛桑大学(UNIL)及ONWARD Medical公司开发的植入式脊髓刺激疗法协同,恢复了自然行走能力。

CEA-Leti软件负责人Serpil Karakas正探索将这一技术用于搭建神经康复平台,使中风后患者——特别是上肢活动受限或运动功能受损者——能自主开展康复训练。神经技术研究员Lucas Struber透露,CEA-Leti已联合格勒诺布尔大学医院和圣艾蒂安大学医院,向监管机构申请开展临床试验,验证BCI在中风后康复中的效果。该技术原理是通过实时耦合脑活动检测到的运动意图与对应的感觉运动反馈(如电刺激、机器人辅助或虚拟反馈),反复强化相关神经通路,借助神经可塑性促进功能恢复。

除AUDACE计划的法国政府资助外,CEA-Leti团队的工作还获得欧盟委员会“地平线欧洲”框架下欧洲创新委员会(EIC)的资助,进一步加速这一康复新范式的临床转化。

Summary
CEA launched the Audace! program in March 2025 with €40 million from France 2030, uniting over 80 academic partners to advance breakthrough technologies, including a brain-computer interface for post-stroke rehabilitation developed at CEA-Leti under the BrainSync project. Leveraging the WIMAGINE implant—previously used to help paralyzed patients walk or control an exoskeleton—software manager Serpil Karakas and researcher Lucas Struber are seeking regulatory approval for a clinical trial with Grenoble and Saint-Étienne University Hospitals. The project, also backed by a European Innovation Council grant, aims to establish a neurorehabilitation platform that could promote neuroplasticity and functional recovery for stroke patients with motor impairment.

The CEA launched the AUDACE research program in March 2025, a France 2030 initiative backed by €40 million that unites over 80 academic partners across France around 10 projects. Its mission: inject fresh scientific concepts into CEA labs and overcome technological barriers for promising innovations. Within CEA-Leti, the BrainSync project is developing a new brain-computer interface (BCI) therapy for post-stroke rehabilitation, leveraging the institution’s proprietary WIMAGINE® brain-machine interface. That technology previously enabled a tetraplegic patient to control a four-limb exoskeleton (2019, *The Lancet Neurology*) and, combined with an implanted spinal cord stimulation system from EPFL, CHUV, UNIL, and ONWARD Medical, allowed a paraplegic individual to walk naturally (2023, *Nature*).

Now, software manager Serpil Karakas and her team are adapting WIMAGINE® into a neurorehabilitation platform for stroke survivors, specifically targeting those with upper-limb motor impairment. Neurotechnology researcher Lucas Struber confirmed that CEA-Leti, Grenoble University Hospital, and Saint-Étienne University Hospital have filed for regulatory approval to launch a clinical trial. The BCI method hinges on real-time coupling: detecting a patient’s motor intention from brain signals and delivering corresponding sensorimotor feedback—via stimulation, robotics, or virtual reality—to repeatedly reinforce neural pathways, potentially boosting neuroplasticity and functional recovery. The work is co-funded by the European Innovation Council under Horizon Europe.

Résumé
En mars 2025, le CEA a initié le programme AUDACE! (France 2030) et le projet BrainSync de CEA-Leti pour développer une interface cerveau-machine dédiée à la rééducation post-AVC. Sous la conduite de Serpil Karakas et Lucas Struber, en collaboration avec les CHU de Grenoble et Saint-Étienne, un essai clinique est demandé pour utiliser la technologie WIMAGINE® en couplant temps réel intention motrice et retour sensoriel, une approche soutenue par l'Europe qui pourrait accélérer la récupération fonctionnelle.

​​In March 2025, CEA launched a bold and ambitious research programAUDACEthat mobilizes allCEA research fields, as well as over 80 academic partners throughout France supporting around 10 projects.

​Begun at the request of the French government with funding of €40 million under France 2030, Audace! aims to bring new scientific concepts to CEA labs and to remove technological barriers to development of promising technologies. CEA-Leti's participation includes development on a brain-computer interface new therapy for poststroke rehabilitation in the context of theBrainSyncproject.

​The unique WIMAGINE®brain–machine interface technology has already contributed to two world-first achievements published inThe LancetNeurologyandNature.

In 2019, a tetraplegic patient was able to use brain activity to control a four-limb exoskeleton. In 2023, a paraplegic patient regained natural control of walking through the combination of CEA's WIMAGINE®technology with an implantedspinal cord stimulation therapy developed by EPFL, CHUV, UNIL, and ONWARD Medical (Lausanne, Switzerland).

Serpil Karakas, software manager at CEA-Leti, is now exploring the use of this technology to develop a neurorehabilitation platform that would enable post-stroke patients to carry out rehabilitation sessions. This approach is particularly aimed at patients with limited upper-limb mobility, especially those experiencing motor impairment.

Neurotechnology researcher Lucas Struber said CEA-Leti, Grenoble University Hospital and Saint-Étienne University Hospital have applied for authorization from regulatory authorities to conduct a clinical trial aimed at enabling post-stroke rehabilitation using these BCI. The principle of a BCI for rehabilitation relies on establishing a real-time coupling between detected motor intention in brain activity and corresponding sensorimotor feedback (e.g., stimulation, robotic assistance, or virtual feedback). This repeated association could promote neuroplasticity by strengthening relevant neural pathways, thereby potentially supporting functional recovery potential.

In addition to support from the French government under the Audace! program, the CEA-Leti team's work is supported by the European Commission through a grant from the European Innovation Council (EIC) under the Horizon Europe program.

AI Insight
核心要点

CEA-Leti 启动脑机接口中风康复疗法开发,通过实时神经反馈促进神经可塑性,有望变革康复治疗。

主要参与者
  • CEA-Leti — 法国格勒诺布尔的微电子与信息技术研究院,主导脑机接口神经康复平台研发。
  • 格勒诺布尔大学医院 — 法国临床合作方,参与康复临床试验。
  • 圣艾蒂安大学医院 — 法国临床合作方,参与康复临床试验。
行业影响
  • ICT:高 — 无线脑信号采集与处理技术推动医疗 ICT 创新。
  • 计算/AI:中 — 运动意图解码依赖先进算法,提升医疗 AI 应用。
  • 终端/消费电子:低 — 专用医疗设备,远期可能影响消费级脑机接口。
跟踪级别

强烈跟踪 — 已有突破性前期成果的 BCI 技术转向中风康复,临床待批,前景重大。

Highlights
Tech Breakthrough Local Research Investment / Funding
Categories
人工智能 生物技术 科研
AI Processing
2026-06-09 19:39
deepseek / deepseek-v4-pro