Ventilation pulmonaire | EPFL Graph Search

La ventilation pulmonaire, ou respiration dans le langage courant, est le renouvellement de l'air contenu dans les poumons par l'action des muscles respiratoires dont le principal est le diaphragme. Elle comprend deux temps : l'entrée d'air dans les poumons lors de l'inspiration et la sortie d'air lors de l'expiration. En biologie le terme « respiration » désignant alors la production d'énergie par les cellules, la dénomination de ventilation pulmonaire est préférée en médecine pour éviter toute confusion. Modélisation On divise de façon schématique l'appareil respiratoire en voies aériennes de conduction, que sont la trachée, les bronches, et les bronchioles (de la bronche souche à la bronchiole terminale) et en secteur alvéolaire (c'est-à-dire toute partie de l'appareil respiratoire située après une bronchiole sensitive : bronchioles respiratoires, canaux alvéolaires, alvéoles et lobules). La physiologie pulmonaire utilise de façon permanente un certain nombre de prin

Breathing control, brain, and bodily self-consciousness: Toward immersive digiceuticals to alleviate respiratory suffering

Sophie Jacqueline Andrée Betka, Olaf Blanke

Breathing is peculiar among autonomic functions through several characteristics. It generates a very rich afferent traffic from an array of structures belonging to the respiratory system to various areas of the brain. It is intimately associated with bodily movements. It bears particular relationships with consciousness as its efferent motor control can be automatic or voluntary. In this review within the scope of "respiratory neurophysiology" or "respiratory neuroscience", we describe the physiological organisation of breathing control. We then review findings linking breathing and bodily self-consciousness through respiratory manipulations using virtual reality (VR). After discussing the currently admitted neurophysiological model for dyspnea, as well as a new Bayesian model applied to breathing control, we propose that visuo-respiratory paradigms -as developed in cognitive neuroscience- will foster insights into some of the basic mechanisms of the human respiratory system and will also lead to the development of immersive VR-based digital health tools (i.e. digiceuticals).

2022

Motor state transitions and Breathing in Brain Machine Interfaces

Bastien Orset

Brain-Machine interfaces aim to create a direct neural link between user's brain and machines. This goal has pushed scientists to investigate a large spectrum of applications in the realm of assistive and rehabilitation technologies. However, despite great progress, the possibility of being in full control of a device with our brain is still far to be reached. One of the primary limitations of BMIs is the notion of self-paced control, which states that a user should be able to activate or deactivate such interface by mere modulation of brain activity. Many studies have investigated this question, focusing notably on the use of endogenous signals (such as Event-Related Desynchronization/Synchronization, ERD/S) to control the activation of these interfaces in natural interaction scenarios. This question is, however, largely ignored when looking at their interruption. Hence, in this first part of the thesis, my work was devoted to investigate how a BMI user would be able to control the interruption of non-invasive BMIs based on Motor Imagery (MI), a paradigm promoting natural and endogenous signals that can be used for BMI control. I investigated the decoding of motor termination as well as its correlates characterized by the post-movement ERS phenomenon. Specifically, this part of the thesis aimed to study (i) the feasibility to decode motor termination from a specific neural correlate as well as the adaptation from the user in closed-loop scenarios, (ii) the benefits of using motor termination correlates to detect the stopping process, and (iii) the effect of BMI effectors such as an exoskeleton on the detection of motor termination correlates. The obtained results provide new insights into closed-loop decoding of motor termination. In particular, I show that BMI users exhibit an adaptation of their EEG correlates enabling them to have a reliable control when switching off a BMI in closed-loop scenarios. Second, I show that the decoding of motor termination is a particular process different from a resting state and, hence, should be decoded independently so as to achieve a faster and more robust detection. Finally, I investigate the use of BMI effectors with respect to the decoding of motor termination showing an effect of the effectors on the correlates of motor termination. However, due to the nature of these correlates, motor termination can still be reliably decoded with a similar latency. In the second part of my thesis, I also investigate how the interoceptive system affects BMI and particularly how breathing signals affect BMI based on MI. Breathing has been shown to have a key effect on numerous human functions, including, perceptual, cognitive and motor functions. However, currently not much is known about the role of respiratory signals in BMI and such signals have rather been considered as physiological noise. In my thesis, I evaluated how the breathing process affects the correlates of MI (ERD in mu and beta bands) as well as actual BMI performance. The results provide an extensive analysis regarding the effect of the breathing cycle specifically on mu-ERDs, showing stronger ERD during the late expiration phase. Moreover, I identified a link between breathing and BMI performance and propose that breathing signals are a valuable predictor for BMI performance highlighting the importance of monitoring such signals and, more generally, present the interoceptive system as a key component of motor preparation and motor imagery

EPFL2021

Interferences between breathing, experimental dyspnoea and bodily self-consciousness

Etienne Allard, Javier Bello Ruiz, Olaf Blanke, Elisa Canzoneri, Bruno Herbelin

Dyspnoea, a subjective experience of breathing discomfort, is a most distressing symptom. It implicates complex cortical networks that partially overlap with those underlying bodily self-consciousness, the experience that the body is one's own within a given location (self-identification and self-location, respectively). Breathing as an interoceptive signal contributes to bodily self-consciousness: we predicted that inducing experimental dyspnoea would modify or disrupt this contribution. We also predicted that manipulating bodily self-consciousness with respiratory-visual stimulation would possibly attenuate dyspnoea. Twenty-five healthy volunteers were exposed to synchronous and asynchronous respiratory-visual illumination of an avatar during normal breathing and mechanically loaded breathing that elicited dyspnoea. During normal breathing, synchronous respiratory-visual stimulation induced illusory self-identification with the avatar and an illusory location of the subjects' breathing towards the avatar. This did not occur when respiratory-visual stimulation was performed during dyspnoea-inducing loaded breathing. In this condition, the affective impact of dyspnoea was attenuated by respiratory-visual stimulation, particularly when asynchronous. This study replicates and reinforces previous studies about the integration of interoceptive and exteroceptive signals in the construction of bodily self-consciousness. It confirms the existence of interferences between experimental dyspnoea and cognitive functions. It suggests that respiratory-visual stimulation should be tested as a non-pharmacological approach of dyspnoea treatment.

Nature Publishing Group2017

Motor state transitions and Breathing in Brain Machine Interfaces

Bastien Orset

EPFL2021