Portable equipment for simultaneous assays of psychomotor vigilance test and pupillometry

This paper describes a system with potential for identification of sleep deprivation, which, based on our bibliographical survey, has not yet been described in the literature. The system combines two methodologies, i. e., Psychomotor vigilance test (PVT) and pupillometry, which are among the leading methods for the study of sleep deprivation. However, due to peculiarities of both methodologies, some adaptations were made in their procedures to allow them to co-exist in the same system. Such integration may not only ensure the complementarity of indexes, making the identification of sleep deprivation more solid, but also set up the equalization of the subject's psycho-physiological state, which is not possible in tests performed with a time lag. In this study, the performance of measurements provided by the system was assessed in subjects on alert. However, some measurements present a displacement with respect to their average values, which, according to assessment, are determined by system's technical requirements. The results obtained in this assessment, combined with the increasing demand for large scale application tools, able to be used outside the limits of the laboratory environment for studies in sleep deprivation disorders, point to this system as a potential tool. However, the undertaking of a rigorous experiment is necessary to assess whether the indexes obtained by the system allow the robust identification of sleep deprivation.Neste artigo é descrito um sistema com potencial para identificar a privação do sono, que, com base no levantamento bibliográfico realizado, ainda não foi abordado na literatura. Este sistema integra simultaneamente duas metodologias, o teste de vigilância psicomotora (Psychomotor vigilance test, PVT) e a pupilometria, que se destacam no estudo da privação do sono. Entretanto, para atender às peculiaridades destas metodologias, permitindo que coexistam em um único sistema, algumas adaptações foram realizadas em seus procedimentos. Esta integração poderá garantir não só a complementariedade de indicadores que torna a identificação da privação do sono mais robusta, assim como estabelecer a equalização do estado psicofisiológico do sujeito, o que não é possível em testes realizados com defasagem temporal. Neste estudo, a validação das métricas do sistema foi realizada com sujeitos em estado de alerta. Os resultados mostraram-se coerentes com a literatura. Entretanto, algumas métricas apresentam um deslocamento em seus valores médios, que segundo as avaliações realizadas são determinadas pelas exigências técnicas do sistema. Os resultados obtidos nesta avaliação, somados à crescente demanda de ferramentas de aplicação em larga escala e que possam ser utilizadas além dos limites laboratoriais para estudos em distúrbios e privação do sono, apontam este sistema como uma potencial ferramenta. Entretanto, será necessário o estabelecimento de um experimento rigoroso, para avaliar se os indicadores oriundos das métricas do sistema permitem a identificação robusta da privação do sono.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Fundação de Amparo à Pesquisa do Estado de Minas Gerais (FAPEMIG)Universidade Federal de Minas Gerais Engenharia ElétricaUniversidade Federal de São Paulo (UNIFESP) Departamento de PsicobiologiaUNIFESP, Depto. de PsicobiologiaSciEL

The addition of functional task-oriented mental practice to conventional physical therapy improves motor skills in daily functions after stroke

BACKGROUND: Mental practice (MP) is a cognitive strategy which may improve the acquisition of motor skills and functional performance of athletes and individuals with neurological injuries. OBJECTIVE: To determine whether an individualized, specific functional task-oriented MP, when added to conventional physical therapy (PT), promoted better learning of motor skills in daily functions in individuals with chronic stroke (13±6.5 months post-stroke). METHOD: Nine individuals with stable mild and moderate upper limb impairments participated, by employing an A1-B-A2 single-case design. Phases A1 and A2 included one month of conventional PT, and phase B the addition of MP training to PT. The motor activity log (MAL-Brazil) was used to assess the amount of use (AOU) and quality of movement (QOM) of the paretic upper limb; the revised motor imagery questionnaire (MIQ-RS) to assess the abilities in kinesthetic and visual motor imagery; the Minnesota manual dexterity test to assess manual dexterity; and gait speed to assess mobility. RESULTS: After phase A1, no significant changes were observed for any of the outcome measures. However, after phase B, significant improvements were observed for the MAL, AOU and QOM scores (p<0.0001), and MIQ-RS kinesthetic and visual scores (p=0.003; p=0.007, respectively). The significant gains in manual dexterity (p=0.002) and gait speed (p=0.019) were maintained after phase A2. CONCLUSIONS: Specific functional task-oriented MP, when added to conventional PT, led to improvements in motor imagery abilities combined with increases in the AOU and QOM in daily functions, manual dexterity, and gait speed

Current perception threshold and reaction time in the assessment of sensory peripheral nerve fibers through sinusoidal electrical stimulation at different frequencies

INTRODUCTION: The Perception Sensory Threshold (ST) for sinusoidal current stimuli at 5, 250, and 2,000 Hz is commonly used in the assessment of peripheral nerve fibers (C, Aδ, and Aβ, respectively). However, the neuroselectivity of these frequencies is far from consensus. In addition, Reaction Time (RT) measurements suggest that 2,000 Hz stimuli excite Aβ-fibers, 250 Hz Aβ- or Aδ-fibers, as well as 5 Hz Aβ-, Aδ- or C-fibers. Therefore, we suppose that the sinusoidal current neuroselectivity may be better observed if ST and RT parameters are jointly evaluated. In addition, we have investigated whether there are other sets of frequencies that could be used. METHODS: Thus this work investigates ST and RT for stimuli with frequency ranging from 1 to 3,000 Hz, on 28 healthy subjects aged from 19 to 44 years old (27.1±5.49). ST and RT dissimilarity among different frequencies was evaluated applying bi-dimensional Fisher Quadratic Discriminant. RESULTS: The lowest classification error (3.6%) was obtained for 1, 250, and 3,000 Hz. Error for 5, 250, and 2,000Hz was 16.7%. Stimulation frequency at 1 Hz evoked more sensations related to C-fibers (53% of reports) than to Aβ-fibers (36%). However, this behavior did not repeat itself at 5 Hz (only 21% of perceptions were related to C-fibers against 64% to Aβ-fibers). Sensations related to Aβ-fibers prevailed for the highest frequencies presented to the subjects (2,000 Hz - 82% and 3,000 Hz - 93%). Mean RT values showed a decreasing trend with frequency. CONCLUSION: These results suggest that frequencies 1, 250, and 3,000 Hz are more neuroselective than 5, 250, and 2,000 Hz for the evaluation of peripheral sensitive fibers. Furthermore, they show RT usefulness

Percepções e estimulações elétricas por correntes senoidais

OBJECTIVE: To analyze the relationship between perceptions and electrical senoidal current stimulation (ESCS). METHOD: The study population comprise 100 healthy volunteers. ESCS of 5 Hz and 2 kHz were applied to the left index finger at one and 1.5 sensory threshold. Following each stimulus train a list of eight words (four related to thin fiber sensations and four related to thick fiber sensations) was presented to the subjects who were asked to choose the three words closer to the experienced sensation. Each chosen word was given a score 1; final results were obtained by the sum of the scores for the words related to thin and thick fiber systems for each situation. RESULTS: For 5 Hz ESCS at one and 1.5 sensory threshold thin fibers had significantly higher scores than thick fibers; for 2 kHz ESCS, thick fibers had significantly higher scores. CONCLUSION: These results show that there is a relation between different sensations and ESCS of different frequencies.OBJETIVO: Estudar a relação entre as sensações evocadas por estimulação elétrica por corrente senoidal (ESCS). MÉTODO: 100 voluntários normais foram estudados. ESCS a 5 Hz e 2 kHz foram aplicadas no dedo indicador esquerdo com uma e 1,5 vezes o limiar sensorial. Listas de oito palavras (4 relacionadas a fibras grossas, 4 a fibras finas) foram apresentadas após cada estimulação e foi solicitado que o sujeito escolhesse as 3 palavras que mais se aproximassem das sensações experimentadas. Às palavras escolhidas foi dado o escore 1. Os resultados finais para análise foram obtidos da soma dos escores para as palavras relacionadas aos diferentes sistemas de fibras. RESULTADOS: Para ESCS a 5 Hz sensações relacionadas a fibras finas foram significantemente mais escolhidas, já para estimulações a 2 kHz sensações relacionadas a fibras grossas foram significantemente mais escolhidas. CONCLUSÃO: Estes resultados mostram um relação entre diferentes percepções e diferentes freqüências de correntes elétricas senoidais.City of São Paulo UniversityUNIFESP Neurology and Neurosurgery DepartmentFederal University of Minas Gerais Electrical Engineering DepartmentUNIFESP, Neurology and Neurosurgery DepartmentSciEL

Detection of movement intention using EEG in a human-robot interaction environment

Introduction : This paper presents a detection method for upper limb movement intention as part of a brain-machine interface using EEG signals, whose final goal is to assist disabled or vulnerable people with activities of daily living. Methods EEG signals were recorded from six naïve healthy volunteers while performing a motor task. Every volunteer remained in an acoustically isolated recording room. The robot was placed in front of the volunteers such that it seemed to be a mirror of their right arm, emulating a Brain Machine Interface environment. The volunteers were seated in an armchair throughout the experiment, outside the reaching area of the robot to guarantee safety. Three conditions are studied: observation, execution, and imagery of right arm&#8217;s flexion and extension movements paced by an anthropomorphic manipulator robot. The detector of movement intention uses the spectral F test for discrimination of conditions and uses as feature the desynchronization patterns found on the volunteers. Using a detector provides an objective method to acknowledge for the occurrence of movement intention. Results When using four realizations of the task, detection rates ranging from 53 to 97% were found in five of the volunteers when the movement was executed, in three of them when the movement was imagined, and in two of them when the movement was observed. Conclusions Detection rates for movement observation raises the question of how the visual feedback may affect the performance of a working brain-machine interface, posing another challenge for the upcoming interface implementation. Future developments will focus on the improvement of feature extraction and detection accuracy for movement intention using EEG data

Evidências preliminares da efetividade do treinamento cognitivo para melhorar a inteligência de crianças escolares

Objetivou-se verificar a efetividade de um programa de treinamento cognitivo (TC) para melhorar a inteligência de crianças escolares. Participaram do TC 16 crianças (M = 8,75 anos; DP = 0,44) divididas em grupo controle (GC) e grupo experimental (GE), avaliadas no pré e no pós-teste com medidas de inteligência fluida, cristalizada e desempenho escolar. O TC consistiu da aplicação de tarefas de memória de trabalho por dois meses. Não foram encontradas diferenças significativas entre as medidas pré e pós-teste de inteligência. Entretanto, após o treinamento, observou-se redução das diferenças entre Gc e Gf em medidas de inteligência fluída. No caso do teste Raven, a diferença entre GC e GE (favorável a GC) caiu de um d = 0,126 para d = 0,058. No teste TNVRI a diferença inicial a favor de GC (d = 0, 177) passou a ser negativa (d = -0,384), portanto a favor de GE. Esse pequeno benefício não foi observado nos testes de conhecimento escolar, nos quais os maiores ganhos no pós-teste foram do GC. Os resultados encontram suporte parcial na literatura. Contudo, estudos com uma amostra maior, maior tempo de treinamento e de intervalo entre os pós-testes são necessários para verificar a generalidade de tais achados

Magnitude Squared of Coherence to Detect Imaginary Movement

This work investigates the Magnitude Squared of Coherence (MSC) for detection of Event Related Potentials (ERPs) related to left-hand index finger movement. Initially, ERP presence was examined in different brain areas. To accomplish that, 20 EEG channels were used, positioned according to the 10&#8211;20 international system. The grand average, resulting from 10 normal subjects showed, as expected, responses at frontal, central, and parietal areas, particularly evident at the central area (C3, C4, Cz). The MSC, applied to movement imagination related EEG signals, detected a consistent response in frequencies around 0.3&#8211;1&#x2009;Hz (delta band), mainly at central area (C3, Cz, and C4). Ability differences in control imagination among subjects produced different detection performance. Some subjects needed up to 45 events for a detectable response, while for some others only 10 events proved sufficient. Some subjects also required two or three experimental sessions in order to achieve detectable responses. For one subject, response detection was not possible at all. However, due to brain plasticity, it is plausible to expect that training sessions (to practice movement imagination) improve signal-noise ratio and lead to better detection using MSC. Results are sufficiently encouraging as to suggest further exploration of MSC for future BCI application