Real-time closed-loop control of cognitive load in neurological patients during robot-assisted gait training

IEEE Transactions on Neural Systems and Rehabilitation Engineering

Volumn 19, Issue 4, 2011, Pages 453-464

  Koenig, Alexander ^a,b   Novak, Domen ^c   Omlin, Ximena ^a,b   Pulfer, Michael ^a   Perreault, Eric ^d   Zimmerli, Lukas ^a,e   Mihelj, Matjaz ^c   Riener, Robert ^a,b  

^a ETH ZURICH   (Switzerland)

^b BALGRIST UNIVERSITY HOSPITAL   (Switzerland)

^c UNIVERSITY OF LJUBLJANA   (Slovenia)

^d Northwestern University   (United States)

^e 5Hocoma AG   (Switzerland)

Author keywords

Bio cooperative control; cognitive control; Lokomat; psychophysiology; stroke rehabilitation

Indexed keywords

ADAPTIVE CLASSIFIERS; CLASSIFICATION RESULTS; CLOSED-LOOP CONTROL; CO-OPERATIVE CONTROL; COGNITIVE CAPABILITY; COGNITIVE CONTROL; COGNITIVE IMPAIRMENT; COGNITIVE LOADS; GAIT TRAINING; HEALTHY SUBJECTS; LOKOMAT; NEUROLOGICAL PATIENT; OPEN LOOPS; PERFORMANCE DATA; STROKE PATIENTS; STROKE REHABILITATION; TRAINING DATA; TRAINING SESSIONS;

ROBOTS; SURVEYS;

PATIENT REHABILITATION;

ADAPTIVE BEHAVIOR; ADULT; AGED; ALGORITHM; ARTICLE; BREATHING RATE; COGNITION; COMPUTER; COMPUTER INTERFACE; COMPUTER SYSTEM; ELECTRODERMAL RESPONSE; EXERCISE; FACTUAL DATABASE; FEMALE; GAIT; HEART RATE; HUMAN; KINESIOTHERAPY; MALE; METHODOLOGY; MIDDLE AGED; NEUROLOGIC DISEASE; PATHOPHYSIOLOGY; PHYSIOLOGY; PSYCHOMOTOR PERFORMANCE; QUESTIONNAIRE; ROBOTICS; SKIN TEMPERATURE; STATISTICAL MODEL; STROKE; WALKING;

ADAPTATION, PSYCHOLOGICAL; ADULT; AGED; ALGORITHMS; COGNITION; COMPUTER SYSTEMS; COMPUTERS; DATABASES, FACTUAL; EXERCISE THERAPY; FEMALE; GAIT; GAIT DISORDERS, NEUROLOGIC; GALVANIC SKIN RESPONSE; HEART RATE; HUMANS; LINEAR MODELS; MALE; MIDDLE AGED; PHYSICAL EXERTION; PSYCHOMOTOR PERFORMANCE; QUESTIONNAIRES; RESPIRATORY RATE; ROBOTICS; SKIN TEMPERATURE; STROKE; USER-COMPUTER INTERFACE; WALKING;

EID: 80051761485     PISSN: 15344320     EISSN: None     Source Type: Journal    
DOI: 10.1109/TNSRE.2011.2160460     Document Type: Article

References (45)

1. A. Kaelin-Lang, L. Sawaki, and L. G. Cohen, "Role of voluntary drive in encoding an elementary motor memory," J. Neurophysiol., vol. 93, no. 2, pp. 1099-1103, 2005.
2. M. Lotze, C. Braun, N. Birbaumer, S. Anders, and L. G. Cohen, "Motor learning elicited by voluntary drive," Brain, vol. 126, no. Pt 4, pp. 866-72, 2003. (Pubitemid 36372985)
3. N. Maclean and P. Pound, "A critical review of the concept of patient motivation in the literature on physical rehabilitation," Soc. Sci. Med., vol. 50, no. 4, pp. 495-506, 2000. (Pubitemid 29509735)
4. J. A. Taylor and K. A. Thoroughman, "Motor adaptation scaled by the difficulty of a secondary cognitive task," PLoS One, vol. 3, no. 6, p. E2485, 2008.
5. G. M. Redding, S. D. Rader, and D. R. Lucas, "Cognitive load and prism adaptation," J. Motor Behavior, vol. 24, no. 3, pp. 238-246, 1992.
6. M. K. Holden, "Virtual environments for motor rehabilitation: Review," Cyberpsychol. Behav., vol. 8, no. 3, pp. 212-9, 2005.
7. V. G. Duffy, Handbook of Digital Human Modeling: Research for Applied Ergonomics and Human Factors Engineering. Boca Raton, FL: CRC, 2008.
8. J. Andreassi, Psychophysiology: Human Behavior and Physiological Response, 5th ed. Mahwah: Lawrence Erlbaum Associates, 2007.
9. K. Hugdahl, Psychophysiology: The Mind-Body Perspective. Cambridge, U.K.: Harvard Univ. Press, 1995.
10. J. P. A. Delaney and D. A. Brodie, "Effects of short-term psychological stress on the time and frequency domains of heart-rate variability," Perceptual Motor Skills, vol. 91, no. 2, pp. 515-524, 2000.
11. R. McCraty, M. Atkinson, W. A. Tiller, G. Rein, and A. D. Watkins, "The effects of emotions on short-term power spectrum analysis of heartrate- variability," Am. J. Cardiol., vol. 76, no. 14, pp. 1089-1093, 1995.
12. J. T. Cacioppo, L. Tassinary, and G. Berntson, Handbook of Psychophysiology, 2nd ed. Cambridge, U.K.: Cambridge Press 2000, 2000.
13. A. F. Ax, "The physiological differentiation between fear and anger in humans," Psychosomatic Med., vol. 15, no. 5, pp. 433-442, 1953.
14. M. E. Dawson, A. M. Schell, and D. L. Filion, Handbook of Psychophysiology, 3rd ed. Cambridge, U.K.: Cambridge Univ. Press, 2007, pp. 159-181.
15. D. Carroll, J. R. Turner, and R. Prasad, "The effects of level of difficulty of mental arithmetic challenge on heart rate ande oxygen-consumption," Int. J. Psychophysiol., vol. 4, no. 3, pp. 167-173, 1986. (Pubitemid 17185894)
16. F. A. Boiten, N. H. Frijda, and C. J. E. Wientjes, "Emotions and respiratory patterns: Review and critical analysis," Int. J. Psychophysiol., vol. 17, no. 2, pp. 103-128, 1994. (Pubitemid 24244976)
17. J. G. Rousselle, J. Blascovich, and R. M. Kelsey, "Cardiorespiratory response under combined psychological and exercise stress," Int. J. Psychophysiol., vol. 20, no. 1, pp. 49-58, 1995.
18. R. Levenson, P. Ekman, and W. Friesen, "Voluntary facial action generates emotion-specific autonomic nervous system activity," Psychophysiology, vol. 27, no. 4, pp. 363-384, 1990. (Pubitemid 20383452)
19. P. Gomez, P. Zimmermann, S. Guttormsen-Schr, and B. Danuser, "Respiratory responses associated with affective processing of film stimuli," Biol. Psychol., vol. 68, no. 3, pp. 223-235, 2005. (Pubitemid 40023357)
20. D. Palomba, M. Sarlo, A. Angrilli, A. Mini, and L. Stegagno, "Cardiac responses associated with affective processing of unpleasant film stimuli," Int. J. Psychophysiol., vol. 36, no. 1, pp. 45-57, 2000. (Pubitemid 30105807)
21. M. Codispoti, P. Surcinelli, and B. Baldaro, "Watching emotional movies: Affective reactions and gender differences," Int. J. Psychophysiol., vol. 69, no. 2, pp. 90-95, 2008.
22. M. Ohsuga, F. Shimono, and H. Genno, "Assessment of phasic work stress using autonomic indices," Int. J. Psychophysiol., vol. 40, no. 3, pp. 211-220, 2001. (Pubitemid 32157071)
23. S. E. Rimm-Kaufman and J. Kagan, "The psychological significance of changes in skin temperature," Motivation Emotion, vol. 20, no. 1, pp. 63-78, 1996.
24. R. Riener and M. Munih, "Guest editorial: Special section on rehabilitation via bio-cooperative control," IEEE Trans. Neural Syst. Rehabil. Eng., vol. 18, no. 4, p. 2, Aug. 2010.
25. A. Koenig, X. Omlin, L. Zimmerli, M. Sapa, C. Krewer,M. Bolliger, F. Mueller, and R. Riener, "Psychological state estimation from physiological recordings during robot assisted gait rehabilitation," J. Rehabil. Res. Develop., vol. 48, no. 4, pp. 367-386, 2011.
26. D. Novak, J. Ziherl, A. Olensek, M. Milavec, J. Podobnik, M. Mihelj, and M. Munih, "Psychophysiological responses to robotic rehabilitation tasks in stroke," IEEE Trans. Neural Syst. Rehabil. Eng., vol. 18, no. 4, pp. 351-61, Aug. 2010.
27. P. Rani, J. Sims, R. Brackin, and N. Sarkar, "Online stress detection using psychophysiological signals for implicit human-robot cooperation," Robotica, vol. 20, p. 13, 2002.
28. S. D. Kreibig, "Autonomic nervous system activity in emotion: A review," Biol Psychol, vol. 84, p. 394421, 2010.
29. I. Christov, "Real time electrocardiogram QRS detection using combined adaptive threshold," BioMedical Engineering OnLine, vol. 3, no. 28, p. 8, 2004.
30. M. Malik, "Heart rate variability-standards of measurement, physiological interpretation and clinical use," Eur. Heart J., vol. 17, p. 28, 1996.
31. R. Banz, M. Bolliger, G. Colombo, V. Dietz, and L. Lunenburger, "Computerized visual feedback: An adjunct to robotic-assisted gait training," Phys Ther, vol. 88, no. 10, pp. 1135-45, 2008.
32. C. Bishop, Pattern Recognition and Machine Learning. New York: Springer, 2006, Information Science and Statistics.
33. C. Vidaurre, A. Schlogl, R. Cabeza, R. Scherer, and G. Pfurtscheller, "Study of on-line adaptive discriminant analysis for EEG-based brain computer interfaces," IEEE Trans. Biomed. Eng., vol. 54, no. 3, pp. 550-6, Mar. 2007. (Pubitemid 46371248)
34. D. Novak, M. Mihelj, J. Ziherl, A. Olensek, and M. Munih, "Measuring motor actions and psychophysiology for task difficulty estimation in human-robot interaction," in Proc. Measuring Behavior, 2010, pp. 269-272.
35. J. T. Korpelainen, K. A. Sotaniemi, H. V. Huikuri, and V. V. Myllyla, "Abnormal heart rate variability as a manifestation of autonomic dysfunction in hemispheric brain infarction," Stroke, vol. 27, no. 11, pp. 2059-2063, 1996. (Pubitemid 26372581)
36. S. Meyer, M. Strittmatter, C. Fischer, T. Georg, and B. Schmitz, "Lateralization in autononic dysfunction in ischemic stroke involving the insular cortex," NeuroReport, vol. 15, no. 2, pp. 357-361, 2004. (Pubitemid 38297365)
37. S. L. Tokgozoglu, M. K. Batur, M. A. Topcuoglu, O. Saribas, S. Kes, and A. Oto, "Effects of stroke localization on cardiac autonomic balance and sudden death," Stroke, vol. 30, no. 7, pp. 1307-1311, 1999. (Pubitemid 29296054)
38. E. Carrillo, L. Moya-Albiol, E. Gonzlez-Bono, A. Salvador, J. Ricarte, and J. Gmez-Amor, "Gender differences in cardiovascular and electrodermal responses to public speaking task: The role of anxiety and mood states," Int. J. Psychophysiol., vol. 42, no. 3, pp. 253-264, 2001. (Pubitemid 32964654)
39. T. Ritvanen, V. Louhevaara, P. Helin, S. Visnen, and O. Hnninen, "Responses of the autonomic nervous system during periods of perceived high and low work stress in younger and older female teachers," Appl. Ergonomics, vol. 37, no. 3, pp. 311-318, 2006. (Pubitemid 43188078)
40. A. C. Phillips, D. Carroll, K. Hunt, and G. Der, "The effects of the spontaneous presence of a spouse/partner and others on cardiovascular reactions to an acute psychological challenge," Psychophysiology, vol. 43, no. 6, pp. 633-640, 2006. (Pubitemid 44657107)
41. S. Andersson and A. Finset, "Heart rate and skin conductance reactivity to brief psychological stress in brain-injured patients," Journal of Psychosomatic Research, vol. 44, no. 6, pp. 645-656, 1998. (Pubitemid 28260764)
42. D. Novak, M. Mihelj, and M. Munih, "Psychophysiological responses to different levels of cognitive and physical workload in haptic interaction," Robotica, pp. 1-8, 2010.
43. W. L. Wasmund, E. C. Westerholm, D. E. Watenpaugh, S. L. Wasmund, and M. L. Smith, "Interactive effects of mental and physical stress on cardiovascular control," J. Appl. Physiol., vol. 92, no. 5, pp. 1828-1834, 2002. (Pubitemid 34666407)
44. H. Naver, C. Blomstrand, S. Ekholm, C. Jensen, T. Karlsson, and B. G. Wallin, "Autonomic and thermal sensory symptoms and dysfunction after stroke," Stroke, vol. 26, no. 8, pp. 1379-1385, 1995.
45. J. Korpelainen, U. Tolonen, K. Sotaniemi, and V. Myllyla, "Suppressed sympathetic skin response in brain infarction," Stroke, vol. 24, no. 9, pp. 1389-1392, 1993. (Pubitemid 23254645)