1,720,976 research outputs found

    Re-establishing cortico-muscular communication to enhance recovery: development of a hybrid brain-computer Interface for post-stroke motor rehabilitation

    Full text link
    Stroke is a leading cause of adult serious and long-term disability. Notably, improving upper limb functioning is the primary therapeutic goal in stroke rehabilitation to maximize patients' functional recovery and reduce long-term disability. Nowadays, Brain-Computer Interfaces (BCIs) can be used as add-on to traditional therapies to activate rehabilitative devices directly decoding the brain activity of the user noninvasively, e.g. by means of electroencephalogram (EEG). However, the consequences of a stroke involve regions apart from the focal lesions due to disruption of connections along neural pathways. Therefore, a BCI system for motor rehabilitation should allow to train both brain and peripheral activity, reinforcing the volition that is brain control over muscular activation together with physiological muscular activation patterns. In this PhD thesis, Cortico-Muscular Coupling (CMC), which measures the synchronization between central and peripheral activation (recorded respectively through EEG and electromyogram – EMG), was studied as hybrid feature to detect movement attempts and to reinforce the physiological brain control of muscles activity. The widespread functional brain-muscle connectivity (derived from multiple EEG-EMG pairs) was characterized and compared in healthy subjects and stroke patients by means of indices derived ad-hoc from graph theory. CMC resulted to contain information about the movement type performed as well as the general clinical status of stroke patients in terms of their hand functionality, showing a high potential to be used as input of hybrid BCI (h-BCI) systems. Thus, a processing pipeline for the translation of CMC computation and the consequent CMC-based movement detection from offline to real-time was defined and optimized. A novel h-BCI prototype aimed to Re-establish Cortico-Muscular communication was developed and its feasibility was validated. Moreover, a study on the feedback delivery strategy (i.e. Functional Electrical Stimulation - FES) was performed with the ultimate aim of tailoring the stimulation to patients’ impairment. Such rehabilitative prototype recognizes close-to-normal EEG-EMG coupling during hand movement attempts, taking into account both the CMC features to reinforce during the h-BCI training, and the ones to discourage to avoid the maladaptive movement abnormalities typical of post-stroke recovery. Upon movement detection, it triggers the delivery of FES to the target muscle to support full movement execution. Such system resulted to be reliable and easy-to-use with high accuracy and timing. The developed hybrid device would allow to follow patients along recovery with a strategy tailored on their rehabilitative stage and hence maximizing the time and amount of functional recovery with potentially high impact on the stroke survivors' quality of life (personalized medicine)

    Corticomuscular and Intermuscular Coupling in Simple Hand Movements to Enable a Hybrid Brain-Computer Interface

    Full text link
    Hybrid Brain-Computer Interfaces (BCIs) for upper limb rehabilitation after stroke should enable the reinforcement of "more normal" brain and muscular activity. Here, we propose the combination of corticomuscular coherence (CMC) and intermuscular coherence (IMC) as control features for a novel hybrid BCI for rehabilitation purposes. Multiple electroencephalographic (EEG) signals and surface electromyography (EMG) from 5 muscles per side were collected in 20 healthy participants performing finger extension (Ext) and grasping (Grasp) with both dominant and non-dominant hand. Grand average of CMC and IMC patterns showed a bilateral sensorimotor area as well as multiple muscles involvement. CMC and IMC values were used as features to classify each task versus rest and Ext versus Grasp. We demonstrated that a combination of CMC and IMC features allows for classification of both movements versus rest with better performance (Area Under the receiver operating characteristic Curve, AUC) for the Ext movement (0.97) with respect to Grasp (0.88). Classification of Ext versus Grasp also showed high performances (0.99). All in all, these preliminary findings indicate that the combination of CMC and IMC could provide for a comprehensive framework for simple hand movements to eventually be employed in a hybrid BCI system for post-stroke rehabilitation

    Brain and Muscle derived features to discriminate simple hand motor tasks for a rehabilitative BCI: comparative study on healthy and post-stroke individuals

    No full text
    Brain-Computer Interfaces targeting post-stroke recovery of the upper limb employ mainly electroencephalography to decode movement-related brain activation. Recently hybrid systems including muscular activity were introduced. We compared the motor task discrimination abilities of three different features, namely event-related desynchronization/synchronization (ERD/ERS) and movement-related cortical potential (MRCP) as brain-derived features and cortico-muscular coherence (CMC) as a hybrid brain-muscle derived feature, elicited in 13 healthy subjects and 13 stroke patients during the execution/attempt of two simple hand motor tasks (finger extension and grasping) commonly employed in upper limb rehabilitation protocols. Approach. We employed a three-way statistical design to investigate whether their ability to discriminate the two movements follows a specific temporal evolution along the movement execution and is eventually different among the three features and between the two groups. We also investigated the differences in performance at the single-subject level. Main results. The ERD/ERS and the CMC-based classification showed similar temporal evolutions of the performance with a significant increase in accuracy during the execution phase while MRCP-based accuracy peaked at movement onset. Such temporal dynamics were similar but slower in stroke patients when the movements were attempted with the affected hand. Moreover, CMC outperformed the two brain features in healthy subjects and stroke patients when performing the task with their unaffected hand, whereas a higher variability across subjects was observed in patients performing the tasks with their affected hand. Interestingly, brain features performed better in this latter condition with respect to healthy subjects. Significance. Our results provide hints to improve the design of Brain-Computer Interfaces for post-stroke rehabilitation, emphasizing the need for personalized approaches tailored to patients' characteristics and to the intended rehabilitative target

    Going Beyond Counting First Authors in Author Co-citation Analysis

    Full text link
    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed

    Parallel Factorization to Implement Group Analysis in Brain Networks Estimation

    Full text link
    When dealing with complex functional brain networks, group analysis still represents an open issue. In this paper, we investigated the potential of an innovative approach based on PARAllel FActorization (PARAFAC) for the extraction of the grand average connectivity matrices from both simulated and real datasets. The PARAFAC approach was solved using three different numbers of rank-one tensors (PAR-FACT). Synthetic data were parametrized according to different levels of three parameters: network dimension (NODES), number of observations (SAMPLE-SIZE), and noise (SWAP-CON) in order to investigate the way they affect the grand average estimation. PARAFAC was then tested on a real connectivity dataset, derived from EEG data of 17 healthy subjects performing wrist extension with left and right hand separately. Findings on both synthetic and real data revealed the potential of the PARAFAC algorithm as a useful tool for grand average extraction. As expected, the best performances in terms of FPR, FNR, and AUC were achieved for great values of sample size and low noise level. A crucial role has been revealed for the PAR-FACT parameter, revealing that an increase in the number of rank-one tensors solving the PARAFAC problem leads to an increase in FPR values and, thus, to a worse grand average estimation

    Variations on the Author

    Full text link
    “Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship

    Appropriate Similarity Measures for Author Cocitation Analysis

    Full text link
    We provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis

    Dispelling the Myths Behind First-author Citation Counts

    Full text link
    We conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more sophisticated methods

    Author Index

    No full text
    Nao informado
    corecore