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湖北蕲春,36岁的胡女士牵着7岁女儿的小手,一路轻快地赶往校园。几个月前她脑内那颗约6.5厘米的脑膜瘤做完切除,左半身完全软瘫、也说不出一个字,一度写下三个字,不治了。今天站在校门口的她,是被脑机接口技术托着走回来的。
In Qichun, Hubei, 36-year-old Ms. Hu, a nurse, walks briskly toward school holding her 7-year-old daughter's hand. A few months ago, after the removal of a roughly 6.5-centimeter meningioma, her left side was in complete flaccid paralysis and she could not form a word; at one point she wrote three characters, give up. The woman standing at the school gate today walked back with the help of a brain-computer interface.
胡女士是蕲春县李时珍医院的护士,反复头痛4年,一直当它是久坐引起来的颈椎病,对症调理不见好。今年3月症状骤然加重,详细检查后,报告单击碎了她的侥幸,头部右侧基底节区查出一颗约6.5厘米的脑膜瘤。医生郑重警告,不及时手术,极易引发脑疝、脑梗这类致命并发症。
Ms. Hu is a nurse at Li Shizhen Hospital in Qichun County. Four years of recurring headaches she had long attributed to a desk-job cervical problem, and no treatment helped. This March it worsened sharply. A full workup shattered her reassurance: a meningioma of about 6.5 centimeters in the right basal-ganglia region. Doctors warned that without prompt surgery it could easily trigger fatal complications such as cerebral hernia or stroke.
3月20日,武汉大学中南医院的神经外科团队为她实施了肿瘤切除,手术本身很成功。但术后的恢复难题接踵而来,她在ICU监护了近20天,生命体征逐步平稳,却留下了严重后遗症,左侧上下肢完全软瘫,肌肉毫无张力。呼吸功能受损,她接受了气管切开手术,也一并丧失了说话的能力。
On March 20 the neurosurgery team at Wuhan Zhongnan Hospital removed the tumor; the operation itself succeeded. But recovery piled up its own problems. She spent nearly 20 days in the ICU. As her vitals steadied, severe sequelae set in: complete flaccid paralysis of the left arm and leg, the muscles without any tone. Damaged respiratory function led to a tracheotomy, and with it the loss of her speech.
5月19日,康复医生龚璇帮她戴上一顶脑电信号采集帽,训练正式开始。她启动的,是国内首例脑肿瘤术后无创脑机接口联合下肢康复机器人的个性化训练模式。这套系统不需要植入任何设备,只靠头戴的采集帽精准捕捉她的运动意念,实时解码脑电信号,再驱动康复机器人带动患侧肢体完成动作。
On May 19, rehab physician Gong Xuan helped her put on an EEG-signal acquisition cap, and training began. What they launched was the first domestic case of a non-invasive brain-computer interface combined with a lower-limb rehab robot for post-brain-tumor rapid recovery. The system needs no implanted device. The cap alone precisely captures her motor intention, decodes the EEG signal in real time, and drives the rehab robot to move the affected limb.
每天上午,流程是固定的。她紧盯屏幕上的指令,专注做抬腿、迈步这样的意念训练,机器顺着她的意念,带动左腿稳稳地迈出一步,体感又反馈回来,形成意念想象、信号捕捉、机器带动、体感反馈这样一个完整的康复闭环。她丈夫说,刚进康复科时她的左手左腿完全抬不起来,身体僵硬无力。开启训练后,改变是每天可见的,从轻微活动肢体,到自主抬臂抬腿,再到独立站稳、辅助踏步,短短一个多月,卧床软瘫的她顺利实现了短距离辅助行走,最终康复出院。
Every morning the routine is fixed. She stares at the on-screen cue and concentrates on an intention, lift the leg, take a step. The machine follows her intention, moves her left leg forward in a stable step, and the felt sensation feeds back, closing a loop of intention, capture, machine-driven movement, and body feedback. Her husband says that when she first entered rehab her left hand and leg could not be lifted at all, the body rigid and limp. After training began, the change was visible day by day, from slight limb movement to lifting arm and leg on her own, to standing independently and stepping with support. In just over a month, the once bed-bound, flaccid woman achieved short-distance assisted walking and was discharged.
