Before a car crash in 2008 left her paralysed from the neck down, Nancy Smith enjoyed playing the piano. Years later, Smith started making music again, thanks to an implant that recorded and analysed her brain activity. When she imagined playing an on-screen keyboard, her brain–computer interface (BCI) translated her thoughts into keystrokes — and simple melodies, such as ‘Twinkle, Twinkle, Little Star’, rang out.
Smith’s BCI system, implanted as part of a clinical trial, trained on her brain signals as she imagined playing the keyboard. That learning enabled the system to detect her intention to play hundreds of milliseconds before she consciously attempted to do so, says trial leader Richard Andersen, a neuroscientist at the California Institute of Technology in Pasadena.
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