Effect of virtual reality-simulated exercise on sympathovagal balance

Unanticipated evolution of cardio-respiratory interactions with cognitive load during a Go-NoGo shooting task in virtual reality

The cardiovascular system interacts continuously with the respiratory system to maintain the vital balance of oxygen and carbon dioxide in our body. The interplay between the sympathetic and parasympathetic branches of the autonomic nervous system regulates the aforesaid involuntary functions. This study analyzes the dynamics of the cardio-respiratory (CR) interactions using RR Intervals (RRI), Systolic Blood Pressure (SBP), and Respiration signals after first-order differencing to make them stationary. It investigates their variation with cognitive load induced by a virtual reality (VR) based Go-NoGo shooting task with low and high levels of task difficulty. We use Pearson's correlation-based linear and mutual information-based nonlinear measures of association to indicate the reduction in RRI-SBP and RRI-Respiration interactions with cognitive load. However, no linear correlation difference was observed in SBP-Respiration interactions with cognitive load, but their mutual information increased. A couple of open-loop autoregressive models with exogenous input (ARX) are estimated using RRI and SBP, and one closed-loop ARX model is estimated using RRI, SBP, and Respiration. The impulse responses (IRs) are derived for each input-output pair, and a reduction in the positive and negative peak amplitude of all the IRs is observed with cognitive load. Some novel parameters are derived by representing the IR as a double exponential curve with cosine modulation and show significant differences with cognitive load compared to other measures, especially for the IR between SBP and Respiration.