EEG-Based Focus of Attention Tracking and Regulation During Dual-Task Training for Neural Rehabilitation of Stroke Patients

Dual-task training under variable-priority instructions (DT-VP), during which subjects are required to vary their focus of attention (FOA) between two concurrent tasks, has shown a more significant improvement in neural rehabilitation than that under fixed-priority instructions. Failed FOA switching not only diminishes the recovery benefits, but also causes anxieties, which is detrimental to rehabilitation. Developing a strategy for tracking and regulating patients' FOA to achieve a better performance in task priority-following during DT-VP is thus imperative. In this study, fifteen stroke patients participated in DT-VP that comprised two tasks: a mathematical problem-solving task and a cycling task, during which their electroencephalograms were recorded simultaneously. The significantly differentiated power spectra of four brain regions extracted from single-task training were fed into a support vector machine to build a FOA tracking algorithm for patients' attention assessment during the DT-VP. Moreover, dual-task difficulty adaptation method was designed to regulate patients' FOA when their FOA and the high-priority task were not coincident. The comparison experimental results showed that the proposed method significantly improved patients' FOA distributed on the high-priority task (analysis of variance, 0.05). Meanwhile, the absolute power spectral densities of the motor cortex and the frontal region could also be improved during DT-VP under high motor and cognitive task priority instructions, respectively. These phenomena demonstrated the feasibility of the proposed method in helping stroke patients better implement FOA switching and maintenance.