Intensity and Dose of Neuromuscular Electrical Stimulation Influence Sensorimotor Cortical Excitability.

Neuromuscular electrical stimulation (NMES) of the nervous system has been extensively used in neurorehabilitation due to its capacity to engage the muscle fibers, improving muscle tone, and the neural pathways, sending afferent volleys toward the brain. Although different neuroimaging tools suggested the capability of NMES to regulate the excitability of sensorimotor cortex and corticospinal circuits, how the intensity and dose of NMES can neuromodulate the brain oscillatory activity measured with electroencephalography (EEG) is still unknown to date. We quantified the effect of NMES parameters on brain oscillatory activity of 12 healthy participants who underwent stimulation of wrist extensors during rest. Three different NMES intensities were included, two below and one above the individual motor threshold, fixing the stimulation frequency to 35 Hz and the pulse width to 300 µs. Firstly, we efficiently removed stimulation artifacts from the EEG recordings. Secondly, we analyzed the effect of amplitude and dose on the sensorimotor oscillatory activity. On the one hand, we observed a significant NMES intensity-dependent modulation of brain activity, demonstrating the direct effect of afferent receptor recruitment. On the other hand, we described a significant NMES intensity-dependent dose-effect on sensorimotor activity modulation over time, with below-motor-threshold intensities causing cortical inhibition and above-motor-threshold intensities causing cortical facilitation. Our results highlight the relevance of intensity and dose of NMES, and show that these parameters can influence the recruitment of the sensorimotor pathways from the muscle to the brain, which should be carefully considered for the design of novel neuromodulation interventions based on NMES.

Factors that affect error potentials during a grasping task: toward a hybrid natural movement decoding BCI.

OBJECTIVE: In this manuscript, we consider factors that may affect the design of a hybrid brain-computer interface (BCI). We combine neural correlates of natural movements and interaction error-related potentials (ErrP) to perform a 3D reaching task, focusing on the impact that such factors have on the evoked ErrP signatures and in their classification. APPROACH: Users attempted to control a 3D virtual interface that simulated their own hand, to reach and grasp two different objects. Three factors of interest were modulated during the experimentation: (1) execution speed of the grasping, (2) type of grasping and (3) mental strategy (motor imagery or real motion) used to produce motor commands. Thirteen healthy subjects carried out the protocol. The peaks and latencies of the ErrP were analyzed for the different factors as well as the classification performance. MAIN RESULTS: ErrP are evoked for erroneous commands decoded from neural correlates of natural movements. The analysis of variance (ANOVA) analyses revealed that latency and magnitude of the most characteristic ErrP peaks were significantly influenced by the speed at which the grasping was executed, but not the type of grasp. This resulted in an greater accuracy of single-trial decoding of errors for fast movements (75.65%) compared to slow ones (68.99%). SIGNIFICANCE: Understanding the effects of combining paradigms is a first step to design hybrid BCI that optimize decoding accuracy and can be deployed in motor substitution and neuro-rehabilitation applications.

Hierarchical decoding of grasping commands from EEG.

Brain-Computer Interfaces may present an intuitive way for motor impaired end users to operate assistive devices of daily life. Recent studies showed that complex kinematics like grasping can be successfully decoded from low frequency electroencephalogram. In this work we present a hierarchical method to asynchronously discriminate two different grasps often used in daily life actions (palmar, pincer) from a combined set of motor execution and motor intention. We compared sensorimotor rhythms based features and time features from the low frequency spectrum for best discrimination results. Our results show not only the principle feasibility of the proposed method with detection of asynchronous motor intention at rates of 80% accuracy and subsequent grasping discrimination over 60%, but also that low frequency time domain features provide a more consistent detection pattern. Although the basis of this results is still an off-line analysis we are confident that these results can be transferred to on-line use.

Analysis and asynchronous detection of gradually unfolding errors during monitoring tasks.

Human studies on cognitive control processes rely on tasks involving sudden-onset stimuli, which allow the analysis of these neural imprints to be time-locked and relative to the stimuli onset. Human perceptual decisions, however, comprise continuous processes where evidence accumulates until reaching a boundary. Surpassing the boundary leads to a decision where measured brain responses are associated to an internal, unknown onset. The lack of this onset for gradual stimuli hinders both the analyses of brain activity and the training of detectors. This paper studies electroencephalographic (EEG)-measurable signatures of human processing for sudden and gradual cognitive processes represented as a trajectory mismatch under a monitoring task. Time-locked potentials and brain-source analysis of the EEG of sudden mismatches revealed the typical components of event-related potentials and the involvement of brain structures related to cognitive control processing. For gradual mismatch events, time-locked analyses did not show any discernible EEG scalp pattern, despite related brain areas being, to a lesser extent, activated. However, and thanks to the use of non-linear pattern recognition algorithms, it is possible to train an asynchronous detector on sudden events and use it to detect gradual mismatches, as well as obtaining an estimate of their unknown onset. Post-hoc time-locked scalp and brain-source analyses revealed that the EEG patterns of detected gradual mismatches originated in brain areas related to cognitive control processing. This indicates that gradual events induce latency in the evaluation process but that similar brain mechanisms are present in sudden and gradual mismatch events. Furthermore, the proposed asynchronous detection model widens the scope of applications of brain-machine interfaces to other gradual processes.

Exploiting Task Constraints for Self-Calibrated Brain-Machine Interface Control Using Error-Related Potentials.

This paper presents a new approach for self-calibration BCI for reaching tasks using error-related potentials. The proposed method exploits task constraints to simultaneously calibrate the decoder and control the device, by using a robust likelihood function and an ad-hoc planner to cope with the large uncertainty resulting from the unknown task and decoder. The method has been evaluated in closed-loop online experiments with 8 users using a previously proposed BCI protocol for reaching tasks over a grid. The results show that it is possible to have a usable BCI control from the beginning of the experiment without any prior calibration. Furthermore, comparisons with simulations and previous results obtained using standard calibration hint that both the quality of recorded signals and the performance of the system were comparable to those obtained with a standard calibration approach.

Brain connectivity in continuous error tasks.

Error-related potentials (ErrP) have been recently incorporated in brain-machine interfaces (BMIs) due to its ability to adapt and correct both the output of the BMI or the behavior of the machine. Most of these applications rely on synchronous tasks with different user's evaluations associated to correct and wrong events. Asynchronous detection during the continuous evaluation of the task, however, has to cope with background noise and an increased number of misdetections common in event-related potential detection. This paper studies a different characteristic that may carry additional information to be exploited by asynchronous ErrP detectors: brain connectivity coherence patterns appearing while the user monitors the continuous operation of a device. The results obtained with five subject revealed the presence of an error potential in an asynchronous reaching task an showed an increase in the coherency within the theta band.

Using frequency-domain features for the generalization of EEG error-related potentials among different tasks.

EEG brain-computer interfaces (BCI) require a calibration phase prior to the on-line control of the device, which is a difficulty for the practical development of this technology as it is user-, session- and task-specific. The large body of research in BCIs based on event-related potentials (ERP) use temporal features, which have demonstrated to be stable for each user along time, but do not generalize well among tasks different from the calibration task. This paper explores the use of low frequency features to improve the generalization capabilities of the BCIs using error-potentials. The results show that there exists a stable pattern in the frequency domain that allows a classifier to generalize among the tasks. Furthermore, the study also shows that it is possible to combine temporal and frequency features to obtain the best of both domains.