cross-spectral analysis of tremor time series · 2017-06-22 · international journal of...

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International Journal of Bifurcation and Chaos, Vol. 10, No. 11 (2000) 2595–2610 c World Scientific Publishing Company CROSS-SPECTRAL ANALYSIS OF TREMOR TIME SERIES J. TIMMER * , M. LAUK, S. H ¨ AUßLER and V. RADT Zentrum f¨ ur Datenanalyse und Modellbildung and Department of Physics, University of Freiburg, Eckerstr. 1, 79104 Freiburg, Germany B. K ¨ OSTER, B. HELLWIG, B. GUSCHLBAUER and C. H. L ¨ UCKING Department of Neurology and Clinical Neurophysiology, University of Freiburg, Breisacher Str. 64, 79110 Freiburg, Germany M. EICHLER Institute for Applied Mathematics, University of Heidelberg, Im Neuenheimer Feld 294, Germany G. DEUSCHL Department of Neurology, University of Kiel, Niemannsweg 147, 24105 Kiel, Germany Received July 11, 1999; Revised October 27, 1999 We discuss cross-spectral analysis and report applications for the investigation of human tremors. For the physiological tremor in healthy subjects, the analysis enables to determine the resonant contribution to the oscillation and allows to test for a contribution of reflexes to this tremor. Comparing the analysis of the relation between the tremor of both hands in normal subjects and subjects with a rare abnormal organization of certain neural pathways proves the involvement of central structures in enhanced physiological tremor. The relation between the left and the right side of the body in pathological tremor shows a specific differ- ence between orthostatic and all other forms of tremor. An investigation of EEG and tremor in patients suffering from Parkinson’s disease reveals the tremor-correlated cortical activity. Finally, the general issue of interpreting the results of methods designed for the analysis of bivariate processes when applied to multivariate processes is considered. We discuss and apply partial cross-spectral analysis in the frame of graphical models as an extention of bivariate cross-spectral analysis for the multivariate case. 1. Introduction Since many decades the electrophysiological and mathematical analysis of human tremor has been a subject of numerous studies. Tremor is defined as the involuntary, oscillatory movement of parts of the body, mainly the upper limbs [Deuschl et al., 1998]. There are different kinds of tremor, dif- ferentiated by clinical criteria. The better under- standing of the generating mechanisms of the differ- ent human tremors could lead to an improvement of diagnosis and therapy of tremor diseases. Al- though the most common types of tremor, phys- iological tremor, enhanced physiological tremor, essential tremor and Parkinsonian tremor, were subject to numerous studies, their mechanisms and origins are still unknown, for reviews see, e.g. [Elble & Koller, 1990; Elble, 1996; Deuschl et al., 1996]. * E-mail: [email protected] 2595

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Page 1: CROSS-SPECTRAL ANALYSIS OF TREMOR TIME SERIES · 2017-06-22 · International Journal of Bifurcation and Chaos, Vol. 10, No. 11 (2000) 2595{2610 c World Scienti c Publishing Company

International Journal of Bifurcation and Chaos, Vol. 10, No. 11 (2000) 2595–2610c© World Scientific Publishing Company

CROSS-SPECTRAL ANALYSIS OFTREMOR TIME SERIES

J. TIMMER∗, M. LAUK, S. HAUßLER† and V. RADTZentrum fur Datenanalyse und Modellbildung and Department of Physics,

University of Freiburg, Eckerstr. 1, 79104 Freiburg, Germany

B. KOSTER, B. HELLWIG, B. GUSCHLBAUER and C. H. LUCKING†Department of Neurology and Clinical Neurophysiology,

University of Freiburg, Breisacher Str. 64, 79110 Freiburg, Germany

M. EICHLERInstitute for Applied Mathematics, University of Heidelberg,

Im Neuenheimer Feld 294, Germany

G. DEUSCHLDepartment of Neurology, University of Kiel,

Niemannsweg 147, 24105 Kiel, Germany

Received July 11, 1999; Revised October 27, 1999

We discuss cross-spectral analysis and report applications for the investigation of humantremors. For the physiological tremor in healthy subjects, the analysis enables to determinethe resonant contribution to the oscillation and allows to test for a contribution of reflexesto this tremor. Comparing the analysis of the relation between the tremor of both hands innormal subjects and subjects with a rare abnormal organization of certain neural pathwaysproves the involvement of central structures in enhanced physiological tremor. The relationbetween the left and the right side of the body in pathological tremor shows a specific differ-ence between orthostatic and all other forms of tremor. An investigation of EEG and tremorin patients suffering from Parkinson’s disease reveals the tremor-correlated cortical activity.Finally, the general issue of interpreting the results of methods designed for the analysis ofbivariate processes when applied to multivariate processes is considered. We discuss and applypartial cross-spectral analysis in the frame of graphical models as an extention of bivariatecross-spectral analysis for the multivariate case.

1. Introduction

Since many decades the electrophysiological andmathematical analysis of human tremor has beena subject of numerous studies. Tremor is definedas the involuntary, oscillatory movement of parts ofthe body, mainly the upper limbs [Deuschl et al.,1998]. There are different kinds of tremor, dif-ferentiated by clinical criteria. The better under-

standing of the generating mechanisms of the differ-ent human tremors could lead to an improvementof diagnosis and therapy of tremor diseases. Al-though the most common types of tremor, phys-iological tremor, enhanced physiological tremor,essential tremor and Parkinsonian tremor, weresubject to numerous studies, their mechanisms andorigins are still unknown, for reviews see, e.g. [Elble& Koller, 1990; Elble, 1996; Deuschl et al., 1996].

∗E-mail: [email protected]

2595

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2596 J. Timmer et al.

Shortly, the physiological tremor denotes a fine,low-amplitude mostly invisible oscillatory move-ment of the outstretched hand and is present moreor less intensely in all humans. Its origin is stillunder discussion. It was supposed to have origi-nated from reflex loops [Lippold, 1970; Young &Hagbarth, 1980; Allum, 1984], by random synchro-nization [Christakos, 1982] or from a central os-cillator [Llinas & Pare, 1995; Koster et al., 1998;Timmer et al., 1998b]. The frequency of physiologi-cal tremor usually ranges from 7 Hz up to 11 Hz anddepends on the weight of the hand, i.e. its frequencydecreases if the outstretched hand is loaded withweights [Deuschl, 1996]. The so-called enhancedphysiological tremor denotes a tremor whose fre-quency also often depends on the load of the handbut with a clearly visible tremor amplitude. Promi-nent examples are the tremor caused by drug abuse,by excitement or by fear.

Essential tremor is a hereditary form of tremorand the most common pathological tremor. Its fre-quency usually ranges from 4.5 Hz up to 10 Hz[Deuschl et al., 1996]. Parkinsonian tremor is thesecond most common form of all pathologicaltremors. Its frequency usually ranges from 4 Hzup to 8 Hz [Deuschl et al., 1996]. It is one ofthe prominent symptoms of Parkinson’s Disease.The so-called orthostatic tremor was supposed tobe a special kind of essential tremor [Wee et al.,1986; Cleeves et al., 1987; Papa & Gershanik, 1988;Britton et al., 1992] that only occurs during stand-ing and shows an unusual high frequency around15 Hz. However, recent observations suggest thatorthostatic tremor is a separate form of tremor[Koster et al., 1999; Lauk et al., 1999]. Althoughfrequencies and amplitudes can differ substantially,they are not sufficient criteria for a reliable diagno-sis of different pathological forms of tremor [Elble &Koller, 1990; Deuschl, 1996; Lucking et al., 1999].

Cross-spectral methods provide a powerful toolto investigate the relation between simultaneouslyrecorded signals. These methods have been usedin tremor research to study the relation betweenmuscle activity (electromyogram (EMG)) and mag-netoencephalogram (MEG) [Volkmann et al., 1996;Tass et al., 1998], between EMG and electroen-cephalogramm (EEG) [Jasper & Andrews, 1938;Schwab & Cobb, 1939; Hellwig et al., 2000], be-tween EMGs and mechanical measurements [Fox& Randall, 1970; Pashda & Stein, 1973; Elble &Randall, 1976; Stiles, 1980, 1983; Allum, 1984;Iaizzo & Pozos, 1992; Pozos & Iaizzo, 1991;

Timmer et al., 1998a, Timmer et al., 1998b], be-tween EMGs [Elble, 1986; Boose et al., 1996; Lauket al., 1999] and between single units and EMGs[Elble & Randall, 1976; Lenz et al., 1988; Lenzet al., 1994].

In this paper we describe the benefits and limitsof cross-spectral analysis in different “real-world”problems in tremor research. Section 2 describesthe data recordings and gives a brief overview of themathematical fundamentals of cross-spectral analy-sis, estimation procedures and partial cross-spectralanalysis. In Sec. 3.1 we address the contributionof reflexes to physiological tremor, in Sec. 3.2 wediscuss the involvement of central structures in thegeneration of physiological tremor. Section 3.3 de-velops a diagnosis criterion for orthostatic tremorby the use of cross-spectral methods. Section 3.4describes the cross-spectral analysis of EEG andtremor time series in Parkinsonian patients detect-ing the tremor correlated cortical activity. Fur-thermore, cortical signal transmission pathways ina healthy subject are identified by partial cross-spectral analysis.

2. Methods

2.1. Recording techniques

In the application section below we analyze threedifferent kinds of time series: (1) Accelerometersignals representing the mechanical movements ofthe hand, (2) surface electromyogram (EMG) repre-senting the muscle activity as a difference of poten-tial between two electrodes placed on the skin overthe respective muscle and (3) electroencephalogram(EEG) representing the cortical activity as poten-tial measured over the scalp of a subject. To givean impression Fig. 1 shows three arbitrary clippingsof a patient suffering from Parkinson’s disease.

During the recording, subjects were made tosit in a comfortable, heavy chair with their armssupported. The forearms were fixed proximal ofthe wrist with a strap. To measure the posturaltremor, subjects were asked to hold their handsoutstretched in pronated position and to avoid anyvoluntary movement. For the resting tremor mea-surements, subjects were asked to avoid any volun-tary muscle contraction or movement of their hands.The duration of each record was 30 sec. Hand accel-eration (ACC) was recorded by light weight piezore-sistive accelerometers attached to the belly of the

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Cross-Spectral Analysis of Tremor Time Series 2597

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Fig. 1. Examples for the recorded data. (a) Accelerometer, (b) raw EMG and (c) EEG for a patient suffering from Parkinson’sDisease.

right and left hands [Deuschl et al., 1991; Timmeret al., 1996]. Surface EMGs were recorded from thewrist flexor and extensor muscles of the left andright forearms.

ACCs and EMGs were bandpass filtered toavoid aliasing effects and undesired slow drifts(ACC: 0.5 Hz–50 Hz, EMG: 80 Hz–500 Hz). Alldata were simultaneously sampled at 1000 Hz andstored on computer using a special software [Lauket al., 1999]. The mean was subtracted fromeach time series. Finally, the series were tapered

with a Bartlett–Window to reduce spectral leakage[Brockwell & Davis, 1991] and normalized to unitvariance. In addition, EMGs were digitally fullwave rectified for spectral and cross-spectral anal-ysis [Journee, 1983; Elble & Koller, 1990]. Therectification yields a time series which reflects themuscle activity that is encoded in the envelope ofthe originally measured signal.

EEG recordings were performed using a 64-channel EEG system. The potential field measuredover the scalp was transformed into the reference

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2598 J. Timmer et al.

free current density distribution which reflects theunderlying cortical activity by calculating secondspatial derivatives [Hjorth, 1975, 1991].

2.2. Cross-spectral analysis

The power spectrum Sx(ω) of a zero-mean processX(t) is defined as the Fourier transform of the auto-covariance function ACF(t′) = 〈X(t)X(t − t′)〉:

Sx(ω) =1

∑t

ACF(t) exp(−iωt) , ω ∈ (−π, π] ,

(1)

where 〈·〉 denotes expectation [Brockwell & Davis,1991]. The estimation of the power spectrum is per-formed by a direct spectral estimation [Brockwell& Davis, 1991; Priestley, 1989; Bloomfield, 1976],based on the Fourier transform FTx(ω) of the mea-sured data x(t)

FTx(ωk) =1√N

N∑t=1

x(t) exp(−iωkt) ,

k =−N + 1

2, · · · , N

2.

(2)

The periodogram Perx(ωk) is defined as thesquared modulus of FTx(ωk). Whenever the auto-covariance function ACF(t) is decaying fast enoughfor larger lags, the Fourier transform FTx(ωk)is asymptotically Gaussian distributed with vari-ance given by Sx(ω). Therefore, the periodogramPerx(ωk) is distributed as χ22, a random variablewhich does not represent a consistent estimatorfor the spectrum because its variance is equal toits mean. Note, that this holds for deterministicchaotic as well as for (nonlinear) stochastic pro-cesses as long the auto-covariance function ACF(t)is decaying sufficiently fast. To obtain a consistentestimator of the spectrum, the periodogram has tobe smoothed by a window function Wj

Sx(ωk) =1

h∑j=−h

Wj Perx(ωk+j) . (3)

The simplest example for the weight functionWj is an equal weighted “square” window, the so-called Daniell estimator. We choose a triangularwindow (i.e. a Bartlett estimator) with an adaptive,frequency dependent width [Timmer et al., 1996] forthe auto-spectral estimations.

Similar to the univariate case, the cross-spectrum CS(ω) of two zero-mean processes X(t)

and Y (t) is defined as the Fourier transform(FT) of the cross-correlation function CCF(t′) =〈X(t)Y (t − t′)〉. Again, the estimation is based onsmoothing of the cross-periodogram. The coherencespectrum Coh(ω) is given by the modulus of thecross-spectrum CS(ω) normalized by the respectiveauto-spectra Sx(ω) and Sy(ω) [Brockwell & Davis,1991; Priestley, 1989; Brillinger, 1981; Timmeret al., 1998a]

Coh(ω) =|CS(ω)|√Sx(ω)Sy(ω)

. (4)

The phase spectrum Φ(ω) is defined by

CS(ω) = |CS(ω)| exp(iΦ(ω)) . (5)

The coherence and phase spectra were estimated byreplacing the cross- and auto-spectra in Eq. (4) bytheir respective estimated quantities.

The coherence can be interpreted as a measureof linear predictability [Brockwell & Davis, 1991;Priestley, 1989] — it equals one whenever X(t) isobtained from Y (t) by a linear operator L(·). Itis important to note, that the interpretation of thecoherence does not rely on the linearity of the pro-cesses X(t) and Y (t). The only condition Y (t) hasto fulfill is that the spectrum must be broad band.It can for example, also be chaotic or nonstationary.Besides the simple case where Y (t) and X(t) are in-deed uncorrelated, at least the following reasons canresult in a coherence unequal one:

• A nonlinear relationship between X(t) and Y (t)• Additional influences on X(t) apart from Y (t)• Estimation bias due to misalignment [Hannan &

Thomson, 1971]• Observational noise

With respect to a possible nonlinear relation-ship between X(t) and Y (t) it should be mentionedthat the coherence is equal to zero if the relation-ship between the processes is a quadratic one. Ifit is a cubic one, the coherence will still be ableto detect the relation since a linear approximationwill explain a part of the variance. In our applica-tions the observational noise turned out to be themost prominent reason for observing a reduced co-herence. If Y (t) is a linear function of X(t) butthe measurements of Y (t) and X(t) are covered bywhite observational noise of variance σ2y and σ2x,

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Cross-Spectral Analysis of Tremor Time Series 2599

the resulting coherency is given by [Timmer et al.,1998b]

Coh(ω) =

√√√√1−σ2xSy + Sxσ2y + σ2xσ

2y

(Sx + σ2x)(Sy + σ2y), (6)

where the argument ω was suppressed on the righthand for ease of notation and σ2x and σ2y denote theconstant power spectra of the observational noise.Thus, the coherency is a function of the frequencydependent signal-to-noise ratio.

The interpretation of the phase spectrum ismore difficult. For the following cases the phasespectrum can be calculated analytically:

• If the process X(t) is a time delayed version ofprocess Y (t), i.e. X(t) = Y (t − ∆t), the phasespectrum is given by a straight line with its slopedetermined by ∆t:

Φ(ω) = ∆t ω . (7)

• If X(t) is the derivative of Y (t), i.e. X(t) = Y (t)a constant phase spectrum of −(π/2) results.

Φ(ω) = −π/2 . (8)

• In the case of a linear autoregressive (AR) processof order 2 (AR[2])

X(t) = a1X(t− 1) + a2X(t− 2) + ε(t) ,

ε(t) ∼ N(0, σ2)(9)

the phase spectrum between the driving noise ε(t)and the resulting process is given by

Φ(ω) = arctan

(a1 sin ω + a2 sin 2ω

1− a1 cos ω − a2 cos 2ω

).

(10)

Since an AR[2] process represents a stochasticallydriven damped linear oscillator, Eq. (10) is the dis-crete time version of the well-known sigmoidal be-havior of the phase spectrum for the correspondingtime-continuous resonant system. This relation isdiscussed in detail in [Timmer et al., 1998a]. Note,that the parameters of an AR[2] process can be re-lated to the period T and the relaxation time τ ofthe damped oscillator by

a1 = 2 cos

(2π

T

)exp

(−1

τ

)(11)

a2 = − exp

(−2

τ

). (12)

If one of the theoretical functional behaviors ofthe phase spectrum is observed in measured data,it may allow for an identification of the system.

For the application to measured data, the firstquestion is if there is a significant coherence. Thecritical value s for the null hypothesis of zero coher-ence for a significance level α is given by [Brockwell& Davis, 1991]

s =

√1− α

2ν−2 , (13)

where ν is the so-called equivalent number of de-grees of freedom, determined by the window func-tion W (j) used and the tapering [Bloomfield, 1976;Brillinger, 1981]. Confidence intervals for the coher-ence are given in [Bloomfield, 1976]. The variance

of the estimator for the phase spectrum Φ(ω) de-pends on the coherence [Priestley, 1989]

var(Φ(ω)) =1

ν

(1

Coh2(ω)− 1

). (14)

Equation (14) holds if the coherence is sig-nificantly larger than zero. For a coherence to-wards zero, the distribution of the estimated phaseapproaches the uniform distribution in [−π, π].Therefore, the phase spectrum cannot be estimatedreliably in the case of small coherence. This posesan important limitation for the applicability of thephase spectrum to infer the functional form of therelationship between the processes. If the confi-dence regions of the phase spectrum are small onlyin a narrow frequency band it is not possible to de-cide whether for example, Eq. (7) or Eq. (10) is thetrue underlying phase spectrum.

It is important to note that the statistical prop-erties of the coherence and phase spectrum areknown and easily calculated. This does not holdfor the statistical properties of the estimated cross-correlation function. Here, the estimation errorsare, in general, not independent for different lags.These correlations may lead to effects that are in thesame order as the true cross-correlations. There-fore, the cross-correlation function cannot be usedto gain information about the relation between theprocesses [Timmer et al., 1998a]. Note, that thissituation carries over to more general nonlinearmeasures of dependence as the trans information[Vastano & Swinney, 1988] or phase synchroniza-tion [Tass et al., 1998].

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2600 J. Timmer et al.

2.3. Analyzing multivariatetime series

In extending cross-spectral analysis to the multi-variate case, one faces a problem which is commonto all methods that are designed to analyze bivariatedata when applied to multivariate data: If a bivari-ate method detects a relation between two signals,it cannot be decided if there is an underlying director indirect connection. The correlation between thenumber of babies and the numbers of storks in in-dustrially developed countries serves as a popularexample.

To detect spurious correlations and identifytrue relations in multivariate data sets, the no-tion of conditional independence has been intro-duced in the frame of graphical models [Whittaker,1995; Lauritzen, 1996; Cox & Wermuth, 1996]. If abivariate subset of data is independent when theinformation of the remaining data is taken intoaccount the two variables are called conditionallyindependent. For linear regression this leads to thenotion of partial correlation. These procedures havebeen generalized to point processes and time se-ries [Brillinger et al., 1976; Rosenberg et al., 1989;Halliday et al., 1995; Brillinger, 1996; Dahlhauset al., 1997; Dahlhaus, 2000]. Instead of the cross-spectrum introduced in Sec. 2.2 one considers thepartial cross-spectrum. The partial cross-spectrumPCSX1X2|Y (ω) between the processes X1 and X2given the information of the remaining processes de-noted by Y can be calculated by [Brillinger, 1981]

PCSX1X2|Y (ω) = CSX1X2(ω)

−CSX1Y (ω)SY (ω)−1CSY X2(ω) .

(15)

Based on the partial cross-spectrum, partial co-herence and partial phase spectra are obtained anal-ogously to Eqs. (4) and (5). The critical value sfor the null hypothesis of zero partial coherence de-pends on the dimension L of the partialized pro-cesses Y . For a significance level α, in generaliza-tion of Eq. (13) it is given by [Halliday et al., 1995]

s =

√1− α

2ν−2L−2 . (16)

The variance of the partial phase spectrum is bygiven Eq. (14), applying the partial coherence in-stead of the conventional coherence.

The notion of “graphical model” for this kindof analysis is due to the fact that the consideration

of all the significant pairwise partial coherences fora multivariate time series leads to a graph wherethe edges in the graph represent direct coupling be-tween the corresponding components of the timeseries [Dahlhaus et al., 1997; Dahlhaus, 2000].

3. Applications

In this section we give various applications for cross-spectral analysis of tremor time-series.

3.1. The contribution of reflexes tophysiological tremor

The physiological tremor of healthy subjects can besubclassified with respect to the presence of spec-tral peaks in the EMG time series. Figure 2 givesan example for ACC and EMG data for a typicalphysiological hand tremor where the EMG does notexhibit peaks. The left column of Fig. 3 shows thespectrum, coherence and phase spectra for the datashown in Fig. 2. The single broad peak of the ACCspectrum suggests a linear second-order process forthe data [Gantert et al., 1992; Timmer, 1998]

EMG(t) = η(t) (17)

x(t) = a1x(t− 1) + a2x(t− 2) + EMG(t) (18)

ACC(t) = x(t) (19)

where η(t) denotes white noise and x(t) the po-sition of the hand. It should be noted that themeasured data contain white additive observationalnoise. The parameters a1 and a2 are related to theresonant frequency of the hand and the dampingof the process due to the muscles and tissue byEqs. (11) and (12). Since the model is linear theparameter can be fitted from the data. The rightcolumn of Fig. 3 shows the results for a realiza-tion of the fitted model analogous to the left col-umn of Fig. 3 for the measured data. Confidenceregions of the auto- and coherence-spectra are notgiven for ease of clarity. The only statistically sig-nificant differences in the results appear for low fre-quencies. Here the coherence for the data of themodel is larger than for the measured data and,consequently, the errors of the phase spectrum arelarger. The reason for this is the so-called cardio-ballistic effect [Elble & Randall, 1978]. The heart-beat excites the hand at a frequency around 1 Hz.Since this additional influence is not captured byour model, the model overestimates the coherence.

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Cross-Spectral Analysis of Tremor Time Series 2601

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ec²]

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0 0.5 1 1.5 2 2.5 3Time [sec]

U [µ

V]

(b)

Fig. 2. (a) Acceleration of the hand and (b) rectified EMG of physiological tremor.

Apart from that the phase spectrum of the dataand the model show the expected sigmoidal behav-ior of a resonant oscillator, Eq. (10), with the char-acteristic jump at the resonant frequency. The factthat the phase spectrum values range from −π to0 and not as could have been expected from 0 toπ is explained by the circumstance that the accel-eration, not the position of the hand is measured,see Eq. (8). In terms of physics and physiology theresult shows that this kind of tremor represents aresonant oscillation of the hand that is driven byuncorrelated firing motoneurons and that the mea-sured EMG represents a Newtonian force by whichthe muscle acts on the hand [Timmer et al., 1998a].Comparable results were obtained for 58 subjectswith physiological tremor and a flat EMG spectrum.

In the case of peaks in the EMG spectra thereare two possible reasons. First, there can be anoscillator in the central nervous system that drivesthe hand. Second, reflex loops can serve for an os-cillatory EMG activity. To capture both possible

effects we use the following model

c(t) = b1c(t− 1) + b2c(t− 2) + ε(t) (20)

r(t) = αf(x(t− δt)) (21)

EMG(t) = c(t) + r(t) + η(t) (22)

x(t) = a1x(t− 1) + a2x(t− 2) + EMG(t) (23)

ACC(t) = x(t) (24)

where c(t) denotes the central input, r(t) the reflexcontribution and f(·) the nonlinearity of the reflexmodeled by the tangens hyperbolicus. The centralinput is described by an AR[2] process. This modelpresents a nonlinear, stochastic, inhomogeneous de-lay differential equation [Timmer et al., 1998b]. Totest for the contribution of the reflex in this model,it would be necessary to test whether the coef-ficient α is consistent with zero. Unfortunately,no techniques are known to the authors to esti-mate parameters of the above equations from noisydata.

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2602 J. Timmer et al.

1e-05

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ad]

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ad]

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Fig. 3. Results for a physiological tremor. (a) Power spectra (EMG: dashed line in units of (µV )2, ACC: solid line, inunits of (mm/sec2)2), (b) coherence spectrum, the straight line represents the 5% significance level for the hypothesis of zerocoherence, (c) phase spectrum with 95% confidence intervals. Confidence intervals for the power spectra and the coherenceare not displayed for reasons of clarity. (d)–(f) display the results for a linear model fitted to the data.

In order to identify the role of reflexes inthe generation of physiological tremor, we investi-gated in model simulations phase spectra and auto-spectra under the two hypothesis that (1) reflexescontribute significantly (α 6= 0) and (2) that theydo not play a significant role (α = 0) [Timmer et al.,1998b].

For the nonreflex case the phase spectrum canbe calculated analytically [Timmer et al., 1998a].The shape of the phase spectrum only depends onthe properties of the mechanical, resonant oscillatorand is independent of the driving force. In the reflexcase the feedback does not modify the phase spec-trum. But the apparent resonance frequency in the

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Cross-Spectral Analysis of Tremor Time Series 2603

auto-spectrum of the mechanical oscillator (i.e. theACC in case of tremor time series) moves depend-ing on the chosen feedback delay. Thus, a signifi-cant difference between the resonance frequency inthe phase spectrum and the peak frequency in theauto-spectrum points to a significant contributionof reflexes in physiological tremor [Timmer et al.,1998b].

To identify the contribution of reflexes intremor data the following steps were performed.First, the peak frequency in the auto-spectrum ofthe ACC was estimated. Confidence intervals weregiven by a bootstrap procedure described in detailin [Timmer et al., 1997, 1999]. Secondly, the res-onance frequency in the phase spectrum was esti-mated by fitting Eq. (10) to the estimated phasespectrum. Since the confidence regions for the esti-mated phase spectrum were available, a confidenceregion for the resonance frequency could be ob-tained. Figure 4 gives an example in which tworespective frequency estimates are statistically dif-ferent. An example where no reflex could be de-tected is given in [Timmer et al., 1998b]. In 35 timeseries recorded from 19 subjects with the respectivetype of physiological tremor, we clearly found thatreflexes contribute to the tremor [Timmer et al.,1998b].

In simulation studies based on Eqs. (20)–(24)using a delay time of 35 ms corresponding to apossible segmental stretch reflex, we found a shiftof the ACC peak frequency to higher values. Forlonger delay times corresponding to central loops,we found shifts to lower frequencies [Timmer et al.,1998b]. In the measured time series, in the major-ity of cases we observed shifts to lower frequencies.This indicates that more complex structures thanthe segmental stretch reflex are involved in the pro-cess, perhaps a combination of different reflex loops.

However, there is no evidence in the data thatreflex loops primarily cause the tremor. They alterthe frequency, relaxation time and amplitude of ex-isting oscillations in a limited range. The primarycause of this type of physiological tremor is the reso-nant behavior of the hand and a synchronized EMGactivity that is generated centrally. Evidence for thecentral component is given in the following section.

3.2. Physiological tremor andmirror-movements

Apart from the resonant component, a componentaround 8–12 Hz is often present in physiological

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Fig. 4. Analysis of an enhanced physiological tremor.(a) Power spectra (EMG: dashed line in units of (µV )2, ACC:solid line, in units of (mm/sec2)2), (b) coherence, (c) phasespectrum. The mechanical peak frequency estimated fromthe phase spectrum is 7.4 ± 0.2 is not consistent with thatestimated from the ACC power spectrum of 6.2± 0.1.

tremor [Elble & Randall, 1976]. While the fre-quency of the resonant component can be alteredby loading following the ωpeak ∝

√1/m law for a

resonance frequency, the 8–12 Hz component doesnot change under loading. This has lead to thehypothesis that this component is generated cen-trally. To reveal whether the motor cortex is in-volved in this process we compared coherences ofEMG time series recorded from the right and theleft hand of subjects with the motor abnormalityof persistent mirror movement to those of controlsubjects. Neurophysiological studies have shownthat mirror movements are caused by abnormaltransmitting pathways that project from the motor

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2604 J. Timmer et al.

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Fig. 5. Coherency spectra between the EMG time series recorded from the left and right sides of the body. The horizontalline displays the confidence level s of Eq. (13). (A) Three control subjects, (B) subjects with persistent mirror movements(PMM). The confidence level for zero coherence at the level of 5% is marked.

cortex to both sides of the body [Cohen et al., 1991;Hermsdorfer et al., 1995]. In normal subjects theprojections are only to the contralateral side. As-suming a central mechanism or driving force thatinvolves the motor cortex in the generation of phys-iological tremor, EMG activity should be coherentbetween the right and left sides of the body for sub-jects with mirror movements.

Figure 5 displays the results for three subjectswith mirror movements and healthy controls. Allsubjects with mirror movements exhibit a signif-icant coherence [Lauk et al., 1999; Koster et al.,1998]. In contrast, controls do not show a coherentactivity. These results suggest the presence of bi-lateral and independent central generators of the8–12 Hz component in physiological tremor andcompletes the results of the first application dis-cussed in Sec. 3.1.

3.3. Side-to-side coherenceof muscle activity inpathological tremors

In this section we address the question if differentpathological tremors are side-to-side coherent, sim-ilar to the discussion in Sec. 3.2 for physiologicaltremor.

Seven patients with orthostatic tremor, 76 es-sential tremors and 70 Parkinsonian tremors wereinvestigated. The results show a clear-cut differ-ence between Parkinsonian and essential tremor onthe one hand and the orthostatic tremor on theother hand. All investigated orthostatic tremorpatients exhibited a significant side-to-side coher-ence with surprisingly high values (up to 0.98),while only as many as statistically expected essen-tial and Parkinsonian patients showed a significant

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Cross-Spectral Analysis of Tremor Time Series 2605

coherence, despite corresponding tremor ampli-tudes and similar signal-to-noise ratios in ortho-static tremor and Parkinsonian, respectively es-sential tremor. This points to a single centraloscillator generating orthostatic tremor, while dif-ferent oscillators are responsible for the tremor of

different limbs in essential and Parkinsonian tremor[Lauk et al., 1999; Raethjen et al., 2000].

It is still under discussion whether orthostatictremor is a variant within the spectrum of essen-tial tremor or a separate entity [Wee et al., 1986;Cleeves et al., 1987; Papa & Gershanik, 1988;

Fig. 6. (a) Schematic layout of the 42 EEG electrodes were analyzed. (b)–(f) Isocoherence maps for patients with an unilateralParkinsonian tremor for the peak frequency of the tremor. The respective region showing the highest coherence is alwayscontralateral to the trembling limb. The peak frequencies are (b) 4.9 Hz, (c) 4.6 Hz, (d) 4.8 Hz, (e) 5.6 Hz, (f) 4 Hz.

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2606 J. Timmer et al.

Britton et al., 1992]. Our results clearly separateorthostatic tremor and essential tremor as differentforms of tremor. Furthermore, this method couldserve as an objective and low-cost tool for the diag-nosis of orthostatic tremor.

3.4. EEG and EMG coherence

Parkinsonian tremor is thought to be generated bycentral nervous structures. Using the magnetoen-cephalogram, it has been shown that cerebral cor-tex is involved [Volkmann et al., 1996; Tass et al.,1998]. In this study we investigated whether corti-cal activity related to Parkinsonian tremor can bedetected by EEG [Hellwig et al., 2000]. Similar ap-proaches were unsuccessful in the past [Jasper &Andrews, 1938; Schwab & Cobb, 1939].

Five patients with unilateral Parkinsoniantremor were included in this study. In all patientswe found highly significant coherence between theEEG and EMG time series at the tremor frequencyand its higher harmonics. Figure 6 displays iso-coherence maps for the tremor frequency over thescalp of five subjects. In all cases the maximum co-herence was located over the cortical motor area ofthe contralateral side of the tremor affected hand.

For patients whose results are displayed inFigs. 6(e) and 6(f) the coherence was highest forthe frequency of the first harmonics which is lo-cated at twice the tremor frequency. This can beexplained by the fact that the cortical areas in themotor cortex that drive the extensor and the flexormuscles of the hand are only a few millimeters apartwhich leads to a superposition of their signals at theEEG electrodes. Since these patients exhibit an al-ternating activation of flexor and extensor musclesthis results in a component of the EEG signal withtwice the frequency of the tremor oscillation. Thiscomponent is coherent with the first harmonics ofthe EMG signal. This result is consistent with thefinding by Tass et al. [1998] who reported a 2:1 syn-chronization between MEG and EMG.

Of special importance is the result displayedin Fig. 6(c). Here, a high coherence to the EMGis also found at electrode P4 which represents thesensomotor cortex. Furthermore, there is a signifi-cant coherence between the electrodes P4 and C2awhich is located above the motor cortex. Thereare two different possible explanations for this find-ing. First, all observed coherences correspond totrue relations between the investigated processes,i.e. there is a closed signal transmission loop. Sec-

ond, the coherence between the sensomotor and themotor cortex is spurious, meaning that there is nounderlying direct connection but that the coherenceis caused only by propriorezeptive afferences. It isa fundamental limitation of methods designed toanalyze bivariate processes when applied to multi-variate processes that these alternatives cannot bedecided. We calculated the partial coherence intro-duced in Sec. 2.3 between the two EEG channelsgiven the information of the EMG. The partial co-herence is smaller than the coherence between thetwo channels but does not fall below the level of sig-nificance. Thus, unfortunately, no conclusion canbe drawn in this case.

In another experiment, we measured EEG andleft hand extensor-EMG in a healthy subject duringan externally enforced oscillation of the hand with1.9 Hz. Figure 7 shows the resulting isocoherencemaps between left hand extensor-EMG and EEG atthe frequency of the oscillation. A significant coher-ence is found for the channels P1 and C2P. Theseresults were reproduced in nine repetitions of theexperiment.

Figure 8 displays the spectra of the time serieson the diagonal, the conventional and the partialcoherence spectra between the respective time se-ries on the subdiagonal. The nonlinearity of theprocesses is apparent from the higher harmonics inthe spectra.

The confidence levels for zero coherence andzero partial coherence, differ due to the dimensionL of the partialized processes Y , see Eqs. (13) and

Fig. 7. Isocoherence maps for a healthy subject during en-forced oscillation of the left hand. For the color scale and theassignment of the electrodes, see Fig. 6.

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Cross-Spectral Analysis of Tremor Time Series 2607

0.0

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Frequency [Hz]

P1

C2P

Extensor

(a)

(b)

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Fig. 8. Spectra (a, d, f), conventional (dotted lines) and partial (solid lines) coherence spectra (b, c, e) for the left hand extensorEMG and the EEG channels P1 and C2P. The spectra are displayed on logarithmic scale. The simultaneous confidence levelsfor zero partial coherence at the 5% level are marked.

(16). For the results displayed in Fig. 8 this dimen-sion is one. Therefore, the two confidence levelsare virtually the same and we plotted only thosefor zero partial coherence (at the 5% level). Theyare conservative bounds for the conventional coher-ence. Moreover, we chose simultaneous confidencelevels. This solves the problem of multiple test-ing in a statistically conservative way [Sachs, 1984].This procedure ensures that every time the level isexceeded this represents a significant coherence atthe nominal level of significance. A significant co-herence is found at the tremor frequency and itshigher harmonic between all three channels. Thepartial coherence between the left hand extensor-EMG and the EEG channel P1 falls below the levelof significance. This suggests that the coherencebetween P1 and the EMG signal does not representa direct connection, but that the signal transfer ismediated via C2P.

4. Discussion

We discussed bivariate cross-spectral analysis andits generalization to the multivariate case in theframe of graphical models, and present numer-ous applications to tremor data. Although cross-spectral analysis initially was developed in theframe of linear stochastic processes its applicabil-ity is not limited to this class of processes. Itmay also allow for insights into nonlinear processesas long as the relation between the processes islinear. We demonstrated this for time series ofpathological tremors that represent nonlinear pro-cesses [Gantert et al., 1992; Timmer et al., 1993;Timmer et al., 2000]. For example, the high coher-ence between left and right sided tremor time seriesin orthostatic tremor led to the conclusion of a sin-gle oscillator driving this tremor in all muscles of thebody, whereas in Parkinsonian and essential tremor

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2608 J. Timmer et al.

different oscillators for different limbs must be hy-pothesized. Some physiological tremors exhibit areflex contribution. Formally, such systems have tobe described by a nonlinear, stochastic, inhomoge-neous delay differential equation. Even for this sys-tem (linear) cross-spectral analysis could success-fully be applied by means of testing for the presenceof the reflex contribution. Here, we took advantageof the fact that in absence of the reflex loop thesystem is well described by a second-order linearstochastic process reflecting the resonant nature ofthis tremor.

Stationarity is a crucial issue for the applica-bility of many time series analysis methods andtremor is not a stationary process in a strict math-ematical sense. However, for cross-spectral anal-ysis it is not required that the involved processesare stationary but only that the relation betweenthe processes is time independent. For the tremorprocesses under investigation this relation is de-termined by quantities like the mass of the handand the stiffness of muscles and tissue for the in-vestigations in Sec. 3.1 and neural connectivity inSecs. 3.2–3.4. These quantities can be consideredas constant for 30 sec of measurement. Moreover,analyses reported in [Timmer, 1998] and [Timmeret al., 2000] show that physiological, essential andParkinsonian tremor time series are consistent withstationary second-order stochastic processes, linearin the first case, nonlinear in the two latter cases.This consistency does not prove stationarity butclaims that these processes are statistically indis-tiguishable from stationary processes.

Apart from the insights into the mechanismsunderlying the different forms of tremor, cross-spectral methods might be helpful in a daily clin-ical routine as a diagnostic tool, for example, fordiscriminating orthostatic from essential tremor.

The successful applications of cross-spectralanalysis to the measured time series rely heavilyon the fact that the statistical properties of the es-timates are known which is, unfortunately, not thecase for many methods in nonlinear dynamics toinvestigate corresponding relations.

Whenever multivariate time series have to beanalyzed by means of methods that were developedto analyze bivariate data, the problem occurs thatit is impossible to decide by these methods whethera significant relation between two time series corre-sponds to a direct coupling or is only a result of anindirect connection. Cross-spectral analysis can begeneralized to deal with this problem in the frame of

graphical models. Therefore, partial cross-spectraare estimated in which the relation between twotime series is investigated taking the information ofthe remaining data into account. For simultaneousmeasurements of EEG and enforced tremor activ-ity, we showed that this method may reveal corticaltransmission pathways.

Acknowledgments

This work was supported by the German FederalMinistry of Education, Science, Research and Tech-nology (BMBF) by the grant “Verbundprojekte inder Mathematik” (ML).

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