Similarities between explicit and implicit motor imagery in mental rotation of hands: an EEG study

Chronometric and imaging studies have shown that motor imagery is used implicitly during mental rotation tasks in which subjects for example judge the laterality of human hand pictures at various orientations. Since explicit motor imagery is known to activate the sensorimotor areas of the cortex, mental rotation is expected to do similar if it involves a form of motor imagery. So far, functional magnetic resonance imaging and positron emission tomography have been used to study mental rotation and less attention has been paid to electroencephalogram (EEG) which offers a high time-frequency resolution. The time-frequency analysis is an established method for studying explicit motor imagery. Although hand mental rotation is claimed to involve motor imagery, the time-frequency characteristics of mental rotation have never been compared with those of explicit motor imagery. In this study, time-frequency responses of EEG recorded during explicit motor imagery and during a mental rotation task, inducing implicit motor imagery, were compared. Fifteen right-handed healthy volunteers performed motor imagery of hands in one condition and hand laterality judgement tasks in another while EEG of the whole head was recorded. The hand laterality judgement was the mental rotation task used to induce implicit motor imagery. The time-frequency analysis and sLORETA localisation of the EEG showed that the activities in the sensorimotor areas had similar spatial and time-frequency characteristics in explicit motor imagery and implicit motor imagery conditions. Furthermore this sensorimotor activity was different for the left and for the right hand in both explicit and implicit motor imagery. This result supports that motor imagery is used during mental rotation and that it can be detected and studied with EEG technology. This result should encourage the use of mental rotation of body parts in rehabilitation programmes in a similar manner as motor imagery

Unimanual versus bimanual motor imagery classifiers for assistive and rehabilitative brain computer interfaces

Bimanual movements are an integral part of everyday activities and are often included in rehabilitation therapies. Yet electroencephalography (EEG) based assistive and rehabilitative brain computer interface (BCI) systems typically rely on motor imagination (MI) of one limb at the time. In this study we present a classifier which discriminates between uni-and bimanual MI. Ten able bodied participants took part in cue based motor execution (ME) and MI tasks of the left (L), right (R) and both (B) hands. A 32 channel EEG was recorded. Three linear discriminant analysis classifiers, based on MI of L-B, B-R and B--L hands were created, with features based on wide band Common Spatial Patterns (CSP) 8-30 Hz, and band specifics Common Spatial Patterns (CSPb). Event related desynchronization (ERD) was significantly stronger during bimanual compared to unimanual ME on both hemispheres. Bimanual MI resulted in bilateral parietally shifted ERD of similar intensity to unimanual MI. The average classification accuracy for CSP and CSPb was comparable for L-R task (73±9% and 75±10% respectively) and for L-B task (73±11% and 70±9% respectively). However, for R-B task (67±3% and 72±6% respectively) it was significantly higher for CSPb (p=0.0351). Six participants whose L-R classification accuracy exceeded 70% were included in an on-line task a week later, using the unmodified offline CSPb classifier, achieving 69±3% and 66±3% accuracy for the L-R and R-B tasks respectively. Combined uni and bimanual BCI could be used for restoration of motor function of highly disabled patents and for motor rehabilitation of patients with motor deficits

Influence of motor imagination on cortical activation during functional electrical stimulation

<b>Objective</b> Motor Imagination (MI) and Functional Electrical Stimulation (FES) can activate the sensory-motor cortexthrough efferent and afferent pathways respectively. Motor Imagination can be used as a control strategy to activate FES through a Brain-computer interface as the part of a rehabilitation therapy. It is believed that precise timing between the onset of MI and FES is important for strengthening the cortico-spinal pathways but it is not known whether prolonged MI during FES influences cortical response.<p></p> <b>Methods</b> Electroencephalogram was measured in ten able-bodied participants using MI strategy to control FES through a BCI system. Event related synchronisation/desynchronisation (ERS/ERD) over the sensory-motor cortex was analysed and compared in three paradigms: MI before FES, MI before and during FES and FES alone activated automatically.<p></p> <b>Results</b> MI practiced both before and during FES produced strongest ERD. When MI only preceded FES it resulted in a weaker beta ERD during FES than when FES was activated automatically. Following termination of FES, beta ERD returns to the baseline level within 0.5 s while alpha ERD took longer than 1 s.<p></p> <b>Conclusions</b> When MI and FES are combined for rehabilitation purposes it is recommended that MI is practiced throughout FES activation period.<p></p> <b>Significance</b> The study is relevant for neurorehabilitation of movement.<p></p&gt

Is implicit motor imagery a reliable strategy for a brain computer interface?

Explicit motor imagery (eMI) is a widely used brain computer interface (BCI) paradigm, but not everybody can accomplish this task. Here we propose a BCI based on implicit motor imagery (iMI). We compared classification accuracy between eMI and iMI of hands. Fifteen able bodied people were asked to judge the laterality of hand images presented on a computer screen in a lateral or medial orientation. This judgement task is known to require mental rotation of a person’s own hands which in turn is thought to involve iMI. The subjects were also asked to perform eMI of the hands. Their electroencephalography (EEG) was recorded. Linear classifiers were designed based on common spatial patterns. For discrimination between left and right hand the classifier achieved maximum of 81 ± 8% accuracy for eMI and 83 ± 3% for iMI. These results show that iMI can be used to achieve similar classification accuracy as eMI. Additional classification was performed between iMI in medial and lateral orientations of a single hand; the classifier achieved 81 ± 7% for the left and 78 ± 7% for the right hand which indicate distinctive spatial patterns of cortical activity for iMI of a single hand in different directions. These results suggest that a special brain computer interface based on iMI may be constructed, for people who cannot perform explicit imagination, for rehabilitation of movement or for treatment of bodily spatial neglect

Home Used, Patient Self-Managed, Brain-Computer Interface for Treatment of Central Neuropathic Pain in Spinal Cord Injury: Feasibility Study

Central Neuropathic Pain (CNP) is a frequent chronic condition in people with spinal cord injury (SCI). In a previous study, we showed that using laboratory brain-computer interface (BCI) technology for neurofeedback training, it is possible to reduce pain in SCI people who suffered from CNP for many years. In this study, we show initial results from 12 people with SCI and CNP who practiced neurofeedback on their own using our portable BCI, consisting of a wearable EEG headset (Emotiv, EPOC, USA) and a computer tablet. Eight participants showed a positive initial response to neurofeedback and seven learned how to use portable BCI on their own at home. In this paper, we present a portable BCI and discuss the main challenges of training lay people, patients and their caregivers, to use a custom designed BCI application at home

Rehabilitation of hand in subacute tetraplegic patients based on brain computer interface and functional electrical stimulation: a randomised pilot study

Objective. To compare neurological and functional outcomes between two groups of hospitalised patients with subacute tetraplegia. Approach. Seven patients received 20 sessions of brain computer interface (BCI) controlled functional electrical stimulation (FES) while five patients received the same number of sessions of passive FES for both hands. The neurological assessment measures were event related desynchronization (ERD) during movement attempt, Somatosensory evoked potential (SSEP) of the ulnar and median nerve; assessment of hand function involved the range of motion (ROM) of wrist and manual muscle test. Main results. Patients in both groups initially had intense ERD during movement attempt that was not restricted to the sensory-motor cortex. Following the treatment, ERD cortical activity restored towards the activity in able-bodied people in BCI-FES group only, remaining wide-spread in FES group. Likewise, SSEP returned in 3 patients in BCI-FES group, having no changes in FES group. The ROM of the wrist improved in both groups. Muscle strength significantly improved for both hands in BCI-FES group. For FES group, a significant improvement was noticed for right hand flexor muscles only. Significance. Combined BCI-FES therapy results in better neurological recovery and better improvement of muscle strength than FES alone. For spinal cord injured patients, BCI-FES should be considered as a therapeutic tool rather than solely a long-term assistive device for the restoration of a lost function

Central neuropathic pain in paraplegia alters movement related potentials

Objectives: Spinal Cord Injured (SCI) persons with and without Central Neuropathic Pain (CNP) show different oscillatory brain activities during imagination of movement. This study investigates whether they also show differences in movement related cortical potentials (MRCP). Methods: SCI paraplegic patients with no CNP (n = 8), with CNP in their lower limbs (n = 8), and healthy control subjects (n = 10) took part in the study. EEG clustering involved independent component analysis, equivalent current dipole fitting, and Measure Projection to define cortical domains that have functional modularity during the motor imagery task. Results: Three domains were identified: limbic system, sensory-motor cortex and visual cortex. The MRCP difference between the groups of SCI with and without CNP was reflected in a domain located in the limbic system, while the difference between SCI patients and control subjects was in the sensorimotor domain. Differences in MRCP morphology between patients and healthy controls were visible for both paralysed and non paralysed limbs. Conclusion: SCI but not CNP affects the movement preparation, and both SCI and CNP affect sensory processes. Significance: Rehabilitation strategies of SCI patients based on MRCP should take into account the presence of CNP

New complexity measures reveal that topographic loops of human alpha phase potentials are more complex in drowsy than in wake

A number of measures, stemming from nonlinear dynamics, exist to estimate complexity of biomedical objects. In most cases they are appropriate, but sometimes unconventional measures, more suited for specific objects, are needed to perform the task. In our present work, we propose three new complexity measures to quantify complexity of topographic closed loops of alpha carrier frequency phase potentials (CFPP) of healthy humans in wake and drowsy states. EEG of ten adult individuals was recorded in both states, using a 14-channel montage. For each subject and each state, a topographic loop (circular directed graph) was constructed according to CFPP values. Circular complexity measure was obtained by summing angles which directed graph edges (arrows) form with the topographic center. Longitudinal complexity was defined as the sum of all arrow lengths, while intersecting complexity was introduced by counting the number of intersections of graph edges. Wilcoxon’s signed-ranks test was used on the sets of these three measures, as well as on fractal dimension values of some loop properties, to test differences between loops obtained in wake vs. drowsy. While fractal dimension values were not significantly different, longitudinal and intersecting complexities, as well as anticlockwise circularity, were significantly increased in drowsy

Reversed cortical over-activity during movement imagination following neurofeedback treatment for central neuropathic pain

Objective: One of the brain signatures of the central neuropathic pain (CNP) is the theta band over-activity of wider cortical structures, during imagination of movement. The objective of the study was to investigate whether this over-activity is reversible following the neurofeedback treatment of CNP. Methods: Five paraplegic patients with pain in their legs underwent from twenty to forty neurofeedback sessions that significantly reduced their pain. In order to assess their dynamic cortical activity they were asked to imagine movements of all limbs a week before the first and a week after the last neurofeedback session. Using time–frequency analysis we compared EEG activity during imagination of movement before and after the therapy and further compared it with EEG signals of ten paraplegic patients with no pain and a control group of ten able-bodied people. Results: Neurofeedback treatment resulted in reduced CNP and a wide spread reduction of cortical activity during imagination of movement. The reduction was significant in the alpha and beta band but was largest in the theta band. As a result cortical activity became similar to the activity of other two groups with no pain. Conclusions: Reduction of CNP is accompanied by reduced cortical over-activity during movement imagination. Significance: Understanding causes and consequences mechanism through which CNP affects cortical activity

Improving Motor Imagination with Support of RealTime LORETA Neurofeedback

Recording cortical activity during imagined leg movement is a challenging task due to cortical representation of legs deeper within the central sulcus. Therefore Brain Computer Interface (BCI) studies typically rely on imagined movement of both legs [1]. Activity of deeper cortical structures can be estimated offline from multichannel Electroencephalography (EEG) by using LORETA numerical method [2]. LORETA can also be calculated in real time to provide an instantaneous estimate of brain activity, but currently available solution supports only up to 19 channels (BrainAvatar, BrainMaster, Inc). In this study we propose a custom designed real time LORETA neurofeedback based on multichannel EEG to increase cortical activity at the central sulcus during continuous imagining tapping with one leg only. This strategy could be useful in neurorehabilitation of hemiplegia (i.e. stroke)