Biology subjects

Birbaumer, N.

Publications and source records attributed to Birbaumer, N..

4 recordsLinked to original sources

bioRxiv2024

Unveiling Movement Intention after Stroke: Integrating EEG and EMG for Motor Rehabilitation

Detecting attempted movements of a paralyzed limb is a key step for neural interfaces for motor rehabilitation and restoration after a stroke. In this paper, we present a systematic evaluation of electroencephalographic (EEG) and electromyographic (EMG) activity to decode when stroke patients with severe upper-limb paralysis attempt to move their affected arm. EEG and EMG recordings of 35 chronic stroke patients were analyzed. We trained classifiers to discriminate between rest and movement attempt states relying on brain, muscle, or both types of features combined. Our results reveal that: i) EEG and residual EMG features provide complementary information to detect attempted movements, obtaining significantly higher decoding accuracy when both sources of activity are combined; ii) EMG-based, but not EEG-based, decoding accuracy correlates with the degrees of impairment of the patient; and iii) the percentage of patients that achieve decoding accuracy above the chance level strongly depends on the type of features considered, and can be as low as 50% of them if only ipsilesional EEG is used. These results offer new perspectives to develop improved neurotechnologies that establish a more accurate contingent link between the central and peripheral nervous system after a stroke, leveraging Hebbian learning and facilitating functional plasticity and recovery.

neuroscience↗

bioRxiv2019

Enhanced insular connectivity with speech sensorimotor regions in trained singers: a resting-state fMRI study

The insula contributes to the detection of salient events during goal-directed behavior and participates in the coordination of motor, multisensory, and cognitive systems. Recent task-fMRI studies with trained singers suggest that singing experience can enhance the access to these resources. However, the long-term effects of vocal training on insula based networks are still unknown. In this study, we employed resting-state fMRI to assess experience-dependent differences in insula co-activation patterns between conservatory-trained singers and non-singers. Results indicate enhanced bilateral insula connectivity in singers relative to non-singers with constituents of the speech sensorimotor network in both hemispheres. Specifically, with the cerebellum (lobule VI, crus 2), primary somatosensory cortex, the parietal lobes, and the thalamus. Furthermore, singing training predicted enhanced bilateral co-activation of primary sensorimotor areas representing the larynx (with left dorsal anterior insula, dAI) and the diaphragm (with bilateral dAI)--crucial regions for cortico-motor control of complex vocalizations, as well as the thalamus (with bilateral posterior insula/left dAI) and the left putamen (with left dAI). Together, these data support a crucial role of the insula in respiratory and laryngeal control and suggest that singing experience enhances the integration of somatosensory information within the speech motor system, perhaps by strengthening salient associations of bodily signals associated with conscious and non-conscious aspects of expressive language production within a musical framework.

neuroscience↗

bioRxiv2018

The timing of hemodynamic changes reliably reflects spiking activity

Functional neuroimaging is a powerful non-invasive tool for studying brain function, using changes in blood-oxygenation as a proxy for underlying neuronal activity. The neuroimaging signal correlates with both spiking, and various bands of the local field potential (LFP), making the inability to discriminate between them a serious limitation for interpreting hemodynamic changes. Here, we record activity from the striate cortex in two anesthetized monkeys (Macaca mulatta), using simultaneous functional near-infrared spectroscopy (fNIRS) and intra-cortical electrophysiology. We find that low-frequency LFPs correlate with hemodynamic signals peak amplitude, whereas spiking correlates with its peak-time and initial-dip. We also find spiking to be more spatially localized than low-frequency LFPs. Our results suggest that differences in spread of spiking and low-frequency LFPs across cortical surface influence different parameters of the hemodynamic response. Together, these results demonstrate that the hemodynamic response-amplitude is a poor correlate of spiking activity. Instead, we demonstrate that the timing of the initial-dip and the hemodynamic response are much more reliable correlates of spiking, reflecting bursts in spike-rate and total spike-counts respectively.

neuroscience↗

bioRxiv2017

Brain-Computer Interfaces for Post-Stroke Motor Rehabilitation: A Meta-Analysis

ObjectiveBrain-computer interfaces (BCIs) can provide sensory feedback of ongoing brain oscillations enabling stroke survivors to modulate their sensorimotor rhythms purposefully. A number of recent clinical studies indicate that repeated use of such BCIs might trigger neurological recovery and hence improvement in motor function. Here we provide a first meta-analysis evaluating the clinical effectiveness of BCI-based post-stroke motor rehabilitation.\n\nMethodsTrials were identified using MEDLINE, CENTRAL, PEDro and by inspection of references in several review articles. We selected randomized controlled trials that used BCIs for post-stroke motor rehabilitation and provided motor impairment scores before and after the intervention. A random-effects inverse variance method was used to calculate the summary effect size.\n\nResultsWe initially identified 524 articles and, after removing duplicates, we screened titles and abstracts of 473 articles. We found 26 articles corresponding to BCI clinical trials, of these, there were nine studies that involved a total of 235 post-stroke survivors fulfilling the inclusion criterion (randomized controlled trials that examined motor performance as an outcome measure) for the meta-analysis. Motor improvements, mostly quantified by the upper limb Fugl-Meyer Assessment (FMA-UE), exceeded the minimal clinical important difference (MCID=5.25) in six BCI studies, while such improvement was reached only in three control groups. Overall, the BCI training was associated with a standardized mean difference (SMD) of 0.79 (95% CI: 0.37 to 1.20) in FMA-UE compared to control conditions, which is in the range of medium to large summary effect size. In addition, several studies indicated BCI-induced functional and structural neuroplasticity at a sub-clinical level.\n\nInterpretationWe found a medium to large effect size of BCI therapy compared to controls. This suggests that BCI technology might be an effective intervention for post-stroke upper limb rehabilitation. However, more studies with larger sample size are required to increase the reliability of these results.

neuroscience↗