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Basri AM, Turki AF. Evaluating Heart Rate Variability as a Biomarker for Autonomic Function in Parkinson's Disease Rehabilitation: A Clustering-Based Analysis of Exercise-Induced Changes. MEDICINA (KAUNAS, LITHUANIA) 2025; 61:527. [PMID: 40142338 PMCID: PMC11944220 DOI: 10.3390/medicina61030527] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/20/2025] [Revised: 03/08/2025] [Accepted: 03/14/2025] [Indexed: 03/28/2025]
Abstract
Background: Heart rate variability (HRV) is a key biomarker reflecting autonomic nervous system (ANS) function and neurocardiac regulation. Reduced HRV has been associated with cardiovascular risk, neurodegenerative disorders, and autonomic dysfunction. In Parkinson's disease (PD), HRV impairments indicate altered autonomic balance, which may be modifiable through structured exercise interventions. This study investigates the effects of aerobic exercise on HRV in patients with PD and evaluates autonomic adaptations to rehabilitation. Methods: A total of 110 patients with PD (55 male, 55 female) participated in a supervised three-month aerobic exercise program. HRV was assessed pre- and post-intervention using electrocardiogram (ECG) recordings. Time-domain and frequency-domain HRV metrics, including standard deviation of RR intervals (SDRR), very-low-frequency (VLF), low-frequency (LF), high-frequency (HF) power, and LF/HF ratio, were analyzed. Principal Component Analysis (PCA) and clustering techniques were applied to identify subgroups of HRV responders based on autonomic adaptation. Results: Significant improvements in HRV were observed post-intervention, with a reduction in LF/HF ratio (p < 0.05), indicating improved autonomic balance. Cluster analysis identified four distinct HRV response subgroups: Strong Responders, Moderate Responders, Mixed/Irregular Responders, and Low Responders. These findings highlight individual variability in autonomic adaptations to exercise. PCA revealed that key HRV parameters contribute differently to autonomic regulation, emphasizing the complexity of HRV changes in PD rehabilitation. Conclusions: This study demonstrates that aerobic exercise induces beneficial autonomic adaptations in PD patients, as reflected by HRV changes. The identification of response subgroups suggests the need for personalized rehabilitation strategies to optimize autonomic function. Further research is warranted to explore the long-term impact of HRV-guided rehabilitation interventions in PD management.
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Affiliation(s)
- Ahmed M. Basri
- Department of Medical Laboratory Sciences, Faculty of Applied Medical Sciences, King Abdulaziz University, Jeddah 21589, Saudi Arabia;
| | - Ahmad F. Turki
- Electrical and Computer Engineering Department, Faculty of Engineering, King Abdulaziz University, Jeddah 21589, Saudi Arabia
- Center of Excellence in Intelligent Engineering Systems (CEIES), King Abdul Aziz University, Jeddah 21589, Saudi Arabia
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Gu C, Ma G, Zhang M, Shen H, Pu L, Song Y, Yan S, Wang D, Ba K, Yu B, Han Z, Ren L. A Neural Device Inspired by Neuronal Oscillatory Activity with Intrinsic Perception and Decision-Making. ADVANCED SCIENCE (WEINHEIM, BADEN-WURTTEMBERG, GERMANY) 2025; 12:e2414173. [PMID: 39903743 PMCID: PMC11948023 DOI: 10.1002/advs.202414173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/02/2024] [Revised: 01/17/2025] [Indexed: 02/06/2025]
Abstract
Bionic neural devices often feature complex structures with multiple interfaces, requiring extensive post-processing. In this paper, a neural device with intrinsic perception and decision-making (NDIPD), inspired by neuronal oscillatory activity is introduced. The device utilizes alternating signals generated by coupling the human body with the power-frequency electromagnetic field as both a signal source and energy source, mimicking neuronal oscillatory activity. The peaks and valleys of the alternating signal are differentially modulated to replicate the baseline shift process in neuronal oscillatory activity. By comparing the amplitude of the peaks and valleys in the NDIPD's electrical output signal, the device achieves intrinsic perception and decision-making regarding the location of mechanical stimulation. This is accomplished using a single interface, which reduces data transmission, simplifies functionality, and eliminates the need for an external power supply. The NDIPD demonstrates a low-pressure detection limit (<0.02 N), fast response time (<20 ms), and exceptional stability (>200 000 cycles). It shows great potential for applications such as game control, UAV navigation, and virtual vehicle driving. The innovative energy supply method and sensing mechanism are expected to open new avenues in the development of bionic neural devices.
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Affiliation(s)
- Congtian Gu
- State Key Laboratory of Crane TechnologyYanshan UniversityQinhuangdaoHebei066000China
- School of Engineering and InformaticsUniversity of SussexFalmerBrightonBN1 9RHUnited Kingdom
| | - Guoliang Ma
- State Key Laboratory of Crane TechnologyYanshan UniversityQinhuangdaoHebei066000China
- Key Laboratory of Bionic Engineering (Ministry of Education)Jilin UniversityChangchunJilin130022China
| | - Mengze Zhang
- State Key Laboratory of Crane TechnologyYanshan UniversityQinhuangdaoHebei066000China
| | - Hu Shen
- State Key Laboratory of Crane TechnologyYanshan UniversityQinhuangdaoHebei066000China
| | - Liaoyuan Pu
- State Key Laboratory of Crane TechnologyYanshan UniversityQinhuangdaoHebei066000China
| | - Yanhe Song
- State Key Laboratory of Crane TechnologyYanshan UniversityQinhuangdaoHebei066000China
| | - Shilong Yan
- State Key Laboratory of Crane TechnologyYanshan UniversityQinhuangdaoHebei066000China
| | - Dakai Wang
- Key Laboratory of Bionic Engineering (Ministry of Education)Jilin UniversityChangchunJilin130022China
| | - Kaixian Ba
- State Key Laboratory of Crane TechnologyYanshan UniversityQinhuangdaoHebei066000China
| | - Bin Yu
- State Key Laboratory of Crane TechnologyYanshan UniversityQinhuangdaoHebei066000China
| | - Zhiwu Han
- Key Laboratory of Bionic Engineering (Ministry of Education)Jilin UniversityChangchunJilin130022China
| | - Luquan Ren
- Key Laboratory of Bionic Engineering (Ministry of Education)Jilin UniversityChangchunJilin130022China
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Wu H, Feng E, Yin H, Zhang Y, Chen G, Zhu B, Yue X, Zhang H, Liu Q, Xiong L. Biomaterials for neuroengineering: applications and challenges. Regen Biomater 2025; 12:rbae137. [PMID: 40007617 PMCID: PMC11855295 DOI: 10.1093/rb/rbae137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2024] [Revised: 10/19/2024] [Accepted: 11/03/2024] [Indexed: 02/27/2025] Open
Abstract
Neurological injuries and diseases are a leading cause of disability worldwide, underscoring the urgent need for effective therapies. Neural regaining and enhancement therapies are seen as the most promising strategies for restoring neural function, offering hope for individuals affected by these conditions. Despite their promise, the path from animal research to clinical application is fraught with challenges. Neuroengineering, particularly through the use of biomaterials, has emerged as a key field that is paving the way for innovative solutions to these challenges. It seeks to understand and treat neurological disorders, unravel the nature of consciousness, and explore the mechanisms of memory and the brain's relationship with behavior, offering solutions for neural tissue engineering, neural interfaces and targeted drug delivery systems. These biomaterials, including both natural and synthetic types, are designed to replicate the cellular environment of the brain, thereby facilitating neural repair. This review aims to provide a comprehensive overview for biomaterials in neuroengineering, highlighting their application in neural functional regaining and enhancement across both basic research and clinical practice. It covers recent developments in biomaterial-based products, including 2D to 3D bioprinted scaffolds for cell and organoid culture, brain-on-a-chip systems, biomimetic electrodes and brain-computer interfaces. It also explores artificial synapses and neural networks, discussing their applications in modeling neural microenvironments for repair and regeneration, neural modulation and manipulation and the integration of traditional Chinese medicine. This review serves as a comprehensive guide to the role of biomaterials in advancing neuroengineering solutions, providing insights into the ongoing efforts to bridge the gap between innovation and clinical application.
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Affiliation(s)
- Huanghui Wu
- Translational Research Institute of Brain and Brain-Like Intelligence, Shanghai Key Laboratory of Anesthesiology and Brain Functional Modulation, Clinical Research Center for Anesthesiology and Perioperative Medicine, Department of Anesthesiology and Perioperative Medicine, Shanghai Fourth People’s Hospital, School of Medicine, Tongji University, Shanghai 200434, China
| | - Enduo Feng
- Translational Research Institute of Brain and Brain-Like Intelligence, Shanghai Key Laboratory of Anesthesiology and Brain Functional Modulation, Clinical Research Center for Anesthesiology and Perioperative Medicine, Department of Anesthesiology and Perioperative Medicine, Shanghai Fourth People’s Hospital, School of Medicine, Tongji University, Shanghai 200434, China
| | - Huanxin Yin
- Translational Research Institute of Brain and Brain-Like Intelligence, Shanghai Key Laboratory of Anesthesiology and Brain Functional Modulation, Clinical Research Center for Anesthesiology and Perioperative Medicine, Department of Anesthesiology and Perioperative Medicine, Shanghai Fourth People’s Hospital, School of Medicine, Tongji University, Shanghai 200434, China
| | - Yuxin Zhang
- Translational Research Institute of Brain and Brain-Like Intelligence, Shanghai Key Laboratory of Anesthesiology and Brain Functional Modulation, Clinical Research Center for Anesthesiology and Perioperative Medicine, Department of Anesthesiology and Perioperative Medicine, Shanghai Fourth People’s Hospital, School of Medicine, Tongji University, Shanghai 200434, China
| | - Guozhong Chen
- Translational Research Institute of Brain and Brain-Like Intelligence, Shanghai Key Laboratory of Anesthesiology and Brain Functional Modulation, Clinical Research Center for Anesthesiology and Perioperative Medicine, Department of Anesthesiology and Perioperative Medicine, Shanghai Fourth People’s Hospital, School of Medicine, Tongji University, Shanghai 200434, China
| | - Beier Zhu
- Translational Research Institute of Brain and Brain-Like Intelligence, Shanghai Key Laboratory of Anesthesiology and Brain Functional Modulation, Clinical Research Center for Anesthesiology and Perioperative Medicine, Department of Anesthesiology and Perioperative Medicine, Shanghai Fourth People’s Hospital, School of Medicine, Tongji University, Shanghai 200434, China
| | - Xuezheng Yue
- School of Materials and Chemistry, University of Shanghai for Science and Technology, Shanghai 200093, China
| | - Haiguang Zhang
- Rapid Manufacturing Engineering Center, School of Mechatronical Engineering and Automation, Shanghai University, Shanghai 200444, China
- Shanghai Key Laboratory of Intelligent Manufacturing and Robotics, Shanghai University, Shanghai 200072, China
| | - Qiong Liu
- Translational Research Institute of Brain and Brain-Like Intelligence, Shanghai Key Laboratory of Anesthesiology and Brain Functional Modulation, Clinical Research Center for Anesthesiology and Perioperative Medicine, Department of Anesthesiology and Perioperative Medicine, Shanghai Fourth People’s Hospital, School of Medicine, Tongji University, Shanghai 200434, China
- State Key Laboratory of Molecular Engineering of Polymers, Department of Macromolecular Science, Fudan University, Shanghai 200438, China
| | - Lize Xiong
- Translational Research Institute of Brain and Brain-Like Intelligence, Shanghai Key Laboratory of Anesthesiology and Brain Functional Modulation, Clinical Research Center for Anesthesiology and Perioperative Medicine, Department of Anesthesiology and Perioperative Medicine, Shanghai Fourth People’s Hospital, School of Medicine, Tongji University, Shanghai 200434, China
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Chiappa AS, Tano P, Patel N, Ingster A, Pouget A, Mathis A. Acquiring musculoskeletal skills with curriculum-based reinforcement learning. Neuron 2024; 112:3969-3983.e5. [PMID: 39357519 DOI: 10.1016/j.neuron.2024.09.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2024] [Revised: 07/29/2024] [Accepted: 09/04/2024] [Indexed: 10/04/2024]
Abstract
Efficient musculoskeletal simulators and powerful learning algorithms provide computational tools to tackle the grand challenge of understanding biological motor control. Our winning solution for the inaugural NeurIPS MyoChallenge leverages an approach mirroring human skill learning. Using a novel curriculum learning approach, we trained a recurrent neural network to control a realistic model of the human hand with 39 muscles to rotate two Baoding balls in the palm of the hand. In agreement with data from human subjects, the policy uncovers a small number of kinematic synergies, even though it is not explicitly biased toward low-dimensional solutions. However, selectively inactivating parts of the control signal, we found that more dimensions contribute to the task performance than suggested by traditional synergy analysis. Overall, our work illustrates the emerging possibilities at the interface of musculoskeletal physics engines, reinforcement learning, and neuroscience to advance our understanding of biological motor control.
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Affiliation(s)
- Alberto Silvio Chiappa
- Brain Mind Institute, School of Life Sciences, École Polytechnique Fédérale de Lausanne (EPFL), 1015 Lausanne, Switzerland; Neuro-X Institute, School of Life Sciences, École Polytechnique Fédérale de Lausanne (EPFL), 1015 Lausanne, Switzerland
| | - Pablo Tano
- Department of Fundamental Neuroscience, University of Geneva, 1205 Geneva, Switzerland
| | - Nisheet Patel
- Department of Fundamental Neuroscience, University of Geneva, 1205 Geneva, Switzerland
| | - Abigaïl Ingster
- Brain Mind Institute, School of Life Sciences, École Polytechnique Fédérale de Lausanne (EPFL), 1015 Lausanne, Switzerland; Neuro-X Institute, School of Life Sciences, École Polytechnique Fédérale de Lausanne (EPFL), 1015 Lausanne, Switzerland
| | - Alexandre Pouget
- Department of Fundamental Neuroscience, University of Geneva, 1205 Geneva, Switzerland
| | - Alexander Mathis
- Brain Mind Institute, School of Life Sciences, École Polytechnique Fédérale de Lausanne (EPFL), 1015 Lausanne, Switzerland; Neuro-X Institute, School of Life Sciences, École Polytechnique Fédérale de Lausanne (EPFL), 1015 Lausanne, Switzerland.
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Mathis MW, Perez Rotondo A, Chang EF, Tolias AS, Mathis A. Decoding the brain: From neural representations to mechanistic models. Cell 2024; 187:5814-5832. [PMID: 39423801 PMCID: PMC11637322 DOI: 10.1016/j.cell.2024.08.051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2024] [Revised: 07/29/2024] [Accepted: 08/26/2024] [Indexed: 10/21/2024]
Abstract
A central principle in neuroscience is that neurons within the brain act in concert to produce perception, cognition, and adaptive behavior. Neurons are organized into specialized brain areas, dedicated to different functions to varying extents, and their function relies on distributed circuits to continuously encode relevant environmental and body-state features, enabling other areas to decode (interpret) these representations for computing meaningful decisions and executing precise movements. Thus, the distributed brain can be thought of as a series of computations that act to encode and decode information. In this perspective, we detail important concepts of neural encoding and decoding and highlight the mathematical tools used to measure them, including deep learning methods. We provide case studies where decoding concepts enable foundational and translational science in motor, visual, and language processing.
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Affiliation(s)
- Mackenzie Weygandt Mathis
- Brain Mind Institute, École Polytechnique Fédérale de Lausanne (EPFL), Geneva, Switzerland; Neuro-X Institute, École Polytechnique Fédérale de Lausanne (EPFL), Geneva, Switzerland.
| | - Adriana Perez Rotondo
- Brain Mind Institute, École Polytechnique Fédérale de Lausanne (EPFL), Geneva, Switzerland; Neuro-X Institute, École Polytechnique Fédérale de Lausanne (EPFL), Geneva, Switzerland
| | - Edward F Chang
- Department of Neurological Surgery, UCSF, San Francisco, CA, USA
| | - Andreas S Tolias
- Department of Ophthalmology, Byers Eye Institute, Stanford University, Stanford, CA, USA; Department of Electrical Engineering, Stanford University, Stanford, CA, USA; Stanford BioX, Stanford University, Stanford, CA, USA; Wu Tsai Neurosciences Institute, Stanford University, Stanford, CA, USA
| | - Alexander Mathis
- Brain Mind Institute, École Polytechnique Fédérale de Lausanne (EPFL), Geneva, Switzerland; Neuro-X Institute, École Polytechnique Fédérale de Lausanne (EPFL), Geneva, Switzerland
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van Dyck LE, Bremmer F, Dobs K. Artificial intelligence meets body sense: task-driven neural networks reveal computational principles of the proprioceptive pathway. Signal Transduct Target Ther 2024; 9:171. [PMID: 38972921 PMCID: PMC11228032 DOI: 10.1038/s41392-024-01870-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2024] [Revised: 05/02/2024] [Accepted: 05/07/2024] [Indexed: 07/09/2024] Open
Affiliation(s)
- Leonard E van Dyck
- Department of Psychology, Justus Liebig University Giessen, Giessen, Germany.
- Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany.
| | - Frank Bremmer
- Center for Mind, Brain and Behavior, Universities of Marburg, Giessen, and Darmstadt, Marburg, Germany
- Department of Neurophysics, Philipps-Universität Marburg, Marburg, Germany
| | - Katharina Dobs
- Department of Psychology, Justus Liebig University Giessen, Giessen, Germany.
- Center for Mind, Brain and Behavior, Universities of Marburg, Giessen, and Darmstadt, Marburg, Germany.
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Scherberger H. Modeling proprioception with task-driven neural network models. Neuron 2024; 112:1384-1386. [PMID: 38614104 DOI: 10.1016/j.neuron.2024.03.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2024] [Revised: 03/18/2024] [Accepted: 03/19/2024] [Indexed: 04/15/2024]
Abstract
In a recent issue of Cell, Vargas and colleagues1 demonstrate that task-driven neural network models are superior at predicting proprioceptive activity in the primate cuneate nucleus and sensorimotor cortex compared with other models. This provides valuable insights for better understanding the proprioceptive pathway.
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Affiliation(s)
- Hansjörg Scherberger
- German Primate Center, 37077 Göttingen, Germany; University of Göttingen, Department of Biology and Psychology, 37077 Göttingen, Germany.
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