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Flores-Cortes M, Guerra-Armas J, Pineda-Galan C, La Touche R, Luque-Suarez A. Sensorimotor Uncertainty of Immersive Virtual Reality Environments for People in Pain: Scoping Review. Brain Sci 2023; 13:1461. [PMID: 37891829 PMCID: PMC10604973 DOI: 10.3390/brainsci13101461] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2023] [Revised: 10/10/2023] [Accepted: 10/13/2023] [Indexed: 10/29/2023] Open
Abstract
INTRODUCTION Decision making and action execution both rely on sensory information, and their primary objective is to minimise uncertainty. Virtual reality (VR) introduces uncertainty due to the imprecision of perceptual information. The concept of "sensorimotor uncertainty" is a pivotal element in the interplay between perception and action within the VR environment. The role of immersive VR in the four stages of motor behaviour decision making in people with pain has been previously discussed. These four processing levels are the basis to understand the uncertainty that a patient experiences when using VR: sensory information, current state, transition rules, and the outcome obtained. METHODS This review examines the different types of uncertainty that a patient may experience when they are immersed in a virtual reality environment in a context of pain. Randomised clinical trials, a secondary analysis of randomised clinical trials, and pilot randomised clinical trials related to the scope of Sensorimotor Uncertainty in Immersive Virtual Reality were included after searching. RESULTS Fifty studies were included in this review. They were divided into four categories regarding the type of uncertainty the intervention created and the stage of the decision-making model. CONCLUSIONS Immersive virtual reality makes it possible to alter sensorimotor uncertainty, but studies of higher methodological quality are needed on this topic, as well as an exploration into the patient profile for pain management using immersive VR.
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Affiliation(s)
- Mar Flores-Cortes
- Faculty of Health Sciences, University of Malaga, 29071 Malaga, Spain
| | | | | | - Roy La Touche
- Instituto de Dolor Craneofacial y Neuromusculoesquelético (INDCRAN), 28008 Madrid, Spain
- Departamento de Fisioterapia, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, 28023 Madrid, Spain
- Motion in Brains Research Group, Institute of Neuroscience and Sciences of the Movement (INCIMOV), Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, 28023 Madrid, Spain
| | - Alejandro Luque-Suarez
- Faculty of Health Sciences, University of Malaga, 29071 Malaga, Spain
- Instituto de Investigacion Biomedica de Malaga (IBIMA), 29071 Malaga, Spain
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Fossataro C, Galigani M, Rossi Sebastiano A, Bruno V, Ronga I, Garbarini F. Spatial proximity to others induces plastic changes in the neural representation of the peripersonal space. iScience 2022; 26:105879. [PMID: 36654859 PMCID: PMC9840938 DOI: 10.1016/j.isci.2022.105879] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2022] [Revised: 11/21/2022] [Accepted: 12/22/2022] [Indexed: 12/28/2022] Open
Abstract
Peripersonal space (PPS) is a highly plastic "invisible bubble" surrounding the body whose boundaries are mapped through multisensory integration. Yet, it is unclear how the spatial proximity to others alters PPS boundaries. Across five experiments (N = 80), by recording behavioral and electrophysiological responses to visuo-tactile stimuli, we demonstrate that the proximity to others induces plastic changes in the neural PPS representation. The spatial proximity to someone else's hand shrinks the portion of space within which multisensory responses occur, thus reducing the PPS boundaries. This suggests that PPS representation, built from bodily and multisensory signals, plastically adapts to the presence of conspecifics to define the self-other boundaries, so that what is usually coded as "my space" is recoded as "your space". When the space is shared with conspecifics, it seems adaptive to move the other-space away from the self-space to discriminate whether external events pertain to the self-body or to other-bodies.
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Affiliation(s)
- Carlotta Fossataro
- MANIBUS Lab, Psychology Department, University of Turin, Turin 10123, Italy
| | - Mattia Galigani
- MANIBUS Lab, Psychology Department, University of Turin, Turin 10123, Italy
| | | | - Valentina Bruno
- MANIBUS Lab, Psychology Department, University of Turin, Turin 10123, Italy
| | - Irene Ronga
- MANIBUS Lab, Psychology Department, University of Turin, Turin 10123, Italy
| | - Francesca Garbarini
- MANIBUS Lab, Psychology Department, University of Turin, Turin 10123, Italy,Neuroscience Institute of Turin (NIT), Turin 10123, Italy,Corresponding author
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Multisensory-driven facilitation within the peripersonal space is modulated by the expectations about stimulus location on the body. Sci Rep 2022; 12:20061. [PMID: 36414633 PMCID: PMC9681840 DOI: 10.1038/s41598-022-21469-w] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2022] [Accepted: 09/27/2022] [Indexed: 11/24/2022] Open
Abstract
Compelling evidence from human and non-human studies suggests that responses to multisensory events are fastened when stimuli occur within the space surrounding the bodily self (i.e., peripersonal space; PPS). However, some human studies did not find such effect. We propose that these dissonant voices might actually uncover a specific mechanism, modulating PPS boundaries according to sensory regularities. We exploited a visuo-tactile paradigm, wherein participants provided speeded responses to tactile stimuli and rated their perceived intensity while ignoring simultaneous visual stimuli, appearing near the stimulated hand (VTNear) or far from it (VTFar; near the non-stimulated hand). Tactile stimuli could be delivered only to one hand (unilateral task) or to both hands randomly (bilateral task). Results revealed that a space-dependent multisensory enhancement (i.e., faster responses and higher perceived intensity in VTNear than VTFar) was present when highly predictable tactile stimulation induced PPS to be circumscribed around the stimulated hand (unilateral task). Conversely, when stimulus location was unpredictable (bilateral task), participants showed a comparable multisensory enhancement in both bimodal conditions, suggesting a PPS widening to include both hands. We propose that the detection of environmental regularities actively shapes PPS boundaries, thus optimizing the detection and reaction to incoming sensory stimuli.
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Del Vecchio M, De Marco D, Pigorini A, Fossataro C, Cassisi A, Avanzini P. Vision of haptics tunes the somatosensory threshold. Neurosci Lett 2022; 787:136823. [PMID: 35914589 DOI: 10.1016/j.neulet.2022.136823] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2022] [Revised: 07/25/2022] [Accepted: 07/27/2022] [Indexed: 12/01/2022]
Abstract
The interaction between different sensory modalities represents a crucial issue in the neuroscience of consciousness: when the processing of one modality is deficient, the concomitant presentation of stimuli of other spared modalities may sustain the restoring of the damaged sensory functions. In this regard, visual enhancement of touch may represent a viable tool in the rehabilitation from tactile disorders, yet the specific visual features mostly modulating the somatosensory experience remain unsettled. In this study, healthy subjects underwent a tactile detection task during the observation of videos displaying different contents, including static gratings, meaningless motions, natural or point-lights reach-to-grasp-and-manipulate actions. Concurrently, near-threshold stimuli were delivered to the median nerve at different time-points. Subjective report was collected after each trial; the sensory detection rate was computed and compared across video conditions. Our results indicate that the specific presence of haptic contents (i.e., vision of manipulation), either fully displayed or implied by point-lights, magnifies tactile sensitivity. The notion that such stimuli prompt an aware tactile experience opens to novel rehabilitation approaches for tactile consciousness disorders.
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Affiliation(s)
- Maria Del Vecchio
- Istituto di Neuroscienze, Consiglio Nazionale delle Ricerche, Parma 43125, Italy.
| | - Doriana De Marco
- Istituto di Neuroscienze, Consiglio Nazionale delle Ricerche, Parma 43125, Italy
| | - Andrea Pigorini
- University of Milan, Dipartimento di Scienze Biomediche e Cliniche "L. Sacco", Milano 20157, Italy
| | - Carlotta Fossataro
- MANIBUS Laboratory, Dipartimento di Psicologia, Università di Torino, Torino 10124, Italy
| | - Annalisa Cassisi
- Istituto di Neuroscienze, Consiglio Nazionale delle Ricerche, Parma 43125, Italy; University of Parma, Dipartimento di Scienze Chimiche, della Vita e della Sostenibilità Ambientale, Parma 43124,Italy
| | - Pietro Avanzini
- Istituto di Neuroscienze, Consiglio Nazionale delle Ricerche, Parma 43125, Italy
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Wearing a Mask Shapes Interpersonal Space during COVID-19 Pandemic. Brain Sci 2022; 12:brainsci12050682. [PMID: 35625068 PMCID: PMC9139907 DOI: 10.3390/brainsci12050682] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Revised: 05/19/2022] [Accepted: 05/20/2022] [Indexed: 11/25/2022] Open
Abstract
Social distancing norms have been promoted after the COVID-19 pandemic. In this work, we tested interpersonal space (IPS) in 107 subjects through a reaching-comfort distance estimation task. In the main experiment, subjects had to estimate the comfort and reach space between an avatar wearing or not wearing a face mask. We found that IPS was greater between avatars not wearing a mask with respect to stimuli with the mask on, while reaching space was not modulated. IPS increment in the NoMask condition with respect to the Mask condition correlated with anxiety traits, as shown with the State-Trait Anxiety Inventory, rather than with transient aspects related to the pandemic situation. In the control experiment, the avatars with a mask were removed to further explore the conditioning effect provided by the presence of the facial protection in the main experiment. We found a significant difference comparing this condition with the same condition of the main experiment, namely, the distances kept between avatars not wearing a mask in the main experiment were greater than those between the same stimuli in the control experiment. This showed a contextual adaptation of IPS when elements related to the actual pandemic situation were relevant. Additionally, no significant differences were found between the control experiment and the Mask condition of the main experiment, suggesting that participants had internalized social distancing norms and wearing a mask has become the new normal. Our results highlight the tendency of people in underestimating the risk of contagion when in the presence of someone wearing a mask.
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Rossi Sebastiano A, Bruno V, Ronga I, Fossataro C, Galigani M, Neppi-Modona M, Garbarini F. Diametrical modulation of tactile and visual perceptual thresholds during the rubber hand illusion: a predictive coding account. PSYCHOLOGICAL RESEARCH 2021; 86:1830-1846. [PMID: 34773491 DOI: 10.1007/s00426-021-01608-0] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Accepted: 10/06/2021] [Indexed: 11/29/2022]
Abstract
During the rubber hand illusion (RHI), the synchronous stroking of the participants' concealed hand and a visible rubber hand induces a conflict among visuo-tactile inputs, leading healthy subjects to perceive the illusion of being touched on the rubber hand, as if it were part of their body. The predictive coding theory suggests that the RHI emerges to settle the conflict, attenuating somatosensory inputs in favour of visual ones, which "capture" tactile sensations. Here, we employed the psychophysical measure of perceptual threshold to measure a behavioural correlate of the somatosensory and visual modulations, to better understand the mechanisms underpinning the illusion. Before and after the RHI, participants underwent a tactile (Experiment 1) and a visual (Experiment 2) task, wherein they had to detect stimuli slightly above the perceptual threshold. According to the predictive coding framework, we found a significant decrease of tactile detection (i.e. increased tactile perceptual threshold) and a significant increase of visual detection (i.e. decreased visual perceptual threshold), suggesting a diametrical modulation of somatosensory and visual perceptual processes. These findings provide evidence of how our system plastically adapts to uncertainty, attributing different weights to sensory inputs to restore a coherent representation of the own body.
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Affiliation(s)
- Alice Rossi Sebastiano
- MANIBUS Lab, Department of Psychology, University of Turin, Via Verdi 10, 10124, Turin, Italy
| | - Valentina Bruno
- MANIBUS Lab, Department of Psychology, University of Turin, Via Verdi 10, 10124, Turin, Italy
| | - Irene Ronga
- MANIBUS Lab, Department of Psychology, University of Turin, Via Verdi 10, 10124, Turin, Italy
| | - Carlotta Fossataro
- MANIBUS Lab, Department of Psychology, University of Turin, Via Verdi 10, 10124, Turin, Italy
| | - Mattia Galigani
- MANIBUS Lab, Department of Psychology, University of Turin, Via Verdi 10, 10124, Turin, Italy
| | - Marco Neppi-Modona
- MANIBUS Lab, Department of Psychology, University of Turin, Via Verdi 10, 10124, Turin, Italy
| | - Francesca Garbarini
- MANIBUS Lab, Department of Psychology, University of Turin, Via Verdi 10, 10124, Turin, Italy. .,NIT, Neuroscience Institute of Turin, Turin, Italy.
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Debats NB, Heuer H, Kayser C. Visuo-proprioceptive integration and recalibration with multiple visual stimuli. Sci Rep 2021; 11:21640. [PMID: 34737371 PMCID: PMC8569193 DOI: 10.1038/s41598-021-00992-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Accepted: 10/18/2021] [Indexed: 11/29/2022] Open
Abstract
To organize the plethora of sensory signals from our environment into a coherent percept, our brain relies on the processes of multisensory integration and sensory recalibration. We here asked how visuo-proprioceptive integration and recalibration are shaped by the presence of more than one visual stimulus, hence paving the way to study multisensory perception under more naturalistic settings with multiple signals per sensory modality. We used a cursor-control task in which proprioceptive information on the endpoint of a reaching movement was complemented by two visual stimuli providing additional information on the movement endpoint. The visual stimuli were briefly shown, one synchronously with the hand reaching the movement endpoint, the other delayed. In Experiment 1, the judgments of hand movement endpoint revealed integration and recalibration biases oriented towards the position of the synchronous stimulus and away from the delayed one. In Experiment 2 we contrasted two alternative accounts: that only the temporally more proximal visual stimulus enters integration similar to a winner-takes-all process, or that the influences of both stimuli superpose. The proprioceptive biases revealed that integration—and likely also recalibration—are shaped by the superposed contributions of multiple stimuli rather than by only the most powerful individual one.
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Affiliation(s)
- Nienke B Debats
- Department of Cognitive Neuroscience, Universität Bielefeld, Universitätsstrasse 25, 33615, Bielefeld, Germany. .,Center for Cognitive Interaction Technology (CITEC), Universität Bielefeld, Bielefeld, Germany.
| | - Herbert Heuer
- Department of Cognitive Neuroscience, Universität Bielefeld, Universitätsstrasse 25, 33615, Bielefeld, Germany.,Leibniz Research Centre for Working Environment and Human Factors, Dortmund, Germany
| | - Christoph Kayser
- Department of Cognitive Neuroscience, Universität Bielefeld, Universitätsstrasse 25, 33615, Bielefeld, Germany.,Center for Cognitive Interaction Technology (CITEC), Universität Bielefeld, Bielefeld, Germany
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Precision control for a flexible body representation. Neurosci Biobehav Rev 2021; 134:104401. [PMID: 34736884 DOI: 10.1016/j.neubiorev.2021.10.023] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2021] [Revised: 10/20/2021] [Accepted: 10/21/2021] [Indexed: 11/24/2022]
Abstract
Adaptive body representation requires the continuous integration of multisensory inputs within a flexible 'body model' in the brain. The present review evaluates the idea that this flexibility is augmented by the contextual modulation of sensory processing 'top-down'; which can be described as precision control within predictive coding formulations of Bayesian inference. Specifically, I focus on the proposal that an attenuation of proprioception may facilitate the integration of conflicting visual and proprioceptive bodily cues. Firstly, I review empirical work suggesting that the processing of visual vs proprioceptive body position information can be contextualised 'top-down'; for instance, by adopting specific attentional task sets. Building up on this, I review research showing a similar contextualisation of visual vs proprioceptive information processing in the rubber hand illusion and in visuomotor adaptation. Together, the reviewed literature suggests that proprioception, despite its indisputable importance for body perception and action control, can be attenuated top-down (through precision control) to facilitate the contextual adaptation of the brain's body model to novel visual feedback.
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Remote hand: Hand-centered peripersonal space transfers to a disconnected hand avatar. Atten Percept Psychophys 2021; 83:3250-3258. [PMID: 33977406 DOI: 10.3758/s13414-021-02320-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/14/2021] [Indexed: 12/16/2022]
Abstract
The space surrounding our body is called peripersonal space (PPS). It has been reported that visuo-tactile facilitation occurs more strongly within PPS than outside PPS. Furthermore, previous research has revealed several methods by which PPS can be extended. The present study provides the first behavioral evidence of the transfer of PPS in a virtual environment by a novel technique. PPS representation was investigated using a remote-controlled hand avatar presented far from the body in a virtual environment. Participants showed strongest visuo-tactile facilitation at the far space around the remote hand and no facilitation at the near space around the real hand, suggesting that PPS transfers from near the body to the space around the hand avatar. The present results extend previous findings of the plasticity of PPS and demonstrate flexibility of PPS representation beyond the physical and anatomical limits of body representation.
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Fanghella M, Era V, Candidi M. Interpersonal Motor Interactions Shape Multisensory Representations of the Peripersonal Space. Brain Sci 2021; 11:255. [PMID: 33669561 PMCID: PMC7922994 DOI: 10.3390/brainsci11020255] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2021] [Revised: 02/11/2021] [Accepted: 02/12/2021] [Indexed: 02/07/2023] Open
Abstract
This perspective review focuses on the proposal that predictive multisensory integration occurring in one's peripersonal space (PPS) supports individuals' ability to efficiently interact with others, and that integrating sensorimotor signals from the interacting partners leads to the emergence of a shared representation of the PPS. To support this proposal, we first introduce the features of body and PPS representations that are relevant for interpersonal motor interactions. Then, we highlight the role of action planning and execution on the dynamic expansion of the PPS. We continue by presenting evidence of PPS modulations after tool use and review studies suggesting that PPS expansions may be accounted for by Bayesian sensory filtering through predictive coding. In the central section, we describe how this conceptual framework can be used to explain the mechanisms through which the PPS may be modulated by the actions of our interaction partner, in order to facilitate interpersonal coordination. Last, we discuss how this proposal may support recent evidence concerning PPS rigidity in Autism Spectrum Disorder (ASD) and its possible relationship with ASD individuals' difficulties during interpersonal coordination. Future studies will need to clarify the mechanisms and neural underpinning of these dynamic, interpersonal modulations of the PPS.
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Affiliation(s)
- Martina Fanghella
- Department of Psychology, Sapienza University, 00185 Rome, Italy; (M.F.); (V.E.)
- IRCCS Fondazione Santa Lucia, 00179 Rome, Italy
- Department of Psychology, University of London, London EC1V 0HB, UK
| | - Vanessa Era
- Department of Psychology, Sapienza University, 00185 Rome, Italy; (M.F.); (V.E.)
- IRCCS Fondazione Santa Lucia, 00179 Rome, Italy
| | - Matteo Candidi
- Department of Psychology, Sapienza University, 00185 Rome, Italy; (M.F.); (V.E.)
- IRCCS Fondazione Santa Lucia, 00179 Rome, Italy
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