TY - JOUR T1 - Brain-computer interface (BCI) evaluation in people with amyotrophic lateral sclerosis. JF - Amyotroph Lateral Scler Frontotemporal Degener Y1 - 2014 A1 - McCane, Lynn M A1 - Sellers, Eric W A1 - Dennis J. McFarland A1 - Mak, Joseph N A1 - Carmack, C Steve A1 - Zeitlin, Debra A1 - Jonathan Wolpaw A1 - Theresa M Vaughan KW - Adult KW - Aged KW - Amyotrophic Lateral Sclerosis KW - Biofeedback, Psychology KW - brain-computer interfaces KW - Communication Disorders KW - Electroencephalography KW - Event-Related Potentials, P300 KW - Female KW - Humans KW - Male KW - Middle Aged KW - Online Systems KW - Photic Stimulation KW - Psychomotor Performance KW - Reaction Time AB - Brain-computer interfaces (BCIs) might restore communication to people severely disabled by amyotrophic lateral sclerosis (ALS) or other disorders. We sought to: 1) define a protocol for determining whether a person with ALS can use a visual P300-based BCI; 2) determine what proportion of this population can use the BCI; and 3) identify factors affecting BCI performance. Twenty-five individuals with ALS completed an evaluation protocol using a standard 6 × 6 matrix and parameters selected by stepwise linear discrimination. With an 8-channel EEG montage, the subjects fell into two groups in BCI accuracy (chance accuracy 3%). Seventeen averaged 92 (± 3)% (range 71-100%), which is adequate for communication (G70 group). Eight averaged 12 (± 6)% (range 0-36%), inadequate for communication (L40 subject group). Performance did not correlate with disability: 11/17 (65%) of G70 subjects were severely disabled (i.e. ALSFRS-R < 5). All L40 subjects had visual impairments (e.g. nystagmus, diplopia, ptosis). P300 was larger and more anterior in G70 subjects. A 16-channel montage did not significantly improve accuracy. In conclusion, most people severely disabled by ALS could use a visual P300-based BCI for communication. In those who could not, visual impairment was the principal obstacle. For these individuals, auditory P300-based BCIs might be effective. VL - 15 UR - http://www.ncbi.nlm.nih.gov/pubmed/24555843 IS - 3-4 ER - TY - JOUR T1 - Questionable reliability of the speech-evoked auditory brainstem response (sABR) in typically-developing children. JF - Hear Res Y1 - 2012 A1 - Dennis J. McFarland A1 - Cacace, Anthony T KW - Evoked Potentials, Auditory, Brain Stem KW - Female KW - Hearing Tests KW - Humans KW - Male KW - Speech Perception VL - 287 UR - http://www.ncbi.nlm.nih.gov/pubmed/22446178 IS - 1-2 ER - TY - JOUR T1 - Dichotic and dichoptic digit perception in normal adults. JF - J Am Acad Audiol Y1 - 2011 A1 - Lawfield, Angela A1 - Dennis J. McFarland A1 - Cacace, Anthony T KW - Adolescent KW - Adult KW - Auditory Perception KW - Dichotic Listening Tests KW - Female KW - Functional Laterality KW - Humans KW - Male KW - Recognition (Psychology) KW - Reference Values KW - Reproducibility of Results KW - Task Performance and Analysis KW - Visual Perception KW - Young Adult AB - BACKGROUND: Verbally based dichotic-listening experiments and reproduction-mediated response-selection strategies have been used for over four decades to study perceptual/cognitive aspects of auditory information processing and make inferences about hemispheric asymmetries and language lateralization in the brain. Test procedures using dichotic digits have also been used to assess for disorders of auditory processing. However, with this application, limitations exist and paradigms need to be developed to improve specificity of the diagnosis. Use of matched tasks in multiple sensory modalities is a logical approach to address this issue. Herein, we use dichotic listening and dichoptic viewing of visually presented digits for making this comparison. PURPOSE: To evaluate methodological issues involved in using matched tasks of dichotic listening and dichoptic viewing in normal adults. RESEARCH DESIGN: A multivariate assessment of the effects of modality (auditory vs. visual), digit-span length (1-3 pairs), response selection (recognition vs. reproduction), and ear/visual hemifield of presentation (left vs. right) on dichotic and dichoptic digit perception. STUDY SAMPLE: Thirty adults (12 males, 18 females) ranging in age from 18 to 30 yr with normal hearing sensitivity and normal or corrected-to-normal visual acuity. DATA COLLECTION AND ANALYSIS: A computerized, custom-designed program was used for all data collection and analysis. A four-way repeated measures analysis of variance (ANOVA) evaluated the effects of modality, digit-span length, response selection, and ear/visual field of presentation. RESULTS: The ANOVA revealed that performances on dichotic listening and dichoptic viewing tasks were dependent on complex interactions between modality, digit-span length, response selection, and ear/visual hemifield of presentation. Correlation analysis suggested a common effect on overall accuracy of performance but isolated only an auditory factor for a laterality index. CONCLUSIONS: The variables used in this experiment affected performances in the auditory modality to a greater extent than in the visual modality. The right-ear advantage observed in the dichotic-digits task was most evident when reproduction mediated response selection was used in conjunction with three-digit pairs. This effect implies that factors such as "speech related output mechanisms" and digit-span length (working memory) contribute to laterality effects in dichotic listening performance with traditional paradigms. Thus, the use of multiple-digit pairs to avoid ceiling effects and the application of verbal reproduction as a means of response selection may accentuate the role of nonperceptual factors in performance. Ideally, tests of perceptual abilities should be relatively free of such effects. VL - 22 UR - http://www.ncbi.nlm.nih.gov/pubmed/21864471 IS - 6 ER - TY - JOUR T1 - Towards an independent brain-computer interface using steady state visual evoked potentials. JF - Clin Neurophysiol Y1 - 2008 A1 - Brendan Z. Allison A1 - Dennis J. McFarland A1 - Gerwin Schalk A1 - Zheng, Shi Dong A1 - Moore-Jackson, Melody A1 - Jonathan Wolpaw KW - Adolescent KW - Adult KW - Attention KW - Brain KW - Brain Mapping KW - Dose-Response Relationship, Radiation KW - Electroencephalography KW - Evoked Potentials, Visual KW - Female KW - Humans KW - Male KW - Pattern Recognition, Visual KW - Photic Stimulation KW - Spectrum Analysis KW - User-Computer Interface AB -

OBJECTIVE: 

Brain-computer interface (BCI) systems using steady state visual evoked potentials (SSVEPs) have allowed healthy subjects to communicate. However, these systems may not work in severely disabled users because they may depend on gaze shifting. This study evaluates the hypothesis that overlapping stimuli can evoke changes in SSVEP activity sufficient to control a BCI. This would provide evidence that SSVEP BCIs could be used without shifting gaze.

METHODS: 

Subjects viewed a display containing two images that each oscillated at a different frequency. Different conditions used overlapping or non-overlapping images to explore dependence on gaze function. Subjects were asked to direct attention to one or the other of these images during each of 12 one-minute runs.

RESULTS: 

Half of the subjects produced differences in SSVEP activity elicited by overlapping stimuli that could support BCI control. In all remaining users, differences did exist at corresponding frequencies but were not strong enough to allow effective control.

CONCLUSIONS: 

The data demonstrate that SSVEP differences sufficient for BCI control may be elicited by selective attention to one of two overlapping stimuli. Thus, some SSVEP-based BCI approaches may not depend on gaze control. The nature and extent of any BCI's dependence on muscle activity is a function of many factors, including the display, task, environment, and user.

SIGNIFICANCE: 

SSVEP BCIs might function in severely disabled users unable to reliably control gaze. Further research with these users is necessary to explore the optimal parameters of such a system and validate online performance in a home environment.

VL - 119 UR - http://www.ncbi.nlm.nih.gov/pubmed/18077208 IS - 2 ER - TY - JOUR T1 - Patients with ALS can use sensorimotor rhythms to operate a brain-computer interface. JF - Neurology Y1 - 2005 A1 - Kübler, A. A1 - Nijboer, F A1 - Mellinger, Jürgen A1 - Theresa M Vaughan A1 - Pawelzik, H A1 - Gerwin Schalk A1 - Dennis J. McFarland A1 - Niels Birbaumer A1 - Jonathan Wolpaw KW - Aged KW - Amyotrophic Lateral Sclerosis KW - Electroencephalography KW - Evoked Potentials, Motor KW - Evoked Potentials, Somatosensory KW - Female KW - Humans KW - Imagination KW - Male KW - Middle Aged KW - Motor Cortex KW - Movement KW - Paralysis KW - Photic Stimulation KW - Prostheses and Implants KW - Somatosensory Cortex KW - Treatment Outcome KW - User-Computer Interface AB -

People with severe motor disabilities can maintain an acceptable quality of life if they can communicate. Brain-computer interfaces (BCIs), which do not depend on muscle control, can provide communication. Four people severely disabled by ALS learned to operate a BCI with EEG rhythms recorded over sensorimotor cortex. These results suggest that a sensorimotor rhythm-based BCI could help maintain quality of life for people with ALS.

VL - 64 UR - http://www.ncbi.nlm.nih.gov/pubmed/15911809 IS - 10 ER -