The Effects of Bilateral Phase-Dependent Closed-Loop Vibration Stimulation With Motor Imagery Paradigm

Vibration stimulation has been shown to have the potential to improve the activation pattern of unilateral motor imagery (MI) and to promote motor recovery. However, in the widely used left and right hand MI brain-computer interface (BCI) paradigm, the vibration stimuli cannot be directly applied to the imaginary side due to the spontaneity of imagery. In this study, we proposed a method of phase-dependent closed-loop vibration stimulation to be applied on both hands, and explored the effects of different vibration stimuli on the left and right hand MI-BCI. Eighteen healthy subjects were recruited and asked to perform, in sequence, MI tasks under three different conditions of vibratory feedback, which were no vibration stimulus (MI), phase-dependent closed-loop vibration stimulus (PDS), and continuous vibration stimulus (CS). Then the performance of the left and right hand MI-BCI and the patterns of brain oscillation were compared and analyzed under these different stimulation conditions. The results showed that vibration stimulation effectively boosted the activation of the sensorimotor cortex and enhanced the functional connectivity among sensorimotor-related brain regions during MI. The closed-loop stimulation evoked stronger event-related desynchronization patterns on the contralateral side of the imagined hand compared to continuous stimulation. There was a more obvious distinction between left hand task and right hand task. In addition, phase-dependent closed-loop vibration stimulation increased classification accuracy by approximately 7% (paired t-test, p=0.004, n=18) compared to MI alone, while continuous vibration stimulation only increased it by 4% (paired t-test, p=0.067, n=18). This result further demonstrated the effectiveness of the phase-dependent closed-loop vibration stimulation method in improving the overall performance of the MI paradigm and is expected to be further applied in areas such as stroke rehabilitation in the future.