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Completely 'locked-in' patients can communicate | Completely 'locked-in' patients can communicate |
(about 1 hour later) | |
Patients with absolutely no control over their body have finally been able to communicate, say scientists. | Patients with absolutely no control over their body have finally been able to communicate, say scientists. |
A brain-computer interface was used to read the thoughts of patients to answer basic yes-or-no questions. | A brain-computer interface was used to read the thoughts of patients to answer basic yes-or-no questions. |
One man was able to repeatedly refuse permission for his daughter to get married. | One man was able to repeatedly refuse permission for his daughter to get married. |
The study on four patients in Germany- published in PLOS Biology - also showed they were happy despite the effects of being "locked-in". | The study on four patients in Germany- published in PLOS Biology - also showed they were happy despite the effects of being "locked-in". |
The patients all had advanced forms of amyotrophic lateral sclerosis, in which the brain loses the ability to control muscles. | The patients all had advanced forms of amyotrophic lateral sclerosis, in which the brain loses the ability to control muscles. |
It eventually traps people in their own body - they are able to think, but incapable of moving or talking. | It eventually traps people in their own body - they are able to think, but incapable of moving or talking. |
When they become "locked in", it can still be possible to develop ways of communication using eye movements. | When they become "locked in", it can still be possible to develop ways of communication using eye movements. |
But all the patients in the study were "completely locked in" and could not even move their eyes. | But all the patients in the study were "completely locked in" and could not even move their eyes. |
Trapped inside your own body: A doctor’s account | Trapped inside your own body: A doctor’s account |
Brain signals | Brain signals |
The activity of brain cells can change oxygen levels in the blood, which in turn changes the colour of the blood. | The activity of brain cells can change oxygen levels in the blood, which in turn changes the colour of the blood. |
And scientists were able to peer inside the brain using light to detect the blood's colour, through a technique called near-infrared spectroscopy. | And scientists were able to peer inside the brain using light to detect the blood's colour, through a technique called near-infrared spectroscopy. |
They then asked the patients yes-or-no questions such as: "Your husband's name is Joachim?" to train a computer to interpret the brain signals. | They then asked the patients yes-or-no questions such as: "Your husband's name is Joachim?" to train a computer to interpret the brain signals. |
The system achieved an accuracy of about 75%. | The system achieved an accuracy of about 75%. |
It means questions need to be asked repeatedly in order to be certain of a patient's answer. | It means questions need to be asked repeatedly in order to be certain of a patient's answer. |
Prof Ujwal Chaudhary, from the Wyss Center in Switzerland where the work was pioneered, told BBC News: "It makes a great difference to their quality of life. | Prof Ujwal Chaudhary, from the Wyss Center in Switzerland where the work was pioneered, told BBC News: "It makes a great difference to their quality of life. |
"Imagine if you had no means of communicating and then you could say yes or no - it makes a huge impact." | "Imagine if you had no means of communicating and then you could say yes or no - it makes a huge impact." |
Insight | Insight |
Patients who have recovered from locked-in syndrome say being able to communicate makes a huge difference. | Patients who have recovered from locked-in syndrome say being able to communicate makes a huge difference. |
Kate Allatt, became locked in for five months when she had a stroke at the age of 39. | Kate Allatt, became locked in for five months when she had a stroke at the age of 39. |
Unlike the patients in this study, she became able to communicate when her friends asked her to blink once for yes or twice for no. | |
She told the BBC: "It was phenomenal, that moment if you could wrap every single Christmas, every single birthday, every single child you've ever held in your arms for the first time - that was how exciting it was." | She told the BBC: "It was phenomenal, that moment if you could wrap every single Christmas, every single birthday, every single child you've ever held in your arms for the first time - that was how exciting it was." |
In one case a daughter wanted the blessing of her completely locked-in father before marrying her boyfriend. | In one case a daughter wanted the blessing of her completely locked-in father before marrying her boyfriend. |
But eight times out of 10 the answer came back no. | But eight times out of 10 the answer came back no. |
"We don't know why he said no," said Prof Chaudhary. | "We don't know why he said no," said Prof Chaudhary. |
"But they got married… nothing can come between love." | "But they got married… nothing can come between love." |
The form of communication is being used for more practical day-to-day means such as finding out if patients are in pain or want a family visit. | The form of communication is being used for more practical day-to-day means such as finding out if patients are in pain or want a family visit. |
Prof John Donoghue, the director of the Wyss Center, told the BBC: "If a person who is totally locked-in is able to communicate, you're freeing the mind to interact with the world around them. | Prof John Donoghue, the director of the Wyss Center, told the BBC: "If a person who is totally locked-in is able to communicate, you're freeing the mind to interact with the world around them. |
"That is remarkable." | "That is remarkable." |
Follow James on Twitter. | Follow James on Twitter. |