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September 15, 2026Nature NeuroscienceOpen Access

Simultaneous speech and gesture decoding for multimodal communication in paralysis

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Authors

SBSamantha BroslerQB3JLJessie R. LiuUniversity of California, San FranciscoASAlexander B. SilvaQB3

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Implication

Experimental neuroengineering study demonstrates simultaneous speech and gesture decoding via electrocorticography in paralysis, highlighting potential for multimodal communication avatars.

Key Points

  • To determine whether a single high-density electrocorticography implant can simultaneously decode speech and nonverbal gestures to restore natural multimodal communication in individuals with paralysis.
  • Recorded neural activity using a single high-density electrocorticography (ECoG) implant across three participants with paralysis (N=3).
  • Designed parallel speech and gesture decoders trained on attempted isolated movements, simultaneous movements, or a combination of both to drive an expressive digital avatar.
  • Neural activity recorded from a single implant supported reliable decoding of isolated upper-limb and orofacial movements across all three participants.
  • Participants successfully controlled a personalized virtual avatar through simultaneous or isolated speech and gestures, with joint-movement training significantly boosting decoding performance across behavioral contexts.

Cite This Study

Brosler et al. (2026) studied this question.

synapsesocial.com/papers/6aa912f99013453be30a0ca6https://doi.org/10.1038/s41593-026-02446-2
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Role of Gesture in Communication and Cognition: Implications for Understanding and Treating Neurogenic Communication Disorders2020 · 146 citations
  2. 2Sampling representational plasticity of simple imagined movements across days enables long-term neuroprosthetic control2025 · 41 citations
  3. 3Neuroprosthesis for Decoding Speech in a Paralyzed Person with Anarthria2021 · 621 citations