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Real-time control of a video game with a direct brain-computer interface Mason and Birch have developed a direct brainâ€"computer interface for intermittent control of devices such as environmental control systems and neuroprotheses. This EEG-based brain switch, named the LF-ASD, has been used in several off-line studies, but little is known about its usability with real-world devices and computer applications. In this study, able-bodied individuals and people with high-level spinal injury used the LF-ASD brain switch to control a video game in real time. Both subject groups demonstrated switch activations varying from 30% to 78% and false-positive rates in the range of 0.5% to 2.2% over three 1-hour test sessions. These levels correspond to switch classification accuracies greater than 94% for all subjects. The results suggest that subjects with spinal cord injuries can operate the brain switch to the same ability as able-bodied subjects in a real-time control environment. These results support the findings of previous studies.,Peer reviewed,Published. 2004 ISSN: 0736-0258 doi: 10.1097/01.WNP.0000146840.78749.79 accessnum: 00004691-200411000-00003 English Borisoff, Jaimie Mason, Steven G. Bohringer, Regula Birch, Gary, E. American Clinical Neurophysiology Society Text Copyright © 2004 American Clinical Neurophysiology Society Brain-computer interfaces Spinal cord