Use Of Brain-computer Interface Research Articles

Advancements in brain-computer interfaces for the rehabilitation of unilateral spatial neglect: a concise review.

This short review examines recent advancements in neurotechnologies within the context of managing unilateral spatial neglect (USN), a common condition following stroke. Despite the success of brain-computer interfaces (BCIs) in restoring motor function, there is a notable absence of effective BCI devices for treating cerebral visual impairments, a prevalent consequence of brain lesions that significantly hinders rehabilitation. This review analyzes current non-invasive BCIs and technological solutions dedicated to cognitive rehabilitation, with a focus on visuo-attentional disorders. We emphasize the need for further research into the use of BCIs for managing cognitive impairments and propose a new potential solution for USN rehabilitation, by combining the clinical subtleties of this syndrome with the technological advancements made in the field of neurotechnologies.

Understanding the Ethical Issues of Brain-Computer Interfaces (BCIs): A Blessing or the Beginning of a Dystopian Future?

In recent years, scientific discoveries in the field of neuroscience combined with developments in the field of artificial intelligence have led to the development of a range of neurotechnologies. Advances in neuroimaging systems, neurostimulators, and brain-computer interfaces (BCIs)are leading to new ways of enhancing, controlling, and "reading" the brain. In addition, although BCIs were developed and used primarily in the medical field, they are now increasingly applied in other fields (entertainment, marketing, education, defense industry). We conducted a literature review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to provide background information about ethical issues related to the use of BCIs. Among the ethical issues that emerged from the thematic data analysis of the reviewed studies included questions revolving around human dignity, personhood and autonomy, user safety, stigma and discrimination, privacy and security, responsibility, research ethics, and social justice (including access to this technology). This paper attempts to address the various aspects of these concerns. A variety of distinct ethical issues were identified, which, for the most part, were in line with the findings of prior research. However, we identified two nuances, which are related to the empirical research on ethical issues related to BCIs and the impact of BCIs on international relationships. The paper also highlights the need for the cooperation of all stakeholders to ensure the ethical development and use of this technology and concludes with several recommendations. The principles of bioethics provide an initial guiding framework, which, however, should be revised in the current artificial intelligence landscape so as to be responsive to challenges posed by the development and use of BCIs.

A toolbox for decoding BCI commands based on event-related potentials.

Commands in brain-computer interface (BCI) applications often rely on the decoding of event-related potentials (ERP). For instance, the P300 potential is frequently used as a marker of attention to an oddball event. Error-related potentials and the N2pc signal are further examples of ERPs used for BCI control. One challenge in decoding brain activity from the electroencephalogram (EEG) is the selection of the most suitable channels and appropriate features for a particular classification approach. Here we introduce a toolbox that enables ERP-based decoding using the full set of channels, while automatically extracting informative components from relevant channels. The strength of our approach is that it handles sequences of stimuli that encode multiple items using binary classification, such as target vs. nontarget events typically used in ERP-based spellers. We demonstrate examples of application scenarios and evaluate the performance of four openly available datasets: a P300-based matrix speller, a P300-based rapid serial visual presentation (RSVP) speller, a binary BCI based on the N2pc, and a dataset capturing error potentials. We show that our approach achieves performances comparable to those in the original papers, with the advantage that only conventional preprocessing is required by the user, while channel weighting and decoding algorithms are internally performed. Thus, we provide a tool to reliably decode ERPs for BCI use with minimal programming requirements.

Ethical considerations for medical applications of implantable brain-computer interfaces

Implantable brain-computer interfaces (BCIs) have potentially important clinical applications due to the high spatial resolution and signal-to-noise ratio of electrodes that are closer to or implanted in the cerebral cortex. However, the surgery and electrodes of implantable BCIs carry safety risks of brain tissue damage, and their medical applications face ethical challenges, with little literature to date systematically considering ethical norms for the medical applications of implantable BCIs. In order to promote the clinical translation of this type of BCI, we considered the ethics of practice for the medical application of implantable BCIs, including: reducing the risk of brain tissue damage from implantable BCI surgery and electrodes, providing patients with customized and personalized implantable BCI treatments, ensuring multidisciplinary collaboration in the clinical application of implantable BCIs, and the responsible use of implantable BCIs, among others. It is expected that this article will provide thoughts and references for the research and development of ethics of the medical application of implantable BCI.

Adaptive LDA Classifier Enhances Real-Time Control of an EEG Brain-Computer Interface for Decoding Imagined Syllables.

Brain-Computer Interfaces (BCIs) aim to establish a pathway between the brain and an external device without the involvement of the motor system, relying exclusively on neural signals. Such systems have the potential to provide a means of communication for patients who have lost the ability to speak due to a neurological disorder. Traditional methodologies for decoding imagined speech directly from brain signals often deploy static classifiers, that is, decoders that are computed once at the beginning of the experiment and remain unchanged throughout the BCI use. However, this approach might be inadequate to effectively handle the non-stationary nature of electroencephalography (EEG) signals and the learning that accompanies BCI use, as parameters are expected to change, and all the more in a real-time setting. To address this limitation, we developed an adaptive classifier that updates its parameters based on the incoming data in real time. We first identified optimal parameters (the update coefficient, UC) to be used in an adaptive Linear Discriminant Analysis (LDA) classifier, using a previously recorded EEG dataset, acquired while healthy participants controlled a binary BCI based on imagined syllable decoding. We subsequently tested the effectiveness of this optimization in a real-time BCI control setting. Twenty healthy participants performed two BCI control sessions based on the imagery of two syllables, using a static LDA and an adaptive LDA classifier, in randomized order. As hypothesized, the adaptive classifier led to better performances than the static one in this real-time BCI control task. Furthermore, the optimal parameters for the adaptive classifier were closely aligned in both datasets, acquired using the same syllable imagery task. These findings highlight the effectiveness and reliability of adaptive LDA classifiers for real-time imagined speech decoding. Such an improvement can shorten the training time and favor the development of multi-class BCIs, representing a clear interest for non-invasive systems notably characterized by low decoding accuracies.

Brain-Computer Interfaces for Communication in Patients with Disorders of Consciousness: A Gap Analysis and Scientific Roadmap.

We developed a gap analysis that examines the role of brain-computer interfaces (BCI) in patients with disorders of consciousness (DoC), focusing on their assessment, establishment of communication, and engagement with their environment. The Curing Coma Campaign convened a Coma Science work group that included 16 clinicians and neuroscientists with expertise in DoC. The work group met online biweekly and performed a gap analysis of the primary question. We outline a roadmap for assessing BCI readiness in patients with DoC and for advancing the use of BCI devices in patients with DoC. Additionally, we discuss preliminary studies that inform development of BCI solutions for communication and assessment of readiness for use of BCIs in DoC study participants. Special emphasis is placed on the challenges posed by the complex pathophysiologies caused by heterogeneous brain injuries and their impact on neuronal signaling. The differences between one-way and two-way communication are specifically considered. Possible implanted and noninvasive BCI solutions for acute and chronic DoC in adult and pediatric populations are also addressed. We identify clinical and technical gaps hindering the use of BCI in patients with DoC in each of these contexts and provide a roadmap for research aimed at improving communication for adults and children with DoC, spanning the clinical spectrum from intensive care unit to chronic care.

Brain–Computer Interface Using Functional Near-Infrared Spectroscopy for Post-Stroke Motor Rehabilitation: Case Series

Introduction. Non-invasive brain–computer interfaces (BCIs) enable feedback motor imagery [MI] training in neurological patients to support their motor rehabilitation. Nowadays, the use of BCIs based on functional near-infrared spectroscopy (fNIRS) for motor rehabilitation is yet to be investigated.
 Objective: To evaluate the potential fNIRS BCI use in hand MI training for comprehensive post-stroke rehabilitation.
 Materials and methods. This pilot study included clinically stable patients with mild-to-moderate post-stroke hand paresis. In addition to the standard rehabilitation, the patients underwent 10 nine-minute MI fNIRS BCI training sessions. To evaluate the quality of fNIRS BCI control, we assessed the percentage of time during which the classifier accurately detected patient's mental state. We scored the hand function using the Action Research Arm Test (ARAT) and the Fugl-Meyer Assessment (FMA).
 Results. The study included 5 patients at 1 day to 12 months of stroke. All the participants completed the study. All study participants achieved BCI control rates higher than random (41–68%). While three patients demonstrated the clinically significant improvements in their ARAT scores, one of them also showed an improvement in the FMA score. All the participants reported experiencing drowsiness during training.
 Conclusions. Post-stroke patients can operate the fNIRS BCI system under investigation. We suggest adjusting the feedback system, extending the duration of training, and incorporating functional electromyostimulation to enhance training effectiveness.

Rapid-IAF: Rapid Identification of Individual Alpha Frequency in EEG Data Using Sequential Bayesian Estimation.

Rapid and robust identification of the individual alpha frequency (IAF) in electroencephalogram (EEG) is an essential factor for successful brain-computer interface (BCI) use. Here we demonstrate an algorithm to determine the IAF from short-term resting-state scalp EEG data. First, we outlined the algorithm to determine IAF from short-term resting scalp EEG data and evaluated its reliability using a large-scale dataset of scalp EEG during motor imagery-based BCI use and independent dataset for generalizability confirmation (N = 147). Next, we characterized the relationship between IAF and responsive frequency band of sensorimotor rhythm, which exhibits prominent event-related desynchronization (SMR-ERD) while attempting unilateral and movement. The proposed sequential Bayesian estimation algorithm (Rapid-IAF) determined IAF from less than 26-second resting EEG data among 95% of participants, indicating a clear advance over the conventional methods, which uses 2-15 minutes of data in previous literatures. We confirmed that the determined IAF corresponded to the frequency of SMR, which exhibits the most prominent event-related desynchronization during BCI use (individual SMR-ERD frequency, ISF). Moreover, intraclass correlation revealed that the estimated IAF was more stable than ISF across sessions, suggesting its reliability and utility for robust BCI use without intermittent recalibration. Conclusion In summary, our method rapidly and reliably determined IAF compared to the conventional method using the spectral power change based on task-related response. The method can be utilized to quick BCI initialization. The demonstration of rapid, task-free parametrization of individual variability of neural responses would be of importance for future BCI systems including neural communication via a cursor, an avatar or robots, and closed-loop neurofeedback training.

A large database towards user-friendly SSVEP-based BCI

Background: Brain-computer interfaces (BCIs) have gained considerable attention for their potential in assisting individuals who have motor impairments with communication and rehabilitation. Among BCIs, steady-state visual evoked potential (SSVEP)-based systems have demonstrated high efficiency in interactive applications. However, ergonomic design challenges have limited their practical implementation in industrial settings. Issues such as visual and mental fatigue caused by flickering stimuli and the time-consuming preparation process hinder user adoption of such systems. Methods: To evaluate these BCI solutions, we introduced an open database comprising Electroencephalogram (EEG) data collected from 59 healthy volunteers using ergonomically designed semi-dry electrodes and grid stimuli. The database was acquired without electromagnetic shielding, and the preparation time for each participant was <5 min. A 40-target SSVEP speller system with cues was used in the experiment. Results: We validate the database by temporal and spectral analyzing methods. To further investigate the database, filter bank canonical correlation analysis (FBCCA), ensemble task-related component analysis (e-TRCA) and multi-stimulus task-related component analysis (msTRCA) were used for classification. The database can be downloaded from the following link: https://drive.google.com/drive/folders/1TXuxU863nZoniZRgNWZy0PRuL8lhBuP4?usp=sharing . Conclusions: This research contributes to enhancing the use of SSVEP-based BCIs in practical settings by addressing user experience and system design challenges. The proposed user-friendly visual stimuli and ergonomic electrode design improve comfort and usability. The open dataset serves as a valuable resource for future studies, enabling the development of robust and efficient SSVEP- BCI systems suitable for industrial applications.

DiSCIoser: unlocking recovery potential of arm sensorimotor functions after spinal cord injury by promoting activity-dependent brain plasticity by means of brain-computer interface technology: a randomized controlled trial to test efficacy

BackgroundTraumatic cervical spinal cord injury (SCI) results in reduced sensorimotor abilities that strongly impact on the achievement of daily living activities involving hand/arm function. Among several technology-based rehabilitative approaches, Brain-Computer Interfaces (BCIs) which enable the modulation of electroencephalographic sensorimotor rhythms, are promising tools to promote the recovery of hand function after SCI. The “DiSCIoser” study proposes a BCI-supported motor imagery (MI) training to engage the sensorimotor system and thus facilitate the neuroplasticity to eventually optimize upper limb sensorimotor functional recovery in patients with SCI during the subacute phase, at the peak of brain and spinal plasticity. To this purpose, we have designed a BCI system fully compatible with a clinical setting whose efficacy in improving hand sensorimotor function outcomes in patients with traumatic cervical SCI will be assessed and compared to the hand MI training not supported by BCI.MethodsThis randomized controlled trial will include 30 participants with traumatic cervical SCI in the subacute phase randomly assigned to 2 intervention groups: the BCI-assisted hand MI training and the hand MI training not supported by BCI. Both interventions are delivered (3 weekly sessions; 12 weeks) as add-on to standard rehabilitation care. A multidimensional assessment will be performed at: randomization/pre-intervention and post-intervention. Primary outcome measure is the Graded Redefined Assessment of Strength, Sensibility and Prehension (GRASSP) somatosensory sub-score. Secondary outcome measures include the motor and functional scores of the GRASSP and other clinical, neuropsychological, neurophysiological and neuroimaging measures.DiscussionWe expect the BCI-based intervention to promote meaningful cortical sensorimotor plasticity and eventually maximize recovery of arm functions in traumatic cervical subacute SCI. This study will generate a body of knowledge that is fundamental to drive optimization of BCI application in SCI as a top-down therapeutic intervention, thus beyond the canonical use of BCI as assistive tool.Trial registrationName of registry: DiSCIoser: improving arm sensorimotor functions after spinal cord injury via brain-computer interface training (DiSCIoser). Trial registration number: NCT05637775; registration date on the ClinicalTrial.gov platform: 05-12-2022.

Subcortical implantation of a passive microchip in rodents – an observational proof-of-concept study

ABSTRACT The use of brain-computer interface (BCI) technologies is a rapidly developing area of interest in neurosurgery. Studies investigating the use of BCIs have primarily focused on surface electrodes; however, subcortically implanted microchips may provide novel, non-pharmacological approaches for managing nervous system disorders. Accessing subcortical regions without disrupting surrounding tissues remains a significant challenge. Accordingly, we conducted an observational, proof-of-concept study to evaluate the use of a modified BrainPath® device to implant subcortical microchips in a rodent model. All animals survived the procedure and lived with a microchip in situ for one or three months with no apparent neurological effects. Histological examination revealed that implantation of a small chip was associated with some tissue damage, tract formation, and surrounding reactive changes. Gliosis and hemosiderin-laden macrophages were evident surrounding tract marks after one month and focal cystic cavitation consistent with infarcted tissue was evident after three months. While a more extensive cellular proliferation response was apparent one month after implantation of a large microchip, there was no significant collagen deposition suggestive of fibrosis. This study is the first demonstration of subcortical microchip implantation using a novel neurosurgical technique that may facilitate the development of BCI technologies for treatment of neurological disorders.

A scoping review of BCIs for learning regulation in mainstream educational contexts

ABSTRACT A brain–computer interface (BCI) bridges brain and computer activities through the computer engineering technique of capturing and analysing a person’s biological and neurological response signals. This article reviews 37 empirical studies published in the past five years regarding the application of BCIs in mainstream education contexts for students’ learning regulation. The characteristics of the research methodology, technologies, targeted application scenarios and main outcomes of the reviewed studies are presented in detail and summarised. The results show that most of the research in this area has concentrated on the effects of neurofeedback on the learning regulation process, optimising data-processing algorithms, developing criteria, and designing BCI-based instructional environments. Neurofeedback- and biofeedback-based BCI approaches can help to monitor learning states and have positive effects on learning regulation. The paper also discusses the future development of BCIs as an effective technique for learning analysis and regulation, and it proposes a prototype of neurofeedback- and biofeedback-based BCI learning regulation systems and their application scenarios. By highlighting the current applications and possible future trends of the use of BCIs in mainstream education and identifying the challenges involved, this review can guide the development of smart education in the age of artificial intelligence.

State-of-the-Art on Brain-Computer Interface Technology.

This paper provides a comprehensive overview of the state-of-the-art in brain-computer interfaces (BCI). It begins by providing an introduction to BCIs, describing their main operation principles and most widely used platforms. The paper then examines the various components of a BCI system, such as hardware, software, and signal processing algorithms. Finally, it looks at current trends in research related to BCI use for medical, educational, and other purposes, as well as potential future applications of this technology. The paper concludes by highlighting some key challenges that still need to be addressed before widespread adoption can occur. By presenting an up-to-date assessment of the state-of-the-art in BCI technology, this paper will provide valuable insight into where this field is heading in terms of progress and innovation.

Control of a Production Manipulator with the Use of BCI in Conjunction with an Industrial PLC

Research in the field of gathering and analyzing biological signals is growing. The sensors are becoming more available and more non-invasive for examining such signals, which in the past required the inconvenient acquisition of data. This was achieved mainly by the fact that biological sensors were able to be built into wearable and portable devices. The representation and analysis of EEGs (electroencephalograms) is nowadays commonly used in various application areas. The application of the use of the EEG signals to the field of automation is still an unexplored area and therefore provides opportunities for interesting research. In our research, we focused on the area of processing automation; especially the use of the EEG signals to bridge the communication between control of individual processes and a human. In this study, the real-time communication between a PLC (programmable logic controller) and BCI (brain computer interface) was investigated and described. In the future, this approach can help people with physical disabilities to control certain machines or devices and therefore it could find applicability in overcoming physical disabilities. The main contribution of the article is, that we have demonstrated the possibility of interaction between a person and a manipulator controlled by a PLC with the help of a BCI. Potentially, with the expansion of functionality, such solutions will allow a person with physical disabilities to participate in the production process.

Brain-computer interfaces in digital mindfulness training for metacognitive, emotional and attention regulation skills: a literature review

Brain–Computer Interfaces (BCIs) are specialized systems that allow users to control computer applications using their brain waves. With the arrival of consumer-grade electroencephalography (EEG) equipment, brain-controlled systems began to find fertile ground in mental training. One particular area that is gradually gaining attention is that of mindfulness training. In this paper, the results of a literature review of BCI-assisted mindfulness training using BCI’s are presented. The specific aim is to review the effects of BCIs embedded in mindfulness interventions on training metacognitive, emotional, and attention regulation skills. Papers published the last 10 years were reviewed. The results showed that the use of BCIs provides subjects the unique opportunity to self-regulate mental and emotional functions using the feedback derived from their own brain activity. Subjects were found to raise better awareness about the ways non-conscious operations influence mental and emotional states. It was observed that subjects by learning to deal with the neurofeedback within immersive worlds or with the aid of mobile devices can better develop awareness and self-regulation skills including inhibition and flexibility. Learning environments have been undergoing rapid change driven by the evolution and availability of digital technologies. In that vein, BCIs combined with mobiles and immersive technologies could support mindfulness as an innovative practice for cognitive, emotional, and metacognitive development. This study aims to contribute to the debate about the use of BCI-assisted mindfulness practices as proactive methods and training strategies for various target groups such as students, teachers, and workers to achieve well-being and peak performance.

Discrepancy between inter- and intra-subject variability in EEG-based motor imagery brain-computer interface: Evidence from multiple perspectives.

Inter- and intra-subject variability are caused by the variability of the psychological and neurophysiological factors over time and across subjects. In the application of in Brain-Computer Interfaces (BCI), the existence of inter- and intra-subject variability reduced the generalization ability of machine learning models seriously, which further limited the use of BCI in real life. Although many transfer learning methods can compensate for the inter- and intra-subject variability to some extent, there is still a lack of clear understanding about the change of feature distribution between the cross-subject and cross-session electroencephalography (EEG) signal. To investigate this issue, an online platform for motor-imagery BCI decoding has been built in this work. The EEG signal from both the multi-subject (Exp1) and multi-session (Exp2) experiments has been analyzed from multiple perspectives. Firstly we found that with the similar variability of classification results, the time-frequency response of the EEG signal within-subject in Exp2 is more consistent than cross-subject results in Exp1. Secondly, the standard deviation of the common spatial pattern (CSP) feature has a significant difference between Exp1 and Exp2. Thirdly, for model training, different strategies for the training sample selection should be applied for the cross-subject and cross-session tasks. All these findings have deepened the understanding of inter- and intra-subject variability. They can also guide practice for the new transfer learning methods development in EEG-based BCI. In addition, these results also proved that BCI inefficiency was not caused by the subject's unable to generate the event-related desynchronization/synchronization (ERD/ERS) signal during the motor imagery.

Transfer learning of an ensemble of DNNs for SSVEP BCI spellers without user-specific training

Objective. Steady-state visually evoked potentials (SSVEPs), measured with electroencephalogram (EEG), yield decent information transfer rates (ITRs) in brain-computer interface (BCI) spellers. However, the current high performing SSVEP BCI spellers in the literature require an initial lengthy and tiring user-specific training for each new user for system adaptation, including data collection with EEG experiments, algorithm training and calibration (all are before the actual use of the system). This impedes the widespread use of BCIs. To ensure practicality, we propose a novel target identification method based on an ensemble of deep neural networks (DNNs), which does not require any sort of user-specific training. Approach. We exploit already-existing literature datasets from participants of previously conducted EEG experiments to train a global target identifier DNN first, which is then fine-tuned to each participant. We transfer this ensemble of fine-tuned DNNs to the new user instance, determine the k most representative DNNs according to the participants’ statistical similarities to the new user, and predict the target character through a weighted combination of the ensemble predictions. Main results. The proposed method significantly outperforms all the state-of-the-art alternatives for all stimulation durations in [0.2–1.0] s on two large-scale benchmark and BETA datasets, and achieves impressive 155.51 bits/min and 114.64 bits/min ITRs. Code is available for reproducibility: https://github.com/osmanberke/Ensemble-of-DNNs. Significance. Our Ensemble-DNN method has the potential to promote the practical widespread deployment of BCI spellers in daily lives as we provide the highest performance while enabling the immediate system use without any user-specific training.

Hybrid Brain–Computer Interface System Using Auditory Stimulation and Speech Imagination Paradigms for Assistive Technology

In the case of paralysis with visual and tactile impairments, brain–computer interfaces (BCIs) based on auditory and mental imagery paradigms are alternative methods for controlling external devices. This study demonstrates the use of a hybrid BCI via auditory stimulation and speech imagination for assistive technology. The proposed auditory BCI using Thai vowel and numeral stimulus patterns as well as multi-loudspeaker position settings for multi-command BCI are investigated. To avoid auditory stimulation during resting periods, a speech imagery method is used to enable an audio stimulator. We observe the classification efficiency of speech imagery and auditory BCIs from selected electroencephalogram channels using the proposed algorithms. We examine the efficiency of using the proposed BCI in the presence of background noise (speech). One command is created using the proposed speech-imagination paradigm. Four commands are created using the proposed auditory stimulation paradigm. We design an experiment to verify the proposed BCI paradigm and classification algorithms for real-time processing. The results show that the average classification accuracy of the proposed auditory BCI using numeral stimuli and scatter patterns without speech noise is 72.2% to 83.3%, respectively. The efficiency under background noise is approximately two times lower than that without background noise.

Dependence of Brain–Computer Interface Control Training on Personality Traits

Personality traits (PTs) are predictors of the success of control of brain-computer interfaces (BCIs); however, it is unknown how the PTs that are optimal for BCI control changes during training. The paper for the first time analyzes the correlations between PTs and the accuracy of the classification (AC) of brain states in imagining the movements of the hands, feet, and locomotion during 10-day training of ten volunteers in BCI control. In the first 3 days of training, the AC is higher for more stressed and anxious volunteers; in the last days, for calmer ones. In the middle of the training period, AC is higher in low-demonstrativeness persons, it is more pronounced when imagining foot movements. Correlations of low demonstrativeness, as well as of foresight and self-control with AC when imagining foot movements are revealed significantly more often than when imagining hand movements and locomotions. During almost the entire period of training, AC with locomotion imagination is higher in individualists. The results make it possible to propose individually-oriented recommendations for the use of BCI based on the imagination of movements for the rehabilitation of patients with motor disorders.

On the feasibility of simple brain-computer interface systems for enabling children with severe physical disabilities to explore independent movement.

Children with severe physical disabilities are denied their fundamental right to move, restricting their development, independence, and participation in life. Brain-computer interfaces (BCIs) could enable children with complex physical needs to access power mobility (PM) devices, which could help them move safely and independently. BCIs have been studied for PM control for adults but remain unexamined in children. In this study, we explored the feasibility of BCI-enabled PM control for children with severe physical disabilities, assessing BCI performance, standard PM skills and tolerability of BCI. Patient-oriented pilot trial. Eight children with quadriplegic cerebral palsy attended two sessions where they used a simple, commercial-grade BCI system to activate a PM trainer device. Performance was assessed through controlled activation trials (holding the PM device still or activating it upon verbal and visual cueing), and basic PM skills (driving time, number of activations, stopping) were assessed through distance trials. Setup and calibration times, headset tolerability, workload, and patient/caregiver experience were also evaluated. All participants completed the study with favorable tolerability and no serious adverse events or technological challenges. Average control accuracy was 78.3 ± 12.1%, participants were more reliably able to activate (95.7 ± 11.3%) the device than hold still (62.1 ± 23.7%). Positive trends were observed between performance and prior BCI experience and age. Participants were able to drive the PM device continuously an average of 1.5 meters for 3.0 s. They were able to stop at a target 53.1 ± 23.3% of the time, with significant variability. Participants tolerated the headset well, experienced mild-to-moderate workload and setup/calibration times were found to be practical. Participants were proud of their performance and both participants and families were eager to participate in future power mobility sessions. BCI-enabled PM access appears feasible in disabled children based on evaluations of performance, tolerability, workload, and setup/calibration. Performance was comparable to existing pediatric BCI literature and surpasses established cut-off thresholds (70%) of "effective" BCI use. Participants exhibited PM skills that would categorize them as "emerging operational learners." Continued exploration of BCI-enabled PM for children with severe physical disabilities is justified.