Beyond the Lesion: How Neurobypass 1.0 Transforms Post-Stroke Rehabilitation for Motor Recovery

Stroke is one of the leading causes of death and functional disability in Brazil, significantly impacting survivors' quality of life. The Neurobypass 1.0 project proposes an innovative approach to post-stroke motor rehabilitation through a neuro-controlled hand and wrist orthosis. Developed by SENAI CIMATEC in partnership with CEPRED, the device uses brain-computer interface (BCI), virtual reality (VR), and additive manufacturing (3D printing) to promote engagement, customization, and neuroplasticity stimulation. A systematic review identified evidence for the efficacy of BCI and AR orthoses in enhancing function and motivation in patients with hemiparesis. A randomized clinical trial protocol was designed to assess motor, emotional, and motivational outcomes of the intervention. Expected results include functional hand recovery, reduced depressive symptoms, and greater independence. The initiative highlights Brazil's potential as a reference in accessible assistive technologies.