medRxiv PreprintsInternational2 November 2026
A Retrospective Real-World Assessment of Motor Status After Stroke Using a Home-Based Brain-Computer Interface
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Background: Upper extremity impairment persists in many stroke survivors, and few treatments are effective for severe chronic deficits. Brain-computer interface (BCI) therapy, which pairs decoded motor-intention-associated electrophysiology with sensory feedback, has improved upper extremity impairment in randomized trials, including in patients with severe paresis. Whether these benefits translate to routine care has rarely been evaluated. This study examined upper extremity motor recovery through 1 year among patients prescribed at-home BCI therapy in clinical practice. Methods: This retrosp
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