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Cheng S, Cong L, Hui D, Teng C, Li W, Ma J. Enhancement of prefrontal functional connectivity under the influence of concurrent physical load during mental tasks. Front Hum Neurosci 2024; 18:1500470. [PMID: 39776783 PMCID: PMC11703818 DOI: 10.3389/fnhum.2024.1500470] [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: 09/24/2024] [Accepted: 12/09/2024] [Indexed: 01/11/2025] Open
Abstract
Backgrounds Functional near-infrared spectroscopy (fNIRS) is widely used for the evaluation of mental workload (MWL), but it is not yet clear whether it is affected by physical factors during cognitive tasks. Therefore, the combined effects of physical and cognitive loads on hemodynamic features in the prefrontal cortex were evaluated. Methods Thirty-three eligible healthy male subjects were asked to perform three types of cognitive tasks (1-back, 2-back and 3-back). Concurrently, isotonic contraction aerobic exercise of the left upper limb was added. During this compound task, fNIRS signals, workload perception and task performance were recorded. Based on the oxyhemoglobin concentration, Pearson's correlation coefficient (CORR), coherence value (COH) and the phase-locking value (PLV) were calculated to reflect FC among eight channels. Results On the basis of effects of cognitive tasks, the concurrent physical activities would further increase National Aeronautics and Space Administration Task Load Index score (p < 0.05) and decrease task performance (p < 0.05). The fNIRS-based results showed that cognitive and physical loads had significant interaction effects on CORR (p < 0.05), COH (p < 0.05), and PLV (p = 0.010), while their main effects were not significant. The results of different channel pairs suggested that the functional connectivity between the right dorsolateral prefrontal cortex and the bilateral orbital frontal cortex was significantly enhanced under the combined effects of high physical and high cognitive load. Discussion From the perspective of prefrontal functional connectivity, this study supports measurable effects of physical factor on operators' mental load. The results provide a reference for the real-time (or online) assessment of the MWL level in the natural environment.
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Affiliation(s)
- Shan Cheng
- Department of Aerospace Medical Equipment, School of Aerospace Medicine, Air Force Medical University, Xi’an, Shaanxi, China
| | - Lin Cong
- Department of Aerospace Medical Equipment, School of Aerospace Medicine, Air Force Medical University, Xi’an, Shaanxi, China
| | - Duoduo Hui
- Department of Aerospace Medical Equipment, School of Aerospace Medicine, Air Force Medical University, Xi’an, Shaanxi, China
| | - Chaolin Teng
- Department of Aerospace Medical Equipment, School of Aerospace Medicine, Air Force Medical University, Xi’an, Shaanxi, China
| | - Wenbin Li
- Department of Aerospace Hygiene, School of Aerospace Medicine, Air Force Medical University, Xi’an, Shaanxi, China
| | - Jin Ma
- Department of Aerospace Medical Equipment, School of Aerospace Medicine, Air Force Medical University, Xi’an, Shaanxi, China
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Xiang LS, Zhang JN, Xie F, Fei X, Wang Y, Shi Y, Zhang Y. Comparative analysis of the effects of the computer-based and paper-based trail making tests on oxygenation in the prefrontal cortex. BMC Neurosci 2024; 25:39. [PMID: 39187754 PMCID: PMC11348744 DOI: 10.1186/s12868-024-00886-9] [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: 01/16/2024] [Accepted: 07/31/2024] [Indexed: 08/28/2024] Open
Abstract
The trail making test (TMT) is a commonly used tool for evaluating executive functions, and the activation of cerebral oxygenation in the prefrontal cortex (PFC) during the test can reflect the participation of executive function. This study aimed to compare the differences in cerebral oxygenation in the PFC between the computer- and paper-based versions of the TMT and provide a theoretical basis for the optimization and clinical application of the computer-based version. A total of 32 healthy adult participants completed the computer- and paper-based TMT Types A and B. Cerebral oxygenation changes in the PFC were monitored during the experiment using near-infrared spectroscopy. Moreover, average changes in oxyhemoglobin (Δoxy-Hb) levels at the baseline and during activation periods in different types of testing were compared and analyzed. The number of correct connections in the computer-based version Type B was less than that in the paper-based version Type B (p < .001). The task time of the computer-based version was longer than that of the paper-based version (p < .001). The B/A ratio of the number of correct connections in the computer-based version was lower than that in the paper-based version (p < .001). The Δoxy-Hb in the PFC of the paper-based version was higher than that of the computer-based version (p < .001). Significant differences in oxygenation in the PFC were observed between the paper- and computer-based versions of TMT. After further improvement and correction in the subsequent development of the computer-based TMT, and taking into account the psychological feelings and preferences of the participants when performing different versions of the TMTs, the computer-based TMT is expected to play a good auxiliary role in clinical evaluation.
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Affiliation(s)
- Li-Sha Xiang
- Department of Rehabilitation Medicine, The Third Affiliated Hospital of Soochow University, No. 185, Juqian Street, Tianning Area, Changzhou, 213003, China
- Department of Rehabilitation Medicine, School of Clinical Medicine, Soochow University, Soochow, China
| | - Jia-Nan Zhang
- Department of Rehabilitation Medicine, The Third Affiliated Hospital of Soochow University, No. 185, Juqian Street, Tianning Area, Changzhou, 213003, China
| | - Fan Xie
- Department of Rehabilitation Medicine, The Third Affiliated Hospital of Soochow University, No. 185, Juqian Street, Tianning Area, Changzhou, 213003, China
| | - Xiao Fei
- Department of Rehabilitation Medicine, The Third Affiliated Hospital of Soochow University, No. 185, Juqian Street, Tianning Area, Changzhou, 213003, China
| | - Ya Wang
- Department of Rehabilitation Medicine, The Third Affiliated Hospital of Soochow University, No. 185, Juqian Street, Tianning Area, Changzhou, 213003, China
| | - Yue Shi
- Department of Rehabilitation Medicine, The Third Affiliated Hospital of Soochow University, No. 185, Juqian Street, Tianning Area, Changzhou, 213003, China
| | - Yi Zhang
- Department of Rehabilitation Medicine, The Third Affiliated Hospital of Soochow University, No. 185, Juqian Street, Tianning Area, Changzhou, 213003, China.
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Guidetti OA, Speelman CP, Bouhlas P. The WACDT, a modern vigilance task for network defense. FRONTIERS IN NEUROERGONOMICS 2023; 4:1215497. [PMID: 38234483 PMCID: PMC10790921 DOI: 10.3389/fnrgo.2023.1215497] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Accepted: 10/23/2023] [Indexed: 01/19/2024]
Abstract
Vigilance decrement refers to a psychophysiological decline in the capacity to sustain attention to monotonous tasks after prolonged periods. A plethora of experimental tasks exist for researchers to study vigilance decrement in classic domains such as driving and air traffic control and baggage security; however, the only cyber vigilance tasks reported in the research literature exist in the possession of the United States Air Force (USAF). Moreover, existent cyber vigilance tasks have not kept up with advances in real-world cyber security and consequently no longer accurately reflect the cognitive load associated with modern network defense. The Western Australian Cyber Defense Task (WACDT) was designed, engineered, and validated. Elements of network defense command-and-control consoles that influence the trajectory of vigilance can be adjusted within the WACDT. These elements included cognitive load, event rate, signal salience and workload transitions. Two forms of the WACDT were tested. In static trials, each element was adjusted to its maximum level of processing difficulty. In dynamic trials, these elements were set to increase from their minimum to their maximum values. Vigilance performance in static trials was shown to improve over time. In contrast, dynamic WACDT trials were characterized by vigilance performance declines. The WACDT provides the civilian human factors research community with an up-to-date and validated vigilance task for network defense accessible to civilian researchers.
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Affiliation(s)
- Oliver A. Guidetti
- Edith Cowan University, Joondalup, WA, Australia
- Western Australian Department of the Premier and Cabinet, Perth, WA, Australia
- The Cyber Security Research Cooperative, Joondalup, WA, Australia
| | | | - Peter Bouhlas
- Western Australian Department of the Premier and Cabinet, Perth, WA, Australia
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Zhang K, Jin X, He Y, Wu S, Cui X, Gao X, Huang C, Luo X. Atypical frontotemporal cortical activity in first-episode adolescent-onset schizophrenia during verbal fluency task: A functional near-infrared spectroscopy study. Front Psychiatry 2023; 14:1126131. [PMID: 36970264 PMCID: PMC10030837 DOI: 10.3389/fpsyt.2023.1126131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Accepted: 02/17/2023] [Indexed: 03/29/2023] Open
Abstract
Background Frontotemporal cortex dysfunction has been found to be associated with cognitive impairment in patients with schizophrenia (SCZ). In patients with adolescent-onset SCZ, a more serious type of SCZ with poorer functional outcome, cognitive impairment appeared to occur at an early stage of the disease. However, the characteristics of frontotemporal cortex involvement in adolescent patients with cognitive impairment are still unclear. In the present study, we aimed to illustrate the frontotemporal hemodynamic response during a cognitive task in adolescents with first-episode SCZ. Methods Adolescents with first-episode SCZ who were aged 12-17 and demographically matched healthy controls (HCs) were recruited. We used a 48-channel functional near-infrared spectroscopy (fNIRS) system to record the concentration of oxygenated hemoglobin (oxy-Hb) in the participants' frontotemporal area during a verbal fluency task (VFT) and analyzed its correlation with clinical characteristics. Results Data from 36 adolescents with SCZ and 38 HCs were included in the analyses. Significant differences were found between patients with SCZ and HCs in 24 channels, mainly covering the dorsolateral prefrontal cortex, superior and middle temporal gyrus and frontopolar area. Adolescents with SCZ showed no increase of oxy-Hb concentration in most channels, while the VFT performance was comparable between the two groups. In SCZ, the intensity of activation was not associated with the severity of symptoms. Finally, receiver operating characteristic analysis indicated that the changes in oxy-Hb concentration could help distinguish the two groups. Conclusion Adolescents with first-episode SCZ showed atypical cortical activity in the frontotemporal area during the VFT, and fNIRS features might be more sensitive indicators in cognitive assessment, indicating that the characteristic hemodynamic response pattern might be potential imaging biomarkers for this population.
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Devlin SP, Brown NL, Drollinger S, Sibley C, Alami J, Riggs SL. Scan-based eye tracking measures are predictive of workload transition performance. APPLIED ERGONOMICS 2022; 105:103829. [PMID: 35930898 DOI: 10.1016/j.apergo.2022.103829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/27/2021] [Revised: 06/06/2022] [Accepted: 06/08/2022] [Indexed: 06/15/2023]
Abstract
Given there is no unifying theory or design guidance for workload transitions, this work investigated how visual attention allocation patterns could inform both topics, by understanding if scan-based eye tracking metrics could predict workload transition performance trends in a context-relevant domain. The eye movements of sixty Naval flight students were tracked as workload transitioned at a slow, medium, and fast pace in an unmanned aerial vehicle testbed. Four scan-based metrics were significant predictors across the different growth curve models of response time and accuracy. Stationary gaze entropy (a measure of how dispersed visual attention transitions are across tasks) was predictive across all three transition rates. The other three predictive scan-based metrics captured different aspects of visual attention, including its spread, directness, and duration. The findings specify several missing details in both theory and design guidance, which is unprecedented, and serves as a basis of future workload transition research.
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Affiliation(s)
- Shannon P Devlin
- U.S. Naval Research Laboratory, Washington, D.C, USA; University of Virginia, Charlottesville, VA, USA.
| | | | | | - Ciara Sibley
- U.S. Naval Research Laboratory, Washington, D.C, USA
| | - Jawad Alami
- University of Virginia, Charlottesville, VA, USA
| | - Sara L Riggs
- University of Virginia, Charlottesville, VA, USA
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Sahar Y, Wagner M, Barel A, Shoval S. Stress-Adaptive Training: An Adaptive Psychomotor Training According to Stress Measured by Grip Force. SENSORS (BASEL, SWITZERLAND) 2022; 22:s22218368. [PMID: 36366066 PMCID: PMC9654132 DOI: 10.3390/s22218368] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/05/2022] [Revised: 10/19/2022] [Accepted: 10/28/2022] [Indexed: 05/08/2023]
Abstract
Current training methods show advances in simulation technologies; however, most of them fail to account for changes in the physical or mental state of the trainee. An innovative training method, adaptive to the trainee's stress levels as measured by grip force, is described and inspected. It is compared with two standard training methods that ignore the trainee's state, either leaving the task's level of difficulty constant or increasing it over time. Fifty-two participants, divided into three test groups, performed a psychomotor training task. The performance level of the stress-adaptive group was higher than for both control groups, with a main effect of t = -2.12 (p = 0.039), while the training time was shorter than both control groups, with a main effect of t = 3.27 (p = 0.002). These results indicate that stress-adaptive training has the potential to improve training outcomes. Moreover, these results imply that grip force measurement has practical applications. Future studies may aid in the development of this training method and its outcomes.
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Affiliation(s)
- Yotam Sahar
- Department of Industrial Engineering & Management, Ariel University, Ariel 4076414, Israel
- Correspondence:
| | - Michael Wagner
- Department of Industrial Engineering & Management, Ariel University, Ariel 4076414, Israel
| | - Ariel Barel
- The Faculty of Computer Science, Technion-Israel Institute of Technology, Haifa 3200003, Israel
| | - Shraga Shoval
- Department of Industrial Engineering & Management, Ariel University, Ariel 4076414, Israel
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Shedding Light on the Effects of Orienteering Exercise on Spatial Memory Performance in College Students of Different Genders: An fNIRS Study. Brain Sci 2022; 12:brainsci12070852. [PMID: 35884661 PMCID: PMC9312968 DOI: 10.3390/brainsci12070852] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Revised: 06/16/2022] [Accepted: 06/23/2022] [Indexed: 02/04/2023] Open
Abstract
Objective: To investigate the intervention effect of orienteering exercises on the spatial memory ability of college students of different genders and its underlying mechanism. Methods: Forty-eight college students were randomly screened into experimental and control groups, 12 each of male and female, by SBSOD scale. The effects of 12 weeks of orienteering exercises on the behavioral performance and brain activation patterns during the spatial memory tasks of college students of different genders were explored by behavioral tests and the fNIRS technique. Results: After the orienteering exercise intervention in the experimental group, the male students had significantly greater correct rates and significantly lower reaction times than the female students; left and right dorsolateral prefrontal activation was significantly reduced in the experimental group, and the male students had a significantly greater reduction in the left dorsolateral prefrontal than the female students. The degree of activation in the left and right dorsolateral prefrontals of the male students and the right dorsolateral prefrontals of the female students correlated significantly with behavioral performance, and the functional coupling between the brain regions showed an enhanced performance. Discussion: Orienteering exercises improve the spatial memory ability of college students, more significantly in male students. The degree of activation of different brain regions correlated with behavioral performance and showed some gender differences.
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Audiffren M, André N, Baumeister RF. Training Willpower: Reducing Costs and Valuing Effort. Front Neurosci 2022; 16:699817. [PMID: 35573284 PMCID: PMC9095966 DOI: 10.3389/fnins.2022.699817] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2021] [Accepted: 03/21/2022] [Indexed: 11/13/2022] Open
Abstract
The integrative model of effortful control presented in a previous article aimed to specify the neurophysiological bases of mental effort. This model assumes that effort reflects three different inter-related aspects of the same adaptive function. First, a mechanism anchored in the salience network that makes decisions about the effort that should be engaged in the current task in view of costs and benefits associated with the achievement of the task goal. Second, a top-down control signal generated by the mechanism of effort that modulates neuronal activity in brain regions involved in the current task to filter pertinent information. Third, a feeling that emerges in awareness during effortful tasks and reflects the costs associated with goal-directed behavior. The aim of the present article is to complete this model by proposing that the capacity to exert effortful control can be improved through training programs. Two main questions relative to this possible strengthening of willpower are addressed in this paper. The first question concerns the existence of empirical evidence that supports gains in effortful control capacity through training. We conducted a review of 63 meta-analyses that shows training programs are effective in improving performance in effortful tasks tapping executive functions and/or self-control with a small to large effect size. Moreover, physical and mindfulness exercises could be two promising training methods that would deserve to be included in training programs aiming to strengthen willpower. The second question concerns the neural mechanisms that could explain these gains in effortful control capacity. Two plausible brain mechanisms are proposed: (1) a decrease in effort costs combined with a greater efficiency of brain regions involved in the task and (2) an increase in the value of effort through operant conditioning in the context of high effort and high reward. The first mechanism supports the hypothesis of a strengthening of the capacity to exert effortful control whereas the second mechanism supports the hypothesis of an increase in the motivation to exert this control. In the last part of the article, we made several recommendations to improve the effectiveness of interventional studies aiming to train this adaptive function."Keep the faculty of effort alive in you by a little gratuitous exercise every day."James (1918, p. 127).
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Affiliation(s)
- Michel Audiffren
- Research Centre on Cognition and Learning, Centre National de la Recherche Scientifique, University of Poitiers, Poitiers, France
| | - Nathalie André
- Research Centre on Cognition and Learning, Centre National de la Recherche Scientifique, University of Poitiers, Poitiers, France
| | - Roy F. Baumeister
- School of Psychology, The University of Queensland, St Lucia, QLD, Australia
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Eloy L, Doherty EJ, Spencer CA, Bobko P, Hirshfield L. Using fNIRS to Identify Transparency- and Reliability-Sensitive Markers of Trust Across Multiple Timescales in Collaborative Human-Human-Agent Triads. FRONTIERS IN NEUROERGONOMICS 2022; 3:838625. [PMID: 38235468 PMCID: PMC10790910 DOI: 10.3389/fnrgo.2022.838625] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/18/2021] [Accepted: 03/08/2022] [Indexed: 01/19/2024]
Abstract
Intelligent agents are rapidly evolving from assistants into teammates as they perform increasingly complex tasks. Successful human-agent teams leverage the computational power and sensory capabilities of automated agents while keeping the human operator's expectation consistent with the agent's ability. This helps prevent over-reliance on and under-utilization of the agent to optimize its effectiveness. Research at the intersection of human-computer interaction, social psychology, and neuroergonomics has identified trust as a governing factor of human-agent interactions that can be modulated to maintain an appropriate expectation. To achieve this calibration, trust can be monitored continuously and unobtrusively using neurophysiological sensors. While prior studies have demonstrated the potential of functional near-infrared spectroscopy (fNIRS), a lightweight neuroimaging technology, in the prediction of social, cognitive, and affective states, few have successfully used it to measure complex social constructs like trust in artificial agents. Even fewer studies have examined the dynamics of hybrid teams of more than 1 human or 1 agent. We address this gap by developing a highly collaborative task that requires knowledge sharing within teams of 2 humans and 1 agent. Using brain data obtained with fNIRS sensors, we aim to identify brain regions sensitive to changes in agent behavior on a long- and short-term scale. We manipulated agent reliability and transparency while measuring trust, mental demand, team processes, and affect. Transparency and reliability levels are found to significantly affect trust in the agent, while transparency explanations do not impact mental demand. Reducing agent communication is shown to disrupt interpersonal trust and team cohesion, suggesting similar dynamics as human-human teams. Contrasts of General Linear Model analyses identify dorsal medial prefrontal cortex activation specific to assessing the agent's transparency explanations and characterize increases in mental demand as signaled by dorsal lateral prefrontal cortex and frontopolar activation. Short scale event-level data is analyzed to show that predicting whether an individual will trust the agent, with data from 15 s before their decision, is feasible with fNIRS data. Discussing our results, we identify targets and directions for future neuroergonomics research as a step toward building an intelligent trust-modulation system to optimize human-agent collaborations in real time.
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Affiliation(s)
- Lucca Eloy
- Institute of Cognitive Science, University of Colorado Boulder, Boulder, CO, United States
| | - Emily J. Doherty
- Institute of Cognitive Science, University of Colorado Boulder, Boulder, CO, United States
| | - Cara A. Spencer
- Institute of Cognitive Science, University of Colorado Boulder, Boulder, CO, United States
| | - Philip Bobko
- Department of Management, Gettysburg College, Gettysburg, PA, United States
| | - Leanne Hirshfield
- Institute of Cognitive Science, University of Colorado Boulder, Boulder, CO, United States
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Llana T, Fernandez-Baizan C, Mendez-Lopez M, Fidalgo C, Mendez M. Functional near-infrared spectroscopy in the neuropsychological assessment of spatial memory: A systematic review. Acta Psychol (Amst) 2022; 224:103525. [PMID: 35123299 DOI: 10.1016/j.actpsy.2022.103525] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2021] [Revised: 01/19/2022] [Accepted: 01/26/2022] [Indexed: 11/17/2022] Open
Abstract
Functional near-infrared spectroscopy (fNIRS) is a non-invasive optical imaging technique that employs near-infrared light to measure cortical brain oxygenation. The use of fNIRS has increased exponentially in recent years. Spatial memory is defined as the ability to learn and use spatial information. This neuropsychological process is constantly used in our daily lives and can be measured by fNIRS but no research has reviewed whether this technique can be useful in the neuropsychological assessment of spatial memory. This study aimed to review empirical work on the use of fNIRS in the neuropsychological assessment of human spatial memory. We used four databases: PubMed, PsycINFO, Scopus and Web of Science, and a total of 18 articles were found to be eligible. Most of the articles assessed spatial or visuospatial working memory with a predominance in computer-based tasks, used fNIRS equipment of 16 channels and mainly measured the prefrontal cortex (PFC). The studies analysed found linear or quadratic relationships between working memory load and PFC activity, greater activation of PFC activity and worse behavioural results in healthy older people in comparison with healthy adults, and hyperactivation of PFC as a form of compensation in clinical samples. We conclude that fNIRS is compatible with the standard neuropsychological assessment of spatial memory, making it possible to complement behavioural results with data of cortical functional activity.
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Affiliation(s)
- Tania Llana
- Department of Psychology, University of Oviedo, Faculty of Psychology, Plaza Feijoo s/n, 33003 Oviedo, Asturias, Spain
| | - Cristina Fernandez-Baizan
- Department of Psychology, University of Oviedo, Faculty of Psychology, Plaza Feijoo s/n, 33003 Oviedo, Asturias, Spain; Neuroscience Institute of Principado de Asturias (INEUROPA), Faculty of Psychology, Plaza Feijoo s/n, 33003 Oviedo, Asturias, Spain.
| | - Magdalena Mendez-Lopez
- Department of Psychology and Sociology, University of Zaragoza, Pedro Cerbuna 12, 50009 Zaragoza, Aragón, Spain; IIS Aragón, San Juan Bosco, 13, 50009 Zaragoza, Aragón, Spain
| | - Camino Fidalgo
- Department of Psychology and Sociology, University of Zaragoza, Pedro Cerbuna 12, 50009 Zaragoza, Aragón, Spain; IIS Aragón, San Juan Bosco, 13, 50009 Zaragoza, Aragón, Spain
| | - Marta Mendez
- Department of Psychology, University of Oviedo, Faculty of Psychology, Plaza Feijoo s/n, 33003 Oviedo, Asturias, Spain; Neuroscience Institute of Principado de Asturias (INEUROPA), Faculty of Psychology, Plaza Feijoo s/n, 33003 Oviedo, Asturias, Spain; Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Av. del Hospital Universitario, s/n, 33011 Oviedo, Asturias, Spain
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