Using virtual reality to examine the neural and physiological anxiety-related responses to balance-demanding target-reaching leaning tasks

We examine the feasibility and effectiveness of a virtual reality (VR) based experimental setup to monitor and modify the neural and physiological anxiety-related responses to balance-demanding target-reaching whole body leaning tasks. In our system, electroencephalography (EEG) and electrocardiography (EKG) signals are used to analyze the subjects' real-Time neural and cardiac activities, respectively, while subjects perform accuracy-constrained whole body movements as quickly and as accurately as possible in high fall-risk VR conditions. Salient features of neural and cardiac responses are analyzed to monitor anxiety-related changes in subjects during the performance of balance-demanding tasks. Validation of the proposed framework, integrating VR and sensor-based monitoring, may pave the way to smart and intuitive human-robot or brain-computer interface systems that can detect anxiety in human users during the performance of demanding motor tasks. The application of linear and radial basis function support vector machine classifiers suggest good performance in detecting anxiety using power of the alpha band from F3 and F4 channels of the EEG head cap. Our results suggest that frontal alpha asymmetry (FAA) may be used as bio-marker for quantifying both trait and state anxiety, and further conclude that state anxiety is correlated with motor task performance.