609 results match your criteria: "Center for Neuroprosthetics[Affiliation]"

Electrical stimulation of peripheral nerves via implanted electrodes has been shown to be a promising approach to restore sensation, movement, and autonomic functions across a wide range of illnesses and injuries. While in principle computational models of neuromodulation can allow the exploration of large parameter spaces and the automatic optimization of stimulation devices and strategies, their high time complexity hinders their use on a large scale. We recently proposed the use of machine learning-based surrogate models to estimate the activation of nerve fibers under electrical stimulation, producing a considerable speed-up with respect to biophysically accurate models of fiber excitation while retaining good predictivity.

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Retinal stimulation (RS) allows restoring vision in blind patients, but it covers only a narrow region of the visual field. Optic nerve stimulation (ONS) has the potential to produce visual perceptions spanning the whole visual field, but it produces very irregular phosphenes. We introduced a geometrical model converting retinal and optic nerve firing rates into visual perceptions and vice versa and a method to estimate the best perceptions elicitable through an electrode configuration.

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Peripheral nerve repair remains a major clinical challenge, particularly in the pursuit of therapeutic approaches that ensure adequate recovery of patient's activity of daily living. Autografts are the gold standard in clinical practice for restoring lost sensorimotor functions nowadays. However, autografts have notable drawbacks, including dimensional mismatches and the need to sacrifice one function to restore another.

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Impulsive individuals excessively discount the value of delayed rewards, and this is thought to reflect deficits in brain regions critical for impulse control such as the anterior cingulate cortex (ACC). Delay discounting (DD) is an established measure of cognitive impulsivity, referring to the devaluation of rewards delayed in time. This study used male Wistar rats performing a DD task to test the hypothesis that neural activity states in ACC ensembles encode strategies that guide decision-making.

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Effects of cervical transcutaneous spinal direct current stimulation on spinal excitability.

Clin Neurophysiol

December 2024

Brain Connectivity Laboratory, Dept. Neuroscience & Neurorehabilitation, IRCCS San Raffaele, Rome, Italy. Electronic address:

Article Synopsis
  • The study investigates the effects of transcutaneous spinal direct current stimulation (tsDCS) on spinal cord excitability through a randomized, sham-controlled experiment involving 18 young participants.
  • It found that a specific electrode configuration (anode on the 7th cervical spinous process and cathode on the glottis) significantly enhanced motor responses in hand muscles when stimulated, particularly noticeable during tsDCS and plateauing after six minutes.
  • These results indicate that tsDCS may enhance motoneuron excitability, suggesting potential therapeutic applications for individuals with impaired hand motor function due to corticospinal fiber issues.
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Wide-angle simulated artificial vision enhances spatial navigation and object interaction in a naturalistic environment.

J Neural Eng

November 2024

Medtronic Chair in Neuroengineering, Center for Neuroprosthetics and Institute of Bioengineering, School of Engineering, École Polytechnique Fédérale de Lausanne, Geneva, Switzerland.

. Vision restoration approaches, such as prosthetics and optogenetics, provide visual perception to blind individuals in clinical settings. Yet their effectiveness in daily life remains a challenge.

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A Novel Method and Python Library for ECG Signal Quality Assessment.

Stud Health Technol Inform

August 2024

Division of Medical Information Sciences, Geneva University Hospitals, Geneva, Switzerland.

Electrocardiogram (ECG) is one of the reference cardiovascular diagnostic exams. However, the ECG signal is very prone to being distorted through different sources of artifacts that can later interfere with the diagnostic. For this reason, signal quality assessment (SQA) methods that identify corrupted signals are critical to improve the robustness of automatic ECG diagnostic methods.

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Acoustic, lexical, and syntactic information are simultaneously processed in the brain requiring complex strategies to distinguish their electrophysiological activity. Capitalizing on previous works that factor out acoustic information, we could concentrate on the lexical and syntactic contribution to language processing by testing competing statistical models. We exploited electroencephalographic recordings and compared different surprisal models selectively involving lexical information, part of speech, or syntactic structures in various combinations.

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Face processing relies on predictive processes driven by low spatial frequencies (LSF) that convey coarse information prior to fine information conveyed by high spatial frequencies. However, autistic individuals might have atypical predictive processes, contributing to facial processing difficulties. This may be more normalized in autistic females, who often exhibit better socio-communicational abilities than males.

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Brain-body interfaces (BBIs) have emerged as a very promising solution for restoring voluntary hand control in people with upper-limb paralysis. The BBI module decoding motor commands from brain signals should provide the user with intuitive, accurate, and stable control. Here, we present a preliminary investigation in a monkey of a brain decoding strategy based on the direct coupling between the activity of intrinsic neural ensembles and output variables, aiming at achieving ease of learning and long-term robustness.

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Immersive VR for upper-extremity rehabilitation in patients with neurological disorders: a scoping review.

J Neuroeng Rehabil

May 2024

Department of Electrical, Electronic and Information Engineering "Guglielmo Marconi", University of Bologna, Bologna, Italy.

Background: Neurological disorders, such as stroke and chronic pain syndromes, profoundly impact independence and quality of life, especially when affecting upper extremity (UE) function. While conventional physical therapy has shown effectiveness in providing some neural recovery in affected individuals, there remains a need for improved interventions. Virtual reality (VR) has emerged as a promising technology-based approach for neurorehabilitation to make the patient's experience more enjoyable.

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Peripheral nerve damage results in the loss of sensorimotor and autonomic functions, which is a significant burden to patients. Furthermore, nerve injuries greater than the limiting gap length require surgical repair. Although autografts are the preferred clinical choice, their usage is impeded by their limited availability, dimensional mismatch, and the sacrifice of another functional donor nerve.

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An actor-model framework for visual sensory encoding.

Nat Commun

January 2024

Medtronic Chair in Neuroengineering, Center for Neuroprosthetics and Institute of Bioengineering, School of Engineering, École Polytechnique Fédérale de Lausanne, Geneva, Switzerland.

A fundamental challenge in neuroengineering is determining a proper artificial input to a sensory system that yields the desired perception. In neuroprosthetics, this process is known as artificial sensory encoding, and it holds a crucial role in prosthetic devices restoring sensory perception in individuals with disabilities. For example, in visual prostheses, one key aspect of artificial image encoding is to downsample images captured by a camera to a size matching the number of inputs and resolution of the prosthesis.

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Recent research suggests that autistic females may have superior socio-cognitive abilities compared to autistic males, potentially contributing to underdiagnosis in females. However, it remains unclear whether these differences arise from distinct neurophysiological functioning in autistic males and females. This study addresses this question by presenting 41 autistic and 48 non-autistic adults with a spatially filtered faces oddball paradigm.

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Lower urinary tract dysfunction, such as incontinence or urinary retention, is one of the leading consequences of neurological diseases. This significantly impacts the quality of life for those affected, with implications extending not only to humans but also to clinical veterinary care. Having motor and sensory fibers, the pudendal nerve is an optimal candidate for neuromodulation therapies using bidirectional intraneural prostheses, paving the way towards the restoration of a more physiological urination cycle: bladder state can be detected from recorded neural signals, then an electrical current can be injected to the nerve based on the real-time need of the bladder.

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The neural correlates of topographical disorientation-a lesion analysis study.

Ann Clin Transl Neurol

February 2024

Department of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

Topographical disorientation refers to the selective inability to orient oneself in familiar surroundings. However, to date its neural correlates remain poorly understood. Here we use quantitative lesion analysis and a lesion network mapping approach in order to investigate seven patients with topographical disorientation.

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Objective: Human figure drawings are widely used in clinical practice as a qualitative indication of Body Representations (BRs) alterations in stroke patients. The objective of this study is to present and validate the use of a new app called QDraw for the quantitative analysis of drawings and to investigate whether this analysis can reveal distortions of BRs in chronic stroke patients.

Results: QDraw has proven to generate reliable data as compared to manual scoring and in terms of inter-rater reliability, as shown by the high correlation coefficients.

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Virtual reality intervention alleviates dyspnoea in patients recovering from COVID-19 pneumonia.

ERJ Open Res

November 2023

Laboratory of Cognitive Neuroscience, Brain Mind Institute and Center for Neuroprosthetics, Faculty of Life Sciences, Ecole Polytechnique Federale de Lausanne, Geneva, Switzerland.

Background: Immersive virtual reality (iVR)-based digital therapeutics are gaining clinical attention in the field of pain management. Based on known analogies between pain and dyspnoea, we investigated the effects of visual respiratory feedback on persistent dyspnoea in patients recovering from coronavirus disease 2019 (COVID-19) pneumonia.

Methods: We performed a controlled, randomised, single-blind, crossover proof-of-concept study (feasibility and initial clinical efficacy) to evaluate an iVR-based intervention to alleviate dyspnoea in patients recovering from COVID-19 pneumonia.

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Background: Upper limb (UL) motor impairment following stroke is a leading cause of functional limitations in activities of daily living. Robot-assisted therapy supports rehabilitation, but how its efficacy and the underlying neural mechanisms depend on the time after stroke is yet to be assessed.

Aim: We investigated the response to an intensive protocol of robot-assisted rehabilitation in sub-acute and chronic stroke patients, by analyzing the underlying changes in clinical scores, electroencephalography (EEG) and end-effector kinematics.

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The growing popularity of virtual reality systems has led to a renewed interest in understanding the neurophysiological correlates of the illusion of self-motion (vection), a phenomenon that can be both intentionally induced or avoided in such systems, depending on the application. Recent research has highlighted the modulation of α power oscillations over the superior parietal cortex during vection, suggesting the occurrence of inhibitory mechanisms in the sensorimotor and vestibular functional networks to resolve the inherent visuo-vestibular conflict. The present study aims to further explore this relationship and investigate whether neuromodulating these waves could causally affect the quality of vection.

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Tangent functional connectomes uncover more unique phenotypic traits.

iScience

September 2023

Purdue Institute for Integrative Neuroscience, Purdue University, West Lafayette, IN, USA.

Article Synopsis
  • Functional connectomes (FCs) represent brain region interactions using correlation matrices and can be transformed into tangent-FCs for improved models of brain health and aging.
  • The study hypothesized that tangent-FCs provide better identification rates (higher fingerprint) than FCs, considering factors like fMRI conditions and regularization techniques.
  • Results indicated that minimal regularization (0.01) with a Riemann reference matrix and correlation distance led to the highest identification rates, corroborated by testing on a second dataset.
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Revealing the Acute Effects of Dietary Components on Mood and Cognition: The Role of Autonomic Nervous System Responses.

Brain Sci

August 2023

Brain Health Department, Nestlé Institute of Health Sciences, Nestlé Research, Société des Produits Nestlé S.A., 1000 Lausanne, Switzerland.

A growing body of literature suggests dietary components can support mood and cognitive function through the impact of their bioactive or sensorial properties on neural pathways. Of interest, objective measures of the autonomic nervous system-such as those regulating bodily functions related to heartbeat and sweating-can be used to assess the acute effects of dietary components on mood and cognitive function. Technological advancements in the development of portable and wearable devices have made it possible to collect autonomic responses in real-world settings, creating an opportunity to study how the intake of dietary components impacts mood and cognitive function at an individual level, day-to-day.

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Article Synopsis
  • - The article provides an overview of recent developments in respiratory medicine showcased at the 2022 European Respiratory Society International Congress, focusing on laboratory science and clinical trials.
  • - It summarizes selected presentations from various topics, including clinical issues, rehabilitation, chronic care, general practice, and mobile health technologies.
  • - Key areas discussed include clinical respiratory physiology, exercise, and functional imaging, highlighting the challenges of keeping up with advancements in the field.
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The neuropsychology and neuroanatomy of reduplicative paramnesia.

Cortex

October 2023

Department of Neurology, Inselspital, Bern University Hospital, University of Bern, Switzerland; CORE Lab, Psychosomatic Competence Center, Department of Neurology, Inselspital, Bern University Hospital, University of Bern, Switzerland. Electronic address:

Reduplicative paramnesia refers to the delusional belief that there are identical places in different locations. In this case-control study we investigated the clinical, phenomenological, neuropsychological and neuroanatomical data of eleven patients with reduplicative paramnesia and compared them against a control group of eleven patients with severe spatial disorientation without signs of reduplicative paramnesia. We show that most patients with reduplicative paramnesia report that a current place is reduplicated and/or relocated to an other familiar place.

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Parliament dynamics might seem erratic at times. Predicting future voting patterns could support policy design based on the simulation of voting scenarios. The availability of open data on legislative activities and machine learning tools might enable such prediction.

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