{"id":920,"date":"2023-05-25T20:56:38","date_gmt":"2023-05-25T20:56:38","guid":{"rendered":"https:\/\/dailyai.com\/?p=920"},"modified":"2023-06-01T09:26:56","modified_gmt":"2023-06-01T09:26:56","slug":"ai-supported-digital-bridge-enables-man-to-walk-naturally","status":"publish","type":"post","link":"https:\/\/dailyai.com\/nl\/2023\/05\/ai-supported-digital-bridge-enables-man-to-walk-naturally\/","title":{"rendered":"AI-ondersteunde \"digitale brug\" stelt mens in staat natuurlijk te lopen"},"content":{"rendered":"<p><strong>Gert-Jan Oskam, 40 jaar oud, brak zijn nek bij een fietsongeluk in 2011.<\/strong><\/p>\n<p><span style=\"font-weight: 400\">Onderzoekers gebruikten een \"digitale brug\" om de verbindingen tussen de hersenen en de benen te herstellen, waardoor Oskam op een natuurlijke manier kon staan en lopen.<\/span><\/p>\n<p><span style=\"font-weight: 400\">\"Een paar maanden geleden kon ik voor het eerst na 10 jaar weer opstaan en een biertje drinken met mijn vrienden,\" zei Oskam.\u00a0<\/span><\/p>\n<figure id=\"attachment_922\" aria-describedby=\"caption-attachment-922\" style=\"width: 480px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-922\" src=\"https:\/\/dailyai.com\/wp-content\/uploads\/2023\/05\/brainspine-interface.png\" alt=\"Hersen-wervelkolom interface\" width=\"480\" height=\"469\" srcset=\"https:\/\/dailyai.com\/wp-content\/uploads\/2023\/05\/brainspine-interface.png 894w, https:\/\/dailyai.com\/wp-content\/uploads\/2023\/05\/brainspine-interface-300x293.png 300w, https:\/\/dailyai.com\/wp-content\/uploads\/2023\/05\/brainspine-interface-768x751.png 768w, https:\/\/dailyai.com\/wp-content\/uploads\/2023\/05\/brainspine-interface-370x362.png 370w, https:\/\/dailyai.com\/wp-content\/uploads\/2023\/05\/brainspine-interface-800x782.png 800w, https:\/\/dailyai.com\/wp-content\/uploads\/2023\/05\/brainspine-interface-20x20.png 20w, https:\/\/dailyai.com\/wp-content\/uploads\/2023\/05\/brainspine-interface-740x723.png 740w, https:\/\/dailyai.com\/wp-content\/uploads\/2023\/05\/brainspine-interface-49x48.png 49w\" sizes=\"auto, (max-width: 480px) 100vw, 480px\" \/><figcaption id=\"caption-attachment-922\" class=\"wp-caption-text\">Oskam's brein-wervelkolom interface<\/figcaption><\/figure>\n<p><span style=\"font-weight: 400\">De studie, <\/span><a href=\"https:\/\/www.nature.com\/articles\/s41586-023-06094-5\"><span style=\"font-weight: 400\">gepubliceerd in Nature<\/span><\/a><span style=\"font-weight: 400\">zegt: \"We herstelden deze communicatie met een digitale brug tussen de hersenen en het ruggenmerg, waardoor iemand met chronische tetraplegie weer op een natuurlijke manier kon staan en lopen in een gemeenschapsomgeving.\"<\/span><\/p>\n<p><span style=\"font-weight: 400\">Onderzoekers werken al enkele jaren aan interfaces tussen hersenen en wervelkolom, waaronder een <a href=\"https:\/\/www.theguardian.com\/science\/2016\/nov\/09\/brain-implant-allows-partially-paralysed-monkeys-to-walk-again\">2016 project<\/a> waardoor een verlamde aap zijn benen kon bewegen en een andere die <a href=\"https:\/\/www.unite.ai\/brain-computer-interface-technology-restores-sensation-to-hand-of-individual-with-spinal-cord-injury\/\">Hersteld gevoel in de hand<\/a> van een man met een dwarslaesie.\u00a0<\/span><\/p>\n<p>Dit is het meest uitgebreide project tot nu toe, dat de steeds grotere rol van AI in nieuwe medische toepassingen benadrukt.<\/p>\n<h2><span style=\"font-weight: 400\">De interface tussen hersenen en wervelkolom ontwikkelen<\/span><\/h2>\n<p><span style=\"font-weight: 400\">De \"digitale brug\" is een interface tussen de hersenen en de wervelkolom die neuronale activiteit uit de hersenen leest, omzet in elektrische signalen en deze over het ruggenmergletsel naar gezonde neuronen aan de andere kant stuurt.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">De meeste ruggenmergletsels beschadigen de neuronen niet direct - ze verstoren de neerwaartse paden die de hersenen verbinden met de wervelkolom en het perifere zenuwstelsel.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400\">De rol van AI<\/span><\/h2>\n<p><span style=\"font-weight: 400\">Om de hersenen weer met de benen te verbinden, werden elektroden aangesloten op de hersenen van Oskam om het volgende af te lezen <\/span><a href=\"https:\/\/en.wikipedia.org\/wiki\/Electrocorticography\"><span style=\"font-weight: 400\">elektrocorticografisch (ECoG)<\/span><\/a><span style=\"font-weight: 400\"> hersenactiviteit.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Om te lopen gebruiken we spieren in de heup, knie en enkel - de interface moet hersenactiviteit toewijzen aan verschillende spiergroepen in zowel het rechter- als het linkerbeen. <\/span><\/p>\n<p><span style=\"font-weight: 400\">Uit eerdere projecten bleek dat hersenactiviteit moeilijk te analyseren was, waardoor het een uitdaging was om de bedoeling van elke gedachte te voorspellen.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Dit is waar AI helpt - onderzoekers bedachten een methode om hersenactiviteit te filteren en decoderen met behulp van machine learning (ML).<\/span><\/p>\n<p><span style=\"font-weight: 400\">Onderzoekers gebruikten algoritmen om twee functies uit te voeren:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Een eerste model voorspelt de waarschijnlijkheid van de intentie om een specifiek gewricht te bewegen.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Het andere model voorspelt de amplitude en richting van de beweging.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">Nadat de interface was gemonteerd, nam Oskam deel aan een trainingsprogramma waarbij hij visuele aanwijzingen moest lezen via een interface.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Het programma instrueerde hem op welke bewegingen hij zich moest concentreren en hielp het AI-model om zijn gedachten te \"decoderen\" en de juiste spieren te stimuleren.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400\">De resultaten<\/span><\/h2>\n<p><span style=\"font-weight: 400\">De onderzoekers voerden een reeks tests uit, waaronder testwandelingen van 6 en 10 minuten, waarbij Oskam 100 meter kon lopen, staande tests, traplopen en lopen over ruw en oneffen terrein. Zijn loopvaardigheid was sterk verbeterd en werd met elke trainingssessie beter.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Bovendien had de interface een langdurig effect op de loopvaardigheid van Oskam, zelfs als deze was uitgeschakeld. Na 40 trainingssessies kon Oskam zelfverzekerder lopen met zijn loophulpmiddelen, wat het potentieel van dergelijke apparaten voor langdurige revalidatie benadrukt.<\/span><\/p>\n<p><span style=\"font-weight: 400\">AI heeft soortgelijke toepassingen in de medische technologie ondersteund, zoals brein-computer-interfaces die <\/span><a href=\"https:\/\/www.independent.co.uk\/tech\/brain-computer-interface-b2269196.html\"><span style=\"font-weight: 400\">gedachten omzetten in spraak<\/span><\/a><span style=\"font-weight: 400\">. Deze apparaten zouden de spraak kunnen herstellen voor mensen met hersenletsel of een neurodegeneratieve ziekte zoals amyotrofe laterale sclerose (ALS).\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Na verloop van tijd zullen deze apparaten gemakkelijker te ontwikkelen en te installeren zijn en zouden ze zelfs zonder invasieve chirurgie kunnen werken.<\/span><\/p>","protected":false},"excerpt":{"rendered":"<p>De 40-jarige Gert-Jan Oskam brak zijn nek bij een fietsongeluk in 2011. Onderzoekers gebruikten een \"digitale brug\" om de verbindingen tussen de hersenen en de benen te herstellen, waardoor Oskam weer op een natuurlijke manier kon staan en lopen. \"Een paar maanden geleden was ik voor het eerst na 10 jaar in staat om op te staan en een biertje te drinken met mijn vrienden,\" zei Oskam.  Het onderzoek, gepubliceerd in Nature, zegt: \"We hebben deze communicatie hersteld met een digitale brug tussen de hersenen en het ruggenmerg, waardoor iemand met een chronische tetraplegie op een natuurlijke manier kon staan en lopen in een gemeenschapsomgeving.\" Onderzoekers hebben gewerkt aan<\/p>","protected":false},"author":2,"featured_media":932,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[84],"tags":[101],"class_list":["post-920","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-industry","tag-medtech"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>AI-supported \u201cdigital bridge\u201d enables man to walk naturally | DailyAI<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dailyai.com\/nl\/2023\/05\/ai-supported-digital-bridge-enables-man-to-walk-naturally\/\" \/>\n<meta property=\"og:locale\" content=\"nl_NL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"AI-supported \u201cdigital bridge\u201d enables man to walk naturally | DailyAI\" \/>\n<meta property=\"og:description\" content=\"Gert-Jan Oskam, aged 40, broke his neck in a biking accident in 2011. Researchers used a \u201cdigital bridge\u201d to reestablish connections between the brain and legs, enabling Oskam to stand and walk naturally. \u201cA few months ago, I was able, for the first time after 10 years, to stand up and have a beer with my friends,\u201d said Oskam.\u00a0 The study, published in Nature, says, \u201cWe restored this communication with a digital bridge between the brain and spinal cord that enabled an individual with chronic tetraplegia to stand and walk naturally in community settings.\u201d Researchers have been working on brain-spine\" \/>\n<meta property=\"og:url\" content=\"https:\/\/dailyai.com\/nl\/2023\/05\/ai-supported-digital-bridge-enables-man-to-walk-naturally\/\" \/>\n<meta property=\"og:site_name\" content=\"DailyAI\" \/>\n<meta property=\"article:published_time\" content=\"2023-05-25T20:56:38+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-06-01T09:26:56+00:00\" \/>\n<meta property=\"og:image\" 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