Cardiac Cycle Modulates Alpha and Beta Suppression during Motor Imagery.

Introduction The baroreceptor hypothesis posits that baroreceptors, located on the cardiac walls, are most active during systole, translating cardiac contraction information to the brain. Studies within this context have suggested that the systolic phase, characterised by increased noise, may compromise the processing of sensory stimuli. Although the effect of systolic and diastolic cardiac cycle phases on cognition, perception, and action has been widely documented, there remains a gap in applying these interoceptive insights to enhance assistive technologies such as brain-computer interfaces (BCIs). In the context of BCIs, motor imagery (MI), the mental rehearsal of movement, serves as a widely used control paradigm, yet its modulation through the cardiac cycle has not been empirically tested. Bridging this gap, this study examined how the cardiac cycle phases influence MI by assessing their effect on contralateral suppression of alpha (8-13 Hz) and beta (14-30 Hz) activity in primary sensorimotor cortices. Materials & Methods Twenty-nine participants performed left/right thumb abductions based on the direction of an arrow presented on the screen to get familiarised with kinesthetic sensations. They then completed a MI task of the same movements. We recorded both electroencephalography (EEG) and electrocardiography (ECG), focusing our analysis on data epochs aligned with the experimental cue, based on whether it occurred during the systolic or diastolic phase of the cardiac cycle. Time-frequency analysis of source-reconstructed data assessed cue-induced changes in power spectral density (PSD) within the alpha and beta bands in the postcentral and precentral gyrus. Results We found that alpha and beta suppression in the contralateral primary motor and somatosensory cortex was more pronounced when the cue fell during the diastolic phase of the cardiac cycle than during the systolic phase. Validating the main results, an analysis with circular statistics revealed that trials with particularly pronounced contralateral alpha and beta suppression featured cues with latencies clustering during diastole, the quietest time of the cardiac cycle. Accompanying the EEG effects, EMG activity on the side of the movement was enhanced during diastole. Conclusion These findings provide evidence that MI performance can be enhanced by considering the cardiac cycle phases, offering promising implications for BCI-based applications.