Smyrnis N, Daskalopoulos C, Dimoliatis A, Kodounis A, Stavropoulos A
Clinical Neurophysiology Laboratory, Hellenic Airforce (HAF) General Hospital, Athens, Greece.
Aviat Space Environ Med. 1997 Mar;68(3):209-16.
Electroencephalography (EEG) screening of pilot candidates has long been established but remains controversial. The EEG records of 0-15% of the test population demonstrate the presence of brief periods of slow waves (theta, 4-7.9 Hz and delta, 0-3.9 Hz). The significance of these EEG findings for pilot selection has not been defined.
We investigated whether the existence of slow waves in the EEG records of cadet pilots was related to differences in their cognitive performance. If so, the EEG could serve as a tool for cognitive assessment in candidate pilot screening. The relationship between spontaneous EEG slowing and cognitive performance has not been investigated although there is evidence of EEG slowing during the performance of short-term memory tasks.
Some 116 screening EEG records were re-evaluated for the presence of slow wave activity. Cadets with positive records and a control group performed: a) a modified version of Sternberg's visual memory scanning task on a PC computer; and b) the auditory "OddBall" behavioral task for eliciting the P300 evoked response using the Nicolet Spirit Evoked Potential System.
Analysis of the behavioral and electrophysiological data was divided in EEG groups: a) Normal; b) Bilateral slowing only during hyperventilation; c) Bilateral slowing; d) Slowing with right dominance; and e) Slowing with left dominance, showed no significant difference among the groups for all parameters measured.
Brief periods of bilateral or focal EEG slow activity in the records of pilot cadets could not predict differences in cognitive function as this was assessed in these experiments. Specific neuropsychological screening procedures might be more valuable for this purpose than the standard EEG screening.
对飞行员候选人进行脑电图(EEG)筛查早已确立,但仍存在争议。0 - 15%的测试人群的脑电图记录显示存在短暂的慢波期(θ波,4 - 7.9赫兹和δ波,0 - 3.9赫兹)。这些脑电图结果对飞行员选拔的意义尚未明确。
我们研究了飞行学员脑电图记录中慢波的存在是否与他们的认知表现差异有关。如果是这样,脑电图可作为候选飞行员筛查中认知评估的工具。尽管有证据表明在执行短期记忆任务时脑电图会减慢,但自发脑电图减慢与认知表现之间的关系尚未得到研究。
对约116份筛查脑电图记录重新评估慢波活动的存在情况。脑电图记录呈阳性的学员和一个对照组进行了:a)在个人电脑上进行的经修改的斯特恩伯格视觉记忆扫描任务;b)使用尼科莱特精神诱发电位系统进行的听觉“OddBall”行为任务以诱发P300诱发电位。
行为和电生理数据分析按脑电图分组进行:a)正常;b)仅在过度换气时双侧减慢;c)双侧减慢;d)右侧优势减慢;e)左侧优势减慢,在所测量的所有参数上,各组之间均无显著差异。
在这些实验中评估发现,飞行学员记录中的短暂双侧或局灶性脑电图慢活动无法预测认知功能的差异。为此目的,特定的神经心理学筛查程序可能比标准脑电图筛查更有价值。