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Porcaro C, Seppi D, Pellegrino G, Dainese F, Kassabian B, Pellegrino L, De Nardi G, Grego A, Corbetta M, Ferreri F. Characterization of antiseizure medications effects on the EEG neurodynamic by fractal dimension. Front Neurosci 2024; 18:1401068. [PMID: 38911599 PMCID: PMC11192015 DOI: 10.3389/fnins.2024.1401068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2024] [Accepted: 05/20/2024] [Indexed: 06/25/2024] Open
Abstract
Objectives An important challenge in epilepsy is to define biomarkers of response to treatment. Many electroencephalography (EEG) methods and indices have been developed mainly using linear methods, e.g., spectral power and individual alpha frequency peak (IAF). However, brain activity is complex and non-linear, hence there is a need to explore EEG neurodynamics using nonlinear approaches. Here, we use the Fractal Dimension (FD), a measure of whole brain signal complexity, to measure the response to anti-seizure therapy in patients with Focal Epilepsy (FE) and compare it with linear methods. Materials Twenty-five drug-responder (DR) patients with focal epilepsy were studied before (t1, named DR-t1) and after (t2, named DR-t2) the introduction of the anti-seizure medications (ASMs). DR-t1 and DR-t2 EEG results were compared against 40 age-matched healthy controls (HC). Methods EEG data were investigated from two different angles: frequency domain-spectral properties in δ, θ, α, β, and γ bands and the IAF peak, and time-domain-FD as a signature of the nonlinear complexity of the EEG signals. Those features were compared among the three groups. Results The δ power differed between DR patients pre and post-ASM and HC (DR-t1 vs. HC, p < 0.01 and DR-t2 vs. HC, p < 0.01). The θ power differed between DR-t1 and DR-t2 (p = 0.015) and between DR-t1 and HC (p = 0.01). The α power, similar to the δ, differed between DR patients pre and post-ASM and HC (DR-t1 vs. HC, p < 0.01 and DR-t2 vs. HC, p < 0.01). The IAF value was lower for DR-t1 than DR-t2 (p = 0.048) and HC (p = 0.042). The FD value was lower in DR-t1 than in DR-t2 (p = 0.015) and HC (p = 0.011). Finally, Bayes Factor analysis showed that FD was 195 times more likely to separate DR-t1 from DR-t2 than IAF and 231 times than θ. Discussion FD measured in baseline EEG signals is a non-linear brain measure of complexity more sensitive than EEG power or IAF in detecting a response to ASMs. This likely reflects the non-oscillatory nature of neural activity, which FD better describes. Conclusion Our work suggests that FD is a promising measure to monitor the response to ASMs in FE.
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Affiliation(s)
- Camillo Porcaro
- Department of Neuroscience and Padova Neuroscience Center (PNC), University of Padova, Padova, Italy
- Institute of Cognitive Sciences and Technologies (ISTC) – National Research Council (CNR), Rome, Italy
- Centre for Human Brain Health, School of Psychology, University of Birmingham, Birmingham, United Kingdom
| | - Dario Seppi
- Neurology Clinics, Azienda Ospedale Università, Padua, Italy
- Unit of Clinical Neurophysiology, Azienda Ospedale Università, Padua, Italy
| | - Giovanni Pellegrino
- Epilepsy Program, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada
| | - Filippo Dainese
- Neurology Clinics, Azienda Ospedale Università, Padua, Italy
- Unit of Clinical Neurophysiology, Azienda Ospedale Università, Padua, Italy
| | - Benedetta Kassabian
- Neurology Clinics, Azienda Ospedale Università, Padua, Italy
- Unit of Clinical Neurophysiology, Azienda Ospedale Università, Padua, Italy
| | - Luciano Pellegrino
- Neurology Clinics, Azienda Ospedale Università, Padua, Italy
- Unit of Clinical Neurophysiology, Azienda Ospedale Università, Padua, Italy
| | - Gianluigi De Nardi
- Neurology Clinics, Azienda Ospedale Università, Padua, Italy
- Unit of Clinical Neurophysiology, Azienda Ospedale Università, Padua, Italy
| | - Alberto Grego
- Neurology Clinics, Azienda Ospedale Università, Padua, Italy
- Unit of Clinical Neurophysiology, Azienda Ospedale Università, Padua, Italy
| | - Maurizio Corbetta
- Department of Neuroscience and Padova Neuroscience Center (PNC), University of Padova, Padova, Italy
- Neurology Clinics, Azienda Ospedale Università, Padua, Italy
- Veneto Institute of Molecular Medicine (VIMM), Fondazione Biomedica, Padua, Italy
| | - Florinda Ferreri
- Department of Neuroscience and Padova Neuroscience Center (PNC), University of Padova, Padova, Italy
- Neurology Clinics, Azienda Ospedale Università, Padua, Italy
- Unit of Clinical Neurophysiology, Azienda Ospedale Università, Padua, Italy
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Mercier M, Pepi C, Carfi-Pavia G, De Benedictis A, Espagnet MCR, Pirani G, Vigevano F, Marras CE, Specchio N, De Palma L. The value of linear and non-linear quantitative EEG analysis in paediatric epilepsy surgery: a machine learning approach. Sci Rep 2024; 14:10887. [PMID: 38740844 DOI: 10.1038/s41598-024-60622-5] [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: 10/06/2023] [Accepted: 04/25/2024] [Indexed: 05/16/2024] Open
Abstract
Epilepsy surgery is effective for patients with medication-resistant seizures, however 20-40% of them are not seizure free after surgery. Aim of this study is to evaluate the role of linear and non-linear EEG features to predict post-surgical outcome. We included 123 paediatric patients who underwent epilepsy surgery at Bambino Gesù Children Hospital (January 2009-April 2020). All patients had long term video-EEG monitoring. We analysed 1-min scalp interictal EEG (wakefulness and sleep) and extracted 13 linear and non-linear EEG features (power spectral density (PSD), Hjorth, approximate entropy, permutation entropy, Lyapunov and Hurst value). We used a logistic regression (LR) as feature selection process. To quantify the correlation between EEG features and surgical outcome we used an artificial neural network (ANN) model with 18 architectures. LR revealed a significant correlation between PSD of alpha band (sleep), Mobility index (sleep) and the Hurst value (sleep and awake) with outcome. The fifty-four ANN models gave a range of accuracy (46-65%) in predicting outcome. Within the fifty-four ANN models, we found a higher accuracy (64.8% ± 7.6%) in seizure outcome prediction, using features selected by LR. The combination of PSD of alpha band, mobility and the Hurst value positively correlate with good surgical outcome.
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Affiliation(s)
- Mattia Mercier
- Neurology, Epilepsy and Movement Disorders Unit, Bambino Gesù Children's Hospital, IRCCS, Full Member of European Reference Network EpiCARE, Piazza S. Onofrio 4, 00165, Rome, Italy
- Department of Physiology, Behavioural Neuroscience PhD Program, Sapienza University, Rome, Italy
| | - Chiara Pepi
- Neurology, Epilepsy and Movement Disorders Unit, Bambino Gesù Children's Hospital, IRCCS, Full Member of European Reference Network EpiCARE, Piazza S. Onofrio 4, 00165, Rome, Italy
| | - Giusy Carfi-Pavia
- Neurology, Epilepsy and Movement Disorders Unit, Bambino Gesù Children's Hospital, IRCCS, Full Member of European Reference Network EpiCARE, Piazza S. Onofrio 4, 00165, Rome, Italy
| | - Alessandro De Benedictis
- Neurosurgery Unit, Bambino Gesù Children's Hospital, IRCCS, Full Member of European Reference Network EpiCARE, 00165, Rome, Italy
| | | | - Greta Pirani
- Department of Mechanical and Aerospace Engineering - DIMA, Sapienza University of Rome, Rome, Italy
| | - Federico Vigevano
- Neurology, Epilepsy and Movement Disorders Unit, Bambino Gesù Children's Hospital, IRCCS, Full Member of European Reference Network EpiCARE, Piazza S. Onofrio 4, 00165, Rome, Italy
| | - Carlo Efisio Marras
- Neurosurgery Unit, Bambino Gesù Children's Hospital, IRCCS, Full Member of European Reference Network EpiCARE, 00165, Rome, Italy
| | - Nicola Specchio
- Neurology, Epilepsy and Movement Disorders Unit, Bambino Gesù Children's Hospital, IRCCS, Full Member of European Reference Network EpiCARE, Piazza S. Onofrio 4, 00165, Rome, Italy.
| | - Luca De Palma
- Neurology, Epilepsy and Movement Disorders Unit, Bambino Gesù Children's Hospital, IRCCS, Full Member of European Reference Network EpiCARE, Piazza S. Onofrio 4, 00165, Rome, Italy
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Rahman M, Karwowski W, Sapkota N, Ismail L, Alhujailli A, Sumano RF, Hancock PA. Isometric Arm Forces Exerted by Females at Different Levels of Physical Comfort and Their EEG Signatures. Brain Sci 2023; 13:1027. [PMID: 37508959 PMCID: PMC10377375 DOI: 10.3390/brainsci13071027] [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: 05/31/2023] [Revised: 06/26/2023] [Accepted: 06/29/2023] [Indexed: 07/30/2023] Open
Abstract
A variety of subjective measures have traditionally been used to assess the perception of physical exertion at work and related body responses. However, the current understanding of physical comfort experienced at work is very limited. The main objective of this study was first to investigate the magnitude of isometric arm forces exerted by females at different levels of physical comfort measured on a new comfort scale and, second, to assess their corresponding neural signatures expressed in terms of power spectral density (PSD). The study assessed PSDs of four major electroencephalography (EEG) frequency bands, focusing on the brain regions controlling motor and perceptual processing. The results showed statistically significant differences in exerted arm forces and the rate of perceived exertion at the various levels of comfort. Significant differences in power spectrum density at different physical comfort levels were found for the beta EEG band. Such knowledge can be useful in incorporating female users' force requirements in the design of consumer products, including tablets, laptops, and other hand-held information technology devices, as well as various industrial processes and work systems.
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Affiliation(s)
- Mahjabeen Rahman
- Computational Neuroergonomics Laboratory, Department of Industrial Engineering and Management Systems, University of Central Florida, Orlando, FL 32816, USA
| | - Waldemar Karwowski
- Computational Neuroergonomics Laboratory, Department of Industrial Engineering and Management Systems, University of Central Florida, Orlando, FL 32816, USA
| | - Nabin Sapkota
- Department of Engineering Technology, Northwestern State University of Louisiana, Natchitoches, LA 71497, USA
| | - Lina Ismail
- Department of Industrial and Management Engineering, Arab Academy for Science, Technology, and Maritime Transport, Alexandria 2913, Egypt
| | - Ashraf Alhujailli
- Department of Management Science, Yanbu Industrial College, Yanbu 46452, Saudi Arabia
| | - Raul Fernandez Sumano
- Industrial Engineering Technology, Dunwoody College of Technology, Minneapolis, MN 55403, USA
| | - P A Hancock
- Department of Psychology, University of Central Florida, Orlando, FL 32816, USA
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Li Z, Yi C, Chen C, Liu C, Zhang S, Li S, Gao D, Cheng L, Zhang X, Sun J, He Y, Xu P. Predicting individual muscle fatigue tolerance by resting-state EEG brain network. J Neural Eng 2022; 19. [PMID: 35901723 DOI: 10.1088/1741-2552/ac8502] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2021] [Accepted: 07/28/2022] [Indexed: 11/11/2022]
Abstract
OBJECTIVE Exercise-induced muscle fatigue is a complex physiological phenomenon involving the central and peripheral nervous systems, and fatigue tolerance varies across individuals. Various studies have emphasized the close relationships between muscle fatigue and the brain. However, the relationships between the resting-state electroencephalogram (rsEEG) brain network and individual muscle fatigue tolerance remain unexplored. APPROACH Eighteen elite water polo athletes took part in our experiment. Five-minute before- and after-fatigue-exercise rsEEG and fatiguing task (i.e., elbow flexion and extension) electromyography (EMG) data were recorded. Based on the graph theory, we constructed the before- and after-task rsEEG coherence network and compared the network differences between them. Then, the correlation between the before-fatigue rsEEG network properties and the EMG fatigue indexes when a subject cannot keep on exercising anymore was profiled. Finally, a prediction model based on the before-fatigue rsEEG network properties was established to predict fatigue tolerance. MAIN RESULTS Results of this study revealed the significant differences between the before- and after-exercise rsEEG brain network and found significant high correlations between before-exercise rsEEG network properties in the beta band and individual muscle fatigue tolerance. Finally, an efficient support vector regression (SVR) model based on the before-exercise rsEEG network properties in the beta band was constructed and achieved the accurate prediction of individual fatigue tolerance. Similar results were also revealed on another thirty-subject swimmer data set further demonstrating the reliability of predicting fatigue tolerance based on the rsEEG network. SIGNIFICANCE Our study investigates the relationship between the rsEEG brain network and individual muscle fatigue tolerance and provides a potential objective physiological biomarker for tolerance prediction and the regulation of muscle fatigue.
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Affiliation(s)
- Zhiwei Li
- Chengdu Sport University, No.2, Tiyuan Road, Wuhou District, Chengdu, 610041, CHINA
| | - Chanlin Yi
- University of Electronic Science and Technology of China, No.2006, Xiyuan Ave, West Hi-Tech Zone, Chengdu, 611731, CHINA
| | - Chunli Chen
- University of Electronic Science and Technology of China, No.2006, Xiyuan Ave, West Hi-Tech Zone, Chengdu, 611731, CHINA
| | - Chen Liu
- University of Electronic Science and Technology of China, No.2006, Xiyuan Ave, West Hi-Tech Zone, Chengdu, 611731, CHINA
| | - Shu Zhang
- University of Electronic Science and Technology of China, No.2006, Xiyuan Ave, West Hi-Tech Zone, Chengdu, 611731, CHINA
| | - Shunchang Li
- Chengdu Sport University, No.2, Tiyuan Road, Wuhou District, Chengdu, 610041, CHINA
| | - Dongrui Gao
- Chengdu University of Information Technology, No.24 Block 1, Xuefu Road, Chengdu, Sichuan, 610225, CHINA
| | - Liang Cheng
- Chengdu Sport University, No.2, Tiyuan Road, Wuhou District, Chengdu, 610041, CHINA
| | - Xiabing Zhang
- University of Electronic Science and Technology of China, No.2006, Xiyuan Ave, West Hi-Tech Zone, Chengdu, 611731, CHINA
| | - Junzhi Sun
- Chengdu Sport University, No.2, Tiyuan Road, Wuhou District, Chengdu, 610041, CHINA
| | - Ying He
- Small Ball Department of Physical Education and Sport Sciences, Chengdu Sport University, No.2, Tiyuan Road, Wuhou District, Chengdu, 610041, CHINA
| | - Peng Xu
- University of Electronic Science and Technology of China, No.2006, Xiyuan Ave, West Hi-Tech Zone, Chengdu, 611731, CHINA
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Sanchez-Reolid R, Martinez-Saez MC, Garcia-Martinez B, Fernandez-Aguilar L, Segura LR, Latorre JM, Fernandez-Caballero A. Emotion Classification from EEG with a Low-Cost BCI Versus a High-End Equipment. Int J Neural Syst 2022; 32:2250041. [DOI: 10.1142/s0129065722500411] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Physical Exercise Effects on University Students’ Attention: An EEG Analysis Approach. ELECTRONICS 2022. [DOI: 10.3390/electronics11050770] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
Physically active breaks (AB) are currently being proposed as an interesting tool to improve students’ attention. Reviews and meta-analyses confirm their effect on attention, but also warned about the sparse evidence based on vigilance and university students. Therefore, this pilot study aimed to (a) determine the effects of AB in comparison with passive breaks on university students’ vigilance and (b) to validate an analysis model based on machine learning algorithms in conjunction with a multiparametric model based on electroencephalography (EEG) signal features. Through a counterbalanced within-subject experimental study, six university students (two female; mean age = 25.67, STD = 3.61) had their vigilance performances (i.e., response time in Psycho-Motor Vigilance Task) and EEG measured, before and after a lecture with an AB and another lecture with a passive break. A multiparametric model based on the spectral power, signal entropy and response time has been developed. Furthermore, this model, together with different machine learning algorithms, shows that for the taken signals there are significant differences after the AB lesson, implying an improvement in attention. These differences are most noticeable with the SVM with RBF kernel and ANNs with F1-score of 85% and 88%, respectively. In conclusion, results showed that students performed better on vigilance after the lecture with AB. Although limited, the evidence found could help researchers to be more accurate in their EEG analyses and lecturers and teachers to improve their students’ attentions in a proper way.
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Wnuk B, Ziaja D, Banyś M. Efficacy Assessment of Upper Limb Home-Based Exercises Using a Prototype Exercise Robot for Continuous Passive Movement Among Individuals with Paresis in the Long-Term Follow-Up: Preliminary Report. REHABILITACJA MEDYCZNA 2022. [DOI: 10.5604/01.3001.0015.7145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Introduction: Home exercises are a promising alternative to outpatient care or in-hospital exercise programmes. The forms of exercises with the use of robotic devices is constantly developing, and their positive effects have been well-documented.
Research objective: The aim of this study was to evaluate the effectiveness of upper limb home-based exercises with the use of the “Best Arm” robot following the onset of diseases causing spastic paresis in long-term observation.
Materials and methods: The study comprised 40 participants at an average age of 58.73 ±16.80. For a period of 8 months, training of the limb with paresis using the “Best Arm” device was carried out to test joint mobility, hand grip strength, and to measure the circumference of the forearm and upper arm.
Results: Statistical analysis shows a significant change in active and passive range of motion, as well as muscle strength after an 8-month intervention period in the group under study.
Conclusions: Home-based exercises using a prototype of the “Best Arm” device for exercising the upper limb with paresis have had a moderate effect on improving range of motion and muscle strength. However, these exercises did not significantly improve muscle tone or the functional capabilities of the upper limb.
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Affiliation(s)
- Bartosz Wnuk
- Department of Rehabilitation, Faculty of Health Sciences in Katowice, Medical University of Silesia, Katowice, Poland
| | - Damian Ziaja
- Department of General and Vascular Surgery, Angiology and Phlebology, Medical University of Silesia in Katowice, Poland; Department of Physiotherapy, School of Health Sciences, Medical University of Silesia, Katowice, Poland
| | - Marcin Banyś
- MIDMED Limited Liability Company Katowice, Poland
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Kim S, Shin DY, Kim T, Lee S, Hyun JK, Park SM. Enhanced Recognition of Amputated Wrist and Hand Movements by Deep Learning Method Using Multimodal Fusion of Electromyography and Electroencephalography. SENSORS 2022; 22:s22020680. [PMID: 35062641 PMCID: PMC8778369 DOI: 10.3390/s22020680] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/08/2021] [Revised: 01/09/2022] [Accepted: 01/14/2022] [Indexed: 02/04/2023]
Abstract
Motion classification can be performed using biometric signals recorded by electroencephalography (EEG) or electromyography (EMG) with noninvasive surface electrodes for the control of prosthetic arms. However, current single-modal EEG and EMG based motion classification techniques are limited owing to the complexity and noise of EEG signals, and the electrode placement bias, and low-resolution of EMG signals. We herein propose a novel system of two-dimensional (2D) input image feature multimodal fusion based on an EEG/EMG-signal transfer learning (TL) paradigm for detection of hand movements in transforearm amputees. A feature extraction method in the frequency domain of the EEG and EMG signals was adopted to establish a 2D image. The input images were used for training on a model based on the convolutional neural network algorithm and TL, which requires 2D images as input data. For the purpose of data acquisition, five transforearm amputees and nine healthy controls were recruited. Compared with the conventional single-modal EEG signal trained models, the proposed multimodal fusion method significantly improved classification accuracy in both the control and patient groups. When the two signals were combined and used in the pretrained model for EEG TL, the classification accuracy increased by 4.18-4.35% in the control group, and by 2.51-3.00% in the patient group.
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Affiliation(s)
- Sehyeon Kim
- Department of Convergence IT Engineering, Pohang University of Science and Technology, Pohang 37673, Korea;
| | - Dae Youp Shin
- Department of Rehabilitation Medicine, College of Medicine, Dankook University, Cheonan 31116, Korea;
| | - Taekyung Kim
- Department of Medical Device Management and Research, SAIHST, Sungkyunkwan University, Seoul 03063, Korea;
| | - Sangsook Lee
- Department of Rehabilitation Medicine, Daejeon Hospital, Daejeon 34383, Korea;
| | - Jung Keun Hyun
- Department of Rehabilitation Medicine, College of Medicine, Dankook University, Cheonan 31116, Korea;
- Department of Nanobiomedical Science & BK21 NBM Global Research Center for Regenerative Medicine, Dankook University, Cheonan 31116, Korea
- Institute of Tissue Regeneration Engineering (ITREN), Dankook University, Cheonan 31116, Korea
- Correspondence: (J.K.H.); (S.-M.P.); Tel.: +82-10-2293-3415 (J.K.H.); +82-10-7208-7740 (S.-M.P.)
| | - Sung-Min Park
- Department of Convergence IT Engineering, Pohang University of Science and Technology, Pohang 37673, Korea;
- Department of Electrical Engineering, Pohang University of Science and Technology, Pohang 37673, Korea
- Department of Mechanical Engineering, Pohang University of Science and Technology, Pohang 37673, Korea
- Correspondence: (J.K.H.); (S.-M.P.); Tel.: +82-10-2293-3415 (J.K.H.); +82-10-7208-7740 (S.-M.P.)
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Brambilla C, Pirovano I, Mira RM, Rizzo G, Scano A, Mastropietro A. Combined Use of EMG and EEG Techniques for Neuromotor Assessment in Rehabilitative Applications: A Systematic Review. SENSORS (BASEL, SWITZERLAND) 2021; 21:7014. [PMID: 34770320 PMCID: PMC8588321 DOI: 10.3390/s21217014] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/23/2021] [Revised: 10/19/2021] [Accepted: 10/20/2021] [Indexed: 12/22/2022]
Abstract
Electroencephalography (EEG) and electromyography (EMG) are widespread and well-known quantitative techniques used for gathering biological signals at cortical and muscular levels, respectively. Indeed, they provide relevant insights for increasing knowledge in different domains, such as physical and cognitive, and research fields, including neuromotor rehabilitation. So far, EEG and EMG techniques have been independently exploited to guide or assess the outcome of the rehabilitation, preferring one technique over the other according to the aim of the investigation. More recently, the combination of EEG and EMG started to be considered as a potential breakthrough approach to improve rehabilitation effectiveness. However, since it is a relatively recent research field, we observed that no comprehensive reviews available nor standard procedures and setups for simultaneous acquisitions and processing have been identified. Consequently, this paper presents a systematic review of EEG and EMG applications specifically aimed at evaluating and assessing neuromotor performance, focusing on cortico-muscular interactions in the rehabilitation field. A total of 213 articles were identified from scientific databases, and, following rigorous scrutiny, 55 were analyzed in detail in this review. Most of the applications are focused on the study of stroke patients, and the rehabilitation target is usually on the upper or lower limbs. Regarding the methodological approaches used to acquire and process data, our results show that a simultaneous EEG and EMG acquisition is quite common in the field, but it is mostly performed with EMG as a support technique for more specific EEG approaches. Non-specific processing methods such as EEG-EMG coherence are used to provide combined EEG/EMG signal analysis, but rarely both signals are analyzed using state-of-the-art techniques that are gold-standard in each of the two domains. Future directions may be oriented toward multi-domain approaches able to exploit the full potential of combined EEG and EMG, for example targeting a wider range of pathologies and implementing more structured clinical trials to confirm the results of the current pilot studies.
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Affiliation(s)
- Cristina Brambilla
- Istituto di Sistemi e Tecnologie Industriali Intelligenti per il Manifatturiero Avanzato (STIIMA), Consiglio Nazionale delle Ricerche (CNR), Via Previati 1/E, 23900 Lecco, Italy; (C.B.); (R.M.M.); (A.S.)
| | - Ileana Pirovano
- Istituto di Tecnologie Biomediche (ITB), Consiglio Nazionale delle Ricerche (CNR), via Fratelli Cervi 93, 20054 Segrate, Italy; (I.P.); (A.M.)
| | - Robert Mihai Mira
- Istituto di Sistemi e Tecnologie Industriali Intelligenti per il Manifatturiero Avanzato (STIIMA), Consiglio Nazionale delle Ricerche (CNR), Via Previati 1/E, 23900 Lecco, Italy; (C.B.); (R.M.M.); (A.S.)
| | - Giovanna Rizzo
- Istituto di Tecnologie Biomediche (ITB), Consiglio Nazionale delle Ricerche (CNR), via Fratelli Cervi 93, 20054 Segrate, Italy; (I.P.); (A.M.)
| | - Alessandro Scano
- Istituto di Sistemi e Tecnologie Industriali Intelligenti per il Manifatturiero Avanzato (STIIMA), Consiglio Nazionale delle Ricerche (CNR), Via Previati 1/E, 23900 Lecco, Italy; (C.B.); (R.M.M.); (A.S.)
| | - Alfonso Mastropietro
- Istituto di Tecnologie Biomediche (ITB), Consiglio Nazionale delle Ricerche (CNR), via Fratelli Cervi 93, 20054 Segrate, Italy; (I.P.); (A.M.)
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