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Background Bihemispheric transcranial direct current stimulation (tDCS) of the primary motor cortex (M1) can simultaneously modulate bilateral corticospinal excitability and interhemispheric interaction. However, how tDCS affects subacute stroke recovery remains unclear. We investigated the effects of bihemispheric tDCS on motor recovery in subacute stroke patients. Methods We enrolled subacute inpatients who had first-ever ischemic stroke at subcortical regions and moderate-to-severe baseline Fugl-Meyer Assessment of Upper Extremity (FMA-UE) score 2–56. Participants between 14 and 28 days after stroke were double-blind, randomly assigned (1:1) to receive real (n = 13) or sham (n = 14) bihemispheric tDCS (with ipsilesional M1 anode and contralesional M1 cathode, 20 min, 2 mA) during task practice twice daily for 20 sessions in two weeks. Residual integrity of the ipsilesional corticospinal tract was stratified between groups. The primary efficacy outcome was the change in FMA-UE score from baseline (responder as an increase ≥ 10). The secondary measures included changes in the Action Research Arm Test (ARAT), FMA-Lower Extremity (FMA-LE) and explorative resting-state MRI functional connectivity (FC) of target regions after intervention and three months post-stroke. Results Twenty-seven participants completed the study without significant adverse effects. Nineteen patients (70%) had no recordable baseline motor-evoked potentials (MEP-negative) from the paretic forearm. Compared with the sham group, the real tDCS group showed enhanced improvement of FMA-UE after intervention ( p  < 0.01, effect size η 2  = 0.211; responder rate: 77% vs. 36%, p  = 0.031), which sustained three months post-stroke ( p  < 0.01), but not ARAT. Interestingly, in the MEP-negative subgroup analysis, the FMA-UE improvement remained but delayed. Additionally, the FMA-LE improvement after real tDCS was not significantly greater until three months post-stroke ( p  < 0.01). We found that the individual FMA-UE improvements after real tDCS were associated with bilateral intrahemispheric, rather than interhemispheric, FC strengths in the targeted cortices, while the improvements after sham tDCS were associated with predominantly ipsilesional FC changes after adjustment for age and sex ( p  < 0.01). Conclusions Bihemispheric tDCS during task-oriented training may facilitate motor recovery in subacute stroke patients, even with compromised corticospinal tract integrity. Further studies are warranted for tDCS efficacy and network-specific neuromodulation. Trial registration : This study is registered with ClinicalTrials.gov: (ID: NCT02731508).

Support vector machines (SVMs) based on brain-wise functional connectivity (FC) have been widely adopted for single-subject prediction of patients with schizophrenia, but most of them had small sample size. This study aimed to evaluate the performance of SVMs based on a large single-site dataset and investigate the effects of demographic homogeneity and training sample size on classification accuracy. The resting functional Magnetic Resonance Imaging (fMRI) dataset comprised 220 patients with schizophrenia and 220 healthy controls. Brain-wise FCs was calculated for each participant and linear SVMs were developed for automatic classification of patients and controls. First, we evaluated the SVMs based on all participants and homogeneous subsamples of men, women, younger (18-30 years), and older (31-50 years) participants by 10-fold nested cross-validation. Then, we hold out a fixed test set of 40 participants (20 patients and 20 controls) and evaluated the SVMs based on incremental training sample sizes (N = 40, 80, …, 400). We found that the SVMs based on all participants had accuracy of 85.05%. The SVMs based on male, female, young, and older participants yielded accuracy of 84.66, 81.56, 80.50, and 86.13%, respectively. Although the SVMs based on older subsamples had better performance than those based on all participants, they generalized poorly to younger participants (77.24%). For incremental training sizes, the classification accuracy increased stepwise from 72.6 to 83.3%, with >80% accuracy achieved with sample size >240. The findings indicate that SVMs based on a large dataset yield high classification accuracy and establish models using a large sample size with heterogeneous properties are recommended for single subject prediction of schizophrenia.

The motor imagery (MI)-based brain computer interface (BCI) is an intuitive interface that enables users to communicate with external environments through their minds. However, current MI-BCI systems ask naïve subjects to perform unfamiliar MI tasks with simple textual instruction or a visual/auditory cue. The unclear instruction for MI execution not only results in large inter-subject variability in the measured EEG patterns but also causes the difficulty of grouping cross-subject data for big-data training. In this study, we designed an BCI training method in a virtual reality (VR) environment. Subjects wore a head-mounted device (HMD) and executed action observation (AO) concurrently with MI (i.e., AO + MI) in VR environments. EEG signals recorded in AO + MI task were used to train an initial model, and the initial model was continually improved by the provision of EEG data in the following BCI training sessions. We recruited five healthy subjects, and each subject was requested to participate in three kinds of tasks, including an AO + MI task, an MI task, and the task of MI with visual feedback (MI-FB) three times. This study adopted a transformer- based spatial-temporal network (TSTN) to decode the user’s MI intentions. In contrast to other convolutional neural network (CNN) or recurrent neural network (RNN) approaches, the TSTN extracts spatial and temporal features, and applies attention mechanisms along spatial and temporal dimensions to perceive the global dependencies. The mean detection accuracies of TSTN were 0.63, 0.68, 0.75, and 0.77 in the MI, first MI-FB, second MI-FB, and third MI-FB sessions, respectively. This study demonstrated the AO + MI gave an easier way for subjects to conform their imagery actions, and the BCI performance was improved with the continual learning of the MI-FB training process.

Accumulating evidence demonstrates that similar neural circuits are activated during the first-hand experience of pain and the observation of pain in others. However, most functional MRI studies did not detect signal change in the primary somatosensory cortex during pain empathy. To test if the perception of pain in others involves the primary somatosensory cortex, neuromagnetic oscillatory activity was recorded from the primary somatosensory cortex in 16 participants while they observed static pictures depicting body parts in painful and non-painful situations. The left median nerve was stimulated at the wrist, and the poststimulus rebounds of the ~10-Hz somatosensory cortical oscillations were quantified. Compared to the baseline condition, the level of the ~10-Hz oscillations was suppressed during both of the observational situations, indicating the activation of the primary somatosensory cortex. Importantly, watching painful compared to non-painful situations suppressed somatosensory oscillations to a significant stronger degree. In addition, the suppression caused by perceiving others in the painful relative to the non-painful situations correlated with the perspective taking subscale of the interpersonal reaction index. These results, consistent with the mirror-neuron system, demonstrate that the perception of pain in others modulates neural activity in primary somatosensory cortex and supports the idea that the perception of pain in others elicits subtle somatosensory activity that may be difficult to detect by fMRI techniques.

Motor imagery (MI)-based brain–computer interfaces (BCIs) provide an intuitive pathway for neural interaction and rehabilitation, yet their practical deployment remains constrained by long calibration requirements, substantial inter-subject variability, and the non-stationary nature of EEG signals. These challenges are amplified when using dry-electrode EEG, which offers superior convenience for real-world systems but produces noisier and less stable recordings than traditional wet electrodes. As a result, online or real-time four-class MI detection—especially with dry electrodes—has been explored only in a limited number of studies, underscoring an important gap in the field and the need for adaptive, intelligent models capable of coping with continuous signal drift. In this study, we propose a real-time MI-BCI framework that integrates immersive action observation (AO) in virtual reality with a continual learning strategy to manage the evolving nature of dry-EEG features. A CNN–Transformer hybrid model is first initialized through AO-enhanced pre-training and subsequently refined via online continual adaptation during user interaction. This continual learning mechanism enables the classifier to incrementally assimilate new MI patterns while preserving previously acquired knowledge, thereby mitigating the performance degradation that typically arises in extended MI-BCI sessions. Experimental results across four motor classes demonstrate improved decoding accuracy and strengthened sensorimotor activation over time, confirming the system’s capacity for user-specific and session-to-session adaptation. By addressing the rarely studied combination of dry electrodes, online four-class MI decoding, and continual learning, the proposed approach enhances MI-BCI robustness, reduces calibration burden, and supports sustainable long-term deployment in intelligent neurotechnology applications.

Psychologically, females are usually thought to be superior in interpersonal sensitivity than males. The human mirror-neuron system is considered to provide the basic mechanism for social cognition. However, whether the human mirror-neuron system exhibits gender differences is not yet clear. We measured the electroencephalographic mu rhythm, as a reliable indicator of the human mirror-neuron system activity, when female (N = 20) and male (N = 20) participants watched either hand actions or a moving dot. The display of the hand actions included androgynous, male, and female characteristics. The results demonstrate that females displayed significantly stronger mu suppression than males when watching hand actions. Instead, mu suppression was similar across genders when participants observed the moving dot and between the perceived sex differences (same-sex vs. opposite-sex). In addition, the mu suppressions during the observation of hand actions positively correlated with the personal distress subscale of the interpersonal reactivity index and negatively correlated with the systemizing quotient. The present findings indirectly lend support to the extreme male brain theory put forward by Baron-Cohen (2005), and may cast some light on the mirror-neuron dysfunction in autism spectrum disorders. The mu rhythm in the human mirror-neuron system can be a potential biomarker of empathic mimicry.

This study investigated how gifted and regular high school students employ different cognitive strategies and integrate information during scientific problem solving, using eye-tracking techniques. Eighteen multiple-choice items were selected from the Investigating Scientific Thinking and Reasoning (iSTAR) assessment developed at The Ohio State University, including nine text-only questions (tMCQs) and nine picture-embedded questions (pMCQs). The items were chosen to ensure clear spatial separation among text, image, and answer areas, allowing reliable region-based eye-movement analysis. Eye-tracking data were analyzed using two indices: fixation time ratio (FTR), reflecting relative attention allocation, and saccade count ratio (SCR), capturing cross-region information integration. The results revealed clear group differences. Gifted students devoted a larger proportion of attention to pictorial information (0.38 vs. 0.32) and showed more frequent transitions between picture and answer regions (0.15 vs. 0.12), indicating more integrative processing and mental model construction. In contrast, regular students spent more time focusing on textual regions and exhibited higher within-text saccade activity, consistent with a direct translation strategy. Furthermore, SCR-based machine learning classification using a Random Forest model demonstrated meaningful discriminative capability between the two groups, particularly for picture-embedded questions, achieving an accuracy of 77.5%. Overall, the findings provide empirical evidence that question format influences students’ cognitive strategies during scientific reasoning. Methodologically, this study combines a validated reasoning assessment, a carefully defined ROI-based eye-tracking design, and interpretable behavioral indicators, offering practical implications for differentiated science instruction.

This study proposes a high-frequency Pulse Amplitude-Modulation Temporal-Interference (PAM-TI) current stimulation device, which utilizes two sets of Amplitude-modulated transcranial alternating current stimulation (AM-tACS): one AM frequency at f0 (where f0 = 2 kHz) (source 1) and the other AM frequency at f1 = f0 + △f (where f1 = 2.01 kHz) (source 2), to generate a △f (where △f = 10 Hz) envelope modulated at a fc (where fc = 100 kHz) high carrier frequency. The high carrier frequency reduces body impedance and conserves more stimulation power, allowing it to penetrate the skin and reach the subcutaneous region. The proposed PAM-TI technique elevates the two current sources to a 100 kHz carrier frequency. Instead of the challenges associated with generating high-frequency stimulation currents using an MCU and DAC, the proposed PAM-TI stimulation device achieves this by simply utilizing a pair of complementary pulse-width modulations (PWMs). The push–pull technique is employed to balance the charging currents between the anode and cathode, synchronizing the current timing of Source 1 and Source 2 under the fc modulation condition. To minimize signal attenuation, the PAM circuit is integrated directly into the electrode, ensuring the high-frequency signal is generated close to the body and preventing degradation from long wires. Additionally, a dry pin-type spring-loaded electrode is used to reduce interference caused by hair when placed on the head. The device’s validity and current directionality were verified using a scalp tissue-mimicking phantom composed of agar and saline.

This study presents a new steady-state visual evoked potential (SSVEP)-based brain computer interface (BCI). SSVEPs, induced by phase-tagged flashes in eight light emitting diodes (LEDs), were used to control four cursor movements (up, right, down, and left) and four button functions (on, off, right-, and left-clicks) on a screen menu. EEG signals were measured by one EEG electrode placed at Oz position, referring to the international EEG 10-20 system. Since SSVEPs are time-locked and phase-locked to the onsets of SSVEP flashes, EEG signals were bandpass-filtered and segmented into epochs, and then averaged across a number of epochs to sharpen the recorded SSVEPs. Phase lags between the measured SSVEPs and a reference SSVEP were measured, and targets were recognized based on these phase lags. The current design used eight LEDs to flicker at 31.25 Hz with 45° phase margin between any two adjacent SSVEP flickers. The SSVEP responses were filtered within 29.25-33.25 Hz and then averaged over 60 epochs. Owing to the utilization of high-frequency flickers, the induced SSVEPs were away from low-frequency noises, 60 Hz electricity noise, and eye movement artifacts. As a consequence, we achieved a simple architecture that did not require eye movement monitoring or other artifact detection and removal. The high-frequency design also achieved a flicker fusion effect for better visualization. Seven subjects were recruited in this study to sequentially input a command sequence, consisting of a sequence of eight cursor functions, repeated three times. The accuracy and information transfer rate (mean ± SD) over the seven subjects were 93.14 ± 5.73% and 28.29 ± 12.19 bits/min, respectively. The proposed system can provide a reliable channel for severely disabled patients to communicate with external environments.

Auditory steady-state response (ASSR) is a translational biomarker for several neurological and psychiatric disorders, such as hearing loss, schizophrenia, bipolar disorder, autism, etc. The ASSR is sinusoidal electroencephalography (EEG)/magnetoencephalography (MEG) responses induced by periodically presented auditory stimuli. Traditional frequency analysis assumes ASSR is a stationary response, which can be analyzed using linear analysis approaches, such as Fourier analysis or Wavelet. However, recent studies have reported that the human steady-state responses are dynamic and can be modulated by the subject’s attention, wakefulness state, mental load, and mental fatigue. The amplitude modulations on the measured oscillatory responses can result in the spectral broadening or frequency splitting on the Fourier spectrum, owing to the trigonometric product-to-sum formula. Accordingly, in this study, we analyzed the human ASSR by the combination of canonical correlation analysis (CCA) and Holo-Hilbert spectral analysis (HHSA). The CCA was used to extract ASSR-related signal features, and the HHSA was used to decompose the extracted ASSR responses into amplitude modulation (AM) components and frequency modulation (FM) components, in which the FM frequency represents the fast-changing intra-mode frequency and the AM frequency represents the slow-changing inter-mode frequency. In this paper, we aimed to study the AM and FM spectra of ASSR responses in a 37 Hz steady-state auditory stimulation. Twenty-five healthy subjects were recruited for this study, and each subject was requested to participate in two auditory stimulation sessions, including one right-ear and one left-ear monaural steady-state auditory stimulation. With the HHSA, both the 37 Hz (fundamental frequency) and the 74 Hz (first harmonic frequency) auditory responses were successfully extracted. Examining the AM spectra, the 37 Hz and the 74 Hz auditory responses were modulated by distinct AM spectra, each with at least three composite frequencies. In contrast to the results of traditional Fourier spectra, frequency splitting was seen at 37 Hz, and a spectral peak was obscured at 74 Hz in Fourier spectra. The proposed method effectively corrects the frequency splitting problem resulting from time-varying amplitude changes. Our results have validated the HHSA as a useful tool for steady-state response (SSR) studies so that the misleading or wrong interpretation caused by amplitude modulation in the traditional Fourier spectrum can be avoided.