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Search Results (931)

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16 pages, 814 KiB  
Article
Neural and Cardio-Respiratory Responses During Maximal Self-Paced and Controlled-Intensity Protocols at Similar Perceived Exertion Levels: A Pilot Study
by Luc Poinsard, Florent Palacin, Iraj Said Hashemi and Véronique Billat
Appl. Sci. 2024, 14(22), 10551; https://doi.org/10.3390/app142210551 (registering DOI) - 15 Nov 2024
Viewed by 188
Abstract
Self-paced exercise protocols have gained attention for their potential to optimize performance and manage fatigue by allowing individuals to regulate their efforts based on perceived exertion. This pilot study aimed to investigate the neural and physiological responses during a self-paced V̇O2max [...] Read more.
Self-paced exercise protocols have gained attention for their potential to optimize performance and manage fatigue by allowing individuals to regulate their efforts based on perceived exertion. This pilot study aimed to investigate the neural and physiological responses during a self-paced V̇O2max (SPV) and incremental exercise tests (IET). Six trained male cyclists (mean age 39.2 ± 13.3 years; V̇O2max 54.3 ± 8.2 mL·kg1·min1) performed both tests while recording their brain activity using electroencephalography (EEG). The IET protocol involved increasing the power every 3 min relative to body weight, while the SPV allowed participants to self-regulate the intensity using ratings of perceived exertion (RPE). Gas exchange, EEG, heart rate (HR), stroke volume (SV), and power output were continuously monitored. Statistical analyses included a two-way repeated measures ANOVA and Wilcoxon signed-rank tests to assess differences in alpha and beta power spectral densities (PSDs) and the EEG/V̇O2 ratio. Our results showed that during the SPV test, the beta PSD initially increased but stabilized at around 80% of the test duration, suggesting effective management of effort without further neural strain. In contrast, the IET showed a continuous increase in beta activity, indicating greater neural demand and potentially leading to an earlier onset of fatigue. Additionally, participants maintained similar cardiorespiratory parameters (V̇O2, HR, SV, respiratory frequency, etc.) across both protocols, reinforcing the reliability of the RPE scale in guiding exercise intensity. These findings suggest that SPV better optimizes neural efficiency and delays fatigue compared to fixed protocols and that individuals can accurately control exercise intensity based on perceived exertion. Despite the small sample size, the results provide valuable insights into the potential benefits of self-paced exercise for improving adherence to exercise programs and optimizing performance across different populations. Full article
(This article belongs to the Special Issue Brain Functional Connectivity: Prediction, Dynamics, and Modeling)
16 pages, 2285 KiB  
Article
Driving Fatigue Onset and Visual Attention: An Electroencephalography-Driven Analysis of Ocular Behavior in a Driving Simulation Task
by Andrea Giorgi, Gianluca Borghini, Francesca Colaiuda, Stefano Menicocci, Vincenzo Ronca, Alessia Vozzi, Dario Rossi, Pietro Aricò, Rossella Capotorto, Simone Sportiello, Marco Petrelli, Carlo Polidori, Rodrigo Varga, Marteyn Van Gasteren, Fabio Babiloni and Gianluca Di Flumeri
Behav. Sci. 2024, 14(11), 1090; https://doi.org/10.3390/bs14111090 - 13 Nov 2024
Viewed by 473
Abstract
Attentional deficits have tragic consequences on road safety. These deficits are not solely caused by distraction, since they can also arise from other mental impairments such as, most frequently, mental fatigue. Fatigue is among the most prevalent impairing conditions while driving, degrading drivers’ [...] Read more.
Attentional deficits have tragic consequences on road safety. These deficits are not solely caused by distraction, since they can also arise from other mental impairments such as, most frequently, mental fatigue. Fatigue is among the most prevalent impairing conditions while driving, degrading drivers’ cognitive and physical abilities. This issue is particularly relevant for professional drivers, who spend most of their time behind the wheel. While scientific literature already documented the behavioral effects of driving fatigue, most studies have focused on drivers under sleep deprivation or anyhow at severe fatigue degrees, since it is difficult to recognize the onset of fatigue. The present study employed an EEG-driven approach to detect early signs of fatigue in professional drivers during a simulated task, with the aim of studying visual attention as fatigue begins to set in. Short-range and long-range professional drivers were recruited to take part in a 45-min-long simulated driving experiment. Questionnaires were used to validate the experimental protocol. A previously validated EEG index, the MDrow, was adopted as the benchmark measure for identifying the “fatigued” spans. Results of the eye-tracking analysis showed that, when fatigued, professional drivers tended to focus on non-informative portions of the driving environment. This paper presents evidence that an EEG-driven approach can be used to detect the onset of fatigue while driving and to study the related visual attention patterns. It was found that the onset of fatigue did not differentially impact drivers depending on their professional activity (short- vs. long-range delivery). Full article
(This article belongs to the Special Issue Neuroimaging Techniques in the Measurement of Mental Fatigue)
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<p>Description of the experimental protocol.</p>
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<p>The two driving scenarios adopted in this study (<b>left</b>: van drivers, <b>right</b>: truck drivers). In order to reduce the noise in the data, statistical analysis was performed only on the data collected while participants were driving in the longest straight line (circled in red). Blue arrows indicate the direction while driving.</p>
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<p>Representation of the AoIs designed for both van (<b>left</b>) and truck (<b>right</b>) drivers. Green: Road; Orange: Cockpit; Blue: External Environment; Purple: Cockpit Total (this is not discussed in this paper because of the neglectable amount of attention participants paid to this AoI).</p>
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<p>Results of questionnaires analysis. Participants perceived higher levels of both sleepiness (<b>a</b>) and fatigue (<b>b</b>). The choice of providing both questionnaires was based on the fact that fatigue and sleepiness might be difficult to distinguish between each other. * <span class="html-italic">p</span> &lt; 0.05; ** = <span class="html-italic">p</span> &lt; 0.01; *** <span class="html-italic">p</span> &lt; 0.001.</p>
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<p>EEG assessment during the resting state collected at the participants’ arrival and after each driving task. As shown, after the circuit driving task (EO2), participants experienced an increase in fatigue that was found to be further higher after the monotonous driving task (EO3). * <span class="html-italic">p</span> &lt; 0.05.</p>
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<p>Analysis of ocular behavior during Low vs. ‘High fatigue’ condition. Subfigures (<b>a</b>,<b>b</b>) respectively show Fixation Count and Total Visit Duration. Both these measures decreased when participants were fatigued. ** represents <span class="html-italic">p</span> &lt; 0.01.</p>
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<p>Analysis of ocular behavior toward External Environment during ‘Low fatigue’ vs. ‘High fatigue’ condition. Fixation Count has been found to decrease when participants were fatigued. ** represents <span class="html-italic">p</span> &lt; 0.01.</p>
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18 pages, 1652 KiB  
Article
Closed-Loop Auditory Stimulation (CLAS) During Sleep Augments Language and Discovery Learning
by Vincent P. Clark, Hector P. Valverde, Mason S. Briggs, Teagan Mullins, Jacqueline Ortiz, Christopher J. H. Pirrung, Olivia S. O’Keeffe, Madeline Hwang, Sidney Crowley, Marko Šarlija and Panagiotis Matsangas
Brain Sci. 2024, 14(11), 1138; https://doi.org/10.3390/brainsci14111138 - 13 Nov 2024
Viewed by 403
Abstract
Background/Objectives: Slow oscillation (SO) brainwaves observed during sleep have been shown to reflect the process of memory consolidation, that underlies the critical role of sleep in learning, memory, and other cognitive functions. Closed-loop auditory stimulation (CLAS) uses tones presented in phase with SOs [...] Read more.
Background/Objectives: Slow oscillation (SO) brainwaves observed during sleep have been shown to reflect the process of memory consolidation, that underlies the critical role of sleep in learning, memory, and other cognitive functions. Closed-loop auditory stimulation (CLAS) uses tones presented in phase with SOs to increase their amplitude and number, along with other brainwave signatures related to memory consolidation. Prior studies have found that CLAS maximizes the ability to perform rote memorization tasks, although this remains controversial. The present study examined whether CLAS affects a broader range of learning tasks than has been tested previously, including a rote language learning task requiring basic memorization and also two discovery learning tasks requiring insight, hypothesis testing, and integration of experience, all processes that benefit from memory consolidation. Methods: Twenty-eight healthy participants performed language and discovery learning tasks before sleeping in our laboratory for three continuous nights per week over two weeks, with verum or control CLAS using a prototype NeuroGevity system (NeuroGeneces, Inc., Santa Fe, NM, USA) in a crossed, randomized, double-blind manner. Results: Language learning showed a 35% better word recall (p = 0.048), and discovery learning showed a 26% better performance (p < 0.001) after three continuous nights of CLAS vs. control. EEG measures showed increased SO amplitude and entrainment, SO-spindle coupling, and other features that may underlie the learning benefits of CLAS. Conclusions: Taken together, the present results show that CLAS can alter brain dynamics and enhance learning, especially in complex discovery learning tasks that may benefit more from memory consolidation compared with rote word pair or language learning. Full article
(This article belongs to the Section Neurotechnology and Neuroimaging)
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<p>Shows sequence of procedures (<b>A</b>) and balancing of conditions across weeks (<b>B</b>).</p>
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<p>Example images presented to participants in the DARWARS task. The left of the figure contains example target-absent images and the right contains analogous target-present images. The cut-out boxes are used here for display purposes only and were not present in the actual task. The right boxes show target-present images (roadside IEDs, remote-controlled car bombs, and snipers) with the objects magnified.</p>
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<p>Example stimuli from the PRETXT task. The task began with a baseline test block (left column) without feedback, then a training block with feedback (middle column), and then a test block without feedback (right column).</p>
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<p>(<b>A</b>) Mean (±SD) 0.25–4 Hz filtered EEG signal, averaged across subjects, time-locked to the first auditory stimulus (t = 0 s) for the Stim and Control conditions. (<b>B</b>) Mean (±SD) of the 11–16 Hz filtered (spindle band) EEG signal amplitude envelope (based on the Hilbert transformation), averaged across subjects, time-locked to the first auditory stimulus (t = 0 s) for the Stim and Control conditions. For each stimulus, the mean spindle activity value in the 2 s period before the stimulus delivery was subtracted (which is then reflected in the y-axis values).</p>
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19 pages, 5492 KiB  
Article
Effects of Noise and Vibration Changes from Agricultural Machinery on Brain Stress Using EEG Measurement
by Seok-Joon Hwang and Ju-Seok Nam
AgriEngineering 2024, 6(4), 4248-4266; https://doi.org/10.3390/agriengineering6040239 - 12 Nov 2024
Viewed by 378
Abstract
In this study, the agricultural work stress induced by the noise and vibration of some agricultural machinery was analyzed through electroencephalogram (EEG) measurements. The values of spectral edge frequency (SEF) 95%, relative gamma power (RGP), and EEG-based working index (EWI), utilized as stress [...] Read more.
In this study, the agricultural work stress induced by the noise and vibration of some agricultural machinery was analyzed through electroencephalogram (EEG) measurements. The values of spectral edge frequency (SEF) 95%, relative gamma power (RGP), and EEG-based working index (EWI), utilized as stress indicators, were derived by analyzing the EEG data collected. The EEG analysis revealed that agricultural work stress manifested when participants engaged in agricultural tasks following a period of rest. Additionally, the right prefrontal cortex was identified where the values of SEF95% and RGP increased concurrently with the rise in noise (61.42–88.39 dBA) and vibration (0.332–1.598 m/s2). This study’s results are expected to be utilized as foundational data to determine the agricultural work stress felt by farmers during work through EEG analysis in response to changes in noise and vibration. Full article
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<p>Shape of the EEG measurement device used.</p>
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<p>Attachment location of electrodes for the EEG measurement.</p>
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<p>The sound level meter utilized.</p>
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<p>Layout of noise measurement.</p>
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<p>The vibrometer utilized.</p>
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<p>Layout of the vibration measurement.</p>
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<p>Variations in the SEF95% in response to noise changes.</p>
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<p>Variations in RGP in response to noise changes.</p>
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<p>RTP, RAP, RBP, and RGP values for each electrode in response to noise changes. (<b>a</b>) Fp1 electrode; (<b>b</b>) Fp2 electrode; (<b>c</b>) F3 electrode; (<b>d</b>) F4 electrode; (<b>e</b>) Pz electrode.</p>
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<p>Variations in EWI in response to noise changes.</p>
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<p>Variations in SEF95% in response to vibration changes.</p>
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<p>Variations in RGP in response to vibration changes.</p>
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<p>RTP, RAP, RBP, and RGP values in response to vibration changes: (<b>a</b>) Fp1 electrode; (<b>b</b>) Fp2 electrode; (<b>c</b>) F4 electrode.</p>
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<p>Variations in EWI in response to vibration changes.</p>
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17 pages, 833 KiB  
Review
Utilization of Single-Pulse Transcranial-Evoked Potentials in Neurological and Psychiatric Clinical Practice: A Narrative Review
by Hilla Fogel, Noa Zifman and Mark Hallett
Neurol. Int. 2024, 16(6), 1421-1437; https://doi.org/10.3390/neurolint16060106 - 11 Nov 2024
Viewed by 252
Abstract
Background: The utility of single-pulse TMS (transcranial magnetic stimulation)-evoked EEG (electroencephalograph) potentials (TEPs) has been extensively studied in the past three decades. TEPs have been shown to provide insights into features of cortical excitability and connectivity, reflecting mechanisms of excitatory/inhibitory balance, in various [...] Read more.
Background: The utility of single-pulse TMS (transcranial magnetic stimulation)-evoked EEG (electroencephalograph) potentials (TEPs) has been extensively studied in the past three decades. TEPs have been shown to provide insights into features of cortical excitability and connectivity, reflecting mechanisms of excitatory/inhibitory balance, in various neurological and psychiatric conditions. In the present study, we sought to review and summarize the most studied neurological and psychiatric clinical indications utilizing single-pulse TEP and describe its promise as an informative novel tool for the evaluation of brain physiology. Methods: A thorough search of PubMed, Embase, and Google Scholar for original research utilizing single-pulse TMS-EEG and the measurement of TEP was conducted. Our review focused on the indications and outcomes most clinically relevant, commonly studied, and well-supported scientifically. Results: We included a total of 55 publications and summarized them by clinical application. We categorized these publications into seven sub-sections: healthy aging, Alzheimer’s disease (AD), disorders of consciousness (DOCs), stroke rehabilitation and recovery, major depressive disorder (MDD), Parkinson’s disease (PD), as well as prediction and monitoring of treatment response. Conclusions: TEP is a useful measurement of mechanisms underlying neuronal networks. It may be utilized in several clinical applications. Its most prominent uses include monitoring of consciousness levels in DOCs, monitoring and prediction of treatment response in MDD, and diagnosis of AD. Additional applications including the monitoring of stroke rehabilitation and recovery, as well as a diagnostic aid for PD, have also shown encouraging results but require further evidence from randomized controlled trials (RCTs). Full article
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<p>Illustrative examples of the changes in TEP across clinical conditions/interventions. <a href="#neurolint-16-00106-f001" class="html-fig">Figure 1</a>—illustrative simulated TEP waveforms showing voltage (μV, y-axis) over time (ms, x-axis). (<b>A</b>) Age-related changes showing decreased amplitudes and delayed latency of TEP components. (<b>B</b>) Illustration of a typical AD TEP with increased P30. (<b>C</b>) Illustration of an MDD TEP waveform with increased baseline P60-N100 amplitude. (<b>D</b>) Illustration of the changes in TEP peaks in response to pharmacological interventions.</p>
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<p>Rise in TMS-EEG publications from 1993 to 2023. Bars represent the number of publications on TMS-EEG each year.</p>
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20 pages, 6745 KiB  
Article
A Proposed Method of Automating Data Processing for Analysing Data Produced from Eye Tracking and Galvanic Skin Response
by Javier Sáez-García, María Consuelo Sáiz-Manzanares and Raúl Marticorena-Sánchez
Computers 2024, 13(11), 289; https://doi.org/10.3390/computers13110289 - 8 Nov 2024
Viewed by 395
Abstract
The use of eye tracking technology, together with other physiological measurements such as psychogalvanic skin response (GSR) and electroencephalographic (EEG) recordings, provides researchers with information about users’ physiological behavioural responses during their learning process in different types of tasks. These devices produce a [...] Read more.
The use of eye tracking technology, together with other physiological measurements such as psychogalvanic skin response (GSR) and electroencephalographic (EEG) recordings, provides researchers with information about users’ physiological behavioural responses during their learning process in different types of tasks. These devices produce a large volume of data. However, in order to analyse these records, researchers have to process and analyse them using complex statistical and/or machine learning techniques (supervised or unsupervised) that are usually not incorporated into the devices. The objectives of this study were (1) to propose a procedure for processing the extracted data; (2) to address the potential technical challenges and difficulties in processing logs in integrated multichannel technology; and (3) to offer solutions for automating data processing and analysis. A Notebook in Jupyter is proposed with the steps for importing and processing data, as well as for using supervised and unsupervised machine learning algorithms. Full article
(This article belongs to the Special Issue Smart Learning Environments)
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<p>Examples of gaze point and scan path.</p>
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<p>Heat Map for different stimuli (web, video, text, and image).</p>
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<p>Gaze Point in different stimuli (web, video, text, and image).</p>
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<p>Procedure for analysing records produced with integrated multichannel eye tracking technology.</p>
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<p>DataFrame of the data grouped by participants.</p>
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<p>Final data integration.</p>
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<p>Graph of the elbow method.</p>
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<p>Scatter plot of the relationship between all variables.</p>
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<p>Description of the virtual laboratory.</p>
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<p>Description of the virtual laboratory.</p>
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19 pages, 3654 KiB  
Article
Fatigue Characterization of EEG Brain Networks Under Mixed Reality Stereo Vision
by Yan Wu, Chunguang Tao and Qi Li
Brain Sci. 2024, 14(11), 1126; https://doi.org/10.3390/brainsci14111126 - 7 Nov 2024
Viewed by 514
Abstract
Mixed Reality (MR) technology possesses profound and extensive potential across a multitude of domains, including, but not limited to industry, healthcare, and education. However, prolonged use of MR devices to watch stereoscopic content may lead to visual fatigue. Since visual fatigue involves multiple [...] Read more.
Mixed Reality (MR) technology possesses profound and extensive potential across a multitude of domains, including, but not limited to industry, healthcare, and education. However, prolonged use of MR devices to watch stereoscopic content may lead to visual fatigue. Since visual fatigue involves multiple brain regions, our study aims to explore the topological characteristics of brain networks derived from electroencephalogram (EEG) data. Because the Phase-Locked Value (PLV) is capable of effectively measuring the phase synchronization relationship between brain regions, it was calculated between all pairs of channels in both comfort and fatigue states. Subsequently, a sparse brain network was constructed based on PLV by applying an appropriate threshold. The node properties (betweenness centrality, clustering coefficient, node efficiency) and edge properties (characteristic path length) were calculated based on the corresponding brain network within specific frequency bands for both comfort and fatigue states. In analyzing the PLV of brain connectivity in comfort and fatigue states, a notable enhancement in brain connectivity is observed within the alpha, theta, and delta frequency bands during fatigue status. By analyzing the node and edge properties of brain networks, it is evident that the mean values of these properties in the fatigue state were higher than those in the comfort state. By analyzing the node and edge properties at a local level, the average difference in betweenness centrality, clustering coefficients, and nodal efficiency across the three EEG frequency bands was computed to find significant brain regions. The main findings are as follows: Betweenness centrality primarily differs in frontal and parietal regions, with minor involvement in temporal and central regions. The clustering Coefficient mainly varies in the frontal region, with slight differences being seen in the temporal and occipital regions. Nodal efficiency primarily varies in the frontal, temporal, and central regions, with minor differences being seen in the parietal and occipital regions. Edge property analysis indicates that there is a higher occurrence of long-distance connections among brain regions during the fatigue state, which reflects a loss of synaptic transmission efficiency on a global level. Our study plays a crucial role in understanding the neural mechanisms underlying visual fatigue, potentially providing insights that could be applied to high-demand cognitive fields where prolonged use of MR devices leads to visual fatigue. Full article
(This article belongs to the Special Issue Brain Network Connectivity Analysis in Neuroscience)
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<p>Average ratings for the six-speed modes.</p>
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<p>Flow diagram of EEG experiments.</p>
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<p>Schematic diagram of the EEG recording and experimental environment.</p>
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<p>Average network distribution of two conditions of participants. Note: ↑ indicates that the mean PLV in the fatigue state is higher compared to the comfort state. **: <math display="inline"><semantics> <mrow> <msub> <mi>p</mi> <mi>mean</mi> </msub> <mo>&lt;</mo> <mn>0.01</mn> </mrow> </semantics></math>, where <math display="inline"><semantics> <msub> <mi>p</mi> <mi>mean</mi> </msub> </semantics></math> represents the mean of all significant electrode pairs.</p>
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<p>Comparative analysis of brain functional network metrics across the alpha, theta, and delta frequency bands among participants with varying thresholds. *: <math display="inline"><semantics> <mrow> <mi>p</mi> <mo>&lt;</mo> <mn>0.05</mn> </mrow> </semantics></math>, **: <math display="inline"><semantics> <mrow> <mi>p</mi> <mo>&lt;</mo> <mn>0.01</mn> </mrow> </semantics></math>, ***: <math display="inline"><semantics> <mrow> <mi>p</mi> <mo>&lt;</mo> <mn>0.001</mn> </mrow> </semantics></math>. Note: red signifies the threshold exhibiting the highest level of significance.</p>
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<p>Average difference of BC (fatigue)-BC (comfort) for all participants of the alpha, theta, and delta bands. <sup>+</sup>, <sup>#</sup>, *: <math display="inline"><semantics> <mrow> <mi>p</mi> <mo>&lt;</mo> <mn>0.05</mn> </mrow> </semantics></math>; <sup>##</sup>, **: <math display="inline"><semantics> <mrow> <mi>p</mi> <mo>&lt;</mo> <mn>0.01</mn> </mrow> </semantics></math>.</p>
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<p>Average difference of CC (fatigue)-CC (comfort) for all participants of the alpha, theta, and delta bands. <sup>+</sup>, <sup>#</sup>, *: <math display="inline"><semantics> <mrow> <mi>p</mi> <mo>&lt;</mo> <mn>0.05</mn> </mrow> </semantics></math>; <sup>++</sup>: <math display="inline"><semantics> <mrow> <mi>p</mi> <mo>&lt;</mo> <mn>0.01</mn> </mrow> </semantics></math>.</p>
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<p>Average difference of NE (fatigue)-NE (comfort) for all participants of the alpha, theta, and delta bands. <sup>+</sup>, <sup>#</sup>, *: <math display="inline"><semantics> <mrow> <mi>p</mi> <mo>&lt;</mo> <mn>0.05</mn> </mrow> </semantics></math>; <sup>++</sup>, <sup>##</sup>, **: <math display="inline"><semantics> <mrow> <mi>p</mi> <mo>&lt;</mo> <mn>0.01</mn> </mrow> </semantics></math>; ***: <math display="inline"><semantics> <mrow> <mi>p</mi> <mo>&lt;</mo> <mn>0.001</mn> </mrow> </semantics></math>.</p>
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<p>3D Modular Brain Networks. (<b>a</b>) represents the alpha band. (<b>b</b>) represents the theta band. (<b>c</b>) represents the delta band. Each band corresponds to both comfort and fatigue states. Different nodes have different colors, and the color of the edges changes according to the colors of the nodes. The edge thickness signifies the strength of the connection between nodes. A thicker edge indicates a stronger relationship. The brain networks were visualized using the BrainNet Viewer (<a href="http://www.nitrc.org/projects/bnv/" target="_blank">http://www.nitrc.org/projects/bnv/</a>, accessed on 15 December 2023) [<a href="#B45-brainsci-14-01126" class="html-bibr">45</a>].</p>
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<p>The significance of alpha, theta, and delta in the comfort and fatigue states was assessed using a one-tailed test.</p>
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31 pages, 8528 KiB  
Article
Neuroplastic Responses to Chiropractic Care: Broad Impacts on Pain, Mood, Sleep, and Quality of Life
by Heidi Haavik, Imran Khan Niazi, Imran Amjad, Nitika Kumari, Usman Ghani, Moeez Ashfaque, Usman Rashid, Muhammad Samran Navid, Ernest Nlandu Kamavuako, Amit N. Pujari and Kelly Holt
Brain Sci. 2024, 14(11), 1124; https://doi.org/10.3390/brainsci14111124 - 7 Nov 2024
Viewed by 3974
Abstract
Objectives: This study aimed to elucidate the mechanisms of chiropractic care using resting electroencephalography (EEG), somatosensory evoked potentials (SEPs), clinical health assessments (Fitbit), and Patient-reported Outcomes Measurement Information System (PROMIS-29). Methods: Seventy-six people with chronic low back pain (mean age ± SD: 45 [...] Read more.
Objectives: This study aimed to elucidate the mechanisms of chiropractic care using resting electroencephalography (EEG), somatosensory evoked potentials (SEPs), clinical health assessments (Fitbit), and Patient-reported Outcomes Measurement Information System (PROMIS-29). Methods: Seventy-six people with chronic low back pain (mean age ± SD: 45 ± 11 years, 33 female) were randomised into control (n = 38) and chiropractic (n = 38) groups. EEG and SEPs were collected pre and post the first intervention and post 4 weeks of intervention. PROMIS-29 was measured pre and post 4 weeks. Fitbit data were recorded continuously. Results: Spectral analysis of resting EEG showed a significant increase in Theta, Alpha and Beta, and a significant decrease in Delta power in the chiropractic group post intervention. Source localisation revealed a significant increase in Alpha activity within the Default Mode Network (DMN) post intervention and post 4 weeks. A significant decrease in N30 SEP peak amplitude post intervention and post 4 weeks was found in the chiropractic group. Source localisation demonstrated significant changes in Alpha and Beta power within the DMN post-intervention and post 4 weeks. Significant improvements in light sleep stage were observed in the chiropractic group along with enhanced overall quality of life post 4 weeks, including significant reductions in anxiety, depression, fatigue, and pain. Conclusions: These findings indicate that many health benefits of chiropractic care are due to altered brain activity. Full article
(This article belongs to the Special Issue Altered Musculoskeletal Sensory Input and Neuromechanics)
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<p>Data Analysis Pipeline for EEG.</p>
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<p>Source localisation (Forward and inverse modelling).</p>
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<p>CONSORT flow diagram.</p>
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<p>Between-group Spectral analysis. Red indicates increased activity and blue indicates decreased activity. Asterisks represent significant clusters.</p>
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<p>Resting state EEG connectivity analysis of the chiropractic group. A significant increase in connectivity is shown as red. R ICC—Right Isthmus Cingulate Cortex; L ICC—Left Isthmus Cingulate Cortex; R LOF—Right Lateral Orbitofrontal; L LOF—Left Lateral Orbitofrontal; R MOF—Right Medial Orbitofrontal; L MOF—Left Medial Orbitofrontal; R PCC—Right Posterior Cingulate Cortex; L PCC—Left Posterior Cingulate Cortex; R Precun—Right Precuneus; L Precun—Left Precuneus; R ParaH—Right Parahippocampal Cortex; L ParaH—Left Parahippocampal cortex; R RACC—Right Rostral Anterior Cingulate Cortex; L RACC—Left Rostral Anterior Cingulate Cortex.</p>
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<p>N30 amplitude. (<b>A</b>) The N30 SEP peak amplitude changed from baseline to post intervention session and post 4 weeks of intervention. The error bars represent the estimated mean + 95% confidence interval from the statistical model. (<b>B</b>) Dots represent N30 amplitude from all participants. Boxplots show the median, 25th and 75th percentiles. The distribution plots show the density distribution estimated by a Gaussian kernel.</p>
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<p>Pre vs. post comparison for control and chiropractic group in SEPs. A significant increase in connectivity is shown as red and a decrease in connectivity is shown as blue. R ICC—Right Isthmus Cingulate Cortex; L ICC—Left Isthmus Cingulate Cortex; R LOF—Right Lateral Orbitofrontal; L LOF— Left Lateral Orbitofrontal; R MOF—Right Medial Orbitofrontal; L MOF—Left Medial Orbitofrontal; R PCC—Right Posterior Cingulate Cortex; L PCC—Left Posterior Cingulate Cortex; R Precun—Right Precuneus; L Precun—Left Precuneus; R ParaH—Right Parahippocampal cortex; L ParaH—Left Parahippocampal cortex; R RACC—Right Rostral Anterior Cingulate Cortex; L RACC—Left Rostral Anterior Cingulate Cortex.</p>
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<p>Pre- vs. post 4 weeks comparisons within both groups in SEPs. A significant increase in connectivity is shown as red and a decrease in connectivity is shown as blue. R ICC—Right Isthmus Cingulate Cortex; L ICC—Left Isthmus Cingulate Cortex; R LOF—Right Lateral Orbitofrontal; L LOF—Left Lateral Orbitofrontal; R MOF—Right Medial Orbitofrontal; L MOF—Left Medial Orbitofrontal; R PCC—Right Posterior Cingulate Cortex; L PCC—Left Posterior Cingulate Cortex; R Precun—Right Precuneus; L Precun—Left Precuneus; R ParaH—Right Parahippocampal cortex; L ParaH—Left Parahippocampal Cortex; R RACC—Right Rostral Anterior Cingulate Cortex; L RACC—Left Rostral Anterior Cingulate Cortex.</p>
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<p>Comparison of sleep stages: light, deep, rapid eye movement (REM)) between groups. Note: Daily sleep time is expressed as a percentage of 8 h.</p>
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<p>Total quality of life score between groups.</p>
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19 pages, 3429 KiB  
Article
A Machine Learning Framework for Classroom EEG Recording Classification: Unveiling Learning-Style Patterns
by Rajamanickam Yuvaraj, Shivam Chadha, A. Amalin Prince, M. Murugappan, Md. Sakib Bin Islam, Md. Shaheenur Islam Sumon and Muhammad E. H. Chowdhury
Algorithms 2024, 17(11), 503; https://doi.org/10.3390/a17110503 - 4 Nov 2024
Viewed by 436
Abstract
Classroom EEG recordings classification has the capacity to significantly enhance comprehension and learning by revealing complex neural patterns linked to various cognitive processes. Electroencephalography (EEG) in academic settings allows researchers to study brain activity while students are in class, revealing learning preferences. The [...] Read more.
Classroom EEG recordings classification has the capacity to significantly enhance comprehension and learning by revealing complex neural patterns linked to various cognitive processes. Electroencephalography (EEG) in academic settings allows researchers to study brain activity while students are in class, revealing learning preferences. The purpose of this study was to develop a machine learning framework to automatically classify different learning-style EEG patterns in real classroom environments. Method: In this study, a set of EEG features was investigated, including statistical features, fractal dimension, higher-order spectra, entropy, and a combination of all sets. Three different machine learning classifiers, random forest (RF), K-nearest neighbor (KNN), and multilayer perceptron (MLP), were used to evaluate the performance. The proposed framework was evaluated on the real classroom EEG dataset, involving EEG recordings featuring different teaching blocks: reading, discussion, lecture, and video. Results: The findings revealed that statistical features are the most sensitive feature metric in distinguishing learning patterns from EEG. The statistical features and RF classifier method tested in this study achieved an overall best average accuracy of 78.45% when estimated by fivefold cross-validation. Conclusions: Our results suggest that EEG time domain statistics have a substantial role and are more reliable for internal state classification. This study might be used to highlight the importance of using EEG signals in the education context, opening the path for educational automation research and development. Full article
(This article belongs to the Special Issue Supervised and Unsupervised Classification Algorithms (2nd Edition))
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<p>Flowchart of the proposed machine learning framework to classify classroom EEG recordings.</p>
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<p>(<b>A</b>) Students’ brain waves can be measured using EEG in a high school classroom from Dikker et al. [<a href="#B20-algorithms-17-00503" class="html-bibr">20</a>] and (<b>B</b>) the brain waves of students can exhibit rapid synchronization with those of their peers, a phenomenon observed in more engaged students (<b>left</b>). A lack of synchronicity with their peers (<b>right</b>) was observed among less engaged students.</p>
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<p>Figure from Dikker et al. [<a href="#B20-algorithms-17-00503" class="html-bibr">20</a>], explaining the setup of the data collection process. Data for the four methods are taken for this study, which includes ’teacher reads aloud’, ’video’, teacher lectures’, and ’group discussion’. The respective session time for each method is also mentioned in the figure.</p>
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<p>F-values bar plot for each significant feature from ANOVA. Green color bar denotes the lowest F-value.</p>
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<p>Comparison of classification performance with various features (in terms of accuracy). <a href="#algorithms-17-00503-f005" class="html-fig">Figure 5</a> shows the classification performance, reflecting the performance of the statistical features using RF, KNN, and MLP classifiers, illustrating the time-domain statistical characteristics of EEG signals that can effectively discriminate reading, discussion, lecture, and video learning-style patterns. The confusion matrix, which is illustrated in <a href="#algorithms-17-00503-f006" class="html-fig">Figure 6</a>a, provided further insights into the performance results in accurately categorizing instances. Significantly, accurate classifications were made for 341 occurrences of discussion, 384 occurrences of lecture, 347 occurrences of reading, and 375 occurrences of video. Nevertheless, the model demonstrated its shortcomings through the misclassification of instances in diverse contexts. For example, 72 occurrences of discussion were incorrectly classified as lecture, which suggests areas that could be enhanced.</p>
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<p>Confusion matrix of a fold using statistical features obtained from (<b>a</b>) RF, (<b>b</b>) KNN, and (<b>c</b>) MLP. The diagonal elements are the correctly recognized samples.</p>
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<p>Topographical maps of different learning styles. (<b>a</b>) Reading, (<b>b</b>) video, (<b>c</b>) lecture, (<b>d</b>) discussion.</p>
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<p>Statistical results of two-tailed paired <span class="html-italic">t</span>-test. * denotes <span class="html-italic">p</span> &lt; 0.0001.</p>
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18 pages, 1275 KiB  
Article
Exploring the Relationship Between CAIDE Dementia Risk and EEG Signal Activity in a Healthy Population
by Alice Rodrigues Manuel, Pedro Ribeiro, Gabriel Silva, Pedro Miguel Rodrigues and Maria Vânia Silva Nunes
Brain Sci. 2024, 14(11), 1120; https://doi.org/10.3390/brainsci14111120 - 4 Nov 2024
Viewed by 568
Abstract
Background: Accounting for dementia risk factors is essential in identifying people who would benefit most from intervention programs. The CAIDE dementia risk score is commonly applied, but its link to brain function remains unclear. This study aims to determine whether the variation in [...] Read more.
Background: Accounting for dementia risk factors is essential in identifying people who would benefit most from intervention programs. The CAIDE dementia risk score is commonly applied, but its link to brain function remains unclear. This study aims to determine whether the variation in this score is associated with neurophysiological changes and cognitive measures in normative individuals. Methods: The sample comprised 38 participants aged between 54 and 79 (M = 67.05; SD = 6.02). Data were collected using paper-and-pencil tests and electroencephalogram (EEG) recordings in the resting state, channels FP1 and FP2. The EEG signals were analyzed using Power Spectral Density (PSD)-based features. Results: The CAIDE score is positively correlated with the relative power activation of the θ band and negatively correlated with the MMSE cognitive test score, and MMSE variations align with those found in distributions of EEG-extracted PSD-based features. Conclusions: The findings suggest that CAIDE scores can identify individuals without noticeable cognitive changes who already exhibit brain activity similar to that seen in people with dementia. They also contribute to the convergent validity between CAIDE and the risk of cognitive decline. This underscores the importance of early monitoring of these factors to reduce the incidence of dementia. Full article
(This article belongs to the Section Neurodegenerative Diseases)
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<p>Methodology workflow diagram.</p>
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<p>EEG signals for the FP1 and FP2 channels for both the Low- and High-Risk classes. (<b>a</b>) FP1 Low Risk, (<b>b</b>) FP2 Low Risk, (<b>c</b>) FP1 High Risk, (<b>d</b>) FP2 High Risk.</p>
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<p>EEG processing workflow diagram.</p>
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<p>Mean multi-band relative power of groups over different channels. (<b>a</b>) FP1—mean relative power over EEG bands in different groups. (<b>b</b>) FP2—mean relative power over EEG bands in different groups.</p>
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11 pages, 1260 KiB  
Review
Utility of Electroencephalograms for Enhancing Clinical Care and Rehabilitation of Children with Acquired Brain Injury
by Keren Politi, Patrice L. Weiss, Kfir Givony and Elana Zion Golumbic
Int. J. Environ. Res. Public Health 2024, 21(11), 1466; https://doi.org/10.3390/ijerph21111466 - 2 Nov 2024
Viewed by 740
Abstract
The objective of this literature review was to present evidence from recent studies and applications focused on employing electroencephalogram (EEG) monitoring and methodological approaches during the rehabilitation of children with acquired brain injuries and their related effects. We describe acquired brain injury (ABI) [...] Read more.
The objective of this literature review was to present evidence from recent studies and applications focused on employing electroencephalogram (EEG) monitoring and methodological approaches during the rehabilitation of children with acquired brain injuries and their related effects. We describe acquired brain injury (ABI) as one of the most common reasons for cognitive and motor disabilities in children that significantly impact their safety, independence, and overall quality of life. These disabilities manifest as dysfunctions in cognition, gait, balance, upper-limb coordination, and hand dexterity. Rehabilitation treatment aims to restore and optimize these impaired functions to help children regain autonomy and enhance their quality of life. Recent advancements in monitoring technologies such as EEG measurements are increasingly playing a role in clinical diagnosis and management. A significant advantage of incorporating EEG technology in pediatric rehabilitation is its ability to provide continuous and objective quantitative monitoring of a child’s neurological status. This allows for the real-time assessment of improvement or deterioration in brain function, including, but not limited to, a significant impact on motor function. EEG monitoring enables healthcare providers to tailor and adjust interventions—both pharmacological and rehabilitative—based on the child’s current neurological status. Full article
(This article belongs to the Section Health Care Sciences)
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<p>Example EEG recordings from a 4-year-old child during the subacute period following ABI (traces from electrodes over the right and left hemispheres are presented in red and blue, respectively). Black markers indicate epochs with increased theta and delta activity.</p>
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<p>Example EEG recordings from a 4-year-old child during the subacute period following ABI (traces from electrodes over the right and left hemispheres are presented in red and blue, respectively). This example illustrates several abnormal EEG features that are typical in epilepsy but also observed in ABI patients, including increases in the delta/theta power ratio (indicated by black arrows), sporadic epileptiform discharges (indicated by red arrows), and focal polymorphic slowing (indicated by purple arrows).</p>
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28 pages, 14371 KiB  
Article
Effects of Observing Urban and Natural Scenes on Working Memory Depletion and Restoration: An EEG Study
by Lorenzo Consalvi, Kim Ouwehand and Fred Paas
Educ. Sci. 2024, 14(11), 1204; https://doi.org/10.3390/educsci14111204 - 1 Nov 2024
Viewed by 826
Abstract
Cognitive load theory focuses on the limited capacity of working memory (WM) to encapsulate information. While the original theory postulated a fixed capacity of working memory, research in the last decade has provided evidence for the depletion hypothesis. This hypothesis holds that WM [...] Read more.
Cognitive load theory focuses on the limited capacity of working memory (WM) to encapsulate information. While the original theory postulated a fixed capacity of working memory, research in the last decade has provided evidence for the depletion hypothesis. This hypothesis holds that WM becomes depleted after effortful cognitive operations that reduce its capacity, providing a framework for the restorative effects of rest periods. Rest periods during which natural scenery is observed have been found to replenish working memory after it has been subjected to depletion. In the present study, participants observed pictures depicting either a natural or an urban environment, after completing a cognitively depleting task. For this study, we obtained EEG measures of working memory by analyzing alpha and theta wave amplitudes. The motivation behind this choice was to derive a continuous index of WM capacity and address the lack of electrophysiological data regarding the depletion hypothesis. Previous research identified a decrease in alpha amplitude, and a simultaneous increase in theta activity with increasing WM load. Our findings partially replicated these results, as we observed a decrease in alpha amplitude with increasing cognitive load but no significant difference in theta power. Moreover, average signal amplitudes did not differ between the natural and the urban conditions, contrary to our hypothesis. These results suggest an absence of the expected environmental effect, opposing the outcome of existing research on the topic. The absence of this effect could also be attributed to similarities between the two conditions in certain factors thought to elicit differential physiological responses. Full article
(This article belongs to the Special Issue Cognitive Load Theory: Emerging Trends and Innovations)
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<p>Below is a Sample of the Pictures Used for the Manipulation. The Three Pictures on the First Row are Among those Used in the Natural Condition, While the Three at the Bottom Were Retrieved From the Urban Condition. The Full Set of Pictures is Provided in <a href="#app4-education-14-01204" class="html-app">Appendix D</a>.</p>
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<p>Experiment Flow With the Tasks Carried Out in Each Phase.</p>
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<p>Linear Associations Between Heart Rate and Post-Manipulation ZIPERS Subscores.</p>
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<p>Linear Associations Between Heart Rate and Post-Manipulation ZIPERS Subscores.</p>
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<p><span class="html-italic">Note.</span> Error bars represent standard errors of the mean.</p>
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<p>Pictures used in the manipulation phase for the natural condition.</p>
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<p>Pictures used in the manipulation phase for the natural condition.</p>
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<p>Pictures used in the manipulation phase for the natural condition.</p>
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<p>Pictures used in the manipulation phase for the urban condition.</p>
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<p>Pictures used in the manipulation phase for the urban condition.</p>
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<p>Pictures used in the manipulation phase for the urban condition.</p>
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17 pages, 3420 KiB  
Article
Transient Increases in Alpha Power Relative to Healthy Reference Ranges in Awake Piglets After Repeated Rapid Head Rotations
by Anna Oeur, William H. Torp and Susan S. Margulies
Biomedicines 2024, 12(11), 2460; https://doi.org/10.3390/biomedicines12112460 - 26 Oct 2024
Viewed by 424
Abstract
Background/Objectives: Sports-related concussions are a main cause of cognitive dysfunction and somatic complaints, particularly in youth. While the majority of concussion symptoms resolve within one week, cognitive effects may persist. In this study, we sought to study changes to cognition within this [...] Read more.
Background/Objectives: Sports-related concussions are a main cause of cognitive dysfunction and somatic complaints, particularly in youth. While the majority of concussion symptoms resolve within one week, cognitive effects may persist. In this study, we sought to study changes to cognition within this acute time frame. Methods: In this current study, we use an established swine model of traumatic brain injury (TBI) to study the effects of single and repeated head rotations on resting-state electroencephalography (rs-EEG) in awake piglets in the acute (within 7 days) time period after injury. We studied both healthy and experimental groups to (1) establish healthy reference ranges (RRs; N = 23) for one-minute rs-EEG in awake piglets, (2) compare the effects of single (N = 12) and repeated head rotations (N = 13) on rs-EEG, and (3) examine the acute time course (pre-injury and days 1, 4, and 7 post-injury) in animals administered single and repeated head rotations. EEG data were Fourier transformed, and total (1–30 Hz) and relative power in the alpha (8–12 Hz), beta (16.5–25 Hz), delta (1–4 Hz), and theta (4–7.5 Hz) bands were analyzed. Results: Total power and relative alpha, beta, delta, and theta power were consistent measures across days in healthy animals. We found a significant and transient increase in relative alpha power after repeated injury on day 1 in all regions and a rise above the healthy RR in the frontal and left temporal regions. Conclusions: Future studies will expand the study duration to investigate and inform clinical prognoses from acute measurements of rs-EEG. Full article
(This article belongs to the Section Biomedical Engineering and Materials)
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<p>Flow chart for resting-state EEG data acquisition, pre-processing, and spectral analysis.</p>
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<p>Total power values for each animal group by day and region. Blue = sham, yellow = single RNR, red = repeated RNR. The 95%ile reference ranges (RRs) are demarcated with hashed lines. No experimental animals were significantly outside of the healthy RR (<span class="html-italic">p</span> &lt; 0.05). Significant Kruskal–Wallis H tests with adjusted Bonferroni corrections illustrate between-group differences (black brackets, <span class="html-italic">p</span> &lt; 0.05).</p>
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<p>Relative alpha power values for each animal group by day and region. Blue = sham, yellow = single RNR, red = repeated RNR. The 95%ile reference ranges (RRs) are demarcated with hashed lines. Significant proportions of experimental animals outside of the healthy RR are illustrated with black overlaying bars (* = <span class="html-italic">p</span> &lt; 0.05). rRNR was significantly increased outside the healthy RR compared to sham on day 1 in the frontal and left regions. Two-way ANOVA results showing significant differences between injury groups are illustrated with black (for group) or red (for day) underlying bars (<span class="html-italic">p</span> &lt; 0.05). There was a significant effect of study day for the rRNR group, and this is illustrated with underlying red brackets (* = <span class="html-italic">p</span> &lt; 0.05).</p>
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<p>Relative beta power values for each animal group by day and region. Blue = sham, yellow = single RNR, red = repeated RNR. The 95%ile reference ranges (RRs) are demarcated with hashed lines. No experimental animals were significantly outside of the healthy RR (<span class="html-italic">p</span> &lt; 0.05). Two-way ANOVA results showing significant differences between injury groups are illustrated with black or blue underlying brackets (<span class="html-italic">p</span> &lt; 0.05). There was a significant effect of study day for the sham group, wherein days 1 and 7 are different from each other (blue bracket, <span class="html-italic">p</span> &lt; 0.05).</p>
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<p>Relative delta power values for each animal group by day and region. Blue = sham, yellow = single RNR, red = repeated RNR. The 95%ile reference ranges (RRs) are demarcated with hashed lines. No injury groups were significantly outside the healthy RR (<span class="html-italic">p</span> &lt; 0.05). Two-way ANOVA results showing significant differences between injury groups are illustrated with black underlying brackets (<span class="html-italic">p</span> &lt; 0.05).</p>
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<p>Relative theta power values for each animal group by day and region. Blue = sham, yellow = single RNR, red = repeated RNR. The 95%ile reference ranges (RRs) are demarcated with hashed lines. No injury groups were significantly outside the healthy RR (<span class="html-italic">p</span> &lt; 0.05). Two-way ANOVA results showing significant differences between injury groups are illustrated with black underlying brackets, with sham having greater left temporal theta power than sRNR on day 7 (<span class="html-italic">p</span> &lt; 0.05).</p>
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<p>Summarization of the major findings of increases (↑) and decreases (↓) for single and repeated non-impact head rotations on resting-state EEG frequency band relative powers.</p>
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15 pages, 849 KiB  
Article
Impact of Experimentally Induced Pain on Logical Reasoning and Underlying Attention-Related Psychophysiological Mechanisms
by Danièle Anne Gubler, Rahel Lea Zubler and Stefan Johannes Troche
Brain Sci. 2024, 14(11), 1061; https://doi.org/10.3390/brainsci14111061 - 25 Oct 2024
Viewed by 414
Abstract
Background. Pain is known to negatively impact attention, but its influence on more complex cognitive abilities, such as logical reasoning, remains inconsistent. This may be due to compensatory mechanisms (e.g., investing additional resources), which might not be detectable at the behavioral level but [...] Read more.
Background. Pain is known to negatively impact attention, but its influence on more complex cognitive abilities, such as logical reasoning, remains inconsistent. This may be due to compensatory mechanisms (e.g., investing additional resources), which might not be detectable at the behavioral level but can be observed through psychophysiological measures. In this study, we investigated whether experimentally induced pain affects logical reasoning and underlying attentional mechanisms, using both behavioral and electroencephalographic (EEG) measures. Methods. A total of 98 female participants were divided into a pain-free control group (N = 47) and a pain group (N = 51). Both groups completed the Advanced Progressive Matrices (APM) task, with EEG recordings capturing task-related power (TRP) changes in the upper alpha frequency band (10–12 Hz). We used a mixed design where all participants completed half of the APM task in a pain-free state (control condition); the second half was completed under pain induction by the pain group but not the pain-free group (experimental condition). Results. Logical reasoning performance, as measured by APM scores and response times, declined during the experimental condition, compared to the control condition for both groups, indicating that the second part of the APM was more difficult than the first part. However, no significant differences were found between the pain and pain-free groups, suggesting that pain did not impair cognitive performance at the behavioral level. In contrast, EEG measures revealed significant differences in upper alpha band power, particularly at fronto-central sites. In the pain group, the decrease in TRP during the experimental condition was significantly smaller compared to both the control condition and the pain-free group. Conclusions. Pain did not impair task performance at the behavioral level but reduced attentional resources, as reflected by changes in upper alpha band activity. This underscores the importance of incorporating more sensitive psychophysiological measures alongside behavioral measures to better understand the impact of pain on cognitive processes. Full article
(This article belongs to the Special Issue New Perspectives in Chronic Pain Research: Focus on Neuroimaging)
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<p>Schematic illustration of the study design. APM = Advanced Progressive Matrices.</p>
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<p>Boxplots of TRP changes in upper alpha power separated by group and condition, including means and standard deviations. TRP = task-related power. * <span class="html-italic">p</span> &lt; 0.05, *** <span class="html-italic">p</span> &lt; 0.001.</p>
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14 pages, 3655 KiB  
Article
Exploring Electrophysiological Responses to Hypnosis in Patients with Fibromyalgia
by Pradeep Kumar Govindaiah, A. Adarsh, Rajanikant Panda, Olivia Gosseries, Nicole Malaise, Irène Salamun, Luaba Tshibanda, Steven Laureys, Vincent Bonhomme, Marie-Elisabeth Faymonville, Audrey Vanhaudenhuyse and Aminata Bicego
Brain Sci. 2024, 14(11), 1047; https://doi.org/10.3390/brainsci14111047 - 23 Oct 2024
Viewed by 573
Abstract
Background/Objectives: Hypnosis shows great potential for managing patients suffering from fibromyalgia and chronic pain. Several studies have highlighted its efficacy in improving pain, quality of life, and reducing psychological distress. Despite its known feasibility and efficacy, the mechanisms of action remain poorly understood. [...] Read more.
Background/Objectives: Hypnosis shows great potential for managing patients suffering from fibromyalgia and chronic pain. Several studies have highlighted its efficacy in improving pain, quality of life, and reducing psychological distress. Despite its known feasibility and efficacy, the mechanisms of action remain poorly understood. Building on these insights, this innovative study aims to assess neural activity during hypnosis in fibromyalgia patients using high-density electroencephalography (EEG) and self-reported measures. Methods: Thirteen participants with fibromyalgia were included in this study. EEG recordings were done during resting state and hypnosis conditions. After both conditions, levels of pain, comfort, absorption, and dissociation were assessed using a numerical rating scale. Time perception was collected via an open-ended question. The study was prospectively registered in the ClinicalTrials.gov public registry (NCT04263324). Results: Neural oscillations showed increased theta power during hypnosis in the left parietal and occipital electrodes, increased beta power in the frontal and left temporal electrodes, and increased slow-gamma power in the frontal and left parietal electrodes. Functional connectivity using pairwise-phase consistency measures showed decreased connectivity in the frontal electrodes during hypnosis. Graph-based measures, the node strength, and the cluster coefficient were lower in frontal electrodes in the slow-gamma bands during hypnosis compared to resting state. Key findings indicate significant changes in neural oscillations and brain functional connectivity, suggesting potential electrophysiological markers of hypnosis in this patient population. Full article
(This article belongs to the Special Issue Brain Mechanism of Hypnosis)
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<p>Experimental procedure. REST: resting state; HYP: hypnosis.</p>
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<p>Power spectrum plots during resting state (REST) and hypnosis (HYP) across subjects and ΔPSD is the difference in PSD between HYP and REST. (<b>A</b>) across the whole brain (left), the mean difference of PSD (right) and (<b>B</b>) for different groups of electrodes. The 2nd and 4th rows show the difference in power between the hypnosis and the resting state conditions. The red shaded patch depicts the significant (<span class="html-italic">p</span> &lt; 0.05 without FDR correction) increase in HYP power compared to REST. The inset topoplots represent the group of electrodes considered for respective lobe-wise representation. L: left, R: right, U: upper, L: Lower, Hz: hertz, PSD: power spectral density. Solid lines represent the group mean and the shaded regions represent the standard error of the mean (SEM).</p>
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<p>Change in absolute band power during the HYP condition compared to the REST condition across different frequency bands. The highlighted electrode represents significant differences (<span class="html-italic">p</span> &lt; 0.05 without false discovery rate correction). Color bar indicates the z-values, REST: resting state, HYP: hypnosis.</p>
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<p>Pairwise-phase consistency (PPC) during hypnosis (HYP) condition compared to resting state (REST) condition across different frequency bands. The highlighted regions and arrows represent the significant connectivity (<span class="html-italic">p</span> &lt; 0.01 without FDR correction). Different sets of electrodes are grouped lobe wise, as given in the inset of <a href="#brainsci-14-01047-f002" class="html-fig">Figure 2</a>B.</p>
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<p>Change in graph theory measures clustering coefficient and node strength during HYP compared to REST across different frequency bands. The highlighted electrode represents significant differences (<span class="html-italic">p</span> &lt; 0.05 without FDR correction). The color bar represents z-value. REST: resting state, HYP: hypnosis.</p>
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