脑机接口:卒中后康复的新纪元

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

CEA-Leti Quality unknown · 质量未知 Original
摘要
法国原子能与替代能源委员会(CEA)于2025年3月启动“AUDACE!”科研计划,动员CEA全部研究领域及法国80多所高校伙伴,围绕约10个项目推进新科学概念并扫清关键技术障碍;该计划由法国政府“France 2030”出资4000万欧元支持。CEA-Leti参与BrainSync项目,利用其WIMAGINE®脑机接口技术推进脑卒中后神经康复,并已在《The Lancet Neurology》和《Nature》发表两项“全球首例”(四肢外骨骼控制、结合脊髓刺激实现自然步态控制);CEA-Leti软件负责人Serpil Karakas正探索构建卒中康复平台,相关机构(CEA-Leti、格勒诺布尔大学医院、圣艾蒂安大学医院)正申请监管许可开展临床试验,目标通过脑内运动意图与刺激/机器人/虚拟反馈的实时耦合促进神经可塑性。该团队除获得AUDACE!支持外,还获欧盟“地平线欧洲”框架下欧洲创新委员会(EIC)资助。

2025年3月,CEA启动了名为 AUDACE 的大型研究计划,目标是把新的科学概念引入CEA实验室,并打通有前景技术走向应用的关键技术障碍。该计划由法国政府发起并委托推进,在 France 2030 框架下获得 4000万欧元 资助,覆盖CEA全部研究领域,并联合法国各地 80多家学术合作伙伴,支持约 10个项目。

在这一框架下,CEA-Leti 参与了 BrainSync 项目,重点开发一种用于脑机接口(BCI)的全新疗法,面向卒中(中风)后康复。CEA-Leti的核心技术是 WIMAGINE® 脑机接口,这项技术此前已促成两项发表于 The Lancet Neurology 和 Nature 的世界首创成果。

其中,2019年,一名四肢瘫痪患者首次能够通过脑活动控制四肢外骨骼;2023年,另一名截瘫患者则借助CEA的WIMAGINE®技术与由 EPFL、CHUV、UNIL 及 ONWARD Medical(瑞士洛桑)开发的植入式脊髓刺激疗法结合,重新获得了接近自然的行走控制能力。

目前,CEA-Leti软件经理 Serpil Karakas 正在探索将这项技术用于构建一个神经康复平台,让卒中后患者能够进行康复训练,尤其适用于上肢活动受限、运动功能受损较明显的患者。研究人员 Lucas Struber 表示,CEA-Leti、格勒诺布尔大学医院和圣艾蒂安大学医院已经向监管机构申请批准,计划开展一项临床试验,验证这种BCI在卒中康复中的可行性。

其基本原理是:通过脑活动实时识别患者的运动意图,并将其与相应的感觉运动反馈建立闭环连接,例如电刺激、机器人辅助或虚拟反馈。这种反复的“意图—反馈”配对有望促进神经可塑性,强化相关神经通路,从而提升功能恢复的可能性。

除法国政府通过 Audace! 计划提供支持外,CEA-Leti团队还获得了欧盟委员会的资助,资金来自 Horizon Europe 框架下 欧洲创新委员会(EIC) 的拨款。

Summary
CEA launched its AUDACE! research program in March 2025, mobilizing all CEA research fields and 80+ academic partners on ~10 projects with €40 million in France 2030 funding. CEA-Leti is advancing its WIMAGINE® brain–machine interface, including BrainSync work on a brain-computer interface therapy for post-stroke rehabilitation, building on prior Lancet Neurology and Nature world-first results and pursuing a new clinical trial with CEA-Leti, Grenoble University Hospital, and Saint-Étienne University Hospital. The effort—supported by the European Innovation Council via Horizon Europe—aims to improve recovery by coupling detected motor intention to real-time sensorimotor feedback to promote neuroplasticity.

In March 2025, CEA launched Audace!, an ambitious research program backed by €40 million from France 2030 and requested by the French government. The initiative mobilizes all of CEA’s research fields and more than 80 academic partners across France, supporting around 10 projects designed to inject new scientific concepts into CEA labs and remove technological barriers to promising technologies.

CEA-Leti is one of the program’s key contributors, working on a brain-computer interface-based therapy for post-stroke rehabilitation through the BrainSync project. The effort builds on WIMAGINE®, CEA’s brain-machine interface technology, which has already enabled two landmark demonstrations published in The Lancet Neurology and Nature.

In 2019, the system allowed a tetraplegic patient to control a four-limb exoskeleton using brain activity. In 2023, it helped a paraplegic patient regain natural walking control by combining WIMAGINE® with an implanted spinal cord stimulation therapy developed by EPFL, CHUV, UNIL and ONWARD Medical in Lausanne, Switzerland.

CEA-Leti software manager Serpil Karakas is now extending this work toward a neurorehabilitation platform for post-stroke patients, with a particular focus on people with limited upper-limb mobility and motor impairment. The goal is to enable rehabilitation sessions driven by brain activity and responsive feedback.

According to neurotechnology researcher Lucas Struber, CEA-Leti, Grenoble University Hospital and Saint-Étienne University Hospital have already applied for regulatory authorization to launch a clinical trial. The rehabilitation concept relies on real-time coupling between detected motor intention in brain signals and sensorimotor feedback such as stimulation, robotic assistance or virtual feedback. By repeatedly linking intention and feedback, the approach is intended to promote neuroplasticity, strengthen relevant neural pathways and potentially improve functional recovery.

Beyond French state support through Audace!, the CEA-Leti team is also receiving backing from the European Commission via a European Innovation Council grant under Horizon Europe.

Résumé
En mars 2025, le CEA lance le programme de recherche ambitieux « AUDACE », financé à hauteur de 40 M€ dans le cadre de France 2030, mobilisant toutes ses disciplines et plus de 80 partenaires académiques pour soutenir environ 10 projets. CEA-Leti participe notamment via le projet BrainSync, autour de la technologie d’interface cerveau-machine WIMAGINE®, déjà à l’origine de deux avancées majeures (The Lancet Neurology, Nature) et visant désormais une plateforme de neuro-réadaptation post-AVC, avec des essais cliniques en préparation (CEA-Leti, CHU Grenoble, CHU de Saint-Étienne) et un couplage en temps réel entre intention motrice et feedback sensorimoteur. Le travail est soutenu par le gouvernement français et par l’UE via un financement de l’EIC (Horizon Europe), avec des acteurs comme EPFL, CHUV, UNIL et ONWARD Medical impliqués dans les thérapies de stimulation médullaire.

​​​​​​​​​​​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.

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AI Insight
Core Point

法国CEA启动AUDACE!(France 2030,4000万欧)整合80+学术伙伴推进BCI用于中风后神经康复,CEA-Leti的WIMAGINE®结合脊髓刺激等方案进入临床试验申请,关键在于用“脑意图—反馈”闭环促进神经可塑性。

Key Players

CEA(法国原子能与替代能源委员会) — 法国科研机构,推动跨领域技术研发与临床转化(巴黎/法国多地)。

CEA-Leti — CEA旗下微纳与深科技实验室,开发WIMAGINE®脑机接口与康复平台(格勒诺布尔)。

EPFL — 瑞士联邦理工学院,参与脊髓刺激疗法研发(洛桑)。

CHUV — 洛桑大学附属医院,参与神经刺激与临床协作(洛桑)。

UNIL — 洛桑大学,参与神经科学与临床研究(洛桑)。

ONWARD Medical — 神经/脊髓刺激相关医疗技术公司(瑞士洛桑)。

Grenoble University Hospital — 格勒诺布尔大学医院,临床试验申请与协作。

Saint-Étienne University Hospital — 圣艾蒂安大学医院,临床试验协作。

European Innovation Council (EIC) — 欧盟创新委员会,提供EIC资助(欧盟)。

Industry Impact
  • Computing/AI: High — BCI闭环实时解码与反馈控制,推动神经信号处理与康复算法落地。
  • ICT: Medium — 医疗级脑机接口系统与平台化工程化需求提升。
  • Energy: Low — 主要为医疗与计算应用,能耗影响间接。
  • Automotive: Low — 无直接关联。
  • Terminals/Consumer Electronics: Low — 仍处医疗与研究阶段。
Tracking

强烈跟踪 — 临床试验监管申请与中风康复闭环方案推进,若获批将显著加速BCI医疗规模化与疗效验证。

Highlights
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Categories
人工智能 生物技术 科研
AI Processing
2026-09-03 23:03
openai / gpt-5.4-nano