Cerebral cortical networking for mental workload assessment under various demands during dual-task walking

Dual-task improvement of older adults after treadmill walking combined with blood flow restriction of low occlusion pressure: the effect on the heart-brain axis

OBJECTIVE

This study explored the impact of one session of low-pressure leg blood flow restriction (BFR) during treadmill walking on dual-task performance in older adults using the neurovisceral integration model framework.

METHODS

Twenty-seven older adults participated in 20-min treadmill sessions, either with BFR (100 mmHg cuff pressure on both thighs) or without it (NBFR). Dual-task performance, measured through light-pod tapping while standing on foam, and heart rate variability during treadmill walking were compared.

RESULTS

Following BFR treadmill walking, the reaction time (p = 0.002) and sway area (p = 0.012) of the posture dual-task were significantly reduced. Participants exhibited a lower mean heart rate (p < 0.001) and higher heart rate variability (p = 0.038) during BFR treadmill walking. Notably, BFR also led to band-specific reductions in regional brain activities (theta, alpha, and beta bands, p < 0.05). The topology of the EEG network in the theta and alpha bands became more star-like in the post-test after BFR treadmill walking (p < 0.005).

CONCLUSION

BFR treadmill walking improves dual-task performance in older adults via vagally-mediated network integration with superior neural economy. This approach has the potential to prevent age-related falls by promoting cognitive reserves.

Augmented Recognition of Distracted Driving State Based on Electrophysiological Analysis of Brain Network

In this study, we propose an electrophysiological analysis-based brain network method for the augmented recognition of different types of distractions during driving. Driver distractions, such as cognitive processing and visual disruptions during driving, lead to distinct alterations in the electroencephalogram (EEG) signals and the extracted brain networks. We designed and conducted a simulated experiment comprising 4 distracted driving subtasks. Three connectivity indices, including both linear and nonlinear synchronization measures, were chosen to construct the brain network. By computing connectivity strengths and topological features, we explored the potential relationship between brain network configurations and states of driver distraction. Statistical analysis of network features indicates substantial differences between normal and distracted states, suggesting a reconfiguration of the brain network under distracted conditions. Different brain network features and their combinations are fed into varied machine learning classifiers to recognize the distracted driving states. The results indicate that XGBoost demonstrates superior adaptability, outperforming other classifiers across all selected network features. For individual networks, features constructed using synchronization likelihood (SL) achieved the highest accuracy in distinguishing between cognitive and visual distraction. The optimal feature set from 3 network combinations achieves an accuracy of 95.1% for binary classification and 88.3% for ternary classification of normal, cognitively distracted, and visually distracted driving states. The proposed method could accomplish the augmented recognition of distracted driving states and may serve as a valuable tool for further optimizing driver assistance systems with distraction control strategies, as well as a reference for future research on the brain-computer interface in autonomous driving.

Functional Connectivity Methods for Multi-Class Mental Workload Classification

Recently, significant attention has been drawn to the ability of network-based features to classify EEG signals reflecting varying levels of mental workload. Such features are based on methods of functional connectivity (FC), which quantify the statistical relationship between EEG electrode potentials. Here, we compare three FC-based feature extraction methods for the classification of mental workload from the Multi-Attribute Task Battery. The approaches used are weighted phase lag index (WPLI), imaginary coherence (IC), and layer entanglement (LE). WPLI and IC are popular methods for FC analysis. LE is a new approach which was introduced in recent literature. When classifying between three levels of workload, a support vector machine classifier achieved an 88% average (person-dependent) accuracy using all FC methods together, 89% using only the LE method, 67% with the IC method, and 61% with the WPLI method. When classifying between two levels of workload, these scores improve to 97%, 97%, 86%, and 81%, respectively. These results support and extend the findings of prior work and suggest that LE-based methods may enable accurate mental workload prediction which is suitable for passive brain-computer interfaces.

Examining the effects of exercise with different cognitive loads on executive function: A systematic review

Executive functions (EFs) play a pivotal role in daily functioning, academic and vocational achievement, well-being, and the regulation of cognitive processes that impact the quality of life. Physical exercise has been shown to have positive effects on EFs. However, there remains some controversy regarding whether exercise with greater cognitive loads may be more effective for improving EFs. Through this systematic review, we aimed to synthesize available cross-sectional and longitudinal intervention studies concerning the effects of exercise with varying cognitive loads on EFs. The literature search was conducted across three electronic databases, retrieving cross-sectional and longitudinal intervention (randomized controlled trials) studies, using a standardized EF measurement from inception until June 2023. Our search yielded a total of 1570 potentially relevant articles, of which 53 were considered for full-text reading, and 28 were included in the review after full-text reading. The present study utilized Gentile's (2000) taxonomy classification to determine the cognitive load levels in exercises. Overall, findings from the 28 included studies suggested that exercise training interventions are a promising way to promote overall EF. Noteworthy, there is preliminary empirical evidence to suggest that exercises with higher cognitive loads resulted in greater benefits for EF than those with lower cognitive loads.

Cortico-muscular connectivity is modulated by passive and active Lokomat-assisted Gait

The effects of robotic-assisted gait (RAG) training, besides conventional therapy, on neuroplasticity mechanisms and cortical integration in locomotion are still uncertain. To advance our knowledge on the matter, we determined the involvement of motor cortical areas in the control of muscle activity in healthy subjects, during RAG with Lokomat, both with maximal guidance force (100 GF-passive RAG) and without guidance force (0 GF-active RAG) as customary in rehabilitation treatments. We applied a novel cortico-muscular connectivity estimation procedure, based on Partial Directed Coherence, to jointly study source localized EEG and EMG activity during rest (standing) and active/passive RAG. We found greater cortico-cortical connectivity, with higher path length and tendency toward segregation during rest than in both RAG conditions, for all frequency bands except for delta. We also found higher cortico-muscular connectivity in distal muscles during swing (0 GF), and stance (100 GF), highlighting the importance of direct supraspinal control to maintain balance, even when gait is supported by a robotic exoskeleton. Source-localized connectivity shows that this control is driven mainly by the parietal and frontal lobes. The involvement of many cortical areas also in passive RAG (100 GF) justifies the use of the 100 GF RAG training for neurorehabilitation, with the aim of enhancing cortical-muscle connections and driving neural plasticity in neurological patients.

Maintaining Task Performance Levels Under Cognitive Load While Walking Requires Widespread Reallocation of Neural Resources

This study elucidates the neural mechanisms underlying increasing cognitive load while walking by employing 2 versions of a response inhibition task, the '1-back' version and the more cognitively demanding '2-back' version. By using the Mobile Brain/Body Imaging (MoBI) modality, electroencephalographic (EEG) activity, three-dimensional (3D) gait kinematics and task-related behavioral responses were collected while young adults (n = 61) performed either the 1-back or 2-back response inhibition task. Interestingly, increasing inhibitory difficulty from 1-back to 2-back during walking was not associated with any detectable costs in response accuracy, response speed, or gait consistency. However, the more difficult cognitive task was associated with distinct EEG component changes during both successful inhibitions (correct rejections) and successful executions (hits) of the motor response. During correct rejections, ERP changes were found over frontal regions, during latencies related to sensory gain control, conflict monitoring and working memory storage and processing. During hits, ERP changes were found over left-parietal regions during latencies related to orienting attention and subsequent selection and execution of the motor plan. The pattern of attenuation in walking-related EEG amplitude changes, during 2-back task performance, is thought to reflect more effortful recalibration of neural processes, a mechanism which might be a key driver of performance maintenance in the face of increased cognitive demands while walking. Overall, the present findings shed light on the extent of the neurocognitive capacity of young adults and may lead to a better understanding of how factors such as aging or neurological disorders could impinge on this capacity.

A mental workload and biomechanical assessment during split-belt locomotor adaptation with and without optic flow

Adaptive human performance relies on the central nervous system to regulate the engagement of cognitive-motor resources as task demands vary. Despite numerous studies which employed a split-belt induced perturbation to examine biomechanical outcomes during locomotor adaptation, none concurrently examined the cerebral cortical dynamics to assess changes in mental workload. Additionally, while prior work suggests that optic flow provides critical information for walking regulation, a few studies have manipulated visual inputs during adaption to split-belt walking. This study aimed to examine the concurrent modulation of gait and Electroencephalography (EEG) cortical dynamics underlying mental workload during split-belt locomotor adaptation, with and without optic flow. Thirteen uninjured participants with minimal inherent walking asymmetries at baseline underwent adaptation, while temporal-spatial gait and EEG spectral metrics were recorded. The results revealed a reduction in step length and time asymmetry from early to late adaptation, accompanied by an elevated frontal and temporal theta power; the former being well corelated to biomechanical changes. While the absence of optic flow during adaptation did not affect temporal-spatial gait metrics, it led to an increase of theta and low-alpha power. Thus, as individuals adapt their locomotor patterns, the cognitive-motor resources underlying the encoding and consolidation processes of the procedural memory were recruited to acquire a new internal model of the perturbation. Also, when adaption occurs without optic flow, a further reduction of arousal is accompanied with an elevation of attentional engagement due to enhanced neurocognitive resources likely to maintain adaptive walking patterns.

Visual Demands of Walking Are Reflected in Eye-Blink-Evoked EEG-Activity

Blinking is a natural user-induced response which paces visual information processing. This study investigates whether blinks are viable for segmenting continuous electroencephalography (EEG) activity, for inferring cognitive demands in ecologically valid work environments. We report the blink-related EEG measures of participants who performed auditory tasks either standing, walking on grass, or whilst completing an obstacle course. Blink-related EEG activity discriminated between different levels of cognitive demand during walking. Both behavioral parameters (e.g., blink duration or head motion) and blink-related EEG activity varied with walking conditions. Larger occipital N1 was observed during walking, relative to standing and traversing an obstacle course, which reflects differences in bottom-up visual perception. In contrast, the amplitudes of top-down components (N2, P3) significantly decreased with increasing walking demands, which reflected narrowing attention. This is consistent with blink-related EEG, specifically in Theta and Alpha power that, respectively, increased and decreased with increasing demands of the walking task. This work presents a novel and robust analytical approach to evaluate the cognitive demands experienced in natural work settings, which precludes the use of artificial task manipulations for data segmentation.

Did you even see that? visual sensory processing of single stimuli under different locomotor loads

Modern living and working environments are more and more interspersed with the concurrent execution of locomotion and sensory processing, most often in the visual domain. Many job profiles involve the presentation of visual information while walking, for example in warehouse logistics work, where a worker has to manage walking to the correct aisle to pick up a package while being presented with visual information over data-glasses concerning the next order. Similar use-cases can be found in manufacturing jobs, for example in car montage assembly lines where next steps are presented via augmented reality headsets while walking at a slow pace. Considering the overall scarcity of cognitive resources available to be deployed to either the cognitive or motor processes, task performance decrements were found when increasing load in either domain. Interestingly, the walking motion also had beneficial effects on peripheral contrast detection and the inhibition of visual stream information. Taking these findings into account, we conducted a study that comprised the detection of single visual targets (Landolt Cs) within a broad range of the visual field (-40° to +40° visual angle) while either standing, walking, or walking with concurrent perturbations. We used questionnaire (NASA-TLX), behavioral (response times and accuracy), and neurophysiological data (ERPs and ERSPs) to quantify the effects of cognitive-motor interference. The study was conducted in a Gait Real-time Analysis Interactive Laboratory (GRAIL), using a 180° projection screen and a swayable and tiltable dual-belt treadmill. Questionnaire and behavioral measures showed common patterns. We found increasing subjective physical workload and behavioral decrements with increasing stimulus eccentricity and motor complexity. Electrophysiological results also indicated decrements in stimulus processing with higher stimulus eccentricity and movement complexity (P3, Theta), but highlighted a beneficial role when walking without perturbations and processing more peripheral stimuli regarding earlier sensory components (N1pc/N2pc, N2). These findings suggest that walking without impediments can enhance the visual processing of peripheral information and therefore help with perceiving non-foveal sensory content. Also, our results could help with re-evaluating previous findings in the context of cognitive-motor interference, as increased motor complexity might not always impede cognitive processing and performance.

Cognitive-motor interference in the wild: Assessing the effects of movement complexity on task switching using mobile EEG

Adaptively changing between different tasks while in locomotion is a fundamental prerequisite of modern daily life. The cognitive processes underlying dual tasking have been investigated extensively using EEG. Due to technological restrictions, however, this was not possible for dual-task scenarios including locomotion. With new technological opportunities, this became possible and cognitive-motor interference can be studied, even in outside-the-lab environments. In the present study, participants carried out a cognitive-motor interference task as they responded to cued, auditory task-switch stimuli while performing locomotive tasks with increasing complexity (standing, walking, traversing an obstacle course). We observed increased subjective workload ratings as well as decreased behavioural performance for increased movement complexity and cognitive task difficulty. A higher movement load went along with a decrease of parietal P2, N2 and P3 amplitudes and frontal Theta power. A higher cognitive load, on the other hand, was reflected by decreased frontal CNV amplitudes. Additionally, a connectivity analysis using inter-site phase coherence revealed that higher movement as well as cognitive task difficulty had an impairing effect on fronto-parietal connectivity. In conclusion, subjective ratings, behavioural performance and electrophysiological results indicate that less cognitive resources were available to be deployed towards the execution of the cognitive task when in locomotion compared to standing still. Connectivity results also show a scarcity of attentional resources when switching a task during the highest movement complexity condition. Summarized, all findings indicate a central role of attentional control regarding cognitive-motor dual tasking and an inherent limitation of cognitive resources.