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Imagine having no functional control over your body—your cognition is unaffected, but you cannot speak or move. Unfortunately, this is the case for many children with severe neurological disabilities, including quadriplegic cerebral palsy. Brain-computer interfaces (BCIs) represent a potential solution for such individuals. BCIs have been widely studied in adults with neurological disabilities, however there is limited research into their use in children. We have therefore established a clinical pilot pediatric BCI program. In order to gauge competency in patients, we aimed here to establish the ability of normal children to use noninvasive BCI systems. Nine healthy children completed tasks on five established EEG-based BCI systems. Performance was assessed by accuracy scores for each paradigm. Our results demonstrate that children can effectively operate a BCI system with accuracies above 60%—comparable to what’s been reported in adults. Establishing performance norms for typically developing children across specific BCI systems will inform program development and provide comparisons for children with disabilities.

Pediatric Brain-Computer Interface Competency - A Pilot Study.