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Paolucci T, de Sire A, Ferrillo M, di Fabio D, Molluso A, Patruno A, Pesce M, Lai C, Ciacchella C, Saggino A, Agostini F, Tommasi M. Telerehabilitation proposal of mind-body technique for physical and psychological outcomes in patients with fibromyalgia. Front Physiol 2022; 13:917956. [PMID: 36091366 PMCID: PMC9459112 DOI: 10.3389/fphys.2022.917956] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Accepted: 07/25/2022] [Indexed: 12/14/2022] Open
Abstract
Fibromyalgia (FM) syndrome is characterized by the close correlation of chronic widespread pain and other non-pain related symptoms. Aim of this study was to investigate whether telerehabilitation that provides physical and psychological support services of the mind-body techniques can affect the clinical profile and pain relief of FM patients. The study included twenty-eight female FM patients, mean aged 56.61 ± 8.56 years. All patients underwent a rehabilitation treatment (8 sessions, 1/week, 1 h/each) through Zoom platform, with the following principles of rehabilitation treatment: Anchoring to a positive emotion; listen and perceive your “own” body; conscious breathing; improve interoceptive awareness; relax. All patients then underwent clinical assessment of the physical distress and fear of movement for the Numeric Rating Scale (NRS); the Fatigue Assessment Scale (FAS); the Fear Avoidance Belief Questionnaire (FABQ); with measures of physical and mental disability for the Fibromyalgia Impact Questionnaire (FIQ); the 12-Items Short Form Survey; the Resilience Scale for Adults and the Coping Strategies Questionnaire-Revised. The evaluations were performed at T0 (baseline), T1 (after 8 weeks of treatment), and T2 (after 1 month of follow-up). The main finding was that telerehabilitation reduced physical and mental distress, fear, and disability (p < 0.001). Resilience and coping ability were less affected by the rehabilitative treatment. Our attempt of mind-body technique telerehabilitation has shown good results in the improvement of painful symptoms and quality of life for the FM patients but showed fewer positive impacts for the resilience and coping abilities aspects.
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Affiliation(s)
- Teresa Paolucci
- Department of Oral, Medical and Biotechnological Sciences, Physical Medicine and Rehabilitation, University G. D’Annunzio, Chieti, Italy
| | - Alessandro de Sire
- Department of Medical and Surgical Sciences, University of Catanzaro “Magna Graecia”, Physical and Rehabilitative Medicine Unit, University Hospital “Mater Domini”, Catanzaro, Italy
- *Correspondence: Alessandro de Sire,
| | - Martina Ferrillo
- Department of Health Sciences, University of Catanzaro “Magna Graecia”, Catanzaro, Italy
| | - Dania di Fabio
- Italian Association of Fibromyalgia Syndrome (AISF), L’Aquila, Italy
| | - Aurora Molluso
- Department of Oral, Medical and Biotechnological Sciences, Course of Studies in Physiotherapy, University G. D'Annunzio, Chieti, Italy
| | - Antonia Patruno
- Department of Medicine and Aging Sciences, University G. D’Annunzio, Chieti, Italy
| | - Mirko Pesce
- Department of Medicine and Aging Sciences, University G. D’Annunzio, Chieti, Italy
| | - Carlo Lai
- Department of Dynamic and Clinical Psychology, Sapienza University of Rome, Rome, Italy
| | - Chiara Ciacchella
- Department of Dynamic and Clinical Psychology, Sapienza University of Rome, Rome, Italy
| | - Aristide Saggino
- Department of Medicine and Aging Sciences, University G. D’Annunzio, Chieti, Italy
| | - Francesco Agostini
- Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University, Rome, Italy
| | - Marco Tommasi
- Department of Medicine and Aging Sciences, University G. D’Annunzio, Chieti, Italy
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Sanda N, Escribano Paredes JB, Ferastraoaru V. Visual hallucinosis during hypoperfusion of the right occipito-temporal cortex. J Neurol 2022; 269:6627-6633. [PMID: 36001140 PMCID: PMC9618476 DOI: 10.1007/s00415-022-11346-x] [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: 04/18/2022] [Revised: 08/16/2022] [Accepted: 08/17/2022] [Indexed: 11/25/2022]
Abstract
Objectives Positive visual phenomena, although reported in lesions of visual cortex, are often overlooked in patients with acute neurological conditions. Yet, their occurrence without structural abnormalities or other underlying neurological disorders represents a unique observation. This report aims to raise awareness of these phenomena, their implications for understanding visual consciousness and to propose a practical, structured algorithm for the clinical assessment of visual hallucinations related to neurological conditions. Methods We describe the clinical presentation and imaging findings in two patients with isolated visual hallucinosis secondary to transitory hypoperfusion. Results One patient presented with subocclusion of the right posterior cerebral artery and the other with multifocal arterial abnormalities suggestive of reversible cerebral vasoconstriction syndrome (RCVS). Both presented isolated visual hallucinations and hypoperfusion of the right mesial occipito-temporal cortex. Hallucinated images exhibited peculiarities of certain attributes that were recognized only through guided perceptual analysis performed during their occurrence. Discussion Dysfunctions in the visual and attentional networks due to the uneven impact of hypoperfusion on the regions of the mesial occipito-temporal cortex likely contributed to the occurrence of visual hallucinations. The initial impaired awareness of certain image attributes obscured an altered, non-realistic rendering of the hallucinated images. Enhancement of awareness through clinical guidance indicates improved attentional deployment, modulation of visual information processing and hallucination–background integration. These features of the hallucinatory phenomena highlight the critical role of semiological analysis during their occurrence and question the validity of post hoc inquiries.
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Affiliation(s)
- Nicolae Sanda
- Department of Neurology, Geneva University Hospital, Gabrielle-Perret-Gentil 4, 1205, Geneva, Switzerland.
| | | | - Victor Ferastraoaru
- Department of Neurology, Montefiore Medical Center/Albert Einstein College of Medicine, New York, USA
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Izmaylov M. Those Who Hear in Color. Neurology 2022. [PMID: 35101911 DOI: 10.1212/wnl.0000000000200045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- Michelle Izmaylov
- Department of General Internal Medicine and Public Health, Vanderbilt University Medical Center, Nashville, TN.
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Bahrami Moqadam S, Saleh Asheghabadi A, Norouzi F, Jafarzadeh H, Khosroabadi A, Alagheband A, Bangash G, Morovatdar N, Xu J. Conceptual Method of Temperature Sensation in Bionic Hand by Extraordinary Perceptual Phenomenon. JOURNAL OF BIONIC ENGINEERING 2021; 18:1344-1357. [PMID: 34868280 PMCID: PMC8628055 DOI: 10.1007/s42235-021-00112-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/04/2020] [Revised: 09/30/2021] [Accepted: 10/05/2021] [Indexed: 06/13/2023]
Abstract
Lack of temperature sensation of myoelectric prosthetic hand limits the daily activities of amputees. To this end, a non-invasive temperature sensation method is proposed to train amputees to sense temperature with psychophysical sensory substitution. In this study, 22 healthy participants took part besides 5 amputee participants. The duration time of the study was 31 days with five test steps according to the Leitner technique. An adjustable temperature mug and a Peltier were used to change the temperature of the water/phantom digits to induce temperature to participants. Also, to isolate the surroundings and show colors, a Virtual Reality (VR) glass was employed. The statistical results conducted are based on the response of participants with questionnaire method. Using Chi-square tests, it is concluded that participants answer the experiment significantly correctly using the Leitner technique (P value < 0.05). Also, by applying the "Repeated Measures ANOVA", it is noticed that the time of numbness felt by participants had significant (P value < 0.001) difference. Participants could remember lowest and highest temperatures significantly better than other temperatures (P value < 0.001); furthermore, the well-trained amputee participant practically using the prosthesis with 72.58% could identify object's temperature with only once time experimenting the color temperature.
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Affiliation(s)
- Saeed Bahrami Moqadam
- State Key Laboratory of Tribology, Department of Mechanical Engineering, Tsinghua University, Beijing, 100084 China
| | - Ahamd Saleh Asheghabadi
- State Key Laboratory of Tribology, Department of Mechanical Engineering, Tsinghua University, Beijing, 100084 China
| | | | - Hamed Jafarzadeh
- Center for Computational and Data Intensive Science and Engineering (CDISE), Skolkovo Institute of Science and Technology (Skoltech), Moscow, 121205 Russia
| | - Ali Khosroabadi
- Department of Mechanical Engineering, Ferdowsi University, Mashhad, 9177948974 Iran
| | - Afshin Alagheband
- Department of Electrical Engineering, Ferdowsi University, Mashhad, 9177948974 Iran
| | - Ghazal Bangash
- Department of Computer Engineering, Ferdowsi University, Mashhad, 9177948974 Iran
| | - Negar Morovatdar
- Clinical Research Unit, Imam Reza Hospital, Mashhad University of Medical Sciences, 13131–99137 Mashhad, Iran
| | - Jing Xu
- State Key Laboratory of Tribology, Department of Mechanical Engineering, Tsinghua University, Beijing, 100084 China
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Anatomy and white matter connections of the fusiform gyrus. Sci Rep 2020; 10:13489. [PMID: 32778667 PMCID: PMC7417738 DOI: 10.1038/s41598-020-70410-6] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2020] [Accepted: 07/13/2020] [Indexed: 01/09/2023] Open
Abstract
The fusiform gyrus is understood to be involved in the processing of high-order visual information, particularly related to faces, bodies, and stimuli characterized by high spatial frequencies. A detailed understanding of the exact location and nature of associated white-tracts could significantly improve post-operative morbidity related to declining capacity. Through generalized q-sampling imaging (GQI) validated by gross dissection as a direct anatomical method of identifying white matter tracts, we have characterized these connections based on relationships to other well-known structures. We created the white matter tracts using GQI and confirmed the tracts using gross dissection. These dissections demonstrated connections to the occipital lobe from the fusiform gyrus along with longer association fibers that course through this gyrus. The fusiform gyrus is an important region implicated in such tasks as the visual processing of human faces and bodies, as well as the perception of stimuli with high spatial frequencies. Post-surgical outcomes related to this region may be better understood in the context of the fiber-bundle anatomy highlighted by this study.
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Kirsch LP, Job X, Auvray M. Mixing up the Senses: Sensory Substitution Is Not a Form of Artificially Induced Synaesthesia. Multisens Res 2020; 34:297-322. [PMID: 33706280 DOI: 10.1163/22134808-bja10010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2020] [Accepted: 05/26/2020] [Indexed: 11/19/2022]
Abstract
Sensory Substitution Devices (SSDs) are typically used to restore functionality of a sensory modality that has been lost, like vision for the blind, by recruiting another sensory modality such as touch or audition. Sensory substitution has given rise to many debates in psychology, neuroscience and philosophy regarding the nature of experience when using SSDs. Questions first arose as to whether the experience of sensory substitution is represented by the substituted information, the substituting information, or a multisensory combination of the two. More recently, parallels have been drawn between sensory substitution and synaesthesia, a rare condition in which individuals involuntarily experience a percept in one sensory or cognitive pathway when another one is stimulated. Here, we explore the efficacy of understanding sensory substitution as a form of 'artificial synaesthesia'. We identify several problems with previous suggestions for a link between these two phenomena. Furthermore, we find that sensory substitution does not fulfil the essential criteria that characterise synaesthesia. We conclude that sensory substitution and synaesthesia are independent of each other and thus, the 'artificial synaesthesia' view of sensory substitution should be rejected.
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Affiliation(s)
- Louise P Kirsch
- Institut des Systèmes Intelligents et de Robotique (ISIR), Sorbonne Université, Paris, France
| | - Xavier Job
- Institut des Systèmes Intelligents et de Robotique (ISIR), Sorbonne Université, Paris, France
| | - Malika Auvray
- Institut des Systèmes Intelligents et de Robotique (ISIR), Sorbonne Université, Paris, France
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Facco E, Casiglia E, Al Khafaji BE, Finatti F, Duma GM, Mento G, Pederzoli L, Tressoldi P. THE NEUROPHENOMENOLOGY OF OUT-OF-BODY EXPERIENCES INDUCED BY HYPNOTIC SUGGESTIONS. Int J Clin Exp Hypn 2019; 67:39-68. [PMID: 30702402 DOI: 10.1080/00207144.2019.1553762] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Inducing out-of-body experiences in hypnosis (H-OBEs) offers an almost unique opportunity to investigate them under controlled conditions. OBEs were induced as an imaginative task in a resting condition (I-OBE) or in hypnosis (H-OBE) in a group of 15 high hypnotizable subjects. A 32-channel EEG was recorded, and the spectral power and imaginary coherence of each frequency band and each couple of electrodes were calculated. At the end of each session, the Phenomenology of Consciousness Inventory (PCI) was administered to assess the phenomenological aspects of the subjects' experience. Significantly higher scores in the altered state, positive affect altered experience, and attention subdimensions of the PCI were reported in H-OBE than in I-OBE, which were associated with a significant decrease of power in beta and gamma band activity in right parieto-temporal derivations. These results suggest that the H-OBE may offer a useful experimental model of spontaneous OBEs.
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Affiliation(s)
- Enrico Facco
- a University of Padua and Institute Franco Granone - Italian Center of Clinical and Experimental Hypnosis , Turin , Italy
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Dell'Erba S, Brown DJ, Proulx MJ. Synesthetic hallucinations induced by psychedelic drugs in a congenitally blind man. Conscious Cogn 2018; 60:127-132. [PMID: 29549713 DOI: 10.1016/j.concog.2018.02.008] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2017] [Revised: 02/22/2018] [Accepted: 02/23/2018] [Indexed: 10/17/2022]
Abstract
This case report offers rare insights into crossmodal responses to psychedelic drug use in a congenitally blind (CB) individual as a form of synthetic synesthesia. BP's personal experience provides us with a unique report on the psychological and sensory alterations induced by hallucinogenic drugs, including an account of the absence of visual hallucinations, and a compelling look at the relationship between LSD induced synesthesia and crossmodal correspondences. The hallucinatory experiences reported by BP are of particular interest in light of the observation that rates of psychosis within the CB population are extremely low. The phenomenology of the induced hallucinations suggests that experiences acquired through other means, might not give rise to "visual" experiences in the phenomenological sense, but instead gives rise to novel experiences in the other functioning senses.
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Affiliation(s)
- Sara Dell'Erba
- Crossmodal Cognition Lab, Department of Psychology, University of Bath, Bath BA2 7AY, UK
| | - David J Brown
- Crossmodal Cognition Lab, Department of Psychology, University of Bath, Bath BA2 7AY, UK
| | - Michael J Proulx
- Crossmodal Cognition Lab, Department of Psychology, University of Bath, Bath BA2 7AY, UK.
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Bouvet L, Barbier JE, Cason N, Bakchine S, Ehrlé N. When synesthesia and savant abilities are mistaken for hallucinations and delusions: contribution of a cognitive approach for their differential diagnosis. Clin Neuropsychol 2017; 31:1459-1473. [PMID: 28276863 DOI: 10.1080/13854046.2017.1288269] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVE Schizophrenia is characterized by hallucinations, delusions, disorganized speech and behavior, and other symptoms that cause social or occupational dysfunction. However, some of these symptoms, such as hallucinations and delusions, can be indicative of other phenomena such as synesthesia and savant abilities. The aim of this paper is to highlight how neurological and psychiatric conditions can be confused and how formal neuropsychological evaluations can be necessary to distinguish them. METHOD We report the case of a young woman, VA, who perceived sounds as colors and claimed to have elaborated complex astrophysical reasoning, despite having experienced difficulties at school, especially in mathematics. VA also had difficulties to orient herself, to develop social relationships, and often became confused by daily life situations. These elements were considered as symptoms of schizophrenia. RESULTS Evaluations revealed that VA exhibited savant abilities in astrophysics and colored-hearing synesthesia. We also found evidence of higher-than-average cognitive functioning. CONCLUSIONS In complex cases, neuropsychological and formal evaluations are necessary to establish a differential diagnosis. Moreover, the case highlights the link between synesthesia and savant abilities.
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Affiliation(s)
- Lucie Bouvet
- a Laboratoire CERPPS (EA 7411) , Université Toulouse Jean Jaurés , Toulouse , France
| | | | - Nia Cason
- c Laboratoire PSITEC (EA 4072) , Université de Lille 3 , Lille , France
| | - Serge Bakchine
- d Service de neurologie, Hôpital Maison-Blanche , Hôpital Universitaire de Reims , Reims , France
| | - Nathalie Ehrlé
- c Laboratoire PSITEC (EA 4072) , Université de Lille 3 , Lille , France.,d Service de neurologie, Hôpital Maison-Blanche , Hôpital Universitaire de Reims , Reims , France
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García AM, Sedeño L, Herrera Murcia E, Couto B, Ibáñez A. A Lesion-Proof Brain? Multidimensional Sensorimotor, Cognitive, and Socio-Affective Preservation Despite Extensive Damage in a Stroke Patient. Front Aging Neurosci 2017; 8:335. [PMID: 28119603 PMCID: PMC5222788 DOI: 10.3389/fnagi.2016.00335] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2016] [Accepted: 12/23/2016] [Indexed: 12/17/2022] Open
Abstract
In this study, we report an unusual case of mutidimensional sensorimotor, cognitive, and socio-affective preservation in an adult with extensive, acquired bilateral brain damage. At age 43, patient CG sustained a cerebral hemorrhage and a few months later, she suffered a second (ischemic) stroke. As a result, she exhibited extensive damage of the right hemisphere (including frontal, temporal, parietal, and occipital regions), left Sylvian and striatal areas, bilateral portions of the insula and the amygdala, and the splenium. However, against all probability, she was unimpaired across a host of cognitive domains, including executive functions, attention, memory, language, sensory perception (e.g., taste recognition and intensity discrimination), emotional processing (e.g., experiencing of positive and negative emotions), and social cognition skills (prosody recognition, theory of mind, facial emotion recognition, and emotional evaluation). Her functional integrity was further confirmed through neurological examination and contextualized observation of her performance in real-life tasks. In sum, CG's case resists straightforward classifications, as the extent and distribution of her lesions would typically produce pervasive, multidimensional deficits. We discuss the rarity of this patient against the backdrop of other reports of atypical cognitive preservation, expound the limitations of several potential accounts, and highlight the challenges that the case poses for current theories of brain organization and resilience.
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Affiliation(s)
- Adolfo M García
- Laboratory of Experimental Psychology and Neuroscience, Institute of Cognitive and Translational Neuroscience, INECO Foundation, Favaloro UniversityBuenos Aires, Argentina; National Scientific and Technical Research Council (CONICET)Buenos Aires, Argentina; Faculty of Elementary and Special Education, National University of CuyoMendoza, Argentina
| | - Lucas Sedeño
- Laboratory of Experimental Psychology and Neuroscience, Institute of Cognitive and Translational Neuroscience, INECO Foundation, Favaloro UniversityBuenos Aires, Argentina; National Scientific and Technical Research Council (CONICET)Buenos Aires, Argentina
| | | | - Blas Couto
- Laboratory of Experimental Psychology and Neuroscience, Institute of Cognitive and Translational Neuroscience, INECO Foundation, Favaloro University Buenos Aires, Argentina
| | - Agustín Ibáñez
- Laboratory of Experimental Psychology and Neuroscience, Institute of Cognitive and Translational Neuroscience, INECO Foundation, Favaloro UniversityBuenos Aires, Argentina; National Scientific and Technical Research Council (CONICET)Buenos Aires, Argentina; Universidad Autónoma del CaribeBarranquilla, Colombia; Center for Social and Cognitive Neuroscience, School of Psychology, Universidad Adolfo IbáñezSantiago de Chile, Chile; Centre of Excellence in Cognition and its Disorders, Australian Research CouncilSydney, NSW, Australia
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Can modular psychological concepts like affect and emotion be assigned to a distinct subset of regional neural circuits? Phys Life Rev 2015; 13:47-9. [DOI: 10.1016/j.plrev.2015.04.027] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2015] [Accepted: 04/17/2015] [Indexed: 01/28/2023]
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