Skip to main content

ORIGINAL RESEARCH article

Front. Psychol., 20 July 2018
Sec. Performance Science
This article is part of the Research Topic The Psychophysiology of Action View all 15 articles

Focusing Attention on Muscle Exertion Increases EEG Coherence in an Endurance Cycling Task

  • BIND-Behavioral Imaging and Neural Dynamics Center, Department of Medicine and Aging Sciences, “G. d'Annunzio” University of Chieti-Pescara, Chieti, Italy

The aim of this study was to examine EEG coherence before, during, and after time to exhaustion (TTE) trials in an endurance cycling task, as well as the effect of effort level and attentional focus (i.e., functional external, functional internal, and dysfunctional internal associative strategies−leading to Type 1, Type 2, and Type 3 performances) on brain functional connectivity. Eleven college-aged participants performed the TTE test on a cycle-ergometer with simultaneous EEG and rate of perceived exertion (RPE) monitoring. EEG data from 32 electrodes were divided into five effort level periods based on RPE values (Baseline, RPE 0-4, RPE 5-8, RPE 9-MAX, and Recovery). Within subjects RM-ANOVA was conducted to examine time to task completion across Type 1, Type 2, and Type 3 performance trials. RM-ANOVA (3 performance types × 5 effort levels) was also performed to compare the EEG coherence matrices in the alpha and beta bands for 13 pairs of electrodes (F3-F4, F3-P3, F4-P4, T7-T8, T7-P3, C3-C4, C3-P3, C4-P4, T8-P4, P3-P4, P3-O1, P4-O2, O2-O1). Significant differences were observed on TTE performance outcomes between Type 1 and Type 3, and between Type 2 and Type 3 performance states (p < 0.05), whereas Type 1 and Type 2 performance states did not differ. No significant main effects were observed on performance type (p > 0.05) for all frequency bands in any pair of electrodes of the coherence matrices. Higher EEG coherence values were observed at rest (Baseline) than during cycling (RPE 0–4, 5–8, 9–MAX) for all pairs of electrodes and EEG frequency bands irrespective of the type of performance (main effect of effort, p < 0.05). Interestingly, we observed a performance × effort interaction in C3–C4 in beta 3 band [F (4, 77) = 2.62, p = 0.038] during RPE 9-MAX for Type 3 performance as compared to Type 1 and Type 2 performances. These findings may have practical implications in the development of performance optimization strategies in cycling, as we found that focusing attention on a core component of the action could stimulate functional connectivity among specific brain areas and lead to enhanced performance.

Introduction

Physical exercise is commonly known to result in changes of brain cortical activity measured by EEG techniques (Schneider et al., 2009a). It is also generally accepted that exercise can cause temporary changes of the EEG activity in the alpha and beta bands (Crabbe and Dishman, 2004). Specific brain changes are related to different kinds of exercise and to the participants' preferences for physical exercise (Schneider et al., 2009a,b). Moreover, the effects of exercise on brain cortical activity are reflected in specific brain regions. For example, research findings from studies comparing running and cycling revealed an increased alpha activity in the frontal regions, involved in emotional processing, immediately after treadmill exercise on those participants who displayed a clear preference for running. On the other hand, participants who preferred cycling showed increased alpha activity in the parietal regions, which play an important role in integrating sensory information, after bike exercise (Schneider et al., 2009b). These studies have shown the occurrence of brain activity changes as a result of exercise. However, few studies have examined these changes during exercise. For example, Bailey et al. (2008) documented increased EEG power spectra during graded-exercise to fatigue; in particular, they found increased power in the theta, alpha, and beta bands during exercise at different electrode sites (i.e., F3, F4, F7, F8, C3, C4, P3, P4). Findings suggest that brain activity may be related to exercise intensity, which could have an impact on brain waves; in particular, increases in EEG activity in alpha and beta bands seem to reflect augmented ventilatory rate.

In a cycling study, Hottenrott et al. (2013) found cortical activity to be influenced by cadence. Specifically, EEG data indicated that cadence not only directly increased metabolic and cardiac activity, but also influenced cortical parameters. In detail, the U-shaped curve of EEG spectral power over time suggests a central activation that decreases with the onset of fatigue.

Hilty et al. (2011), in addition, demonstrated that there is a fatigue-induced increase in communication between the mid/anterior insular and the motor cortex during cycling exercise. The authors provided basis to further investigate the cortical mechanisms of supraspinal fatigue. Moreover, in different tasks, Babiloni et al. (2011) speculated on the physiological meaning of inter- and intra-hemispheric connectivity during performance; in a golf putting task, for instance, they suggested that the increase of bilateral parietal central coherence in alpha band is due to the recruitment of central-parietal resources related to global attention. However, there is scant research examining brain activity before, during, and after endurance tasks or under stressful conditions.

Interaction among brain processes, cognition, and performance has been recently studied using the multi-action plan (MAP) model (Bortoli et al., 2012; Robazza et al., 2016) as a theoretical framework (for a review, see di Fronso et al., 2017). This model provides practical indications to help athletes reach and maintain optimal performance also under strenuous or stressful situations. The MAP model is based on the notion that different attentional strategies lead to optimal and suboptimal performance states, which are related to specific psychophysiological (Bertollo et al., 2013; Filho et al., 2015), neural (Bertollo et al., 2016; di Fronso et al., 2016), or affective responses (Robazza et al., 2016). The MAP model is conceptualized in function of distinct performance levels (i.e., optimal or suboptimal) and attentional demands (i.e., automatic or controlled). The interplay between performance and attention leads to four performance states: (a) Type 1, optimal-automated performance, characterized by an automatic (“flow” like) attentional mode; (b) Type 2, optimal-controlled performance, typified by an associative focus directed toward core components of a given task/action; (c) Type 3, suboptimal-controlled performance, characterized by a focus directed toward irrelevant information and/or a dysfunctional control of automated action components; and (d) Type 4, sub-optimal-automated performance, typified by a low level or a lack of focus of attention. In particular, former studies showed that athletes can achieve optimal performances (Type 1, Type 2) with different type of effort, attention, and investment of cognitive resources (Furley et al., 2015; Carson and Collins, 2016; Robazza et al., 2016). In brain studies, high levels of anxiety are commonly associated with beta activity increase and alpha activity decrease (e.g., Carvalho et al., 2013). Similarly, efficient and inefficient processing during performance were shown to be modulated by the degree of effort and attentional demands of the task, with a clear Event-Related Synchronization in Type 1 performance and Desynchronization in Type 3 performance (Bertollo et al., 2016).

Drawing on the MAP model assumptions, the effect of different internal and external associative strategies on endurance performance has been investigated (Bertollo et al., 2015). Participants were required to direct attention externally on pacing (Type 1 performance), focus internally on a core component of the cycling action (Type 2), or attend to muscular exertion (Type 3). Findings showed that participants in Type 1 and Type 2 performance states attained optimal performance. On the other hand, Type 3 performance condition led to poor performance because of enhanced feelings of fatigue. Type 4 performance was not considered in this earlier study and in the current investigation because of the difficulty to instate in participants involved in a laboratory task a mental attitude of real disengagement featuring a Type 4 performance state. In a study testing the association between cortical functional networks and the performance types foreseen in the MAP model in cycling (Comani et al., 2014), coherence analysis has been used as an adequate metrics to quantify the functional correlation between active brain areas at the sensor level, as also suggested in more recent studies (Srinivasan et al., 2007; Bowyer, 2016). Comani et al. found that performance types relied on fronto-occipital and inter-hemispheric frontal coherence in the alpha band.

Drawing on the MAP model assumptions, we conducted a counterbalanced repeated measure trial to investigate the effect on cortical coherence (i.e., functional connectivity; Florian et al., 1998; Srinivasan et al., 2007) of internal and external attentional strategies during the different periods (i.e., effort levels) of a time to exhaustion (TTE) cycling task. At Baseline, before the TTE test, we expected to observe in participants a higher functional connectivity in the alpha and beta bands as compared to the periods of TTE execution and Recovery, because of a readiness for task execution that translates in a greater communication within all brain regions (Hypothesis 1-effort level effect). Furthermore, we expected to observe a significant interaction between type of performance and effort level (i.e., Baseline, RPE 0-4, RPE 5-8, RPE 9-MAX, Recovery) on functional connectivity (Hypothesis 2-Performance × effort level interaction). In particular, Type 3 performance should result in a higher level of coherence in the beta band (the biomarker that most reflects motor binding; Cheron et al., 2016), during the last stages of the TTE task, due to the attentional focus on dysfunctional feelings, which increases the communication among sensory motor areas and should differ from Type 1 and Type 2 performances. On the other hand, Type 1 “flow-like” experience should be characterized by reduced functional connectivity, related to cortical inhibition (Klimesch, 1996; Pfurtscheller, 2003; Klimesch et al., 2007) and brain regions deactivation (Knyazev et al., 2011). Because of the limited research on this topic, the current investigation could be considered exploratory in nature. Specifically, alpha band analysis could provide information about global resting state, whereas beta band could offer information about sensory motor integration (beta1), perception-action coupling (beta2), and selective attention related to the motor task (beta3) (Laufs et al., 2003; Donner and Siegel, 2011; Kilavik et al., 2013; Cheron et al., 2016).

Method

Participants

We recruited 12 college-aged students. One student discontinued participation from the experiment due to health reasons. Therefore, 11 students (4 women and 7 men, Mage = 24.29 years, SD = 4.91 years) completed the experimental protocol, consisting of five visits to our exercise physiology laboratory. All volunteers participated regularly in different physical activities of low or moderate intensity and some of them were professional cyclists (see Table 1). After being briefed on the general purpose of the study, the participants agreed to participate and signed a written informed consent. The study was conducted in accordance with the declaration of Helsinki and received approval from the local university ethics committee (University “G. d'Annunzio” of Chieti-Pescara) with application ref. n. 10-21/05/2015.

TABLE 1
www.frontiersin.org

Table 1. Mean (M) and Standard Deviations (SD) of Anaerobic Threshold (AT) and Individual Optimal Pedaling Rate (IOPR) obtained with incremental test, and minutes on constant load phase of Time to Exhaustion Test (TTE) in the three types of performance for the participants.

Ratings of Perceived Exertion (RPE)

RPE was measured through the CR-10 Scale (Borg and Borg, 2001) ranging from “0” (no effort) to “•” (maximal sustainable effort). The verbal anchors were: 0 = nothing at all, 0.5 = extremely weak, 1 = very weak, 2 = weak, 3 = moderate, 5 = strong, 7 = very strong, 10 = extremely strong, • = absolute maximum (a score of 11 is assigned to this anchor). No verbal anchors were used for 4, 6, 8, and 9; the use of CR-10 Scale is instrumental in diminishing ceiling effects, and its ratings are linearly related to various physiological parameters such as VO2max, lactate, and heart rate (Borg, 1998).

Procedure

Similarly to a previous study (Bertollo et al., 2015), five visits to the laboratory were arranged, with inter-visit intervals of 48–72 h in order to permit physiological Recovery of participants. Two qualified researchers collected the data. Data collection occurred in a quiet (no music playing, and no other people allowed in the laboratory) and safe environment to warrant the comfort of the participants. During the first visit, participants received standard instructions about the use of RPE on the CR-10 scale and performed an incremental test to determine their anaerobic threshold (AT) and individual optimal pedaling rate in revolution/minute (rpm). Heart rate, VO2, and VCO2 were continuously monitored with the Schiller CS 200 system. During the second visit, an EEG was acquired during a TTE test to check the setting and EEG equipment. At the same time, the precision of the estimated AT and the pedaling rate were verified to proceed as accurately as possible with the other three visits to our laboratory that were important for data collection and the subsequent analysis. The time to exhaustion interval is defined as the maximum interval for which the subject can maintain an exercise intensity equal to AT + 5%, and/or after which he/she reaches volitional exhaustion. During the last three visits, participants performed the TTE test on a monark Cyclo-Ergometer (939 E) with simultaneous EEG monitoring. The TTE test was performed adopting a counterbalanced design. During each visit, one of three MAP-based strategies was randomly used during the constant load phase of the protocol:

1) An external associative strategy—focus on an external pacing-metronome set at the individual optimal pedaling rate—leading to Type 1 performance (instructions for participants: “… during the whole constant load phase, a metronome reproducing your optimal pedaling rate will be activated. Please focus your attention on the pacer and follow the pedaling rhythm…”);

2) A functional internal associative strategy—focus on the internal individual optimal pedaling rate (core component)—leading to Type 2 performance (“…during the whole constant load phase maintain your optimal pedaling rate which is estimated to be n revolutions per minutes-RPM. Please, focus your attention on your feet to maintain that rhythm…”);

3) A dysfunctional internal associative strategy—focus on muscle exertion (perception of tension, stiffness, fatigue, soreness, etc.) related to pedaling—leading to Type 3 performance (“…during the whole constant load phase, please focus your attention on your muscle exertion…”).

At the end of the task, participants were asked to complete a manipulation check questionnaire using a 10-point frequency scale with anchors 1 (never) and 10 (always). The questionnaire contained one of the following questions: “How often did you focus your attention on the metronome?” (Type 1 performance condition), “How often did you focus your attention on your feet to maintain individual RPM pacing?” (Type 2 performance condition), and “How often did you focus your attention on your muscle exertion?” (Type 3 performance condition). A frequency adherence under 4, which was considered “often enough,” was adopted as an exclusion criterion.

Incremental Test (First Visit)

After a warm up (4 min at 75 watt), oxygen uptake (VO2) and carbon dioxide production (VCO2) were measured using an incremental protocol on a monark cycle ergometer (939 E). Heart rate, VO2, and VCO2 were continuously monitored using the Schiller C2 200 System, as above mentioned, to obtain all the physiological parameter useful to identify AT. AT was measured using the V-SLOPE method (Wasserman et al., 1994). Pedaling rate was maintained at 70 rpm, and the workload power output, initially set at 75 Watt, was step-wise increased by 25 Watt every 2 min until exhaustion. After the incremental test, participants were given a 20-min rest period. After this period, participants were asked to pedal at AT + 5% for 10 min to identify their individual optimal pedaling rate, while familiarizing themselves with the study procedures.

TTE Test at Individual Constant Load (Second to Fifth Visit)

During the second visit participants familiarized with TTE protocol. After a resting period of 2 min (no movement for Baseline EEG recording) and a warm up period of 4 min on the cycle ergometer at 60% of AT in Watt, participants performed a constant load exhaustive test at individual constant load (AT + 5%) reporting at the same time their RPE, with pedaling rate fixed at their individual optimal pedaling rate. After exhaustion (absolute maximum effort), there was a Recovery period of 4 min at 60% of AT and a further resting period of 2 min without movement. RPE scores were collected 5 s before the end of each minute during the entire protocol. During the following visits to the laboratory (i.e., 3rd, 4th, and 5th), participants were assigned to one of the three experimental conditions, each defined in a random order and occurring on different days. In order to verify the adherence to the experimental assignments, the above-mentioned manipulation check questionnaire was administered.

EEG Recording and Pre-processing

Electroencephalographic data were continuously recorded during the whole protocol using the 32 channels EEG ASAlab system with Waveguard cap (Advanced Neuro Technology, Enschede, Netherlands). This system is supplied with shielded wires to make recordings less susceptible to external noise and movements. Sampling frequency was 512 Hz. The ground electrode (AFz) and common average reference were positioned between Fpz and Fz to ensure low impedance values (<10 KΩ). The 32 electrodes were distributed over the scalp according to the 10/5 system (Oostenveld and Praamstra, 2001). The EEG data were band-pass filtered between 0.3 and 40 Hz. Epochs showing instrumental, ocular, and muscular artifacts were detected using the ASA (Advanced Source Analysis) software (Zanow and Knösche, 2004) with the PCA (Principal Components Analysis) method. Data epochs showing residual artifacts were visually identified by two independent experts and excluded from further analysis.

EEG Data Analysis

Pre-processed EEG signals were divided based on the TTE test structure and on the RPE scores. We identified 7 periods: Baseline, warm up, RPE 0–4, RPE 5–8, RPE 9–MAX, Recovery, and rest. We retained the Baseline, RPE 0–4, RPE 5–8, RPE 9–MAX, and Recovery periods for further analysis. Unfortunately, rest periods, where participants were requested to stop pedaling, could not be analyzed because of sweating artifacts due to the autonomic nervous system response, which irremediably affected EEG signals. Warm up, instead, was not a period of interest because attention manipulation was not implemented. For each period we analyzed the EEG intervals of 4 s duration from −6 to −2 s prior to RPE evaluation. Four-seconds epochs were averaged at individual level when part of similar categories of RPE periods (e.g., participant 1: Baseline = 2 epochs for each type of performance; RPE 0–4 = 5 epochs for Type 1; 6 for Type 2; 7 for Type 3; RPE5–8 = 4 epochs for Type 1; 6 for Type 2; 4 for Type3; RPE 9–MAX = 4 epochs for Type 1; 3 for type 2; 4 for Type 3; Recovery = 4 epochs for each type of performance). Therefore, the grand average of the eleven participants was performed resulting in a total of 22 epochs for Baseline; 44 epochs for Recovery, 53 (±10 epochs) for RPE 0–4, 50 (±2) for RPE5–8 44 (±6) for RPE 9-MAX.

Coherence analysis of the EEG data was performed to detect cortical connectivity patterns in relation to the different attentional strategies and time periods. The complex coherence between two signals X1 and X2 (recorded by two given electrodes) was calculated as the cross-spectrum between the signals and normalized by the square root of the power spectrum product of the two signals. Given that coherence is a normalized measure of the correlation between two signals, and consists of complex values, its amplitude can vary from 0 to 1. For each period, mean coherence matrices were calculated in the alpha (8–12 Hz), beta 1 (12–18 Hz), beta 2 (18–23 Hz), and beta 3 (23–30 Hz) bands (ASA-Lab software). We divided the beta band in three sub-bands to better study sensory motor processes, perception-action coupling, and selective attention (Laufs et al., 2003; Donner and Siegel, 2011; Kilavik et al., 2013; Cheron et al., 2016).

For each of the four frequency bands (i.e., alpha, beta1, beta2, beta3) we obtained 15 reference coherence matrices (3 performance types × 5 time periods) by averaging the mean coherence matrices of the 11 participants. To retain only significant functional connections across EEG signals, we adopted the approach proposed by Berchicci et al. (2015) and thresholded each reference coherence matrix on the basis of its own coherence value distribution, which is expected to be non-Gaussian. We then calculated the Median and Median Absolute Deviation (MAD) of the coherence value distribution for each reference coherence matrix, and defined a new thresholded coherence matrix where only the coherence values > (Median + 1 MAD) were considered as meaningful functional connections and retained, whereas all other coherence values were set equal to zero (Li et al., 2015; Chella et al., 2016). Each thresholded coherence matrix is composed of the coherence values of each pair of 30 electrodes with this order of labels: Fp1, Fpz, Fp2, F7, F3, Fz, F4, F8, FC5, FC1, FC2, FC6, T7, C3, Cz, C4, T8, CP5, CP1, CP2, CP6, P7, P3, Pz, P4, P8, POz, O1, OZ, O2.

Statistical Analysis

Before considering cortical data, we analyzed performance outcomes in TTE test, running a within-subjects repeated measure analysis comparing the time to complete the task during each type of performance (Type 1, Type 2, Type 3).

Afterwards, a series of within-subjects repeated measures ANOVA was performed with 3 (performance types) × 5 (effort level = Baseline, RPE_0–4, RPE_5–8, RPE_9–Max, Recovery) on each pair of electrodes. According to a previous study (Del Percio et al., 2011), representative electrodes are F3, F4, C3, C4, P3, P4, T7, T8, O1, O2. We analyzed cortical activity by combining these electrodes in pairs representative of inter-hemispheric (F3–F4, C3–C4, T7–T8, P3–P4, O2–O1) and intra-hemispheric (F3–P3, F4–P4, T7–P3, T8–P4, C3–P3, C4–P4, P3–O1, P4–O2) connectivity across the frontal, central, parietal, temporal, and occipital regions in alpha and beta bands.

Results

Performance Outcomes Comparison

Within-subjects RM-ANOVA for TTE (see Table 1) showed significant differences among performance outcomes, F (2, 9) = 7.323, p = 0.013, ηp2 = 0.619, Power = 0.827. Post-hoc pairwise comparisons with Bonferroni correction, showed significant differences between Type 1 and Type 3 (p = 0.037) performance states, and between Type 2 and Type 3 (p = 0.024), but not between Type 1 and Type 2 (p = 1.000).

Manipulation Check

Manipulation check results showed that participants adhered satisfactorily to the experimental conditions. During Type 1 performance condition, response ratings ranged from 4 to 9, which corresponded to an adherence frequency from “often enough” to “almost always” (M = 6.80, SD = 1.83). In Type 2 performance state, the response ratings ranged from 5 to 10 (“often” to “always”; M = 7.36, SD = 1.80), whereas in Type 3 performance state the response ratings ranged from 4 to 10 (“often enough” to “always,” M = 7.27, SD = 1.79).

EEG Coherence Results

For each frequency band (alpha, beta1, beta2, beta3) we calculated coherence matrices for each type of performance (Type 1, Type 2, Type 3) and for each effort level (Baseline, RPE 0–4; RPE 5–8; RPE 9–MAX, Recovery). These matrices are shown in Figures 14. Furthermore, the averaged coherence values of all electrodes in the alpha and beta bands are included in Supplementary Materials to provide a comprehensive picture of brain activity at the sensor level (see Figures 1S−4S).

FIGURE 1
www.frontiersin.org

Figure 1. Coherence matrices for each type of performance during different time periods of the protocol in the alpha band. Red color indicates high values of coherence whereas the blue color indicates low values of coherence.

FIGURE 2
www.frontiersin.org

Figure 2. Coherence matrices for each type of performance during different time periods of the protocol in the beta 1 band. Red color indicates high values of coherence whereas the blue color indicates low values of coherence.

FIGURE 3
www.frontiersin.org

Figure 3. Coherence matrices for each type of performance during different time periods of the protocol in the beta 2 band. Red color indicates high values of coherence whereas the blue color indicates low values of coherence.

FIGURE 4
www.frontiersin.org

Figure 4. Coherence matrices for each type of performance during different time periods of the protocol in the beta 3 band. Red color indicates high values of coherence whereas the blue color indicates low values of coherence.

Alpha Band

RM-ANOVA 3 (performance) × 5 (effort level) showed significant effects on effort level for almost all pairs of chosen electrodes (see Table 1S). Post-hoc analysis showed differences between Baseline and periods of TTE task (effort level), mainly between Baseline and RPE 5–8 and between Baseline and 9-MAX period (see Table 2).

TABLE 2
www.frontiersin.org

Table 2. Post-hoc pairwise comparisons on effort level in alpha band.

Beta Bands

RM-ANOVA 3 (performance) × 5 (effort level) showed significant effort level effects for almost all pairs of chosen electrodes in all beta bands (see Tables 2S−4S). Post-hoc comparisons on effort level showed differences mainly between Baseline and RPE 5–8, and between Baseline and Recovery (Table 3). Moreover, performance × time interaction was found for C3–C4 electrodes pair in beta 3 band (Table 4S). Post-hoc pairwise comparisons showed significant differences between Type 3 and Type 1 performances, as well as between Type 3 and Type 2 performances, but not between Type 1 and Type 2 during RPE 9-MAX (Table 4).

TABLE 3
www.frontiersin.org

Table 3. Post-hoc pairwise comparisons on effort level in beta bands.

TABLE 4
www.frontiersin.org

Table 4. Post-hoc pairwise comparisons for C3-C4 electrodes pair on performance × effort level interaction (red color indicates p < 0.05).

Discussion

Current results, derived from EEG coherence analysis of data collected before, during, and after TTE, corroborated previous behavioral findings (Bertollo et al., 2015) and helped clarifying the brain mechanisms underpinning endurance task performance. Specifically, results related to performance outcomes confirmed that participants were able to optimally perform using an external associative strategy by focusing their attention on the metronome (Type 1 performance). Similarly, participants were able to achieve optimal performance also using an internal associative strategy with a focus of attention directed to the core component of the action (Type 2 performance). On the other hand, participants' performance was poor when they focused their attention on muscle exertion. These results suggest that individuals may perform well not only in a flow-like performance state (Type 1), but also when they pay attention to specific action components (Type 2 state). Therefore, identifying the core components of action linked to functional performance patterns and focusing attention on this fundamental movement can improve performance and help individuals counteract the discomfort and pain deriving from muscle soreness and fatigue in endurance tasks.

The main purpose of this study was to examine, within the theoretical framework of the MAP model, the effect of attentional strategies on brain functional connectivity during different periods of effort. In summary, findings from the entire scalp (averaged coherence of all electrodes) in the alpha and beta bands showed:

1) Higher coherence values at rest (Baseline) than during task execution (RPE 0–4, 5–8, 9–MAX periods) for all performance types (Hypothesis 1-effort level effect). Post-hoc pairwise comparisons showed significant differences between Baseline and the two periods of high effort (RPE 5–8; RPE 9–MAX) in both alpha and beta bands. Differences between Baseline and Recovery were found especially in the beta bands.

2) Higher coherence values in Type 3 performance as compared to Type 1 and Type 2 performances during RPE 9-MAX (Hypothesis 2-Performance × effort level interaction). It is interesting to observe that performance × effort level interaction on the C3–C4 electrodes pair in beta 3 band most likely reflected the effect of focusing attention on muscle exertion (Type 3 performance state), that led to higher inter-hemispheric communication between motor areas during the exhausting phase (i.e., RPE 9-Max).

These results are consistent with previous findings which associate high values of coherence with functional coupling (Thatcher et al., 1986), information exchange (Petsche et al., 1997; Pfurtscheller and Andrew, 1999), and functional coordination (Gevins et al., 1989) among brain regions. High coherence values suggest an increased functional synchronization among two or more brain areas related to the preparation for task execution (Pfurtscheller and Andrew, 1999).

Our findings also highlighted that coherence was generally lower during those periods characterized by movement and high effort such as at RPE 5–8 and particularly at RPE 9–MAX (especially in Type 1 and Type 2 performance).

Our results are partially consistent with the finding that after a fatiguing cycling exercise there is an increase in the communication between the mid/anterior insula and the motor cortex (Hilty et al., 2011), similar to what observed for the Baseline period. Indeed, from a statistical point of view, we found differences for inter- and intra-hemispheric coherence when comparing Baseline and TTE, but not when comparing TTE and Recovery. This occurred not only in the alpha but also in the beta band, the biomarker that best reflects motor binding (Cheron et al., 2016). Therefore, we can argue that our first hypothesis was confirmed to a large extent, although further research is necessary to compare TTE and Recovery immediately after exercise, eventually considering longer periods of post-exercise Recovery.

We also noticed that coherence patterns during Baseline periods were similar for all types of performance. This finding indicates an extensive exchange of background information among all brain regions before task execution and movement (Petsche et al., 1997; Pfurtscheller and Andrew, 1999). Even if, in general, we did not observe significant results on performances by effort interactions, it is worth noting that Type 1 performance was usually typified by higher coherence as compared to the other performance types during low effort (RPE 0–4 period) in the alpha and beta bands. This result could be related to the external associative strategy adopted that can initially engage a broader functional connectivity across brain areas, as well as to the nature of the task that requires a sustained movement (Comani et al., 2014). Lower coherence in Type 2 and Type 3 performances could be related to negative feelings associated with fatigue or the internal focus of attention (Wilson et al., 2011). Of note, during maximum effort (RPE 9–MAX period) Type 1 performance was characterized by lower coherence that could be due to fatigue effects. These may lead to a reorganization of the brain network (Berchicci et al., 2013) irrespective of the functional strategy adopted. Moreover, we can hypothesize that task execution during the final period of the TTE becomes more automatic and needs less information exchange, especially when an external associative strategy is adopted (Hatfield and Kerick, 2007). This result can be also partially interpreted within the framework of the neural efficiency hypothesis, which reflects a general reduction in neural activity as task execution becomes more automated and less controlled (Callan and Naito, 2014). We also found that an external associative strategy was effective and possibly leading to flow like experiences, as demonstrated by cortical inhibition and therefore by the low coherence values obtained during maximum effort (Knyazev et al., 2011).

It is worth considering that during the Recovery phase there was no attention manipulation and, consequently, cognitive and attentional demands were low; these low demands could have contributed to the retrieval of coherence patterns similar to those observed during Baseline. From the visual inspection of the coherence matrices, indeed, we observed, especially in the alpha band, high coherence values during Recovery in Type 1 performance, similarly to coherence in Type 3 performance. We can hypothesize that after maximum effort a counteracting mechanism restores the same pattern of functional connectivity among brain areas as during Baseline. Indeed sensory-related thalamic nuclei information, which serves as gate to the primary sensory areas in the cortex during TTE (Beiser and Houk, 1998), is absent during Baseline. We also observed another difference between Type 1 and Type 3 performance states: coherence values in beta 3 were significantly higher for Type 3 during maximum effort in C3–C4. This may be due to the focus of attention on muscle exertion that leads to an increased inter-hemispheric communication between motor areas devoted to the motor input in the bilateral cycling task (Comani et al., 2014). We could argue that an enhancement of alpha and beta interhemispheric coherence, particularly in C3–C4, may reflect the primary activation of the somatosensory cortex in noxious processing (Chen and Rappelsberger, 1994). This difference was also observed between Type 2 and Type 3 performance, but not between Type 1 and Type 2 performance. These findings corroborate the MAP model perspective because the two optimal performances (Type 1 and 2) showed similar functional connectivity patterns, which were different from those observed for Type 3 performance (Bertollo et al., 2016; di Fronso et al., 2016, 2017). However, our findings are not conclusive in regard to our second hypothesis, and further investigation is needed to more deeply explore sensory motor integration and perception-action coupling. From an applied perspective, this study suggests the use of bio-neurofeedback not just to help people divert their attention away from dysfunctional sensations (Bertollo et al., 2015), but also to stimulate functional connectivity among specific brain areas for performance optimization, according to the explanation provided by Poldrack (2015) on neural efficiency theory. He suggested that “the total amount of energy consumed by neuronal computations depends not just upon the function of individual neurons, but also on how those neurons are connected to one another” (p. 16). Neurofeedback training could be used together with relaxation and mental skills training to help athletes modulate alpha or beta brain waves, and therefore self-regulate their functional arousal level (di Fronso et al., 2017).

Some limitations of the current study need to be addressed in future research. From a methodological point of view, performing EEG studies in sport is still hard due to different types of artifacts affecting the EEG recordings. We conducted this study with a stationary EEG system and wet electrodes, which did not totally allow to avoid the artifacts in low frequency ranges. More advanced EEG equipment (e.g., mobile EEG systems, dry-electrode technology) and new algorithms for EEG data pre-processing (Stone et al., 2018; Tamburro et al., 2018) could allow to consider also the theta band, hence paving the way to a better interpretation of EEG data in the light of the neural efficiency hypothesis. From a theoretical point of view, it might be important to investigate also cortico-muscolar coherence during voluntary movements (Marsden et al., 2000), as it could provide useful information on specific functional connections between the cortex and the engaged muscles (Travis et al., 2002), and a better understanding of the brain-body interaction and integration (Tang and Bruya, 2017). Finally, future studies should engage a larger number of participants to provide more reliable results, especially about peak performance experiences that are rare to find and difficult to reproduce. Research should also be extended to different endurance sports and more experienced athletes to attain more generalizable findings. Other functional neuroimaging techniques (e.g., NIRS) and analytic procedures (i.e., LORETA) could also enable a better understanding of structure-function and brain-body connections.

Author Contributions

All authors listed have made a substantial, direct and intellectual contribution to the work, and approved it for publication.

Funding

This study was part of a PhD program funded by University G. d'Annunzio of Chieti-Pescara.

Conflict of Interest Statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Supplementary Material

The Supplementary Material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fpsyg.2018.01249/full#supplementary-material

References

Babiloni, C., Infarinato, F., Marzano, N., Iacoboni, M., Dassù, F., Soricelli, A., et al. (2011). Intra-hemispheric functional coupling of alpha rhythms is related to golfer's performance: a coherence EEG study. Int. J. Psychophysiol. 82, 260–268. doi: 10.1016/j.ijpsycho.2011.09.008

PubMed Abstract | CrossRef Full Text | Google Scholar

Bailey, S. P., Hall, E. E., Folger, S. E., and Miller, P. C. (2008). Changes in EEG during graded exercise on a recumbent cycle ergometer. J. Sports Sci. Med. 7, 505–511.

PubMed Abstract | Google Scholar

Beiser, D. G., and Houk, J. C. (1998). Model of cortical-basal ganglionic processing: encoding the serial order of sensory events. J. Neurophysiol. 79, 3168–3188. doi: 10.1152/jn.1998.79.6.3168

PubMed Abstract | CrossRef Full Text | Google Scholar

Berchicci, M., Menotti, F., Macaluso, A., and Di Russo, F. (2013). The neurophysiology of central and peripheral fatigue during sub-maximal lower limb isometric contractions. Front. Hum. Neurosci. 7:135. doi: 10.3389/fnhum.2013.00135

PubMed Abstract | CrossRef Full Text | Google Scholar

Berchicci, M., Tamburro, G., and Comani, S. (2015). The intrahemispheric functional properties of the developing sensorimotor cortex are influenced by maturation. Front. Hum. Neurosci. 9:39. doi: 10.3389/fnhum.2015.00039

PubMed Abstract | CrossRef Full Text | Google Scholar

Bertollo, M., Bortoli, L., Gramaccioni, G., Hanin, Y., Comani, S., and Robazza, C. (2013). Behavioural and psychophysiological correlates of athletic performance: a test of the multi-action plan model. Appl. Psychophysiol. Biofeedback 38, 91–99. doi: 10.1007/s10484-013-9211-z

PubMed Abstract | CrossRef Full Text | Google Scholar

Bertollo, M., di Fronso, S., Filho, E., Conforto, S., Schmid, M., Bortoli, L., et al. (2016). Proficient brain for optimal performance: the MAP model perspective. PeerJ 4:e2082. doi: 10.7717/peerj.2082

PubMed Abstract | CrossRef Full Text | Google Scholar

Bertollo, M., di Fronso, S., Filho, E., Lamberti, V., Ripari, P., Reis, V. M., et al. (2015). To focus or not to focus: is attention on the core components of action beneficial for cycling performance? Sport Psychol. 29, 110–119. doi: 10.1123/tsp.2014-0046

CrossRef Full Text | Google Scholar

Borg, G. (1998). Borg's Perceived Exertion and Pain Scales. Champaign, IL: Human kinetics.

Google Scholar

Borg, G., and Borg, E. (2001). A new generation of scaling methods: level-anchored ratio scaling. Psychol. 28, 15–45.

Bortoli, L., Bertollo, M., Hanin, Y., and Robazza, C. (2012). Striving for excellence: a multi-action plan intervention model for shooters. Psychol. Sport Exerc. 13, 693–701. doi: 10.1016/j.psychsport.2012.04.006

CrossRef Full Text | Google Scholar

Bowyer, S. M. (2016). Coherence a measure of the brain networks: past and present. Neuropsychiatric Electrophysiol. 2:1. doi: 10.1186/s40810-015-0015-7

CrossRef Full Text | Google Scholar

Callan, D. E., and Naito, E. (2014). Neural processes distinguishing elite from expert and novice athletes. Cogn. Behav. Neurol. 27, 183–188. doi: 10.1097/WNN.0000000000000043

PubMed Abstract | CrossRef Full Text | Google Scholar

Carson, H. J., and Collins, D. (2016). The fourth dimension: a motoric perspective on the anxiety–performance relationship. Intern Rev. Sport Exerc. Psychol. 9, 1–21. doi: 10.1080/1750984X.2015.1072231

PubMed Abstract | CrossRef Full Text | Google Scholar

Carvalho, M. R. D., Velasques, B. B., Cagy, M., Marques, J. B., Teixeira, S., Nardi, A. E., et al. (2013). Electroencephalographic findings in panic disorder. Trends Psych. Psychother. 35, 238–251. doi: 10.1590/2237-6089-2013-0012

PubMed Abstract | CrossRef Full Text | Google Scholar

Chella, F., Pizzella, V., Zappasodi, F., and Marzetti, L. (2016). Impact of the reference choice on scalp EEG connectivity estimation. J. Neural. Engin. 13:036016. doi: 10.1088/1741-2560/13/3/036016

PubMed Abstract | CrossRef Full Text | Google Scholar

Chen, A. C. N., and Rappelsberger, P. (1994). Brain and human pain: topographic EEG amplitude and coherence mapping. Brain Topogr. 7, 129–140. doi: 10.1007/BF01186771

PubMed Abstract | CrossRef Full Text | Google Scholar

Cheron, G., Petit, G., Cheron, J., Leroy, A., Cebolla, A., Cevallos, C., et al. (2016). Brain oscillations in sport: toward EEG biomarkers of performance. Front. Psychol. 7:246. doi: 10.3389/fpsyg.2016.00246

PubMed Abstract | CrossRef Full Text | Google Scholar

Comani, S., di Fronso, S., Filho, E., Castronovo, A. M., Schmid, M., Bortoli, L., et al. (2014). “Attentional focus and functional connectivity in cycling: an EEG case study,” in XIII Mediterranean Conference on Medical and Biological Engineering and Computing 2013 (Seville: Springer International Publishing), 137–140. doi: 10.1007/978-3-319-00846-2_34

CrossRef Full Text | Google Scholar

Crabbe, J. B., and Dishman, R. K. (2004). Brain electrocortical activity during and after exercise: a quantitative synthesis. Psychophysiol.,41, 563–574. doi: 10.1111/j.1469-8986.2004.00176.x

PubMed Abstract | CrossRef Full Text | Google Scholar

Del Percio, C., Iacoboni, M., Lizio, R., Marzano, N., Infarinato, F., Vecchio, F., et al. (2011). Functional coupling of parietal alpha rhythms is enhanced in athletes before visuomotor performance: a coherence electroencephalographic study. Neuroscience 175, 198–211. doi: 10.1016/j.neuroscience.2010.11.031

PubMed Abstract | CrossRef Full Text | Google Scholar

di Fronso, S., Robazza, C., Bortoli, L., and Bertollo, M. (2017). Performance optimization in sport: a psychophysiological approach. Motriz: Rev. Ed. Fis. 23. doi: 10.1590/S1980-6574201700040001

CrossRef Full Text | Google Scholar

di Fronso, S., Robazza, C., Filho, E., Bortoli, L., Comani, S., and Bertollo, M. (2016). Neural markers of performance states in an Olympic Athlete: an EEG case study in air-pistol shooting. J. Sports Sci. Med. 15, 214–222.

PubMed Abstract | Google Scholar

Donner, T. H., and Siegel, M. (2011). A framework for local cortical oscillation patterns. Trends Cogn. Sci. 15, 191–199. doi: 10.1016/j.tics.2011.03.007

PubMed Abstract | CrossRef Full Text | Google Scholar

Filho, E., di Fronso, S., Mazzoni, C., Robazza, C., Bortoli, L., and Bertollo, M. (2015). My heart is racing! Psychophysiologica ldynamics of skilled racecar drivers. J. Sports Sci. 33, 945–959. doi: 10.1080/02640414.2014.977940

PubMed Abstract | CrossRef Full Text | Google Scholar

Florian, G., Andrew, C., and Pfurtscheller, G. (1998). Do changes in coherence always reflect changes in functional coupling? Electroencephalogr. Clin. Neurophysiol. 106, 87–91. doi: 10.1016/S0013-4694(97)00105-3

PubMed Abstract | CrossRef Full Text | Google Scholar

Furley, P., Schweizer, G., and Bertrams, A. (2015). The two modes of an athlete: dual-process theories in the field of sport. Int. Rev. Sport Ex. Psychol. 8, 106–124. doi: 10.1080/1750984X.2015.1022203

CrossRef Full Text | Google Scholar

Gevins, A. S., Bressler, S. L., Morgan, N. H., Cutillo, B. A., White, R. M., Greer, D. S., et al. (1989). Event-related covariances during a bimanual visuomotor task. I. Methods and analysis of stimulus-and response-locked data. Electroencephalogr. Clin. Neurophysiol. Evoked Potentials Section 74, 58–75. doi: 10.1016/0168-5597(89)90052-X

PubMed Abstract | CrossRef Full Text | Google Scholar

Hatfield, B. D., and Kerick, S. E. (2007). The Psychology of Superior Sport Performance, Handbook of Sport Psychology, 3rd Edn. Hoboken, NJ: Wiley.

Hilty, L., Langer, N., Pascual-Marqui, R., Boutellier, U., and Lutz, K. (2011). Fatigue-induced increase in intracortical communication between mid/anterior insular and motor cortex during cycling exercise. Eur. J. Neurosci. 34, 2035–2042. doi: 10.1111/j.1460-9568.2011.07909.x

PubMed Abstract | CrossRef Full Text | Google Scholar

Hottenrott, K., Taubert, M., and Gronwald, T. (2013). Cortical brain activity is influenced by cadence in cyclists. Open Sports Sci. J. 6, 9–14. doi: 10.2174/1875399X01306010009

CrossRef Full Text | Google Scholar

Kilavik, E., Zaepffel, M., Brovelli, A., Mackay, W. A., and Riehle, A. (2013). The ups and downs of beta oscillations in sensorimotor cortex. Exp. Neurol. 245, 15–26. doi: 10.1016/j.expneurol.2012.09.014

PubMed Abstract | CrossRef Full Text | Google Scholar

Klimesch, W. (1996). Memory processes, brain oscillations and EEG synchronization. Int. J. Psychophysiol. 24, 61–100. doi: 10.1016/S0167-8760(96)00057-8

PubMed Abstract | CrossRef Full Text | Google Scholar

Klimesch, W., Sauseng, P., and Hanslmayr, S. (2007). EEG alpha oscillations: the inhibition–timing hypothesis. Brain Res. Rev. 53, 63–88. doi: 10.1016/j.brainresrev.2006.06.003

PubMed Abstract | CrossRef Full Text | Google Scholar

Knyazev, G. G., Slobodskoj-Plusnin, J. Y., Bocharov, A. V., and Pylkova, L. V. (2011). The default mode network and EEG alpha oscillations: an independent component analysis. Brain Res. 1402, 67–79. doi: 10.1016/j.brainres.2011.05.052

PubMed Abstract | CrossRef Full Text | Google Scholar

Laufs, H., Krakow, K., Sterzer, P., Eger, E., Beyerle, A., Salek-Haddadi, A., et al. (2003). Electroencephalographic signatures of attentional and cognitive default modes in spontaneous brain activity fluctuations at rest. Proc. Natl. Acad. Sci. U.S.A. 100, 11053–11058. doi: 10.1073/pnas.1831638100

PubMed Abstract | CrossRef Full Text | Google Scholar

Li, Y., Cao, D., Wei, L., Tang, Y., and Wang, J. (2015). Abnormal functional connectivity of EEG gamma band in patients with depression during emotional face processing. Clin. Neurophysiol. 126, 2078–2089. doi: 10.1016/j.clinph.2014.12.026

PubMed Abstract | CrossRef Full Text | Google Scholar

Marsden, J. F., Werhahn, K. J., Ashby, P., Rothwell, J., Noachtar, S., and Brown, P. (2000). Organization of cortical activities related to movement in humans. J. Neurosci. 20, 2307–2314. doi: 10.1523/JNEUROSCI.20-06-02307.2000

PubMed Abstract | CrossRef Full Text | Google Scholar

Oostenveld, R., and Praamstra, P. (2001). The five percent electrode system for high-resolution EEG and ERP measurements. Clin. Neurophysiol. 112, 713–719. doi: 10.1016/S1388-2457(00)00527-7

PubMed Abstract | CrossRef Full Text | Google Scholar

Petsche, H., Kaplan, S., Von Stein, A., and Filz, O. (1997). The possible meaning of the upper and lower alpha frequency ranges for cognitive and creative tasks. Int. J. Psychophysiol. 26, 77–97. doi: 10.1016/S0167-8760(97)00757-5

PubMed Abstract | CrossRef Full Text | Google Scholar

Pfurtscheller, G. (2003). Induced oscillations in the alpha band: functional meaning. Epilepsia 44, 2–8. doi: 10.1111/j.0013-9580.2003.12001.x

PubMed Abstract | CrossRef Full Text | Google Scholar

Pfurtscheller, G., and Andrew, C. (1999). Event-related changes of band power and coherence: methodology and interpretation. J. Clin. Neurophysiol. 16, 512–519. doi: 10.1097/00004691-199911000-00003

PubMed Abstract | CrossRef Full Text | Google Scholar

Poldrack, R. A. (2015). “Is 'efficiency' a useful concept in cognitive neuroscience?” Develop. Cogn. Neurosci. 11, 12–17. doi: 10.1016/j.dcn.2014.06.001

CrossRef Full Text | Google Scholar

Robazza, C., Bertollo, M., Filho, E., Hanin, Y., and Bortoli, L. (2016). Perceived control and hedonic tone dynamics during performance in elite shooters. Res. Q. Exerc. Sport 87, 284–294. doi: 10.1080/02701367.2016.1185081

PubMed Abstract | CrossRef Full Text | Google Scholar

Schneider, S., Askew, C. D., Diehl, J., Mierau, A., Kleinert, J., Abel, T., et al. (2009a). EEG activity and mood in health orientated runners after different exercise intensities. Physiol. Behav. 96, 709–716. doi: 10.1016/j.physbeh.2009.01.007

PubMed Abstract | CrossRef Full Text | Google Scholar

Schneider, S., Brümmer, V., Abel, T., Askew, C. D., and Strüder, H. K. (2009b). Changes in brain cortical activity measured by EEG are related to individual exercise preferences. Physiol. Behav. 98, 447–452. doi: 10.1016/j.physbeh.2009.07.010

PubMed Abstract | CrossRef Full Text | Google Scholar

Srinivasan, R., Winter, W. R., Ding, J., and Nunez, P. L. (2007). EEG and MEG coherence: measures of functional connectivity at distinct spatial scales of neocortical dynamics. J. Neuroci. Methods 166, 41–52. doi: 10.1016/j.jneumeth.2007.06.026

PubMed Abstract | CrossRef Full Text | Google Scholar

Stone, D. B., Tamburro, G., Fiedler, P., Haueisen, J., and Comani, S. (2018). Automatic removal of physiological artifacts in EEG: the optimized fingerprint method for sports science applications. Front. Hum. Neurosci. 12:96. doi: 10.3389/fnhum.2018.00096

PubMed Abstract | CrossRef Full Text | Google Scholar

Tamburro, G., Fiedler, P., Stone, D. B., Haueisen, J., and Comani, S. (2018). A new ICA-based fingerprint method for the automatic removal of physiological artifacts from EEG recordings. PeerJ 6:e4380. doi: 10.7717/peerj.4380

PubMed Abstract | CrossRef Full Text | Google Scholar

Tang, Y. Y., and Bruya, B. (2017). Mechanisms of mind-body interaction and optimal performance. Front. Psychol. 8:647. doi: 10.3389/fpsyg.2017.00647

PubMed Abstract | CrossRef Full Text | Google Scholar

Thatcher, R. W., Krause, P. J., and Hrybyk, M. (1986). Cortico-cortical associations and EEG coherence: a two-compartmental model. Electroencephalogr. Clin. Neurophysiol. 64, 123–143. doi: 10.1016/0013-4694(86)90107-0

PubMed Abstract | CrossRef Full Text | Google Scholar

Travis, F., Tecce, J., Arenander, A., and Wallace, R. K. (2002). Patterns of EEG coherence, power, and contingent negative variation characterize the integration of transcendental and waking states. Biol. Psychol. 61, 293–319. doi: 10.1016/S0301-0511(02)00048-0

PubMed Abstract | CrossRef Full Text | Google Scholar

Wasserman, K., Stringer, W. W., Casaburi, R., Koike, A., and Cooper, C. B. (1994). Determination of the anaerobic threshold by gas exchange: biochemical considerations, methodology and physiological effects. Z. Kardiol. 83, 1–12.

PubMed Abstract | Google Scholar

Wilson, W. S., Thompson, M., Thompson, L., Thompson, J., and Fallahpour, K. (2011). “Introduction to EEG biofeedback neurofeedback,” in Biofeedback and Neurofeedback Applications in Sport Psychology, eds B. Strack, M. Linden and V. S. Wilson (Wheat Ridge, CO: American Association of Psychophysiology and Biofeedback), 175–198.

Zanow, F., and Knösche, T. R. (2004). Asa-advanced source analysis of continuous and event-related eeg/meg signals. Brain Topogr. 16, 287–290. doi: 10.1023/B:BRAT.0000032867.41555.d0

PubMed Abstract | CrossRef Full Text | Google Scholar

Keywords: functional brain connectivity, focus of attention, MAP model, RPE, effort, performance

Citation: di Fronso S, Tamburro G, Robazza C, Bortoli L, Comani S and Bertollo M (2018) Focusing Attention on Muscle Exertion Increases EEG Coherence in an Endurance Cycling Task. Front. Psychol. 9:1249. doi: 10.3389/fpsyg.2018.01249

Received: 11 December 2017; Accepted: 29 June 2018;
Published: 20 July 2018.

Edited by:

Sven Hoffmann, German Sport University Cologne, Germany

Reviewed by:

Katya N. Mileva, London South Bank University, United Kingdom
Itay Basevitch, Anglia Ruskin University, United Kingdom

Copyright © 2018 di Fronso, Tamburro, Robazza, Bortoli, Comani and Bertollo. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

*Correspondence: Selenia di Fronso, s.difronso@gmail.com

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.