Audiovisual Stimuli Research Articles

Neural speech tracking contribution of lip movements predicts behavioral deterioration when the speaker's mouth is occluded.

Observing lip movements of a speaker facilitates speech understanding, especially in challenging listening situations. Converging evidence from neuroscientific studies shows stronger neural responses to audiovisual stimuli compared to audio-only stimuli. However, the interindividual variability of this contribution of lip movement information and its consequences on behavior are unknown. We analyzed source-localized magnetoencephalographic (MEG) responses from 29 normal-hearing participants (12 female) listening to audiovisual speech, both with and without the speaker wearing a surgical face mask, and in the presence or absence of a distractor speaker. Using temporal response functions (TRFs) to quantify neural speech tracking, we show that neural responses to lip movements are, in general, enhanced when speech is challenging. After controlling for speech acoustics, we show that lip movements contribute to enhanced neural speech tracking, particularly when a distractor speaker is present. However, the extent of this visual contribution to neural speech tracking varied greatly among participants. Probing the behavioral relevance, we demonstrate that individuals who show a higher contribution of lip movements in terms of neural speech tracking, show a stronger drop in comprehension and an increase in perceived difficulty when the mouth is occluded by a surgical face mask. By contrast, no effect was found when the mouth was not occluded. We provide novel insights on how the contribution of lip movements in terms of neural speech tracking varies among individuals and its behavioral relevance, revealing negative consequences when visual speech is absent. Our results also offer potential implications for objective assessments of audiovisual speech perception.Significance Statement In complex auditory environments, simultaneous conversations pose a challenge to speech comprehension. We investigated on a neural level, how lip movements aid in such situations and what the behavioral consequences are, especially when lip information is occluded with a face mask. Using magnetoencephalographic (MEG) responses from participants listening to audiovisual speech, we show that observing lip movements enhances neural speech tracking and participants who rely more on lip movements show behavioral deterioration when the speaker wears a face mask. Remarkably, this is not the case when no face mask was worn by the speaker. Our findings reveal interindividual differences in the contribution of lip movements to neural speech tracking, with potential applications in objective assessments of audiovisual speech perception.

The role of beta band phase resetting in audio-visual temporal order judgment

The integration of auditory and visual stimuli is essential for effective language processing and social perception. The present study aimed to elucidate the mechanisms underlying audio-visual (A-V) integration by investigating the temporal dynamics of multisensory regions in the human brain. Specifically, we evaluated inter-trial coherence (ITC), a neural index indicative of phase resetting, through scalp electroencephalography (EEG) while participants performed a temporal-order judgment task that involved auditory (beep, A) and visual (flash, V) stimuli. The results indicated that ITC phase resetting was greater for bimodal (A + V) stimuli compared to unimodal (A or V) stimuli in the posterior temporal region, which resembled the responses of A-V multisensory neurons reported in animal studies. Furthermore, the ITC got lager as the stimulus-onset asynchrony (SOA) between beep and flash approached 0 ms. This enhancement in ITC was most clearly seen in the beta band (13–30 Hz). Overall, these findings highlight the importance of beta rhythm activity in the posterior temporal cortex for the detection of synchronous audiovisual stimuli, as assessed through temporal order judgment tasks.

Impact of partial occlusion of the face on multisensory emotion perception: Comparison of pre- and post-COVID-19 pandemic.

We perceive and understand others' emotional states from multisensory information such as facial expressions and vocal cues. However, such cues are not always available or clear. Can partial loss of visual cues affect multisensory emotion perception? In addition, the COVID-19 pandemic has led to the widespread use of face masks, which can reduce some facial cues used in emotion perception. Thus, can frequent exposure to masked faces affect emotion perception? We conducted an emotion perception task using audio-visual stimuli that partially occluded the speaker's face. Participants were simultaneously shown a face and voice that expressed either congruent or incongruent emotions and judged whether the person was happy or angry. The stimuli included videos in which the eyes or mouth were partially covered and where the whole face was visible. Our findings showed that, when facial cues were partially occluded, participants relied more on vocal cues for emotion recognition. Moreover, when the mouth was covered, participants relied less on vocal cues after the pandemic compared to before. These findings indicate that partial face masking and prolonged exposure to masked faces can affect multisensory emotion perception. In unimodal emotion perception from only facial cues, accuracy also improved after the pandemic compared to before for faces with the mouth occluded. Therefore, changes in the reliance on vocal cues in multisensory emotion perception during the pandemic period could be explained by improved facial emotion perception from the eye region.

A pilot study for assessing NAO humanoid robot assistance in shoulder rehabilitation

AbstractPurposeThis study aimed to explore the potential application of NAO in guiding patients through rehabilitative exercises using external audiovisual stimuli, focusing on temporospatial control in terms of range of motion (ROM), execution time and movement smoothness.MethodsThis is a preliminary analysis involving ten healthy volunteers and two patients with shoulder musculoskeletal disorders. The protocol was developed in two phases (III and IV) with different ROM limits and including flexion–extension (FE), external‐rotation (ER) and internal‐rotation (IR) exercises, performed at two speeds and both with and without NAO assistance. Simultaneously, upper limb kinematics were assessed using a stereophotogrammetric system as a reference. Performance was evaluated by mean absolute error (MAE) for ROM and execution time, with smoothness assessed through Log Dimensionless Jerk analysis.ResultsIn phase III, results for volunteers showed ROM differences in FE and ER, while IR was unaffected by NAO presence. In phase IV, NAO assistance resulted in reduced MAE across nearly all exercises. Patients who only performed phase III exercises at lower speed stayed within ROM limits for all movements performed with NAO, except for ER. For all the participants, results showed a significant reduction in the time MAE when using NAO. Patients exhibit greater smoothness during FE performed with NAO.ConclusionsNAO showed potential in aiding patients with shoulder musculoskeletal disorders to replicate rehabilitation exercises, guiding both ROM and timing while influencing movement smoothness. NAO imitation could lead to improved rehabilitation outcomes and enhanced motor learning of motor skills, fostering greater adherence to prescribed therapy.Level of EvidenceLevel V, diagnostic.

Reassessing the Benefits of Audiovisual Integration to Speech Perception and Intelligibility.

In difficult listening conditions, the visual system assists with speech perception through lipreading. Stimulus onset asynchrony (SOA) is used to investigate the interaction between the two modalities in speech perception. Previous estimates of audiovisual benefit and SOA integration period differ widely. A limitation of previous research is a lack of consideration of visemes-categories of phonemes defined by similar lip movements when produced by a speaker-to ensure that selected phonemes are visually distinct. This study aimed to reassess the benefits of audiovisual lipreading to speech perception when different viseme categories are selected as stimuli and presented in noise. The study also aimed to investigate the effects of SOA on these stimuli. Sixty participants were tested online and presented with audio-only and audiovisual stimuli containing the speaker's lip movements. The speech was presented either with or without noise and had six different SOAs (0, 200, 216.6, 233.3, 250, and 266.6 ms). Participants discriminated between speech syllables with button presses. The benefit of visual information was weaker than that in previous studies. There was a significant increase in reaction times as SOA was introduced, but there were no significant effects of SOA on accuracy. Furthermore, exploratory analyses suggest that the effect was not equal across viseme categories: "Ba" was more difficult to recognize than "ka" in noise. In summary, the findings suggest that the contributions of audiovisual integration to speech processing are weaker when considering visemes but are not sufficient to identify a full integration period. https://doi.org/10.23641/asha.27641064.

Trait-level somatic anxiety modulates functional magnetic resonance imaging (fMRI) neural synchrony to naturalistic stimuli.

Somatic anxiety refers to the tendency to appraise situations as threatening, leading to heightened physiological arousal. Symptoms associated with higher levels of somatic anxiety that reflect autonomic arousal and perceptions of threat include elevated heartbeat perception, difficulty breathing, and palpitation. Somatic anxiety is generally associated with increased stimulus-driven attention; however, it is currently unknown how somatic anxiety modulates neural synchrony, measured by intersubject correlations (ISC), in response to complex audiovisual stimuli. The present study seeks to identify how differing levels of somatic anxiety are associated with neural synchrony during psychological processing of audiovisual stimuli, as measured by ISC and intersubject representational similarity analyses. We hypothesize that individuals with higher levels of somatic anxiety will show heightened ISC in response to an audiovisual stimulus in regions associated with stimulus-driven attention, including the superior parietal lobule, supplementary motor area, and precentral gyrus. Results from this study identified that higher levels of somatic anxiety are associated with widespread heightened ISC across the brain, including in regions associated with perceptual processing and stimulus-driven attention. Taken together, this research suggests that higher levels of somatic anxiety are associated with similar processing in brain regions involved in stimulus-driven attention and top-down processing, whereas lower levels of somatic anxiety are associated with similar processing in brain regions associated with higher level visual processing. These results collectively emphasize that somatic anxiety levels should be measured and controlled for during naturalistic functional magnetic resonance imaging paradigms, as this trait may have an influence on synchronous neurological activity. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Functional architecture of cerebral cortex during naturalistic movie watching.

Characterizing the functional organization of cerebral cortex is a fundamental step in understanding how different kinds of information are processed in the brain. However, it is still unclear how these areas are organized during naturalistic visual and auditory stimulation. Here, we used high-resolution functional MRI data from 176 human subjects to map the macro-architecture of the entire cerebral cortex based on responses to a 60-min audiovisual movie stimulus. A data-driven clustering approach revealed a map of 24 functional areas/networks, each explicitly linked to a specific aspect of sensory or cognitive processing. Novel features of this map included an extended scene-selective network in the lateral prefrontal cortex, separate clusters responsive to human-object and human-human interaction, and a push-pull interaction between three executive control (domain-general) networks and domain-specific regions of the visual, auditory, and language cortex. Our cortical parcellation provides a comprehensive and unified map of functionally defined areas in the human cerebral cortex.

Assessment of EEG-PPG Cross Frequency Coherence under Evoked Emotional Arousal

Abstract Emotion influences the daily activity of human life. The complex interaction between the central nervous system (CNS) and peripheral nervous system (PNS) contributes to emotional experiences. Various studies have investigated this interaction during sleep, meditation, deception, and cognition. However, research focusing exclusively on emotion-related interactions is limited. In this work an attempt has been made to assess the CNS and PNS interaction by analyzing Electroencephalogram (EEG) and Photoplethysmogram (PPG) signals during emotional arousal induced by audio-visual stimuli obtained from the DEAP database . EEG signals are divided into four frequency bands: theta (4-7 Hz), alpha (8-12 Hz), beta (13-30 Hz), and gamma (30-45 Hz). The envelope of EEG and PPG signals is then computed to determine cross-frequency coherence (CFC). TheWilcoxon Rank-sum test is employed to assess the statistical significance of CFC in low (LA) vs. higharousal( HA) for various electrodes. Results indicate that CFC can discriminate the LA vs HA. Higher CFC is found in HA compared to LA for the beta and gamma bands, while the opposite trend is observed in the theta and alpha bands. The FP1, FC1, and T7 are found to be statistically significant (p < 0.05) in differentiating LA with HA. Therefore, this study offers insights into CNS-PNS interaction during emotional arousal.

GameVibe: a multimodal affective game corpus

As online video and streaming platforms continue to grow, affective computing research has undergone a shift towards more complex studies involving multiple modalities. However, there is still a lack of readily available datasets with high-quality audiovisual stimuli. In this paper, we present GameVibe, a novel affect corpus which consists of multimodal audiovisual stimuli, including in-game behavioural observations and third-person affect traces for viewer engagement. The corpus consists of videos from a diverse set of publicly available gameplay sessions across 30 games, with particular attention to ensure high-quality stimuli with good audiovisual and gameplay diversity. Furthermore, we present an analysis on the reliability of the annotators in terms of inter-annotator agreement.

Gaze-based detection of mind wandering during audio-guided panorama viewing

Unlike classic audio guides, intelligent audio guides can detect users’ level of attention and help them regain focus. In this paper, we investigate the detection of mind wandering (MW) from eye movements in a use case with a long focus distance. We present a novel MW annotation method for combined audio-visual stimuli and collect annotated MW data for the use case of audio-guided city panorama viewing. In two studies, MW classifiers are trained and validated, which are able to successfully detect MW in a 1-s time window. In study 1 (n = 27), MW classifiers from gaze features with and without eye vergence are trained (area under the curve of at least 0.80). We then re-validate the classifier with unseen data (study 2, n = 31) that are annotated using a memory task and find a positive correlation (repeated measure correlation = 0.49, p < 0.001) between incorrect quiz answering and the percentage of time users spent mind wandering. Overall, this paper contributes significant new knowledge on the detection of MW from gaze for use cases with audio-visual stimuli.

The effect of distance on audiovisual temporal integration in an outdoor virtual environment

In this study, we explore the influence of stimulus distance on human tolerance for (physical) asynchronies in virtual reality (VR). A repeated audiovisual (AV) stimulus with sound and light bursts was presented to the participants in an outdoor virtual environment (VE) using a head-mounted display (HMD). The investigation focused on quantifying the point of subjective simultaneity (PSS) for both visual and auditory stimuli. A synchrony judgment method (SJ-3) was used for 11 stimulus onset asynchronies (SOA) and five egocentric distances from 10 m up to 50 m with 10 m increments. The data analysis showed negative PSS values that decreased with distance, resulting in a negative slope (-3 ms/m) of the regression line between PSS values and simulated distances. In contrast to the recent study conducted in the indoor VE, we conclude that the presented study in the outdoor VE does not incorporate a distance compensation mechanism and refutes the hypothesis of an ‘implicit estimation’ of sound-arrival time. The reasons behind the observed contrast are discussed in this paper. Moreover, the negative slope of the regression line (−3 ms/m) is similar to previous research, concluding that there is a temporal integration of auditory-visual information within human neural processes without distance compensation.

Postoperative Auditory Progress in Cochlear-Implanted Children With Auditory Neuropathy.

This study aims to evaluate the effect of auditory neuropathy spectrum disorder (ANSD) on postoperative auditory perception and listening difficulties in pediatric cochlear implant (CI) recipients. The Children's Auditory Perception Test (CAPT) assesses auditory perception skills, and the Children's Home Inventory of Listening Difficulties (CHILD) Scale evaluates daily listening difficulties. The study involved pediatric CI recipients (n = 40) aged between 5 and 7 years, with and without diagnosis of ANSD. The research ensured homogeneity across various factors, including chronological age, age at diagnosis, age at initial implantation, bilateral simultaneous surgery, etiologies of hearing loss, and family education level. The findings have demonstrated that children without ANSD exhibited better performance in integrating visual-auditory stimuli and overall listening performance, distant sound source scores, and noisy environment scores (respectively p = .047, p = .001, p = .028, and p = .010). Additionally, children with better speech perception also have a better ability to integrate audiovisual stimuli (p = .005, r = .438). There are significant differences in postoperative listening skills and auditory perceptions between children with and without an ANSD who have CIs. Accordingly, children without an ANSD perform better.

Impaired emotional multimodal integration in inhibition of return in children with attention-deficit/hyperactivity disorder.

Attention-deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in children. Previous studies have shown that children with ADHD have impaired processing of emotional stimuli, but it is unclear whether their ability to integrate multimodal emotional stimuli is impaired and at which processing pathway this impairment exists. The present study investigated the ability of children with ADHD to integrate emotional audiovisual stimuli under different emotional conditions, and the effect of audiovisual integration on IOR to reveal the impaired processing pathway of their emotional audiovisual integration. Fifty-eight school-age children (29 with ADHD and 29 matched typically developing (TD) children) performed an emotional valence discrimination task with a cue-target paradigm. The results showed that children with ADHD did not exhibit audiovisual integration of emotional stimuli in all experimental conditions. In addition, the IOR effect was significantly smaller for audiovisual targets than for visual targets under the negative but not the neutral emotion condition in children with ADHD, whereas this effect was present in all emotion conditions in TD children. These results indicate that the ability to integrate emotional audiovisual information is impaired in children with ADHD and this impairment exists in both bottom-up and top-down pathways. Additionally, although presenting emotional auditory stimuli at the same time as emotional faces reduced IOR both in children with ADHD and TD, the manner of reduction differed. These findings provide new evidence of emotional processing deficits and multimodal integration deficits in children with ADHD, and help provide support for children in educational settings.

Precision-based causal inference modulates audiovisual temporal recalibration.

Cross-modal temporal recalibration guarantees stable temporal perception across everchanging environments. Yet, the mechanisms of cross-modal temporal recalibration remain unknown. Here, we conducted an experiment to measure how participants' temporal perception was affected by exposure to audiovisual stimuli with consistent temporal delays. Consistent with previous findings, recalibration effects plateaued with increasing audiovisual asynchrony and varied by which modality led during the exposure phase. We compared six observer models that differed in how they update the audiovisual temporal bias during the exposure phase and whether they assume modality-specific or modality-independent precision of arrival latency. The causal-inference observer shifts the audiovisual temporal bias to compensate for perceived asynchrony, which is inferred by considering two causal scenarios: when the audiovisual stimuli have a common cause or separate causes. The asynchrony-contingent observer updates the bias to achieve simultaneity of auditory and visual measurements, modulating the update rate by the likelihood of the audiovisual stimuli originating from a simultaneous event. In the asynchrony-correction model, the observer first assesses whether the sensory measurement is asynchronous; if so, she adjusts the bias proportionally to the magnitude of the measured asynchrony. Each model was paired with either modality-specific or modality-independent precision of arrival latency. A Bayesian model comparison revealed that both the causal-inference process and modality-specific precision in arrival latency are required to capture the nonlinearity and asymmetry observed in audiovisual temporal recalibration. Our findings support the hypothesis that audiovisual temporal recalibration relies on the same causal-inference processes that govern cross-modal perception.

Multisensory temporal processing in schizophrenia and bipolar disorder: implications for psychosis

Structuring sensory events in time is essential for interacting with the environment and producing adaptive behaviors. Over the past years, the microstructure of temporality received increasing attention, recognized as a fundamental factor influencing cognitive, affective, and social abilities, whose alteration can underlie the etiopathogeneses of some clinical symptoms in psychiatric disorders. The present research investigated multisensory temporal processing in individuals with schizophrenia (N = 21), bipolar disorder (N = 20) and healthy controls (N = 21) in order to explore a plausible link between multisensory alterations in the temporal order of events and the psychopathological dimensions underlying psychosis. We asked participants to temporally order audio-tactile, visual-tactile, and audio-visual stimuli, and we administered different psychopathological scales to explore depressive, manic and psychotic symptoms. Results demonstrated that both subjects with schizophrenia and bipolar disorder are less precise in temporal order judgment independently of the sensory modalities involved. Interestingly, reduced precision in temporal processing of patients is positively associated with the presence and severity of positive symptoms. Our findings support the hypothesis that low-level sensory alterations in temporal structure may contribute to the emergence of clinical symptoms such as delusions, hallucinations, and disorganized behaviors.

EEG-based responses of patients with disorders of consciousness and healthy controls to familiar and non-familiar emotional videos

ObjectiveTo investigate the differences in the brain responses of healthy controls (HC) and patients with disorders of consciousness (DOC) to familiar and non-familiar audiovisual stimuli and their consistency with the clinical progress. MethodsEEG responses of 19 HC and 19 patients with DOC were recorded while watching emotionally-valenced familiar and non-familiar videos. Differential entropy of the EEG recordings was used to train machine learning models aimed to distinguish brain responses to stimuli type. The consistency of brain responses with the clinical progress of the patients was also evaluated. ResultsModels trained using data from HC outperformed those for patients. However, the performance of the models for patients was not influenced by their clinical condition. The models were successfully trained for over 75% of participants, regardless of their clinical condition. More than 75% of patients whose CRS-R scores increased post-study displayed distinguishable brain responses to both stimuli. ConclusionsResponses to emotionally-valenced stimuli enabled modelling classifiers that were sensitive to the familiarity of the stimuli, regardless of the clinical condition of the participants and were consistent with their clinical progress in most cases. SignificanceEEG responses are sensitive to familiarity of emotionally-valenced stimuli in HC and patients with DOC.

Resonance and beat perception of ballroom dancers: An EEG study.

The ability to synchronize the perceptual and motor systems is important for full motor coordination and the core determinant of motor skill performance. Dance-related training has been found to effectively improve sensorimotor synchronization, however, the underlying characteristics behind these improvements still warrant further exploration. This study was conducted to investigate the behavioral and neuroactivity characteristics of ballroom dancers relative to those of non-dancers. Thirty-two dancers (19.8 ± 1.8 years old) and 31 non-dancers (22.6 ± 3.1 years old) were recruited to perform a finger-tapping task in synchrony with audiovisual beat stimuli at two intervals: 400 and 800 ms, while simultaneously recording EEG data. Behavioral and neural activity data were recorded during the task. The dancers employed a predictive strategy when synchronizing with the beat. EEG recordings revealed stronger brain resonance with external rhythmic stimuli, indicating heightened neural resonance compared to non-dancers (p < 0.05). The task was more challenging with an 800-ms beat interval, as observed through both behavioral metrics and corresponding neural signatures in the EEG data, leading to poorer synchronization performance and necessitating a greater allocation of attentional resources (ps < 0.05). When performing the finger-tapping task involving audiovisual beats, the beat interval was the primary factor influencing movement synchronization, neural activity and attentional resource allocation. Although no significant behavioral differences were observed between dancers and non-dancers, dancers have enhanced neural resonance in response to rhythmic stimuli. Further research using more ecologically valid tasks and stimuli may better capture the full extent of dancers' synchronization abilities.

Audio visual stimuli based out of body illusion

Previous studies have reported that bodily self-consciousness could be altered so that one’s body was perceived in extra-personal space. However, whether this could be induced without tactile stimuli has not been investigated. We investigated whether out-of-body illusion could be induced via synchronized audio-visual stimuli, in which auditory stimuli were used instead of tactile stimuli. We conducted an experiment in which a sounding bell was moved in front of the participant, and synchronously, a non-sounding bell was moved in front of a camera that captured the image and projected on a head-mounted device. We expected the participants to experience that the sound came from the non-sounding bell in the video and they were in the camera’s position. Results from the questionnaires conducted after the experiment revealed that items related to out-of-body illusion were significantly enhanced in the synchronized conditions. Furthermore, participants reported a similarly strong out-of-body illusion for both the synchronized audio-visual and tactile-visual stimuli. This study demonstrated that out-of-body illusion could also be induced by synchronized audio-visual stimuli, which was a novel finding.

Intrinsic dynamic shapes responses to external stimulation in the human brain.

Sensory stimulation of the brain reverberates in its recurrent neuronal networks. However, current computational models of brain activity do not separate immediate sensory responses from intrinsic recurrent dynamics. We apply a vector-autoregressive model with external input (VARX), combining the concepts of "functional connectivity" and "encoding models", to intracranial recordings in humans. We find that the recurrent connectivity during rest is largely unaltered during movie watching. The intrinsic recurrent dynamic enhances and prolongs the neural responses to scene cuts, eye movements, and sounds. Failing to account for these exogenous inputs, leads to spurious connections in the intrinsic "connectivity". The model shows that an external stimulus can reduce intrinsic noise. It also shows that sensory areas have mostly outward, whereas higher-order brain areas mostly incoming connections. We conclude that the response to an external audiovisual stimulus can largely be attributed to the intrinsic dynamic of the brain, already observed during rest.

Assessing the Effectiveness of Audio-Visual vs. Visual Neurofeedback for Attention Enhancement: A Pilot Study with Neurological, Behavioural, and Neuropsychological Measures.

Electroencephalogram (EEG) based Neurofeedback training has gained traction as a practical method for enhancing executive functions, particularly attention, among healthy individuals. The neurofeedback protocols based on EEG channel locations, frequency bands, or EEG features has been tested. However, the improvement in attention was not measured by comparing different feedback stimulus types. We believe that multisensory nature feedback even with few training sessions may induce strong effect. Therefore, this study compares the effect of audio-visual and visual feedback stimuli for attention enhancement utilizing neurophysiological, behavioural and neuropsychological measures. Total 21 subjects were recruited, undergoing six alternate days of neurofeedback training sessions to upregulate EEG beta power of frontocentral (FC5). Dwell time, fractional occupancy and transition probability were also estimated from the EEG beta power. Audiovisual group (G1) as compared to visual group (G2) demonstrate a significant increase of global EEG beta activity alongside improved dwell time (t = 2.76, p = 0.003), fractional occupancy (t = 1.73, p = 0.042) and transition probability (t = 2.46, p = 0.008) over the course of six neurofeedback training sessions. Similarly, the group (G1) shows higher scores (t = 2.13, p = 0.032) and faster reaction times (t = 2.22, p = 0.028) in Stroop task, along with increased score in Mindfulness Attention Awareness Scale (MAAS-15) questionnaire (t = 2.306, p = 0.012). Audiovisual neurofeedback may enhance training effectiveness, potentially achieving the same outcomes in fewer sessions compared to visual-only feedback. However, sufficient training days are essential for effect consolidation. This highlights the feasibility of completing neurofeedback training, a significant challenge in practice.