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ClinicalNeurophysiologyxxx(2013)xxx–xxx ContentslistsavailableatScienceDirect Clinical Neurophysiology journal homepage: www.elsevier.com/locate/clinph Complexity and familiarity enhance single-trial detectability of imagined movements with electroencephalography Raechelle M. Gibsona,⇑, Srivas Chennub, Adrian M. Owena, Damian Crusea aTheBrainandMindInstitute,DepartmentofPsychology,WesternUniversity,London,Ont.,Canada bDepartmentofClinicalNeurosciences,UniversityofCambridge,Cambridge,UK a r t i c l e i n f o h i g h l i g h t s Articlehistory: (cid:2) Weusemachine-learningtoclassifyEEGduringmotorimageryinsamplesofathletes,musicians,and Accepted23November2013 age-matchedcontrols. Availableonlinexxxx (cid:2) Imageryofcomplexactionsandimageryoffamiliaractionscanresultinmorerobustbrainresponses insomecases. Keywords: Motorimagery (cid:2) Ourfindingsmaybeappliedtoimprovebrain-computerinterfacesintendedforusebybehaviourally Sensorimotorrhythm non-responsivepatients. Movementcomplexity Electroencephalography a b s t r a c t Vegetativestate Objective: Wesoughttodeterminewhetherthesensorimotorrhythms(SMR)elicitedduringmotorimag- ery(MI)ofcomplexandfamiliaractionscouldbemorereliablydetectedwithelectroencephalography (EEG),andsubsequentlyclassifiedonasingle-trialbasis,thanthoseelicitedduringrelativelysimpler imaginedactions. Methods: Groupsofhealthyvolunteers,includingexperiencedpianistsandicehockeyplayers,performed MI of varying complexity and familiarity. Their electroencephalograms were recorded and compared usingbrain-computerinterface(BCI)approachesandspectralanalyses. Results: RelativetosimpleMI,significantlymoreparticipantsproducedclassifiableSMRforcomplexMI. DuringMIofperformanceofacomplexmusicalpiece,theEEGoftheexperiencedpianistswasclassified significantlymoreaccuratelythanduringMIofperformanceofasimplermusicalpiece.Theaccuracyof EEGclassificationwasalsosignificantlymoresustainedduringcomplexMI. Conclusion: MIofcomplexactionsresultsinEEGresponsesthataremorereliablyclassifiedformoreindi- vidualsthanMIofrelativelysimpleractions,andfamiliaritywithactionsenhancestheseresponsesin somecases. Significance: The accuracy of SMR-based BCIs in non-communicative patients may be improved by employingfamiliarandcomplexactions.IncreasedsensitivitytoMImayalsoimprovediagnosticaccu- racyforseverelybrain-injuredpatientsinavegetativestate. (cid:2)2013InternationalFederationofClinicalNeurophysiology.PublishedbyElsevierIrelandLtd.Allrights reserved. 1.Introduction emergingfromcoma,VSpatientsretaincyclesofeyeopeningand closingsimilartothesleep-wakecyclesoffullyawakeandaware Patientswithdisordersofconsciousness(DOC)arebehaviour- individuals (Multi-Society Task Force on PVS, 1994a,b; Royal allycharacterizedbyvaryinglevelsofarousalandawarenessmea- CollegeofPhysiciansWorkingGroup,1996;cf.Cruseetal.,2013). sured primarily by their ability to exhibit reliable responses to Critically,despiteproducingspontaneousmovements,VSpatients externalstimulation(Jennett,2002;Bernat,2006;Owen,2008).Of areunabletoexhibitanypurposefuloutwardresponsestoverbal the various conditions includedin the DOC (e.g., coma, the mini- commands, and are thereby diagnosed as ‘unaware’ (Jennett, mallyconsciousstate(MCS),etc.),thevegetativestate(VS)isone 2002;Owen,2008).ManyVSpatientshavediffusebraininjurythat ofthemostpoorlyunderstood(Jennett,2002;Owen,2008).After mayincludeinsulttotheperipheralmotorsystem;thesecircum- stances could lead to an inaccurate diagnosis of VS in a patient ⇑ whoretainsawarenessandcognitivefunction,butlackstheability Correspondingauthor.Tel.:+15196612111x84672;fax:+15196613613. E-mailaddress:[email protected](R.M.Gibson). torespondpurposefullyinabehaviouralassessment(Owen,2008). 1388-2457/$36.00(cid:2)2013InternationalFederationofClinicalNeurophysiology.PublishedbyElsevierIrelandLtd.Allrightsreserved. http://dx.doi.org/10.1016/j.clinph.2013.11.034 Pleasecitethisarticleinpressas:GibsonRMetal.Complexityandfamiliarityenhancesingle-trialdetectabilityofimaginedmovementswithelectroen- cephalography.ClinNeurophysiol(2013),http://dx.doi.org/10.1016/j.clinph.2013.11.034 2 R.M.Gibsonetal./ClinicalNeurophysiologyxxx(2013)xxx–xxx Infact,researchershavereportedthatsomepatientswhoarediag- impairments,includingtetraplegiaandadvancedamyotrophiclat- nosedasVScanfollow(e.g.,Owenetal.,2006;Montietal.,2010; eral sclerosis (ALS), have been successfully trained to control Bardin et al., 2011; Cruse et al., 2011; Goldfine et al., 2011; Naci SMR-based BCIs (Pfurtscheller et al., 2000; Kübler et al., 2005). and Owen, 2013), or attempt to follow (e.g., Bekinschtein et al., The SMR approach to BCI is therefore a viableoptionforpatients 2011; Cruse et al., 2012), commands by modulating their brain who have been immobile for an extended period, including those activity,despitebeingunabletofollowcommandswiththeirexter- withadisorderofconsciousness. nalbehaviour.Thesefindingsraisethepossibilitythatassistivede- DespitethepotentialbenefitsofbedsideEEG-basedBCIsforpa- vices known as brain-computer interfaces (BCIs) could improve tientsdiagnosedasVSandtheirfamilies,thereissubstantialintra- diagnostic accuracy in this group by detecting ‘covert’ signs of and inter-subject variability in BCI performance (Wolpaw et al., awareness,aswellasby potentiallyofferingthepatientameans 2002;Pfurtschelleretal.,2006;Nacietal.,2012;Grosse-Wentrup ofcommunication(e.g.,Montietal.,2010;Luléetal.,2013). and Schölkopf, 2013). In many studies of healthy volunteers and BCIsaredevicesthatcanallowaperson(the‘user’)tooperatea peoplewithseveremotorimpairments,someindividualsaresim- computerwithoutproducingamotoroutput.Usingmachine-learn- plyunabletoreliablyregulatethebrainsignalsnecessarytooper- ing techniques, subject-specific patterns of brain activity can be ate a BCI without training (e.g., Guger et al., 2003; Wolpaw and learnedbyacomputerandsubsequentlyclassifiedintoapredefined McFarland,2004;Cruseetal.,2011;Hammeretal.,2012).Inthe communicativeoutput.Forexample,thecomputermayoutputthe current work, we propose modifications to the traditional SMR- response‘‘yes’’whentheuserproducesbrainactivitypatternA,and basedBCIdesignthatmayoptimizeBCIperformanceforbehavio- outputtheresponse‘‘no’’whentheuserproducesbrainactivitypat- urally non-responsive patients in particular. These modifications ternB(e.g.,MasonandBirch,2003;Sorgeretal.,2009;Luléetal., applytothenatureofthetaskusedtogeneratetheSMRandthe 2013;Nacietal.,2013).Thecomputeralgorithmmustbetrained nature of the comparisons made during signal classification (see on a series of trials in which the desired output from the user is alsoCurranandStokes,2003;Curranetal.,2004). known (the ‘training phase’ of machine-learning classification), InpublishedSMR-basedBCIresearchtodate,usersaretypically andthentestedontrialsinwhichthedesiredoutputfromtheuser instructedtoimaginemovingtheirhands,feet,ortonguetogener- isnotknown(the‘testingphase’ofmachine-learningclassification) ate an SMR (e.g., Neuper and Pfurtscheller, 2001; Kübler et al., basedonpredefinedfeaturesofthedata(e.g.,powerinagivenfre- 2005; Cruse et al., 2011). With only a few exceptions, users are quencybandoftheelectroencephalogram,EEG).Fromthetesting askedtoimagineverysimpleactions,suchasrepeatedlysqueezing phaseofclassification,onecanobtainanaccuracyvaluebasedon oneoftheirhandsintoafist.However,actionsthataremorecom- thenumberofsuccessfullyidentifiedbrainresponsesand,byexten- plexcouldresultinamorerobustandconsistentSMR(Curranand sion,correctlyexecutedcommunicativeoutputsfromtheBCI.Cru- Stokes, 2003; Curran et al., 2004). Indeed, there is evidence that cially, from a clinical perspective, when classification accuracy is compleximagined actions are associated with more robust brain significantlyabovechance,theindividualisdemonstrablycapable responses than simpler imagined actions. For instance, there is ofproducingconsistentandappropriatepatternsofbrainactivity convergingevidencefromfunctionalmagneticresonanceimaging inresponsetocommands,thusprovidingameanstoidentifycovert (fMRI), functional near-infrared spectroscopy (fNIRS), and trans- command-followingintheabsenceofabehaviouralresponse(Cruse cranial magnetic stimulation (TMS) studies that complex motor etal.,2011;Owen,2013).Sinceclassificationmustbebothaccurate imageryisassociatedwithgreaterhemodynamicchangeandhigh- and reliable for successful communication and other BCI output eramplitudemotor-evokedpotentialsthansimplemotorimagery functions, such as computer mouse cursor control, classification (e.g., Kuhtz-Buschbecketal.,2003;RoosinkandZijdewind,2010; accuracyandtasksensitivityaretwoofthemostimportantmea- Holper and Wolf, 2011). Similar to previous work, we define surementsofanyBCI. ‘complex’ motor imagery in this paper as tasks that involve both AparticularEEGsignalcalledthesensorimotor-rhythm(SMR)is sequences of movements and more than one body part apracticaloptionforBCIsintendedforusebyVSpatients(Chatelle (e.g., Kuhtz-Buschbecketal.,2003;RoosinkandZijdewind,2010; etal.,2012;Nacietal.,2012;Grosse-WentrupandSchölkopf,2013). HolperandWolf,2011).Wemustalsoclarifythatourcomplexity Usingasfewasfoursurfaceelectrodesplacedontheheadoverthe manipulationsinthisworkalwaysinvolve‘‘common’’complexac- sensorimotorcorticalareas(sitesCP3,CP4,FC3,andFC4fromthe tionsequences;that is, we chose actions that participants would modified international 10–20 system; Sharbrough et al., 1991), have previously encountered through overt practice (e.g., Studies one can acquire the SMR as a person kinesthetically imagines 2and3)orcommonknowledge(e.g.,clappingasinStudy1).We moving a body part. Power decreases known as event-related selected common action sequences to ensure that participants desynchronizations (ERDs) and power increases known as event- coulddrawfromproceduralmemoryorsemanticknowledgeinor- related synchronizations (ERSs) in the mu (7–13Hz) and beta dertoimagineeachaction.Thesesortsofknowncomplexactions (13–30Hz)frequencybandsaretypicallyusedasthesignalfeatures would therefore have lower cognitive demands than novel, com- for classificationwith SMR-based BCIs (Pfurtscheller and Neuper, plex action sequences that would need to be learned at the time 1997;NeuperandPfurtscheller,2001;Neuperetal.,2009).Unlike ofassessment(e.g.,tappingthefingersinarandomsequencede- otherEEG-basedBCIparadigms(e.g.,theP300spellerdescribedin finedbytheexperimenterasinpreviouswork;Kuhtz-Buschbeck Farwell and Donchin (1988)), the imagination tasks used with et al., 2003; Roosink and Zijdewind, 2010; Holper and Wolf, SMR-basedBCIsimposelowsensorydemandsontheuser.Further- 2011). We hypothesized that more complexactionswould result more,ofparticularimportanceforpatientsdiagnosedasVSwho,by inmorerobustSMRsand,consequently,higherclassificationaccu- definition,areunabletofixatetheireyes,SMRBCIsneednotinvolve racythantraditionalSMR-basedBCIimagerytasks. visualstimulation(Chatelleetal.,2012;Nacietal.,2012;Grosse- Additionally,ithasbeenproposedinpreviousworkthatasking WentrupandSchölkopf,2013).Finally,itisimportanttoacknowl- userstoimagineactionswhichtheyarefamiliarwithcouldimprove edgethatchangesinthecorticalmotorsystemfollowingprolonged SMRclassification(CurranandStokes,2003;Curranetal.,2004).In immobility may prevent some behaviourally non-responsive thispaper,wechosetoexploretheroleofactionfamiliarityinmod- patients from producing reliable SMRs. Nevertheless, there is ulationoftheSMRbydrawingfromsamplesofexperiencedathletes evidence that individuals diagnosed with disorders of conscious- andmusicians,giventhattheeffectsoflong-termmotorlearning ness,includingVSandMCS,canproduceSMRsinmotortasks,even havebeenstudiedextensivelyinthesegroupsalready(seeMünte afterseveralyearsofimmobility(Goldfineetal.,2011;Cruseetal., etal.(2002),andNakataetal.(2010),forreviews).Whileimagining 2011). Furthermore, patients with chronic and extensive motor actions involving the sport or instrument of their expertise, Pleasecitethisarticleinpressas:GibsonRMetal.Complexityandfamiliarityenhancesingle-trialdetectabilityofimaginedmovementswithelectroen- cephalography.ClinNeurophysiol(2013),http://dx.doi.org/10.1016/j.clinph.2013.11.034 R.M.Gibsonetal./ClinicalNeurophysiologyxxx(2013)xxx–xxx 3 experiencedathletesandmusiciansproducemorefocusedpatterns classification accuracy and result in more users (and, in future ofbrainactivation(e.g.,Lotzeetal.,2003;Miltonetal.,2007;Olsson work,patientsdiagnosedasVS)withSMRsthatcouldbedetected etal.,2008;WeiandLuo,2010)andreportmoreobjectivelyaccurate reliably. This questionwas addressed in three studies of healthy, imagerythannovices(e.g.,Louisetal.(2012);seealsoRieger(2012)). young adults with an experimental set-up suitable for future Basedonthelatterfindings,itwasexpectedthatfamiliarimagery clinical work with VS and other non-communicative patients. In wouldresultinamorereliableSMR,andthushigherclassification Study 1 (Complexity), participants imagined simple hand actions accuracy,thantraditionalSMR-basedBCIimagery.Ifsupported,this (squeezes) ofthe sorttypicallyusedwithSMR-basedBCIs along- hypothesiscouldbeextendedtofutureworkwithbrain-injuredpa- side other more complex bimanual actions not commonly used tientsbyselectingimagerytasksbasedontheskillsandhobbiesthat withBCIs.Itwaspredictedthat,inaccordancewithpriorevidence thepatienthadpriortotheirinjury.Furthermore,basedonthefind- ofincreasedbrainactivityduringcomplexmotorimagery(Kuhtz- ingsreviewedpreviouslyregardingtheinfluenceofactioncomplex- Buschbecketal.,2003;RoosinkandZijdewind,2010;Holperand ityonbrainresponsestomotorimagery,itwasalsohypothesized Wolf,2011),classificationaccuracy(versusrest)wouldbehigher thatactionsthatwerebothfamiliarandcomplexwouldfurtheren- when the participant was imagining complex actions than when hance the SMR and increase classification accuracy – thereby imagining relatively simpler actions. In Study 2 (Familiarity), improvingtheabilitytodetectcovertawarenessinfutureworkwith groups of experienced pianists, experienced ice hockey players, behaviourallynon-responsivepatients. andage-matchedcontrolswereinstructedtoimaginecompleting Anotherconvention in SMR-basedBCI research to date is that handsqueezesandactionsfromhockeyandpiano.Itwaspredicted comparisonsarealmostexclusivelymadebetweentheSMRsgen- that classification accuracy between rest and imagery would be eratedforvariousimaginedmovements(e.g.,lefthandversusright highest for the athletes and musicians in the action with which hand, etc.; Neuper and Pfurtscheller, 2001; Guger et al., 2003; theyweremostfamiliar(i.e.,pianistsimaginingplayingthepiano, Kübler et al., 2005; Pfurtscheller et al., 2006; Cruse et al., 2011). and hockey players imagining playing hockey; see Lotze et al., Althoughthesetypesofcomparisonsrenderacceptableclassifica- 2003; Fourkas et al., 2008; Olsson et al., 2008; Wei and Luo, tionaccuracyinmosthealthypeople(e.g.,Gugeretal.,2003;Bai 2010). In Study 3 (Complexity and Familiarity), the experienced etal.,2008),asdiscussedinCruseetal.(2012),thesetypesofcom- pianistsfromStudy2imaginedplayingonesimplepieceofmusic parisonsmaynotbeappropriateforVSpatients.Indeed,aspartof and one relatively more complex piece of music on the piano. It thestandardbehaviouralassessmenttoolforVSpatients,theComa was expected that classification accuracy would be highest for RecoveryScale-Revised(CRS-R;KalmarandGiacino,2005),aware- thecomplexpieceversusrestcomparison.Implicationsandmod- nessisassessedbyapatient’sabilitytoproduceonetypeofaction ificationsforfutureBCIworkwithVSpatientsarediscussed. followingacommand.If,onthreeoutoffouroccasions,thepatient is able to successfully follow that command, the patient is diag- 2.Methods nosed as, at least, minimally conscious (Kalmar and Giacino, 2005;seealsoCruseetal.,2012).Inthiswork,wethereforeper- 2.1.Ethicsstatement formedcomparisonsthatare moresimilarto behaviouralassess- ments of awareness than previous SMR-based BCI paradigms. Allparticipantsgaveinformedwrittenconsent.ThePsychology Specifically, contrasts were made between one imagined action Research Ethics Board of Western University (London, ON, CAN) ofinterestand periodsofrest(mind-wandering), ratherthanbe- providedethicalapprovalforthestudies. tweentwodistinctimaginedactions.Inadditiontoprovidingapo- tentialBCI-basedassessmentofawarenessthatismoresimilarto thestandardbehaviouralmethodthanpreviousBCIs,wepropose 2.2.Participantsandstimuli thatthistechniqueismorepracticalforbehaviourallynon-respon- sivepatientsbecausemaintainingmorethanoneimaginedaction 2.2.1.Study1(Complexity) inworkingmemorymayimposeexcessivecognitivedemandson Sixteenhealthy,right-handedyoungadultsparticipatedinthe somepatients. complexitystudy(fivemen;agerange=17–20years;medianage Asafinalconsideration,itisimportanttonotethatbehavioural of18years).Forthesimpleimaginedmovementphaseofthecom- assessmentsofawarenesssuchastheCRS-R(KalmarandGiacino, plexitystudy(Study1),theparticipantswereinstructedtoimagine 2005)arebasedonthereliabilityofapatient’sabilitytofollowcom- repeatedlysqueezingtheirlefthand,righthand,orbothhandsfol- mands.Patientsareevaluatedacrossmultipleassessmentsessions lowingtheauditorycuesof‘‘left’’,‘‘right’’,and‘‘both’’,respectively. andmultipleattemptstofollowthesamecommandineachsession ForthecompleximaginedmovementsphaseofStudy1,thepartic- inordertoensurethatanaccurateassessmentofawarenessisob- ipantswereinstructed toimagineeitherplayingtheguitar,clap- tained. If neuroimaging-based methods are to be used in clinical ping their hands, or juggling using both hands. These tasks were assessments of awareness, these methods should maximize the cued with the words ‘‘guitar’’, ‘‘clap’’, and ‘‘juggle’’, respectively. likelihoodofdetectingareliablecommand-followingresponseto Ineachtaskphase,participantswerealsoaskedtoceasetheprevi- reducetheriskofmisdiagnosingawareness.SMR-basedBCIsnatu- ously-cued mental imagery and mind-wander following the cue rallyprovideanadditionalmeasureofreliabilitythatisnotauto- ‘‘relax’’.Theorderofthesimpleandcompleximaginedmovement matically available with standard behavioural assessments, i.e., phases were counter-balanced across participants. All auditory thestatisticalsignificanceoftheclassificationofthebrainresponse. instructionstimuliwere1sinlength. Asdescribedabove,whentwobrainstatesproducedbyapatient canbedifferentiatedwithstatisticalsignificance,itmaybeinferred 2.2.2.Study2(Familiarity) that the patient possesses a covert ability to follow commands. Forty-eighthealthy,right-handedyoungadultsparticipatedin Thus,increasingtheaccuracyofBCIclassificationnotonlyincreases the familiarity study. Sixteen participants were experienced ice theaccuracyofpotentialcommunicationdevices,butalsoincreases hockeyplayers(sevenmen;agerange=18–29years;medianage thenumberofpatientsinwhomcovertcommand-followingmay of 20years); sixteen participants were experienced pianists (six bedetectedwhenitispresent. men; age range=18–29years; median age of 20years); and six- The research question in this work was whether having users teen participants had either limitedor no experienceplaying the perform motor imagery tasks involving more complex and piano or hockey (eight men; age range=18–28years; median familiar movements than previous investigations would improve ageof18years).Allhockeyplayershadplayedregular,competitive Pleasecitethisarticleinpressas:GibsonRMetal.Complexityandfamiliarityenhancesingle-trialdetectabilityofimaginedmovementswithelectroen- cephalography.ClinNeurophysiol(2013),http://dx.doi.org/10.1016/j.clinph.2013.11.034 4 R.M.Gibsonetal./ClinicalNeurophysiologyxxx(2013)xxx–xxx icehockeyforatleast10years,andallpianistshadformalmusical wereabletorecallbothpiecesfrommemory.Finally,thepianists trainingandhadplayedandpracticedpianoregularlyforatleast were also instructed to mind-wander following the auditory cue 10years.Therewerenosignificantdifferencesinmeanageoffirst of ‘‘relax’’, and all instructions in Study 3 were 1s in length. The play experience, mean years of total play experience, or mean Study 3 procedure was always conducted following the Study 2 self-reported hours of regularplay perweek betweenthegroups procedureinordertopreventpianistsfromselectingtheparticular ofathletesandmusicians,pairwiseps>.51(Bonferronicorrection; musicalpiecesfromStudy3forthepianoactioninStudy2. see Table 1). As shown in Table 1, the three groups also did not differsignificantlyinmeanage,sex,handedness(Oldfield,1971), 2.3.Procedure or imagery ability (Gregg et al., 2010; ps>.34). All participants wereinstructedtoimaginemakingaslapshot(abimanualaction BeforetheEEGrecordingsession,eachparticipantcompleteda from hockey), playing a musical piece on the piano using both seriesofshortquestionnaires.AllparticipantscompletedtheEdin- hands,orsqueezingtheirrighthandintoafistfollowingtheaudi- burgh Handedness Inventory (Oldfield, 1971) and the Movement torycuesof‘‘hockey’’,‘‘piano’’,and‘‘righthand’’,respectively.Asin Imagery Questionnaire-Revised Second Version (Gregg et al., Study1,participantswereaskedtomind-wanderfollowingthecue 2010).ParticipantsinStudies2and3alsocompletedaquestion- ‘‘relax’’,andallinstructionswere1sinlength. naireregardingtheirexperiencesplayinghockey,piano,andother sportsandinstruments.AttheconclusionofStudies2and3,par- 2.2.3.Study3(ComplexityandFamiliarity) ticipants rated the vividness of their imagined actions using a 5- Theexperiencedpianists(n=16)fromStudy2completedStudy pointLikertscale(seeTable1). 3inthesameEEGrecordingsession.InStudy3,thepianistswere Allauditorycueswerepre-recordedbyonefemalespeakerand instructed to imagine playing ascending and descending C-major presentedtotheparticipantusingER-1insertearphones(Etymo¯tic scales and B-major arpeggios over two octaves using both hands ResearchInc.,ElkGroveVillage,IL).Eachtrialbeganwithanaudi- following theauditory cues of ‘‘scale’’ and ‘‘arpeggio’’. Thepieces torycueandwasfollowedby5–8sofsilencebeforetheonsetof ofmusicwereselectedbasedonthecurriculumoftheRoyalCon- thenextauditorycue.The durationofthe silentintervalwas se- servatoryofMusic(RCM),whichisaprominentmusiceducation lectedrandomlyfromauniformdistributiononeachtrial.Studies institution in Canada. In the RCM curriculum, piano students are 1and2werecompletedinfourblocksof48trials(12trialsofeach evaluatedonscalesandthekeyofC-majorfromthe1stgradelevel, instructionperblock);Study3wascompletedinthreeblocksof48 arpeggiosfromthe4thgradelevel,andthekeyofB-majorfromthe trials (16 trials of each instruction per block) as there were only 7thgradelevel(RoyalConservatoryofMusic,2008).Giventhedif- three(ratherthanfour)trialtypesinthelattertask;andeachblock ferentgradelevelsatwhichtheC-majorscaleandB-majorarpeg- of 48 trials was approximately 6min in duration. All trials were gioareevaluatedintheRCMcurriculum,onecanconcludethatthe presentedinapseudorandomordersothatnomorethantwocues B-majorarpeggiorepresentsamoredifficult,i.e., complex,action ofthesametypewerepresentedconsecutively,andthefirsttrialof thantheC-majorscale.Itisalsoimportanttonotethatallthepia- eachblockwasalwaysanimaginedactiontrial(ratherthana‘re- nistsinthisstudyreportedhighfamiliaritywithbothpiecesand lax’ trial). Participants were provided with short breaks between Table1 SummaryofparticipantdemographicsandexperiencemeasuresfromStudies2and3. Variable Pianists Hockeyplayers Controls Total M±SD M±SD M±SD M±SD Demographics n 16 16 16 48 Sex(#male) 6 7 8 21 Age(years) 20.6±2.9 20.9±3.4 19.4±2.7 20.3±3.0 LQ 70.9±14.7 70.9±21.9 67.8±20.7 69.9±19.0 Hockeyexperiencea Initialage(years) 1.6±3.0 5.0±1.7⁄,a 2.6±4.2 3.1±3.4 Totalyears 0.9±1.8 15.4±3.4⁄⁄⁄ 0.4±0.9 5.6±7.4 Hoursperweek 0.5±2.0 9.2±4.5⁄⁄⁄ 0.8±2.0 3.5±5.1 Numberofothersportsplayed 1.5±1.2 2.9±1.5⁄ 2.4±1.6 2.3±1.5 Pianoexperienceb Initialage(years) 5.4±2.0(cid:2),b 1.6±3.4 3.7±6.7 3.6±4.7 Totalyears 14.8±3.6⁄⁄⁄ 0.5±1.2 0.6±1.4 5.3±7.1 Hoursperweek 8.9±3.8⁄⁄⁄ 0.3±0.7 0.6±1.3 3.2±4.7 Numberofotherinstrumentsplayed 1.6±1.0⁄⁄⁄ 0.3±0.5 0.7±0.6 0.9±0.9 MIQ-RSScores Kinesthetic 5.2±1.0 5.1±1.1 4.8±1.3 5.0±1.1 Visual 5.8±1.0 5.6±1.4 5.4±1.0 5.6±1.1 Self-reportratingsofimagery Vividnessc 3.9±1.0d 3.7±0.6 3.8±0.7 3.8±0.8 4.2±1.1e Note: ⁄⁄⁄p<.001; ⁄p<.05; (cid:2)p<.1. M=mean; SD=standard deviation; LQ=laterality quotient handedness measure (Oldfield, 1971); MIQ-RS=Movement imagination questionnaire-revisedsecondversion(Greggetal.,2010). a Fourpianistsreportedsomeleisureexperienceplayinghockey(2–5yearstotalexperienceinitiatedatages5–8),andfourcontrolsreportedsomeleisureexperience playinghockey(1–3yearstotalexperienceinitiatedatages5–13). b Threehockeyplayersreportedsomeleisureexperienceplayingpiano(1–4yearstotalexperienceinitiatedatages7–10),andfivecontrolsreportedsomeleisure experienceplayingpiano(0.5–5yearstotalexperienceinitiatedatages5–22). c Responsestothefollowingquestion:‘‘Pleaseratetheoverallvividnessofyourimaginedactionsduringthetask,suchthat:1=notatallvivid,2=slightlyvivid, 3=somewhatvivid,4=moderatelyvivid,5=veryvivid’’. d ResponsesfromthepianistsfortheStudy2imagery. e ResponsesfromthepianistsfortheStudy3imagery. Pleasecitethisarticleinpressas:GibsonRMetal.Complexityandfamiliarityenhancesingle-trialdetectabilityofimaginedmovementswithelectroen- cephalography.ClinNeurophysiol(2013),http://dx.doi.org/10.1016/j.clinph.2013.11.034 R.M.Gibsonetal./ClinicalNeurophysiologyxxx(2013)xxx–xxx 5 blocksinordertoreducefatigue.Participantswerealsoinstructed theseanalyses,thelogbandpowervaluesoffourfrequencybands toimaginecompletingeachactionrepeatedlyfromtheoffsetofthe atelectrodesC30andC40weretheclassificationfeatures.Basedon auditory cue to the onset of the next auditory cue in order to previouswork(Cruseetal.,2011,2012),thefrequencybandswere account for potential differences in the duration of the imagined 7–13Hz(mu),13–19Hz(low-beta),19–25Hz(mid-beta),and25– actions. To reduce ocular artefacts, participants were instructed 30Hz (high-beta), for a total of eight features per classification tokeeptheireyesclosedthroughoutthetasks. analysis (two electrodes(cid:3)four frequency bands). For the single- trialanalyses,thespectralpowerineachbandwasestimatedwith 2.4.Electrophysiologicaldataacquisitionandpre-processing aslidingHammingwindow(1-s;asrecommendedbyPfurtscheller andLopesdaSilva,1999)movingin50msstepsusingashort-time Inallthreestudies,EEGwasrecordedusingtheg.Gammaactive Fouriertransform(MATLABfunction‘spectrogram’). electrode system (g.tec Medical Engineering GmbH, Austria). In Classificationofeachimaginedaction(e.g.,squeezingtheright Study 1, EEG was recorded with a four-channel montage housed hand in Study 1, etc.) and the corresponding rest condition was inanelectrodecap; theelectrodes wereplacedatsitesCP3,FC3, performed using a naïve Bayes classifier (MATLAB’s ‘naivebayes’ CP4, and FC4 (Sharbrough et al., 1991). In Studies 2 and 3, EEG object). Each classification analysis was conducted using ten-fold was recorded from the same four scalp sites as in Study 1, and cross-validation. For the cross-validation procedure, each partici- additionalelectrodeswereplacedatsitesTP7,FT7,CPz,FCz,TP8, pant’strialsforonetypeofimaginedactionandtherestcondition andFT8(Sharbroughetal.,1991).ThereportedanalysesforStud- fromthesameexperimentwereseparatedintotenapproximately ies 2 and 3 consist of data from only the four electrodes used in equalgroups.ThenaïveBayesclassifierwastrainedonthefeatures Study1,asthismontagehasbeenpreviouslyshowntoprovidero- ofnineofthesegroups(‘training’),andthentheclassofeachtrial bust SMR recordings (Guger et al., 2003; Cruse et al., 2012). The in the tenthgroup was predicted in orderto calculatethe classi- EEG signals were acquired using a g.USBamp amplifier operating fier’s accuracy (‘testing’). Specifically, during training, the naïve throughaUSB2.0port.Stimulipresentationandphysiologicaldata Bayesclassifierestimatedtheparametersofaprobabilitydistribu- recordingswereperformedusingaSimulink(cid:3)modelinMATLAB(cid:3) tionpertrainingfeatureperclass;theparameterswerethemean (The Mathworks, Inc., Natick, MA). Simulink is often utilized in andstandarddeviationofanormaldistribution, thetrainingfea- BCIapplicationsbecauseitensurestheprecisesynchronizationof tureswerebandpowerperfrequencybandateachelectrode,and EEGactivityandcueonset/offset(Gugeretal.,2001).Inallthree thetwoclassesweretherestandimagerytrialtypes.UsingBayes’ studies,bipolarsurfaceelectromyographic(EMG)recordingswere Theoremduringtesting,thefeaturesofthetesttrialswereusedto obtained from both forearms on the ventral surface (placed over calculatetheposterior probabilities for eachclass, and then each theflexordigitorumprofundus)inordertodetectovertmovements. testtrialwasplacedintheclasswiththehighestposteriorproba- FollowingpreviousresearchregardingBCIs(e.g.,Gugeretal.,2003; bility (for more information regarding naïve Bayes classification, Kübleretal.,2005;Pfurtscheller etal.,2006),wedidnotacquire see Jiang et al., 2007). The classification procedure was repeated electrooculogramstomeasureeyemovementsduringtherecord- tentimessothateachtrialservedasatesttrialinexactlyoneof ing. Online, the EEG data were filtered from 0.5 to 60Hz with a the tencross-validation folds. Theaverage classificationaccuracy 60Hz notch filter using an infinite impulse response (IIR) digital across the ten folds was then calculated at each time-point, and Butterworthfiltersetusingtheg.USBampgraphicaluserinterface thetime-courseofthecross-validatedclassificationaccuracywas (GUI).TheEMGdatawerefilteredfrom5to250Hzwitha60Hz smoothedwithasliding-windowof500mstocontrolforoutliers notchfilterusingtheg.USBampGUI.TheEEGrecordingswereref- (cf.Cruseetal.,2012). erencedtotherightearlobewithaforehead(Fpz)ground,andthe To determine the statistical significance of the classification right elbow (olecranon) was used for the EMG ground. The EMG accuracy,apermutationtestwith1000repetitionsthatcontrolled andEEGdataweresampledat600Hzwithimpedanceskeptbelow for familywiseerrorwas used (Maris,2004; see also Cruse et al., 5kXfortheEEGrecording. 2012). For each permutation, the class labels of imagery or rest Offline,theEEGdataweredown-sampledto100Hz,filteredbe- wererandomlyshuffledacrosstrials,andthecross-validatedclas- tween0.5and40HzusingtheEEGLABfunction‘pop_eegfilt’,and sificationproceduredescribedpreviouslywasrepeated.Themaxi- segmentedinto6-sepochstime-lockedtotheonsetoftheauditory mumsmoothedaccuraciesacrossalltime-pointsfromeachofthe cue. The EEGLAB filter function consisted of a two-step least- 1000repetitionswereusedtoformadistributionrepresentingthe squares finite impulse response (FIR) filter; in the first step, data expected classification results if the classifier were operating at werefilteredwithahigh-passcut-offof0.5Hz,andinthesecond chance(thenullhypothesis).Theclassificationaccuracyobtained step,datawerefilteredwithalow-passcut-offof40Hz.TheEMG fortheparticipant’soriginaldata(i.e.,thedatawiththecorrecttrial datawererectifiedandthenfilteredwitha10Hzhighpassfilter labels)wasthenevaluatedagainstthisdistributiontocalculatea usingthesameEEGLABleast-squaresFIRfilterfunctiondescribed familywiseerror-correctedsignificancevaluefortheoriginalclas- previously. Trials containing physiological artefacts, including sificationresultsateachtime-point.Finally,tocontrolforthemul- overthandmovementsasevidentfromtheEMG,wereidentified tiplecomparisonsofbandpower(i.e.,onecomparisonforeachtime by visual inspection and removed. After artefact rejection, the point of imagery versus rest), a control of False Discovery Rate mediannumberoftrialsincludedineachimageryandrestcondi- (FDR) approach was used (implemented via MATLAB’s ‘fdr’ func- tionperparticipantwas:Study1–40(range:29–48);Study2–43 tion;BenjaminiandHochberg,1995;Verhoevenetal.,2005).The (range: 27–48); and Study 3–43 (range: 28–48). Finally, the EEG controlofFDRapproachisknowntoreducetheriskofTypeIerror data were re-referenced offline to form two bipolar channels without requiring as stringent reductions in power as Bonferroni (FC3–CP3, FC4–CP4) that are subsequently identified as C30 and procedures(seeVerhoevenetal.(2005)). C40,respectively;thisbipolarapproachisknowntodetectchanges in mu and beta power with high accuracy across many people 2.6.EEGspectralanalyses (Cruseetal.,2012). Inadditiontothesingle-trialclassificationanalysesofthedata, 2.5.EEGsingle-trialclassificationprocedure theEEGdatafromallthreestudieswereanalyzedusingthesame spectralanalysisprocedurereportedinCruseetal.(2012).Foreach Amachine-learningalgorithmwasusedforsingle-trialclassifi- time-pointatC30andC40,spectralpowerestimateswerecalculated cationoftheEEGdataasdescribedinCruseetal.(2011,2012).For usingaHanningwindow(1-s)time–frequencytransformationvia Pleasecitethisarticleinpressas:GibsonRMetal.Complexityandfamiliarityenhancesingle-trialdetectabilityofimaginedmovementswithelectroen- cephalography.ClinNeurophysiol(2013),http://dx.doi.org/10.1016/j.clinph.2013.11.034 6 R.M.Gibsonetal./ClinicalNeurophysiologyxxx(2013)xxx–xxx the‘ft_freqstatistics’functionoftheopen-sourceMATLABtoolbox, the trial numbers were rank-transformed to meet the statistical FieldTrip (Oostenveld et al., 2011). The time–frequency data at assumptions of the ANOVA). Additionally, a Kruskal–Wallis test bothelectrodeswerethencomparedbetweentheimaginedmove- wasperformedtocomparetheself-reportedimageryvividnessrat- mentsandrestusingcluster-basedpermutationtesting(cf.Maris ingsbetweenthegroups.Giventhelackofsignificantdifferences andOostenveld,2007;Cruseetal.,2012)implementedviaField- in classification accuracy in Study 2, no comparisons were made Trip. For the cluster-based testing, the time–frequency data for a forthenumberofsignificanttimepointsintheimageryversusrest given imagery condition and rest (or another imagery condition; comparisons. seeSection2.7foradescriptionofthecomparisonsforeachstudy) Thegroupspectralanalyseswereconductedwiththetime–fre- werelog-transformedandthencomparedateachdatapointbya quencydataaveragedacrossalltrialsineachconditionperpartic- paired-samples t-test. All significant data points (p<.025) were ipant. For Study 1, the time–frequency data for each participant then arranged into groups, i.e., clusters, based on their temporal wereaveragedacrossalloftheimaginedactionsineachcomplex- andspectralproximitytoeachother,andthesumofthetvalues itylevel,andthecluster-basedpermutationtestingwasconducted was calculated for each cluster. To determine the familywise er- between each complexity level and rest, and between the two ror-corrected significance valuefor each summed t-value cluster, complexity levels (Fig. 2). For Study 2, comparisons were made a Monte Carlo randomization test that controlled for familywise separatelyforeachfamiliaritygroupbetweeneachimagerycondi- error was used. In the randomization test, the condition labels tionandrest(Fig.3).Finally,forStudy3,comparisonsweremade wererandomlypermutedtoremovetask-relateddifferences,and betweeneachofthetwoimageryconditionsandrest,andbetween theclusteringprocedurewasrepeated1000times.Themaximum the two imagery conditions (Fig. 4). Although we were primarily summedt-valueclustersfromeachrepetitionwereusedtoforma concerned withtheimageryversusrestcomparisonsbecausewe distribution, and this distribution was then used to test the null positthatthesecomparisonsaremorepracticalforfutureBCIwork hypothesis that the original summed t-value cluster (i.e., the with brain-injured patients, we conducted post hoc comparisons summedt-valueclustercomputedfromthedatawiththecorrect between the imagery conditions in the spectral analyses of the triallabels)occurredbychance. Studies1and3datatoattempttoidentifytheneurophysiological correlatesofthecomplexityeffectobservedinthesingle-trialanal- 2.7.Group-levelstatisticalanalyses ysesofStudy3.Wedidnotmakecomparisonsbetweenthefamil- iarandcontrolimageryconditionsinStudy2becausetherewasno Forthesingle-trialanalysesoftheEEGdata(seeTable2,Fig.1, evidence of an effect of action familiarity in the single-trial andSupplementaryTablesS1–S3),allgroup-levelstatisticalanaly- analyses. ses were conducted using IBM SPSS Statistics version 21.0, and whereapplicable,theDunn–Sidakcorrectionwasusedforthefol- low-uptests.ForthespectralanalysesoftheEEGdata(seeFigs.2– 3.Results 4),allstatisticalanalyseswereconductedusingthecluster-based permutation testing described previously (cf. Maris and Oosten- 3.1.Study1(Complexity) veld, 2007; Cruse et al., 2012) via custom MATLAB script using theopen-sourcetoolbox,FieldTrip(Oostenveldetal.,2011). Intermsofthesingle-trialanalysesoftheEEGdata,therewasa Forthegroupcomparisonsofsingle-trialanalysesoftheStudy1 trendforclassificationaccuracy(imageryversusrest)tobehigher andStudy3data,severalparametricandnon-parametricrepeated- forthecompleximaginedactions,t(15)=(cid:4)1.963,p=.068,d=0.49 measures statistical tests were used. Two paired-samples t-tests (Simple:M=60.68%,SE=0.74%;Complex:M=62.74%,SE=0.93%). were used to compare maximum classification accuracy and the Therewasnosignificantdifferenceforthetimeatwhichthemax- timeatwhichmaximumclassificationaccuracyoccurredrelative imumclassificationaccuracyoccurredbetweenthetwocomplex- totheonsetoftheinstructionin bothStudies1and 3.Wilcoxon ity conditions, p=0.29. From the familywise permutation tests, Signed Rank Tests were used to compare the number of time- thereweresignificantlymoretime-pointsatwhichsignificantclas- points for which a significant classification was obtained in both sificationswereobtainedinthecomplexconditionthaninthesim- studies, and this test was also used to compare the self-reported plecondition,Z=(cid:4)2.197,exactp=.026,r=.55(Simple:medianof vividness ratings of the imagined actions from the pianists be- 0significanttime-points[range:0–26];Complex:medianof14.5 tweenStudy2andStudy3.Anexact(ratherthanasymptotic)cal- significanttime-points[range:0–31]).Itisalsoworthnotingthat culation of the p-value was used with the test of time-points in therewasnosignificantdifferenceinthenumberoftrialsineach Study1toaccountforthepositiveskewofthecountdata(given complexitylevel,p=.29. thatmanyparticipantshadzerosignificanttime-points,especially Therewassomevariabilitybetweenandwithinsubjectsforthe in the simple complexity condition).Finally, the numberof trials single-trial analyses of the Study 1 EEG data. While at least one includedineachcomplexityconditionofeachstudywascompared simpleimaginedactiontypewasclassifiedsignificantlyfromrest usingtheFriedmantest. for only four of the 16 participants (25%), at least one complex Tofurtherillustratethedifferenceintermsofthesignificanceof imaginedactiontypewasclassifiedsignificantlyfromrestforsig- thesingle-trialanalysesbetweenthecomplexitylevelsinStudies1 nificantly more participants (11% of 16%, or 69%), Fisher’s exact and 3, participants were assigned to a binary category based on p=.032(two-tailed).Oftheelevenparticipantswhoproducedsig- whetherornotatleastoneimaginedmovementineachcomplex- nificant responses for the complex imagery versus rest compari- ityconditionwasclassifiedsignificantlyfromrestforthepartici- sons, three participants produced significant responses for all pant (0=no significant classifications). The number of threeofthecomplexactions;fiveparticipantsproducedsignificant participants with at least one significant classification and the responsesfortwoofthethreecomplexactions;andthreepartici- number of participants with no significant classifications in each pantsproducedasignificantresponseforonlyoneofthecomplex complexitylevelwerethencomparedusingFisher’sExactTest. actions.Inthesimpleimagerycomparisons,twoofthefourpartic- For Study 2, 3 (Group: Pianist, Hockey, Control)(cid:3)3 (Action: ipants produced significant responses for all three of the simple PlayPiano,Slap-shot,Squeeze)mixedanalysesofvariance(ANO- actions;oneparticipantproducedsignificantresponsesfortwoof VAs)wereusedtocomparetheaveragedmaximumclassification the simple actions; and one participant produced a significant accuracies, the time at which the maximum accuracy occurred, response for only one of the simple actions. Furthermore, there and the total number of trials included in each condition (N.B., were some participants in the sample who did not produce any Pleasecitethisarticleinpressas:GibsonRMetal.Complexityandfamiliarityenhancesingle-trialdetectabilityofimaginedmovementswithelectroen- cephalography.ClinNeurophysiol(2013),http://dx.doi.org/10.1016/j.clinph.2013.11.034 R.M.Gibsonetal./ClinicalNeurophysiologyxxx(2013)xxx–xxx 7 Table2 Summaryofsingle-trialclassificationanalysesforStudies1–3foreachoftheimagerycomparisonsandgroups(whereapplicable). Study1(Complexity;n=16) Simpleimagery RighthandimageryversusRest LefthandimageryversusRest BothhandsimageryversusRest Acc Time SigTPs SigSub Acc Time SigTPs SigSub Acc Time SigTPs SigSub M 60.61 3.59 3.63 2 60.15 3.22 1.75 1 61.27 2.85 6.25 4 SE 0.97 0.29 2.50 – 0.70 0.37 0.94 – 0.93 0.33 3.46 – Compleximagery JuggleimageryversusRest GuitarimageryversusRest ClapimageryversusRest Acc Time SigTPs SigSub Acc Time SigTPs SigSub Acc Time SigTPs SigSub M 62.71 3.79 9.31 8 63.83 3.42 15.06 7 61.67 3.44 6.06 7 SE 1.07 0.24 3.67 – 1.58 0.32 6.19 – 1.23 0.33 2.63 – Study2(Familiarity;n=48) PianoimageryversusRest HockeyimageryversusRest HandsqueezeimageryversusRest Acc Time SigTPs SigSub Acc Time SigTPs SigSub Acc Time SigTPs SigSub Pianists(n=16) M 63.31 3.76 16.31 7 62.74 3.27 9.88 8 60.76 3.45 6.19 7 SE 1.49 0.24 5.99 – 1.38 0.35 4.69 – 1.05 0.33 2.96 – Hockeyplayers(n=16) M 59.23 3.25 3.88 4 60.34 3.31 5.50 4 59.52 3.35 4.69 4 SE 0.98 0.31 1.95 – 1.64 0.24 2.95 – 1.02 0.28 2.80 – Controls(n=16) M 63.12 3.35 12.94 8 63.75 3.18 11.69 9 63.69 3.25 12.06 8 SE 1.49 0.27 5.70 – 1.38 0.26 4.82 – 1.37 0.33 4.53 – Study3(ComplexityandFamiliarity;n=16) Simple(Scale)imageryversusRest Complex(Arpeggio)imageryversusRest Acc Time SigTPs SigSub Acc Time SigTPs SigSub M 66.34 3.61 23.19 9 69.60 3.51 33.69 13 SE 1.96 0.19 7.18 – 2.03 0.28 7.10 – Note:Acc=maximumcross-validatedclassificationaccuracy(%);Time=timeofAcc(secondsfollowingonsetofauditorycue);SigTPs=numberoftimepointsforwhich significantclassificationresultswereobtained;SigSub=numberofparticipantsforwhichsignificantclassificationswereobtained. Fig.1. Meansmoothed,cross-validatedclassificationaccuracyfromtheEEGsingle-trialanalysesacrosstimeforonesubject(anexperiencedguitarplayer)fromStudy1by imageryversusrestcomparison.Timeismeasuredrelativetotheoffsetoftheauditoryinstructioncue.Shadedregionsdepict±1standarderrorofthemean(smoothed),and starsdenotetime-pointswithstatisticallysignificantclassificationresultsforthecorrespondingaccuracytimecourse. significantbrainresponsesforanyoftheimaginedactions(fourof low-beta band in the complex imagery versus rest comparison the sixteen participants, or 25% of the sample). Only one partici- (ps<.014). In the simple imagery versus rest comparison, there pantinthesampleproducedsignificantbrainresponsesforevery wasanERDovertherighthemisphereinthemid-betabandthat imaginedactioninthesimpleandcomplextaskphases.Theinter- approached statistical significance (p=.050). Additionally, there and intra-subject variability in classification accuracy is summa- werenosignificantclustersinthesimpleimageryversuscomplex rized in Table 2 and detailed in the supplementary data tables imagerycomparisons(ps>.10). (SupplementaryTableS1). Even though the role of action familiarity was not explicitly FromthegroupspectralanalysesoftheEEGdata(Fig.2),there examined in Study 1, there was one interesting finding in this werestatisticallysignificantERDsoverthelefthemisphereinthe experimentthatemphasizedtheimportanceofthisfactorandits Pleasecitethisarticleinpressas:GibsonRMetal.Complexityandfamiliarityenhancesingle-trialdetectabilityofimaginedmovementswithelectroen- cephalography.ClinNeurophysiol(2013),http://dx.doi.org/10.1016/j.clinph.2013.11.034 8 R.M.Gibsonetal./ClinicalNeurophysiologyxxx(2013)xxx–xxx Fig.2. Averaged,group(n=16)time–frequencyplotsfromthespectralanalysesoftheEEGdataforStudy1(Complexity)averagedacrossthethreeimaginedactionsineach imagerycondition.Therangeofpowervalues(logratiodifference)thatareplottedis±0.6121.Significantclusters(ps<.014)areoutlinedwithsolidlines;dashedlines highlightaclusterwithp=.050.Plotsontheleftandrightreflecttheleft-andright-hemisphereEEGchannels(C30andC40,respectively),asindicated.Frequency(Hz)is indicatedontheverticalaxis,andtimeismeasuredrelativetotheoffsetoftheinstruction. Fig.3. Averaged,grouptime–frequencyplotsfromthespectralanalysesoftheEEGdataforStudy2(Familiarity)byimageryversusrestcomparisonperfamiliaritygroup (n=16pergroup).Therangeofpowervalues(logratiodifference)thatareplottedis±0.6121.Significantclusters(ps<.021)areoutlinedwithsolidlines;dashedlines highlightaclusterwithp=.036(C30forthesimpleimageryminusrestcomparisonforthehockeyplayers).Plotsontheleftandrightineachpairreflecttheleft-andright- hemisphereEEGchannels(C30 andC40,respectively),asindicated.Frequency(Hz)isindicatedontheverticalaxis,andtimeismeasuredrelativetotheoffsetofthe instruction. potentialinfluenceonsingle-subjectperformance.InFig.1,wede- didnotproducesignificantlyclassifiableSMRsforanyofthesim- pictthetime-courseofthesingle-trialclassificationaccuraciesfor pleimaginedactions;theaveraged,maximumclassificationaccu- oneoftwoexperiencedguitaristswhoparticipatedinStudy1.In racyobtainedfortheseparticipantsonthesimpleimaginedactions line with the group trends already reported, these participants was57.58%(SE=1.01%),andtheclassificationresultsforthesim- Pleasecitethisarticleinpressas:GibsonRMetal.Complexityandfamiliarityenhancesingle-trialdetectabilityofimaginedmovementswithelectroen- cephalography.ClinNeurophysiol(2013),http://dx.doi.org/10.1016/j.clinph.2013.11.034 R.M.Gibsonetal./ClinicalNeurophysiologyxxx(2013)xxx–xxx 9 Fig.4. Averaged,group(n=16)time–frequencyplotsfromthespectralanalysesoftheEEGdatafromStudy3(ComplexityandFamiliarity)bycomparison.Therangeof powervalues(logratiodifference)thatareplottedis±0.6121.Significantclusters(p<.017)areoutlinedwithsolidlines;dashedlineshighlightclusterswithp=.044(C30) andp=.038(C40).Plotsontheleftandrightreflecttheleft-andright-hemisphereEEGchannels(C30andC40,respectively),asindicated.Frequency(Hz)isindicatedonthe verticalaxis,andtimeismeasuredrelativetotheoffsetoftheinstruction. pleimageryversusrestcomparisonswerenotstatisticallysignifi- FromthegroupspectralanalysesoftheEEGdata(Fig.3),there cantatanytime-pointforeitherparticipant.Bothparticipantspro- weresignificantERDsforthefamiliarimageryversusrestcompar- duced SMRs for the instruction to imagine clapping (one of the isonsforboththeexperiencedpianists(ps<0.015)andtheexperi- actionsinthecompleximagerycondition)thatweresignificantly enced hockey players (ps<0.019). Although the ERDs were classifiablefromrestforashorttime;significantclassificationre- significant bilaterally (rather than unilaterally) and over a longer sults occurred for 6–7 time-points, and the smoothed maximum period of time for the pianists, the significant ERDs were similar classification accuracy for each participant was 64.79% betweenthehockeyplayersandpianistsforthefamiliarimagery, (SE=3.52%)and 64.47%(SE=4.04%;showninFig.1). Mostinter- inthatbothERDsfeaturedsignificantclustersinboththelow-mu estingly, however, both participants produced a markedly robust (8–10Hz)andlow-betabands.However,thepianistsalsohadsig- SMRfortheinstructiontoimagineplayingtheguitarthatwassig- nificantERDsforthehockeyimagery(ps<.017)andsimpleimag- nificantlyclassifiablefromrestformostoftheepoch(68–69time- ery (ps<0.017) versus rest comparisons, and the hockey players points) with very high accuracy (maximumaccuracies of 81.10%, had an ERD that approached statistical significance (p=.036) in SE=3.44%, as shown in Fig. 1 and 7128%, SE=3.97%, no figure thesimpleimageryversusrestcomparison.Furthermore,thecon- provided). trol group (which consisted of age-matched individuals without significantexperienceplayinghockeyorpiano)alsoproducedsig- nificant ERDs for both the piano (p=.021) and hockey imagery 3.2.Study2(Familiarity) (p=.002)versusrestcomparisons,thoughtheseERDclusterswere smallerintheirspatiotemporalextentthanthosegeneratedbypia- Intermsofthesingle-trialanalysesoftheEEGdata,therewereno nists.Therewerenosignificantclustersinanyoftheothercompar- significant differences in accuracyfor any of the imaginedaction isons (ps>0.08). Thus, much like the single-trial analyses, the versusrestcomparisons,orforanygrouponanyoftheimaginedac- spectral analyses do not provide strong evidence that there was tion versus rest comparisons, ps>.44 (refer to Supplementary anadvantageintermsofSMRdetectionforanygroupregardless TableS2foranoverviewofclassificationaccuracybyparticipant). oftheirfamiliarity(orlackthereof)withtheimaginedactions. The main effect of group on accuracy approached significance (p=.054),andthiswasdrivenbytherelativelylowoverallclassifi- cation accuracy of the hockey players (M=59.70%, SE=1.03%) 3.3.Study3(ComplexityandFamiliarity) compared to the control group (M=63.52%, SE=1.24%; pairwise p=.054).Therewerenosignificantdifferencesintermsofthetime In terms of classification accuracy, there was a significant at which maximum classification accuracy occurred for any advantage for the complex imagined action (Complex: imagined action or any group by imagined action type, ps>.64, M=69.60%, SE=2.03%) compared to the simple imagined action andtherewasalsonosignificantdifferenceinthenumberoftrials for the pianists-only study (Simple: M=66.34%, SE=1.96%; includedinanyoftheimaginedactiontypesorrestconditionson t(15)=(cid:4)2.589, p=.021, d=0.65). Supplementary Table S3 pro- averageorbygroup,ps>.41.Thethreegroupsalsodidnotdiffer vides an overview of classification accuracy by participant. Fur- in their self-reported vividness ratings of the imagined actions, thermore, there was an advantage for the complex imagined p=.34, and in motorimageryability asmeasuredbythe MIQ-RS actioncomparedtothesimpleimaginedactioninthatsignificantly (ps>.545;Greggetal.,2010;seeTable1). more time-points were classified significantly from rest in the Pleasecitethisarticleinpressas:GibsonRMetal.Complexityandfamiliarityenhancesingle-trialdetectabilityofimaginedmovementswithelectroen- cephalography.ClinNeurophysiol(2013),http://dx.doi.org/10.1016/j.clinph.2013.11.034 10 R.M.Gibsonetal./ClinicalNeurophysiologyxxx(2013)xxx–xxx formercomparison,Z=(cid:4)2.510,p=.009(two-tailed),r=.63(Sim- fourparticipantsproducedaSMRthatwassignificantlyclassifiable ple:medianof9.0significanttime-points[range:0–76];Complex: fromrestforeachofthesimpleimaginedactions.Wepositthat,at medianof32.0significanttime-points[range:0–74]).Therewasno the group-level, the advantage of the complex imagery was not significantdifferencebetweenthenumberofparticipantswithsig- statistically significant for classification accuracy because of this nificant imagery versus rest comparisons in the two complexity variability.Inotherwords,therewasnoadvantageforthecomplex levels, Fisher’s exact p=0.25. It is important to note that there imageryatthegroup-levelbecausemostparticipants(eightofthe wasnosignificantdifferenceintermsofwhenthemaximumclas- eleven participants with significant complex imagery versus rest sification accuracy occurred relative to the onset of the auditory comparisons) only produced significant responses for one or two cueforthetwoimaginedactions,p=.72,anditisalsoworthnot- ofthecompleximaginedactions,ratherthanforallthreeofthese ing that the differences between the complexity conditions were actions. The latter observation is well-illustrated anecdotally by notdrivenbyadifferenceinthenumberoftrialsinanycondition, the classification results of two guitarists who participated in p=.16, or by a difference between the self-reported vividness of Study1(seeSection3.1andFig.1).Therewasamarkedimprove- theimaginedactionsinStudy3comparedtoStudy2,p=.10. mentinclassificationaccuracywhentheguitaristsimaginedplay- TheresultsofthegroupspectralanalysesareshowninFig.4for ing the guitar as part of the complex imagery phase of the eachcomparison.Comparedwithrest,significantERDs(ps<.017) experimental procedure, but neither guitarist produced a signifi- occurred in the low-mu and low-beta bands over the left hemi- cantly classifiable brain response for any of the simple imagined sphereandin thelow-,mid-,andhigh-betabandsovertheright actions. hemisphere beginning approximately one second after the offset WedesignedStudies2and3tofollowuponthegrouptrendof oftheinstructiontoimagineplayingthesimplepiece.Forthecom- the advantage for the complex actions in Study 1 and to explore plex imagery versus rest comparison, a similar response was ob- the role of action familiarity in the imagery paradigm. Study 2, served with the same time-course, although the ERDs were which included groups of experienced pianists, experienced ice significant (ps<.011) over both hemispheres throughout the hockeyplayers,andage-matchedcontrols,didnotmeetourexpec- low-muband,andthroughoutthelow-andmid-betabands.Ina tations in that there was no advantage for any of the imagined comparison of the two imagery conditions, there was more of a actionsforanygroup,regardlessoftheirfamiliaritywiththeimag- desynchronization bilaterally for the complex imagery in the inedactions(e.g.,pianistsimaginingplayingpiano,etc.).Compared low-mu and low-beta bands that approached statistical signifi- to novices, experienced athletes and musicians utilize fewer re- cance(ps=.044[C30]and.038[C40]). gions of the brain when imagining actions involving the sport or instrument with which both groups have familiarity (e.g., Lotze et al., 2003; Fourkas et al., 2008; Olsson et al., 2008; Wei and 4.Discussion Luo, 2010). Although expert brain responses to familiar imagery arefairlyconsistentwithinandacrossindividuals(e.g.,Langheim In this paper, we presented a series of three experiments in etal.,2002),theseresponsesdidnotresultinanenhancementof which movement complexity and familiarity with movements theSMRinStudy2. weremanipulatedinaSMR-basedimageryparadigm.Thepurpose Interestingly,inStudy3,wefoundanadvantageinSMRclassi- ofthisworkwastoincreasethelikelihoodofdetectingreliableand ficationforspecific,familiaractions(performanceoftwomusical robustSMRs,andtherebyimprovehowwellcovertcommand-fol- pieces),suchthatclassificationaccuracywashigherandsignificant lowingcanbedetectedinbehaviourallynon-responsivepatients. over a longer periodof time when the experiencedpianists from In future work, we will apply these manipulations to SMR para- Study2imaginedplayingthemorecomplexmusicalpiece.More- digms used with BCIs intended for communication with severely over,theERDsfromthespectralanalysesofStudy3werestatisti- brain-injuredpatients,includingindividualsdiagnosedasVS. callysignificantforthelongestperiodoftimeandassociatedwith InStudy1,imageryofarangeofbimanualsequencesofactions thelargestlog-ratiodifferencesinpowerofalltheimagerycondi- (‘‘complex imagery’’) resulted in SMRs that were classified from tions with significant ERDs across all three experiments (see restwithsimilaraccuracyasimageryofthesimplehandsqueezes Figs. 2–4). As anexploratory posthoc test, we alsocompared the typicallyusedwithSMR-basedBCIs.Therewasagrouptrendthat classificationaccuracyforthepianistsontheinstructiontoimag- thecomplexactionsusedinthistaskwereclassifiedwithhigher ine playing a musical piece of their choice on the piano (versus accuracy than the simple hand squeezes typically used with rest)inStudy2withtheclassificationaccuracyforimaginedper- SMR-basedBCIs,althoughthisresultdidnotreachstatisticalsig- formance of each of the two specific musical pieces (versus rest) nificance(p=.068).Furthermore,wefoundasignificantadvantage in Study 3. This analysis resulted in a significant effect of move- for the complex actions in that the SMRs for these actions were menttype, F(15)=16.016,p=.001, g 2=.361,that wasdrivenby p classified significantly from rest for a longer period of time than thesignificantlylowerclassificationaccuracyforthepianoimag- the simple actions. We also found that significantly more single ery in Study 2 compared to the complex piano imagery in Study subjects produced significantly classifiable SMRs for at least one 3 (p=.003; Complex Musical Piece [Study 3]: M=69.60%, ofthecomplexactionsthanforatleastoneofthesimpleactions. SE=2.03%; Musical Piece of Choice [Study 2]: M=63.31%, Overall, the findings of Study 1 align with our prediction based SE=1.49%; other pairwise ps>.06). This finding provides addi- onpreviousworkthattherewouldbeanenhancementofthebrain tionalsupportforourclaimthatitistheimageryofaspecific,com- response for the complex imagery (e.g., Kuhtz-Buschbeck et al., plex, and familiar action that leads to an advantage in SMR 2003;RoosinkandZijdewind,2010;HolperandWolf,2011),and classification,ratheranyofthesethreepropertiesindividually. support our hypothesis that motor imagery that involves more Acombinationoffactorslikelycontributedtothefindingthat thanonebodypart andsequencesofactionsislikelytoimprove the specific, complex, familiar imagery from Study 3 resulted in theabilitytodetectcovertcommand-followingorcommunication the most robust brain responses in this work. The finding that infuturework. thecompleximageryresultedinanenhancementoftheSMRcom- AnotherinterestingfindingfromStudy1wasthebetween-and paredtothesimpleimagerywithinStudy3alignswellwithprevi- within-subjectvariabilityforthevariousimaginedactions.Nearly ous work (e.g., Kuhtz-Buschbeck et al., 2003; Roosink and halfofthesample(sevenoreightofthesixteenparticipants;see Zijdewind, 2010; Holper and Wolf, 2011). Moreover, there was Table 2) produced a SMR that was significantly classifiable from morepotentialvariabilityinthebrainresponsesbetweenpartici- rest for each of the compleximagined actions, while only one to pants in the piano imagery for Study 2 versus Study 3 due to Pleasecitethisarticleinpressas:GibsonRMetal.Complexityandfamiliarityenhancesingle-trialdetectabilityofimaginedmovementswithelectroen- cephalography.ClinNeurophysiol(2013),http://dx.doi.org/10.1016/j.clinph.2013.11.034

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scales and B-major arpeggios over two octaves using both hands following the auditory cues of B-major arpeggio represents a more difficult, i.e., complex, action than the C-major scale. It is also . recordings were performed using a Simulink® model in MATLAB®. (The Mathworks, Inc., Natick, MA).
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