The changes in spinal reciprocal inhibition during motor imagery in lower extremity.

The purpose of this study was to investigate the role of reciprocal inhibition in the regulation of antagonistic ankle muscles during bicycling. A total of 20 subjects participated in the study. Reciprocal inhibition was induced by stimulation of the peroneal nerve (PN) at 1.2 times threshold for the M-response in the tibialis anterior muscle (TA) and recorded as a depression of the rectified soleus (SOL) EMG. Recordings were made during tonic plantar flexion and during bicycling on an ergometer bicycle. During tonic contraction, the amount of inhibition in the SOL EMG was linearly correlated to the amount of background EMG. This linear relation was used to calculate the expected amount of reciprocal inhibition at corresponding EMG levels during bicycling. During the early phase of down-stroke of bicycling at 60 revolutions per minute (RPM) and an external load of 1.0 kg, the amount of recorded reciprocal inhibition was significantly smaller than that calculated from the linear relation during tonic contraction. In nine subjects, the SOL H-reflex was used to evaluate the amount of inhibition. At a short conditioning test interval (2-3 ms), the PN stimulation depressed the SOL H-reflex when the subjects were at rest. This short latency inhibition was absent during downstroke, but appeared during upstroke just prior to and during TA activation. A positive linear relation was found between the level of SOL background EMG in early downstroke and the external load (0.5-2.5 kg) as well as the rate of pedaling (30-90 RPM at 1.0 kg external load). The amount of inhibition in the SOL EMG when expressed as a percentage of the background EMG activity decreased significantly with increasing load. During increased pedaling rate, a similar decrease was seen, but it did not reach a statistically significant level. The data illustrate that reciprocal inhibition of the soleus muscle is modulated during bicycling being small in downstroke when the SOL muscle is active and large in upstroke where the muscle is inactive and its antagonist becomes active. The depression of the inhibition in relation to increased load and pedaling rate likely reflects the need of reducing inhibition of the SOL motoneurons to ensure a sufficient activation of the muscle.

The right and left-hand motor imagery (MI) analysis based on the electroencephalogram (EEG) signal can directly link the central nervous system to a computer or a device. This study aims to identify a set of robust and nonlinear effective brain connectivity features quantified by transfer entropy (TE) to characterize the relationship between brain regions from EEG signals and create a hierarchical feature selection and classification for discrimination of right and lefthand MI tasks. TE is calculated among EEG channels as the distinctive, effective connectivity features. TE is a model-free method that can measure nonlinear effective connectivity and analyze multivariate dependent directed information flow among neural EEG channels. Then four feature subset selection methods namely relief-F, Fisher, Laplacian, and local learningbased clustering (LLCFS) algorithms are used to choose the most significant effective connectivity features and reduce redundant information. Finally, support vector machine (SVM) and linear discriminant analysis (LDA) methods are used for classification. Results show that the best performance in 29 healthy subjects and 60 trials is achieved using the TE method via the Relief-F algorithm as feature selection and support vector machine (SVM) classification with 91.02% accuracy. The TE index and a hierarchical feature selection and classification can be useful for the discrimination of right- and left-hand MI tasks from multichannel EEG signals. Effective connectivity features were extracted from electroencephalogram (EEG) to analyze relationships between regions.Four feature selection methods used to select most significant effective features.Support vector machine (SVM) used for discrimination of right and left hand motor imagery (MI) task. In this study, we investigated brain activity using effective connectivity during MI task based on EEG signals. The motor imagery task can accomplish the same goal as motor execution, since they are both activated by the same brain area. Transfer entropy, coherence, and Granger casualty were employed to extract the features. Differential patterns of activity between the left vs. right MI task showed activity around the motor area rather than other areas. In order to reduce redundant information and select the most significant effective connectivity features, four feature subset selection algorithms are used: Relief-F, Fisher, Laplacian, and learning-based clustering feature selection (LLCFS). Then, support vector machine (SVM) and linear discriminant analysis (LDA) are used to classify left and right hand MI task. Comparison of three different connectivity methods showed that TE index had the highest classification accuracy, and could be useful for the discrimination of right and left hand MI tasks from multichannel EEG signals.

BackgroundOne of the most promising applications for electroencephalogram (EEG)-based brain computer interface is for stroke rehabilitation. Implemented as a standalone motor imagery (MI) training system or as part of a rehabilitation robotic system, many studies have shown benefits of using them to restore motor control in stroke patients. Hand movements have widely been chosen as MI tasks. Although potentially more challenging to analyze, wrist and forearm movement such as wrist flexion/extension and forearm pronation/supination should also be considered for MI tasks, because these movements are part of the main exercises given to patients in conventional stroke rehabilitation. This paper will evaluate the effectiveness of such movements for MI tasks.MethodsThree hand and wrist movement tasks which were hand opening/closing, wrist flexion/extension and forearm pronation/supination were chosen as motor imagery tasks for both hands. Eleven subjects participated in the experiment. All of them completed hand opening/closing task session. Ten subjects completed two MI task sessions which were hand opening/closing and wrist flexion/extension. Five subjects completed all three MI tasks sessions. Each MI task comprised 8 sessions spanning a 4 weeks period. For classification, feature extraction based on common spatial pattern (CSP) algorithm was used. Two types were implemented, one with conventional CSP (termed WB) and one with an increase number of features achieved by filtering EEG data into five bands (termed FB). Classification was done by linear discriminant analysis (LDA) and support vector machine (SVM).ResultsEight-fold cross validation was applied on EEG data. LDA and SVM gave comparable classification accuracy. FB achieved significantly higher classification accuracy compared to WB. The accuracy of classifying wrist flexion/extension task were higher than that of classifying hand opening/closing task in all subjects. Classifying forearm pronation/supination task achieved higher accuracy than classifying hand opening/closing task in most subjects but achieved lower accuracy than classifying wrist flexion/extension task in all subjects. Significant improvements of classification accuracy were found in nine subjects when considering individual sessions of experiments of all MI tasks. The results of classifying hand opening/closing task and wrist flexion/extension task were comparable to the results of classifying hand opening/closing task and forearm pronation/supination task. Classification accuracy of wrist flexion/extension task and forearm pronation/supination task was lower than those of hand movement tasks and wrist movement tasks.ConclusionHigh classification accuracy of the three MI tasks support the possibility of using EEG-based stroke rehabilitation system with these movements. Either LDA or SVM can equally be chosen as a classifier since the difference of their accuracies is not statistically significant. Significantly higher classification accuracy made FB more suitable for classifying MI task compared to WB. More training sessions could potentially lead to better accuracy as evident in most subjects in this experiment.

Breathing with the mind: Effects of motor imagery on breath-hold performance

The aim of this paper is to classify both (left and right) hand motor imagery (MI) tasks using event-related (de) synchronization (ERD/ERS) patterns based on the inter trial variance (IV). In this work, publicly available online BCI-2003 competition data set was used which contains MI based Electroencephalography (EEG) data of a single subject. The raw MI based EEG signals were extracted from C3 and C4 channels and band pass filtered to mu (8–12 Hz) frequency band. The mean, inter trial variance and ERD/ERS patterns were calculated in both the channels for both MI tasks of the subject. The patterns were used as feature vector and input to the different machine learning classifiers. The logistic regression and Naive Bayesian classifiers were used for the classification of both MI tasks of the subject. For logistic regression classifier, the accuracy, precision and sensitivity were found to be 92.40%, 92.00% and 92.00%, respectively. Meanwhile, 92.19% accuracy, 92.00% precision and 92.00% sensitivity were obtained for the Naive Bayesian classifier. The logistic regression classifier provides maximum classification accuracy (92.40%) in comparison with the existing methods (87.90–90.20%). Result shows that, the proposed method can quantify ERD/ERS patterns effectively in both the channels and also classifies both MI tasks of the subject successfully.

Motor imagery (MI) practice has shown substantial benefits on force, but this was mostly demonstrated on force produced by isometric contractions in laboratory settings. Here, we tested a new type of MI intervention to improve force and power in expert athletes. CrossFit® athletes (n = 100) of national level were randomly assigned to experimental groups who completed a 5-week back squat training program (3 resistance training sessions/week, ~1 h per week). A first group (n = 35) received instructions to perform kinesthetic MI of the concentric phase of the back squat concomitant to its physical execution (MICONCENTRIC). A second group (n = 35) performed kinesthetic MI of the eccentric phase concomitant to its physical execution (MECCENTRIC). A control group (n = 30) completed the same amount of physical training without engaging in MI (Control). Performance was indexed from the 5 repetition maximum (5 RM) squat workload before and after the intervention. Weekly, we assessed squat power using an accelerometer. MICONCENTRIC and MIECCENTRIC groups outperformed Control regarding pretest vs. posttest improvements in both 5 RM force and power (RP2 = 0.60, both p < 0.001). The MIECCENTRIC group also outperformed the MICONCENTRIC group for the 5 RM workload (RP2 = 0.27, p < 0.001). However, subjective evaluations revealed that athletes in the MIECCENTRIC group experienced higher effort perception and difficulty to complete the experimental task. MI practice concomitant to physical training was efficient to improve force on a dynamic multi-joint exercise in expert athletes.

P209 The priming-effects of theta burst stimulation on lower extremity spinal reciprocal inhibition induced by peripheral patterned electrical stimulation

Studies on the influence of motor imagery (MI) on brain structure and function are limited to traditional imaging techniques and the mechanism for MI therapy is not clear. By observing the brain activation mode during MI and motor execution (ME) in healthy adults, this study aims to use near-infrared brain imaging technology to provide theoretical basis for the treatment of MI. A total of 30 healthy adults recruited to the public from June 2021 to August 2021. The MI and ME of the right knee movement served as the task mode. Block design was repeated 5 times alternately in a 20 s task period and a 30 s resting period. The activation patterns of brain regions were compared between the 2 tasks, and the regression coefficient was calculated to reflect the activation intensity of each brain region by Nirspark and SPSS 23.0 softwares. Lane 2, 3, 4, 5, 7, 9, 19, 20, 21, 24, 25, 26, 27, 32, 33, and 34 were significantly activated during the ME task (P<0.05, corrected by FDR) and lane 2, 5, 9, 16, 27, 29, 33, 34, and 35 were significantly activated during the MI task (P<0.05, corrected by FDR). According to the channel brain region registration information, the brain region activation pattern was similar during both MI and ME tasks in healthy adults, including left primary motor cortex (LM1), left primary sensory cortex (LS1), prefrontal pole, Broca area, and right supramarginal gyrus. Both LM1 and left pre-motor cortex (LPMC) were activated during MI in healthy adults, whereas dorsolateral prefrontal cortex (DLPFC) and only LM1 of the motor region were activated during ME. Compared to MI, the activation intensity of left sensory and left motor cortex was significantly enhanced in ME, and that of left and right prefrontal cortex especially left and right pars triangularis Broca's area (P<0.001, corrected by FDR) were significantly enhanced. The rationality of MI therapy is proved by functional near-infrared spectroscopy. The involvement of DLPFC in motor decision-making may regulate the two-way feedback of premoter cortex-M1 during ME; and Broca area, closely related to the motor program understanding, participates in MI and ME.

Brain computer interfaces (BCIs) based on motor imagery (MI) play an important role in helping to improve and restore the loss of physical function. However, traditional MI-BCIs are limited to the motion intention of gross limb, which places many restrictions on their applications. This study proposes a hybrid paradigm based on MI and the steady-state somatosensory evoked potential, with the aim of improving the spatial resolution of MI recognition. Twelve subjects participated in this study. They performed MI tasks under MI and hybrid conditions. In the MI condition, subjects only performed MI tasks, whereas, in the hybrid condition, they received an electrical stimulus while performing the same tasks. Under the hybrid condition, subjects were required not to pay extra attention to the electrical stimulation. The MI task included imagining clenching the right hand and lifting the right forearm. The classifier was built using the filter bank common spatial pattern algorithm and a support vector machine, and online experiments were used to verify the recognition of two MI tasks. During the online experiments, all subjects were able to output different commands at a recognition accuracy far higher than the random level. The average classification accuracy of the hybrid condition reached 76.39%, with a maximum value of 88.34%, which was about 11% higher than that of the MI condition. Moreover, based on offline data, the classification performance using the event-related desynchronization (ERD) feature under the hybrid condition did not differ significantly from that under the MI condition, indicating that the introduction of electrical stimulation did not interfere in the separability of ERD. The proposed paradigm improved the efficiency of decoding multiple MI locations within a single limb. Despite the introduction of external stimuli, users could still drive the new system in the same way as MI in traditional MI-BCI.

This study examined the effect of temporal changes in corticospinal excitability in motor imagery (MI) and the effect of real-time guides for MI on excitability changes. The MI task involved wrist flexion and motor evoked potentials using transcranial magnetic stimulation were recorded and examined from the flexor carpi radialis. Ballistic (momentary MI) and tonic (continuous MI) conditions were used, and the duration of each MI was different. In Experiment 1, each MI task was performed using an acoustic trigger. In Experiment 2, a real-time guide was presented on a computer screen, which provided a visual indication of the onset and duration of the MI task through via moving dots on the screen. The results indicate that the corticospinal excitability changed differently, depending on the duration of MI. Additionally, with real-time guides, the change in corticospinal excitability became clearer. Thus, corticospinal excitability changes due to the temporal specificities of MI, as well as with actual motor output. Moreover, if MI is actively performed without a guide, it is likely to show an unintended change in corticospinal excitability. It is suggested that when MI is performed with visual guide, the excitatory changes of the corticospinal tract might be different from the actual motor output. Therefore, when using MI for mental practices, it is possible to improve the effect of a guide for MI, such as a visual indicator for motor output. Additionally, when examining neural activities in MI, it may be necessary to consider the characteristics of motion performed by MI.

In the aging society, the number of people suffering from vascular disorders is rapidly increasing and has become a social problem. The death rate due to stroke, which is the second leading cause of global mortality, has increased by 40% in the last two decades. Stroke can also cause paralysis. Of late, brain‐computer interfaces (BCIs) have been garnering attention in the rehabilitation field as assistive technology. A BCI for the motor rehabilitation of patients with paralysis promotes neural plasticity, when subjects perform motor imagery (MI). Feedback, such as visual and proprioceptive, influences brain rhythm modulation to contribute to MI learning and motor function restoration. Also, virtual reality (VR) can provide powerful graphical options to enhance feedback visualization. This work aimed to improve immersive VR‐BCI based on hand MI, using visual‐electrotactile stimulation feedback instead of visual feedback. The MI tasks include grasping, flexion/extension, and their random combination. Moreover, the subjects answered a system perception questionnaire after the experiments. The proposed system was evaluated with twenty able‐bodied subjects. Visual‐electrotactile feedback improved the mean classification accuracy for the grasping (93.00% ± 3.50%) and flexion/extension (95.00% ± 5.27%) MI tasks. Additionally, the subjects achieved an acceptable mean classification accuracy (maximum of 86.5% ± 5.80%) for the random MI task, which required more concentration. The proprioceptive feedback maintained lower mean power spectral density in all channels and higher attention levels than those of visual feedback during the test trials for the grasping and flexion/extension MI tasks. Also, this feedback generated greater relative power in the μ‐band for the premotor cortex, which indicated better MI preparation. Thus, electrotactile stimulation along with visual feedback enhanced the immersive VR‐BCI classification accuracy by 5.5% and 4.5% for the grasping and flexion/extension MI tasks, respectively, retained the subject’s attention, and eased MI better than visual feedback alone.

This study aimed to explore the neuroimaging basis of motor imagery (MI) in stroke rehabilitation, particularly focusing on the brain activation patterns during MI tasks. Additionally, this study may provide insights into clinical rehabilitation strategies. A total of 40 right-handed stroke patients from Zhejiang Rehabilitation Medical Center were assigned to either the right-sided or left-sided cerebral infarction group. They were right-handed and recruited from Zhejiang Rehabilitation Medical Center. A portable near-infrared brain function imaging system was used to detect changes in oxyhemoglobin concentration in the bilateral sensorimotor cortex, premotor cortex, and supplementary motor area during the MI task. Activated channels and intensity changes in brain regions under the MI state were observed and analyzed. In patients with right-sided cerebral infarction, brain activation was left-lateralized during both left- and right-limb MI. Patients with left-sided cerebral infarction exhibited left lateralization during right-limb MI and right lateralization during left-limb MI. Functional near-infrared spectroscopy was utilized to investigate the activation of motor-related brain regions during MI after stroke. These regions of interest were associated with hand motor tasks and were successfully activated during the MI task. Following infarction, the activation of the MI cortex was asymmetric. When imagining movements on the dominant-hand side, MI becomes more vivid and activates bilateral motor cortex areas.

Objective. We proposed a novel simultaneous hybrid brain–computer interface (BCI) by incorporating electrical stimulation into a motor imagery (MI) based BCI system. The goal of this study was to enhance the overall performance of an MI-based BCI. In addition, the brain oscillatory pattern in the hybrid task was also investigated. Approach. 64-channel electroencephalographic (EEG) data were recorded during MI, selective attention (SA) and hybrid tasks in fourteen healthy subjects. In the hybrid task, subjects performed MI with electrical stimulation which was applied to bilateral median nerve on wrists simultaneously. Main results. The hybrid task clearly presented additional steady-state somatosensory evoked potential (SSSEP) induced by electrical stimulation with MI-induced event-related desynchronization (ERD). By combining ERD and SSSEP features, the performance in the hybrid task was significantly better than in both MI and SA tasks, achieving a ~14% improvement in total relative to the MI task alone and reaching ~89% in mean classification accuracy. On the contrary, there was no significant enhancement obtained in performance while separate ERD feature was utilized in the hybrid task. In terms of the hybrid task, the performance using combined feature was significantly better than using separate ERD or SSSEP feature. Significance. The results in this work validate the feasibility of our proposed approach to form a novel MI-SSSEP hybrid BCI outperforming a conventional MI-based BCI through combing MI with electrical stimulation.

Background:The combination of motor imagery (MI) and afferent input with electricalstimulation (ES) enhances the excitability of the corticospinal tractcompared with motor imagery alone or electrical stimulation alone. However,its therapeutic effect is unknown in patients with hemiparetic stroke. Weperformed a preliminary examination of the therapeutic effects of MI + ES onupper extremity (UE) motor function in patients with chronic stroke.Methods:A total of 10 patients with chronic stroke demonstrating severe hemiparesisparticipated. The imagined task was extension of the affected finger.Peripheral nerve electrical stimulation was applied to the radial nerve atthe spiral groove. MI + ES intervention was conducted for 10 days. UE motorfunction as assessed with the Fugl–Meyer assessment UE motor score (FMA-UE),the amount of the affected UE use in daily life as assessed with a MotorActivity Log (MAL-AOU), and the degree of hypertonia in flexor muscles asassessed with the Modified Ashworth Scale (MAS) were evaluated before andafter intervention. To assess the change in spinal neural circuits,reciprocal inhibition between forearm extensor and flexor muscles with the Hreflex conditioning-test paradigm at interstimulus intervals (ISIs) of 0,20, and 100 ms were measured before and after intervention.Results:UE motor function, the amount of the affected UE use, and muscle hypertoniain flexor muscles were significantly improved after MI + ES intervention(FMA-UE: p < 0.01, MAL-AOU: p <0.01, MAS: p = 0.02). Neurophysiologically, theintervention induced restoration of reciprocal inhibition from the forearmextensor to the flexor muscles (ISI at 0 ms: p = 0.03, ISIat 20 ms: p = 0.03, ISI at 100 ms: p =0.01).Conclusion:MI + ES intervention was effective for improving UE motor function inpatients with severe paralysis.

Motor Imagery (MI)-based Brain Computer Interface (BCI) system is a potential technology for active neurorehabilitation of stroke patients by complementing the conventional passive rehabilitation methods. Research to date mainly focused on classifying left vs. right hand/foot MI of stroke patients. Though a very few studies have reported decoding imagined hand movement directions using electroencephalogram (EEG)-based BCI, the experiments were conducted on healthy subjects. Our work analyzes MI-based brain cortical activity from EEG signals and decodes the imagined hand movement directions in stroke patients. The decoded direction (left vs. right) of hand movement imagination is used to provide control commands to a motorized arm support on which patient's affected (paralyzed) arm is placed. This enables the patient to move his/her stroke-affected hand towards the intended (imagined) direction that aids neuroplasticity in the brain. The synchronization measure called Phase Locking Value (PLV), extracted from EEG, is the neuronal signature used to decode the directional movement of the MI task. Event-related desynchronization/synchronization (ERD/ERS) analysis on Mu and Beta frequency bands of EEG is done to select the time bin corresponding to the MI task. The dissimilarities between the two directions of MI tasks are identified by selecting the most significant channel pairs that provided maximum difference in PLV features. The training protocol has an initial calibration session followed by a feedback session with 50 trials of MI task in each session. The feedback session extracts PLV features corresponding to most significant channel pairs which are identified in the calibration session and is used to predict the direction of MI task in left/right direction. An average MI direction classification accuracy of 74.44% is obtained in performing the training protocol and 68.63% from the prediction protocol during feedback session on 16 stroke patients.