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BioMed Research International
Volume 2017 (2017), Article ID 9071568, 11 pages
Clinical Study

An EEG Tool for Monitoring Patient Engagement during Stroke Rehabilitation: A Feasibility Study

1Rehabilitative Psychobiology Laboratory, Reuth Research and Development Institute, Reuth Rehabilitation Hospital, Tel Aviv, Israel
2Department of Rehabilitation, Reuth Rehabilitation Hospital, Tel Aviv, Israel
3Rehabilitation and Motor Control of Walking Laboratory, Department of Physiotherapy, Ben-Gurion University of the Negev, Beersheba, Israel
4Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
5BrainMARC Ltd., Yokneam, Israel

Correspondence should be addressed to Goded Shahaf

Received 8 June 2017; Accepted 13 August 2017; Published 24 September 2017

Academic Editor: Danilo S. Bocalini

Copyright © 2017 Gadi Bartur et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objective. Patient engagement is of major significance in neural rehabilitation. We developed a real-time EEG marker for attention, the Brain Engagement Index (BEI). In this work we investigate the relation between the BEI and temporary functional change during a rehabilitation session. Methods. First part: 13 unimpaired controls underwent BEI monitoring during motor exercise of varying levels of difficulty. Second part: 18 subacute stroke patients underwent standard motor rehabilitation with and without use of real-time BEI feedback regarding their level of engagement. Single-session temporary functional changes were evaluated based on videos taken before and after training on a given task. Two assessors, blinded to feedback use, assessed the change following single-session treatments. Results. First part: a relation between difficulty of exercise and BEI was identified. Second part: temporary functional change was associated with BEI level regardless of the use of feedback. Conclusions. This study provides preliminary evidence that when BEI is higher, the temporary functional change induced by the treatment session is better. Further work is required to expand this preliminary study and to evaluate whether such temporary functional change can be harnessed to improve clinical outcome. Clinical Trial Registration. Registered with, unique identifier: NCT02603718 (retrospectively registered 10/14/2015).