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O'Keeffe, R.

Publications and source records attributed to O'Keeffe, R..

7 recordsLinked to original sources

Lower-limb Nonparametric Functional Muscle Network: Test-retest Reliability Analysis

ObjectiveFunctional muscle network analysis has attracted a great deal of interest in recent years, promising high sensitivity to changes of intermuscular synchronicity, studied mostly for healthy subjects and recently for patients living with neurological conditions (e.g., those caused by stroke). Despite the promising results, the between- and within-session reliability of the functional muscle network measures are yet to be established. Here, for the first time, we question and evaluate the test-retest reliability of non-parametric lower-limb functional muscle networks for controlled and lightly-controlled tasks, i.e., sit-to-stand, and over-the-ground walking, respectively, in healthy subjects. MethodFifteen subjects (eight females) were included over two sessions on two different days. The muscle activity was recorded using 14 surface electromyography (sEMG) sensors. The intraclass correlation coefficient (ICC) of the within-session and between-session trials was quantified for the various network metrics, including degree and weighted clustering coefficient. In order to compare with common classical sEMG measures, the reliabilities of the root mean square (RMS) of sEMG and the median frequency (MDF) of sEMG were also calculated. ResultsThe ICC analysis revealed superior between-session reliability for muscle networks, with statistically significant differences when compared to classic measures. Conclusion and SignificanceThis paper proposed that the topographical metrics generated from functional muscle network can be reliably used for multi-session observations securing high reliability for quantifying the distribution of synergistic intermuscular synchronicities of both controlled and lightly controlled lower limb tasks. In addition, the low number of sessions required by the topographical network metrics to reach reliable measurements indicates the potential as biomarkers during rehabilitation.

bioengineering↗

Linear versus Nonlinear Muscle Networks: A Case Study to Decode Hidden Synergistic Patterns During Dynamic Lower-limb Tasks

This paper, for the first time, compares the behaviors of nonlinear versus linear muscle networks in decoding hidden peripheral synergistic neural patterns during dynamic functional tasks. In this paper, we report a case study during which one healthy subject conducts a series of four lower limb repetitive tasks. Specifically, the paper focuses on tasks that involve the right knee joint, including walking, sit-tostand, stepping, and drop-jump. Twelve muscles were recorded using the Delsys Trigno system. The linear muscle network was generated using coherence analysis, and the nonlinear network was generated using Spearmans correlation. The results show that the degree, clustering coefficient, and global efficiency of the muscle network have the highest value among tasks in the linear domain for the walking task, while a low linear synergistic network behavior for the sit-to-stand is observed. On the other hand, the results show that the nonlinear functional muscle network decodes high connectivity (degree) and clustering coefficient and efficiency for the sit-tostand when compared with other tasks. We have also developed a two-dimensional functional connectivity plane composed of linear and nonlinear features and shown that it can span the lower-limb dynamic task space. The results of this paper for the first time highlight the importance of observing both linear and nonlinear connectivity patterns, especially for complex dynamic tasks. It should also be noted that through a simultaneous EEG recording (using BrainVision System), we have shown that, indeed, cortical activity may indirectly explain highly-connected nonlinear muscle network for the sit-to-stand task, highlighting the importance of nonlinear muscle network as a neurophysiological window of observation beyond the periphery.

bioengineering↗

Perilaryngeal Functional Muscle Network in Patients with Vocal Hyperfunction - A Case Study

Patients with both phonotraumatic and non-phonotraumatic dysphonia commonly present with vocal hyperfunction, defined as excessive perilaryngeal muscle activity and characterized by muscular pain and strain in the neck, increased vocal effort, and vocal fatigue. The inability to reliably measure vocal hyperfunction is a barrier to adequate evaluation and treatment of hyperfunctional voice disorders. We have recently demonstrated that the perilaryngeal functional muscle network can be a novel sensitive neurophysiological window to vocal performance in vocally healthy subjects. In this paper, for the first time, we evaluate the performance and symmetry of functional perilaryngeal muscle networks in three patients with voice disorders. Surface electromyography signals were recorded from twelve sensors (six on each side of the neck) using the wireless Trigno sEMG system (Delsys Inc., Natick, MA). Patient 1 was diagnosed with primary muscle tension dysphonia, Patient 2 was diagnosed with unilateral vocal fold paresis, and Patient 3 was diagnosed with age-related glottal insufficiency. This paper reports altered functional connectivity and asymmetric muscle network scan behavior in all three patients when compared with a cohort of eight healthy subjects. Our approach quantifies synergistic network activity to interrogate coordination of perilaryngeal and surrounding muscles during voicing and potential discoordination of the muscle network for dysphonic conditions. Asymmetry in muscle networks is proposed here as a biomarker for monitoring vocal hyperfunction.

bioengineering↗

Low-frequency motor cortex EEG predicts four levels of rate of change of force during ankle dorsiflexion

The movement-related cortical potential (MRCP) is a low-frequency component of the electroencephalography (EEG) signal recorded from the motor cortex and its neighboring cortical areas. Since the MRCP encodes motor intention and execution, it may be utilized as an interface between patients and neurorehabilitation technologies. This study investigates the EEG signal recorded from the Cz electrode to discriminate between four levels of rate of force development (RFD) of the tibialis anterior muscle. For classification, three feature sets were evaluated to describe the EEG traces. These were (i) MRCP morphological characteristics in the{delta} -band such as amplitude and timing, (ii) MRCP statistical characteristics in the{delta} -band such as mean, standard deviation, and kurtosis, and (iii) wideband time-frequency features in the 0.5-90 Hz range. Using a support vector machine for classification, the four levels of RFD were classified with a mean (SD) accuracy of 82% (7%) accuracy when using the time-frequency feature space, and with an accuracy of 75% (12%) when using the MRCP statistical characteristics. It was also observed that some of the key features from the statistical and morphological sets responded monotonically to the intensity of the RFD. Examples are slope and standard deviation in the (0, 1)s window for the statistical, and min1 and minn for the morphological sets. This monotonical response of features explains the observed performance of the{delta} -band MRCP and corresponding high discriminative power. Results from temporal analysis considering the pre-movement phase ((-3, 0)s) and three windows of the post-movement phase ((0, 1)s, (1, 2)s, and (2, 3)s)) suggest that the complete MRCP waveform represents high information content regarding the planning, execution, duration, and ending of the isometric dorsiflexion task using the tibialis anterior muscle. Results shed light on the role of{delta} -band in translating to motor command, with potential applications in neural engineering systems.

bioengineering↗

InfoMuNet: Information-theory-based Functional Muscle Network Tracks Sensorimotor Integration Post-stroke

Sensory information is critical for motor coordination. However, understanding sensorimotor integration is complicated, especially in individuals with nervous system impairment. This research presents a novel functional biomarker, based on a nonlinear network graph of muscle connectivity, called InfoMuNet, to quantify the role of sensory information in motor performance. Thirty-two individuals with post-stroke hemiparesis performed a grasp-and-lift task while muscle activities were measured using eight surface electromyography (sEMG) sensors. Subjects performed the task with their affected hand before and after exposure to the sensory stimulation elicited by performing the task with the less-affected hand. For the first time, this work shows that InfoMuNet robustly quantifies functional muscle connectivity improvements in the affected hand after exposure of the less-affected side to sensory information. >90% of the subjects conformed with the improvement resulting from this sensory exposure. InfoMuNet also shows high sensitivity to tactile, kinesthetic, and visual input alterations at the subject level, highlighting the potential use in precision rehabilitation interventions.

neuroscience↗

Non-parametric Functional Muscle Network as a Robust Biomarker of Fatigue

The possibility of muscle fatigue detection using surface electromyography has been explored and multiple biomarkers, such as median frequency, have been suggested. However, there are contradictory reports in the literature which results in an inconsistent understanding of the biomarkers of fatigue. Thus, there is an unmet need for a statistically robust sEMG-based biomarker for fatigue detection. This paper, for the first time, demonstrates the superior capability of a non-parametric muscle network to reliably detect fatigue-related changes. Seven healthy volunteers completed a lower limb exercise protocol, which consisted of 30s of a sit-to-stand exercise before and after the completion of fatiguing leg press sets. A non-parametric muscle network was constructed, using Spearmans power correlation and showed a very reliable decrease in network metrics associated with fatigue (degree, weighted clustering coefficient (WCC)). The network metrics displayed a significant decrease at the group level (degree, WCC: p < 0.001), individual subject level (degree: p < 0.035 WCC: p < 0.004) and particular muscle level (degree: p < 0.017). Regarding the decrease in mean degree connectivity at particular muscles, all seven subjects followed the group trend. In contrast to the robust results achieved by the proposed non-parametric muscle network, classical spectrotemporal measurements showed heterogeneous trends at the particular muscle and individual subject levels. Thus, this paper for the first time shows that non-parametric muscle network is a reliable biomarker of fatigue and could be used in a broad range of applications.

neuroscience↗

Characterization of Cervical-Cranial Muscle Network in Correlation with Vocal Features

Objective evaluation of physiological responses using non-invasive methods has attracted great interest regarding the assessment of vocal performance and disorders. This paper, for the first time, demonstrates that the topographical features of the cervical-cranial intermuscular coherence network generated using surface electromyography (sEMG) have a strong potential for detecting subtle changes in vocal performance. For this purpose, in this paper, 12 sEMG signals were collected from six cervical and cranial muscles bilaterally. Data were collected from four subjects without a history of a voice disorder performing a series of vocal tasks. The vocal tasks were varied phonation (an /a/ sustained for the maximal duration with combinations of two levels of loudness and two levels of pitch), a pitch glide from low to high, singing a familiar song, spontaneous speech, and reading with different loudness levels. The varied phonation tasks showed the median degree, and weighted clustering coefficient of the coherence-based intermuscular network ascends monotonically, with a high effect size (|rrb| = 0.52). The set of tasks, including pitch glide, singing, and speech, was significantly distinguishable using the network features as both degree and weighted clustering coefficient had a very high effect size (|rrb| > 0.83) across these tasks. Also, pitch glide has the highest degree and weighted clustering coefficient among all tasks (degree > 0.6, weighted clustering coefficient > 0.6). Spectrotemporal features performed far less effective than the proposed functional muscle network metrics to differentiate the vocal tasks. The highest effect size for spectrotemporal features was only |rrb| = 0.19. In this paper, for the first time, the power of a cervical-cranial muscle network has been demonstrated as a neurophysiological window to vocal performance. The results also shed light on the tasks with the highest network involvement, which may be potentially used in monitoring vocal disorders and tracking rehabilitation progress.

neuroscience↗