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In this contribution, we focus on the effects of noninvasive and invasive BCI-based verbal communication on the quality of life (QoL) of patients with amyotrophic lateral sclerosis (ALS) in the locked-in state (LIS) and the completely locked-in state (CLIS). Despite a substantial lack of replicated scientific data, this paper complements the existing methodological knowledge and focuses future investigators\u2019 attention on (1) Social determinants of QoL and (2) Brain reorganization and behavior. While it is not documented in controlled studies that the good QoL in these patients is a consequence of BCI-based neurorehabilitation, the proposed determinants of QoL might become the theoretical background needed to develop clinically more useful BCI systems and to evaluate the effects of BCI-based communication on QoL for advanced ALS patients and other forms of severe paralysis. <\/jats:p>","DOI":"10.1142\/s0129065721300035","type":"journal-article","created":{"date-parts":[[2021,8,20]],"date-time":"2021-08-20T13:02:55Z","timestamp":1629464575000},"source":"Crossref","is-referenced-by-count":16,"title":["Brain Computer Interfaces for Assisted Communication in Paralysis and Quality of Life"],"prefix":"10.1142","volume":"31","author":[{"given":"Ujwal","family":"Chaudhary","sequence":"first","affiliation":[{"name":"Institute of Medical Psychology and Behavioral Neurobiology, University of T\u00fcbingen, T\u00fcbingen 72076, Germany"},{"name":"ALSVOICE gGmbH, M\u00f6ssingen 72116, Germany"}]},{"given":"Bankim Subhash","family":"Chander","sequence":"additional","affiliation":[{"name":"ALSVOICE gGmbH, M\u00f6ssingen 72116, Germany"},{"name":"Department of Psychiatry and Psychotherapy, Center for Innovative Psychiatric and Psychotherapeutic Research, Central Institute of Mental Health Mannheim, Medical Faculty Mannheim, University of Heidelberg, Mannheim 68159, Germany"}]},{"given":"Avi","family":"Ohry","sequence":"additional","affiliation":[{"name":"Sackler Faculty of Medicine, Tel Aviv University & Reuth Medical & Rehabilitation Center, Tel Aviv, Israel"}]},{"given":"Andres","family":"Jaramillo-Gonzalez","sequence":"additional","affiliation":[{"name":"Institute of Medical Psychology and Behavioral Neurobiology, University of T\u00fcbingen, T\u00fcbingen 72076, Germany"}]},{"given":"Doroth\u00e9e","family":"Lul\u00e9","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Ulm, Germany"}]},{"given":"Niels","family":"Birbaumer","sequence":"additional","affiliation":[{"name":"Institute of Medical Psychology and Behavioral Neurobiology, University of T\u00fcbingen, T\u00fcbingen 72076, Germany"},{"name":"ALSVOICE gGmbH, M\u00f6ssingen 72116, Germany"}]}],"member":"219","published-online":{"date-parts":[[2021,9,29]]},"reference":[{"key":"S0129065721300035BIB001","first-page":"JP278775","volume":"00","author":"Chaudhary U.","year":"2020","journal-title":"J. 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