Publications by authors named "Wee Lih Lee"

This study investigated software methods for removing stimulation artefacts in recordings undertaken during deep brain stimulation (DBS). We aimed to evaluate artefact attenuation using sample recordings of evoked resonant neural activity (ERNA), as well as a synthetic ground-truth waveform that emulated observed ERNA characteristics.The synthetic waveform and eight raw DBS recordings were processed by fourteen algorithms spanning the following categories: signal modification, signal decomposition, and template subtraction.

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. This study investigated a machine-learning approach to detect the presence of evoked resonant neural activity (ERNA) recorded during deep brain stimulation (DBS) of the subthalamic nucleus (STN) in people with Parkinson's disease..

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Introduction: Selecting the ideal contact to apply subthalamic nucleus deep brain stimulation (STN-DBS) in Parkinson's disease is time-consuming and reliant on clinical expertise. The aim of this cohort study was to assess whether neuronal signals (beta oscillations and evoked resonant neural activity (ERNA)), and the anatomical location of electrodes, can predict the contacts selected by long-term, expert-clinician programming of STN-DBS.

Methods: We evaluated 92 hemispheres of 47 patients with Parkinson's disease receiving chronic monopolar and bipolar STN-DBS.

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Selecting the ideal contact to apply subthalamic nucleus deep brain stimulation in Parkinson's disease can be an arduous process, with outcomes highly dependent on clinician expertise. This study aims to assess whether neuronal signals recorded intraoperatively in awake patients, and the anatomical location of contacts, can assist programming. In a cohort of 14 patients with Parkinson's disease, implanted with subthalamic nucleus deep brain stimulation, the four contacts on each lead in the 28 hemispheres were ranked according to proximity to a nominated ideal anatomical location and power of the following neuronal signals: evoked resonant neural activity, beta oscillations and high-frequency oscillations.

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Objective: Deep brain stimulation (DBS) surgery is commonly performed with the patient awake to facilitate assessments of electrode positioning. However, awake neurosurgery can be a barrier to patients receiving DBS. Electrode implantation can be performed with the patient under general anesthesia (GA) using intraoperative imaging, although such techniques are not widely available.

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Visual information is crucial for postural control. Visual processing in children with autism spectrum disorder (ASD) was hypothesized to be less efficient and thus they would display a less stable standing posture than typically developing children. The present study compared the static standing responses and attentional demands of 15 children with ASD and 18 control participants in conditions of eyes open and eyes closed.

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Background: Sensory reweighting is important for humans to flexibly up-weigh and down-weigh sensory information in dynamic environments. There is an element of time involved in the sensory reweighting process. A longer time spent on sensory reweighting may increase the destabilizing effect of postural control.

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Background: Parkinsonian rigidity is identified on clinical examination as resistance to passive movement. Measurement of rigidity commonly relies on ordinal rating scales (MDS-UPDRS), however instrumented objective measures may provide greater mechanistic insight.

New Method: We present a palm-worn instrument to objectively quantify rigidity on a continuous scale.

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Objective: Quantification of bradykinesia (slowness of movement) is crucial for the treatment and monitoring of Parkinson's disease. Subjective observational techniques are the de-facto 'gold standard', but such clinical rating scales suffer from poor sensitivity and inter-rater variability. Although various technologies have been developed for assessing bradykinesia in recent years, most still require considerable expertise and effort to operate.

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Individuals with autism spectrum disorder (ASD) have been associated with sensorimotor difficulties, commonly presented by poor postural control. Postural control is necessary for all motor behaviors. However, findings concerning the effect of visual motion on postural control and the age progression of postural control in individuals with ASD are inconsistent.

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Background: Tremor is a debilitating symptom of Multiple Sclerosis (MS). Little is known about its pathophysiology and treatments are limited. Clinical trials investigating new interventions often rely on subjective clinical rating scales to provide supporting evidence of efficacy.

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Sensory processing difficulties affect the development of sensorimotor skills in individuals with autism spectrum disorder (ASD). However, the effect of sensory information on postural control is unclear in the ASD adult population. The present study examined the effect of visual information on postural control as well as the attentional demands associated with postural control in fourteen adults with ASD and seventeen typically developed adults.

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Perturbation-evoked responses (PERs) to a physical perturbation of postural stability have been detected using electroencephalography (EEG). Components of these responses are hypothesized to demonstrate the detection (P1) and evaluation (N1) of postural instability. Despite the important contribution of the visual system to postural control, PERs to a visual perturbation of posture have yet to be reported.

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Objective: In recent years, ICA has been one of the more popular methods for extracting event-related potential (ERP) at the single-trial level. It is a blind source separation technique that allows the extraction of an ERP without making strong assumptions on the temporal and spatial characteristics of an ERP. However, the problem with traditional ICA is that the extraction is not direct and is time-consuming due to the need for source selection processing.

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Electroencephalography (EEG) and centre of pressure (COP) data were recorded in young adults for 60 seconds during standing in visual transparent (VT) and visual occlusion (VO) conditions. In both of these conditions, participants wore VO liquid crystal spectacles which allowed the experimenter to accurately control visual information being presented or occluded to the participant. Alpha band (8-13 Hz) revealed significant differences in channel-averaged power spectrum in these two conditions, but not theta band (4-8 Hz) and beta band (13-30 Hz).

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In this study, a new P300 extraction method is investigated by using a form of constrained independent component analysis (cICA) algorithm called one-unit ICA-with-reference (ICA-R) which extracts the P300 signal based on its temporal information. The main advantage of this method compared to the existing ICA-based method is that the desired P300 signal is extracted directly without requiring partial or full signal decomposition and any post-processing on the outcome of the ICA before the P300 signal can be obtained. Since only one IC is extracted, the method is computationally more efficient for real-time P300 BCI applications.

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