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Maeso L, Antezana PE, Hvozda Arana AG, Evelson PA, Orive G, Desimone MF. Progress in the Use of Hydrogels for Antioxidant Delivery in Skin Wounds. Pharmaceutics 2024; 16:524. [PMID: 38675185 PMCID: PMC11053627 DOI: 10.3390/pharmaceutics16040524] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2024] [Revised: 03/30/2024] [Accepted: 04/03/2024] [Indexed: 04/28/2024] Open
Abstract
The skin is the largest organ of the body, and it acts as a protective barrier against external factors. Chronic wounds affect millions of people worldwide and are associated with significant morbidity and reduced quality of life. One of the main factors involved in delayed wound healing is oxidative injury, which is triggered by the overproduction of reactive oxygen species. Oxidative stress has been implicated in the pathogenesis of chronic wounds, where it is known to impair wound healing by causing damage to cellular components, delaying the inflammatory phase of healing, and inhibiting the formation of new blood vessels. Thereby, the treatment of chronic wounds requires a multidisciplinary approach that addresses the underlying causes of the wound, provides optimal wound care, and promotes wound healing. Among the promising approaches to taking care of chronic wounds, antioxidants are gaining interest since they offer multiple benefits related to skin health. Therefore, in this review, we will highlight the latest advances in the use of natural polymers with antioxidants to generate tissue regeneration microenvironments for skin wound healing.
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Affiliation(s)
- Lidia Maeso
- NanoBioCel Research Group, School of Pharmacy, University of the Basque Country (UPV/EHU), 01006 Vitoria-Gasteiz, Spain; (L.M.); (G.O.)
| | - Pablo Edmundo Antezana
- Consejo Nacional de Investigaciones Científicas y Técnicas, Instituto de Bioquímica y Medicina Molecular (IBIMOL), Universidad de Buenos Aires, Buenos Aires 1113, Argentina; (P.E.A.); (A.G.H.A.); (P.A.E.)
- Universidad de Buenos Aires, Facultad de Farmacia y Bioquímica, Departamento de Ciencias Químicas, Cátedra de Química Analítica Instrumental, Buenos Aires 1113, Argentina
| | - Ailen Gala Hvozda Arana
- Consejo Nacional de Investigaciones Científicas y Técnicas, Instituto de Bioquímica y Medicina Molecular (IBIMOL), Universidad de Buenos Aires, Buenos Aires 1113, Argentina; (P.E.A.); (A.G.H.A.); (P.A.E.)
- Universidad de Buenos Aires, Facultad de Farmacia y Bioquímica, Departamento de Ciencias Químicas, Cátedra de Química General e Inorgánica, Buenos Aires 1113, Argentina
| | - Pablo Andrés Evelson
- Consejo Nacional de Investigaciones Científicas y Técnicas, Instituto de Bioquímica y Medicina Molecular (IBIMOL), Universidad de Buenos Aires, Buenos Aires 1113, Argentina; (P.E.A.); (A.G.H.A.); (P.A.E.)
- Universidad de Buenos Aires, Facultad de Farmacia y Bioquímica, Departamento de Ciencias Químicas, Cátedra de Química General e Inorgánica, Buenos Aires 1113, Argentina
| | - Gorka Orive
- NanoBioCel Research Group, School of Pharmacy, University of the Basque Country (UPV/EHU), 01006 Vitoria-Gasteiz, Spain; (L.M.); (G.O.)
- NanoBioCel Research Group, Bioaraba, 01009 Vitoria-Gasteiz, Spain
- Biomedical Research Networking Centre in Bioengineering, Biomaterials and Nanomedicine (CIBER-BBN), 01006 Vitoria-Gasteiz, Spain
- University Institute for Regenerative Medicine and Oral Implantology—UIRMI (UPV/EHU-Fundación Eduardo Anitua), 01007 Vitoria-Gasteiz, Spain
| | - Martín Federico Desimone
- Universidad de Buenos Aires, Facultad de Farmacia y Bioquímica, Departamento de Ciencias Químicas, Cátedra de Química Analítica Instrumental, Buenos Aires 1113, Argentina
- Consejo Nacional de Investigaciones Científicas y Técnicas, Instituto de Química y Metabolismo del Fármaco (IQUIMEFA), Universidad de Buenos Aires, Buenos Aires 1113, Argentina
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Bath JE, Wang DD. Unraveling the threads of stability: A review of the neurophysiology of postural control in Parkinson's disease. Neurotherapeutics 2024; 21:e00354. [PMID: 38579454 PMCID: PMC11000188 DOI: 10.1016/j.neurot.2024.e00354] [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: 11/30/2023] [Revised: 03/18/2024] [Accepted: 03/23/2024] [Indexed: 04/07/2024] Open
Abstract
Postural instability is a detrimental and often treatment-refractory symptom of Parkinson's disease. While many existing studies quantify the biomechanical deficits among various postural domains (static, anticipatory, and reactive) in this population, less is known regarding the neural network dysfunctions underlying these phenomena. This review will summarize current studies on the cortical and subcortical neural activities during postural responses in healthy subjects and those with Parkinson's disease. We will also review the effects of current therapies, including neuromodulation and feedback-based wearable devices, on postural instability symptoms. With recent advances in implantable devices that allow chronic, ambulatory neural data collection from patients with Parkinson's disease, combined with sensors that can quantify biomechanical measurements of postural responses, future work using these devices will enable better understanding of the neural mechanisms of postural control. Bridging this knowledge gap will be the critical first step towards developing novel neuromodulatory interventions to enhance the treatment of postural instability in Parkinson's disease.
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Affiliation(s)
- Jessica E Bath
- Department of Physical Therapy & Rehabilitation Science, University of California, San Francisco, USA; Department of Neurological Surgery, University of California, San Francisco, USA
| | - Doris D Wang
- Department of Neurological Surgery, University of California, San Francisco, USA.
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Kooiman V, van der Cruijsen J, Leijendekkers R, Verdonschot N, Solis-Escalante T, Weerdesteyn V. The influence of prosthetic suspension on gait and cortical modulations is persons with a transfemoral amputation: socket-suspended versus bone-anchored prosthesis. J Neuroeng Rehabil 2024; 21:35. [PMID: 38454427 PMCID: PMC10921721 DOI: 10.1186/s12984-024-01331-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2023] [Accepted: 03/01/2024] [Indexed: 03/09/2024] Open
Abstract
BACKGROUND Persons with a transfemoral amputation (TFA) often experience difficulties in daily-life ambulation, including an asymmetrical and less stable gait pattern and a greater cognitive demand of walking. However, it remains unclear whether this is effected by the prosthetic suspension, as eliminating the non-rigid prosthetic connection may influence stability and cortical activity during walking. Spatiotemporal and stability-related gait parameters, as well as cortical activity during walking, were evaluated between highly active individuals (MFC-level K3-4) with a TFA and able-bodied (AB) persons, and between persons with a bone-anchored prosthesis (BAP) and those with a socket-suspended prosthesis (SSP). METHODS 18 AB persons and 20 persons with a unilateral TFA (10 BAP-users, 10 SSP-users) walked on a treadmill at their preferred speed. Spatiotemporal and margin of stability parameters were extracted from three-dimensional movement recordings. In addition, 126-channel electroencephalogram (EEG) was recorded. Brain-related activity from several cortical areas was isolated using independent component analysis. Source-level data were divided into gait cycles and subjected to time-frequency analysis to determine gait-cycle dependent modulations of cortical activity. RESULTS Persons with TFA walked with smaller and wider steps and with greater variability in mediolateral foot placement than AB subjects; no significant differences were found between BAP- and SSP-users. The EEG analysis yielded four cortical clusters in frontal, central (both hemispheres), and parietal areas. No statistically significant between-group differences were found in the mean power over the entire gait cycle. The event-related spectral perturbation maps revealed differences in power modulations (theta, alpha, and beta bands) between TFA and AB groups, and between BAP- and SSP-users, with largest differences observed around heel strike of either leg. CONCLUSIONS The anticipated differences in gait parameters in persons with TFA were confirmed, however no significant effect of the fixed suspension of a BAP was found. The preliminary EEG findings may indicate more active monitoring and control of stability in persons with TFA, which appeared to be timed differently in SSP than in BAP-users. Future studies may focus on walking tasks that challenge stability to further investigate differences related to prosthetic suspension.
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Affiliation(s)
- Vera Kooiman
- Orthopedic Research Laboratory, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands.
- Department of Rehabilitation, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands.
| | - Joris van der Cruijsen
- Department of Rehabilitation, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands
| | - Ruud Leijendekkers
- Orthopedic Research Laboratory, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands
- Department of Rehabilitation, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands
- Radboud Institute for Health Sciences, IQ Healthcare, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands
| | - Nico Verdonschot
- Orthopedic Research Laboratory, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands
- Department of Biomechanical Engineering, Faculty of Engineering Technology, University of Twente, P.O. Box 217, 7500 AE, Enschede, The Netherlands
| | - Teodoro Solis-Escalante
- Department of Rehabilitation, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands
| | - Vivian Weerdesteyn
- Department of Rehabilitation, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands
- Sint Maartenskliniek, Research & Rehabilitation, P.O. Box 9011, 6500 GM, Nijmegen, The Netherlands
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Khajuria A, Sharma R, Joshi D. EEG Dynamics of Locomotion and Balancing: Solution to Neuro-Rehabilitation. Clin EEG Neurosci 2024; 55:143-163. [PMID: 36052404 DOI: 10.1177/15500594221123690] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The past decade has witnessed tremendous growth in analyzing the cortical representation of human locomotion and balance using Electroencephalography (EEG). With the advanced developments in miniaturized electronics, wireless brain recording systems have been developed for mobile recordings, such as in locomotion. In this review, the cortical dynamics during locomotion are presented with extensive focus on motor imagery, and employing the treadmill as a tool for performing different locomotion tasks. Further, the studies that examine the cortical dynamics during balancing, focusing on two types of balancing tasks, ie, static and dynamic, with the challenges in sensory inputs and cognition (dual-task), are presented. Moreover, the current literature demonstrates the advancements in signal processing methods to detect and remove the artifacts from EEG signals. Prior studies show the electrocortical sources in the anterior cingulate, posterior parietal, and sensorimotor cortex was found to be activated during locomotion. The event-related potential has been observed to increase in the fronto-central region for a wide range of balance tasks. The advanced knowledge of cortical dynamics during mobility can benefit various application areas such as neuroprosthetics and gait/balance rehabilitation. This review will be beneficial for the development of neuroprostheses, and rehabilitation devices for patients suffering from movement or neurological disorders.
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Affiliation(s)
- Aayushi Khajuria
- Centre for Biomedical Engineering, Indian Institute of Technology Delhi, New Delhi, India
| | - Richa Sharma
- Centre for Biomedical Engineering, Indian Institute of Technology Delhi, New Delhi, India
| | - Deepak Joshi
- Centre for Biomedical Engineering, Indian Institute of Technology Delhi, New Delhi, India
- Department of Biomedical Engineering, All India Institute of Medical Sciences, New Delhi, India
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Phan V, Paing SL, Lee H. Characterizing postural balance on 2-dimensional compliant surfaces with directional virtual time-to-contact. Hum Mov Sci 2023; 91:103134. [PMID: 37531739 PMCID: PMC10530255 DOI: 10.1016/j.humov.2023.103134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2023] [Revised: 05/19/2023] [Accepted: 07/25/2023] [Indexed: 08/04/2023]
Abstract
BACKGROUND This study aimed to (1) investigate postural balance control on 2-Dimensional (2D) compliant surfaces using directional virtual time-to-contact (d-VTC), a novel method for VTC calculation; and (2) compare d-VTC with conventional balance measures in this context. METHODS A dual-axis robotic platform was used to simulate 2D surfaces/grounds with varying compliance levels. Twenty healthy young adults stood on the platform with either open or closed eyes. Balance was evaluated using d-VTC in multiple aspects, including temporal (VTC mean), spatial (boundary contact - BC), and control aspects (switching rate - SR). Additionally, conventional balance measures, namely center-of-pressure (COP) area and COP root-mean-square (RMS), were employed for further comparisons with d-VTC measures. Normality checks were performed using Shapiro-Wilk tests. Two-way repeated measures ANOVA tests were used to examine the effects of surface compliance and vision on postural balance, followed by post-hoc pairwise comparisons across conditions with Bonferroni correction. RESULTS The results showed that increasing surface compliance and/or absence of vision caused a significant decrease in VTC mean (all p-values <0.001; all ηp2 > 0.816). Interaction effects between surface compliance and vision on 2D and ML VTC mean were also significant (all p-values <0.019; all ηp2 > 0.355). The AP and ML BC values indicated a converging trend to 50%. No vision effect was observed (p = 0.458), but both surface compliance (p = 0.001; ηp2 = 0.522) and interaction (p = 0.002; ηp2 = 0.492) effects were significant. Decreases in SR were significant due to the compliance of the standing surface (p = 0.01; ηp2 = 0.401) but not vision (p = 0.109). COP area increased due to both surface and vision conditions (all p-values <0.001; all ηp2 > 0.872). AP and ML RMS were altered by vision (all p-values <0.001; all ηp2 > 0.741), but not by surface condition (all p-values >0.06). No interaction effect was observed in the conventional measures (all p-values >0.07). CONCLUSION Balance control is compromised by 2D compliant surfaces, which is exacerbated when vision is absent. Among all balance measures, VTC mean measures demonstrated particularly high sensitivity in identifying decreased balance capabilities, while BC and SR provided new insights into fall risks and balance control mechanisms. These insights may facilitate the development of rehabilitation training or assistive devices for fall prevention.
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Affiliation(s)
- Vu Phan
- School for Engineering of Matter, Transport and Energy, Arizona State University, Tempe, AZ 85287, USA.
| | - Soe Lin Paing
- School for Engineering of Matter, Transport and Energy, Arizona State University, Tempe, AZ 85287, USA.
| | - Hyunglae Lee
- School for Engineering of Matter, Transport and Energy, Arizona State University, Tempe, AZ 85287, USA.
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Mahon CE, Hendershot BD, Gaskins C, Hatfield BD, Shaw EP, Gentili RJ. A mental workload and biomechanical assessment during split-belt locomotor adaptation with and without optic flow. Exp Brain Res 2023:10.1007/s00221-023-06609-6. [PMID: 37358569 DOI: 10.1007/s00221-023-06609-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Accepted: 03/27/2023] [Indexed: 06/27/2023]
Abstract
Adaptive human performance relies on the central nervous system to regulate the engagement of cognitive-motor resources as task demands vary. Despite numerous studies which employed a split-belt induced perturbation to examine biomechanical outcomes during locomotor adaptation, none concurrently examined the cerebral cortical dynamics to assess changes in mental workload. Additionally, while prior work suggests that optic flow provides critical information for walking regulation, a few studies have manipulated visual inputs during adaption to split-belt walking. This study aimed to examine the concurrent modulation of gait and Electroencephalography (EEG) cortical dynamics underlying mental workload during split-belt locomotor adaptation, with and without optic flow. Thirteen uninjured participants with minimal inherent walking asymmetries at baseline underwent adaptation, while temporal-spatial gait and EEG spectral metrics were recorded. The results revealed a reduction in step length and time asymmetry from early to late adaptation, accompanied by an elevated frontal and temporal theta power; the former being well corelated to biomechanical changes. While the absence of optic flow during adaptation did not affect temporal-spatial gait metrics, it led to an increase of theta and low-alpha power. Thus, as individuals adapt their locomotor patterns, the cognitive-motor resources underlying the encoding and consolidation processes of the procedural memory were recruited to acquire a new internal model of the perturbation. Also, when adaption occurs without optic flow, a further reduction of arousal is accompanied with an elevation of attentional engagement due to enhanced neurocognitive resources likely to maintain adaptive walking patterns.
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Affiliation(s)
- Caitlin E Mahon
- Research and Surveillance Section, Extremity Trauma and Amputation Center of Excellence, Defense Health Agency, Falls Church, VA, USA
- Department of Rehabilitation, Walter Reed National Military Medical Center, Bethesda, MD, USA
| | - Brad D Hendershot
- Research and Surveillance Section, Extremity Trauma and Amputation Center of Excellence, Defense Health Agency, Falls Church, VA, USA
- Department of Rehabilitation, Walter Reed National Military Medical Center, Bethesda, MD, USA
- Department of Physical Medicine and Rehabilitation, Uniformed Services University of the Health Sciences, Bethesda, MD, USA
| | - Christopher Gaskins
- Cognitive Motor Neuroscience Laboratory, Department of Kinesiology, School of Public Health (Bldg #255), University of Maryland, room #2138, College Park, MD, 20742, USA
- Neuroscience and Cognitive Science Program, University of Maryland, College Park, MD, USA
| | - Bradley D Hatfield
- Cognitive Motor Neuroscience Laboratory, Department of Kinesiology, School of Public Health (Bldg #255), University of Maryland, room #2138, College Park, MD, 20742, USA
- Neuroscience and Cognitive Science Program, University of Maryland, College Park, MD, USA
| | - Emma P Shaw
- Cognitive Motor Neuroscience Laboratory, Department of Kinesiology, School of Public Health (Bldg #255), University of Maryland, room #2138, College Park, MD, 20742, USA.
- Neuroscience and Cognitive Science Program, University of Maryland, College Park, MD, USA.
| | - Rodolphe J Gentili
- Cognitive Motor Neuroscience Laboratory, Department of Kinesiology, School of Public Health (Bldg #255), University of Maryland, room #2138, College Park, MD, 20742, USA.
- Neuroscience and Cognitive Science Program, University of Maryland, College Park, MD, USA.
- Maryland Robotics Center, University of Maryland, College Park, MD, USA.
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Rizzato A, Benazzato M, Cognolato M, Grigoletto D, Paoli A, Marcolin G. Different neuromuscular control mechanisms regulate static and dynamic balance: A center-of-pressure analysis in young adults. Hum Mov Sci 2023; 90:103120. [PMID: 37364344 DOI: 10.1016/j.humov.2023.103120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2022] [Revised: 05/29/2023] [Accepted: 06/15/2023] [Indexed: 06/28/2023]
Abstract
The analysis of the center of pressure (CoP) trajectory, derived from force platforms, is a widely accepted measure to investigate postural balance control. The CoP trajectory could be analyzed as a physiological time-series through a general stochastic modeling framework (i.e., Stabilogram Diffusion Analysis (SDA)). Critical point divides short-term from long-term regions and diffusion coefficients reflect the level of stochastic activity of the CoP. Sample Entropy (SampEn) allows quantifying the CoP complexity in terms of regularity. Thus, this study aimed to understand whether SDA and SampEn could discriminate the neuromuscular control mechanisms underpinning static and dynamic postural tasks. Static balance control and its relationship with dynamic balance control were investigated through the CoP velocity (Mean Velocity) and the area of the 95th percentile ellipse (Area95). Balance was assessed in 15 subjects (age: 23.13 ± 0.99 years; M = 9) over a force platform under two conditions: static (ST) and dynamic, both in anterior-posterior (DAP) and medio-lateral (DML) directions. During the DAP and DML, subjects stood on an unstable board positioned over a force platform. Short-term SDA diffusion coefficients and critical points were lower in ST than in DAP and DML (p < 0.05). SampEn values resulted greater in ST than in DAP and DML (p < 0.001). As expected, lower values of Area95 (p < 0.001) and Mean Velocity (p < 0.001) were detected in the easiest condition, the ST, compared to DAP and DML. No significant correlations between static and dynamic balance performances were detected. Moreover, differences in the diffusion coefficients were detected comparing DAP and DML (p < 0.05). In the anterior-posterior direction, the critical point occurred at relatively small intervals in DML compared to DAP (p < 0.001) and ST (p < 0.001). In the medio-lateral direction, the critical point differed only between DAP and DML (p < 0.05). Overall, SDA analysis pointed out a less tightly regulated neuromuscular control system in the dynamic tasks, with closed-loop corrective feedback mechanisms called into play at different time intervals in the three conditions. SampEn results reflected more attention and, thus, less automatic control mechanisms in the dynamic conditions, particularly in the medio-lateral task. The different neuromuscular control mechanisms that emerged in the static and dynamic balance tasks encourage using both static and dynamic tests for a more comprehensive balance performance assessment.
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Affiliation(s)
- Alex Rizzato
- Department of Biomedical Sciences, University of Padova, Padova, Italy
| | | | - Matteo Cognolato
- Institute of Information Systems, University of Applied Sciences Western Switzerland (HES-SO), Sierre, Switzerland
| | - Davide Grigoletto
- Department of Biomedical Sciences, University of Padova, Padova, Italy
| | - Antonio Paoli
- Department of Biomedical Sciences, University of Padova, Padova, Italy
| | - Giuseppe Marcolin
- Department of Biomedical Sciences, University of Padova, Padova, Italy.
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Stokkermans M, Solis-Escalante T, Cohen MX, Weerdesteyn V. Midfrontal theta dynamics index the monitoring of postural stability. Cereb Cortex 2023; 33:3454-3466. [PMID: 36066445 PMCID: PMC10068289 DOI: 10.1093/cercor/bhac283] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Revised: 06/24/2022] [Accepted: 06/25/2022] [Indexed: 11/12/2022] Open
Abstract
Stepping is a common strategy to recover postural stability and maintain upright balance. Postural perturbations have been linked to neuroelectrical markers such as the N1 potential and theta frequency dynamics. Here, we investigated the role of cortical midfrontal theta dynamics of balance monitoring, driven by balance perturbations at different initial standing postures. We recorded electroencephalography, electromyography, and motion tracking of human participants while they stood on a platform that delivered a range of forward and backward whole-body balance perturbations. The participants' postural threat was manipulated prior to the balance perturbation by instructing them to lean forward or backward while keeping their feet-in-place in response to the perturbation. We hypothesized that midfrontal theta dynamics index the engagement of a behavioral monitoring system and, therefore, that perturbation-induced theta power would be modulated by the initial leaning posture and perturbation intensity. Targeted spatial filtering in combination with mixed-effects modeling confirmed our hypothesis and revealed distinct modulations of theta power according to postural threat. Our results provide novel evidence that midfrontal theta dynamics subserve action monitoring of human postural balance. Understanding of cortical mechanisms of balance control is crucial for studying balance impairments related to aging and neurological conditions (e.g. stroke).
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Affiliation(s)
- Mitchel Stokkermans
- Radboud Universitary Medical centre for Medical Neuroscience, Department of Rehabilitation, Reinier Postlaan 4, 6525 GC Nijmegen, The Netherlands
- Donders Institute for Brain cognition and behavior, Department of synchronisation in neural systems Kappitelweg 29,6525 EN Nijmegen, The Netherlands
| | - Teodoro Solis-Escalante
- Radboud Universitary Medical centre for Medical Neuroscience, Department of Rehabilitation, Reinier Postlaan 4, 6525 GC Nijmegen, The Netherlands
| | - Michael X Cohen
- Donders Institute for Brain cognition and behavior, Department of synchronisation in neural systems Kappitelweg 29,6525 EN Nijmegen, The Netherlands
| | - Vivian Weerdesteyn
- Radboud Universitary Medical centre for Medical Neuroscience, Department of Rehabilitation, Reinier Postlaan 4, 6525 GC Nijmegen, The Netherlands
- Sint-Maartenskliniek Research, Hengstdal 3, Ubbergen, 6574 NA Nijmegen, The Netherlands
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Stokkermans M, Solis-Escalante T, Cohen MX, Weerdesteyn V. Distinct cortico-muscular coupling between step and stance leg during reactive stepping responses. Front Neurol 2023; 14:1124773. [PMID: 36998772 PMCID: PMC10043329 DOI: 10.3389/fneur.2023.1124773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2022] [Accepted: 02/20/2023] [Indexed: 03/16/2023] Open
Abstract
Balance recovery often relies on successful stepping responses, which presumably require precise and rapid interactions between the cerebral cortex and the leg muscles. Yet, little is known about how cortico-muscular coupling (CMC) supports the execution of reactive stepping. We conducted an exploratory analysis investigating time-dependent CMC with specific leg muscles in a reactive stepping task. We analyzed high density EEG, EMG, and kinematics of 18 healthy young participants while exposing them to balance perturbations at different intensities, in the forward and backward directions. Participants were instructed to maintain their feet in place, unless stepping was unavoidable. Muscle-specific Granger causality analysis was conducted on single step- and stance-leg muscles over 13 EEG electrodes with a midfrontal scalp distribution. Time-frequency Granger causality analysis was used to identify CMC from cortex to muscles around perturbation onset, foot-off and foot strike events. We hypothesized that CMC would increase compared to baseline. In addition, we expected to observe different CMC between step and stance leg because of their functional role during the step response. In particular, we expected that CMC would be most evident for the agonist muscles while stepping, and that CMC would precede upregulation in EMG activity in these muscles. We observed distinct Granger gain dynamics over theta, alpha, beta, and low/high-gamma frequencies during the reactive balance response for all leg muscles in each step direction. Interestingly, between-leg differences in Granger gain were almost exclusively observed following the divergence of EMG activity. Our results demonstrate cortical involvement in the reactive balance response and provide insights into its temporal and spectral characteristics. Overall, our findings suggest that higher levels of CMC do not facilitate leg-specific EMG activity. Our work is relevant for clinical populations with impaired balance control, where CMC analysis may elucidate the underlying pathophysiological mechanisms.
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Affiliation(s)
- Mitchel Stokkermans
- Department of Rehabilitation, Radboud University Medical Center for Medical Neuroscience, Nijmegen, Netherlands
- Department of Synchronisation in Neural Systems, Donders Institute for Brain Cognition and Behavior, Nijmegen, Netherlands
| | - Teodoro Solis-Escalante
- Department of Rehabilitation, Radboud University Medical Center for Medical Neuroscience, Nijmegen, Netherlands
| | - Michael X. Cohen
- Department of Synchronisation in Neural Systems, Donders Institute for Brain Cognition and Behavior, Nijmegen, Netherlands
| | - Vivian Weerdesteyn
- Department of Rehabilitation, Radboud University Medical Center for Medical Neuroscience, Nijmegen, Netherlands
- Sint Maartenskliniek Research, Nijmegen, Netherlands
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Sherman DA, Baumeister J, Stock MS, Murray AM, Bazett-Jones DM, Norte GE. Brain activation and single-limb balance following anterior cruciate ligament reconstruction. Clin Neurophysiol 2023; 149:88-99. [PMID: 36933325 DOI: 10.1016/j.clinph.2023.02.175] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2022] [Revised: 02/11/2023] [Accepted: 02/21/2023] [Indexed: 03/11/2023]
Abstract
OBJECTIVE To compare brain activity between individuals with anterior cruciate ligament reconstruction (ACLR) and controls during balance. To determine the influence of neuromodulatory interventions (external focus of attention [EF] and transcutaneous electrical nerve stimulation [TENS]) on cortical activity and balance performance. METHODS Individuals with ACLR (n = 20) and controls (n = 20) performed a single-limb balance task under four conditions: internal focus (IF), object-based-EF, target-based-EF, and TENS. Electroencephalographic signals were decomposed, localized, and clustered to generate power spectral density in theta and alpha-2 frequency bands. RESULTS Participants with ACLR had higher motor-planning (d = 0.5), lower sensory (d = 0.6), and lower motor activity (d = 0.4-0.8), while exhibiting faster sway velocity (d = 0.4) than controls across all conditions. Target-based-EF decreased motor-planning (d = 0.1-0.4) and increased visual (d = 0.2), bilateral sensory (d = 0.3-0.4), and bilateral motor (d = 0.4-0.5) activity in both groups compared to all other conditions. Neither EF conditions nor TENS changed balance performance. CONCLUSIONS Individuals with ACLR exhibit lower sensory and motor processing, higher motor planning demands, and greater motor inhibition compared to controls, suggesting visual-dependence and less automatic balance control. Target-based-EF resulted in favorable reductions in motor-planning and increases in somatosensory and motor activity, transient effects in line with impairments after ACLR. SIGNIFICANCE Sensorimotor neuroplasticity underlies balance deficits in individuals with ACLR. Neuromodulatory interventions such as focus of attention may induce favorable neuroplasticity along with performance benefits.
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Affiliation(s)
- David A Sherman
- Live4 Physical Therapy and Wellness, Acton, MA, USA; Dept. of Physical Therapy & Athletic Training, College of Health & Rehabilitation Science: Sargent College, Boston University, Boston, MA, USA; Harvard John A. Paulson School of Engineering and Applied Sciences, Harvard University, Cambridge, MA, USA.
| | - Jochen Baumeister
- Exercise Science & Neuroscience Unit, Department of Exercise & Health, Faculty of Science, Paderborn University, Paderborn, Germany
| | - Matt S Stock
- College of Health Professions and Sciences, University of Central Florida, Orlando, FL, USA.
| | - Amanda M Murray
- Department of Exercise and Rehabilitation Sciences, College of Health and Human Services, University of Toledo, Toledo, OH, USA
| | - David M Bazett-Jones
- Department of Exercise and Rehabilitation Sciences, College of Health and Human Services, University of Toledo, Toledo, OH, USA
| | - Grant E Norte
- Department of Exercise and Rehabilitation Sciences, College of Health and Human Services, University of Toledo, Toledo, OH, USA.
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Ao M, Ren S, Yu Y, Huang H, Miao X, Ao Y, Wang W. The effects of blurred visual inputs with different levels on the cerebral activity during free level walking. Front Neurosci 2023; 17:1151799. [PMID: 37139527 PMCID: PMC10149992 DOI: 10.3389/fnins.2023.1151799] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2023] [Accepted: 03/20/2023] [Indexed: 05/05/2023] Open
Abstract
Objective The aim of this study was to evaluate the effects of blurred vision on electrocortical activities at different levels during walking. Materials and methods A total of 22 healthy volunteers (all men; mean age: 24.4 ± 3.9 years) underwent an electroencephalography (EEG) test synchronous with free level walking. Visual status was simulated by goggles covered by the occlusion foil targeted at a Snellen visual acuity of 20/60 (V0.3), 20/200 (V0.1), and light perception (V0). At each of these conditions, the participants completed barefoot walking for five blocks of 10 m. The EEG signals were recorded by a wireless EEG system with electrodes of interest, namely, Cz, Pz, Oz, O1, and O2. The gait performances were assessed by the Vicon system. Results During walking with normal vision (V1.0), there were cerebral activities related to visual processing, characterized as higher spectral power of delta (Oz and O2 vs. Cz, Pz, and O1, p ≤ 0.033) and theta (Oz vs. Cz and O1, p = 0.044) bands in occipital regions. Moderately blurred vision (V0.3) would attenuate the predominance of delta- and theta-band activities at Oz and O2, respectively. At the statuses of V0.1 and V0, the higher power of delta (at V0.1 and V0, Oz, and O2 vs. Cz, Pz, and O1, p ≤ 0.047) and theta bands (at V0.1, Oz vs. Cz, p = 0.010; at V0, Oz vs. Cz, Pz, and O1, p ≤ 0.016) emerged again. The cautious gait pattern, characterized by a decrease in gait speed (p < 0.001), a greater amplitude of deviation from the right ahead (p < 0.001), a prolonged stance time (p = 0.001), a restricted range of motion in the hip on the right side (p ≤ 0.010), and an increased knee flexion during stance on the left side (p = 0.014), was only detected at the status of V0. The power of the alpha band at the status of V0 was higher than that at V1.0, V0.3, and V0.1 (p ≤ 0.011). Conclusion Mildly blurred visual inputs would elicit generalization of low-frequency band activity during walking. In circumstance to no effective visual input, locomotor navigation would rely on cerebral activity related to visual working memory. The threshold to trigger the shift might be the visual status that is as blurred as the level of Snellen visual acuity of 20/200.
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Affiliation(s)
- Mingxin Ao
- Department of Ophthalmology, Peking University Third Hospital, Beijing, China
- Beijing Key Laboratory of Restoration of Damaged Ocular Nerve, Peking University Third Hospital, Beijing, China
| | - Shuang Ren
- Department of Sports Medicine, Institute of Sports Medicine of Peking University, Peking University Third Hospital, Beijing, China
- Beijing Key Laboratory of Sports Injuries, Peking University Third Hospital, Beijing, China
| | - Yuanyuan Yu
- Department of Sports Medicine, Institute of Sports Medicine of Peking University, Peking University Third Hospital, Beijing, China
- Beijing Key Laboratory of Sports Injuries, Peking University Third Hospital, Beijing, China
| | - Hongshi Huang
- Department of Sports Medicine, Institute of Sports Medicine of Peking University, Peking University Third Hospital, Beijing, China
- Beijing Key Laboratory of Sports Injuries, Peking University Third Hospital, Beijing, China
| | - Xin Miao
- Department of Sports Medicine, Institute of Sports Medicine of Peking University, Peking University Third Hospital, Beijing, China
- Beijing Key Laboratory of Sports Injuries, Peking University Third Hospital, Beijing, China
| | - Yingfang Ao
- Department of Sports Medicine, Institute of Sports Medicine of Peking University, Peking University Third Hospital, Beijing, China
- Beijing Key Laboratory of Sports Injuries, Peking University Third Hospital, Beijing, China
- *Correspondence: Yingfang Ao
| | - Wei Wang
- Department of Ophthalmology, Peking University Third Hospital, Beijing, China
- Beijing Key Laboratory of Restoration of Damaged Ocular Nerve, Peking University Third Hospital, Beijing, China
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12
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Pitts J, Bhatt T. Effects of mentally induced fatigue on balance control: a systematic review. Exp Brain Res 2023; 241:13-30. [PMID: 36329316 DOI: 10.1007/s00221-022-06464-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2022] [Accepted: 09/07/2022] [Indexed: 11/06/2022]
Abstract
The relationship between cognitive demands and postural control is controversial. Mental fatigue paradigms investigate the attentional requirements of postural control by assessing balance after a prolonged cognitive task. However, a majority of mental fatigue research has focused on cognition and sports performance, leaving balance relatively underexamined. The purpose of this paper was to systematically review the existing literature on mental fatigue and balance control. We conducted a comprehensive search on PubMed and Web of Science databases for studies comparing balance performance pre- to post-mental fatigue or between a mental fatigue and control group. The literature search resulted in ten relevant studies including both volitional (n = 7) and reactive (n = 3) balance measures. Mental fatigue was induced by various cognitive tasks which were completed for 20-90 min prior to balance assessment. Mental fatigue affected both volitional and reactive balance, resulting in increased postural sway, decreased accuracy on volitional tasks, delayed responses to perturbations, and less effective balance recovery responses. These effects could have been mediated by the depletion of attentional resources or impaired sensorimotor perception which delayed appropriate balance-correcting responses. However, the current literature is limited by the number of studies and heterogeneous mental fatigue induction methods. Future studies are needed to confirm these postulations and examine the effects of mental fatigue on different populations and postural tasks. This line of research could be clinically relevant to improve safety in occupational settings where individuals complete extremely long durations of cognitive tasks and for the development of effective fall-assessment and fall-prevention paradigms.
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Affiliation(s)
- Jessica Pitts
- Department of Physical Therapy, University of Illinois at Chicago, 1919 W Taylor Street, Chicago, IL, 60612, USA
| | - Tanvi Bhatt
- Department of Physical Therapy, University of Illinois at Chicago, 1919 W Taylor Street, Chicago, IL, 60612, USA.
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13
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Aubonnet R, Shoykhet A, Jacob D, Di Lorenzo G, Petersen H, Gargiulo P. Postural control paradigm (BioVRSea): towards a neurophysiological signature. Physiol Meas 2022; 43. [PMID: 36265477 DOI: 10.1088/1361-6579/ac9c43] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2022] [Accepted: 10/20/2022] [Indexed: 02/07/2023]
Abstract
Objective.To define a new neurophysiological signature from electroencephalography (EEG) during a complex postural control task using the BioVRSea paradigm, consisting of virtual reality (VR) and a moving platform, mimicking the behavior of a boat on the sea.Approach.EEG (64 electrodes) data from 190 healthy subjects were acquired. The experiment is composed of 6 segments (Baseline, PRE, 25%, 50%, 75%, POST). The baseline lasts 60 s while standing on the motionless platform with a mountain view in the VR goggles. PRE and POST last 40 s while standing on the motionless platform with a sea simulation. The 3 other tasks last 40 s each, with the platform moving to adapt to the waves, and the subject holding a bar to maintain its balance. The power spectral density (PSD) difference for each task minus baseline has been computed for every electrode, for five frequency bands (delta, theta, alpha, beta, and low-gamma). Statistical significance has been computed.Main results.All the bands were significant for the whole cohort, for each task regarding baseline. Delta band shows a prefrontal PSD increase, theta a fronto-parietal decrease, alpha a global scalp power decrease, beta an increase in the occipital and temporal scalps and a decrease in other areas, and low-gamma a significant but slight increase in the parietal, occipital and temporal scalp areas.Significance.This study develops a neurophysiological reference during a complex postural control task. In particular, we found a strong localized activity associated with certain frequency bands during certain phases of the experiment. This is the first step towards a neurophysiological signature that can be used to identify pathological conditions lacking quantitative diagnostics assessment.
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Affiliation(s)
- R Aubonnet
- Institute of Biomedical and Neural Engineering, Reykjavik University, Reykjavik, Iceland
| | - A Shoykhet
- Institute of Biomedical and Neural Engineering, Reykjavik University, Reykjavik, Iceland
| | - D Jacob
- Institute of Biomedical and Neural Engineering, Reykjavik University, Reykjavik, Iceland
| | - G Di Lorenzo
- Laboratory of Psychophysiology and Cognitive Neuroscience, Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.,IRCCS Fondazione Santa Lucia, Rome, Italy
| | - H Petersen
- Department of Anatomy, Faculty of Medicine, School of Health Sciences, University of Iceland, Reykjavik, Iceland.,Akureyri Hospital, Akureyri, Iceland
| | - P Gargiulo
- Institute of Biomedical and Neural Engineering, Reykjavik University, Reykjavik, Iceland.,Department of Science, Landspitalin, National University Hospital of Iceland, Reykjavik, Iceland
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Gebel A, Busch A, Stelzel C, Hortobágyi T, Granacher U. Effects of Physical and Mental Fatigue on Postural Sway and Cortical Activity in Healthy Young Adults. Front Hum Neurosci 2022; 16:871930. [PMID: 35774482 PMCID: PMC9237223 DOI: 10.3389/fnhum.2022.871930] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2022] [Accepted: 05/26/2022] [Indexed: 11/13/2022] Open
Abstract
Physical fatigue (PF) negatively affects postural control, resulting in impaired balance performance in young and older adults. Similar effects on postural control can be observed for mental fatigue (MF) mainly in older adults. Controversial results exist for young adults. There is a void in the literature on the effects of fatigue on balance and cortical activity. Therefore, this study aimed to examine the acute effects of PF and MF on postural sway and cortical activity. Fifteen healthy young adults aged 28 ± 3 years participated in this study. MF and PF protocols comprising of an all-out repeated sit-to-stand task and a computer-based attention network test, respectively, were applied in random order. Pre and post fatigue, cortical activity and postural sway (i.e., center of pressure displacements [CoPd], velocity [CoPv], and CoP variability [CV CoPd, CV CoPv]) were tested during a challenging bipedal balance board task. Absolute spectral power was calculated for theta (4–7.5 Hz), alpha-2 (10.5–12.5 Hz), beta-1 (13–18 Hz), and beta-2 (18.5–25 Hz) in frontal, central, and parietal regions of interest (ROI) and baseline-normalized. Inference statistics revealed a significant time-by-fatigue interaction for CoPd (p = 0.009, d = 0.39, Δ 9.2%) and CoPv (p = 0.009, d = 0.36, Δ 9.2%), and a significant main effect of time for CoP variability (CV CoPd: p = 0.001, d = 0.84; CV CoPv: p = 0.05, d = 0.62). Post hoc analyses showed a significant increase in CoPd (p = 0.002, d = 1.03) and CoPv (p = 0.003, d = 1.03) following PF but not MF. For cortical activity, a significant time-by-fatigue interaction was found for relative alpha-2 power in parietal (p < 0.001, d = 0.06) areas. Post hoc tests indicated larger alpha-2 power increases after PF (p < 0.001, d = 1.69, Δ 3.9%) compared to MF (p = 0.001, d = 1.03, Δ 2.5%). In addition, changes in parietal alpha-2 power and measures of postural sway did not correlate significantly, irrespective of the applied fatigue protocol. No significant changes were found for the other frequency bands, irrespective of the fatigue protocol and ROI under investigation. Thus, the applied PF protocol resulted in increased postural sway (CoPd and CoPv) and CoP variability accompanied by enhanced alpha-2 power in the parietal ROI while MF led to increased CoP variability and alpha-2 power in our sample of young adults. Potential underlying cortical mechanisms responsible for the greater increase in parietal alpha-2 power after PF were discussed but could not be clearly identified as cause. Therefore, further future research is needed to decipher alternative interpretations.
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Affiliation(s)
- Arnd Gebel
- Division of Training and Movement Sciences, Research Focus Cognition Sciences, University of Potsdam, Potsdam, Germany
- *Correspondence: Arnd Gebel,
| | - Aglaja Busch
- Division of Training and Movement Sciences, Research Focus Cognition Sciences, University of Potsdam, Potsdam, Germany
- University Outpatient Clinic, Sports Medicine and Sports Orthopedics, University of Potsdam, Potsdam, Germany
- Physiotherapy, Department of Health Professions, Bern University of Applied Sciences, Bern, Switzerland
| | | | - Tibor Hortobágyi
- Division of Training and Movement Sciences, Research Focus Cognition Sciences, University of Potsdam, Potsdam, Germany
- University Medical Center Groningen, Center for Human Movement Sciences, University of Groningen, Groningen, Netherlands
- Somogy County Kaposi Mór Teaching Hospital, Kaposvár, Hungary
- Department of Sport Biology, Institute of Sport Science and Physical Education, University of Pécs, Pécs, Hungary
- Department of Kinesiology, University of Physical Education, Budapest, Hungary
| | - Urs Granacher
- Division of Training and Movement Sciences, Research Focus Cognition Sciences, University of Potsdam, Potsdam, Germany
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15
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Alterations in Cortical Activation among Soccer Athletes with Chronic Ankle Instability during Drop-Jump Landing: A Preliminary Study. Brain Sci 2022; 12:brainsci12050664. [PMID: 35625050 PMCID: PMC9139920 DOI: 10.3390/brainsci12050664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2022] [Revised: 05/03/2022] [Accepted: 05/16/2022] [Indexed: 11/17/2022] Open
Abstract
Background: Chronic ankle instability (CAI) is a common peripheral joint injury and there is still no consensus on the mechanisms. It is necessary to investigate electrocortical parameters to provide clinical insight into the functional alterations of brain activity after an ankle sprain, which would greatly affect the implementation of rehabilitation plans. The purpose of this study was to assess cortical activation characteristics during drop-jump landing among soccer athletes with CAI. Methods: A total of 24 participants performed the drop-jump landing task on a force platform while wearing a 64-channel EEG system. The differences of power spectral density (PSD) in theta and alpha (alpha-1 and alpha-2) bands were analyzed between two groups (CAI vs. CON) and between two limbs (injured vs. healthy). Results: CAI participants demonstrated significantly higher theta power at the frontal electrode than that in healthy control individuals (F(1,22) = 7.726, p = 0.011, η2p = 0.260). No difference in parietal alpha-1 and alpha-2 power was found between groups (alpha-1: F(1,22) = 0.297, p = 0.591, η2p = 0.013; alpha-2: F(1,22) = 0.118, p = 0.734, η2p = 0.005). No limb differences were presented for any frequency band in selected cortical areas (alpha-1: F(1,22) = 0.149, p = 0.703, η2p = 0.007; alpha-2: F(1,22) = 0.166, p = 0.688, η2p = 0.007; theta: F(1,22) = 2.256, p = 0.147, η2p = 0.093). Conclusions: Theta power at the frontal cortex was higher in soccer athletes with CAI during drop-jump landing. Differences in cortical activation provided evidence for an altered neural mechanism of postural control among soccer athletes with CAI.
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Goel R, Nakagome S, Paloski WH, Contreras-Vidal JL, Parikh PJ. Assessment of Biomechanical Predictors of Occurrence of Low-Amplitude N1 Potentials Evoked by Naturally Occurring Postural Instabilities. IEEE Trans Neural Syst Rehabil Eng 2022; 30:476-485. [PMID: 35201989 PMCID: PMC11047164 DOI: 10.1109/tnsre.2022.3154707] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Naturally occurring postural instabilities that occur while standing and walking elicit specific cortical responses in the fronto-central regions (N1 potentials) followed by corrective balance responses to prevent falling. However, no framework could simultaneously track different biomechanical parameters preceding N1s, predict N1s, and assess their predictive power. Here, we propose a framework and show its utility by examining cortical activity (through electroencephalography [EEG]), ground reaction forces, and head acceleration in the anterior-posterior (AP) direction. Ten healthy young adults carried out a balance task of standing on a support surface with or without sway referencing in the AP direction, amplifying, or dampening natural body sway. Using independent components from the fronto-central cortical region obtained from subject-specific head models, we first robustly validated a prior approach on identifying low-amplitude N1 potentials before early signs of balance corrections. Then, a machine learning algorithm was used to evaluate different biomechanical parameters obtained before N1 potentials, to predict the occurrence of N1s. When different biomechanical parameters were directly compared, the time to boundary (TTB) was found to be the best predictor of the occurrence of upcoming low-amplitude N1 potentials during a balance task. Based on these findings, we confirm that the spatio-temporal characteristics of the center of pressure (COP) might serve as an essential parameter that can facilitate the early detection of postural instability in a balance task. Extending our framework to identify such biomarkers in dynamic situations like walking might improve the implementation of corrective balance responses through brain-machine-interfaces to reduce falls in the elderly.
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Antezana PE, Municoy S, Álvarez-Echazú MI, Santo-Orihuela PL, Catalano PN, Al-Tel TH, Kadumudi FB, Dolatshahi-Pirouz A, Orive G, Desimone MF. The 3D Bioprinted Scaffolds for Wound Healing. Pharmaceutics 2022; 14:464. [PMID: 35214197 PMCID: PMC8875365 DOI: 10.3390/pharmaceutics14020464] [Citation(s) in RCA: 30] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Revised: 02/09/2022] [Accepted: 02/11/2022] [Indexed: 02/01/2023] Open
Abstract
Skin tissue engineering and regeneration aim at repairing defective skin injuries and progress in wound healing. Until now, even though several developments are made in this field, it is still challenging to face the complexity of the tissue with current methods of fabrication. In this review, short, state-of-the-art on developments made in skin tissue engineering using 3D bioprinting as a new tool are described. The current bioprinting methods and a summary of bioink formulations, parameters, and properties are discussed. Finally, a representative number of examples and advances made in the field together with limitations and future needs are provided.
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Affiliation(s)
- Pablo Edmundo Antezana
- Facultad de Farmacia y Bioquímica, Instituto de Química y Metabolismo del Fármaco (IQUIMEFA), Universidad de Buenos Aires, Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Junín 956, Buenos Aires 1113, Argentina
| | - Sofia Municoy
- Facultad de Farmacia y Bioquímica, Instituto de Química y Metabolismo del Fármaco (IQUIMEFA), Universidad de Buenos Aires, Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Junín 956, Buenos Aires 1113, Argentina
| | - María Inés Álvarez-Echazú
- Facultad de Farmacia y Bioquímica, Instituto de Química y Metabolismo del Fármaco (IQUIMEFA), Universidad de Buenos Aires, Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Junín 956, Buenos Aires 1113, Argentina
| | - Pablo Luis Santo-Orihuela
- Facultad de Farmacia y Bioquímica, Instituto de Química y Metabolismo del Fármaco (IQUIMEFA), Universidad de Buenos Aires, Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Junín 956, Buenos Aires 1113, Argentina
- Centro de Investigaciones en Plagas e Insecticidas (CIPEIN), Instituto de Investigaciones Científicas y Técnicas para la Defensa CITEDEF/UNIDEF, Consejo Nacional de Investigaciones Científicas y Técnicas, Buenos Aires, Argentina (CONICET), Juan B. de La Salle 4397, Villa Martelli, Buenos Aires 1603, Argentina
| | - Paolo Nicolás Catalano
- Facultad de Farmacia y Bioquímica, Instituto de Química y Metabolismo del Fármaco (IQUIMEFA), Universidad de Buenos Aires, Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Junín 956, Buenos Aires 1113, Argentina
- Departamento de Micro y Nanotecnología, Instituto de Nanociencia y Nanotecnología, CNEA-CONICET, Av. General Paz 1499, San Martín 1650, Argentina
| | - Taleb H Al-Tel
- Sharjah Institute for Medical Research and College of Pharmacy, University of Sharjah, Sharjah P.O. Box 27272, United Arab Emirates
| | - Firoz Babu Kadumudi
- Department of Health Technology, Technical University of Denmark, 2800 Kongens Lyngby, Denmark
| | | | - Gorka Orive
- Laboratory of Pharmaceutics, NanoBioCel Group, School of Pharmacy, University of the Basque Country UPV/EHU, Paseo de la Universidad 7, 01006 Vitoria-Gasteiz, Spain
- Biomedical Research Networking Centre in Bioengineering, Biomaterials and Nanomedicine (CIBER-BBN), 01006 Vitoria-Gasteiz, Spain
- Bioaraba, NanoBioCel Research Group, 01006 Vitoria-Gasteiz, Spain
- University Institute for Regenerative Medicine and Oral Implantology-UIRMI (UPV/EHU-Fundación Eduardo Anitua), 01007 Vitoria-Gasteiz, Spain
- Singapore Eye Research Institute, The Academia, 20 College Road, Discovery Tower, Singapore 169856, Singapore
| | - Martin Federico Desimone
- Facultad de Farmacia y Bioquímica, Instituto de Química y Metabolismo del Fármaco (IQUIMEFA), Universidad de Buenos Aires, Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Junín 956, Buenos Aires 1113, Argentina
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Sherman DA, Lehmann T, Baumeister J, Grooms DR, Norte GE. Somatosensory perturbations influence cortical activity associated with single-limb balance performance. Exp Brain Res 2022; 240:407-420. [PMID: 34767059 DOI: 10.1007/s00221-021-06260-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Accepted: 10/28/2021] [Indexed: 11/25/2022]
Abstract
To determine the association between cortical activity and postural control performance changes with differing somatosensory perturbations. Healthy individuals (n = 15) performed a single-limb balance task under four conditions: baseline, unstable surface (foam), transcutaneous electrical nerve stimulation (TENS) applied to the stance-limb knee, and combined foam + TENS. Cortical activity was recorded with electroencephalography (EEG) and postural sway via triaxial force plate. EEG signals were decomposed, localized, and clustered to generate power spectral density in theta (4-7 Hz) and alpha-2 (10-12 Hz) frequency bands in anatomical clusters. Postural sway signals were analyzed with center of pressure (COP) sway metrics (e.g., area, distance, velocity). Foam increased theta power in the frontal and central clusters (d = 0.77 to 1.16), decreased alpha-2 power in bilateral motor, right parietal, and occipital clusters (d = - 0.89 to - 2.35) and increased sway area, distance, and velocity (d = 1.09-2.57) relative to baseline. Conversely, TENS decreased central theta power (d = - 0.60), but increased bilateral motor, left parietal, and occipital alpha-2 power (d = 0.51-1.40), with similar to baseline balance performance. In combination, foam + TENS attenuated sway velocity detriments and cortical activity caused by the foam condition alone. There were weak and moderate associations between percent increased central theta and occipital activity and increased sway velocity. Somatosensory perturbations changed patterns of cortical activity during a single-limb balance task in a manner suggestive of sensory re-weighting to pertinent sensory feedback. Across conditions decreased cortical activity in pre-motor and visual regions were associated with reduced sway velocity.
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Affiliation(s)
- David A Sherman
- School of Exercise and Rehabilitation Sciences, College of Health and Human Services, University of Toledo, 2801 W. Bancroft St., HH 2505E, Mail Stop 119, Toledo, OH, 43606, USA.
| | - Tim Lehmann
- Exercise Science and Neuroscience Unit, Department of Exercise and Health, Faculty of Science, Paderborn University, Paderborn, Germany
| | - Jochen Baumeister
- Exercise Science and Neuroscience Unit, Department of Exercise and Health, Faculty of Science, Paderborn University, Paderborn, Germany
| | - Dustin R Grooms
- Division of Physical Therapy, Division of Athletic Training, Ohio Musculoskeletal and Neurological Institute, College of Health Sciences and Professions, Ohio University, Athens, OH, 45701, USA
| | - Grant E Norte
- School of Exercise and Rehabilitation Sciences, College of Health and Human Services, University of Toledo, 2801 W. Bancroft St., HH 2505E, Mail Stop 119, Toledo, OH, 43606, USA
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19
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Ben Khedher M, Ghedira K, Rolain JM, Ruimy R, Croce O. Application and Challenge of 3rd Generation Sequencing for Clinical Bacterial Studies. Int J Mol Sci 2022; 23:1395. [PMID: 35163319 PMCID: PMC8835973 DOI: 10.3390/ijms23031395] [Citation(s) in RCA: 20] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2021] [Revised: 01/20/2022] [Accepted: 01/24/2022] [Indexed: 02/04/2023] Open
Abstract
Over the past 25 years, the powerful combination of genome sequencing and bioinformatics analysis has played a crucial role in interpreting information encoded in bacterial genomes. High-throughput sequencing technologies have paved the way towards understanding an increasingly wide range of biological questions. This revolution has enabled advances in areas ranging from genome composition to how proteins interact with nucleic acids. This has created unprecedented opportunities through the integration of genomic data into clinics for the diagnosis of genetic traits associated with disease. Since then, these technologies have continued to evolve, and recently, long-read sequencing has overcome previous limitations in terms of accuracy, thus expanding its applications in genomics, transcriptomics and metagenomics. In this review, we describe a brief history of the bacterial genome sequencing revolution and its application in public health and molecular epidemiology. We present a chronology that encompasses the various technological developments: whole-genome shotgun sequencing, high-throughput sequencing, long-read sequencing. We mainly discuss the application of next-generation sequencing to decipher bacterial genomes. Secondly, we highlight how long-read sequencing technologies go beyond the limitations of traditional short-read sequencing. We intend to provide a description of the guiding principles of the 3rd generation sequencing applications and ongoing improvements in the field of microbial medical research.
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Affiliation(s)
- Mariem Ben Khedher
- Bacteriology Laboratory, Archet 2 Hospital, CHU Nice, 06000 Nice, France
- Institute for Research on Cancer and Aging Nice (IRCAN), CNRS, INSERM, Université Côte d’Azur, 06108 Nice, France
| | - Kais Ghedira
- Laboratory of Bioinformatics, Biomathematics and Biostatistics, Institute Pasteur of Tunis, Tunis 1002, Tunisia;
| | - Jean-Marc Rolain
- IRD, APHM, MEPHI, IHU-Méditerranée Infection, Aix Marseille Université, 13005 Marseille, France;
| | - Raymond Ruimy
- Bacteriology Laboratory, Archet 2 Hospital, CHU Nice, 06000 Nice, France
- Centre Méditerranéen de Médecine Moléculaire (C3M), INSERM, Université Côte D’Azur, 06108 Nice, France
| | - Olivier Croce
- Institute for Research on Cancer and Aging Nice (IRCAN), CNRS, INSERM, Université Côte d’Azur, 06108 Nice, France
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20
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An YW, Kang Y, Jun HP, Chang E. Anterior Cruciate Ligament Reconstructed Patients Who Recovered Normal Postural Control Have Dissimilar Brain Activation Patterns Compared to Healthy Controls. BIOLOGY 2022; 11:biology11010119. [PMID: 35053116 PMCID: PMC8773195 DOI: 10.3390/biology11010119] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/24/2021] [Revised: 01/07/2022] [Accepted: 01/08/2022] [Indexed: 11/21/2022]
Abstract
Simple Summary We report that patients with anterior cruciate ligament reconstruction have similar postural control but different cortical activation patterns in several regions of the brain when compared to healthy controls. This is significant because dissimilar cortical activation patterns indicate that neural adaptation in the brain is responsible for motor coordination, possibly due to altered proprioception, despite having a surgical reconstruction after an anterior cruciate ligament injury. Such neuroplasticity in ACLR patients may imply compensatory neural protective mechanisms in order to sustain postural control, which is a fundamental functional skill in daily activities. We believe that our findings will elucidate other researchers and clinicians about the effects of a peripheral joint injury on the brain’s function during postural control. Abstract Postural control, which is a fundamental functional skill, reflects integration and coordination of sensory information. Damaged anterior cruciate ligament (ACL) may alter neural activation patterns in the brain, despite patients’ surgical reconstruction (ACLR). However, it is unknown whether ACLR patients with normal postural control have persistent neural adaptation in the brain. Therefore, we explored theta (4–8 Hz) and alpha-2 (10–12 Hz) oscillation bands at the prefrontal, premotor/supplementary motor, primary motor, somatosensory, and primary visual cortices, in which electrocortical activation is highly associated with goal-directed decision-making, preparation of movement, motor output, sensory input, and visual processing, respectively, during first 3 s of a single-leg stance at two different task complexities (stable/unstable) between ACLR patients and healthy controls. We observed that ACLR patients showed similar postural control ability to healthy controls, but dissimilar neural activation patterns in the brain. To conclude, we demonstrated that ACLR patients may rely on more neural sources on movement preparation in conjunction with sensory feedback during the early single-leg stance period relative to healthy controls to maintain postural control. This may be a compensatory protective mechanism to accommodate for the altered sensory inputs from the reconstructed knee and task complexity. Our study elucidates the strategically different brain activity utilized by ACLR patients to sustain postural control.
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Affiliation(s)
- Yong Woo An
- Department of Health and Human Sciences, Loyola Marymount University, Los Angeles, CA 90045, USA;
| | - Yangmi Kang
- Department of Kinesiology, New Mexico State University, Las Cruces, NM 88003, USA;
| | - Hyung-Pil Jun
- Department of Physical Education, Dong-A University, Busan 03722, Korea;
| | - Eunwook Chang
- Department of Kinesiology, Inha University, Incheon 22212, Korea
- Correspondence: ; Tel.: +82-32-860-8185; Fax: +82-32-860-8188
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21
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Barollo F, Hassan M, Petersen H, Rigoni I, Ramon C, Gargiulo P, Fratini A. Cortical pathways during Postural Control: new insights from functional EEG source connectivity. IEEE Trans Neural Syst Rehabil Eng 2022; 30:72-84. [PMID: 34990367 DOI: 10.1109/tnsre.2022.3140888] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Postural control is a complex feedback system that relies on vast array of sensory inputs in order to maintain a stable upright stance. The brain cortex plays a crucial role in the processing of this information and in the elaboration of a successful adaptive strategy to external stimulation preventing loss of balance and falls. In the present work, the participants postural control system was challenged by disrupting the upright stance via a mechanical skeletal muscle vibration applied to the calves. The EEG source connectivity method was used to investigate the cortical response to the external stimulation and highlight the brain network primarily involved in high-level coordination of the postural control system. The cortical network reconfiguration was assessed during two experimental conditions of eyes open and eyes closed and the network flexibility (i.e. its dynamic reconfiguration over time) was correlated with the sample entropy of the stabilogram sway. The results highlight two different cortical strategies in the alpha band: the predominance of frontal lobe connections during open eyes and the strengthening of temporal-parietal network connections in the absence of visual cues. Furthermore, a high correlation emerges between the flexibility in the regions surrounding the right temporo-parietal junction and the sample entropy of the CoP sway, suggesting their centrality in the postural control system. These results open the possibility to employ network-based flexibility metrics as markers of a healthy postural control system, with implications in the diagnosis and treatment of postural impairing diseases.
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22
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Liu H, Li B, Zhang M, Dai C, Xi P, Liu Y, Huang Q, He J, Lang Y, Tang R. Unexpected Terrain Induced Changes in Cortical Activity in Bipedal-Walking Rats. BIOLOGY 2021; 11:biology11010036. [PMID: 35053035 PMCID: PMC8773320 DOI: 10.3390/biology11010036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/07/2021] [Revised: 12/25/2021] [Accepted: 12/26/2021] [Indexed: 11/23/2022]
Abstract
Simple Summary Most studies on cortical dynamics during walking require subjects to walk stably on specific terrain. In fact, humans or other animals are often disturbed by an abrupt change in terrains during walking. To study the impact of unexpected terrain on cortical activity, we analyzed the kinematics and electroencephalography (EEG) dynamics of bipedal-walking rats after encountering unexpected terrain. We found that the gait of rats after encountering the unexpected terrain were significantly different from normal walking. Furthermore, the activities of the left and right primary motor areas (M1), the left and right primary somatosensory areas (S1), and the retrosplenial area (RSP) are coupled to gait cycle phase and varied with the terrain conditions. These findings suggest that unexpected terrains induced changes in gait and cortical activity, and provide novel insights into cortical dynamics during walking. Abstract Humans and other animals can quickly respond to unexpected terrains during walking, but little is known about the cortical dynamics in this process. To study the impact of unexpected terrains on brain activity, we allowed rats with blocked vision to walk on a treadmill in a bipedal posture and then walk on an uneven area at a random position on the treadmill belt. Whole brain EEG signals and hind limb kinematics of bipedal-walking rats were recorded. After encountering unexpected terrain, the θ band power of the bilateral M1, the γ band power of the left S1, and the θ to γ band power of the RSP significantly decreased compared with normal walking. Furthermore, when the rats left uneven terrain, the β band power of the bilateral M1 and the α band power of the right M1 decreased, while the γ band power of the left M1 significantly increased compared with normal walking. Compared with the flat terrain, the θ to low β (3–20 Hz) band power of the bilateral S1 increased after the rats contacted the uneven terrain and then decreased in the single- or double- support phase. These results support the hypothesis that unexpected terrains induced changes in cortical activity.
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Affiliation(s)
- Honghao Liu
- School of Mechatronical Engineering, Beijing Institute of Technology, Beijing 100081, China; (H.L.); (B.L.); (M.Z.); (C.D.); (P.X.); (Y.L.); (Q.H.); (J.H.)
| | - Bo Li
- School of Mechatronical Engineering, Beijing Institute of Technology, Beijing 100081, China; (H.L.); (B.L.); (M.Z.); (C.D.); (P.X.); (Y.L.); (Q.H.); (J.H.)
| | - Minjian Zhang
- School of Mechatronical Engineering, Beijing Institute of Technology, Beijing 100081, China; (H.L.); (B.L.); (M.Z.); (C.D.); (P.X.); (Y.L.); (Q.H.); (J.H.)
| | - Chuankai Dai
- School of Mechatronical Engineering, Beijing Institute of Technology, Beijing 100081, China; (H.L.); (B.L.); (M.Z.); (C.D.); (P.X.); (Y.L.); (Q.H.); (J.H.)
| | - Pengcheng Xi
- School of Mechatronical Engineering, Beijing Institute of Technology, Beijing 100081, China; (H.L.); (B.L.); (M.Z.); (C.D.); (P.X.); (Y.L.); (Q.H.); (J.H.)
| | - Yafei Liu
- School of Mechatronical Engineering, Beijing Institute of Technology, Beijing 100081, China; (H.L.); (B.L.); (M.Z.); (C.D.); (P.X.); (Y.L.); (Q.H.); (J.H.)
| | - Qiang Huang
- School of Mechatronical Engineering, Beijing Institute of Technology, Beijing 100081, China; (H.L.); (B.L.); (M.Z.); (C.D.); (P.X.); (Y.L.); (Q.H.); (J.H.)
- Beijing Innovation Centre for Intelligent Robots and Systems, Beijing Institute of Technology, Beijing 100081, China
| | - Jiping He
- School of Mechatronical Engineering, Beijing Institute of Technology, Beijing 100081, China; (H.L.); (B.L.); (M.Z.); (C.D.); (P.X.); (Y.L.); (Q.H.); (J.H.)
- Beijing Innovation Centre for Intelligent Robots and Systems, Beijing Institute of Technology, Beijing 100081, China
| | - Yiran Lang
- Beijing Innovation Centre for Intelligent Robots and Systems, Beijing Institute of Technology, Beijing 100081, China
- Correspondence: (Y.L.); (R.T.)
| | - Rongyu Tang
- Beijing Innovation Centre for Intelligent Robots and Systems, Beijing Institute of Technology, Beijing 100081, China
- Correspondence: (Y.L.); (R.T.)
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23
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Saadat Z, Sinaei E, Pirouzi S, Ghofrani M, Nami M. Cortical Activity During Postural Recovery in Response to Predictable and Unpredictable Perturbations in Healthy Young and Older Adults: A Quantitative EEG Assessment. Basic Clin Neurosci 2021; 12:291-300. [PMID: 34925725 PMCID: PMC8672669 DOI: 10.32598/bcn.12.2.453.1] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2019] [Revised: 07/23/2019] [Accepted: 02/16/2020] [Indexed: 11/20/2022] Open
Abstract
Introduction: To investigate the effects of predictable and unpredictable external perturbations on cortical activity in healthy young and older adults. Methods: Twenty healthy older and 19 healthy young adults were exposed to predictable and unpredictable external perturbations, and their cortical activity upon postural recovery was measured using a 32-channel quantitative encephalography. The absolute spectral power and coherence z-scores of cortical waves were analyzed through a 3-way mixed ANOVA. Results: During postural recovery from predictable perturbations, older adults exhibited higher frontoparietal beta power and higher alpha and beta coherence during the late-phase recovery than the young individuals. After unpredictable perturbations, the older group showed lower alpha power in the early phase and higher beta power in the late phase as compared to the young group. Results for the group × time and group × location interactions in the older group showed a higher alpha and beta coherence over the late phase, a higher alpha coherence in F3–P3 and F4–P4 regions, and a higher beta coherence in the F4–P4 region compared to the younger group. Conclusion: Our results revealed that the cortical activation after external perturbations increases with aging, particularly in frontoparietal areas. A shift from automatic (subcortical level) to attentional (cortical level) processing may reflect the contribution of attentional resources for postural recovery from an external threat in older individuals.
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Affiliation(s)
- Zahra Saadat
- Student Research Committee, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.,Department of Physical Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.,Department of Neuroscience, Neuroscience Laboratory, School of Advanced Medical Sciences and Technologies, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Ehsan Sinaei
- Department of Neuroscience, Neuroscience Laboratory, School of Advanced Medical Sciences and Technologies, Shiraz University of Medical Sciences, Shiraz, Iran.,Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Soraya Pirouzi
- Department of Physical Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mohsen Ghofrani
- Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mohammad Nami
- Department of Neuroscience, Neuroscience Laboratory, School of Advanced Medical Sciences and Technologies, Shiraz University of Medical Sciences, Shiraz, Iran.,Department of Neuroscience, School of Advanced Medical Sciences and Technologies, Shiraz University of Medical Sciences, Shiraz, Iran.,DANA Brain Health Institute, Iranian Neuroscience Society, Fars Chapter, Shiraz, Iran.,Academy of Health, Senses Cultural Foundation, Sacramento, CA, USA
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24
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Song S, Nordin AD. Mobile Electroencephalography for Studying Neural Control of Human Locomotion. Front Hum Neurosci 2021; 15:749017. [PMID: 34858154 PMCID: PMC8631362 DOI: 10.3389/fnhum.2021.749017] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2021] [Accepted: 10/05/2021] [Indexed: 01/09/2023] Open
Abstract
Walking or running in real-world environments requires dynamic multisensory processing within the brain. Studying supraspinal neural pathways during human locomotion provides opportunities to better understand complex neural circuity that may become compromised due to aging, neurological disorder, or disease. Knowledge gained from studies examining human electrical brain dynamics during gait can also lay foundations for developing locomotor neurotechnologies for rehabilitation or human performance. Technical barriers have largely prohibited neuroimaging during gait, but the portability and precise temporal resolution of non-invasive electroencephalography (EEG) have expanded human neuromotor research into increasingly dynamic tasks. In this narrative mini-review, we provide a (1) brief introduction and overview of modern neuroimaging technologies and then identify considerations for (2) mobile EEG hardware, (3) and data processing, (4) including technical challenges and possible solutions. Finally, we summarize (5) knowledge gained from human locomotor control studies that have used mobile EEG, and (6) discuss future directions for real-world neuroimaging research.
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Affiliation(s)
- Seongmi Song
- Department of Health and Kinesiology, Texas A&M University, College Station, TX, United States
| | - Andrew D Nordin
- Department of Health and Kinesiology, Texas A&M University, College Station, TX, United States
- Department of Biomedical Engineering, Texas A&M University, College Station, TX, United States
- Texas A&M Institute for Neuroscience, College Station, TX, United States
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25
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Stuart S, Wagner J, Makeig S, Mancini M. Brain Activity Response to Visual Cues for Gait Impairment in Parkinson's Disease: An EEG Study. Neurorehabil Neural Repair 2021; 35:996-1009. [PMID: 34505536 PMCID: PMC8593320 DOI: 10.1177/15459683211041317] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
Abstract
Background. Gait impairments are common in Parkinson's disease (PD) and increase falls risk. Visual cues can improve gait in PD, particularly freezing of gait (FOG), but mechanisms involved in visual cue response are unknown. This study aimed to examine brain activity in response to visual cues in people with PD who do (PD+FOG) and do not report FOG (PD-FOG) and explore relationships between attention, brain activity and gait. Methods. Mobile EEG measured brain activity during gait in 20 healthy older adults and 43 PD participants (n=22 PD+FOG, n=21 PD-FOG). Participants walked for 2-minutes with and without visual cues (transverse lines to step over). We report power spectral density (PSD) in Delta (1-4 Hz), Theta (4-7 Hz), Alpha (8-12 Hz), Beta (14-24 Hz) and Gamma (30-50 Hz) bands within clusters of similarly brain localized independent component sources. Results. PSDs within the parietal and occipital lobes were altered when walking with visual cues in PD, particularly in PD+FOG. Between group, differences suggested that parietal sources in PD, particularly with PD+FOG, had larger activity compared to healthy older adults when walking. Within group, visual cues altered brain activity in PD, particularly in PD+FOG, within visual processing brain regions. In PD participants, brain activity differences with cues correlated with gait improvements, and in PD+FOG those with worse attention required more visual attentional processing (reduced alpha PSD) in the occipital lobe. Conclusions. Visual cues improve gait and influence brain activity during walking in PD, particularly in PD+FOG. Findings may allow development of more effective therapeutics.
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Affiliation(s)
- Samuel Stuart
- Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle upon Tyne, UK
- Northumbria Healthcare NHS foundation trust, North Tyneside, UK
- Department of Neurology, Oregon Health and Science University, Portland, OR, USA
| | - Johanna Wagner
- Swartz Center for Computational Neuroscience, Institute for Neural Computation (INC), University of California San Diego, San Diego, CA, USA
| | - Scott Makeig
- Swartz Center for Computational Neuroscience, Institute for Neural Computation (INC), University of California San Diego, San Diego, CA, USA
| | - Martina Mancini
- Department of Neurology, Oregon Health and Science University, Portland, OR, USA
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26
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Ibitoye RT, Castro P, Desowska A, Cooke J, Edwards AE, Guven O, Arshad Q, Murdin L, Kaski D, Bronstein AM. Small vessel disease disrupts EEG postural brain networks in 'unexplained dizziness in the elderly'. Clin Neurophysiol 2021; 132:2751-2762. [PMID: 34583117 PMCID: PMC8559782 DOI: 10.1016/j.clinph.2021.07.027] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2021] [Revised: 06/15/2021] [Accepted: 07/25/2021] [Indexed: 11/28/2022]
Abstract
Unexplained dizziness in the elderly may result from
cerebral small vessel disease. Dizzy elderly patients differed from controls in EEG
power when standing. EEG power when standing correlated with subjective
(perceived) instability.
Objective To examine the hypothesis that small vessel disease
disrupts postural networks in older adults with unexplained dizziness in the
elderly (UDE). Methods Simultaneous electroencephalography and postural sway
measurements were undertaken in upright, eyes closed standing, and sitting
postures (as baseline) in 19 younger adults, 33 older controls and 36 older
patients with UDE. Older adults underwent magnetic resonance imaging to
determine whole brain white matter hyperintensity volumes, a measure of small
vessel disease. Linear regression was used to estimate the effect of instability
on electroencephalographic power and connectivity. Results Ageing increased theta and alpha desynchronisation on
standing. In older controls, delta and gamma power increased, and theta and
alpha power reduced with instability. Dizzy older patients had higher white
matter hyperintensity volumes and more theta desynchronisation during periods of
instability. White matter hyperintensity volume and delta power during periods
of instability were correlated, positively in controls but negatively in dizzy
older patients. Delta power correlated with subjective dizziness and
instability. Conclusions Neural resource demands of postural control increase
with age, particularly in patients with UDE, driven by small vessel
disease. Significance EEG correlates of postural control saturate in older
adults with UDE, offering a neuro-physiological basis to this common
syndrome.
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Affiliation(s)
- R T Ibitoye
- Neuro-otology Unit, Imperial College London, London, UK; The Computational, Cognitive and Clinical Neuroimaging Laboratory (C3NL), Imperial College London, London, UK
| | - P Castro
- Neuro-otology Unit, Imperial College London, London, UK
| | - A Desowska
- The Computational, Cognitive and Clinical Neuroimaging Laboratory (C3NL), Imperial College London, London, UK
| | - J Cooke
- Neuro-otology Unit, Imperial College London, London, UK
| | - A E Edwards
- Neuro-otology Unit, Imperial College London, London, UK
| | - O Guven
- Neuro-otology Unit, Imperial College London, London, UK
| | - Q Arshad
- Neuro-otology Unit, Imperial College London, London, UK; inAmind Laboratory, Department of Neuroscience, Psychology and Behaviour, University of Leicester, Leicester, UK
| | - L Murdin
- Guy's and St Thomas' NHS Foundation Trust, London, UK
| | - D Kaski
- Neuro-otology Unit, Imperial College London, London, UK; Department of Clinical and Movement Neurosciences, University College London, London, UK
| | - A M Bronstein
- Neuro-otology Unit, Imperial College London, London, UK.
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Chen YC, Huang CC, Zhao CG, Hwang IS. Visual Effect on Brain Connectome That Scales Feedforward and Feedback Processes of Aged Postural System During Unstable Stance. Front Aging Neurosci 2021; 13:679412. [PMID: 34366825 PMCID: PMC8339373 DOI: 10.3389/fnagi.2021.679412] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2021] [Accepted: 06/29/2021] [Indexed: 12/04/2022] Open
Abstract
Older adults with degenerative declines in sensory systems depend strongly on visual input for postural control. By connecting advanced neural imaging and a postural control model, this study investigated the visual effect on the brain functional network that regulates feedback and feedforward processes of the postural system in older adults under somatosensory perturbations. Thirty-six older adults conducted bilateral stance on a foam surface in the eyes-open (EO) and eyes-closed (EC) conditions while their center of pressure (COP) and scalp EEG were recorded. The stochastic COP trajectory was modeled with non-linear stabilogram diffusion analysis (SDA) to characterize shifts in postural control in a continuum of feedback and feedforward processes. The EEG network was analyzed with the phase-lag index (PLI) and minimum spanning tree (MST). The results indicated that visual input rebalanced feedforward and feedback processes for postural sway, resulting in a greater critical point of displacement (CD), short-term effective diffusion coefficients (Ds) and short-term exponent (Hs), but the smaller critical point of time (CT) and long-term exponent (Hl) for the EC state. The EC network demonstrated stronger frontoparietal-occipital connectivity but weaker fronto-tempo-motor connectivity of the theta (4–7 Hz), alpha (8–12 Hz), and beta (13–35 Hz) bands than did the EO network. MST analysis revealed generally greater leaf fraction and maximal betweenness centrality (BCmax) and kappa of the EC network, as compared with those of the EO network. In contrast, the EC network exhibited a smaller diameter and average eccentricity than those of the EO network. The modulation of long-term negative feedback gain of the aged postural system with visual occlusion was positively correlated with leaf fraction, BCmax, and kappa, but negatively correlated with the diameter and average eccentricity for all EEG sub-bands. In conclusion, the aged brain functional network in older adults is tuned to visual information for modulating long-term negative feedback of the postural system under somatosensory perturbations.
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Affiliation(s)
- Yi-Ching Chen
- Department of Physical Therapy, College of Medical Science and Technology, Chung Shan Medical University, Taichung, Taiwan.,Physical Therapy Room, Chung Shan Medical University Hospital, Taichung, Taiwan
| | - Chien-Chun Huang
- Department of Environmental and Occupational Health, National Cheng Kung University, Tainan, Taiwan
| | - Chen-Guang Zhao
- Department of Physical Therapy, College of Medicine, National Cheng Kung University, Tainan, Taiwan
| | - Ing-Shiou Hwang
- Department of Physical Therapy, College of Medicine, National Cheng Kung University, Tainan, Taiwan.,Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan
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28
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Beretta VS, Carpenter MG, Barbieri FA, Santos PCR, Orcioli-Silva D, Pereira MP, Gobbi LTB. Does the impaired postural control in Parkinson's disease affect the habituation to non-sequential external perturbation trials? Clin Biomech (Bristol, Avon) 2021; 85:105363. [PMID: 33932865 DOI: 10.1016/j.clinbiomech.2021.105363] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Revised: 03/02/2021] [Accepted: 04/19/2021] [Indexed: 02/07/2023]
Abstract
BACKGROUND How people with Parkinson's disease habituate their postural response to unpredictable translation perturbation is not totally understood. We compared the capacity to change the postural responses after unexpected external perturbation and investigated the habituation plateaus of postural responses to non-sequential perturbation trials in people with Parkinson's disease and healthy older adults. METHODS In people with Parkinson's disease (n = 37) and older adults (n = 20), sudden posterior support-surface translational were applied in 7 out of 17 randomized trials to ensure perturbation unpredictability. Electromyography and center of pressure parameters of postural response were analyzed by ANOVAs (Group vs. Trials). Two simple planned contrasts were performed to determine at which trial the responses first significantly habituate, and by which trials the habituation plateaus. FINDINGS Older adults demonstrated a first response change in trial 5 and habituation plateaus after trial 4, while for people with Parkinson's disease, the first change occurred in trial 2 and habituation plateau after trial 5 observed by center of pressure range. People with Parkinson's disease demonstrated a greater center of pressure range in trial 1 compared to older adults. Independent of trial, people with Parkinson's disease vs. older adults demonstrated a greater ankle muscle co-activation and recovery time. INTERPRETATION Despite the greater center of pressure range in the first trial, people with Parkinson's disease can habituate to unpredictable perturbations. This is reflected by little, to no difference in the time-course of adaptation for all but 2 parameters that showed only marginal differences between people with Parkinson's disease and older adults.
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Affiliation(s)
- Victor Spiandor Beretta
- São Paulo State University (Unesp), Institute of Biosciences, Graduate Program in Movement Sciences, Posture and Gait Studies Laboratory (LEPLO), Rio Claro, Brazil
| | - Mark Gregory Carpenter
- School of Kinesiology, The University of British Columbia, Vancouver, British Columbia, Canada
| | - Fabio Augusto Barbieri
- São Paulo State University (Unesp), School of Sciences, Graduate Program in Movement Sciences, Human Movement Research Laboratory (MOVI-LAB), Bauru, Brazil
| | - Paulo Cezar Rocha Santos
- São Paulo State University (Unesp), Institute of Biosciences, Graduate Program in Movement Sciences, Posture and Gait Studies Laboratory (LEPLO), Rio Claro, Brazil; Center for Human Movement Sciences, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
| | - Diego Orcioli-Silva
- São Paulo State University (Unesp), Institute of Biosciences, Graduate Program in Movement Sciences, Posture and Gait Studies Laboratory (LEPLO), Rio Claro, Brazil
| | - Marcelo Pinto Pereira
- São Paulo State University (Unesp), Institute of Biosciences, Graduate Program in Movement Sciences, Posture and Gait Studies Laboratory (LEPLO), Rio Claro, Brazil
| | - Lilian Teresa Bucken Gobbi
- São Paulo State University (Unesp), Institute of Biosciences, Graduate Program in Movement Sciences, Posture and Gait Studies Laboratory (LEPLO), Rio Claro, Brazil.
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The effects of stroboscopic balance training on cortical activities in athletes with chronic ankle instability. Phys Ther Sport 2021; 50:50-58. [PMID: 33865218 DOI: 10.1016/j.ptsp.2021.03.014] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2021] [Revised: 03/28/2021] [Accepted: 03/31/2021] [Indexed: 12/29/2022]
Abstract
OBJECTIVES To investigate the effect of a 6-week stroboscopic balance training program on cortical activities in athletes with chronic ankle instability. DESIGN Randomized controlled trial. SETTING Single-center. PARTICIPANTS Thirty-nine participants were assigned to the strobe group (SG, n = 13), non-strobe group (NSG, n = 13), and control group (CG, n = 13). MAIN OUTCOME MEASURES Cortical activity and balance velocity were evaluated while the athletes were on the HUBER balance device. Electroencephalographic measurements of cortical activity were made at the transition from bipedal stance to single-leg stance. RESULTS The SG showed significant increases in Cz theta and alpha values and COP-v (center of pressure velocity) between pretest and posttest (p < 0.001, p = 0.003, p < 0.001). Posttest Cz theta was significantly higher in the SG compared to the CG (p = 0.009) and posttest Cz alpha was significantly higher in the SG compared to the NSG (p = 0.039) and CG (p = 0.001). Posttest COP-v was significantly higher in the SG than in the CG (p = 0.031) and NSG (p = 0.03). CONCLUSIONS Stroboscopic training may be clinically beneficial to improve balance parameters in athletes with CAI, and may have utility in sport-specific activity phases of rehabilitation to reduce visual input and increase motor control.
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Büchel D, Lehmann T, Ullrich S, Cockcroft J, Louw Q, Baumeister J. Stance leg and surface stability modulate cortical activity during human single leg stance. Exp Brain Res 2021; 239:1193-1202. [PMID: 33570677 PMCID: PMC8068619 DOI: 10.1007/s00221-021-06035-6] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2020] [Accepted: 01/08/2021] [Indexed: 11/29/2022]
Abstract
Mobile Electroencephalography (EEG) provides insights into cortical contributions to postural control. Although changes in theta (4–8 Hz) and alpha frequency power (8–12 Hz) were shown to reflect attentional and sensorimotor processing during balance tasks, information about the effect of stance leg on cortical processing related to postural control is lacking. Therefore, the aim was to examine patterns of cortical activity during single-leg stance with varying surface stability. EEG and force plate data from 21 healthy males (22.43 ± 2.23 years) was recorded during unipedal stance (left/right) on a stable and unstable surface. Using source-space analysis, power spectral density was analyzed in the theta, alpha-1 (8–10 Hz) and alpha-2 (10–12 Hz) frequency bands. Repeated measures ANOVA with the factors leg and surface stability revealed significant interaction effects in the left (p = 0.045, ηp2 = 0.13) and right motor clusters (F = 16.156; p = 0.001, ηp2 = 0.41). Furthermore, significant main effects for surface stability were observed for the fronto-central cluster (theta), left and right motor (alpha-1), as well as for the right parieto-occipital cluster (alpha-1/alpha-2). Leg dependent changes in alpha-2 power may indicate lateralized patterns of cortical processing in motor areas during single-leg stance. Future studies may therefore consider lateralized patterns of cortical activity for the interpretation of postural deficiencies in unilateral lower limb injuries.
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Affiliation(s)
- Daniel Büchel
- Exercise Science and Neuroscience Unit, Department of Exercise and Health, Faculty of Science, Paderborn University, Warburger Straße 100, 33098, Paderborn, Germany.
| | - Tim Lehmann
- Exercise Science and Neuroscience Unit, Department of Exercise and Health, Faculty of Science, Paderborn University, Warburger Straße 100, 33098, Paderborn, Germany
| | - Sarah Ullrich
- Department of Child and Adolescent Psychiatry and Psychotherapy, TU Dresden, Dresden, Germany
| | - John Cockcroft
- Neuromechanics Unit, Stellenbosch University, Cape Town, South Africa
| | - Quinette Louw
- Division of Physiotherapy, Department of Health and Rehabilitation Sciences, Stellenbosch University, Cape Town, South Africa
| | - Jochen Baumeister
- Exercise Science and Neuroscience Unit, Department of Exercise and Health, Faculty of Science, Paderborn University, Warburger Straße 100, 33098, Paderborn, Germany
- Division of Physiotherapy, Department of Health and Rehabilitation Sciences, Stellenbosch University, Cape Town, South Africa
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Cortes CAT, Chen HT, Sturnieks DL, Garcia J, Lord SR, Lin CT. Evaluating Balance Recovery Techniques for Users Wearing Head-Mounted Display in VR. IEEE TRANSACTIONS ON VISUALIZATION AND COMPUTER GRAPHICS 2021; 27:204-215. [PMID: 31295114 DOI: 10.1109/tvcg.2019.2927477] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Room-scale 3D position tracking enables users to explore a virtual environment by physically walking, which improves comfort and the level of immersion. However, when users walk with their eyesight blocked by a head-mounted display, they may unexpectedly lose their balance and fall if they bump into real-world obstacles or unintentionally shift their center of mass outside the margin of stability. This paper evaluates balance recovery methods and intervention timing during the use of VR with the assumption that the onset of a fall is given. Our experiment followed the tether-release protocol during clinical research and induced a fall while a subject was engaged in a secondary 3D object selection task. The experiment employed a two-by-two design that evaluated two assistive techniques, i.e., video-see-through and auditory warning at two different timings, i.e., at fall onset and 500ms prior to fall onset. The data from 17 subjects showed that video-see-through triggered 500 ms before the onset of fall can effectively help users recover from falls. Surprisingly, video-see-through at fall onset has a significant negative impact on balance recovery and produces similar results to those of the baseline condition (no intervention).
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Rubega M, Di Marco R, Zampini M, Formaggio E, Menegatti E, Bonato P, Masiero S, Del Felice A. Muscular and cortical activation during dynamic and static balance in the elderly: A scoping review. AGING BRAIN 2021; 1:100013. [PMID: 36911521 PMCID: PMC9997172 DOI: 10.1016/j.nbas.2021.100013] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2020] [Revised: 03/17/2021] [Accepted: 03/18/2021] [Indexed: 12/28/2022] Open
Abstract
Falls due to balance impairment are a major cause of injury and disability in the elderly. The study of neurophysiological correlates during static and dynamic balance tasks is an emerging area of research that could lead to novel rehabilitation strategies and reduce fall risk. This review aims to highlight key concepts and identify gaps in the current knowledge of balance control in the elderly that could be addressed by relying on surface electromyographic (EMG) and electroencephalographic (EEG) recordings. The neurophysiological hypotheses underlying balance studies in the elderly as well as the methodologies, findings, and limitations of prior work are herein addressed. The literature shows: 1) a wide heterogeneity in the experimental procedures, protocols, and analyses; 2) a paucity of studies involving the investigation of cortical activity; 3) aging-related alterations of cortical activation during balance tasks characterized by lower cortico-muscular coherence and increased allocation of attentional control to postural tasks in the elderly; and 4) EMG patterns characterized by delayed onset after perturbations, increased levels of activity, and greater levels of muscle co-activation in the elderly compared to younger adults. EMG and EEG recordings are valuable tools to monitor muscular and cortical activity during the performance of balance tasks. However, standardized protocols and analysis techniques should be agreed upon and shared by the scientific community to provide reliable and reproducible results. This will allow researchers to gain a comprehensive knowledge on the neurophysiological changes affecting static and dynamic balance in the elderly and will inform the design of rehabilitative and preventive interventions.
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Affiliation(s)
- Maria Rubega
- Department of Neurosciences, Section of Rehabilitation, University of Padova, via Giustiniani 5, 35128 Padova, IT, Italy
| | - Roberto Di Marco
- Department of Neurosciences, Section of Rehabilitation, University of Padova, via Giustiniani 5, 35128 Padova, IT, Italy
| | - Marianna Zampini
- Department of Neurosciences, Section of Rehabilitation, University of Padova, via Giustiniani 5, 35128 Padova, IT, Italy
| | - Emanuela Formaggio
- Department of Neurosciences, Section of Rehabilitation, University of Padova, via Giustiniani 5, 35128 Padova, IT, Italy
| | - Emanuele Menegatti
- Department of Information Engineering, University of Padova, Padova, IT, Italy
| | - Paolo Bonato
- Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, USA
| | - Stefano Masiero
- Department of Neurosciences, Section of Rehabilitation, University of Padova, via Giustiniani 5, 35128 Padova, IT, Italy.,Padova Neuroscience Center, University of Padova, Padova, IT, Italy
| | - Alessandra Del Felice
- Department of Neurosciences, Section of Rehabilitation, University of Padova, via Giustiniani 5, 35128 Padova, IT, Italy.,Padova Neuroscience Center, University of Padova, Padova, IT, Italy
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Rhythmic neural activity is comodulated with short-term gait modifications during first-time use of a dummy prosthesis: a pilot study. J Neuroeng Rehabil 2020; 17:134. [PMID: 33032621 PMCID: PMC7542708 DOI: 10.1186/s12984-020-00761-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2020] [Accepted: 09/16/2020] [Indexed: 01/10/2023] Open
Abstract
Background After transfemoral amputation, many hours of practice are needed to re-learn walking with a prosthesis. The long adaptation process that consolidates a novel gait pattern seems to depend on cerebellar function for reinforcement of specific gait modifications, but the precise, step-by-step gait modifications (e.g., foot placement) most likely rely on top-down commands from the brainstem and cerebral cortex. The aim of this study was to identify, in able-bodied individuals, the specific modulations of cortical rhythms that accompany short-term gait modifications during first-time use of a dummy prosthesis. Methods Fourteen naïve participants walked on a treadmill without (one block, 4 min) and with a dummy prosthesis (three blocks, 3 × 4 min), while ground reaction forces and 32-channel EEG were recorded. Gait cycle duration, stance phase duration, step width, maximal ground reaction force and, ground reaction force trace over time were measured to identify gait modifications. Independent component analysis of EEG data isolated brain-related activity from distinct anatomical sources. The source-level data were segmented into gait cycles and analyzed in the time–frequency domain to reveal relative enhancement or suppression of intrinsic cortical oscillations. Differences between walking conditions were evaluated with one-way ANOVA and post-hoc testing (α = 0.05). Results Immediate modifications occurred in the gait parameters when participants were introduced to the dummy prosthesis. Except for gait cycle duration, these modifications remained throughout the duration of the experimental session. Power modulations of the theta, mu, beta, and gamma rhythms, of sources presumably from the fronto-central and the parietal cortices, were found across the experimental session. Significant power modulations of the theta, beta, and gamma rhythms within the gait cycle were predominately found around the heel strike of both feet and the swing phase of the right (prosthetic) leg. Conclusions The modulations of cortical activity could be related to whole-body coordination, including the swing phase and placing of the prosthesis, and the bodyweight transfer between legs and arms. Reduced power modulation of the gamma rhythm within the experimental session may indicate initial motor memories being formed. Better understanding of the sensorimotor processes behind gait modifications may inform the development of neurofeedback strategies to assist gait rehabilitation.
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Solis-Escalante T, De Kam D, Weerdesteyn V. Classification of Rhythmic Cortical Activity Elicited by Whole-Body Balance Perturbations Suggests the Cortical Representation of Direction-Specific Changes in Postural Stability. IEEE Trans Neural Syst Rehabil Eng 2020; 28:2566-2574. [PMID: 33021931 DOI: 10.1109/tnsre.2020.3028966] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
Postural responses that effectively recover balance following unexpected postural changes need to be tailored to the characteristics of the postural change. We hypothesized that cortical dynamics involved in top-down regulation of postural responses carry information about directional postural changes (i.e., sway) imposed by sudden perturbations to standing balance (i.e., support surface translations). To test our hypothesis, we evaluated the single-trial classification of perturbation-induced directional changes in postural stability from high-density EEG. We analyzed EEG recordings from six young able-bodied individuals and three older individuals with chronic hemiparetic stroke, which were acquired while individuals reacted to low-intensity balance perturbations. Using common spatial patterns for feature extraction and linear discriminant analysis or support vector machines for classification, we achieved classification accuracies above random level (p < 0.05; cross-validated) for the classification of four different sway directions (one vs. the rest scheme). Screening of spectral features (3-50 Hz) revealed that the highest classification performance occurred when low-frequency (3-10 Hz) spectral features were used. Strikingly, the participant-specific classification results were qualitatively similar between young able-bodied individuals and older individuals with chronic hemiparetic stroke. Our findings demonstrate that low-frequency spectral components, corresponding to the cortical theta rhythm, carry direction-specific information about changes in postural stability. Our work presents a new perspective on the cortical representation of postural stability and the possible role of the theta rhythm in the modulation of (directional) reactive balance responses. Importantly, our work provides preliminary evidence that the cortical encoding of direction-specific changes in postural stability is present in chronic hemiparetic stroke.
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Solis-Escalante T, Stokkermans M, Cohen MX, Weerdesteyn V. Cortical responses to whole-body balance perturbations index perturbation magnitude and predict reactive stepping behavior. Eur J Neurosci 2020; 54:8120-8138. [PMID: 32931066 PMCID: PMC9290492 DOI: 10.1111/ejn.14972] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2020] [Revised: 09/04/2020] [Accepted: 09/05/2020] [Indexed: 11/30/2022]
Abstract
The goal of this study was to determine whether the cortical responses elicited by whole‐body balance perturbations were similar to established cortical markers of action monitoring. Postural changes imposed by balance perturbations elicit a robust negative potential (N1) and a brisk increase of theta activity in the electroencephalogram recorded over midfrontal scalp areas. Because action monitoring is a cognitive function proposed to detect errors and initiate corrective adjustments, we hypothesized that the possible cortical markers of action monitoring during balance control (N1 potential and theta rhythm) scale with perturbation intensity and the eventual execution of reactive stepping responses (as opposed to feet‐in‐place responses). We recorded high‐density electroencephalogram from eleven young individuals, who participated in an experimental balance assessment. The participants were asked to recover balance following anteroposterior translations of the support surface at various intensities, while attempting to maintain both feet in place. We estimated source‐resolved cortical activity using independent component analysis. Combining time‐frequency decomposition and group‐level general linear modeling of single‐trial responses, we found a significant relation of the interaction between perturbation intensity and stepping responses with multiple cortical features from the midfrontal cortex, including the N1 potential, and theta, alpha, and beta rhythms. Our findings suggest that the cortical responses to balance perturbations index the magnitude of a deviation from a stable postural state to predict the need for reactive stepping responses. We propose that the cortical control of balance may involve cognitive control mechanisms (i.e., action monitoring) that facilitate postural adjustments to maintain postural stability.
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Affiliation(s)
- Teodoro Solis-Escalante
- Department of Rehabilitation, Donders Institute for Brain, Cognition and Behavior, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Mitchel Stokkermans
- Department of Rehabilitation, Donders Institute for Brain, Cognition and Behavior, Radboud University Medical Center, Nijmegen, The Netherlands.,Department of Neuroinformatics, Donders Institute for Brain, Cognition and Behavior, Radboud University, Nijmegen, The Netherlands
| | - Michael X Cohen
- Department of Neuroinformatics, Donders Institute for Brain, Cognition and Behavior, Radboud University, Nijmegen, The Netherlands
| | - Vivian Weerdesteyn
- Department of Rehabilitation, Donders Institute for Brain, Cognition and Behavior, Radboud University Medical Center, Nijmegen, The Netherlands.,Sint Maartenskliniek Research, Nijmegen, The Netherlands
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36
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Nenna F, Do CT, Protzak J, Gramann K. Alteration of brain dynamics during dual-task overground walking. Eur J Neurosci 2020; 54:8158-8174. [PMID: 32881128 DOI: 10.1111/ejn.14956] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2020] [Revised: 08/25/2020] [Accepted: 08/26/2020] [Indexed: 11/29/2022]
Abstract
When walking in our natural environment, we often solve additional cognitive tasks. This increases the demand of resources needed for both the cognitive and motor systems, resulting in Cognitive-Motor Interference (CMI). A large portion of neurophysiological investigations on CMI took place in static settings, emphasizing the experimental rigor but overshadowing the ecological validity. As a more ecologically valid alternative to treadmill and desktop-based setups to investigate CMI, we developed a dual-task walking scenario in virtual reality (VR) combined with Mobile Brain/Body Imaging (MoBI). We aimed at investigating how brain dynamics are modulated by dual-task overground walking with an additional task in the visual domain. Participants performed a visual discrimination task in VR while standing (single-task) and walking overground (dual-task). Even though walking had no impact on the performance in the visual discrimination task, a P3 amplitude reduction along with changes in power spectral densities (PSDs) were observed for discriminating visual stimuli during dual-task walking. These results reflect an impact of walking on the parallel processing of visual stimuli even when the cognitive task is particularly easy. This standardized and easy to modify VR paradigm helps to systematically study CMI, allowing researchers to control for the impact of additional task complexity of tasks in different sensory modalities. Future investigations implementing an improved virtual design with more challenging cognitive and motor tasks will have to investigate the roles of both cognition and motion, allowing for a better understanding of the functional architecture of attention reallocation between cognitive and motor systems during active behavior.
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Affiliation(s)
- Federica Nenna
- Department of General Psychology, University of Padova, Padova, Italy
| | - Cao Tri Do
- Translational Neuromodeling Unit, Institute for Biomedical Engineering, University of Zurich & ETH Zurich, Zurich, Switzerland
| | - Janna Protzak
- Junior research group FANS (Pedestrian Assistance System for Older Road User), Berlin Institute of Technology, Berlin, Germany
| | - Klaus Gramann
- Biological Psychology and Neuroergonomics, Berlin Institute of Technology, Berlin, Germany.,School of Computer Science, University of Technology Sydney, Sydney, NSW, Australia.,Center for Advanced Neurological Engineering, University of California, San Diego, CA, USA
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37
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O'Keeffe C, Dominguez MC, O'Rourke E, Lynch T, Reilly RB. Decreased Theta Power Reflects Disruption in Postural Control Networks of Fragile X Premutation Carriers . ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2020; 2020:2845-2848. [PMID: 33018599 DOI: 10.1109/embc44109.2020.9176289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
FRM1 premutation carriers exhibit various subtle deficits in balance and stability, prior to the development of the movement disorder Fragile X Associated Tremor/Ataxia Syndrome (FXTAS). Force plate posturography has increasingly been combined with the temporal sensitive imaging methods such as EEG to offer insight into the neural mechanisms which govern postural control. This study investigated cortical theta power during continuous balance and its relationship to balance performance in Fragile X premutation carriers. Eight premutation carriers and 6 controls stood on a force platform under altered sensory and cognitive conditions while postural sway and high-density EEG data were simultaneously recorded. Carriers exhibited greater sway area when sensory input was reduced (p=0.01) and cognitive load was increased (p=0.01), as well as significantly reduced frontal theta power compared to the Control Group. The relationship between theta power and postural control seen in the control group may indicate an increase in error detection caused by reduced visual input and greater discrepancies between expected and actual balance state. While the lower theta power in frontal regions of carriers may indicate a disruption in neural networks underpinning postural control. Such results provide new insight into the neural correlates of balance control in Fragile X premutation carriers.
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Berchicci M, Russo Y, Bianco V, Quinzi F, Rum L, Macaluso A, Committeri G, Vannozzi G, Di Russo F. Stepping forward, stepping backward: a movement-related cortical potential study unveils distinctive brain activities. Behav Brain Res 2020; 388:112663. [DOI: 10.1016/j.bbr.2020.112663] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2019] [Revised: 03/16/2020] [Accepted: 04/21/2020] [Indexed: 01/03/2023]
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Gebel A, Lehmann T, Granacher U. Balance task difficulty affects postural sway and cortical activity in healthy adolescents. Exp Brain Res 2020; 238:1323-1333. [PMID: 32328673 PMCID: PMC7237405 DOI: 10.1007/s00221-020-05810-1] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2019] [Accepted: 04/11/2020] [Indexed: 11/28/2022]
Abstract
Electroencephalographic (EEG) research indicates changes in adults’ low frequency bands of frontoparietal brain areas executing different balance tasks with increasing postural demands. However, this issue is unsolved for adolescents when performing the same balance task with increasing difficulty. Therefore, we examined the effects of a progressively increasing balance task difficulty on balance performance and brain activity in adolescents. Thirteen healthy adolescents aged 16–17 year performed tests in bipedal upright stance on a balance board with six progressively increasing levels of task difficulty. Postural sway and cortical activity were recorded simultaneously using a pressure sensitive measuring system and EEG. The power spectrum was analyzed for theta (4–7 Hz) and alpha-2 (10–12 Hz) frequency bands in pre-defined frontal, central, and parietal clusters of electrocortical sources. Repeated measures analysis of variance (rmANOVA) showed a significant main effect of task difficulty for postural sway (p < 0.001; d = 6.36). Concomitantly, the power spectrum changed in frontal, bilateral central, and bilateral parietal clusters. RmANOVAs revealed significant main effects of task difficulty for theta band power in the frontal (p < 0.001, d = 1.80) and both central clusters (left: p < 0.001, d = 1.49; right: p < 0.001, d = 1.42) as well as for alpha-2 band power in both parietal clusters (left: p < 0.001, d = 1.39; right: p < 0.001, d = 1.05) and in the central right cluster (p = 0.005, d = 0.92). Increases in theta band power (frontal, central) and decreases in alpha-2 power (central, parietal) with increasing balance task difficulty may reflect increased attentional processes and/or error monitoring as well as increased sensory information processing due to increasing postural demands. In general, our findings are mostly in agreement with studies conducted in adults. Similar to adult studies, our data with adolescents indicated the involvement of frontoparietal brain areas in the regulation of postural control. In addition, we detected that activity of selected brain areas (e.g., bilateral central) changed with increasing postural demands.
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Affiliation(s)
- Arnd Gebel
- Division of Training and Movement Sciences, Research Focus Cognition Sciences, University of Potsdam, Am Neuen Palais 10, Building 12, 14469, Potsdam, Germany.
| | - Tim Lehmann
- Exercise Science and Neuroscience Unit, Department of Exercise and Health, Faculty of Science, Paderborn University, Warburger Straße 100, 33098, Paderborn, Germany
| | - Urs Granacher
- Division of Training and Movement Sciences, Research Focus Cognition Sciences, University of Potsdam, Am Neuen Palais 10, Building 12, 14469, Potsdam, Germany
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Barollo F, Frioriksdottir R, Edmunds KJ, Karlsson GH, Svansson HA, Hassan M, Fratini A, Petersen H, Gargiulo P. Postural Control Adaptation and Habituation During Vibratory Proprioceptive Stimulation: An HD-EEG Investigation of Cortical Recruitment and Kinematics. IEEE Trans Neural Syst Rehabil Eng 2020; 28:1381-1388. [PMID: 32310777 DOI: 10.1109/tnsre.2020.2988585] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
The objective of the present work is to measure postural kinematics and power spectral variation from HD-EEG to assess changes in cortical activity during adaptation and habituation to postural perturbation. To evoke proprioceptive postural perturbation, vibratory stimulation at 85 Hz was applied to the calf muscles of 33 subjects over four 75-second stimulation periods. Stimulation was performed according to a pseudorandom binary sequence. Vibratory impulses were synchronized to high-density electroencephalography (HD-EEG, 256 channels). Changes in absolute spectral power (ASP) were analyzed over four frequency bands ( ∆ : 0.5-3.5 Hz; θ : 3.5-7.5 Hz; α : 7.5-12.5 Hz; β : 12.5-30 Hz). A force platform recorded torque actuated by the feet, and normalized sway path length (SPL) was computed as a construct for postural performance during each period. SPL values indicated improvement in postural performance over the trial periods. Significant variation in absolute power values (ASP) was found in assessing postural adaptation: an increase in θ band ASP in the frontal-central region for closed-eyes trials, an increase in θ and β band ASP in the parietal region for open-eyes trials. In habituation, no significant variations in ASP were observed during closed-eyes trials, whereas an increase in θ , α , and β band ASP was observed with open eyes. Furthermore, open-eyed trials generally yielded a greater number of significant ASP differences across all bands during both adaptation and habituation, suggesting that following cortical activity during postural perturbation may be up-regulated with the availability of visual feedback. These results altogether provide deeper insight into pathological postural control failure by exploring the dynamic changes in both cortical activity and postural kinematics during adaptation and habituation to proprioceptive postural perturbation.
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Bolton DAE, Mansour M. A Modified Lean and Release Technique to Emphasize Response Inhibition and Action Selection in Reactive Balance. J Vis Exp 2020. [PMID: 32250359 DOI: 10.3791/60688] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023] Open
Abstract
Assessment of reactive balance traditionally imposes some type of perturbation to upright stance or gait followed by measurement of the resultant corrective behavior. These measures include muscle responses, limb movements, ground reaction forces, and even direct neurophysiological measures such as electroencephalography. Using this approach, researchers and clinicians can infer some basic principles regarding how the nervous system controls balance to avoid a fall. One limitation with the way in which these assessments are currently used is that they heavily emphasize reflexive actions without any need to revise automatic postural reactions. Such an exclusive focus on these highly stereotypical reactions would fail to adequately address how we can modify these reactions should the need arise (e.g., avoiding an obstacle with a recovery step). This would appear to be a glaring omission when one considers the enormous complexity of the environments we face daily. Overall, the status quo when evaluating the neural control of balance fails to truly expose how higher brain resources contribute to preventing falls in complex settings. The present protocol offers a way to require suppression of automatic, but inappropriate corrective balance reactions, and force a selection among alternative action choices to successfully recover balance following postural perturbation.
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Affiliation(s)
- David A E Bolton
- Department of Kinesiology & Health Science, Utah State University;
| | - Mahmoud Mansour
- Department of Electrical & Computer Engineering, Utah State University
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Lehmann T, Büchel D, Cockcroft J, Louw Q, Baumeister J. Modulations of Inter-Hemispherical Phase Coupling in Human Single Leg Stance. Neuroscience 2020; 430:63-72. [PMID: 32027994 DOI: 10.1016/j.neuroscience.2020.01.029] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2019] [Revised: 01/12/2020] [Accepted: 01/19/2020] [Indexed: 01/17/2023]
Abstract
INTRODUCTION Recent findings from neuroimaging studies provided initial insights into cortical contributions to postural control. These studies observed enhanced cortical activation and connectivity when task-difficulty and postural instability increased. However, little attention has been paid to the allocation of cortical networks appearing with a decreasing base of support from bipedal to single leg stance. Therefore, the aim of the present study was to investigate modulations of functional connectivity from bipedal to single leg stance. EXPERIMENTAL PROCEDURES Cortical activity during bipedal and single leg stance (left) was investigated in 15 male subjects using 128 channel mobile electroencephalography (EEG), while standing on a triaxial force plate. Power spectral density was calculated for theta (4-7 Hz), alpha-1 (8-10 Hz) and alpha-2 (10-12 Hz) frequency bands. Estimations of the phase lag index (PLI) were conducted as a measure of functional connectivity. Moreover, postural control was analyzed by the area of sway and sway velocity. RESULTS The results demonstrated a significantly increased area of sway and decreased alpha-2 power in single leg compared to bipedal stance. Furthermore, PLIs within the alpha-2 frequency band showed significantly decreased inter-hemispherical phase coupling in single leg stance, associated with connections involving the left motor region. DISCUSSION Altogether, the present findings may indicate modulations of cortical contributions in single leg compared to bipedal stance. The present data suggest that decreased inter-hemispherical functional connectivity, in conjunction with a global increase in cortical excitability, may indicate enhanced alertness and task-specific selective inhibition of motor networks in favor of postural control.
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Affiliation(s)
- Tim Lehmann
- Exercise Science & Neuroscience Unit, Department of Exercise & Health, Faculty of Science, Paderborn University, Paderborn, Germany.
| | - Daniel Büchel
- Exercise Science & Neuroscience Unit, Department of Exercise & Health, Faculty of Science, Paderborn University, Paderborn, Germany
| | - John Cockcroft
- Neuromechanics Unit, Stellenbosch University, Cape Town, South Africa
| | - Quinette Louw
- Department of Interdisciplinary Health Sciences, Faculty of Medicine & Health Sciences, Stellenbosch University, South Africa
| | - Jochen Baumeister
- Exercise Science & Neuroscience Unit, Department of Exercise & Health, Faculty of Science, Paderborn University, Paderborn, Germany; Department of Interdisciplinary Health Sciences, Faculty of Medicine & Health Sciences, Stellenbosch University, South Africa
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Dominguez MC, O'Keeffe C, O'Rourke E, Feerick N, Reilly RB. Cortical Theta Activity and Postural Control in Non-Visual and High Cognitive Load Tasks: Impact for Clinical Studies. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2020; 2019:1539-1542. [PMID: 31946187 DOI: 10.1109/embc.2019.8857663] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Due to the major role of balance in our everyday lives and the unsatisfying understanding of the role of neural mechanism on balance control, the focus of this study was to explore the role of the cerebral cortex and its effects on stability. We investigated the effects of non-visual and cognitive tasks on balance performance and cortical theta response in a small, convenient sample. The cognitive tasks were N-back and Sustained Attention Response Task (SART). Cortical theta activity showed strong correlations with balance performance metrics. Particularly, central regions showed an increase in theta power in more cognitively challenging tasks but not statistically significant. Parietal theta power had a statistically significant increase in tasks that led to a heavier reliance on proprioception and vestibular information. This study shows the efficacy of EEG recording during balance control tasks. Future studies on neurodegenerative diseases that affect neuromotor control could investigate these outcomes.
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Sasaki M, Iversen J, Callan DE. Music Improvisation Is Characterized by Increase EEG Spectral Power in Prefrontal and Perceptual Motor Cortical Sources and Can be Reliably Classified From Non-improvisatory Performance. Front Hum Neurosci 2019; 13:435. [PMID: 31920594 PMCID: PMC6915035 DOI: 10.3389/fnhum.2019.00435] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2019] [Accepted: 11/27/2019] [Indexed: 01/31/2023] Open
Abstract
This study expores neural activity underlying creative processes through the investigation of music improvisation. Fourteen guitar players with a high level of improvisation skill participated in this experiment. The experimental task involved playing 32-s alternating blocks of improvisation and scales on guitar. electroencephalography (EEG) data was measured continuously throughout the experiment. In order to remove potential artifacts and extract brain-related activity the following signal processing techniques were employed: bandpass filtering, Artifact Subspace Reconstruction, and Independent Component Analysis (ICA). For each participant, artifact related independent components (ICs) were removed from the EEG data and only ICs found to be from brain activity were retained. Source localization using this brain-related activity was carried out using sLORETA. Greater activity for improvisation over scale was found in multiple frequency bands (theta, alpha, and beta) localized primarily in the medial frontal cortex (MFC), Middle frontal gyrus (MFG), anterior cingulate, polar medial prefrontal cortex (MPFC), premotor cortex (PMC), pre and postcentral gyrus (PreCG and PostCG), superior temporal gyrus (STG), inferior parietal lobule (IPL), and the temporal-parietal junction. Together this collection of brain regions suggests that improvisation was mediated by processes involved in coordinating planned sequences of movement that are modulated in response to ongoing environmental context through monitoring and feedback of sensory states in relation to internal plans and goals. Machine-learning using Common Spatial Patterns (CSP) for EEG feature extraction attained a mean of over 75% classification performance for improvisation vs. scale conditions across participants. These machine-learning results are a step towards the development of a brain-computer interface that could be used for neurofeedback training to improve creativity.
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Affiliation(s)
- Masaru Sasaki
- Graduate School of Frontier Biosciences, Osaka University, Osaka, Japan
| | - John Iversen
- Swartz Center for Computational Neuroscience, University of California, San Diego, San Diego, CA, United States
| | - Daniel E Callan
- Center for Information and Neural Networks (CiNet), National Institute of Information and Communications Technology (NICT), Osaka University, Osaka, Japan
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Whittier TT, Richmond SB, Monaghan AS, Fling BW. Virtual time-to-contact identifies balance deficits better than traditional metrics in people with multiple sclerosis. Exp Brain Res 2019; 238:93-99. [DOI: 10.1007/s00221-019-05698-6] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2019] [Accepted: 11/19/2019] [Indexed: 10/25/2022]
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Kenny RPW, Eaves DL, Martin D, Behmer LP, Dixon J. The Effects of Textured Insoles on Cortical Activity and Quiet Bipedal Standing With and Without Vision: An EEG Study. J Mot Behav 2019; 52:489-501. [PMID: 31379265 DOI: 10.1080/00222895.2019.1648237] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Wearing textured insoles (TIs) can reduce static postural sway, but the neurophysiological mechanisms by which these changes occur are not well understood. To address this issue, cortical activity was investigated in this study using electroencephalography (EEG) recordings from 19 scalp locations, in 15 healthy young adults (5 females; mean age = 27 ± 4.09 years) during quiet bipedal standing, under different insole conditions (textured versus smooth), with and without vision. Compared to smooth insoles (SIs), TIs significantly reduced postural sway in two measures; anterior-posterior range and standard deviation. In the EEG data, whole-head analyses showed cortical activity in the upper alpha power band was significantly reduced for textured compared to SIs. Exploratory analyses revealed this effect was significant both with and without vision, and was more pronounced over the parietal, compared to central regions, and over central compared to frontal regions. This trend was observed in low alpha and theta bands, but the effect of insole type was not significant. Textured insoles thus appear to affect not only balance outcomes but also cortical activity. The cortical activity adaptation may represent greater information becoming readily available at the cortical level, enhancing the representation of the body in space.
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Affiliation(s)
- Ryan P W Kenny
- School of Health and Social Care, Teesside University, Middlesbrough, UK
| | - Daniel L Eaves
- School of Health and Social Care, Teesside University, Middlesbrough, UK
| | - Denis Martin
- School of Health and Social Care, Teesside University, Middlesbrough, UK
| | | | - John Dixon
- School of Health and Social Care, Teesside University, Middlesbrough, UK
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Goel R, Nakagome S, Rao N, Paloski WH, Contreras-Vidal JL, Parikh PJ. Fronto-Parietal Brain Areas Contribute to the Online Control of Posture during a Continuous Balance Task. Neuroscience 2019; 413:135-153. [DOI: 10.1016/j.neuroscience.2019.05.063] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2019] [Revised: 05/30/2019] [Accepted: 05/31/2019] [Indexed: 11/25/2022]
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Fortin C, Pialasse JP, Knoth IS, Lippé S, Duclos C, Simoneau M. Cortical dynamics of sensorimotor information processing associated with balance control in adolescents with and without idiopathic scoliosis. Clin Neurophysiol 2019; 130:1752-1761. [PMID: 31401484 DOI: 10.1016/j.clinph.2019.07.005] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2019] [Revised: 07/08/2019] [Accepted: 07/09/2019] [Indexed: 11/15/2022]
Abstract
OBJECTIVE This study aims at examining the cortical dynamics of sensorimotor information processing related to balance control in participants with adolescent idiopathic scoliosis (AIS) and in age-matched controls (CTL). METHODS Cortical dynamics during standing balance control were assessed in 13 girls with AIS and 13 age-matched controls using electroencephalography. Time-frequency analysis were used to determine frequency power during ankle proprioception alteration (ankle tendons co-vibration interval) or reintegration of ankle proprioception (post-vibration interval) with or without vision. RESULTS Balance control did not differ between groups. In the co-vibration interval, a significant suppression in alpha (8-12 Hz) and beta (13-30 Hz) band power and a significant increase in theta (4-7 Hz) band power were found respectively in the vision and non-vision condition in the AIS group compared to the CTL group. In the post-vibration interval, significant suppressions in beta (13-30 Hz) and gamma (30-50 Hz) band power were observed in the AIS group in the non-vision condition. CONCLUSION Participants with AIS showed brain oscillations differences compared to CTL in the sensorimotor cortex while controlling their balance in various sensory conditions. SIGNIFICANCE Future study using evaluation of cortical dynamics could serve documenting whether rehabilitation programs have an effect on sensorimotor function in AIS.
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Affiliation(s)
- Carole Fortin
- École de réadaptation, Faculté de médecine, Université de Montréal, Montréal, Québec, Canada; Centre de recherche, CHU Sainte-Justine, Montréal, Québec, Canada.
| | - Jean-Philippe Pialasse
- École de réadaptation, Faculté de médecine, Université de Montréal, Montréal, Québec, Canada; Centre de recherche, CHU Sainte-Justine, Montréal, Québec, Canada
| | | | - Sarah Lippé
- Centre de recherche, CHU Sainte-Justine, Montréal, Québec, Canada; Département de psychologie, Université de Montréal, Montréal, Québec, Canada
| | - Cyril Duclos
- École de réadaptation, Faculté de médecine, Université de Montréal, Montréal, Québec, Canada; Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain (CRIR), Institut de Réadaptation Gingras-Lindsay-de-Montréal, Montréal, Québec, Canada
| | - Martin Simoneau
- Département de kinésiologie, Faculté de médecine, Université Laval, Québec, Québec, Canada; Centre interdisciplinaire de recherche en réadaptation et intégration sociale (CIRRIS), Québec, Québec, Canada
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Abstract
The aim of this study was to investigate the relationship between postural regulation and tracking accuracy under static and moving visual target conditions in unipedal and bipedal standing postures. Postural time-to-contact stability boundaries decreased under more challenging visual target conditions for the unipedal posture, but this decrease was associated with lower visual tracking error. During bipedal support, there was independent control of the head and foot center of pressure, as higher frequencies at the head during the static visual task were associated with longer time-to-contact. These results demonstrate that decreased time-to-contact stability boundaries is a functional adaptation in postural tasks requiring visual control and provide evidence of the dependency of postural control on the nature of the suprapostural task.
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