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Li W, Cao P, Wei R, Wong DWC. Effect of Sequential Repetitive Transcranial Magnetic Stimulation With Bilateral Arm Training on the Brain Effective Connectivity in Chronic Stroke. JOURNAL OF BIOPHOTONICS 2025; 18:e202400508. [PMID: 40035295 DOI: 10.1002/jbio.202400508] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/17/2024] [Revised: 01/10/2025] [Accepted: 02/06/2025] [Indexed: 03/05/2025]
Abstract
This study investigated the effects of combining repetitive transcranial magnetic stimulation (rTMS) with bilateral arm training (BAT) on effective brain connectivity in chronic stroke patients using functional near-infrared spectroscopy. Fifteen post-stroke patients and fifteen healthy individuals were enrolled. Coupling function analysis was performed to evaluate the effective connectivity inflow, outflow, and the dominant information flow (DIF) during standalone BAT and combined rTMS-BAT therapy. Significant task-related alterations were observed in the ipsilesional supplementary motor area and occipital lobe (OL) of stroke patients undergoing rTMS-BAT. During BAT, stroke patients exhibited more pronounced DIF from the OL to motor areas compared to healthy controls. Furthermore, in the rTMS-BAT condition, patients demonstrated enhanced DIF from the ipsilesional OL and contralesional prefrontal cortex to ipsilesional motor areas. These findings suggested a potential synergistic effect on cortical reorganization through the sequential combination of task-related training and TMS in chronic stroke patients, offering insights into rehabilitation strategies.
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Affiliation(s)
- Wenhao Li
- School of Rehabilitation Engineering, China Civil Affairs University, Beijing, China
| | - Ping Cao
- School of Rehabilitation Engineering, China Civil Affairs University, Beijing, China
| | - Ran Wei
- School of Rehabilitation Engineering, China Civil Affairs University, Beijing, China
| | - Duo Wai-Chi Wong
- Department of Biomedical Engineering, Faculty of Engineering, The Hong Kong Polytechnic University, Hong Kong, China
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Jalalvandi M, Sharini H, Shafaghi L, Alam NR. Deciphering brain activation during wrist movements: comparative fMRI and fNIRS analysis of active, passive, and imagery states. Exp Brain Res 2024; 243:36. [PMID: 39739121 DOI: 10.1007/s00221-024-06977-7] [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: 08/11/2024] [Accepted: 12/06/2024] [Indexed: 01/02/2025]
Abstract
Understanding the complex activation patterns of brain regions during motor tasks is crucial. Integrated functional magnetic resonance imaging (fMRI) and functional near-infrared spectroscopy (fNIRS) offers advanced insights into how brain activity fluctuates with motor activities. This study explores neuronal activation patterns in the cerebral cortex during active, passive, and imagined wrist movements using these functional imaging techniques. Data were collected from 10 right-handed volunteers performing a motor task using fMRI and fNIRS. fMRI utilized a 3T scanner and a 20-channel head coil, while fNIRS recorded data with a 48-channel device at 765 nm and 855 nm. Analysis focused on key motor and sensory cortices using NIRS-SPM and SPM12, applying a significance threshold of p < 0.05 and a minimum cluster size of 10 voxels for group analysis. Super-threshold voxels were identified with FWE thresholding in SPM12. For activation map extraction we focused on the primary motor cortex, primary somatosensory cortex, somatosensory association cortex, premotor cortex, and supplementary motor cortex. Both fMRI and fNIRS detected activation in the primary motor cortex (M1). The primary somatosensory cortex was found to influence movement direction coding, with smaller activation sizes for upward movements. Combining fNIRS with fMRI provided clearer differentiation of brain activation patterns for wrist movements in various directions and conditions (p < 0.05). This study highlights variations in left motor cortex activity across different movement states. fNIRS proved effective in detecting brain function and showed strong correlation with fMRI results, suggesting it as a viable alternative for those unable to undergo fMRI.
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Affiliation(s)
- Maziar Jalalvandi
- Department of Neuroscience and Addiction Studies, School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Hamid Sharini
- Department of Biomedical Engineering, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Lida Shafaghi
- Department of Neuroscience and Addiction Studies, School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Nader Riyahi Alam
- Medical Physics and Biomedical Engineering Department, School of Medicine, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
- Concordia University, PERFORM Preventive Medicine and Personal Health Care Center, Montreal, Quebec, Canada.
- PERFORM Center, Concordia University, 3 Rue Harbridge, Dollard Des Ormeaux (D.D.O.), Montreal, Quebec, Canada.
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Hong M, Dong SY, McIntyre RS, Chiang SK, Ho R. fNIRS Classification of Adults with ADHD Enhanced by Feature Selection. IEEE Trans Neural Syst Rehabil Eng 2024; PP:220-231. [PMID: 40030659 DOI: 10.1109/tnsre.2024.3522121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/05/2025]
Abstract
Adult attention deficit hyperactivity disorder (ADHD), a prevalent psychiatric disorder, significantly impacts social, academic, and occupational functioning. However, it has been relatively less prioritized compared to childhood ADHD. This study employed a functional near-infrared spectroscopy (fNIRS) during verbal fluency tasks in conjunction with machine learning (ML) techniques to differentiate between healthy controls (N=75) and ADHD individuals (N=120). Efficient feature selection in high-dimensional fNIRS datasets is crucial for improving accuracy. To address this, we propose a hybrid feature selection method that combines a wrapper-based and embedded approach, termed Bayesian-Tuned Ridge RFECV (BTR-RFECV). The proposed method facilitated streamlined feature selection and hyperparameter tuning in high-dimensional data, thereby reducing the number of features while enhancing accuracy. HbO features from the combined frontal and temporal regions were key, with the models achieving precision (89.89%), recall (89.74%), F-1 score (89.66%), accuracy (89.74%), MCC (78.36%), and GDR (88.45%). The outcomes of this study highlight the promising potential of combining fNIRS with ML as diagnostic tools in clinical settings, offering a pathway to significantly reduce manual intervention.
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Huo C, Shao G, Chen T, Li W, Wang J, Xie H, Wang Y, Li Z, Zheng P, Li L, Li L. Effectiveness of unilateral lower-limb exoskeleton robot on balance and gait recovery and neuroplasticity in patients with subacute stroke: a randomized controlled trial. J Neuroeng Rehabil 2024; 21:213. [PMID: 39639336 PMCID: PMC11622492 DOI: 10.1186/s12984-024-01493-9] [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: 03/28/2024] [Accepted: 10/15/2024] [Indexed: 12/07/2024] Open
Abstract
BACKGROUND Impaired balance and gait in stroke survivors are associated with decreased functional independence. This study aimed to evaluate the effectiveness of unilateral lower-limb exoskeleton robot-assisted overground gait training compared with conventional treatment and to explore the relationship between neuroplastic changes and motor function recovery in subacute stroke patients. METHODS In this randomized, single-blind clinical trial, 40 patients with subacute stroke were recruited and randomly assigned to either a robot-assisted training (RT) group or a conventional training (CT) group. All outcome measures were assessed at the enrollment baseline (T0), 2nd week (T1) and 4th week (T2) of the treatment. The primary outcome was the between-group difference in the change in the Berg balance scale (BBS) score from baseline to T2. The secondary measures included longitudinal changes in the Fugl-Meyer assessment of the lower limb (FMA-LE), modified Barthel index (mBI), functional ambulation category (FAC), and locomotion assessment with gait analysis. In addition, the cortical activation pattern related to robot-assisted training was measured before and after intervention via functional near-infrared spectroscopy. RESULTS A total of 30 patients with complete data were included in this study. Clinical outcomes improved after 4 weeks of training in both groups, with significantly better BBS (F = 6.341, p = 0.018, partial η2 = 0.185), FMA-LE (F = 5.979, p = 0.021, partial η2 = 0.176), FAC (F = 7.692, p = 0.010, partial η2 = 0.216), and mBI scores (F = 7.255, p = 0.042, partial η2 = 0.140) in the RT group than in the CT group. Both groups showed significant improvement in gait speed and stride cadence on the locomotion assessment. Only the RT group presented a significantly increased stride length (F = 4.913, p = 0.015, partial η2 = 0.267), support phase (F = 5.335, p = 0.011, partial η2 = 0.283), and toe-off angle (F = 3.829, p = 0.035, partial η2 = 0.228) on the affected side after the intervention. The RT group also showed increased neural activity response over the ipsilesional motor area and bilateral prefrontal cortex during robot-assisted weight-shift and gait training following 4 weeks of treatment. CONCLUSIONS Overground gait training with a unilateral exoskeleton robot showed improvements in balance and gait functions, resulting in better gait patterns and increased gait stability for stroke patients. The increased cortical response related to the ipsilesional motor areas and their related functional network is crucial in the rehabilitation of lower limb gait in post-stroke patients.
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Affiliation(s)
- Congcong Huo
- Beijing Key Laboratory of Rehabilitation Technical Aids for Old-Age Disability, National Research Center for Rehabilitation Technical Aids, Beijing, 100176, P.R. China
- Key Laboratory of Neuro-Functional Information and Rehabilitation Engineering of the Ministry of Civil Affairs, Beijing, 100176, P.R. China
| | - Guangjian Shao
- Beijing Key Laboratory of Rehabilitation Technical Aids for Old-Age Disability, National Research Center for Rehabilitation Technical Aids, Beijing, 100176, P.R. China
| | - Tiandi Chen
- Beijing Key Laboratory of Rehabilitation Technical Aids for Old-Age Disability, National Research Center for Rehabilitation Technical Aids, Beijing, 100176, P.R. China
| | - Wenhao Li
- School of Rehabilitation Engineering, China Civil Affairs University, Beijing, 102600, China
| | - Jue Wang
- Beijing Key Laboratory of Rehabilitation Technical Aids for Old-Age Disability, National Research Center for Rehabilitation Technical Aids, Beijing, 100176, P.R. China
- Key Laboratory of Neuro-Functional Information and Rehabilitation Engineering of the Ministry of Civil Affairs, Beijing, 100176, P.R. China
| | - Hui Xie
- Beijing Key Laboratory of Rehabilitation Technical Aids for Old-Age Disability, National Research Center for Rehabilitation Technical Aids, Beijing, 100176, P.R. China
- Key Laboratory of Neuro-Functional Information and Rehabilitation Engineering of the Ministry of Civil Affairs, Beijing, 100176, P.R. China
| | - Yan Wang
- Department of Biomedical Engineering, Faculty of Engineering, The Hong Kong Polytechnic University, Hong Kong, 999077, China
| | - Zengyong Li
- Beijing Key Laboratory of Rehabilitation Technical Aids for Old-Age Disability, National Research Center for Rehabilitation Technical Aids, Beijing, 100176, P.R. China.
- Key Laboratory of Neuro-Functional Information and Rehabilitation Engineering of the Ministry of Civil Affairs, Beijing, 100176, P.R. China.
| | - Pengyuan Zheng
- The Fifth Affiliated Hospital of Zhengzhou University, Henan, 450052, P.R. China
| | - Liguo Li
- Zhengzhou Health Vocational College, Henan, 450052, P.R. China
| | - Luya Li
- The Fifth Affiliated Hospital of Zhengzhou University, Henan, 450052, P.R. China
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Muller CO, Faity G, Muthalib M, Perrey S, Dray G, Xu B, Froger J, Mottet D, Laffont I, Delorme M, Bakhti K. Brain-movement relationship during upper-limb functional movements in chronic post-stroke patients. J Neuroeng Rehabil 2024; 21:188. [PMID: 39438994 PMCID: PMC11494975 DOI: 10.1186/s12984-024-01461-3] [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: 11/22/2023] [Accepted: 09/06/2024] [Indexed: 10/25/2024] Open
Abstract
BACKGROUND Following a stroke, brain activation reorganisation, movement compensatory strategies, motor performance and their evolution through rehabilitation are matters of importance for clinicians. Two non-invasive neuroimaging methods allow for recording task-related brain activation: functional near-infrared spectroscopy (fNIRS) and electroencephalography (fEEG), respectively based on hemodynamic response and neuronal electrical activity. Their simultaneous measurement during movements could allow a better spatiotemporal mapping of brain activation, and when associated to kinematic parameters could unveil underlying mechanisms of functional upper limb (UL) recovery. This study aims to depict the motor cortical activity patterns using combined fNIRS-fEEG and their relationship to motor performance and strategies during UL functional tasks in chronic post-stroke patients. METHODS Twenty-one healthy old adults and 21 chronic post-stroke patients were recruited and completed two standardised functional tasks of the UL: a paced-reaching task where they had to reach a target in front of them and a circular steering task where they had to displace a target using a hand-held stylus, as fast as possible inside a circular track projected on a computer screen. The activity of the bilateral motor cortices and motor performance were recorded simultaneously utilizing a fNIRS-fEEG and kinematics platform. RESULTS AND CONCLUSIONS Kinematic analysis revealed that post-stroke patients performed worse in the circular steering task and used more trunk compensation in both tasks. Brain analysis of bilateral motor cortices revealed that stroke individuals over-activated during the paretic UL reaching task, which was associated with more trunk usage and a higher level of impairment (clinical scores). This work opens up avenues for using such combined methods to better track and understand brain-movement evolution through stroke rehabilitation.
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Affiliation(s)
- C O Muller
- EuroMov Digital Health in Motion, Univ Montpellier, IMT Mines Ales, Montpellier, France
- Physical Rehabilitation and Medicine, CHU Montpellier, Montpellier, France
| | - G Faity
- EuroMov Digital Health in Motion, Univ Montpellier, IMT Mines Ales, Montpellier, France
| | - M Muthalib
- EuroMov Digital Health in Motion, Univ Montpellier, IMT Mines Ales, Montpellier, France
- Physical Rehabilitation and Medicine, CHU Montpellier, Montpellier, France
- Silverline Research, Oxford, United Kingdom
| | - S Perrey
- EuroMov Digital Health in Motion, Univ Montpellier, IMT Mines Ales, Montpellier, France
| | - G Dray
- EuroMov Digital Health in Motion, Univ Montpellier, IMT Mines Ales, Montpellier, France
| | - B Xu
- EuroMov Digital Health in Motion, Univ Montpellier, IMT Mines Ales, Montpellier, France
| | - J Froger
- EuroMov Digital Health in Motion, Univ Montpellier, IMT Mines Ales, Montpellier, France
- Physical Rehabilitation and Medicine, CHU Nîmes, Le Grau du Roi, Nîmes, France
| | - D Mottet
- EuroMov Digital Health in Motion, Univ Montpellier, IMT Mines Ales, Montpellier, France
| | - I Laffont
- EuroMov Digital Health in Motion, Univ Montpellier, IMT Mines Ales, Montpellier, France
- Physical Rehabilitation and Medicine, CHU Montpellier, Montpellier, France
| | - M Delorme
- EuroMov Digital Health in Motion, Univ Montpellier, IMT Mines Ales, Montpellier, France
- Physical Rehabilitation and Medicine, CHU Nîmes, Le Grau du Roi, Nîmes, France
| | - K Bakhti
- EuroMov Digital Health in Motion, Univ Montpellier, IMT Mines Ales, Montpellier, France.
- Physical Rehabilitation and Medicine, CHU Montpellier, Montpellier, France.
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Kikuchi S, Tsutsui N, Nishizawa Y, Tsuchiya K, Shimoda K, Hirao K, Miwakeichi F. Habituation of Brain Activity with Repetition in Color and Picture-Word Stroop Tests. Ann Biomed Eng 2024; 52:2088-2100. [PMID: 38622484 DOI: 10.1007/s10439-024-03509-w] [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: 04/18/2023] [Accepted: 04/04/2024] [Indexed: 04/17/2024]
Abstract
As a widely used mental task for functional near-infrared spectroscopy (fNIRS), the original color-word Stroop task has the advantage of being difficult to habituate, but also the disadvantage of being difficult to understand, especially for children. While the introduction of derived Stroop tasks offers highly promising countermeasures, changes in brain activity during these tests have not been well tested. We investigated the degree of habituation between the original and a derived Stroop task by measuring brain activity to obtain a better fNIRS task design. Fourteen healthy adults participated in the study, and a 10-channel fNIRS device was used. A picture-word Stroop task with lower linguistic conflict than the original was conducted. The original and derived Stroop tests were repeated four times in a 1-week interval. We found that the original Stroop test did not show any significant changes in brain activity with repeated measures; however, brain activity decreased during the derived test. The differences in habituation between the original and derived tests may be due to the differences in the strength of the linguistic conflict. Our findings also highlight the need to consider the effects of habituation when using derived Stroop tasks in repeated measures.
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Affiliation(s)
- Senichiro Kikuchi
- Department of Rehabilitation Sciences, Gunma University Graduate School of Health Sciences, 3-39-22 Showa-machi, Maebashi, Gunma, 371-8514, Japan.
| | | | - Yusuke Nishizawa
- Department of Rehabilitation Sciences, Gunma University Graduate School of Health Sciences, 3-39-22 Showa-machi, Maebashi, Gunma, 371-8514, Japan
| | - Kenji Tsuchiya
- Department of Rehabilitation Sciences, Gunma University Graduate School of Health Sciences, 3-39-22 Showa-machi, Maebashi, Gunma, 371-8514, Japan
- Faculty of Health Sciences, Nagano University of Health and Medicine, Nagano, Nagano, Japan
| | - Kaori Shimoda
- Department of Rehabilitation Sciences, Gunma University Graduate School of Health Sciences, 3-39-22 Showa-machi, Maebashi, Gunma, 371-8514, Japan
| | - Kazuki Hirao
- Department of Rehabilitation Sciences, Gunma University Graduate School of Health Sciences, 3-39-22 Showa-machi, Maebashi, Gunma, 371-8514, Japan
| | - Fumikazu Miwakeichi
- Department of Statistical Modelling, The Institute of Statistical Mathematics, Tachikawa, Tokyo, Japan
- Department of Statistical Science, The Graduate University for Advanced Studies, SOKENDAI, Tachikawa, Tokyo, Japan
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Chen J, Xia Y, Thomas A, Carlson T, Zhao H. Mental Fatigue Classification with High-Density Diffuse Optical Tomography: A Feasibility Study. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2024; 2024:1-5. [PMID: 40039435 DOI: 10.1109/embc53108.2024.10782566] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/06/2025]
Abstract
High-Density Diffuse Optical Tomography (HD-DOT) presents as a promising tool for not only clinical use but also daily monitoring of mental states. This study employed wearable HD-DOT to evaluate mental fatigue, specifically examining the differences in functional near-infrared spectroscopy (fNIRS) data between states of low and high fatigue among healthy participants for data collection. Data processing involved filtering, channel selection, and dimensionality reduction through Uniform Manifold Approximation (UMAP) and Projection, followed by classification using Support Vector Machines (SVM). We developed two models to assess the accuracy and generalizability of our findings: one based on individually tailored models and another employing a leave-one-participant-out cross-validation strategy. We evaluated different kernel functions, resulting in various accuracy, F1 score, and Area Under the Curve (AUC) metrics. The study achieved an average accuracy of approximately 90% for participant-specific classifiers, underscoring the effectiveness of our approach to differentiate between low and high states of mental fatigue. Our analyses led to a robust model demonstrating high classification accuracy, proving its suitability and potential for real-time Brain-Computer Interface (BCI) applications.
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Toyofuku K, Hiwa S, Tanioka K, Hiroyasu T, Takeda M. Hemispheric Lateralization in Older Adults Who Habitually Play Darts: A Cross-Sectional Study Using Functional Near-Infrared Spectroscopy. Healthcare (Basel) 2024; 12:734. [PMID: 38610156 PMCID: PMC11012225 DOI: 10.3390/healthcare12070734] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2024] [Revised: 03/21/2024] [Accepted: 03/25/2024] [Indexed: 04/14/2024] Open
Abstract
Exercise training integrating physical and cognitive activities is gaining attention because of its potential benefits for brain health. This study focuses on exercise training using a dart game called Wellness Darts. Wellness Darts is a sport involving throwing darts and walking to pull them out of the board, memorizing the score, and subtracting this from the total score, thus requiring the simultaneous performance of two tasks: exercise and calculation. This is expected to maintain and improve cognitive function, and whether this continual darts training affects brain function is of great interest. Before conducting the longitudinal study revealing its effect on brain function, we aimed to cross-sectionally confirm the difference in hemispheric lateralization between expert and non-expert players. Functional near-infrared spectroscopy (fNIRS) was used to measure brain activity for three groups: an expert older group who practiced darts continually, a non-expert older control group, and a non-expert younger control group. Their brain activity patterns were quantified by the lateralization index (LI) and compared between groups. The results showed that the younger and the expert older groups had significantly higher LI values than the non-expert older group, and there was no difference between the expert older and the younger groups. Our results suggest that the Wellness Darts game possibly promotes hemispheric lateralization.
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Affiliation(s)
- Koki Toyofuku
- Graduate School of Life and Medical Sciences, Doshisha University, Kyoto 610-0394, Japan
| | - Satoru Hiwa
- Department of Biomedical Sciences and Informatics, Doshisha University, Kyoto 610-0394, Japan; (K.T.); (T.H.)
| | - Kensuke Tanioka
- Department of Biomedical Sciences and Informatics, Doshisha University, Kyoto 610-0394, Japan; (K.T.); (T.H.)
| | - Tomoyuki Hiroyasu
- Department of Biomedical Sciences and Informatics, Doshisha University, Kyoto 610-0394, Japan; (K.T.); (T.H.)
| | - Masaki Takeda
- Faculty of Health and Sports Science, Doshisha University, Kyoto 610-0394, Japan;
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Çakar T, Son-Turan S, Girişken Y, Sayar A, Ertuğrul S, Filiz G, Tuna E. Unlocking the neural mechanisms of consumer loan evaluations: an fNIRS and ML-based consumer neuroscience study. Front Hum Neurosci 2024; 18:1286918. [PMID: 38375365 PMCID: PMC10875049 DOI: 10.3389/fnhum.2024.1286918] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Accepted: 01/11/2024] [Indexed: 02/21/2024] Open
Abstract
Introduction This study conducts a comprehensive exploration of the neurocognitive processes underlying consumer credit decision-making using cutting-edge techniques from neuroscience and machine learning (ML). Employing functional Near-Infrared Spectroscopy (fNIRS), the research examines the hemodynamic responses of participants while evaluating diverse credit offers. Methods The experimental phase of this study investigates the hemodynamic responses collected from 39 healthy participants with respect to different loan offers. This study integrates fNIRS data with advanced ML algorithms, specifically Extreme Gradient Boosting, CatBoost, Extra Tree Classifier, and Light Gradient Boosted Machine, to predict participants' credit decisions based on prefrontal cortex (PFC) activation patterns. Results Findings reveal distinctive PFC regions correlating with credit behaviors, including the dorsolateral prefrontal cortex (dlPFC) associated with strategic decision-making, the orbitofrontal cortex (OFC) linked to emotional valuations, and the ventromedial prefrontal cortex (vmPFC) reflecting brand integration and reward processing. Notably, the right dorsomedial prefrontal cortex (dmPFC) and the right vmPFC contribute to positive credit preferences. Discussion This interdisciplinary approach bridges neuroscience, machine learning and finance, offering unprecedented insights into the neural mechanisms guiding financial choices regarding different loan offers. The study's predictive model holds promise for refining financial services and illuminating human financial behavior within the burgeoning field of neurofinance. The work exemplifies the potential of interdisciplinary research to enhance our understanding of human financial decision-making.
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Affiliation(s)
- Tuna Çakar
- Department of Computer Engineering, MEF University, Istanbul, Türkiye
| | - Semen Son-Turan
- Department of Business Administration, MEF University, Maslak, Türkiye
| | - Yener Girişken
- Faculty of Economics and Administrative Sciences, Final International University, Istanbul, Türkiye
| | - Alperen Sayar
- Informatics Technologies Master Program, MEF University, Istanbul, Türkiye
| | - Seyit Ertuğrul
- Informatics Technologies Master Program, MEF University, Istanbul, Türkiye
| | - Gözde Filiz
- Computer Science and Engineering Ph.D. Program, MEF University, Istanbul, Türkiye
| | - Esin Tuna
- Department of Psychology, MEF University, Istanbul, Türkiye
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Chen J, Xia Y, Zhou X, Vidal Rosas E, Thomas A, Loureiro R, Cooper RJ, Carlson T, Zhao H. fNIRS-EEG BCIs for Motor Rehabilitation: A Review. Bioengineering (Basel) 2023; 10:1393. [PMID: 38135985 PMCID: PMC10740927 DOI: 10.3390/bioengineering10121393] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2023] [Revised: 11/26/2023] [Accepted: 11/30/2023] [Indexed: 12/24/2023] Open
Abstract
Motor impairment has a profound impact on a significant number of individuals, leading to a substantial demand for rehabilitation services. Through brain-computer interfaces (BCIs), people with severe motor disabilities could have improved communication with others and control appropriately designed robotic prosthetics, so as to (at least partially) restore their motor abilities. BCI plays a pivotal role in promoting smoother communication and interactions between individuals with motor impairments and others. Moreover, they enable the direct control of assistive devices through brain signals. In particular, their most significant potential lies in the realm of motor rehabilitation, where BCIs can offer real-time feedback to assist users in their training and continuously monitor the brain's state throughout the entire rehabilitation process. Hybridization of different brain-sensing modalities, especially functional near-infrared spectroscopy (fNIRS) and electroencephalography (EEG), has shown great potential in the creation of BCIs for rehabilitating the motor-impaired populations. EEG, as a well-established methodology, can be combined with fNIRS to compensate for the inherent disadvantages and achieve higher temporal and spatial resolution. This paper reviews the recent works in hybrid fNIRS-EEG BCIs for motor rehabilitation, emphasizing the methodologies that utilized motor imagery. An overview of the BCI system and its key components was introduced, followed by an introduction to various devices, strengths and weaknesses of different signal processing techniques, and applications in neuroscience and clinical contexts. The review concludes by discussing the possible challenges and opportunities for future development.
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Affiliation(s)
- Jianan Chen
- HUB of Intelligent Neuro-engineering (HUBIN), Aspire CREATe, IOMS, Division of Surgery and Interventional Science, University College London (UCL), Stanmore, London HA7 4LP, UK; (J.C.); (Y.X.); (X.Z.); (A.T.)
| | - Yunjia Xia
- HUB of Intelligent Neuro-engineering (HUBIN), Aspire CREATe, IOMS, Division of Surgery and Interventional Science, University College London (UCL), Stanmore, London HA7 4LP, UK; (J.C.); (Y.X.); (X.Z.); (A.T.)
- DOT-HUB, Department of Medical Physics & Biomedical Engineering, University College London (UCL), London WC1E 6BT, UK; (E.V.R.); (R.J.C.)
| | - Xinkai Zhou
- HUB of Intelligent Neuro-engineering (HUBIN), Aspire CREATe, IOMS, Division of Surgery and Interventional Science, University College London (UCL), Stanmore, London HA7 4LP, UK; (J.C.); (Y.X.); (X.Z.); (A.T.)
| | - Ernesto Vidal Rosas
- DOT-HUB, Department of Medical Physics & Biomedical Engineering, University College London (UCL), London WC1E 6BT, UK; (E.V.R.); (R.J.C.)
- Digital Health and Biomedical Engineering, School of Electronics and Computer Science, University of Southampton, Southampton SO17 1BJ, UK
| | - Alexander Thomas
- HUB of Intelligent Neuro-engineering (HUBIN), Aspire CREATe, IOMS, Division of Surgery and Interventional Science, University College London (UCL), Stanmore, London HA7 4LP, UK; (J.C.); (Y.X.); (X.Z.); (A.T.)
- Aspire CREATe, Department of Orthopaedics & Musculoskeletal Science, University College London (UCL), Stanmore, London HA7 4LP, UK; (R.L.); (T.C.)
| | - Rui Loureiro
- Aspire CREATe, Department of Orthopaedics & Musculoskeletal Science, University College London (UCL), Stanmore, London HA7 4LP, UK; (R.L.); (T.C.)
| | - Robert J. Cooper
- DOT-HUB, Department of Medical Physics & Biomedical Engineering, University College London (UCL), London WC1E 6BT, UK; (E.V.R.); (R.J.C.)
| | - Tom Carlson
- Aspire CREATe, Department of Orthopaedics & Musculoskeletal Science, University College London (UCL), Stanmore, London HA7 4LP, UK; (R.L.); (T.C.)
| | - Hubin Zhao
- HUB of Intelligent Neuro-engineering (HUBIN), Aspire CREATe, IOMS, Division of Surgery and Interventional Science, University College London (UCL), Stanmore, London HA7 4LP, UK; (J.C.); (Y.X.); (X.Z.); (A.T.)
- DOT-HUB, Department of Medical Physics & Biomedical Engineering, University College London (UCL), London WC1E 6BT, UK; (E.V.R.); (R.J.C.)
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11
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Lim SB, Peters S, Yang CL, Boyd LA, Liu-Ambrose T, Eng JJ. Premotor and Posterior Parietal Cortex Activity is Increased for Slow, as well as Fast Walking Poststroke: An fNIRS Study. Neural Plast 2023; 2023:2403175. [PMID: 37868191 PMCID: PMC10589070 DOI: 10.1155/2023/2403175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2022] [Revised: 06/14/2023] [Accepted: 09/14/2023] [Indexed: 10/24/2023] Open
Abstract
Methods Twenty individuals in the chronic stage of stroke walked: (1) at their normal pace, (2) slower than normal, and (3) as fast as possible. Functional near-infrared spectroscopy was used to assess bilateral prefrontal, premotor, sensorimotor, and posterior parietal cortices during walking. Results No significant differences in laterality were observed between walking speeds. The ipsilesional prefrontal cortex was overall more active than the contralesional prefrontal cortex. Premotor and posterior parietal cortex activity were larger during slow and fast walking compared to normal-paced walking with no differences between slow and fast walking. Greater increases in brain activation in the ipsilesional prefrontal cortex during fast compared to normal-paced walking related to greater gait speed modulation. Conclusions Brain activation is not linearly related to gait speed. Ipsilesional prefrontal cortex, bilateral premotor, and bilateral posterior parietal cortices are important areas for gait speed modulation and could be an area of interest for neurostimulation.
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Affiliation(s)
- Shannon B. Lim
- Department of Physical Therapy, University of British Columbia, Vancouver, BC, Canada
- Rehabilitation Research Program, GF Strong Rehabilitation Centre, Vancouver, BC, Canada
| | - Sue Peters
- School of Physical Therapy, Western University, London, ON, Canada
| | - Chieh-ling Yang
- Department of Occupational Therapy and Graduate Institute of Behavioral Sciences, College of Medicine, Chang Gung University, Taoyuan City, Taiwan
| | - Lara A. Boyd
- Department of Physical Therapy, University of British Columbia, Vancouver, BC, Canada
- The David Mowafaghian Centre for Brain Health, University of British Columbia, Vancouver, BC, Canada
| | - Teresa Liu-Ambrose
- Department of Physical Therapy, University of British Columbia, Vancouver, BC, Canada
- The David Mowafaghian Centre for Brain Health, University of British Columbia, Vancouver, BC, Canada
- Centre for Aging SMART at Vancouver Coastal Health, Vancouver, BC, Canada
| | - Janice J. Eng
- Department of Physical Therapy, University of British Columbia, Vancouver, BC, Canada
- Rehabilitation Research Program, GF Strong Rehabilitation Centre, Vancouver, BC, Canada
- Centre for Aging SMART at Vancouver Coastal Health, Vancouver, BC, Canada
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12
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Chang H, Sheng Y, Liu J, Yang H, Pan X, Liu H. Noninvasive Brain Imaging and Stimulation in Post-Stroke Motor Rehabilitation: A Review. IEEE Trans Cogn Dev Syst 2023; 15:1085-1101. [DOI: 10.1109/tcds.2022.3232581] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2025]
Affiliation(s)
- Hui Chang
- State Key Laboratory of Robotics and Systems, Harbin Institute of Technology (Shenzhen), Shenzhen, China
| | - Yixuan Sheng
- State Key Laboratory of Robotics and Systems, Harbin Institute of Technology (Shenzhen), Shenzhen, China
| | - Jinbiao Liu
- Research Centre for Augmented Intelligence, Zhejiang Laboratory, Artificial Intelligence Research Institute, Hangzhou, China
| | - Hongyu Yang
- State Key Laboratory of Robotics and Systems, Harbin Institute of Technology (Shenzhen), Shenzhen, China
| | - Xiangyu Pan
- State Key Laboratory of Robotics and Systems, Harbin Institute of Technology (Shenzhen), Shenzhen, China
| | - Honghai Liu
- State Key Laboratory of Robotics and Systems, Harbin Institute of Technology (Shenzhen), Shenzhen, China
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13
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Zhang D, Zhang S, Lei Z, Li Y, Li X, Gu R. Why people engage in corrupt collaboration: an observation at the multi-brain level. Cereb Cortex 2023; 33:8465-8476. [PMID: 37083271 PMCID: PMC10786094 DOI: 10.1093/cercor/bhad132] [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: 03/09/2023] [Revised: 03/23/2023] [Accepted: 03/27/2023] [Indexed: 04/22/2023] Open
Abstract
Recent studies suggest that corrupt collaboration (i.e. acquiring private benefits with joint immoral acts) represents a dilemma between the honesty and reciprocity norms. In this study, we asked pairs of participants (labeled as A and B) to individually toss a coin and report their outcomes; their collective benefit could be maximized by dishonestly reporting (a corrupt behavior). As expected, the likelihood of corrupt behavior was high; this probability was negatively correlated with player A's moral judgment ability but positively correlated with player B's empathic concern (EC). Functional near-infrared spectroscopy data revealed that the brain-to-brain synchronization in the right dorsolateral prefrontal cortex was associated with fewer corrupt behaviors, and that it mediated the relationship between player A's moral judgment ability and corrupt collaboration. Meanwhile, the right temporal-parietal junction synchronization was associated with more corrupt behaviors, and that it mediated the relationship between player B's EC and corrupt collaboration. The roles of these 2 regions are interpreted according to the influence of the honesty and reciprocity norms on corrupt collaboration. In our opinion, these findings provide insight into the underlying mechanisms and modulating factors of corrupt collaboration.
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Affiliation(s)
- Dandan Zhang
- Institute of Brain and Psychological Sciences, Sichuan Normal University, Chengdu 610066, China
- China Center for Behavioral Economics and Finance & School of Economics, Southwestern University of Finance and Economics, Chengdu 611130, China
| | - Shen Zhang
- School of Biological Science and Medical Engineering, Beihang University, Beijing 100191, China
| | - Zhen Lei
- China Center for Behavioral Economics and Finance & School of Economics, Southwestern University of Finance and Economics, Chengdu 611130, China
| | - Yiwei Li
- Institute of Brain and Psychological Sciences, Sichuan Normal University, Chengdu 610066, China
| | - Xianchun Li
- School of Psychology and Cognitive Science, East China Normal University, Shanghai 200062, China
| | - Ruolei Gu
- CAS Key Laboratory of Behavioral Science, Institute of Psychology, Beijing 100101, China
- Department of Psychology, University of Chinese Academy of Sciences, Beijing 100049, China
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14
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Kim H, Lee G, Lee J, Kim YH. Alterations in learning-related cortical activation and functional connectivity by high-definition transcranial direct current stimulation after stroke: an fNIRS study. Front Neurosci 2023; 17:1189420. [PMID: 37332855 PMCID: PMC10275383 DOI: 10.3389/fnins.2023.1189420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2023] [Accepted: 05/04/2023] [Indexed: 06/20/2023] Open
Abstract
Introduction Motor learning is a key component of stroke neurorehabilitation. High-definition transcranial direct current stimulation (HD-tDCS) was recently developed as a tDCS technique that increases the accuracy of current delivery to the brain using arrays of small electrodes. The purpose of this study was to investigate whether HD-tDCS alters learning-related cortical activation and functional connectivity in stroke patients using functional near-infrared spectroscopy (fNIRS). Methods Using a sham-controlled crossover study design, 16 chronic stroke patients were randomly assigned to one of two intervention conditions. Both groups performed the sequential finger tapping task (SFTT) on five consecutive days, either with (a) real HD-tDCS or (b) with sham HD-tDCS. HD-tDCS (1 mA for 20 min, 4 × 1) was administered to C3 or C4 (according to lesion side). fNIRS signals were measured during the SFTT with the affected hand before (baseline) and after each intervention using fNIRS measurement system. Cortical activation and functional connectivity of NIRS signals were analyzed using a statistical parametric mapping open-source software package (NIRS-SPM), OptoNet II®. Results In the real HD-tDCS condition, oxyHb concentration increased significantly in the ipsilesional primary motor cortex (M1). Connectivity between the ipsilesional M1 and the premotor cortex (PM) was noticeably strengthened after real HD-tDCS compared with baseline. Motor performance also significantly improved, as shown in response time during the SFTT. In the sham HD-tDCS condition, functional connectivity between contralesional M1 and sensory cortex was enhanced compared with baseline. There was tendency toward improvement in SFTT response time, but without significance. Discussion The results of this study indicated that HD-tDCS could modulate learning-related cortical activity and functional connectivity within motor networks to enhance motor learning performance. HD-tDCS can be used as an additional tool for enhancing motor learning during hand rehabilitation for chronic stroke patients.
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Affiliation(s)
- Heegoo Kim
- Department of Physical and Rehabilitation Medicine, Center for Prevention and Rehabilitation, Heart Vascular Stroke Institute, Samsung Medical Center, Seoul, Republic of Korea
- Department of Health Sciences and Technology, Samsung Advanced Institute for Health Science & Technology (SAIHST), Sungkyunkwan University, Seoul, Republic of Korea
- Department of Rehabilitation Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Republic of Korea
| | - Gihyoun Lee
- Department of Physical and Rehabilitation Medicine, Center for Prevention and Rehabilitation, Heart Vascular Stroke Institute, Samsung Medical Center, Seoul, Republic of Korea
- Department of Health Sciences and Technology, Samsung Advanced Institute for Health Science & Technology (SAIHST), Sungkyunkwan University, Seoul, Republic of Korea
- Department of Physical and Rehabilitation Medicine, Sungkyunkwan University School of Medicine, Suwon, Republic of Korea
| | - Jungsoo Lee
- Department of Rehabilitation Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Republic of Korea
| | - Yun-Hee Kim
- Department of Physical and Rehabilitation Medicine, Center for Prevention and Rehabilitation, Heart Vascular Stroke Institute, Samsung Medical Center, Seoul, Republic of Korea
- Department of Health Sciences and Technology, Samsung Advanced Institute for Health Science & Technology (SAIHST), Sungkyunkwan University, Seoul, Republic of Korea
- Department of Physical and Rehabilitation Medicine, Sungkyunkwan University School of Medicine, Suwon, Republic of Korea
- Haeundae Sharing and Happiness Hospital, Pusan, Republic of Korea
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15
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Zou J, Yin Y, Lin Z, Gong Y. The analysis of brain functional connectivity of post-stroke cognitive impairment patients: an fNIRS study. Front Neurosci 2023; 17:1168773. [PMID: 37214384 PMCID: PMC10196111 DOI: 10.3389/fnins.2023.1168773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2023] [Accepted: 04/18/2023] [Indexed: 05/24/2023] Open
Abstract
Background Post-stroke cognitive impairment (PSCI) is a considerable risk factor for developing dementia and reoccurrence of stroke. Understanding the neural mechanisms of cognitive impairment after stroke can facilitate early identification and intervention. Objectives Using functional near-infrared spectroscopy (fNRIS), the present study aimed to examine whether resting-state functional connectivity (FC) of brain networks differs in patients with PSCI, patients with Non-PSCI (NPSCI), and healthy controls (HCs), and whether these features could be used for clinical diagnosis of PSCI. Methods The present study recruited 16 HCs and 32 post-stroke patients. Based on the diagnostic criteria of PSCI, post-stroke patients were divided to the PSCI or NPSCI group. All participants underwent a 6-min resting-state fNRIS test to measure the hemodynamic responses from regions of interests (ROIs) that were primarily distributed in the prefrontal, somatosensory, and motor cortices. Results The results showed that, when compared to the HC group, the PSCI group exhibited significantly decreased interhemispheric FC and intra-right hemispheric FC. ROI analyses showed significantly decreased FC among the regions of somatosensory cortex, dorsolateral prefrontal cortex, and medial prefrontal cortex for the PSCI group than for the HC group. However, no significant difference was found in the FC between the PSCI and the NPSCI groups. Conclusion Our findings provide evidence for compromised interhemispheric and intra-right hemispheric functional connectivity in patients with PSCI, suggesting that fNIRS is a promising approach to investigate the effects of stroke on functional connectivity of brain networks.
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Affiliation(s)
- Jiahuan Zou
- School of Medical and Life Sciences, Chengdu University of Traditional Chinese Medicine, Chengdu,Sichuan, China
| | - Yongyan Yin
- School of Medical and Life Sciences, Chengdu University of Traditional Chinese Medicine, Chengdu,Sichuan, China
| | - Zhenfang Lin
- Department of Neurology, Sichuan Bayi Rehabilitation Center (Sichuan Provincial Rehabilitation Hospital), Chengdu, Sichuan, China
| | - Yulai Gong
- Department of Neurology, Sichuan Bayi Rehabilitation Center (Sichuan Provincial Rehabilitation Hospital), Chengdu, Sichuan, China
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16
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Huo C, Xu G, Sun A, Xie H, Hu X, Li W, Li Z, Fan Y. Cortical response induced by task-oriented training of the upper limb in subacute stroke patients as assessed by functional near-infrared spectroscopy. JOURNAL OF BIOPHOTONICS 2023; 16:e202200228. [PMID: 36222197 DOI: 10.1002/jbio.202200228] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Revised: 08/28/2022] [Accepted: 09/27/2022] [Indexed: 06/16/2023]
Abstract
Despite the popularity of task-oriented training for stroke, the cortical reorganization associated with this type of therapy remains to be fully elucidated due to the lack of dynamic assessment tools. A good tolerance for motion artifacts makes functional near-infrared spectroscopy (fNIRS) suitable for investigating task-induced cortical responses in stroke patients. Here, patients were randomly assigned to receive task oriented (n = 25) or cyclic rotary training (n = 25) with simultaneous cortical activation and effective connectivity network analysis between prefrontal and motor cortices (PFC/MC). Compared with cyclic rotary training, task-oriented training induced significantly increased activation in both hemispheres and enhanced influence of PFC on MC. In addition, significantly decreased activation lateralization and increased betweenness centrality of the contralesional MC suggested widespread involvement of the contralesional hemisphere during task-oriented training. This study verifies the feasibility of fNIRS combined with motor paradigms for assessing neural responses associated with stroke rehabilitation in real time.
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Affiliation(s)
- Congcong Huo
- Beijing Advanced Innovation Centre for Biomedical Engineering, Key Laboratory for Biomechanics and Mechanobiology of Ministry of Education, School of Biological Science and Medical Engineering, Beihang University, Beijing, China
- Beijing Key Laboratory of Rehabilitation Technical Aids for Old-Age Disability, National Research Center for Rehabilitation Technical Aids, Beijing, China
| | - Gongcheng Xu
- Beijing Advanced Innovation Centre for Biomedical Engineering, Key Laboratory for Biomechanics and Mechanobiology of Ministry of Education, School of Biological Science and Medical Engineering, Beihang University, Beijing, China
- Beijing Key Laboratory of Rehabilitation Technical Aids for Old-Age Disability, National Research Center for Rehabilitation Technical Aids, Beijing, China
| | - Aiping Sun
- Department of Neurological Rehabilitation, National Rehabilitation Hospital of National Research Center for Rehabilitation Technical Aids, Beijing, China
| | - Hui Xie
- Beijing Advanced Innovation Centre for Biomedical Engineering, Key Laboratory for Biomechanics and Mechanobiology of Ministry of Education, School of Biological Science and Medical Engineering, Beihang University, Beijing, China
- Beijing Key Laboratory of Rehabilitation Technical Aids for Old-Age Disability, National Research Center for Rehabilitation Technical Aids, Beijing, China
| | - Xiaoling Hu
- Department of Biomedical Engineering, The Hong Kong Polytechnic University, Kowloon, Hong Kong, China
| | - Wenhao Li
- Beijing Advanced Innovation Centre for Biomedical Engineering, Key Laboratory for Biomechanics and Mechanobiology of Ministry of Education, School of Biological Science and Medical Engineering, Beihang University, Beijing, China
| | - Zengyong Li
- Beijing Key Laboratory of Rehabilitation Technical Aids for Old-Age Disability, National Research Center for Rehabilitation Technical Aids, Beijing, China
- Key Laboratory of Neuro-Functional Information and Rehabilitation Engineering of the Ministry of Civil Affairs, Beijing, China
| | - Yubo Fan
- Beijing Advanced Innovation Centre for Biomedical Engineering, Key Laboratory for Biomechanics and Mechanobiology of Ministry of Education, School of Biological Science and Medical Engineering, Beihang University, Beijing, China
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17
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Xia N, He C, Wei X, Li YA, Lou W, Gu M, Chen Z, Xu J, Liu Y, Han X, Huang X. Altered frontoparietal activity in acoustic startle priming tasks during reticulospinal tract facilitation: An fNIRS study. Front Neurosci 2023; 17:1112046. [PMID: 36875651 PMCID: PMC9978531 DOI: 10.3389/fnins.2023.1112046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Accepted: 02/02/2023] [Indexed: 02/18/2023] Open
Abstract
Background Because it is one of the important pathways for promoting motor recovery after cortical injury, the function of the reticulospinal tract (RST) has received increasing attention in recent years. However, the central regulatory mechanism of RST facilitation and reduction of apparent response time is not well understood. Objectives To explore the potential role of RST facilitation in the acoustic startle priming (ASP) paradigm and observe the cortical changes induced by ASP reaching tasks. Methods Twenty healthy participants were included in this study. The reaching tasks were performed with their left and right hands. Participants were instructed to get ready after the warning cue and complete the reach as soon as they heard the Go cue. Half of the testing trials were set as control trials with an 80-dB Go cue. The other half of the trials had the Go cue replaced with 114-dB white noise to evoke the StartleReact effect, inducing reticulospinal tract facilitation. The response of the bilateral sternocleidomastoid muscle (SCM) and the anterior deltoid was recorded via surface electromyography. Startle trials were labeled as exhibiting a positive or negative StartleReact effect, according to whether the SCM was activated early (30-130 ms after the Go cue) or late, respectively. Functional near-infrared spectroscopy was used to synchronously record the oxyhemoglobin and deoxyhemoglobin fluctuations in bilateral motor-related cortical regions. The β values representing cortical responses were estimated via the statistical parametric mapping technique and included in the final analyses. Results Separate analyses of data from movements of the left or right side revealed significant activation of the right dorsolateral prefrontal cortex during RST facilitation. Moreover, left frontopolar cortex activation was greater in positive startle trials than in control or negative startle trials during left-side movements. Furthermore, decreased activity of the ipsilateral primary motor cortex in positive startle trials during ASP reaching tasks was observed. Conclusion The right dorsolateral prefrontal cortex and the frontoparietal network to which it belongs may be the regulatory center for the StartleReact effect and RST facilitation. In addition, the ascending reticular activating system may be involved. The decreased activity of the ipsilateral primary motor cortex suggests enhanced inhibition of the non-moving side during the ASP reaching task. These findings provide further insight into the SE and into RST facilitation.
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Affiliation(s)
- Nan Xia
- Department of Rehabilitation Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.,World Health Organization Collaborating Centre for Training and Research in Rehabilitation, Wuhan, China
| | - Chang He
- Institute of Medical Equipment Science and Engineering, Huazhong University of Science and Technology, Wuhan, Hubei, China.,State Key Lab of Digital Manufacturing Equipment and Technology, Institute of Rehabilitation and Medical Robotics, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Xiupan Wei
- Department of Rehabilitation Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.,World Health Organization Collaborating Centre for Training and Research in Rehabilitation, Wuhan, China
| | - Yang-An Li
- Department of Rehabilitation Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.,World Health Organization Collaborating Centre for Training and Research in Rehabilitation, Wuhan, China
| | - Weiwei Lou
- Department of Rehabilitation Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.,World Health Organization Collaborating Centre for Training and Research in Rehabilitation, Wuhan, China
| | - Minghui Gu
- Department of Rehabilitation Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.,World Health Organization Collaborating Centre for Training and Research in Rehabilitation, Wuhan, China
| | - Zejian Chen
- Department of Rehabilitation Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.,World Health Organization Collaborating Centre for Training and Research in Rehabilitation, Wuhan, China
| | - Jiang Xu
- Department of Rehabilitation Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.,World Health Organization Collaborating Centre for Training and Research in Rehabilitation, Wuhan, China
| | - Yali Liu
- Department of Rehabilitation Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.,World Health Organization Collaborating Centre for Training and Research in Rehabilitation, Wuhan, China
| | - Xiaohua Han
- Department of Rehabilitation Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.,World Health Organization Collaborating Centre for Training and Research in Rehabilitation, Wuhan, China
| | - Xiaolin Huang
- Department of Rehabilitation Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.,World Health Organization Collaborating Centre for Training and Research in Rehabilitation, Wuhan, China
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18
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Kim H, Kim J, Lee G, Lee J, Kim YH. Task-Related Hemodynamic Changes Induced by High-Definition Transcranial Direct Current Stimulation in Chronic Stroke Patients: An Uncontrolled Pilot fNIRS Study. Brain Sci 2022; 12:453. [PMID: 35447985 PMCID: PMC9028267 DOI: 10.3390/brainsci12040453] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2022] [Revised: 03/22/2022] [Accepted: 03/23/2022] [Indexed: 02/01/2023] Open
Abstract
High-definition transcranial direct current stimulation (HD-tDCS) has recently been proposed as a tDCS approach that can be used on a specific cortical region without causing undesirable stimulation effects. In this uncontrolled pilot study, the cortical hemodynamic changes caused by HD-tDCS applied over the ipsilesional motor cortical area were investigated in 26 stroke patients. HD-tDCS using one anodal and four cathodal electrodes at 1 mA was administered for 20 min to C3 or C4 in four daily sessions. Cortical activation was measured as changes in oxyhemoglobin (oxyHb) concentration, as found using a functional near-infrared spectroscopy (fNIRS) system during the finger tapping task (FTT) with the affected hand before and after HD-tDCS. Motor-evoked potential and upper extremity functions were also measured before (T0) and after the intervention (T1). A group statistical parametric mapping analysis showed that the oxyHb concentration increased during the FTT in both the affected and unaffected hemispheres before HD-tDCS. After HD-tDCS, the oxyHb concentration increased only in the affected hemisphere. In a time series analysis, the mean and integral oxyHb concentration during the FTT showed a noticeable decrease in the channel closest to the hand motor hotspot (hMHS) in the affected hemisphere after HD-tDCS compared with before HD-tDCS, in accordance with an improvement in the function of the affected upper extremity. These results suggest that HD-tDCS might be helpful to rebalance interhemispheric cortical activity and to reduce the hemodynamic burden on the affected hemisphere during hand motor tasks. Noticeable changes in the area adjacent to the affected hMHS may imply that personalized HD-tDCS electrode placement is needed to match each patient's individual hMHS location.
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Affiliation(s)
- Heegoo Kim
- Department of Physical and Rehabilitation Medicine, Center for Prevention and Rehabilitation, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Korea; (H.K.); (J.K.); (G.L.)
- Department of Health Sciences and Technology, SAIHST, Sungkyunkwan University, Seoul 06355, Korea
| | - Jinuk Kim
- Department of Physical and Rehabilitation Medicine, Center for Prevention and Rehabilitation, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Korea; (H.K.); (J.K.); (G.L.)
- Department of Health Sciences and Technology, SAIHST, Sungkyunkwan University, Seoul 06355, Korea
| | - Gihyoun Lee
- Department of Physical and Rehabilitation Medicine, Center for Prevention and Rehabilitation, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Korea; (H.K.); (J.K.); (G.L.)
- Department of Health Sciences and Technology, SAIHST, Sungkyunkwan University, Seoul 06355, Korea
| | - Jungsoo Lee
- Department of Medical IT Convergence Engineering, Kumoh National Institute of Technology, Gumi 39253, Korea
| | - Yun-Hee Kim
- Department of Physical and Rehabilitation Medicine, Center for Prevention and Rehabilitation, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Korea; (H.K.); (J.K.); (G.L.)
- Department of Health Sciences and Technology, SAIHST, Sungkyunkwan University, Seoul 06355, Korea
- Department of Medical Device Management & Research, Department of Digital Health, SAIHST, Sungkyunkwan University, Seoul 06355, Korea
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Zhang C, Tian J, Li D, Hou X, Wang L. Comparative study on the effect of color spaces and color formats on heart rate measurement using the imaging photoplethysmography (IPPG) method. Technol Health Care 2022; 30:391-402. [PMID: 35124614 PMCID: PMC9028635 DOI: 10.3233/thc-thc228036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
Abstract
BACKGROUND The imaging photoplethysmography (IPPG) technology has been demonstrated to be an effective method for heart rate (HR) monitoring. However, some interference caused by the ambient illumination variation and facial motion severely influences the accuracy of the HR measurement. Some color spaces and color formats are assumed to reduce the interference, and enhance the accuracy of HR estimation. OBJECTIVE The aim is to identify the optimal color space and format for IPPG based HR measurement. METHODS Six color spaces and 3 color formats are compared in this study, based on an IPPG based HR measurement system. 424 pieces of videos captured by the system are used for the selection of the optimal color channel and color space; while 10 pieces of videos are for the identification of the optimal color format. RESULTS The results shows that the green channel of RGB space is the optimal color channel, and RGB is the optimal color space, in respect of the mean squared error of HR estimation. BayerBG 8bit is found to be the optimal color format for video recording, which can significantly reduce the HR estimation error. CONCLUSIONS BayerBG 8bit color format for video recording, and RGB color space for video analysis is suggested for the IPPG based HR measurement system. The suitable configuration of color space and format could enhance the accuracy of HR measurement.
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Affiliation(s)
- Chi Zhang
- Beijing Advanced Innovation Center for Biomedical Engineering, School of Biological Science and Medical Engineering, Beihang University, Beijing, China
| | - Jing Tian
- Beijing Advanced Innovation Center for Biomedical Engineering, School of Biological Science and Medical Engineering, Beihang University, Beijing, China
| | - Deyu Li
- Beijing Advanced Innovation Center for Biomedical Engineering, School of Biological Science and Medical Engineering, Beihang University, Beijing, China
- State Key Laboratory of Virtual Reality Technology and Systems, Beihang University, Beijing, China
| | - Xiaoxu Hou
- National Institutes for Food and Drug Control, Beijing, China
| | - Li Wang
- Beijing Research Center of Urban System Engineering, Beijing, China
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