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EEG Biofeedback: A Generalized Approach to Neuroregulation
By Siegfried Othmer, Susan F. Othmer, and David A. Kaiser
To appear in "APPLIED NEUROPHYSIOLOGY & BRAIN BIOFEEDBACK" Edited by Rob Kall, Joe Kamiya, and Gary Schwartz
Page 4 of 13
The Bio-electrical Domain: The Role of Periodicity and the EEG We must pause in the chain of argument to admit to a degree of circularity: The normal EEG in an activated state has the appearance of a noisy signal devoid of any dominant frequency. Hence, it is not obviously rhythmic (periodic). Nevertheless, the frequency decomposition of this signal manifests the bursts of rhythmicity referred to. However, one could decompose any such noisy signal (the noise from a waterfall, for example) and obtain band-limited (frequency-decomposition) data looking much like the EEG, with similar bursts of rhythmicity. Hence, the physical reality that is ascribed to these rhythms must be based on more than the EEG signal itself. That is, looking through green sunglasses (band- limiting visual data) does not allow us to proclaim the world to be green. In the present context, the most persuasive argument for the physical reality of these rhythmic bursts comes from the fact that they appear to respond in a frequency-specific manner to EEG biofeedback training! However, we should not assume the answer in order to help us prove it.
Historically, the EEG was first studied with a focus on its most obvious feature, the alpha rhythm. We now associate a prominent alpha rhythm in occipital cortex with idleness of the visual system. Similarly, the sensorimotor rhythm (14 Hz [Hertz]) so prominent in the cat (or in Stage 2 sleep in humans) is associated with stillness of the motor system (Chase 1971). Inactivation is associated with increased rhythmicity (increased amplitude), as neuronal populations coalesce to collective firing under their mutual influence in the absence of independent sensory stimuli or other inputs. When activation levels are increased, due to stimulation or processing, these neuronal populations desynchronize, to a point at which rhythmicity may no longer be readily observable in the raw signal. Hence, the normal activated EEG is seen as the relatively desynchronized extrapolation of manifest rhythmic activity, which has a defined physiological function: maintaining a state of inactivity, or perhaps of readiness. A noisy (desynchronized) EEG arises then from the superposition of many rhythmic generators of different frequencies, each undergoing its own rapid ebbing and flowing from rhythmicity to desynchronization. When any one of these generators reaches the extreme of low activation, it may begin to dominate the EEG record. "Although our knowledge about the 'plasticity' of the nervous system is still in its beginnings, there is reason to believe that this plasticity is a general property of the central nervous system, and that it is a prerequisite for the capacity to learn (in general, be it motor patterns or pure intellectual capacities). Restitution after damage to the central nervous system may therefore in essence be likened to a learning process. Practical experience is in agreement with this."
Next, it is necessary to make the case that whatever role the specific EEG frequencies play in cortical regulation, that role is invariant over cortex. One of the notable features of the neocortex is that it is morphologically and histologically fairly homogeneous. Moreover, the same set of neuromodulators, by and large, subserve a variety of functional subsystems, and are not unique to any one of them. Similarly, the natural parsimony which prevails in nature makes it likely that the general role of rhythmicity in activation and time binding'whatever that role may be in detail'is probably uniform across cortical regions, varying only quantitatively over cortex, not qualitatively.
Hence, operant conditioning of the EEG rhythmic activity can be seen as a general appeal to brain regulatory function, as it is manifested in the cortical EEG. Depending on scalp location, one may expect some influence on the specific thalamocortical projections to that region, and to the specific functions subserved by that cortical region. Also, one expects some influence on the nonspecific thalamocortical projections, for a general effect on activation and physiological arousal. Whether the effect is more localized or more generalized has to be answered by a review of the data. It is already clear, however, that the EEG training cannot be specific to one neuromodulator system, as might be the case for some medications. Recent findings with fluoxetine (Prozac) make it apparent that even medications which impinge directly upon one neuromodulator system (serotonin), are behaviorally non-specific in their effects! (Kramer, 1993) We therefore have every reason to suppose that EEG training affects and hopefully promotes fundamental brain regulatory integrity, and that behavioral or other improvements are simply evidence of the heightening of such self-regulatory performance.
The Specific Role of Rhythmicity in Neuroregulation It has been argued above that in the extreme cases of EEG synchronization and desynchronization, an obvious correlation with low and high activation and arousal, respectively, exists. It is also well known that arousal correlates with dominant frequency in the EEG. It falls readily to hand to argue that the degree of rhythmicity, together with changes in the EEG frequency spectrum, manages the entire range of activation and arousal in the bio-electrical domain. The EEG, then, reflects a parameter that the brain tightly constrains in the ordinary course of events. An appeal to dominant frequency or to the amplitude at a given frequency by operant conditioning could therefore be expected to serve as a powerful external forcing function on the brain's management of arousal. The whole matter of the role of frequency, however, bears further discussion.
One role advocated for rhythmic activity is that of time binding, the need for harnessing brain electrical activity which is spatially distributed while maintaining it as a single entity. The need for this kind of function is apparent when it is recognized that visual processing, for example, must occur by parallel processing over large areas of cortical real estate. The integrity and stability of the image must be maintained over time. Simultaneity of firing of the various neurons participating in the mapping of an image may be the relevant criterion of "belonging". The transient organization of such distributed, correlated neuronal activity may be the role of the thalamocortical rhythmic generators. At the lower frequency regimes, say less than 30 Hz, this organization ranges broadly over the cortex, and manages activation and arousal with relatively long persistence. At higher frequency regimes, above 30 Hz, and peaking in the 40-60 Hz regimes, the brain manages specific cognitive processes that are of a more transient nature, and more spatially localized.
A recent study beautifully exhibits both of these roles of rhythmic activity (Munk, 1996). In this study, a visual image was moved across the visual cortex under two conditions: normal, and under electrical stimulation of the mesencephalon (brain stem region in which the nuclei reside which source the neuromodulator substances that control attention and arousal.) With stimulation, a global coherence became prominent in which the firing rates of neurons in different regions became more coincident. This coherence was observed over the region of visual cortex that was involved in mapping the moving image. If the moving image was then changed into two images, moving in opposite directions, the coherence was still present, but was restricted to the neurons belonging to each moving target. This beautiful experiment illustrates the influence of global activating mechanisms directed from the brainstem. However, this mechanism was not sufficient to guarantee time binding. That requires augmentation by information derived from the image itself, and processed 'locally' in cortex, in order to define the specific cohort to which each participating neuron belonged. This is a process of which the brainstem remains ignorant. Hence, time binding requires both brainstem and cortical governance, and both may be mediated by thalamo- cortical networks, and may also be modulated by direct cortical-cortical interaction.
It must be kept in mind that most of the signal processing we do in the brain involves very transient events taking place on small time scales. The analogy to dynamic RAMs or to the refresh on your computer screen (every 17 milliseconds) comes to mind. Further, it is apparent that the real information content in neural signals (action potentials) relates in first order (and trivially) to the presence or absence of a particular signal, and, more significantly, to the actual timing of the signal. The magnitude of an action potential is not a function of the size of the stimulus that gives rise to it. Only the timing matters. And even the timing gains significance only in the context of other events. All "mental activity" must ultimately have its basis in particular neuronal firing patterns that become discernible from the ambient noise background by virtue of timing coincidences or at least correlations. It is this timing which appears to be managed by thalamocortical circuitry. Rhythmicity may be one of the key ways in which such timing is organized. Recent research by Pfurtscheller (1990) and Sterman (1996), show that the brain's ability to locally desynchronize in a timely manner defines its capacity to process the next stage of an ongoing task. The ability to resynchronize quickly allows it to reenter a state of readiness for the next task. The process breaks down when synchronization or desynchronization of specific frequencies persists or is disregulated, decoupled from the demands of the moment. EEG biofeedback is then to be seen as a challenge to the mechanisms that underlie the management of this rhythmic activity, and in application to neuromodulation of arousal and activation its natural domain is the frequency range less than thirty Hz. Training is similar to stimulation, and constitutes a push that invokes the brain's capacity for restoring homeostasis. Over the longer term, this results in a long-term increase in stability. Training at a specific frequency is then a push in a very specific direction, which can be chosen in light of specific arousal disregulation or attentional deficits found in each case.
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