Abstract
Functional near-infrared spectroscopy (fNIRS) allows non-invasive assessment of cortical activity during naturalistic tasks. This study aimed to compare cortical activation dynamics-specifically the latency (t(max)) and amplitude (ΔoxyHb) of oxygenated haemoglobin changes-in passive observation and an interactive task using the Nefroball system. A total of 117 healthy adults performed two tasks involving rhythmic hand movements: a passive protocol and an interactive game-controlled condition. fNIRS recorded signals from the visual, parietal, motor, and prefrontal cortices of the left hemisphere. The Mann-Whitney test revealed significantly shorter t(max) in all areas during the interactive task, suggesting faster recruitment of cortical networks. ΔoxyHb amplitude was significantly higher only in the visual cortex during the interactive task, indicating increased visual processing demand. No significant ΔoxyHb differences were observed in the motor, prefrontal, or parietal cortices. Weak but significant positive correlations were found between tmax and ΔoxyHb in the motor and prefrontal regions, but only in the passive condition. These findings support the notion that interactive tasks elicit faster, though not necessarily stronger, cortical responses. The results have potential implications for designing rehabilitation protocols and brain-computer interfaces involving visual-motor integration.