Individuals with severe physical impairments have a reduced ability to communicate through movement and speech. We investigated transcranial Doppler ultrasound as a potential measurement modality for a novel brain-computer interface. It was hypothesized that cognitive activity would result in detectable changes in cerebral blood flow velocity within the middle cerebral arteries. Nine able-bodied participants alternated between rest and two different mental activities - silent word generation and mental rotation. Two analyses were performed to assess the feasibility and practicality of a TCD-based brain-computer interface. Both mental activities were independently differentiated from rest with high accuracy. Intuitive time-domain features were sufficient for classification. Data transmission rate was quadrupled by differentiating all three classes simultaneously using shorter state durations. Transcranial Doppler ultrasound can be used to automatically detect cognitive activity and may be useful as the basis of a brain-computer interface.

The upper extremity is often left with permanent disability following stroke and therapeutic techniques used at present have had limited success. This prospective clinical trial evaluated the effectiveness of mental practice (MP) through motor imagery (MI) a therapy technique to enhance upper extremity motor recovery after stroke. MI ability, upper extremity hand function, finger strength, and motor cortical output were examined in 18 stroke subjects (mean 67.5 years). Subjects were randomly allocated to the MP treatment group or the control group which received cognitive therapy. Both groups received their respective treatment daily for 30 minutes for a 3 week period. Assessments were performed prior to treatment, post treatment and at 3 months post treatment. Imagery ability was measured using the Kinesthetic and Visual Imagery Questionnaire (KVIQ) and mental chronometric testing. Hand function was assessed with the box and block test (BBT) and finger strength with maximum voluntary contraction (MVC). To determine the effect of MI on neural excitability, focal transcranial magnetic stimulation was applied over the primary motor cortex while participants were at rest and while they imagined themselves performing abduction of the index finger. Motor evoked potentials were recorded from the contralateral first dorsal interosseous (FDI), abductor digiti minimi (ADM) and abductor pollicis brevis (APB) muscles. Data were analyzed using multifactor and repeated measures ANOVAs with the significance level set to p < 0.05. Results showed no significant difference between groups on any of the outcome measures (p > 0.05) although all subjects improved their hand function over the study period (p < 0.05). In addition, motor threshold was found to decrease over time (p < 0.001) in all subjects demonstrating improvement in cortical motor excitability and output. Motor evoked potentials (MEPs) elicited during MI were significantly larger compared to those evoked at rest (p < 0.022). MEP amplitudes from FDI, the muscle targeted with MP, showed a significant interaction effect between time and group (p = 0.021) which reflected an increase in MEPs in the MP group over time whereas a decline occurred in the cognitive group. These findings indicate that MI enhances motor cortical output in stroke and that MP using MI appears to increase corticospinal output to the target FDI muscle. No differential effects of MP and cognitive therapy interventions were evident in terms of hand function and finger muscle strength. / Thesis (Master, Rehabilitation Science) -- Queen's University, 2008-04-25 16:23:51.775 / Heart and Stroke Foundation

We investigated an emerging brain-computer interface (BCI) modality, namely, transcranial Doppler ultrasonography (TCD), which measures cerebral blood flow velocity. We hypothesized that a bilateral TCD-driven online BCI would be able to dichotomously classify a user’s intentions with at least 70% accuracy. To test this hypothesis, we had three objectives: (1) to develop a signal classifier that yielded high (>80%) offline accuracies; (2) to develop an online TCD-BCI system with an onscreen keyboard; and, (3) to determine the achievable online accuracy with able-bodied participants. With a weighted, forward feature selection and a Naïve Bayes classifier, sensitivity and specificity of 81.44 ± 8.35% and 82.30 ± 7.39%, respectively, were achieved in the online differentiation of two mental tasks. The average information transfer rate and throughput of the system were 0.87 bits/min and 0.35 ± 0.18 characters/min, respectively. These promising online results encourage future testing of TCD-BCI systems with the target population.

We investigated an emerging brain-computer interface (BCI) modality, namely, transcranial Doppler ultrasonography (TCD), which measures cerebral blood flow velocity. We hypothesized that a bilateral TCD-driven online BCI would be able to dichotomously classify a user’s intentions with at least 70% accuracy. To test this hypothesis, we had three objectives: (1) to develop a signal classifier that yielded high (>80%) offline accuracies; (2) to develop an online TCD-BCI system with an onscreen keyboard; and, (3) to determine the achievable online accuracy with able-bodied participants. With a weighted, forward feature selection and a Naïve Bayes classifier, sensitivity and specificity of 81.44 ± 8.35% and 82.30 ± 7.39%, respectively, were achieved in the online differentiation of two mental tasks. The average information transfer rate and throughput of the system were 0.87 bits/min and 0.35 ± 0.18 characters/min, respectively. These promising online results encourage future testing of TCD-BCI systems with the target population.

The use of transcranial Doppler (TCD) ultrasound for the assessment of cerebral blood flow velocity (CBFV) provides an indication of cerebral blood flow assuming the diameter of the insonated vessel remains constant. Studies using TCD have traditionally described cerebrovascular hemodynamics with respect to CBFV and cerebrovascular resistance (CVRi); however, a more complete assessment of the cerebral circulation can be gleaned from the analysis of within beat characteristic of the TCD velocity waveform for the determination of cerebrovascular tone. Therefore, the general purpose of the presented studies was to assess CBFV responses and within beat characteristic for the description of cerebrovascular hemodynamics after long duration spaceflight, with sustained orthostasis, in response to changes in the partial pressure of end tidal carbon dioxide (PETCO2), and with NG stimulation. After long duration spaceflight, cerebrovascular autoregulation was found to be impaired along with a reduction in cerebrovascular CO2 reactivity (Study 1). Additionally, critical closing pressure (CrCP) was found to be increased suggesting potential remodelling of the cerebrovasculature contributing to an increase in cerebrovascular tone (Study 2). With sustained orthostasis, CBFV was found to progressively decrease and to be related to reductions in PETCO2 and increases in CrCP suggesting the contribution of changes in cerebrovascular tone leading to the development of syncope (Study 4). The CBFV reduction with the progression towards syncope was also associated with changes in waveform morphology such that the dicrotic notch point was less than the end diastolic value (Study 3). Mathematical modelling (RCKL) was used to further assess changes in cerebrovascular hemodynamics for physiological interpretation of changes in CBFV waveform morphology and found that the amplitude of the dicrotic notch and the calculation of the augmentation index were both significantly related to vascular compliance before and after stimulation with NG (Study 5). The use of quantitative assessments of common carotid artery (CCA) blood flow as an indicator of cerebral blood flow suggested the dilation of the middle cerebral artery (MCA) with NG (Study 5 and 6) and changes in MCA diameter with acute alterations in PETCO2 (Study 6). CCA and MCA velocity wave morphology were assessed showing that with changes in PETCO2, changes in CBFV velocity wave were not reflected in the CCA trace (Study 7). In addition, further assessment of the CBFV velocity trace and the calculation of CrCP and the augmentation index suggested that with changes in PETCO2 cerebrovascular compliance and cerebrovascular tension, both thought to be components of cerebrovascular tone, change independently (Study 7). Combined, the results of the presented studies suggest that changes in cerebrovascular hemodynamics can be determined from alterations in the CBFV velocity waveform morphology. However, further work is required to determine how these variations relate to specific components of cerebrovascular tone, including alterations in cerebrovascular compliance and vascular tension, and how these variables change with acute and chronic alterations in cerebrovascular hemodynamics.

No description available.

Over the past decade, efforts have been made to assess the positive therapeutic effects of transcranial magnetic stimulation (TMS) by altering the excitability of the brain. We conducted a double-blind, placebo-controlled study to assess the efficacy of right prefrontal slow repetitive TMS in patients with treatment refractory major depression. This pilot study supports the therapeutic potential of rTMS in the low-frequency range of 1 Hz on right prefrontal cortex for the treatment of refractory major depression. Additional studies will be necessary to assess the efficacy of rTMS with different indices (frequency, intensity, and stimulation site) for major depression and other psychiatric diseases.

Afferent Inhibition is the reduction in motor output when Transcranial Magnetic Stimulation (TMS) of the motor cortex is preceded by peripheral nerve stimulation. Afferent inhibition can be subdivided into two circuits of Short- (SAI) and Long-Afferent Inhibition (LAI). Reliability reflects the repeatability of a measure and can be measured in terms of both absolute and relative reliability. Relative reliability refers to the ability of a measure to identify individuals on repeated testing, measured through the Intraclass Correlation Coefficient (ICC); absolute reliability is the repeatability of scores through repeated testing, measured through Standard Error of Measurement (SEM) and Smallest Detectable Change (SDC). Current literature has highlighted only the intersession reliability of SAI and LAI, but measures of the intrasession reliability are also needed. This study aims to quantify the intrasession reliability of SAI and LAI, alongside identifying the minimum number of trials needed to obtain a reliable measure. 30 healthy individuals (21.17 ± 2.84 years) took part in one session, with SAI and LAI obtained three times at 30-minute intervals. To identify the minimum number of trials required to reliably elicit SAI and LAI, relative reliability was assessed at running intervals of every 5 trials. Results indicate that SAI had moderate–high, and LAI had high-excellent relative reliability. Both SAI and LAI had high amounts of measurement error. LAI was seen to have high relative reliability when only 5 frames of data were included, whereas for SAI, ~20-30 frames of data resulted in high relative reliability. For LAI, a minimal sample size of 19 is needed to have an SDCGroup < 10, whereas for SAI, a sample size of 22 is needed to achieve the same. These results can be used to inform future work regarding the clinical utility of these measures, particularly in terms of their diagnostic ability. / Thesis / Master of Science (MSc)

No description available.

No description available.