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Brain-computer interface to support arm rehabilitation in people with multiple sclerosis

Tests a brain-computer interface for arm rehabilitation in adults with multiple sclerosis.

Plain-language title generated from the registry record
Registry title: Using Motor Imagery-based Brain-computer Interface With Multiple Sclerosis Patients.

Key facts

Where
Naples, ItalySee the site

Could this be for you?

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 18 and 60 years old?

Source: NCT07472556, who can take part

Where in Italy

  • Centro di Sclerosi Multipla dell'Azienda Ospedaliera Universitaria Federico IINaples, ItalyNo longer taking part

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?
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Trial details

Who runs it
Pasquale Arpaia
Trial code
NCT07472556
Record updated
16 March 2026
Original description
The goal of this clinical trial is to evaluate the effectiveness of a wearable brain-computer interface (BCI)-based neurofeedback system using motor imagery (MI) to support upper limb motor rehabilitation in patients with Multiple Sclerosis (MS). The main questions it aims to answer are:Read full original descriptionShow less

Clinical Investigation Into the Use of a Motor Imagery-based Brain-computer Interface for Rehabilitation Support in Patients With Multiple Sclerosis.

The goal of this clinical trial is to evaluate the effectiveness of a wearable brain-computer interface (BCI)-based neurofeedback system using motor imagery (MI) to support upper limb motor rehabilitation in patients with Multiple Sclerosis (MS). The main questions it aims to answer are:

Does BCI-mediated neurofeedback enhance the voluntary modulation of sensorimotor rhythms (ERD/ERS) during motor imagery tasks in MS patients?

Is the proposed BCI system usable, acceptable, and potentially suitable for telerehabilitation contexts?

Researchers will compare a group undergoing BCI-based neurofeedback plus conventional motor therapy with a control group receiving only standard rehabilitation, to determine whether the intervention leads to superior EEG modulation and clinical outcomes.

Participants will:

Undergo 24 neurofeedback sessions over 12 weeks (2 per week), (experimental group), or do not receive any therapy (control group);

Complete baseline and follow-up evaluations (6 weeks, 12 weeks, and 1-month post-treatment) including motor imagery ability (MIQ-3), manual dexterity (9-Hole Peg Test, AMSQ), perceived fatigue (FSS), and usability (SUS);

Perform EEG-based motor imagery tasks with visual and haptic feedback in immersive extended reality (experimental group only).

Inclusion: Clinical diagnosis of multiple sclerosis according to McDonald criteria 2017 (Thompson, 2018); Age between 18 and 60 years; No clinical or radiological relapses in the 3 months prior to enrollment; Mild spasticity, defined as a score ≤1 on the Modified Ashworth Scale; Preserved cognitive function, defined as MMSE ≥ 24; Ability to understand and independently sign informed consent.

Exclusion: Presence of neurological or psychiatric comorbidities that may interfere with the intervention or understanding of procedures; Severe visual deficits or upper limb orthopedic conditions preventing task execution or EEG cap use; Dermatological, cranial, or other conditions contraindicating EEG cap use (e.g., active scalp lesions, known allergy to electrode materials, recent neurosurgical procedures); Any clinical condition deemed by the physician to be incompatible with participation or patient safety; MMSE < 24.

ClinicalTrials.gov NCT07472556