Assessing Cognitive Workload in Motor Decision-Making through Functional Connectivity Analysis: Towards Early Detection and Monitoring of Neurodegenerative Diseases

Neurodegenerative diseases (NDs), such as Alzheimer’s, Parkinson’s, amyotrophic lateral sclerosis, and frontotemporal dementia, among others, are increasingly prevalent in the global population. The clinical diagnosis of these NDs is based on the detection and characterization of motor and non-motor...

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Main Authors: Leonardo Ariel Cano, Ana Lía Albarracín, Alvaro Gabriel Pizá, Cecilia Elisabet García-Cena, Eduardo Fernández-Jover, Fernando Daniel Farfán
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/24/4/1089
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author Leonardo Ariel Cano
Ana Lía Albarracín
Alvaro Gabriel Pizá
Cecilia Elisabet García-Cena
Eduardo Fernández-Jover
Fernando Daniel Farfán
author_facet Leonardo Ariel Cano
Ana Lía Albarracín
Alvaro Gabriel Pizá
Cecilia Elisabet García-Cena
Eduardo Fernández-Jover
Fernando Daniel Farfán
author_sort Leonardo Ariel Cano
collection DOAJ
description Neurodegenerative diseases (NDs), such as Alzheimer’s, Parkinson’s, amyotrophic lateral sclerosis, and frontotemporal dementia, among others, are increasingly prevalent in the global population. The clinical diagnosis of these NDs is based on the detection and characterization of motor and non-motor symptoms. However, when these diagnoses are made, the subjects are often in advanced stages where neuromuscular alterations are frequently irreversible. In this context, we propose a methodology to evaluate the cognitive workload (CWL) of motor tasks involving decision-making processes. CWL is a concept widely used to address the balance between task demand and the subject’s available resources to complete that task. In this study, multiple models for motor planning during a motor decision-making task were developed by recording EEG and EMG signals in <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mrow><mi>n</mi><mo>=</mo><mn>17</mn></mrow></semantics></math></inline-formula> healthy volunteers (9 males, 8 females, age <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mrow><mn>28.66</mn><mo>±</mo><mn>8.8</mn></mrow></semantics></math></inline-formula> years). In the proposed test, volunteers have to make decisions about which hand should be moved based on the onset of a visual stimulus. We computed functional connectivity between the cortex and muscles, as well as among muscles using both corticomuscular and intermuscular coherence. Despite three models being generated, just one of them had strong performance. The results showed two types of motor decision-making processes depending on the hand to move. Moreover, the central processing of decision-making for the left hand movement can be accurately estimated using behavioral measures such as planning time combined with peripheral recordings like EMG signals. The models provided in this study could be considered as a methodological foundation to detect neuromuscular alterations in asymptomatic patients, as well as to monitor the process of a degenerative disease.
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spelling doaj.art-63bf4e533ddb4ec793a234b1430634232024-02-23T15:33:32ZengMDPI AGSensors1424-82202024-02-01244108910.3390/s24041089Assessing Cognitive Workload in Motor Decision-Making through Functional Connectivity Analysis: Towards Early Detection and Monitoring of Neurodegenerative DiseasesLeonardo Ariel Cano0Ana Lía Albarracín1Alvaro Gabriel Pizá2Cecilia Elisabet García-Cena3Eduardo Fernández-Jover4Fernando Daniel Farfán5Neuroscience and Applied Technologies Laboratory (LINTEC), Bioengineering Department, Faculty of Exact Sciences and Technology (FACET), National University of Tucuman, Superior Institute of Biological Research (INSIBIO), National Scientific and Technical Research Council (CONICET), Av. Independencia 1800, San Miguel de Tucuman 4000, ArgentinaNeuroscience and Applied Technologies Laboratory (LINTEC), Bioengineering Department, Faculty of Exact Sciences and Technology (FACET), National University of Tucuman, Superior Institute of Biological Research (INSIBIO), National Scientific and Technical Research Council (CONICET), Av. Independencia 1800, San Miguel de Tucuman 4000, ArgentinaNeuroscience and Applied Technologies Laboratory (LINTEC), Bioengineering Department, Faculty of Exact Sciences and Technology (FACET), National University of Tucuman, Superior Institute of Biological Research (INSIBIO), National Scientific and Technical Research Council (CONICET), Av. Independencia 1800, San Miguel de Tucuman 4000, ArgentinaETSIDI-Center for Automation and Robotics, Universidad Politécnica de Madrid, Ronda de Valencia 3, 28012 Madrid, SpainInstitute of Bioengineering, Universidad Miguel Hernández of Elche, 03202 Elche, SpainNeuroscience and Applied Technologies Laboratory (LINTEC), Bioengineering Department, Faculty of Exact Sciences and Technology (FACET), National University of Tucuman, Superior Institute of Biological Research (INSIBIO), National Scientific and Technical Research Council (CONICET), Av. Independencia 1800, San Miguel de Tucuman 4000, ArgentinaNeurodegenerative diseases (NDs), such as Alzheimer’s, Parkinson’s, amyotrophic lateral sclerosis, and frontotemporal dementia, among others, are increasingly prevalent in the global population. The clinical diagnosis of these NDs is based on the detection and characterization of motor and non-motor symptoms. However, when these diagnoses are made, the subjects are often in advanced stages where neuromuscular alterations are frequently irreversible. In this context, we propose a methodology to evaluate the cognitive workload (CWL) of motor tasks involving decision-making processes. CWL is a concept widely used to address the balance between task demand and the subject’s available resources to complete that task. In this study, multiple models for motor planning during a motor decision-making task were developed by recording EEG and EMG signals in <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mrow><mi>n</mi><mo>=</mo><mn>17</mn></mrow></semantics></math></inline-formula> healthy volunteers (9 males, 8 females, age <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mrow><mn>28.66</mn><mo>±</mo><mn>8.8</mn></mrow></semantics></math></inline-formula> years). In the proposed test, volunteers have to make decisions about which hand should be moved based on the onset of a visual stimulus. We computed functional connectivity between the cortex and muscles, as well as among muscles using both corticomuscular and intermuscular coherence. Despite three models being generated, just one of them had strong performance. The results showed two types of motor decision-making processes depending on the hand to move. Moreover, the central processing of decision-making for the left hand movement can be accurately estimated using behavioral measures such as planning time combined with peripheral recordings like EMG signals. The models provided in this study could be considered as a methodological foundation to detect neuromuscular alterations in asymptomatic patients, as well as to monitor the process of a degenerative disease.https://www.mdpi.com/1424-8220/24/4/1089neurodegenerative diseasescognitive workloadstatistical modelingmotor planningdecision-makingfunctional connectivity
spellingShingle Leonardo Ariel Cano
Ana Lía Albarracín
Alvaro Gabriel Pizá
Cecilia Elisabet García-Cena
Eduardo Fernández-Jover
Fernando Daniel Farfán
Assessing Cognitive Workload in Motor Decision-Making through Functional Connectivity Analysis: Towards Early Detection and Monitoring of Neurodegenerative Diseases
Sensors
neurodegenerative diseases
cognitive workload
statistical modeling
motor planning
decision-making
functional connectivity
title Assessing Cognitive Workload in Motor Decision-Making through Functional Connectivity Analysis: Towards Early Detection and Monitoring of Neurodegenerative Diseases
title_full Assessing Cognitive Workload in Motor Decision-Making through Functional Connectivity Analysis: Towards Early Detection and Monitoring of Neurodegenerative Diseases
title_fullStr Assessing Cognitive Workload in Motor Decision-Making through Functional Connectivity Analysis: Towards Early Detection and Monitoring of Neurodegenerative Diseases
title_full_unstemmed Assessing Cognitive Workload in Motor Decision-Making through Functional Connectivity Analysis: Towards Early Detection and Monitoring of Neurodegenerative Diseases
title_short Assessing Cognitive Workload in Motor Decision-Making through Functional Connectivity Analysis: Towards Early Detection and Monitoring of Neurodegenerative Diseases
title_sort assessing cognitive workload in motor decision making through functional connectivity analysis towards early detection and monitoring of neurodegenerative diseases
topic neurodegenerative diseases
cognitive workload
statistical modeling
motor planning
decision-making
functional connectivity
url https://www.mdpi.com/1424-8220/24/4/1089
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