Closed-loop adaptation of neurofeedback based on mental effort facilitates reinforcement learning of brain self-regulation.

OBJECTIVE: Considering self-rated mental effort during neurofeedback may improve training of brain self-regulation. METHODS: Twenty-one healthy, right-handed subjects performed kinesthetic motor imagery of opening their left hand, while threshold-based classification of beta-band desynchronization resulted in proprioceptive robotic feedback. The experiment consisted of two blocks in a cross-over design. The participants rated their perceived mental effort nine times per block. In the adaptive block, the threshold was adjusted on the basis of these ratings whereas adjustments were carried out at random in the other block. Electroencephalography was used to examine the cortical activation patterns during the training sessions. RESULTS: The perceived mental effort was correlated with the difficulty threshold of neurofeedback training. Adaptive threshold-setting reduced mental effort and increased the classification accuracy and positive predictive value. This was paralleled by an inter-hemispheric cortical activation pattern in low frequency bands connecting the right frontal and left parietal areas. Optimal balance of mental effort was achieved at thresholds significantly higher than maximum classification accuracy. CONCLUSION: Rating of mental effort is a feasible approach for effective threshold-adaptation during neurofeedback training. SIGNIFICANCE: Closed-loop adaptation of the neurofeedback difficulty level facilitates reinforcement learning of brain self-regulation.

Predicting workload profiles of brain-robot interface and electromygraphic neurofeedback with cortical resting-state networks: personal trait or task-specific challenge?

OBJECTIVE: Novel rehabilitation strategies apply robot-assisted exercises and neurofeedback tasks to facilitate intensive motor training. We aimed to disentangle task-specific and subject-related contributions to the perceived workload of these interventions and the related cortical activation patterns. APPROACH: We assessed the perceived workload with the NASA Task Load Index in twenty-one subjects who were exposed to two different feedback tasks in a cross-over design: (i) brain-robot interface (BRI) with haptic/proprioceptive feedback of sensorimotor oscillations related to motor imagery, and (ii) control of neuromuscular activity with feedback of the electromyography (EMG) of the same hand. We also used electroencephalography to examine the cortical activation patterns beforehand in resting state and during the training session of each task. MAIN RESULTS: The workload profile of BRI feedback differed from EMG feedback and was particularly characterized by the experience of frustration. The frustration level was highly correlated across tasks, suggesting subject-related relevance of this workload component. Those subjects who were specifically challenged by the respective tasks could be detected by an interhemispheric alpha-band network in resting state before the training and by their sensorimotor theta-band activation pattern during the exercise. SIGNIFICANCE: Neurophysiological profiles in resting state and during the exercise may provide task-independent workload markers for monitoring and matching participants' ability and task difficulty of neurofeedback interventions.

Bridging the gap between motor imagery and motor execution with a brain-robot interface.

According to electrophysiological studies motor imagery and motor execution are associated with perturbations of brain oscillations over spatially similar cortical areas. By contrast, neuroimaging and lesion studies suggest that at least partially distinct cortical networks are involved in motor imagery and execution. We sought to further disentangle this relationship by studying the role of brain-robot interfaces in the context of motor imagery and motor execution networks. Twenty right-handed subjects performed several behavioral tasks as indicators for imagery and execution of movements of the left hand, i.e. kinesthetic imagery, visual imagery, visuomotor integration and tonic contraction. In addition, subjects performed motor imagery supported by haptic/proprioceptive feedback from a brain-robot-interface. Principal component analysis was applied to assess the relationship of these indicators. The respective cortical resting state networks in the α-range were investigated by electroencephalography using the phase slope index. We detected two distinct abilities and cortical networks underlying motor control: a motor imagery network connecting the left parietal and motor areas with the right prefrontal cortex and a motor execution network characterized by transmission from the left to right motor areas. We found that a brain-robot-interface might offer a way to bridge the gap between these networks, opening thereby a backdoor to the motor execution system. This knowledge might promote patient screening and may lead to novel treatment strategies, e.g. for the rehabilitation of hemiparesis after stroke.