Monkeys Steer Wheelchairs With Their Brains, Raising Hope for Paralyzed People

Monkey-Driven Wheelchairs

Brain-machine interfaces have become a buzzword in recent years, triggering headlines when, for example, Brown University's John Donoghue's human patients drank coffee and picked up objects with robotic arms controlled by brain-implanted electrodes.

At the meeting, Nicolelis also presented research on two rhesus monkeysthat had electrodes implanted deep in their brains that, with training, allowed the animals to steer a wheelchair using thought alone. The goal of that research is partly to help develop a "brain pacemaker" implant that would pick up clearer signals from thoughts to help control future robotic prosthetics.

Signals from deep in the brain are much easier for devices to read than ones picked up by electrical skin sensors on patient's skulls. Such implants made the monkeys relatively quick students at wheelchair driving. "They can reliably steer the wheelchair to get a grape," Nicolelis said. "They like grapes."

Fetz and colleagues have similarly shown that brain interfaces in monkeys can "bridge" the damaged area in a spinal cord injury, allowing voluntary movement of muscles. "These efforts are in fact coming along and offer a lot of promise," he says.

Phantom Sensation

Training paralysis patients to walk with an experimental exoskeleton can have unexpected benefits too. The people in Nicolelis' study showed improved muscle tone, heart health, and digestion over the last year, he says.

Most surprising has been the finding that the faster patients walk with the exoskeleton device—a skeletal frame equipped with 15 electrical motors triggered by electroencephalogram readings—the more natural the walking feels to them.

See how scientists are using
electrodes to develop a
mechanical skeleton.

Paralysis also cuts off sensation from the lower limbs, which can make standing upright feel alarming, as if one is simply hanging in air, Nicolelis says. However, the brain's ability to manufacture "phantom" feeling, best known from amputees who report pain from phantom limbs they no longer possess, similarly kicks in for paralysis patients learning to walk in an exoskeleton.

"If they walk slow, they feel that they are walking on sand; faster, that they are on grass, and fastest that they are walking on hot pavement."

Long Walk Ahead

Despite the excitement over brain-machine interfaces in recent years, a great deal of hard work remains ahead for researchers and patients, cautions neuroscientist Daofen Chen of the National Institute of Neurological Disorders and Stroke, part of the federal National Institutes of Health.

"In my personal view, brain-machine interfaces are offering important tools to understand the brain," Chen says. "We are far from understanding the brain well enough to expect them to serve as solutions."

Fetz, however, suggests that enough progress is being made to feel good about developing robotics that might help patients, both in efforts such as the exoskeleton and other advances that might bridge spinal cord injuries to restore normal functions.

One less well-known use for brain interfaces could help the 70 percent of paralysis patients with respiratory problems draw breaths, Fetz says. Neuroscientist Philippa warrenof Case Western Reserve University in Cleveland also spoke at the neuroscience meeting on spinal drugs and physical rehabilitation treatments to improve breathing for paralyzed patients.

"One of the benefits of this whole area of research is that training patients on these devices helps them become part of the research team," Fetz says. "We are working together."