Objective evaluation of fatigue by event-related potentials

Evaluation of Diurnal Changes of Mental Fatigue Using a New Portable Device for Visual Cognitive Evoked Potentials

In the age homogenous group of 13 healthy volunteers, we examined visual evoked potentials (VEP) visually evoked cognitive potentials (event-related potentials - ERP) and choice reaction time (CRT) five times during the day (from 10.00 a.m. up to midnight) to verify whether there are significant changes of the measured parameters of the cortical evoked potentials and CRT which might reflect the level of the mental fatigue. The electrophysiological testing was done with the use of a new portable VEP device named "VEPpeak" enabling to perform the examination outside standard labs in almost any conditions. It was found that the latency of ERP (P300 peak time) and CRT displayed significant prolongation toward midnight while VEP latency and all amplitudes did not change significantly. This pilot study supports our idea that the portable VEP device possibly might be used for the objective examination of mental fatigue that is needed in many situations. This should be confirmed in a larger study also including a comparison with non-electrophysiological fatigue testing.

Using Muse: Rapid Mobile Assessment of Brain Performance

The advent of mobile electroencephalography (mEEG) has created a means for large scale collection of neural data thus affording a deeper insight into cognitive phenomena such as cognitive fatigue. Cognitive fatigue - a neural state that is associated with an increased incidence of errorful performance - is responsible for accidents on a daily basis which at times can cost human lives. To gain better insight into the neural signature of cognitive fatigue in the present study we used mEEG to examine the relationship between perceived cognitive fatigue and human-event related brain potentials (ERPs) and electroencephalographic (EEG) oscillations in a sample of 1,000 people. As a secondary goal, we wanted to further demonstrate the capability of mEEG to accurately measure ERP and EEG data. To accomplish these goals, participants performed a standard visual oddball task on an Apple iPad while EEG data were recorded from a Muse EEG headband. Counter to traditional EEG studies, experimental setup and data collection was completed in less than seven minutes on average. An analysis of our EEG data revealed robust N200 and P300 ERP components and neural oscillations in the delta, theta, alpha, and beta bands. In line with previous findings we observed correlations between ERP components and EEG power and perceived cognitive fatigue. Further, we demonstrate here that a linear combination of ERP and EEG features is a significantly better predictor of perceived cognitive fatigue than any ERP or EEG feature on its own. In sum, our results provide validation of mEEG as a viable tool for research and provide further insight into the impact of cognitive fatigue on the human brain.

Executive Function and the P300 after Treadmill Exercise and Futsal in College Soccer Players

(1) Background: Although a body of evidence demonstrates that acute exercise improves executive function, few studies have compared more complex, laboratory-based modes of exercise, such as soccer that involve multiple aspects of the environment. (2) Methods: Twelve experienced soccer players (24.8 ± 2 years) completed three counterbalanced 20 min sessions of (1) seated rest; (2) moderate intensity treadmill exercise; and (3) a game of futsal. Once heart rate returned to within 10% of pre-activity levels, participants completed the Stroop Color Word Conflict Task while reaction time (RT) and P300 event-related potentials were measured. (3) Results: Reaction time during Stroop performance was significantly faster following the futsal game and treadmill exercise compared to the seated rest. The P300 amplitude during Stroop performance was significantly greater following futsal relative to both treadmill and seated-rest conditions. (4) Conclusions: These findings suggest that single bouts of indoor soccer among college-aged soccer players, compared to treadmill and seated-rest conditions, may engender the greatest effect on brain networks controlling attention allocation and classification speed during the performance of an inhibitory control task. Future research is needed to determine if cognitively engaging forms of aerobic exercise may differentially impact executive control processes in less experienced and older adult participants.

The Role of Visual Noise in Influencing Mental Load and Fatigue in a Steady-State Motion Visual Evoked Potential-Based Brain-Computer Interface

As a spatial selective attention-based brain-computer interface (BCI) paradigm, steady-state visual evoked potential (SSVEP) BCI has the advantages of high information transfer rate, high tolerance to artifacts, and robust performance across users. However, its benefits come at the cost of mental load and fatigue occurring in the concentration on the visual stimuli. Noise, as a ubiquitous random perturbation with the power of randomness, may be exploited by the human visual system to enhance higher-level brain functions. In this study, a novel steady-state motion visual evoked potential (SSMVEP, i.e., one kind of SSVEP)-based BCI paradigm with spatiotemporal visual noise was used to investigate the influence of noise on the compensation of mental load and fatigue deterioration during prolonged attention tasks. Changes in α, θ, θ + α powers, θ/α ratio, and electroencephalography (EEG) properties of amplitude, signal-to-noise ratio (SNR), and online accuracy, were used to evaluate mental load and fatigue. We showed that presenting a moderate visual noise to participants could reliably alleviate the mental load and fatigue during online operation of visual BCI that places demands on the attentional processes. This demonstrated that noise could provide a superior solution to the implementation of visual attention controlling-based BCI applications.

Speech-Processing Fatigue in Children: Auditory Event-Related Potential and Behavioral Measures

PURPOSE

Fatigue related to speech processing is an understudied area that may have significant negative effects, especially in children who spend the majority of their school days listening to classroom instruction.

METHOD

This study examined the feasibility of using auditory P300 responses and behavioral indices (lapses of attention and self-report) to measure fatigue resulting from sustained listening demands in 27 children (M = 9.28 years).

RESULTS

Consistent with predictions, increased lapses of attention, longer reaction times, reduced P300 amplitudes to infrequent target stimuli, and self-report of greater fatigue were observed after the completion of a series of demanding listening tasks compared with the baseline values. The event-related potential responses correlated with the behavioral measures of performance.

CONCLUSION

These findings suggest that neural and behavioral responses indexing attention and processing resources show promise as effective markers of fatigue in children.

Evaluation of passive polarized stereoscopic 3D display for visual & mental fatigues

Visual and mental fatigues induced by active shutter stereoscopic 3D (S3D) display have been reported using event-related brain potentials (ERP). An important question, that is whether such effects (visual & mental fatigues) can be found in passive polarized S3D display, is answered here. Sixty-eight healthy participants are divided into 2D and S3D groups and subjected to an oddball paradigm after being exposed to S3D videos with passive polarized display or 2D display. The age and fluid intelligence ability of the participants are controlled between the groups. ERP results do not show any significant differences between S3D and 2D groups to find the aftereffects of S3D in terms of visual and mental fatigues. Hence, we conclude that passive polarized S3D display technology may not induce visual and/or mental fatigue which may increase the cognitive load and suppress the ERP components.

Robust estimation of event-related potentials via particle filter

BACKGROUND AND OBJECTIVE

In clinical examinations and brain-computer interface (BCI) research, a short electroencephalogram (EEG) measurement time is ideal. The use of event-related potentials (ERPs) relies on both estimation accuracy and processing time. We tested a particle filter that uses a large number of particles to construct a probability distribution.

METHODS

We constructed a simple model for recording EEG comprising three components: ERPs approximated via a trend model, background waves constructed via an autoregressive model, and noise. We evaluated the performance of the particle filter based on mean squared error (MSE), P300 peak amplitude, and latency. We then compared our filter with the Kalman filter and a conventional simple averaging method. To confirm the efficacy of the filter, we used it to estimate ERP elicited by a P300 BCI speller.

RESULTS

A 400-particle filter produced the best MSE. We found that the merit of the filter increased when the original waveform already had a low signal-to-noise ratio (SNR) (i.e., the power ratio between ERP and background EEG). We calculated the amount of averaging necessary after applying a particle filter that produced a result equivalent to that associated with conventional averaging, and determined that the particle filter yielded a maximum 42.8% reduction in measurement time. The particle filter performed better than both the Kalman filter and conventional averaging for a low SNR in terms of both MSE and P300 peak amplitude and latency. For EEG data produced by the P300 speller, we were able to use our filter to obtain ERP waveforms that were stable compared with averages produced by a conventional averaging method, irrespective of the amount of averaging.

CONCLUSIONS

We confirmed that particle filters are efficacious in reducing the measurement time required during simulations with a low SNR. Additionally, particle filters can perform robust ERP estimation for EEG data produced via a P300 speller.

Dissociation between mental fatigue and motivational state during prolonged mental activity

Mental fatigue (MF) is commonly observed following prolonged cognitive activity and can have major repercussions on the daily life of patients as well as healthy individuals. Despite its important impact, the cognitive processes involved in MF remain largely unknown. An influential hypothesis states that MF does not arise from a disruption of overused neural processes but, rather, is caused by a progressive decrease in motivation-related task engagement. Here, to test this hypothesis, we measured various neural, autonomic, psychometric and behavioral signatures of MF and motivation (EEG, ECG, pupil size, eye blinks, Skin conductance responses (SCRs), questionnaires and performance in a working memory (WM) task) in healthy volunteers, while MF was induced by Sudoku tasks performed for 120 min. Moreover extrinsic motivation was manipulated by using different levels of monetary reward. We found that, during the course of the experiment, the participants’ subjective feeling of fatigue increased and their performance worsened while their blink rate and heart rate variability (HRV) increased. Conversely, reward-induced EEG, pupillometric and skin conductance signal changes, regarded as indicators of task engagement, remained constant during the experiment, and failed to correlate with the indices of MF. In addition, MF did not affect a simple reaction time task, despite the strong influence of extrinsic motivation on this task. Finally, alterations of the motivational state through monetary incentives failed to compensate the effects of MF. These findings indicate that MF in healthy subjects is not caused by an alteration of task engagement but is likely to be the consequence of a decrease in the efficiency, or availability, of cognitive resources.

Differences in cardiovascular and central nervous system responses to periods of mental work with a break

The purpose of the present study was to examine how an inserted break influences the cardiovascular and central nervous system responses during periods of mental work. Twelve males conducted two 20-min periods of mental work with a 3-min break between them. Cardiovascular and central nervous system responses were measured continuously. In comparison to the baseline, cardiovascular responses increased continuously even after the inserted break, while, on the contrary, central nervous system activity did not significantly increase during the work periods but relaxed during the break. The work performance increased during the second work period. These results suggest that the inserted break proposed by VDT guidelines in Japan was effective in relaxing the central nervous system but was insufficient to prevent the increase in cardiovascular load. The results also imply that taking rests frequently is important not only to maintaining performance but also to preventing cumulative physiological workloads.

Mental fatigue impairs pre-attentive processing: a MMN study

Individuals frequently experience mental fatigue during or after prolonged periods of cognitive activity. We investigated the effects of mental fatigue on the ability to detect minor changes in the pre-attentive stage of information processing by recoding MMN of ERP components. The equal probable paradigm was employed to elicit pure memory-comparison-based MMN component. Mental fatigue was induced by the continuous performance for 2h of mental arithmetic tasks. MMN amplitudes at fronto-central electrode sites were significantly decreased in subjects with mental fatigue than in subjects under control conditions, whereas temporal MMN was not affected by mental fatigue. These results suggest that mental fatigue impairs pre-attentive processing.

Circulatory and central nervous system responses to different types of mental stress

The purpose of the present study was to compare the physiological responses to different types of mental stress encountered in the workplace. Circulatory and central nervous system responses were examined in 8 healthy males by exposing them to 20-min of white noise (80 dB(A)) and 20-min of computer-based mental arithmetic tasks as models of vascular and cardiac stress, respectively. The results indicated that both cardiac and vascular stresses increased blood pressure and showed a cumulative effect as exposure period was extended. Heart rate and prefrontal oxygenated hemoglobin levels (measured by NIRS) increased in the face of cardiac stress but were not clearly altered by vascular stress and indicated that cardiac stress higher cardiac response and requires more oxygen supply to the brain. As the central nervous system responded, an event-related potential P300 component was elicited by an auditory oddball task presented before and after each stress. The P300 amplitude increased for both stresses. However, P300 latency increased in response to cardiac stress but decreased with vascular stress in the left prefrontal. Thus, the circulatory and central nervous system responses to cardiac stress and to vascular stress may have different underlying mechanisms, and measuring physiological indices appears to be an effective method by which to evaluate the influence of mental stress.

[Effect of mental fatigue induced by repeated continuous calculation tasks on event-related brain potential (P300)]

It is well known that the amplitude and latency of P300 in event-related brain potentials (ERPs) evoked by performing the oddball paradigm reflect the extent of individuals' selective attention. The purpose of this study was to examine whether P300 is a reliable measure for evaluating mental fatigue. In addition to the measurement of auditory ERPs derived from Fz, Cz and Pz, the concentrations of lactic acid, cortisol in plasma and the reaction time of the oddball paradigm, which are believed to reflect fatigue, were measured. In an attempt to cause mental fatigue, 12 healthy college students (8 males, 4 females; 19.5 +/- 0.5 yr; mean +/- S.D.) were forced to perform a continuous addition task using the Uchida-Kreperin test paper for about 2 h. Before the task, the latencies of P300 in Fz, Cz and Pz were 295.6 +/- 8.7 msec, 298.8 +/- 8.5 msec and 297.5 +/- 7.2 msec (mean +/- S.D.), respectively, and after the task they were 312.6 +/- 11.2 msec, 314.6 +/- 10.1 msec and 315.8 +/- 8.7 msec, respectively. A significant difference in the latency before and after the task was detected (p<0.01). In all subjects, the latency of P300 was prolonged in all recording positions, Fz, Cz and Pz. In a control experiment where the continuous addition task was not loaded, a significant change of the latency was not detected. The amplitude of P300 didn't change significantly in all recording positions after the task. In the control experiment, the amplitude of P300 did not change significantly. On the other hand, the changes in the concentrations of lactic acid and cortisol and the reaction time were not induced by the continuous addition task. The prolongation of the latency of P300 would originate from a decline in brain function. In this study, a prolongation of the latency of P300 after the task was detected in all subjects. It is well known that the value of P300 changes with modification of the recording condition, therefore a recording of P300 under the same conditions is required for qualitative evaluation.

Hypoglycemia during sleep impairs consolidation of declarative memory in type 1 diabetic and healthy humans

OBJECTIVE

Early nocturnal sleep enhances the consolidation of declarative memories acquired during prior wakefulness. Patients with type 1 diabetes frequently experience hypoglycemic episodes during sleep. We investigated whether short-lasting hypoglycemia during early nocturnal sleep affects the sleep-associated consolidation of declarative memories.

RESEARCH DESIGN AND METHODS

Sixteen type 1 diabetic patients and 16 healthy subjects matched for age and BMI were tested. On one condition, a linear fall of plasma glucose to 2.2 mmol/l was induced within 60 min by infusing insulin during early sleep. On the control condition, euglycemia (>3.86 mmol/l) was maintained throughout the night. In the morning, subjects recalled word pairs learned in the preceding evening. To assess mood and attention, a symptom questionnaire, an adjective check list, and the Stroop test were applied. Also, auditory event-related brain potentials were recorded.

RESULTS

After euglycemia, subjects recalled 1.5 +/- 0.5 more word pairs than after hypoglycemia (P < 0.01), remembering 2.0 +/- 0.6 more word pairs than at immediate recall before sleep (P = 0.002). Across the hypoglycemic night, no such gain occurred (+0.5 +/- 0.6 words; P = 0.41). Hypoglycemia during sleep also impaired mood (P < 0.05) but did not affect attention. Effects compared well between type 1 diabetic patients and healthy control subjects.

CONCLUSIONS

Our findings indicate specific sensitivity of declarative memory consolidation during sleep to rather short episodes of mild hypoglycemia. This effect may disable memory processing in type 1 diabetic patients prone to nocturnal hypoglycemic episodes and underlines the importance of considering sleep as a critical period in the treatment of these patients.

Outcome of sleepiness and fatigue scores in obstructive sleep apnea syndrome patients with and without restless legs syndrome after nasal CPAP

BACKGROUND & PURPOSE: The association of obstructive sleep apnea syndrome (OSAS) and restless legs syndrome (RLS) has been reported in the literature for many years. Both conditions may be responsible for fatigue and somnolence complaints secondary to nocturnal sleep disruption. The primary concern of this study is to evaluate the outcome of fatigue and daytime sleepiness symptoms at baseline and after continuous positive air pressure (CPAP) treatment in OSAS patients with and without RLS. METHOD: A prospective and comparative study between a group of 13 patients with OSAS and a group of 17 patients with OSAS+RLS. Laboratory blood tests and polysomnography were performed at baseline. The Epworth Sleepiness Scale (ESS) and the Pichot’s questionnaire of fatigue/depression (PIC) were applied before and after 3 months of CPAP treatment. Results were compared. RESULTS: No significant differences were found on PSG and laboratory results at baseline. Both groups had similar ESS and PIC scores at baseline (p=0.73 and 0.08, respectively). After n-CPAP, OSAS+RLS patients showed higher ESS and PIC scores (p=0.017 and 0.03, respectively). CONCLUSIONS: Despite a favorable general response, n-CPAP seemed less effective in treating fatigue and sleepiness in the OSAS+RLS group.

Habituation and Dishabituation of P300

OBJECTIVE

We aimed to see the consequences of habituation and posthabituation by means of repeatedly measuring the effects over a longer period.

METHOD

The study was performed on 27 healthy volunteers. The event-related potentials were recorded from the Fz, the Cz, and the Pz electrode sites. The rare tone-frequent tone probability ratio was 20%. All subjects were asked to press a button when they heard a rare tone. The test was continued until 20 artifact-free rare tones were averaged, which was accepted as 1 trial block. After 10 trial blocks were obtained in a sequential manner, the test was completed.

RESULT

This study has indicated that P300 amplitudes decrease with repeated stimulations, that is, there is a habituation period. As the test continues, the speed of amplitude decrease slows down and after a while it even starts to increase: that is, a dishabituation occurs.

CONCLUSIONS

It is very likely that this habituation relates to a period of learning and dishabituation relates to a period of mental fatigue. In these processes, changes of amplitude and latency values reflect changes in amount of neuronal activation.

Mental Energy: Assessing the Cognition Dimension

The cognitive dimension of mental energy can be assessed by tests of vigilance and choice reaction time. These behaviors are relatively simple cognitive functions and can be measured with precision and reliability if carefully designed and implemented tests are used. Because the concept of mental energy is still evolving, the selection of appropriate tests to assess it must be tentative. However, vigilance and choice reaction time seem to have the necessary psychometric properties for assessing mental energy, including construct, predictive content, and face validity. Tests of reaction time and vigilance are correlated with questionnaires that measure mood states corresponding to mental energy--such as sleepiness, fatigue, and alertness--in the expected manner and are of approximately equivalent sensitivity.

The relationship between fatigue and depression, and event-related potentials in epileptics

The aim of the present study was to establish the rate of fatigue and the relationship between fatigue, depression, and P300 in people with epilepsy. We compared Fatigue Severity Scale (FSS) and Beck Depression Inventory (BDI) scores and event-related potentials (ERPs) of people with epilepsy (n=73) with those of controls (n=31). The rate of fatigue was found to be 42.4%, and fatigue and depression were positively correlated. There was an interaction between fatigue and ERPs, but the effect of ERPs on fatigue was greater. While polytherapy was a major factor affecting ERPs, depression had no effect on ERPs in people with epilepsy. The data suggest that fatigue is an important finding and is strongly correlated with cognitive processes and depression. Polytherapy contributed to cognitive disturbances and, hence, fatigue, whereas depression had no effect on cognitive processes in people with epilepsy.

Reactivity and event-related potentials in attentional tests: effect of training

To study the effects of training on reactivity and event-related potentials a complex attentional shifting test involving reaction time was administered (Test 1) to 24 healthy, young students. After five days, 12 subjects were tested with the same procedure (Test 2) without training (Untrained Subjects) while 12 repeated the test at the fifth day after four days of training (Trained Subjects). During Tests 1 and 2, event-related potentials were recorded by electroencephalogram. The task consisted of each subject responding to a stimulus of a letter appearing in the centre of a geometric figure on the screen of a computer monitor. In the prestimulus period black points were drawn and crowded randomly into a zone of the screen. The geometric figure and the letter were shown in the centre of the crowding. There were two letters and four geometric figures randomly combined in different ways. The subject had to press different keys of the computer keyboard when specific combinations appeared. The averaged event-related potentials were characterized by a negative wave with a close relationship to selective attention before the onset of the stimulus of a geometric figure followed by letters. After the stimulus onset, a P3 complex was recorded. Trained subjects were no different from untrained subjects in Test 1, while in Test 2 they had a shorter reaction time, an earlier peak of the selective attention related wave and P3, and a higher amplitude for the P3 complex. These measures and the correlations between them can be considered an index of the training effect. Thus, these tests could be used for evaluation of the attentional style and its modification with training.

Shifts in information processing level: the speed theory of intelligence revisited

A hypothesis is proposed here to reconcile the inconsistencies observed in the IQ-P3 latency relation. The hypothesis stems from the observation that task-induced increase in P3 latency correlates positively with IQ scores. It is hypothesised that: (a) there are several parallel information processing pathways of varying complexity which are associated with the generation of P3 waves of varying latencies; (b) with increasing workload, there is a shift in the 'information processing level' through progressive recruitment of more complex polysynaptic pathways with greater processing power and inhibition of the oligosynaptic pathways; (c) high-IQ subjects have a greater reserve of higher level processing pathways; (d) a given 'task-load' imposes a greater 'mental workload' in subjects with lower IQ than in those with higher IQ. According to this hypothesis, a meaningful comparison of the P3 correlates of IQ is possible only when the information processing level is pushed to its limits.

Habituation of event-related potentials in patients with Parkinson's disease

Auditory event-related potential (ERP) was studied in idiopathic Parkinson's disease (PD) using our new procedures. We examined 12 non-demented patients with PD, and 9 age-matched control subjects. Ninety responses induced by rare stimulation were continuously recorded from Fz, Cz, Pz referred to linked earlobe electrode (A1A2), and were divided into nine blocks (one block = 10 responses) for statistical analysis. We assessed the habituation of auditory ERP to detect delicate changes related to the information processing in PD. N100 and P300 latencies were significantly longer in PD than in control subjects (p<0.05). P300 latency gradually increased with progression of recording blocks in both PD and control subjects, whereas N100 latency increased only in PD. Three way analysis of variance for P300 amplitude revealed significant effects of subject group, recording electrode site, and trial block. P300 amplitude was smaller in PD than in control subjects. Significant negative correlation between P300 amplitudes and block numbers were observed at Cz and Pz in PD, and at Fz in the control group. Previous reports as well as present results suggest that prolongation of N100 latency might be related to frontal lobe dysfunction, and abnormality of P300 to dysfunction in both the frontal lobe and hippocampus in PD.