Ozge Yilmaz

Brain-machine interface in chronic stroke rehabilitation: a controlled study.

Chronic stroke patients with severe hand weakness respond poorly to rehabilitation efforts. Here, we evaluated efficacy of daily brain–machine interface (BMI) training to increase the hypothesized beneficial effects of physiotherapy alone in patients with severe paresis in a double‐blind sham‐controlled design proof of concept study.

Quantifying the Link between Anatomical Connectivity, Gray Matter Volume and Regional Cerebral Blood Flow: An Integrative MRI Study

Background In the graph theoretical analysis of anatomical brain connectivity, the white matter connections between regions of the brain are identified and serve as basis for the assessment of regional connectivity profiles, for example, to locate the hubs of the brain. But regions of the brain can be characterised further with respect to their gray matter volume or resting state perfusion. Local anatomical connectivity, gray matter volume and perfusion are traits of each brain region that are likely to be interdependent, however, particular patterns of systematic covariation have not yet been identified. Methodology/Principal Findings We quantified the covariation of these traits by conducting an integrative MRI study on 23 subjects, utilising a combination of Diffusion Tensor Imaging, Arterial Spin Labeling and anatomical imaging. Based on our hypothesis that local connectivity, gray matter volume and perfusion are linked, we correlated these measures and particularly isolated the covariation of connectivity and perfusion by statistically controlling for gray matter volume. We found significant levels of covariation on the group- and regionwise level, particularly in regions of the Default Brain Mode Network. Conclusions/Significance Connectivity and perfusion are systematically linked throughout a number of brain regions, thus we discuss these results as a starting point for further research on the role of homology in the formation of functional connectivity networks and on how structure/function relationships can manifest in the form of such trait interdependency.

Deficient fear conditioning in psychopathy as a function of interpersonal and affective disturbances

The diminished fear reactivity is one of the most valid physiological findings in psychopathy research. In a fear conditioning paradigm, with faces as conditioned stimulus (CS) and electric shock as unconditioned stimulus (US), we investigated a sample of 14 high psychopathic violent offenders. Event related potentials, skin conductance responses (SCR) as well as subjective ratings of the CSs were collected. This study assessed to which extent the different facets of the psychopathy construct contribute to the fear conditioning deficits observed in psychopaths. Participants with high scores on the affective facet subscale of the Psychopathy Checklist-Revised (PCL-R) showed weaker conditioned fear responses and lower N100 amplitudes compared to low scorers. In contrast, high scorers on the affective facet rated the CS+ (paired) more negatively than low scorers regarding the CS− (unpaired). Regarding the P300, high scores on the interpersonal facet were associated with increased amplitudes to the CS+ compared to the CS−, while the opposed pattern was found for the antisocial facet. Both, the initial and terminal contingent negative variation indicated a divergent pattern: participants with pronounced interpersonal deficits, showed increased cortical negativity to the CS+ compared to the CS−, whereas a reversed CS+/CS− differentiation was found in offenders scoring high on the antisocial facet. The present study revealed that deficient fear conditioning in psychopathy was most pronounced in offenders with high scores on the affective facet. Event related potentials suggest that participants with distinct interpersonal deficits showed increased information processing, whereas the antisocial facet was linked to decreased attention and interest to the CS+. These data indicate that an approach to the facets of psychopathy can help to resolve ambiguous findings in psychopathy research and enables a more precise and useful description of this disorder.

Movement related slow cortical potentials in severely paralyzed chronic stroke patients

Movement-related slow cortical potentials (SCPs) are proposed as reliable and immediate indicators of cortical reorganization in motor learning. SCP amplitude and latency have been reported as markers for the brains computational effort, attention and movement planning. SCPs have been used as an EEG signature of motor control and as a main feature in Brain-Machine-Interfaces (BMIs). Some reports suggest SCPs are modified following stroke. In this study, we investigated movement-related SCPs in severe chronic stroke patients with no residual paretic hand movements preceding and during paretic (when they try to move) and healthy hand movements. The aim was to identify SCP signatures related to cortex integrity and complete paralysis due to stroke in the chronic stage. Twenty severely impaired (no residual finger extension) chronic stoke patients, of whom ten presented subcortical and ten cortical and subcortical lesions, underwent EEG and EMG recordings during a cue triggered hand movement (open/close) paradigm. SCP onset appeared and peaked significantly earlier during paretic hand movements than during healthy hand movements. Amplitudes were significantly larger over the midline (Cz, Fz) for paretic hand movements while contralateral (C4, F4) and midline (Cz, Fz) amplitudes were significantly larger than ipsilateral activity for healthy hand movements. Dividing the participants into subcortical only and mixed lesioned patient groups, no significant differences observed in SCP amplitude and latency between groups. This suggests lesions in the thalamocortical loop as the main factor in SCP changes after stroke. Furthermore, we demonstrated how, after long-term complete paralysis, post-stroke intention to move a paralyzed hand resulted in longer and larger SCPs originating in the frontal areas. These results suggest SCP are a valuable feature that should be incorporated in the design of new neurofeedback strategies for motor neurorehabilitation.

Movement related cortical potentials change after EEG-BMI rehabilitation in chronic stroke

Movement related cortical potentials (MRCPs) have been studied for many years and proposed as reliable and immediate indicators of cortical reorganizations in motor learning and after stroke. It has been reported that decrease in amplitude and later onset of MRCPs reflect less mental effort and shorter planning time during a motor task. In this study MRCPs preceding hand movements in severe chronic stroke were investigated in an EEG screening paradigm (patients performed hand open and close for paretic and healthy hand) before and after a one-month online-EEG-Brain-Machine-Interface neurorehabilitation intervention coupled with physiotherapy. Five severely impaired (no residual finger extension) chronic stoke patients were enrolled in the study. We observed that MRCPs peak amplitude over Cz during paretic hand movement attempts decreased significantly after compared to before intervention. Furthermore, MRCP onset was significantly later over central regions during paretic hand movements after compared to before intervention. There were no significant pre-post differences during healthy hand movements. Our results suggest that our patients needed less mental effort and shorter planning time after intervention. We demonstrated for the first time significant MRCP changes after a neurorehabilitation intervention (BMI + physiotherapy) in severe chronic stroke patients.

Frontal brain activation during a Go/NoGo response inhibition task: An fNIRS study

It has been known that in human brain, prefrontal cortex intensively controls the cognitive processes. In this study, functional near infrared spectroscopy (fNIRS) system has been used which is a promising method and has a relatively easier application. The aim of this study is to measure the prefrontal activity of the human brain using a Go-Nogo paradigm which is a common task to measure inhibitory activity in neuroscience field. We have investigated the inhibitory activity triggered by a Go-Nogo paradigm for the first time using fNIRS method with general linear model (GLM) analysis.

Detecting laterization of haemodynamic response during executive motor task and motor imagery with fNIRS

In this study, haemodynamic response strength during motor imagery and executive motor tasks are investigated through a general linear model using functional near infrared spectroscopy (fNIRS) data to discriminate neural correlation of right and left hand movement. A 16-channel fNIRS system is used over the prefrontal cortex during motor imagery and motor execution. Preliminary results shows that the activation of the prefrontal cortex during motor imagery task is related with high levels of cognitive processing, namely attentional engagement, rather than motor execution from the measurements using generalised linear model. Results show that fNIRS holds great promise as a tool for clinical studies, cognitive and behavioural neuroscience research.