Executive Functions Assessment Based on Wireless EEG and 3D Gait Analysis During Dual-Task: A Feasibility Study
Executive functions (EFs) are neurocognitive processes planning and regulating daily life actions. Performance of two simultaneous tasks, requiring the same cognitive resources, lead to a cognitive fatigue. Several studies investigated cognitive-motor task and the interference during walking, highli...
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IEEE
2024-01-01
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| Series: | IEEE Journal of Translational Engineering in Health and Medicine |
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| Online Access: | https://ieeexplore.ieee.org/document/10411910/ |
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| author | Pasquale Arpaia Renato Cuocolo Allegra Fullin Ludovica Gargiulo Francesca Mancino Nicola Moccaldi Ersilia Vallefuoco Paolo De Blasiis |
| author_facet | Pasquale Arpaia Renato Cuocolo Allegra Fullin Ludovica Gargiulo Francesca Mancino Nicola Moccaldi Ersilia Vallefuoco Paolo De Blasiis |
| author_sort | Pasquale Arpaia |
| collection | DOAJ |
| description | Executive functions (EFs) are neurocognitive processes planning and regulating daily life actions. Performance of two simultaneous tasks, requiring the same cognitive resources, lead to a cognitive fatigue. Several studies investigated cognitive-motor task and the interference during walking, highlighting an increasing risk of falls especially in elderly and people with neurological diseases. A few studies instrumentally explored relationship between activation-no-activation of two EFs (working memory and inhibition) and spatial-temporal gait parameters. Aim of our study was to detect activation of inhibition and working memory during progressive difficulty levels of cognitive tasks and spontaneous walking using, respectively, wireless electroencephalography (EEG) and 3D-gait analysis. Thirteen healthy subjects were recruited. Two cognitive tasks were performed, activating inhibition (Go-NoGo) and working memory (N-back). EEG features (absolute and relative power in different bands) and kinematic parameters (7 spatial-temporal ones and Gait Variable Score for 9 range of motion of lower limbs) were analyzed. A significant decrease of stride length and an increase of external-rotation of foot progression were found during dual task with Go-NoGo. Moreover, a significant correlation was found between the relative power in the delta band at channels Fz, C4 and progressive difficulty levels of Go-NoGo (activating inhibition) during walking, whereas working memory showed no correlation. This study reinforces the hypothesis of the prevalent involvement of inhibition with respect to working memory during dual task walking and reveals specific kinematic adaptations. The foundations for EEG-based monitoring of cognitive processes involved in gait are laid. Clinical and Translational Impact Statement: Clinical and instrumental evaluation and training of executive functions (as inhibition), during cognitive-motor task, could be useful for rehabilitation treatment of gait disorder in elderly and people with neurological disease. |
| format | Article |
| id | doaj-art-d3bee2ff2ca448e2bab56bbbf7dd4001 |
| institution | DOAJ |
| issn | 2168-2372 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | IEEE |
| record_format | Article |
| series | IEEE Journal of Translational Engineering in Health and Medicine |
| spelling | doaj-art-d3bee2ff2ca448e2bab56bbbf7dd40012025-08-20T02:56:47ZengIEEEIEEE Journal of Translational Engineering in Health and Medicine2168-23722024-01-011226827810.1109/JTEHM.2024.335728710411910Executive Functions Assessment Based on Wireless EEG and 3D Gait Analysis During Dual-Task: A Feasibility StudyPasquale Arpaia0https://orcid.org/0000-0002-5192-5922Renato Cuocolo1https://orcid.org/0000-0002-1452-1574Allegra Fullin2https://orcid.org/0000-0002-1517-8069Ludovica Gargiulo3https://orcid.org/0000-0002-3305-2515Francesca Mancino4https://orcid.org/0000-0001-5024-8117Nicola Moccaldi5https://orcid.org/0000-0002-1035-5740Ersilia Vallefuoco6Paolo De Blasiis7https://orcid.org/0000-0002-1317-7994Department of Electrical Engineering and Information Technologies, University of Naples Federico II, Naples, ItalyDepartment of Medicine, Surgery, and Dentistry, Scuola Medica Salernitana, University of Salerno, Salerno, ItalyDepartment of Mental and Physical Health and Preventive Medicine, Section of Human Anatomy, University of Campania Luigi Vanvitelli, Naples, Caserta, ItalyDepartment of Electrical Engineering and Information Technologies, University of Naples Federico II, Naples, ItalyDepartment of Electrical Engineering and Information Technologies, University of Naples Federico II, Naples, ItalyDepartment of Electrical Engineering and Information Technologies, University of Naples Federico II, Naples, ItalyDepartment of Psychology and Cognitive Science, University of Trento, Rovereto, ItalyDepartment of Mental and Physical Health and Preventive Medicine, Section of Human Anatomy, University of Campania Luigi Vanvitelli, Naples, Caserta, ItalyExecutive functions (EFs) are neurocognitive processes planning and regulating daily life actions. Performance of two simultaneous tasks, requiring the same cognitive resources, lead to a cognitive fatigue. Several studies investigated cognitive-motor task and the interference during walking, highlighting an increasing risk of falls especially in elderly and people with neurological diseases. A few studies instrumentally explored relationship between activation-no-activation of two EFs (working memory and inhibition) and spatial-temporal gait parameters. Aim of our study was to detect activation of inhibition and working memory during progressive difficulty levels of cognitive tasks and spontaneous walking using, respectively, wireless electroencephalography (EEG) and 3D-gait analysis. Thirteen healthy subjects were recruited. Two cognitive tasks were performed, activating inhibition (Go-NoGo) and working memory (N-back). EEG features (absolute and relative power in different bands) and kinematic parameters (7 spatial-temporal ones and Gait Variable Score for 9 range of motion of lower limbs) were analyzed. A significant decrease of stride length and an increase of external-rotation of foot progression were found during dual task with Go-NoGo. Moreover, a significant correlation was found between the relative power in the delta band at channels Fz, C4 and progressive difficulty levels of Go-NoGo (activating inhibition) during walking, whereas working memory showed no correlation. This study reinforces the hypothesis of the prevalent involvement of inhibition with respect to working memory during dual task walking and reveals specific kinematic adaptations. The foundations for EEG-based monitoring of cognitive processes involved in gait are laid. Clinical and Translational Impact Statement: Clinical and instrumental evaluation and training of executive functions (as inhibition), during cognitive-motor task, could be useful for rehabilitation treatment of gait disorder in elderly and people with neurological disease.https://ieeexplore.ieee.org/document/10411910/Gait analysisworking memoryinhibitionEEGdual task |
| spellingShingle | Pasquale Arpaia Renato Cuocolo Allegra Fullin Ludovica Gargiulo Francesca Mancino Nicola Moccaldi Ersilia Vallefuoco Paolo De Blasiis Executive Functions Assessment Based on Wireless EEG and 3D Gait Analysis During Dual-Task: A Feasibility Study IEEE Journal of Translational Engineering in Health and Medicine Gait analysis working memory inhibition EEG dual task |
| title | Executive Functions Assessment Based on Wireless EEG and 3D Gait Analysis During Dual-Task: A Feasibility Study |
| title_full | Executive Functions Assessment Based on Wireless EEG and 3D Gait Analysis During Dual-Task: A Feasibility Study |
| title_fullStr | Executive Functions Assessment Based on Wireless EEG and 3D Gait Analysis During Dual-Task: A Feasibility Study |
| title_full_unstemmed | Executive Functions Assessment Based on Wireless EEG and 3D Gait Analysis During Dual-Task: A Feasibility Study |
| title_short | Executive Functions Assessment Based on Wireless EEG and 3D Gait Analysis During Dual-Task: A Feasibility Study |
| title_sort | executive functions assessment based on wireless eeg and 3d gait analysis during dual task a feasibility study |
| topic | Gait analysis working memory inhibition EEG dual task |
| url | https://ieeexplore.ieee.org/document/10411910/ |
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