Brain-machine interfaces (BMIs) have been defined as devices that detect intent-typically intended movement-from brain activity, and translate it into an output action, such as control of a cursor on a screen or a robotic arm. There is no doubt that the potential of BMI technology to augment normal motor performance is vast, a fact which has attracted both attention and funding from a variety of sources including United States military. [1][2][3] For clinicians in the neurosciences, however, BMI technology could have the potential to assist in motor recovery or maintenance. At present, several forms of BMI devices, in varying stages of development, are being investigated and used to treat conditions that cause severe motor impairments, including amyotrophic lateral sclerosis (ALS), stroke, and spinal cord injury. [4][5][6][7][8][9] The preliminary experiences of several groups with motor BMI applications in clinical settings have generated justifiable enthusiasm about the promise of future BMI applications. Such enthusiasm, however, is tempered by a definite need for further advances in a number of specific aspects ABSTRACT: With the growing interdependence between medicine and technology, the prospect of connecting machines to the human brain is rapidly being realized. The field of neuroprosthetics is transitioning from the proof of concept stage to the development of advanced clinical treatments. In one area of brain-machine interfaces (BMIs) related to the motor system, also termed 'motor neuroprosthetics', research successes with implanted microelectrodes in animals have demonstrated immense potential for restoring motor deficits. Early human trials have also begun, with some success but also highlighting several technical challenges. Here we review the concepts and anatomy underlying motor BMI designs, review their early use in clinical applications, and offer a framework to evaluate these technologies in order to predict their eventual clinical utility. Ultimately, we hope to help neuroscience clinicians understand and participate in this burgeoning field.RÉSUMÉ: Guide sur les interface cerveau-machine pour le contrôle moteur destiné aux cliniciens en neurosciences. Étant donné l'interdépendance croissante de la médecine et de la technologie, la perspective de brancher des machines au cerveau humain se réalise rapidement. Le domaine de la neuroprothétique évolue maintenant de l'étape de la validation du principe à celui du développement de traitements cliniques de pointe. Dans le domaine des interfaces cerveau-machine (ICM) pour le système moteur, aussi connu sous le nom de "neuroprothétique motrice", les succès de la recherche sur les microélectrodes implantées chez des animaux ont démontré un potentiel immense pour pallier aux déficits moteurs. Des essais préliminaires chez les humains ont remporté un certain succès, mais ils ont aussi mis en évidence plusieurs défis techniques. Nous revoyons ici les concepts et l'anatomie pertinents à la conception des ICM motrices et leur utilisation préliminaire en cl...