“…As such, they can engage in mental practise of movement and keep their motor neural circuitry active, warding off the detrimental effects of limb non-use (Buxbaum et al, 2020), its associated white matter degeneration (Egorova et al, 2020), and promote usedependant neuroplastic processes (Xing and Bai, 2020). Despite largely encouraging evidence suggesting that functional gains are produced exceeding those of standard care (Hatem et al, 2016;McConnell et al, 2017;Monge-Pereira et al, 2017;Cervera et al, 2018;López-Larraz et al, 2018;Raffin and Hummel, 2018;Carvalho et al, 2019;Coscia et al, 2019;Kovyazina et al, 2019;Remsik et al, 2016;Xing and Bai, 2020) substantial challenges with existing BCI implementations have prevented widespread adoption of the technology clinically (Baniqued et al, 2021). Here we provide a viewpoint on the practical, technical and mechanistic factors impeding the scalability of BCI into rehabilitative care packages.…”