Brain-computer interface (BCI) technologies allow users to control external devices through brain activity alone, circumventing the somatic nervous system and the need for overt physical movement. BCIs may potentially benefit individuals with severe neuromuscular disorders who experience significant, and often total, loss of voluntary muscle control (e.g. amyotrophic lateral sclerosis, multiple sclerosis, brainstem stroke). Though a majority of BCI research to date has focused on electroencephalography (EEG) for brain signal acquisition, recently researchers have noted the potential of an optical imaging technology called near-infrared spectroscopy (NIRS) for BCI applications.

This thesis investigates the feasibility of a practical, online optical BCI based on conscious modulation of prefrontal cortex activity through the performance of different cognitive tasks, specifically mental arithmetic (MA) and mental singing (MS). The thesis comprises five studies, each representing a step toward the realization of a practical optical BCI. The first study demonstrates the feasibility of a two-choice synchronized optical BCI based on intentional control states corresponding to MA and MS. The second study explores a more user-friendly alternative - a two-choice system-paced BCI supporting a single intentional control state (either MA or MS) and a natural baseline, or "no-control (NC)", state. The third study investigates the feasibility of a three-choice system-paced BCI supporting both MA and MS, as well as the NC state. The fourth study examines the consistency with which the relevant mental states can be differentiated over multiple sessions. The first four studies involve healthy adult participants;​ in the final study, the feasibility of optical BCI use by a user with Duchenne muscular dystrophy is explored.

In the first study, MA and MS were classified with an average accuracy of 77.2% (n=10), while in the second, MA and MS were differentiated individually from the NC state with average accuracies of 71.2% and 62.7%, respectively (n=7). In the third study, an average accuracy of 62.5% was obtained for the MA vs. MS vs. NC problem (n=4). The fourth study demonstrated that the ability to classify mental states (specifically MA vs. NC) remains consistent across multiple sessions (p=0.67), but that there is intersession variability in the spatiotemporal characteristics that best discriminate the states. In the final study, a two-session average accuracy of 71.1% was achieved in the MA vs. NC classification problem for the participant with Duchenne muscular dystrophy.