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Significance: Functional near-infrared spectroscopy (fNIRS) is a promising tool for neurofeedback (NFB) or brain-computer interfaces (BCIs). However, fNIRS signals are typically highly contaminated by systemic activity (SA) artifacts, and, if not properly corrected, NFB or BCIs run the risk of being based on noise instead of brain activity. This risk can likely be reduced by correcting for SA, in particular when short-distance channels (SDCs) are available. Literature comparing correction methods with and without SDCs is still sparse, specifically comparisons considering single trials are lacking. Aim: This study aimed at comparing the performance of SA correction methods with and without SDCs. Approach: Semisimulated and real motor task data of healthy older adults were used. Correction methods without SDCs included a simple and a more advanced spatial filter. Correction methods with SDCs included a regression approach considering only the closest SDC and two GLM-based methods, one including all eight SDCs and one using only two a priori selected SDCs as regressors. All methods were compared with data uncorrected for SA and correction performance was assessed with quality measures quantifying signal improvement and spatial specificity at single trial level. Results: All correction methods were found to improve signal quality and enhance spatial specificity as compared with the uncorrected data. Methods with SDCs usually outperformed methods without SDCs. Correction methods without SDCs tended to overcorrect the data. However, the exact pattern of results and the degree of differences observable between correction methods varied between semisimulated and real data, and also between quality measures. Conclusions: Overall, results confirmed that both Δ [ HbO ] and Δ [ HbR ] are affected by SA and that correction methods with SDCs outperform methods without SDCs. Nonetheless, improvements in signal quality can also be achieved without SDCs and should therefore be given priority over not correcting for SA.
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Compared to functional magnetic resonance imaging (fMRI), functional near infrared spectroscopy (fNIRS) has several advantages that make it particularly interesting for neurofeedback (NFB). A pre-requisite for NFB applications is that with fNIRS, signals from the brain region of interest can be measured. This study focused on the supplementary motor area (SMA). Healthy older participants (N = 16) completed separate continuous-wave (CW-) fNIRS and (f)MRI sessions. Data were collected for executed and imagined hand movements (motor imagery, MI), and for MI of whole body movements. Individual anatomical data were used to (i) define the regions of interest for fMRI analysis, to (ii) extract the fMRI BOLD response from the cortical regions corresponding to the fNIRS channels, and (iii) to select fNIRS channels. Concentration changes in oxygenated ([Formula: see text]) and deoxygenated ([Formula: see text]) hemoglobin were considered in the analyses. Results revealed subtle differences between the different MI tasks, indicating that for whole body MI movements as well as for MI of hand movements [Formula: see text] is the more specific signal. Selection of the fNIRS channel set based on individual anatomy did not improve the results. Overall, the study indicates that in terms of spatial specificity and task sensitivity SMA activation can be reliably measured with CW-fNIRS.
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Córtex Motor , Neurorretroalimentação , Mapeamento Encefálico , Humanos , Imageamento por Ressonância Magnética/métodos , Córtex Motor/diagnóstico por imagem , Córtex Motor/fisiologia , Neurorretroalimentação/fisiologia , Espectroscopia de Luz Próxima ao Infravermelho/métodosRESUMO
Optimizing neurofeedback (NF) and brain-computer interface (BCI) implementations constitutes a challenge across many fields and has so far been addressed by, among others, advancing signal processing methods or predicting the user's control ability from neurophysiological or psychological measures. In comparison, how context factors influence NF/BCI performance is largely unexplored. We here investigate whether a competitive multi-user condition leads to better NF/BCI performance than a single-user condition. We implemented a foot motor imagery (MI) NF with mobile electroencephalography (EEG). Twenty-five healthy, young participants steered a humanoid robot in a single-user condition and in a competitive multi-user race condition using a second humanoid robot and a pseudo competitor. NF was based on 8-30 Hz relative event-related desynchronization (ERD) over sensorimotor areas. There was no significant difference between the ERD during the competitive multi-user condition and the single-user condition but considerable inter-individual differences regarding which condition yielded a stronger ERD. Notably, the stronger condition could be predicted from the participants' MI-induced ERD obtained before the NF blocks. Our findings may contribute to enhance the performance of NF/BCI implementations and highlight the necessity of individualizing context factors.
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Interfaces Cérebro-Computador , Eletroencefalografia/métodos , Imagens, Psicoterapia/métodos , Robótica/tendências , Adulto , Feminino , Humanos , Masculino , Neurorretroalimentação/métodos , Córtex Sensório-Motor/fisiologia , Processamento de Sinais Assistido por Computador , Adulto JovemRESUMO
For motor imagery (MI) to be effective, an internal representation of the to-be-imagined movement may be required. A representation can be achieved through prior motor execution (ME), but the neural correlates of MI that are primed by ME practice are currently unknown. In this study, young healthy adults performed MI practice of a unimanual visuo-motor task (Group MI, n = 19) or ME practice combined with subsequent MI practice (Group ME&MI, n = 18) while electroencephalography (EEG) was recorded. Data analysis focused on the MI-induced event-related desynchronization (ERD). Specifically, changes in the ERD and movement times (MT) between a short familiarization block of ME (Block pre-ME), conducted before the MI or the ME combined with MI practice phase, and a short block of ME conducted after the practice phase (Block post-ME) were analyzed. Neither priming effects of ME practice on MI-induced ERD were found nor performance-enhancing effects of MI practice in general. We found enhancements of the ERD and MT in Block post-ME compared to Block pre-ME, but only for Group ME&MI. A comparison of ME performance measures before and after the MI phase indicated however that these changes could not be attributed to the combination of ME and MI practice. The mixed results of this study may be a consequence of the considerable intra- and inter-individual differences in the ERD, introduced by specifics of the experimental setup, in particular the individual and variable task duration, and suggest that task and experimental setup can affect the interplay of ME and MI.
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Neurofeedback has begun to attract the attention and scrutiny of the scientific and medical mainstream. Here, neurofeedback researchers present a consensus-derived checklist that aims to improve the reporting and experimental design standards in the field.
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Lista de Checagem/métodos , Neurorretroalimentação/métodos , Adulto , Consenso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Revisão da Pesquisa por Pares , Projetos de Pesquisa/normas , Participação dos InteressadosRESUMO
Pictures of faces with emotional expressions presented before a temporal attention task have been reported to affect temporal attention in an awareness-dependent manner: Awareness of a fearful face was linked to an increased deficit in the temporal attention task, while preventing the face from reaching awareness was linked to a decreased deficit, both relative to neutral faces. Here we report the results of two temporal attention experiments which aimed to extend and conceptually replicate this basic finding. The temporal attention task was preceded by an unmasked or a masked fearful face on a trial-by-trial basis. In both experiments the finding of an awareness-dependent emotional modulation of temporal attention through fearful faces could not be replicated, even when data were pooled across experiments. Pooling of experiments indicated however that, independent of awareness level, fearful faces can be associated with slightly worse temporal attention performance than neutral faces, and suggested a lag-specific practice effect in terms of a reduced deficit in temporal attention in the second half of the experiment.
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Researchers using functional near infrared spectroscopy (fNIRS) are increasingly aware of the problem that conventional filtering methods do not eliminate systemic noise at frequencies overlapping with the task frequency. This is a problem when signals are averaged for analysis, even more so when single trial data are used as in online neurofeedback or BCI applications where insufficiently preprocessed data means feeding back noise instead of brain activity or when looking for brain-behavior relationships on a trial-by-trial basis. For removing this task-related noise statistical approaches have been proposed. Yet as evidence is lacking on how these approaches perform on independent data, choosing one approach over another can be difficult. Here signal quality at the single trial level was considered together with statistical effects to inform this choice. Compared were conventional band-pass filtering and wavelet minimum description length detrending and the combination of both with a more elaborate, published preprocessing approach for a motor execution-motor imagery data set. Temporal consistency between Δ[HbO] and Δ[HbR] and two measures of the spatial specificity of signals that are proposed here served as measures of data quality. Both improved strongly for the combinationed preprocessing approaches. Statistical effects showed a strong tendency toward getting smaller for the combined approaches. This underlines the importance to adequately deal with noise in fNIRS recordings and demonstrates how the quality of statistical correction approaches can be estimated.
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Motor imagery neurofeedback training has been proposed as a potential add-on therapy for motor impairment after stroke, but not everyone benefits from it. Previous work has used white matter integrity to predict motor imagery neurofeedback aptitude in healthy young adults. We set out to test this approach with motor imagery neurofeedback that is closer to that used for stroke rehabilitation and in a sample whose age is closer to that of typical stroke patients. Using shrinkage linear discriminant analysis with fractional anisotropy values in 48 white matter regions as predictors, we predicted whether each participant in a sample of 21 healthy older adults (48-77 years old) was a good or a bad performer with 84.8% accuracy. However, the regions used for prediction in our sample differed from those identified previously, and previously suggested regions did not yield significant prediction in our sample. Including demographic and cognitive variables which may correlate with motor imagery neurofeedback performance and white matter structure as candidate predictors revealed an association with age but also led to loss of statistical significance and somewhat poorer prediction accuracy (69.6%). Our results suggest cast doubt on the feasibility of predicting the benefit of motor imagery neurofeedback from fractional anisotropy. At the very least, such predictions should be based on data collected using the same paradigm and with subjects whose characteristics match those of the target case as closely as possible.
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Imagery plays an important role in our life. Motor imagery is the mental simulation of a motor act without overt motor output. Previous studies have documented the effect of motor imagery practice. However, its translational potential for patients as well as for athletes, musicians and other groups, depends largely on the transfer from mental practice to overt physical performance. We used bilateral transcranial direct current stimulation (tDCS) over sensorimotor areas to modulate neural lateralization patterns induced by unilateral mental motor imagery and the performance of a physical motor task. Twenty-six healthy older adults participated (mean age = 67.1 years) in a double-blind cross-over sham-controlled study. We found stimulation-related changes at the neural and behavioural level, which were polarity-dependent. Specifically, for the hand contralateral to the anode, electroencephalographic activity induced by motor imagery was more lateralized and motor performance improved. In contrast, for the hand contralateral to the cathode, hemispheric lateralization was reduced. The stimulation-related increase and decrease in neural lateralization were negatively related. Further, the degree of stimulation-related change in neural lateralization correlated with the stimulation-related change on behavioural level. These convergent neurophysiological and behavioural effects underline the potential of tDCS to improve mental and physical motor performance.
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Lateralidade Funcional , Imaginação , Destreza Motora , Córtex Sensório-Motor/fisiologia , Estimulação Transcraniana por Corrente Contínua , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
Motor imagery (MI) with neurofeedback has been suggested as promising for motor recovery after stroke. Evidence suggests that regular training facilitates compensatory plasticity, but frequent training is difficult to integrate into everyday life. Using a wireless electroencephalogram (EEG) system, we implemented a frequent and efficient neurofeedback training at the patients' home. Aiming to overcome maladaptive changes in cortical lateralization patterns we presented a visual feedback, representing the degree of contralateral sensorimotor cortical activity and the degree of sensorimotor cortex lateralization. Three stroke patients practiced every other day, over a period of 4 weeks. Training-related changes were evaluated on behavioral, functional, and structural levels. All 3 patients indicated that they enjoyed the training and were highly motivated throughout the entire training regime. EEG activity induced by MI of the affected hand became more lateralized over the course of training in all three patients. The patient with a significant functional change also showed increased white matter integrity as revealed by diffusion tensor imaging, and a substantial clinical improvement of upper limb motor functions. Our study provides evidence that regular, home-based practice of MI neurofeedback has the potential to facilitate cortical reorganization and may also increase associated improvements of upper limb motor function in chronic stroke patients.
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Imaginação/fisiologia , Neurorretroalimentação , Córtex Sensório-Motor/fisiopatologia , Reabilitação do Acidente Vascular Cerebral , Acidente Vascular Cerebral/fisiopatologia , Idoso , Imagem de Tensor de Difusão/métodos , Eletroencefalografia/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neurorretroalimentação/métodos , Recuperação de Função Fisiológica , Reabilitação do Acidente Vascular Cerebral/métodosRESUMO
The attentional blink (AB) paradigm is widely used to study visual temporal attention. An important feature of the standard AB paradigm is repetitive visual stimulation, more precisely the rapid serial visual presentation (RSVP) of numerous distracters interspersed with two targets. The RSVP stream is likely to result in entrainment of visual cortex, which has been suggested to negatively affect target identification in the AB paradigm. The present EEG study tested this idea with an inter-individual differences approach. AB task performance and measures of entrainment were derived from 51 participants. Other than predicted, moderate positive correlations were observed for inter-trial coherence and performance, but only for targets not immediately preceded by other targets. A positive correlation with power was evident for targets presented in the critical AB time window. In a second step, it was tested whether the distance between individual alpha frequency and RSVP frequency mediated correlations with inter-trial coherence, as entrainment of the visual cortex through repetitive visual stimulation is particularly effective when the frequency of the stimulation matches the individual alpha frequency. However, no evidence was found supporting such link. While compatible with a number of findings related to the AB and to visual entrainment, the findings of the present study do not provide evidence for the notion that entrainment to the RSVP stream creates a neural environment unfavourable for detecting targets an RSVP stream.
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Atenção , Individualidade , Desempenho Psicomotor , Percepção Visual , Adulto , Intermitência na Atenção Visual , Encéfalo/fisiologia , Eletroencefalografia , Feminino , Humanos , Masculino , Estimulação Luminosa , Tempo de Reação , Análise e Desempenho de Tarefas , Adulto JovemRESUMO
Not much is known about how well stroke patients are able to perform motor imagery (MI) and which MI abilities are preserved after stroke. We therefore applied three different MI tasks (one mental chronometry task, one mental rotation task, and one EEG-based neurofeedback task) to a sample of postacute stroke patients (n = 20) and age-matched healthy controls (n = 20) for addressing the following questions: First, which of the MI tasks indicate impairment in stroke patients and are impairments restricted to the paretic side? Second, is there a relationship between MI impairment and sensory loss or paresis severity? And third, do the results of the different MI tasks converge? Significant differences between the stroke and control groups were found in all three MI tasks. However, only the mental chronometry task and EEG analysis revealed paresis side-specific effects. Moreover, sensitivity loss contributed to a performance drop in the mental rotation task. The findings indicate that although MI abilities may be impaired after stroke, most patients retain their ability for MI EEG-based neurofeedback. Interestingly, performance in the different MI measures did not strongly correlate, neither in stroke patients nor in healthy controls. We conclude that one MI measure is not sufficient to fully assess an individual's MI abilities.
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Imagens, Psicoterapia , Imaginação , Desempenho Psicomotor , Acidente Vascular Cerebral/psicologia , Eletroencefalografia , Feminino , Lateralidade Funcional , Humanos , Masculino , Pessoa de Meia-Idade , Atividade Motora , Neurorretroalimentação , Acidente Vascular Cerebral/fisiopatologiaRESUMO
Stroke frequently results in motor impairment. Motor imagery (MI), the mental practice of movements, has been suggested as a promising complement to other therapeutic approaches facilitating motor rehabilitation. Of particular potential is the combination of MI with neurofeedback (NF). However, MI NF protocols have been largely optimized only in younger healthy adults, although strokes occur more frequently in older adults. The present study examined the influence of age on the neural correlates of MI supported by electroencephalogram (EEG)-based NF and on the neural correlates of motor execution. We adopted a multimodal neuroimaging framework focusing on EEG-derived event-related desynchronization (ERD%) and oxygenated (HbO) and deoxygenated hemoglobin (HbR) concentrations simultaneously acquired using functional near-infrared spectroscopy (fNIRS). ERD%, HbO concentration and HbR concentration were compared between younger (mean age: 24.4 years) and older healthy adults (mean age: 62.6 years). During MI, ERD% and HbR concentration were less lateralized in older adults than in younger adults. The lateralization-by-age interaction was not significant for movement execution. Moreover, EEG-based NF was related to an increase in task-specific activity when compared to the absence of feedback in both older and younger adults. Finally, significant modulation correlations were found between ERD% and hemodynamic measures despite the absence of significant amplitude correlations. Overall, the findings suggest a complex relationship between age and movement-related activity in electrophysiological and hemodynamic measures. Our results emphasize that the age of the actual end-user should be taken into account when designing neurorehabilitation protocols.
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Envelhecimento/fisiologia , Envelhecimento/psicologia , Eletroencefalografia/métodos , Imaginação/fisiologia , Movimento/fisiologia , Imagem Multimodal/métodos , Neurorretroalimentação/fisiologia , Espectroscopia de Luz Próxima ao Infravermelho/métodos , Adulto , Idoso , Interfaces Cérebro-Computador , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neurorretroalimentação/métodos , Reabilitação do Acidente Vascular Cerebral/métodos , Adulto JovemRESUMO
The functional cerebral asymmetry (FCA) in processing targets within rapid serial visual presentation (RSVP) streams has been reported to fluctuate across the menstrual cycle, with identification of the second of two closely spaced targets being impaired when both targets occur in the left or the right hemifield stream during the luteal phase, while during the menstrual phase identification of the second target is only impaired for target pairs presented in the right hemifield stream. This fluctuation has been proposed to result from variations in estradiol levels. The current study used EEG to investigated whether the cycle-related fluctuation in RSVP target identification FCA relates to changes in early, stimulus-driven, bottom-up or in later, top down-driven aspects of FCA. While the former would be expected to become evident in the early visual evoked potentials (VEPs) P1 or N1, the latter would be evident in later event-related potentials (ERPs) such as N2pc or P3. Women performed a dual-stream RSVP task once during the menstrual phase and once during the follicular phase. Estradiol levels were determined from saliva samples. In contrast to previous findings, FCA in RSVP target identification was not affected by cycle phase. However, the impairment in second-target identification when targets where closely spaced was generally smaller during the menstrual phase than during the follicular phase. This effect was matched by shorter peak latencies of P1 VEPs for the menstrual phase, and by a reduction in the latency of the second-target P3 ERP for closely spaced relative to widely spaced target pairs, again for the menstrual phase. Results suggest that in a dual-stream RSVP setup, target identification, early stage stimulus processing, and target consolidation are affected by cycle phase, but that the asymmetry of these effects does not differ between menstrual and follicular phase. The observed cycle-related modulations in neurophysiology and behavior could relate to the effects of estradiol on the locus ceruleus norepinephrine (LC-NE) system, which is known to play a major role in arousal, attention and stress response.
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Atenção/fisiologia , Encéfalo/fisiologia , Estradiol/metabolismo , Ciclo Menstrual/fisiologia , Percepção do Tempo/fisiologia , Adulto , Eletroencefalografia , Potenciais Evocados Visuais/fisiologia , Feminino , Lateralidade Funcional/fisiologia , Humanos , Testes Neuropsicológicos , Saliva/metabolismoRESUMO
OBJECTIVE: Survivors of sepsis often develop long-term neuropsychological malfunctions, which can be reversible to a certain extent. The following study aimed to investigate whether this recovery is due to a loss in neural synchrony by regarding the response to a given frequency. METHODS: Magnetoencephalography measurements were conducted in 36 survivors of severe sepsis and septic shock three times within a time range of 12months after discharge from intensive care unit. We analyzed steady state visual evoked responses using a set of familiar vs. unfamiliar pictures. RESULTS: Sepsis survivors exhibit oscillatory deficits in terms of an impaired response to periodic visual stimulation. Oscillatory deficits and neuropsychological impairments obtained by the DemTect questionnaire were strongly linked. Impaired responses were equally found during the presentation of familiar and unfamiliar stimuli. Compared to familiar stimuli however, the response to unfamiliar stimuli was significantly lower in the follow up but not in the post-acute stage. CONCLUSIONS: We assume that the processing of unfamiliar pictures requires a higher amount of networking. In case of a disrupted network, complex networking might not be maintained. SIGNIFICANCE: Results indicate that neural synchrony might be restored to a certain level while more complex networking remains impaired.
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Encéfalo/fisiopatologia , Potenciais Evocados Visuais/fisiologia , Rede Nervosa/fisiopatologia , Sepse/fisiopatologia , Feminino , Humanos , Magnetoencefalografia , Masculino , Pessoa de Meia-Idade , Testes Neuropsicológicos , Estimulação Luminosa , SobreviventesRESUMO
OBJECTIVE: Survivors of severe sepsis and septic shock suffer from residual severe cognitive impairments, which persist even years after intensive care unit (ICU) discharge. As the awareness of long-term consequences gradually grows, research has focused on cognitive impairments via questionnaires, but only few have focused on structural or electrophysiological features, such as the peak resting frequency, which is commonly seen as a hallmark of brain function. METHODS: We aimed to analyze the long-term progression of the peak resting activity in terms of frequency and power in sepsis survivors. Healthy individuals with no history of ICU stay served as controls. Data were collected three times (shortly, 6 and 12 months after ICU discharge) in sepsis survivors and three times in controls. Participants also underwent behavioral neuropsychological assessment. RESULTS: Sepsis survivors exhibited significantly higher spectral power of the dominant peak, which was shifted towards lower frequencies. Within one year, resting frequency increased to the level of controls, but power did not decrease. We observed a close correlation between resting frequency and mental status. CONCLUSIONS: Results support the assumption of a causal relationship between brain oscillations and behavioral performance. SIGNIFICANCE: We suggest that the postseptic frequency shift is due to abnormal thalamocortical dynamics.
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Magnetoencefalografia/tendências , Descanso/fisiologia , Sepse/fisiopatologia , Choque Séptico/fisiopatologia , Sobreviventes , Idoso , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Alta do Paciente/tendências , Sepse/diagnóstico , Choque Séptico/diagnóstico , Fatores de TempoRESUMO
The mental practice of movements has been suggested as a promising add-on therapy to facilitate motor recovery after stroke. In the case of mentally practised movements, electroencephalogram (EEG) can be utilized to provide feedback about an otherwise covert act. The main target group for such an intervention are elderly patients, though research so far is largely focused on young populations (<30 years). The present study therefore aimed to examine the influence of age on the neural correlates of covert movements (CMs) in a real-time EEG neurofeedback framework. CM-induced event-related desynchronization (ERD) was studied in young (mean age: 23.6 years) and elderly (mean age: 62.7 years) healthy adults. Participants performed covert and overt hand movements. CMs were based on kinesthetic motor imagery (MI) or quasi-movements (QM). Based on previous studies investigating QM in the mu frequency range (8-13Hz) QM were expected to result in more lateralized ERD% patterns and accordingly higher classification accuracies. Independent of CM strategy the elderly were characterized by a significantly reduced lateralization of ERD%, due to stronger ipsilateral ERD%, and in consequence, reduced classification accuracies. QM were generally perceived as more vivid, but no differences were evident between MI and QM in ERD% or classification accuracies. EEG feedback enhanced task-related activity independently of strategy and age. ERD% measures of overt and covert movements were strongly related in young adults, whereas in the elderly ERD% lateralization is dissociated. In summary, we did not find evidence in support of more pronounced ERD% lateralization patterns in QM. Our finding of a less lateralized activation pattern in the elderly is in accordance to previous research and with the idea that compensatory processes help to overcome neurodegenerative changes related to normal ageing. Importantly, it indicates that EEG neurofeedback studies should place more emphasis on the age of the potential end-users.
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Córtex Cerebral/fisiologia , Lateralidade Funcional/fisiologia , Imaginação/fisiologia , Movimento , Neurorretroalimentação , Adulto , Fatores Etários , Ondas Encefálicas , Eletroencefalografia/métodos , Feminino , Mãos , Humanos , Masculino , Pessoa de Meia-Idade , Adulto JovemRESUMO
Auditory information can affect the processing of visual information. The present study used event-related potentials (ERPs) to characterize the temporal dynamics of this interaction in a rapid serial visual presentation (RSVP) task that created an attentional blink (AB), that is, a profound deficit in detecting or identifying the second of two visual targets embedded in an RSVP stream. When a sound preceded the second target, T2, by 250ms or was played simultaneously with T2, T2 identification accuracy increased to a comparable degree. Sound-related modulations of the visual response to T2 emerged from around 140ms when the sound preceded T2, and from around 100ms when the sound was played simultaneously with T2. Timing and topography of this earliest modulation indicated that it is not related to early sensory areas, but suggest an attentional filter mechanism. Subsequent modulations are compatible with an improvement of early visual processing of T2 and of processes related to target selection both when the sound precedes and when it coincides with T2. For the latter condition our results also indicated processes related to a convergence of stimulus-driven and goal-directed attention. We also observed some overlap between neural correlates of sound-related modulations of the visual response and of correct vs. incorrect performance. Thus, external task manipulations and internal factors contributing to performance in the AB may rely on overlapping though not identical mechanisms.
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Intermitência na Atenção Visual/fisiologia , Percepção Auditiva/fisiologia , Eletroencefalografia/métodos , Potenciais Evocados/fisiologia , Desempenho Psicomotor/fisiologia , Adulto , Feminino , Humanos , Masculino , Adulto JovemRESUMO
Motor imagery (MI) combined with real-time electroencephalogram (EEG) feedback is a popular approach for steering brain-computer interfaces (BCI). MI BCI has been considered promising as add-on therapy to support motor recovery after stroke. Yet whether EEG neurofeedback indeed targets specific sensorimotor activation patterns cannot be unambiguously inferred from EEG alone. We combined MI EEG neurofeedback with concurrent and continuous functional magnetic resonance imaging (fMRI) to characterize the relationship between MI EEG neurofeedback and activation in cortical sensorimotor areas. EEG signals were corrected online from interfering MRI gradient and ballistocardiogram artifacts, enabling the delivery of real-time EEG feedback. Significantly enhanced task-specific brain activity during feedback compared to no feedback blocks was present in EEG and fMRI. Moreover, the contralateral MI related decrease in EEG sensorimotor rhythm amplitude correlated inversely with fMRI activation in the contralateral sensorimotor areas, whereas a lateralized fMRI pattern did not necessarily go along with a lateralized EEG pattern. Together, the findings indicate a complex relationship between MI EEG signals and sensorimotor cortical activity, whereby both are similarly modulated by EEG neurofeedback. This finding supports the potential of MI EEG neurofeedback for motor rehabilitation and helps to better understand individual differences in MI BCI performance.
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Eletroencefalografia/métodos , Imaginação/fisiologia , Movimento , Neurorretroalimentação , Córtex Sensório-Motor/fisiologia , Adulto , Mapeamento Encefálico , Feminino , Humanos , Imageamento por Ressonância Magnética , Masculino , Adulto JovemRESUMO
OBJECTIVE: Deï¬cits in sustaining attention are common in various organic brain diseases. A recent study proposed self-alert training (SAT) as a technique to improve sustained attention. In the SAT, individuals learn to gain volitional control over their own state of arousal by means of electrodermal biofeedback. METHOD: In this study, we investigated the behavioral, electrodermal, and electroencephalogram correlates of the SAT with a blinded, randomized, and active-controlled pre-post study design. Sustained attention capacity was assessed with the Sustained Attention to Response Task (SART). RESULTS: The SAT resulted in strong phasic increases in skin conductance response (SCR), but endogenous control of SCR without feedback was problematic. Electroencephalogram analysis revealed stronger alpha reduction during SART for the SAT than for the control group. Behaviorally, the SAT group performed more accurately and more slowly after intervention than the control group. CONCLUSION: The study provides further evidence that SAT helps to maintain SART accuracy over prolonged periods of time. Whether this accuracy is more related to sustained attention or response inhibition is discussed.