Abstract

This paper investigates the EEG spectral feature modulations associated with fatigue induced by robot-mediated upper limb gross and fine motor interactions. Twenty healthy participants were randomly assigned to perform a gross motor interaction with HapticMASTER or a fine motor interaction with SCRIPT passive orthosis for 20 min or until volitional fatigue. Relative and ratio band power measures were estimated from the EEG data recorded before and after the robot-mediated interactions. Paired-samples t-tests found a significant increase in the relative alpha band power and a significant decrease in the relative delta band power due to the fatigue induced by the robot-mediated gross and fine motor interactions. The gross motor task also significantly increased the (θ + α)/β and α/β ratio band power measures, whereas the fine motor task increased the relative theta band power. Furthermore, the robot-mediated gross movements mostly changed the EEG activity around the central and parietal brain regions, whereas the fine movements mostly changed the EEG activity around the frontopolar and central brain regions. The subjective ratings suggest that the gross motor task may have induced physical fatigue, whereas the fine motor task may have induced mental fatigue. Therefore, findings affirm that changes to localised brain activity patterns indicate fatigue developed from the robot-mediated interactions. It can also be concluded that the regional differences in the prominent EEG spectral features are most likely due to the differences in the nature of the task (fine/gross motor and distal/proximal upper limb) that may have differently altered an individual's physical and mental fatigue level. The findings could potentially be used in future to detect and moderate fatigue during robot-mediated post-stroke therapies.

Highlights

  • Fatigue experienced during post-stroke upper limb rehabilitation and its implications for the therapy outcome are often overlooked in existing therapy sessions

  • This result is somewhat counter-intuitive because previous studies have shown a significant increase or no change in delta activity as fatigue progressed; it is reasonable to assume that this inconsistency may be related to the differences in experimental protocols.There were no significant differences visible in θrelative, βrelative, (θ + α)/(α + β), and θ/β due to fatigue induced by the gross motor task

  • This paper investigates the modulations in EEG spectral features associated with fatigue induced by robot-mediated upper limb gross and fine motor interactions

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Summary

Introduction

Fatigue experienced during post-stroke upper limb rehabilitation and its implications for the therapy outcome are often overlooked in existing therapy sessions. Sterr and Furlan (2015) hypothesised that the relationship between training intensity and motor performance of constraint-induced therapy in chronic hemiparetic stroke patients is modulated by fatigue in addition to the residual motor ability. In Prasad’s et al (2010) study where chronic hemiplegic stroke patients performed both physical practice and motor imagery, a trend of more considerable variability in the brain-computer interface (BCI) performance was observed with the rise in individual fatigue levels. It is highly questionable whether continuing a stroke therapy while or beyond fatigued conditions would impede motor performance and motor skill relearning during therapeutic interactions

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