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The effectiveness of haptic feedback devices highly depends on the perception of tactile stimuli, which differs across body parts and can be affected by movement. In this study, a novel wearable sensory feedback apparatus made of a pair of pressure-sensitive insoles and a belt equipped with vibrotactile units is presented; the device provides time-discrete vibrations around the waist, synchronized with biomechanically-relevant gait events during walking. Experiments with fifteen healthy volunteers were carried out to investigate users’ tactile perception on the waist. Stimuli of different intensities were provided at twelve locations, each time synchronously with one pre-defined gait event (i.e. heel strike, flat foot or toe off), following a pseudo-random stimulation sequence. Reaction time, detection rate and localization accuracy were analyzed as functions of the stimulation level and site and the effect of gait events on perception was investigated. Results revealed that above-threshold stimuli (i.e. vibrations characterized by acceleration amplitudes of 1.92g and 2.13g and frequencies of 100 Hz and 150 Hz, respectively) can be effectively perceived in all the sites and successfully localized when the intertactor spacing is set to 10 cm. Moreover, it was found that perception of time-discrete vibrations was not affected by phase-related gating mechanisms, suggesting that the waist could be considered as a preferred body region for delivering haptic feedback during walking. [ABSTRACT FROM AUTHOR]

Featured Application: The preliminary findings presented in this paper are expected to serve as a foundation for future studies investigating fall prevention in older adults. Previous studies have reported that vibrotactile stimulation of the nail of the hallux decreases the variability of the center-of-mass (CoM) movement in the lateral direction in subjects performing unsteady walking on the spot. This study investigated the effect of vibrotactile stimulation of the nail of the hallux on the CoM movement during walking. Healthy young males were asked to walk with and without stimulation, and their CoM was measured. The intrasubject mean and coefficient of variation (CV) of their walking speed, stance time, and CoM movement were evaluated. The differences between the variables with and without stimulation were determined, and the baseline-dependent effects of the stimulation on these variables were analyzed. It was observed that stimulation had a negative baseline-dependent effect on the CVs of the walking speed, stance time, and the CoM movement in the lateral direction. In particular, stimulation decreased the CV of the CoM movement in the lateral direction for subjects with a greater variability. Vibrotactile stimulation of the nail of the hallux can reduce the variability of the lateral displacement of the CoM movement in healthy young subjects who otherwise show a large variability of the CoM movement during walking without stimulation. [ABSTRACT FROM AUTHOR]

While prosthetic fitting after upper-limb loss allows for restoration of motor functions, it deprives the amputee of tactile sensations that are essential for grasp control in able-bodied subjects. Therefore, it is commonly assumed that restoring the force feedback would improve the control of prosthesis grasping force. However, the literature regarding the benefit of feedback is controversial. Here, we investigated how the type of feedback affects learning and steady-state performance of routine grasping with a prosthesis. The experimental task was to grasp an object using a prosthesis and generate a low or high target-force range (TFR), both initially unknown, in three feedback conditions: basic auditory feedback on task outcome, and additional visual or vibratory feedback on the force magnitude. The results demonstrated that the performance was rather good and stable for the low TFR, whereas it was substantially worse for the high TFR with a pronounced training effect. Surprisingly, learning curve and steady-state performance did not depend on the feedback condition. Hence, in the specific context of routing grasping with a prosthesis controlled via surface EMG, the basic feedback on task outcome was not outperformed by force-related end-of-trial feedback and hence seemed to be sufficient for accomplishing the task. [ABSTRACT FROM AUTHOR]

Despite state-of-the-art surgical and postoperative treatment, median nerve transection causes lasting impaired hand function due to limitations in the nerve's reinnervation ability. The defective innervation and thus controllability of the affected hand can shape the brain's control of manual behaviors. Earlier studies of changes in the processing of tactile stimuli have focused mainly on stimulation of the reinnervated hand and lack sufficient control over the brain's use of the tactile input in perceptual terms. Here we used fMRI to measure brain activity (BOLD-signal) in 11 people with median nerve injury and healthy controls (N = 11) when performing demanding tactile tasks using the tip of either the index or little finger of either hand. For the nerve-injured group, the left median nerve had been traumatically transected in the distal forearm and surgically repaired on average 8 years before the study. The hand representation of their contralesional (right) primary somatosensory cortex (S1) showed greater activity compared to controls when the left reinnervated index finger was used, but also when the left-hand little finger and the fingers of the right hand innervated by uninjured nerves were used. We argue that the overall increase in activity reflects a general disinhibition of contralesional S1 consistent with an augmented functional reorganizational plasticity being an ongoing feature of chronic recovery from nerve injury. Also, the nerve-injured showed increased activity within three prefrontal cortical areas implicated in higher-level behavioral processing (dorsal anterior cingulate cortex, left ventrolateral prefrontal and right dorsolateral prefrontal cortex), suggesting that processes supporting decision-making and response-selection were computationally more demanding due to the compromised tactile sensibility. [ABSTRACT FROM AUTHOR]

Vibration is an efficient way of conveying information from a device to its user, and it is increasingly used for wrist or finger-worn devices such as smart rings. Unexpected vibrations or sounds fromthe environmentmay disrupt the perception of such information. Although disruptive effects have been systematically explored in vision and audition, they have been less thoroughly examined in the haptic domain. Here we briefly review the relevant literature from HCI and psychology, distilling principles of when distraction is likely. We then investigate these principles through four experiments, examining how the timing and modality of relatively rare or unexpected stimuli (surprise distractors) affect the detection and recognition of vibrotactile target patterns. At short distractor-target delays (<350 ms), both auditory and vibrotactile surprise distractors impaired performance. At a longer delay (1,050 ms), performance was not affected overall, even being improved with repeated exposure to the vibrotactile distractors. We discuss the importance of our findings in the context of HCI and cognitive psychology, and we provide design guidelines for mitigating the effects of distraction on haptic devices. [ABSTRACT FROM AUTHOR]

Elderly and stroke patients often have low spatial two-point discrimination function. The intervention effect of repetitive mechanical tactile stimulation has been shown to improve the spatial two-point discrimination function. The methods of tactile input are classified as either Active Touch or Passive Touch. In Passive Touch, the tactile stimulus is passively applied on the skin without voluntary movement, whereas in Active Touch, it is applied with voluntary movement. Based on the method of tactile input, tactile stimulation activate different cerebral cortex areas. A previous study reported that the tactile stimulation with Active Touch activate posterior parietal cortex, activated during a spatial two-point discrimination task. Therefore, the present study aimed to investigate the effects of two mechanical tactile stimulation intervention methods on two-point discrimination: tactile stimulation with voluntary movement (Active Touch) and without voluntary movement (Passive Touch). We recruited 15 healthy volunteers aged 20–23 years and applied tactile stimuli on their right index finger for 10 min. The mechanical tactile stimulator comprised 24 tiny plastic pins driven by piezoelectric actuators. In the Active Touch intervention, the pin was rubbed by voluntary movement of the right index finger (abduction 0°–10°) after the appearance of 12 pins. The Passive Touch intervention stimulated the index finger with the 12 pins setting at the centre of index finger. Tactile thresholds were measured using a two-point discrimination measurement device. Two-point discrimination threshold showed significant reduction after Active Touch intervention compared with those pre-intervention (Pre). Two-point discrimination threshold were not significantly modulated after Passive Touch intervention; however, significant negative correlation was observed between the intervention effect on two-point discrimination threshold and the performance Pre. This study suggesting that the effects of repetitive mechanical tactile stimulation depend on the method of tactile input. An effective intervention for improving two-point discrimination threshold is the application of Active Touch condition for 10 min. [ABSTRACT FROM AUTHOR]

Somatosensory processing can be probed empirically through vibrotactile psychophysical experiments. Psychophysical approaches are valuable for investigating both normal and abnormal tactile function in healthy and clinical populations. To date, the test-retest reliability of vibrotactile detection and discrimination thresholds has yet to be established. This study sought to assess the reproducibility of vibrotactile detection and discrimination thresholds in human adults using an established vibrotactile psychophysical battery. Fifteen healthy adults underwent three repeat sessions of an eleven-task battery that measured a range of vibrotactile measures, including reaction time, detection threshold, amplitude and frequency discrimination, and temporal order judgement. Coefficients of variation and intraclass correlation coefficients (ICCs) were calculated for the measures in each task. Linear mixed-effects models were used to test for length and training effects and differences between tasks within the same domain. Reaction times were shown to be the most reproducible (ICC: ~0.9) followed by detection thresholds (ICC: ~0.7). Frequency discrimination thresholds were the least reproducible (ICC: ~0.3). As reported in prior studies, significant differences in measures between related tasks were also found, demonstrating the reproducibility of task-related effects. These findings show that vibrotactile detection and discrimination thresholds are reliable, further supporting the use of psychophysical experiments to probe tactile function. [ABSTRACT FROM AUTHOR]

Transcutaneous spinal stimulation (TSS) is a useful tool to modulate spinal sensorimotor circuits and has emerged as a potential treatment for motor disorders in neurologically impaired populations. One major limitation of TSS is the discomfort associated with high levels of stimulation during the experimental procedure. The objective of this study was to examine if the discomfort caused by TSS can be alleviated using different stimulation paradigms in a neurologically intact population. Tolerance to TSS delivered using conventional biphasic balanced rectangular pulses was compared to two alternative stimulation paradigms: a 5 kHz carrier frequency and biphasic balanced rectangular pulses combined with vibrotactile stimulation. In ten healthy participants, tolerance to TSS was examined using both single‐pulse (0.2 Hz) and continuous (30 Hz) stimulation protocols. In both the single‐pulse and continuous stimulation protocols, participants tolerated significantly higher levels of stimulation with the carrier frequency paradigm compared to the other stimulation paradigms. However, when the maximum tolerable stimulation intensity of each stimulation paradigm was normalized to the intensity required to evoke a lower limb muscle response, there were no statistical differences between the stimulation paradigms. Our results suggest that, when considering the intensity of stimulation required to obtain spinally evoked motor potentials, neither alternative stimulation paradigm is more effective at reducing discomfort than the conventional, unmodulated pulse configuration. [ABSTRACT FROM AUTHOR]

Renewal is a phenomenon in which a response that has been extinguished recovers when an organism is removed from the setting in which extinction occurred. In most renewal studies, context consists of exteroceptive stimuli (e.g., distinct visual, auditory, tactile, and/or olfactory stimuli). Nevertheless, a number of studies have shown that interoceptive stimuli such as those induced by drugs or food deprivation may come to exert discriminative control over behavior under the relevant contingencies. We investigated how interoceptive organismic conditions brought about through food deprivation and satiation motivating operations (MOs) can serve as contextual cues for the renewal of extinguished operant responding in mice. Three groups of mice received acquisition and extinction sessions under three different combinations of food deprivation and satiation. One group received acquisition sessions while deprived and extinction sessions while satiated. A second group received both acquisition and extinction sessions while satiated. A third group received both acquisition and extinction sessions while deprived. All groups were then tested for renewal under both deprivation and satiation conditions. ABA and AAB renewal were observed for the first two groups under deprivation conditions, but AAB renewal was not observed for the third group under satiation conditions. The results suggest that interoceptive stimuli elicited by MOs may serve as contextual stimuli that occasion the recovery of responding following extinction, but unlike exteroceptive contextual cues, the discriminative functions of these stimuli are accompanied by motivational functions that may affect the extent to which renewal is observed. [ABSTRACT FROM AUTHOR]

The conventional assessment of preterm somatosensory functions using averaged cortical responses to electrical stimulation ignores the characteristic components of preterm somatosensory evoked responses (SERs). Our study aimed to systematically evaluate the occurrence and development of SERs after tactile stimulus in preterm infants. We analysed SERs performed during 45 electroencephalograms (EEGs) from 29 infants at the mean post‐menstrual age of 30.7 weeks. Altogether 2,087 SERs were identified visually at single‐trial level from unfiltered signals capturing also their slowest components. We observed salient SERs with a high‐amplitude slow component at a high success rate after hand (95%) and foot (83%) stimuli. There was a clear developmental change in both the slow wave and the higher‐frequency components of the SERs. Infants with intraventricular haemorrhage (IVH; eleven infants) had initially normal SERs, but those with bilateral IVH later showed a developmental decrease in the ipsilateral SER occurrence after 30 weeks of post‐menstrual age. Our study shows that tactile stimulus applied at bedside elicits salient SERs with a large slow component and an overriding fast oscillation, which are specific to the preterm period. Prior experimental research indicates that such SERs allow studying both subplate and cortical functions. Our present findings further suggest that they might offer a window to the emergence of neurodevelopmental sequelae after major structural brain lesions and, hence, an additional tool for both research and clinical neurophysiological evaluation of infants before term age. [ABSTRACT FROM AUTHOR]

Virtual reality (VR) systems have been integrated into rehabilitation techniques for phantom limb pain (PLP). In this case report, we used electroencephalography (EEG) to analyze corticocortical coherence between the bilateral sensorimotor cortices during vibrotactile stimulation in conjunction with VR rehabilitation in two PLP patients. As a result, we observed PLP alleviation and increased alpha wave coherence during VR rehabilitation when stimulation was delivered to the cheek and shoulder (referred sensation areas) of the affected side. Vibrotactile stimulation with VR rehabilitation may enhance the awareness and movement of the phantom hand. [ABSTRACT FROM AUTHOR]

Vibrotactile actuators have been studied in a variety of wearables that require actuation feedback because of their accurate and rapid feedback. To provide robust and reliable feedback to users, wearable vibration actuators must be seamlessly integrated into smart clothing to deliver vibrotactile stimulation of the appropriate intensity. In order to solve the vibration attenuation problem due to clothing fabric, and seamlessly integrate the actuator, wearable male-type radio button-shaped vibrotactile actuators (WMVAs) were designed and fabricated. The WMVAs were designed with a structure in which a linear resonant actuator was housed in a stud, and vibration was passed through the fabric and transferred to the skin through the cap. Three WMVAs were fabricated, one with a cap of standard size and thickness, the second with a thicker cap than the standard, and the third with a wider cap than the standard. In order to investigate the vibration transmission performance of the WMVA, vibration perception experiments were performed on various body parts of the subjects. As a result, the vibration perception of the WMVA was statistically significant in all tested body parts. Using the WMVA, the mean value of vibration perception was 2.743, while that without a cap and stud was 2.062. The mean value of the vibration perception of the actuator with a cap 2.78 times thicker is 2.736, compared with the standard actuator value of 2.512. The average value of vibration perception of an actuator with a 2.78 times larger cap than the standard size is 2.743. [ABSTRACT FROM AUTHOR]

Obsessive-compulsive disorder (OCD) is a deeply enigmatic psychiatric condition associated with immense suffering worldwide. Efficacious therapies for OCD, like exposure and response prevention (ERP), are sometimes poorly tolerated by patients. As many as 25% of patients refuse to initiate ERP mainly because they are too anxious to follow exposure procedures. Accordingly, we proposed a simple and tolerable (immersive yet indirect) low-cost technique for treating OCD that we call "multisensory stimulation therapy." This method involves contaminating a rubber hand during the so-called "rubber hand illusion" (RHI) in which tactile sensations may be perceived as arising from a fake hand. Notably, Jalal et al. (2015) showed that such fake hand contamination during the RHI provokes powerful disgust reactions in healthy volunteers. In the current study, we explored the therapeutic potential of this novel approach. OCD patients (n = 29) watched as their hidden real hand was being stroked together with a visible fake hand; either synchronously (inducing the RHI; i.e., the experimental condition; n = 16) or asynchronously (i.e., the control condition; n = 13). After 5 min of tactile stimulation, the rubber hand was contaminated with fake feces, simulating conventional exposure therapy. Intriguingly, results suggested sensory assimilation of contamination sensations into the body image via the RHI: patients undergoing synchronous stimulation did not report greater contamination sensations when the fake hand was initially contaminated relative to asynchronous stroking. But contrary to expectations, they did so after the rubber hand had been contaminated for 5 min, as assessed via disgust facial expressions (a secondary outcome) and in vivo exposure (upon discontinuing the illusion). Further, to our surprise, synchronous and asynchronous stroking induced an equally vivid and fast-emerging illusion, which helps explain why both conditions initially (5 min after initiating tactile stimulation) provoked contamination reactions of equal magnitude. This study is the first to suggest heightened malleability of body image in OCD. Importantly, it may pave the way for a tolerable technique for the treatment of OCD—highly suitable for poorly resourced and emergency settings, including low-income and developing countries with minimal access to high-tech solutions like virtual reality. [ABSTRACT FROM AUTHOR]

Beats are among the basic units of perceptual experience. Produced by regular, intermittent stimulation, beats are most commonly associated with audition, but the experience of a beat can result from stimulation in other modalities as well. We studied the robustness of visual, vibrotactile, and bimodal signals as sources of beat perception. Subjects attempted to discriminate between pulse trains delivered at 3 Hz or at 6 Hz. To investigate signal robustness, we intentionally degraded signals on two-thirds of the trials using temporal-domain noise. On these trials, inter-pulse intervals (IPIs) were stochastic, perturbed independently from the nominal IPI by random samples from zero-mean Gaussian distributions with different variances. These perturbations produced directional changes in the IPIs, which either increased or decreased the likelihood of confusing the two pulse rates. In addition to affording an assay of signal robustness, this paradigm made it possible to gauge how subjects' judgments were influenced by successive IPIs. Logistic regression revealed a strong primacy effect: subjects' decisions were disproportionately influenced by a trial's initial IPIs. Response times and parameter estimates from drift-diffusion modeling showed that information accumulates more rapidly with bimodal stimulation than with either unimodal stimulus alone. Analysis of error rates within each condition suggested consistently optimal decision making, even with increased IPI variability. Finally, beat information delivered by vibrotactile signals proved just as robust as information conveyed by visual signals, confirming vibrotactile stimulation's potential as a communication channel. [ABSTRACT FROM AUTHOR]

The objective of this study was to test the capacity of vibrotactile stimulation transmitted to the wrist bones by a vibrating wristband to awaken healthy individuals and patients requiring home mechanical ventilation during sleep. Healthy subjects (n = 20) and patients with central hypoventilation (CH) (Congenital Central Hypoventilation syndrome n = 7; non-genetic form of CH n = 1) or chronic obstructive pulmonary disease (COPD) (n = 9), underwent a full-night polysomnography while wearing the wristband. Vibrotactile alarms were triggered five times during the night at random intervals. Electroencephalographic (EEG), clinical (trunk lift) and cognitive (record the time on a sheet of paper) arousals were recorded. Cognitive arousals were observed for 94% of the alarms in the healthy group and for 66% and 63% of subjects in the CH and COPD groups, respectively (p < 0.01). The percentage of participants experiencing cognitive arousals for all alarms, was 72% for healthy subjects, 37.5% for CH patients and 33% for COPD patients (ns) (94%, 50% and 44% for clinical arousals (p < 0.01) and 100%, 63% and 44% for EEG arousals (p < 0.01)). Device acceptance was good in the majority of cases, with the exception of one CH patient and eight healthy participants. In summary this study shows that a vibrotactile stimulus is effective to induce awakenings in healthy subjects, but is less effective in patients, supporting the notion that a vibrotactile stimulus could be an effective backup to a home mechanical ventilator audio alarm for healthy family caregivers. [ABSTRACT FROM AUTHOR]

It is well-documented that the intensity of a self-generated somatosensory stimulus is perceived to be attenuated in respect to an identical stimulus generated by others. At present, it is not clear whether such a phenomenon, known as somatosensory attenuation, is based not only on feedforward motor signals but also on re-afferences towards the body. To answer this question, in the present pilot investigation on twelve healthy subjects, three types of stimulations (sensory non-nociceptive electrical – ES, nociceptive electrical – NES, and vibrotactile – VTS) and intensities (1 = sensory threshold ∗ 2.5 + 2 mA, 2 = sensory threshold ∗ 2.5 + 3 mA, 3 = sensory threshold ∗ 2.5 + 4 mA for ES and NES; 1 = sensory threshold ∗ 2 Hz, 2 = sensory threshold ∗ 3 Hz, 3 = sensory threshold ∗ 4 Hz for VTS) have been directly compared in a somatosensory attenuation paradigm. The results show that the attenuation effect emerged only with electrical stimuli and that it increased with higher intensities. These pilot findings suggest that, depending on the type and the intensity of stimulation, re-afferences can have a role in somatosensory attenuation. Additionally, it is possible to speculate the effect is present only with electrical stimuli because those stimuli are prospectively judged as potentially dangerous. This, in turn, would optimize planning successful reactions to incoming threatening stimuli.

Background: A prosthetic system should ideally reinstate the bidirectional communication between the user's brain and its end effector by restoring both motor and sensory functions lost after an amputation. However, current commercial prostheses generally do not incorporate somatosensory feedback. Even without explicit feedback, grasping using a prosthesis partly relies on sensory information. Indeed, the prosthesis operation is characterized by visual and sound cues that could be exploited by the user to estimate the prosthesis state. However, the quality of this incidental feedback has not been objectively evaluated.Methods: In this study, the psychometric properties of the auditory and visual feedback of prosthesis motion were assessed and compared to that of a vibro-tactile interface. Twelve able-bodied subjects passively observed prosthesis closing and grasping an object, and they were asked to discriminate (experiment I) or estimate (experiment II) the closing velocity of the prosthesis using visual (VIS), acoustic (SND), or combined (VIS + SND) feedback. In experiment II, the subjects performed the task also with a vibrotactile stimulus (VIB) delivered using a single tactor. The outcome measures for the discrimination and estimation experiments were just noticeable difference (JND) and median absolute estimation error (MAE), respectively.Results: The results demonstrated that the incidental sources provided a remarkably good discrimination and estimation of the closing velocity, significantly outperforming the vibrotactile feedback. Using incidental sources, the subjects could discriminate almost the minimum possible increment/decrement in velocity that could be commanded to the prosthesis (median JND < 2% for SND and VIS + SND). Similarly, the median MAE in estimating the prosthesis velocity randomly commanded from the full working range was also low, i.e., approximately 5% in SND and VIS + SND.Conclusions: Since the closing velocity is proportional to grasping force in state-of-the-art myoelectric prostheses, the results of the present study imply that the incidental feedback, when available, could be usefully exploited for grasping force control. Therefore, the impact of incidental feedback needs to be considered when designing a feedback interface in prosthetics, especially since the quality of estimation using supplemental sources (e.g., vibration) can be worse compared to that of the intrinsic cues. [ABSTRACT FROM AUTHOR]

• Sensory substitution devices allow individuals to avoid obstacles and walk to targets. • Short-range information about obstacles is sufficient for route selection. • Route selection is not based on full-fledged spatial representations of the environment. • Sensory substitution devices should facilitate on-line control rather than spatial representations. The design of Sensory Substitution Devices (SSDs) often relies on the belief that the information supplied by the devices should allow the construction of spatial mental representations on the basis of which routes are planned. This study, in contrast, illustrates that navigation using an SSD can be conceived as an on-line, dynamic process, without the need for establishing a predefined plan or model of the task prior to its execution. We analyzed route selection performed with a vibrotactile SSD that could detect environmental surfaces only within a short spatial range, limiting the availability of information about remote parts of the environment to be navigated. Sixty sighted participants performed a navigation task that involved the goal of reaching a target destination while avoiding five obstacles (placed in randomly predetermined configurations). Three groups of participants differed in the sensory modality used (restricted visual, acoustic + vibrotactile, and restricted visual + vibrotactile). While participants in the visual condition had fewer obstacle collisions and reached the target location sooner, the groups coincided to a large extent in terms of the routes that they followed. Furthermore, the routes selected by participants in all groups conformed well to routes predicted by a dynamic model of visually-guided locomotion (Fajen and Warren, 2003). These findings show that local, limited information about environmental layout can support route selection equivalent to that seen when information about the full environmental layout is available. Image, graphical abstract [ABSTRACT FROM AUTHOR]

Sensory substitution devices aim at compensating sensory deficits by converting stimuli coming from a deficient sensory modality (e.g., vision) into stimuli accessible through another modality (e.g., touch or audition). Studies conducted with these devices revealed the central nervous system to be very plastic. Various laboratories have conducted studies investigating such plasticity by means of behavioural and brain-imaging techniques. At the ISIR Laboratory, we focused on the factors underlying the learning of sensory substitution devices, their adequacy to the target population, and we explored ways of improving their design by the use of crossmodal correspondences and by taking into account individual differences in the used reference frames. We also investigated the nature of the experience with sensory substitution. In particular, we suggested moving beyond positions reducing experience to that of a single sensory modality. Rather, sensory substitution is considered as a multisensory experience, involving not only visual, but also auditory or tactile processes as well as cognitive processes. In this framework, individual differences do have an influence on the extent to which the different sensory modalities influence the experience with the devices. [ABSTRACT FROM AUTHOR]

Despite use of colour-coded labels, syringe substitution (syringe swap) error of anaesthetic drugs remains a frequent and potentially serious cause of iatrogenic harm. We explored the novel concept of using a simple device which can be fitted to existing syringes, and employs colour and raised elements (detents) to provide visual, haptic and auditory cues to supplement the visual cues provided by standard drug labelling, and particularly helps to differentiate, for example, syringes containing vaso-active drugs from other syringes. We produced six different embodiments of the device, and performed a randomised unblinded study with 14 volunteers to identify the functional characteristics which met with the approval of the majority of participants, and the mechanical characteristics which produced adequate haptic feedback without excessive resistance to injection. The optimal design was identified, which required the user to exert a mean (SD) force of ~20 (7) N to overcome the resistance of the detents in the syringe. The majority of volunteers felt that a device of this type would be helpful in reducing the incidence of syringe substitution error; however, further research is needed to assess the efficacy of this innovation in the clinical environment. [ABSTRACT FROM AUTHOR]

Cortical reorganization and its potential pathological significance are being increasingly studied in musculoskeletal disorders such as chronic low back pain (CLBP) patients. However, detailed sensory-topographic maps of the human back are lacking, and a baseline characterization of such representations, reflecting the somatosensory organization of the healthy back, is needed before exploring potential sensory map reorganization. To this end, a novel pneumatic vibrotactile stimulation method was used to stimulate paraspinal sensory afferents, while studying their cortical representations in unprecedented detail. In 41 young healthy participants, vibrotactile stimulations at 20 Hz and 80 Hz were applied bilaterally at nine locations along the thoracolumbar axis while functional magnetic resonance imaging (fMRI) was performed. Model-based whole-brain searchlight representational similarity analysis (RSA) was used to investigate the organizational structure of brain activity patterns evoked by thoracolumbar sensory inputs. A model based on segmental distances best explained the similarity structure of brain activity patterns that were located in different areas of sensorimotor cortices, including the primary somatosensory and motor cortices and parts of the superior parietal cortex, suggesting that these brain areas process sensory input from the back in a "dermatomal" manner. The current findings provide a sound basis for testing the "cortical map reorganization theory" and its pathological relevance in CLBP. • Fine-grained cortical activation patterns of paraspinal vibrotactile sensory input were obtained using whole-brain representational similarity analysis. • The patterns were well explained using a model reflecting segmental distances along the thoracolumbar axis. • The current results provide a solid basis for revisiting the "cortical map reorganization theory" and its pathological significance in chronic low back pain. [ABSTRACT FROM AUTHOR]

Objectives: In body dysmorphic disorder (BDD), anxiety for judgement of appearance plays a major role and is especially difficult in contact with others. In sexual engagement this is unavoidable. It is also known that sexuality is an essential part of quality of life and that for both healthcare providers and patients it is still a difficult topic to address. To date, there is no clear insight in how BDD interacts with sexuality. The aim of this study is to get a better understanding on how patients with BDD experience sexuality. Methods: In the outpatient setting of the psychiatry department of the Amsterdam University Medical Center 15 patients (of mixed gender and sexual preference) underwent a semi-structured interview conducted by two researchers. The analyses took place by open coding and the results were discussed by all researchers involved. Results: Sexuality is strongly influenced by the presence of BDD. During intercourse patients are trying to navigate on a vulnerable tension field that is created by opposite motives and feelings (such as avoidance versus willingness to engage or arousal versus disgust). Their sexuality is surrounded by rituals where there is little room for spontaneity. The success of the sexual experience depends mainly on the pleasure of the other person and can be immediately interrupted by a tactile or visual confrontation with the respective BDD focus. In the continuous stream of negative thoughts, there is either little contact with the body or it rather serves as a functional instrument that is used to get out of their head. All patients agree that discussing sexuality and using bodily exercises are important. Conclusions: In this first qualitative study on sexuality in a diverse group of BDD patients, it became clear that sexuality is a topic full of tension. Sexuality should have a part in the treatment of patients with BDD. Conflicts of Interest: There are no conflicts of interest. [ABSTRACT FROM AUTHOR]

Velocity perception is important in safety, traffic jam relaxation, and concentration and drivability enhancement while driving automobiles. This paper study the control of velocity perception by using vibrotactile stimulation. We have focused on vibrotactile stimulation since tactile stimulation can be reasonable and be privately given to a driver. First, the seat vibration is measured using an actual vehicle to discover available stimulation of changing velocity perception. The result shows the peak frequency clearly increases with the rise of velocity while the intensity roughly increases. Then we investigate the influence of intensity or frequency-shifted vibrotactile stimulation on velocity perception by using a driving simulator reflecting actual vehicle characteristics. An experimental result shows a possibility of changing velocity perception by using frequency-shifted vibrotactile stimulation.

Cochlear implant (CI) users' poor speech recognition in noise and music perception may be both due to their limited access to pitch cues such as the fundamental frequency (F0). Recent studies showed that similar to residual low-frequency acoustic hearing, vibrotactile presentation of the F0 significantly improved speech recognition in noise of CI users. The present study tested whether F0-based vibrotactile stimulation can improve melodic contour identification (MCI) of normal-hearing listeners with acoustically simulated CI processing. Each melodic contour consisted of five musical notes with one of nine contour patterns (rising, falling, or flat in each half of the contour). The F0 of the middle note was 220 or 880 Hz, and the frequency intervals between adjacent notes were 1, 3, or 5 semitones. The F0 of each note was extracted in real time and transposed to a vibration frequency centered around 110 Hz at the right forearm top. MCI was tested in five experimental conditions (with a 4- or 8-channel CI simulation alone, vibrotactile stimulation alone, and 4- or 8-channel CI simulation plus vibrotactile stimulation), each after the same amount of brief training was provided. Results showed that discrimination of vibrotactile stimuli significantly improved from chance to near perfect as the vibration frequency interval increased from 0.25 to 3 semitones. The MCI performance with vibrotactile stimulation alone was similar to that with the 4-channel CI simulation alone, but was significantly worse than that with the 8-channel CI simulation alone. Significant improvement in MCI performance with the addition of vibrotactile stimulation was only found with the 4-channel CI simulation when the middle F0 was 880 Hz and when the frequency intervals were 3 or 5 semitones. The improvement in MCI performance with than without vibrotactile stimulation was significantly correlated with the baseline MCI performance with 4-channel CI simulation alone or with the MCI performance difference between vibrotactile stimulation and 8-channel CI simulation. Therefore, when the simulated or real CI performance is relatively poor, vibrotactile stimulation based on the F0 may improve MCI with acoustic CI simulations and perhaps in real CI users as well. [ABSTRACT FROM AUTHOR]

Electrical stimulation of the primary somatosensory cortex using intracranial electrodes is crucial for the evocation of artificial somatosensations, typically tactile sensations associated with specific regions of the body, in brain-machine interface (BMI) applications. The qualitative characteristics of these artificially evoked somatosensations has been well documented. As of yet, however, the quantitative aspects of these evoked somatosensations, that is to say the quantitative relationship between intensity of electrical stimulation and perceived intensity of the resultant somatosensation remains obscure. This study aimed to explore this quantitative relationship by surface electrical stimulation of the primary somatosensory cortex in two human participants undergoing electrocorticographic monitoring prior to surgical treatment of intractable epilepsy. Electrocorticogram electrodes on the primary somatosensory cortical surface were stimulated with varying current intensities, and a visual analogue scale was employed to provide a quantitative measure of intensity of the evoked sensations. Evoked sensations included those of the thumb, tongue, and hand. A clear linear relationship between current intensity and perceived intensity of sensation was observed. These findings provide novel insight into the quantitative nature of primary somatosensory cortex electrical stimulation-evoked sensation for development of somatosensory neuroprosthetics for clinical use. [ABSTRACT FROM AUTHOR]

Body–machine interfaces (BMIs) provide a non-invasive way to control devices. Vibrotactile stimulation has been used by BMIs to provide performance feedback to the user, thereby reducing visual demands. To advance the goal of developing a compact, multivariate vibrotactile display for BMIs, we performed two psychophysical experiments to determine the acuity of vibrotactile perception across the arm. The first experiment assessed vibration intensity discrimination of sequentially presented stimuli within four dermatomes of the arm (C5, C7, C8, and T1) and on the ulnar head. The second experiment compared vibration intensity discrimination when pairs of vibrotactile stimuli were presented simultaneously vs. sequentially within and across dermatomes. The first experiment found a small but statistically significant difference between dermatomes C7 and T1, but discrimination thresholds at the other three locations did not differ. Thus, while all tested dermatomes of the arm and hand could serve as viable sites of vibrotactile stimulation for a practical BMI, ideal implementations should account for small differences in perceptual acuity across dermatomes. The second experiment found that sequential delivery of vibrotactile stimuli resulted in better intensity discrimination than simultaneous delivery, independent of whether the pairs were located within the same dermatome or across dermatomes. Taken together, our results suggest that the arm may be a viable site to transfer multivariate information via vibrotactile feedback for body–machine interfaces. However, user training may be needed to overcome the perceptual disadvantage of simultaneous vs. sequentially presented stimuli. [ABSTRACT FROM AUTHOR]

Humans will naturally synchronize their posture to the motion of a visual surround, but it is unclear if this visuomotor entrainment can be attenuated with an increased sensitivity to somatosensory information. Sub-threshold vibratory noise applied to the Achilles tendons has proven to enhance ankle proprioception through the phenomenon of stochastic resonance. Our purpose was to compare visuomotor entrainment during walking and standing, and to understand how this entrainment might be attenuated by applying sub-threshold vibratory noise over the Achilles tendons. We induced visuomotor entrainment during standing and treadmill walking for ten subjects (24.5 ± 2.9 years) using a speed-matched virtual hallway with continuous mediolateral perturbations at three different frequencies. Vibrotactile motors over the Achilles tendons provided noise (0-400 Hz) with an amplitude set to 90% of each participant's sensory threshold. Mediolateral sacrum, C7, and head motion was greatly amplified (4-8× on average) at the perturbation frequencies during walking, but was much less pronounced during standing. During walking, individuals with greater mediolateral head motion at the fastest perturbation frequency saw the greatest attenuation of that motion with applied noise. Similarly, during standing, individuals who exhibited greater postural sway (as measured by the center of pressure) also saw the greatest reductions in sway with sub-threshold noise applied in three of our summary metrics. Our results suggest that, at least for healthy young adults, sub-threshold vibratory noise over the Achilles tendons can slightly improve postural control during disruptive mediolateral visual perturbations, but the applied noise does not substantially attenuate visuomotor entrainment during walking or standing. [ABSTRACT FROM AUTHOR]

Developmental coordination disorder (DCD) is the most common childhood movement disorder. It is characterized by clumsiness of fine and gross motor skills in developing children. Children with DCD have low ability to effectively use tactile information for movements, instead relying on visual information. In addition, children with DCD have deficits in visuo-motor temporal integration, which is important in motor control. These traits subsequently lead to clumsiness of movements. Conversely, however, imperceptible vibrotactile noise stimulation (at 60%-intensity of the sensory threshold) to the wrist provides stochastic resonance (SR) phenomenon to the body, improving the sensory and motor systems. However, the effects of SR have not yet been validated in children with DCD. Thus, we conducted a single case study of a 10-year-old boy with a diagnosis of DCD to investigate the effect of SR on visual dependence, visuo-motor temporal integration, and manual dexterity. SR was provided by vibrotactile noise stimulation (at an intensity of 60% of the sensory threshold) to the wrist. Changes in manual dexterity (during the SR on- and off-conditions) were measured using the manual dexterity test of the Movement Assessment Battery for Children-2nd edition. The point of subjective equality measured by visual or tactile temporal order judgment task served as a quantitative indicator reflecting specific sensory dependence. The delay detection threshold and steepness of delay detection probability curve, which were measured using the delayed visual feedback detection task, were used as quantitative indicators of visuo-motor temporal integration. The results demonstrated alleviated visual dependence and improved visuo-motor temporal integration during the SR on-conditions rather than the SR off-conditions. Most importantly, manual dexterity during the SR on-conditions was significantly improved compared to that during the SR off-conditions. Thus, the present results highlighted that SR could contribute to improving poor movement in children with DCD. However, since this was a single case study, a future interventional study with a large sample size is needed to determine the effectiveness of SR for children with DCD. [ABSTRACT FROM AUTHOR]

The grouping of sensory stimuli into categories is fundamental to cognition. Previous research in the visual and auditory systems supports a two‐stage processing hierarchy that underlies perceptual categorization: (a) a "bottom‐up" perceptual stage in sensory cortices where neurons show selectivity for stimulus features and (b) a "top‐down" second stage in higher level cortical areas that categorizes the stimulus‐selective input from the first stage. In order to test the hypothesis that the two‐stage model applies to the somatosensory system, 14 human participants were trained to categorize vibrotactile stimuli presented to their right forearm. Then, during an fMRI scan, participants actively categorized the stimuli. Representational similarity analysis revealed stimulus selectivity in areas including the left precentral and postcentral gyri, the supramarginal gyrus, and the posterior middle temporal gyrus. Crucially, we identified a single category‐selective region in the left ventral precentral gyrus. Furthermore, an estimation of directed functional connectivity delivered evidence for robust top‐down connectivity from the second to first stage. These results support the validity of the two‐stage model of perceptual categorization for the somatosensory system, suggesting common computational principles and a unified theory of perceptual categorization across the visual, auditory, and somatosensory systems. [ABSTRACT FROM AUTHOR]

We examined vibrotactile stimulation as a form of supplemental limb state feedback to enhance planning and ongoing control of goaldirected movements. Subjects wore a two-dimensional vibrotactile display on their nondominant arm while performing horizontal planar reaching with the dominant arm. The vibrotactile display provided feedback of hand position such that small hand displacements were more easily discriminable using vibrotactile feedback than with intrinsic proprioceptive feedback. When subjects relied solely on proprioception to capture visuospatial targets, performance was degraded by proprioceptive drift and an expansion of task space. By contrast, reach accuracy was enhanced immediately when subjects were provided vibrotactile feedback and further improved over 2 days of training. Improvements reflected resolution of proprioceptive drift, which occurred only when vibrotactile feedback was active, demonstrating that benefits of vibrotactile feedback are due, in part to its integration into the ongoing control of movement. A partial resolution of task space expansion persisted even when vibrotactile feedback was inactive, demonstrating that training with vibrotactile feedback also induced changes in movement planning. However, the benefits of vibrotactile feedback come at a cognitive cost. All subjects adopted a stereotyped strategy wherein they attempted to capture targets by moving first along one axis of the vibrotactile display and then the other. For most subjects, this inefficient approach did not resolve over two bouts of training performed on separate days, suggesting that additional training is needed to integrate vibrotactile feedback into the planning and online control of goal-directed reaching in a way that promotes smooth and efficient movement. [ABSTRACT FROM AUTHOR]

Human movement based on sensory control is significant to motor task performance. Thus, impairments to sensory input significantly limit feedback-type motor control. The present study introduces a vibrotactile biofeedback (BF) system which augments information regarding the user's foot pressure to enhance gait performance. The effects of the proposed system on the gait patterns of healthy older adults and on the cognitive load during gait were evaluated; these factors are essential to clarify feasibility of the device in real-life settings. The primary task of our study was to evaluate gait along with a cognitively demanding activity in 10 healthy older adults. Regarding kinematic and kinetic data in the BF condition, the subjects had significantly increased ankle dorsiflexion during the heel contact phase in the sagittal plane and marginally increased foot pressure at the toe-off and stride length. However, such kinematic and kinetic changes were not attributed to the increased walking speed. In addition, cognitive performance (i.e., the number of correct answers) was significantly decreased in participants during gait measurements in the BF condition. These data suggest that the system had the potential for modifying the kinematic and kinetic patterns during walking but not the more comprehensive walking performance in older adults. Moreover, the device appears to place a cognitive load on older adults. This short report provides crucial primary data that would help in designing successful sensory augmentation devices and further research on a BF system. [ABSTRACT FROM AUTHOR]

It is well known that subjective time perception can be modified by the emotional experience related to a specific event, by pharmaceutical compounds or by sensory stimuli. As for the latter, visual and auditory stimuli have been widely studied compared to tactile ones. Two experiments were conducted using different vibratory frequencies to stimulate participants who were asked to reproduce stimulus duration. Experiment 1 compared differences in reproduced times for 8-s stimuli ranging between 0.5 and 6 Hz in 100 participants who performed a time reproduction task with the stimulus present or absent during the reproduction. The task was done under prospective and retrospective paradigms. Experiment 2 assessed differences in reproduced times by 80 participants under vibrotactile stimulation of two frequencies simultaneously delivered to each hand, frequencies with specific proportions of 0.5 and 0.75 times the standard frequency for two groups of standard frequency (2 or 12 Hz). Reproduced times in Experiment 1 did not show significant differences among frequencies. Significant differences were found for the absence/presence condition, solely, in prospective tasks, where estimations were longer in the absence of the vibrotactile stimulus. Significant differences were found in Experiment 2 for reproduced time by participants between groups of standard frequency. Data analysis suggests the need to improve the understanding of the subjective time perception processes for higher frequencies considering the intensity modulation based on the amplitude and frequency relation. Results open the possibility of designing new protocols in the study of time perception and other cognitive functions. [ABSTRACT FROM AUTHOR]

Playing back vibrotactile signals through actuators is commonly used to simulate tactile feelings of virtual textured surfaces. However, there is often a small mismatch between the simulated tactile feelings and intended tactile feelings by tactile designers. Thus, a method of modulating the vibrotactile perception is required. We focus on fine roughness perception and we propose a method using a pseudo-haptic effect to modulate fine roughness perception of vibrotactile texture. Specifically, we visually modify the pointer's position on the screen slightly, which indicates the touch position on textured surfaces. We hypothesized that if users receive vibrational feedback watching the pointer visually oscillating back/forth and left/right, users would believe the vibrotactile surfaces more uneven. We also hypothesized that as the size of visual oscillation is getting larger, the amount of modification of roughness perception of vibrotactile surfaces would be larger. We conducted user studies to test the hypotheses. Results of first user study suggested that users felt vibrotactile texture with our method rougher than they did without our method at a high probability. Results of second user study suggested that users felt different roughness for vibrational texture in response to the size of visual oscillation. These results confirmed our hypotheses and they suggested that our method was effective. Also, the same effect could potentially be applied to the visual movement of virtual hands or fingertips when users are interacting with virtual surfaces using their hands. [ABSTRACT FROM AUTHOR]

During discrimination between two sequential vibrotactile stimulus patterns, the primate dorsal premotor cortex (DPC) neurons exhibit a complex repertoire of coding dynamics associated with the working memory, comparison, and decision components of this task. In addition, these neurons and neurons with no coding responses show complex strong fluctuations in their firing rate associated with the temporal sequence of task events. Here, to make sense of this temporal complexity, we extracted the temporal signals that were latent in the population. We found a strong link between the individual and population response, suggesting a common neural substrate. Notably, in contrast to coding dynamics, these time-dependent responses were unaffected during error trials. However, in a non-demanding task in which monkeys did not require discrimination for reward, these time-dependent signals were largely reduced and changed. These results suggest that temporal dynamics in DPC reflect the underlying cognitive processes of this task. [ABSTRACT FROM AUTHOR]

Background: The loss of tactile feedback in minimally invasive robotic surgery remains a major challenge to the expanding field. With visual cue compensation alone, tissue characterization via palpation proves to be immensely difficult. This work evaluates a bimodal vibrotactile system as a means of conveying applied forces to simulate haptic feedback in two sets of studies simulating an artificial palpation task using the da Vinci surgical robot.Methods: Subjects in the first study were tasked with localizing an embedded vessel in a soft tissue phantom using a single-sensor unit. In the second study, subjects localized tumor-like structures using a three-sensor array. In both sets of studies, subjects completed the task under three trial conditions: no feedback, normal force tactile feedback, and hybrid vibrotactile feedback. Recordings of correct localization, incorrect localization, and time-to-completion were used to evaluate performance outcomes.Results: With the addition of vibrotactile and pneumatic feedback, significant improvements in the percentage of correct localization attempts were detected (p = 0.0001 and p = 0.0459, respectively) during the first experiment with phantom vessels. Similarly, significant improvements in correct localization were found with the addition of vibrotactile (p = 2.57E-5) and pneumatic significance (p = 8.54E-5) were observed in the second experiment involving tumor phantoms.Conclusions: This work demonstrates not only the superior benefits of a multi-modal feedback over traditional single-modality feedback, but also the effectiveness of vibration in providing haptic feedback to artificial palpation systems. [ABSTRACT FROM AUTHOR]

As robotic surgery has increased in popularity, the lack of haptic feedback has become a growing issue due to the application of excessive forces that may lead to clinical problems such as intraoperative and postoperative suture breakage. Previous suture breakage warning systems have largely depended on visual and/or auditory feedback modalities, which have been shown to increase cognitive load and reduce operator performance. This work catalogues a new sensing technology and haptic feedback system (HFS) that can reduce instances of suture failure without negatively impacting performance outcomes including knot quality. Suture breakage is common in knot-tying as the pulling motion introduces prominent shear forces. A shear sensor mountable on the da Vinci robotic surgical system's Cadiere grasper detects forces that correlate to the suture's internal tension. HFS then provides vibration feedback to the operator as forces near a particular material's failure load. To validate the system, subjects tightened a total of four knots, two with the Haptic Feedback System (HFS) and two without feedback. The number of suture breakages were recorded and knot fidelity was evaluated by measuring knot slippage. Results showed that instances of suture failure were significantly reduced when HFS was enabled (p = 0.0078). Notably, knots tied with HFS also showed improved quality compared to those tied without feedback (p = 0.010). The results highlight the value of HFS in improving robotic procedure outcomes by reducing instances of suture failures, producing better knots, and reducing the need for corrective measures. [ABSTRACT FROM AUTHOR]

Graphical Abstract Highlights • Developed a somatic stimulation system using up to five piezoelectric stimulators. • Developed an artifact cancellation method for removing stimulus artifacts. • Provides versatile and accurate control of multiple stimulators. • Useful for characterizing timing and location of somatic responses in children. Abstract Background Tactile stimulations systems are useful for studying the somatosensory system in children because they are innocuous and safe. Stimulators based on piezoelectric actuator are useful, but there is still a need for such systems capable of providing accurate and versatile control of timing and pattern of activation. New method We have implemented a vibrotactile stimulating system useful for behavioral and electroencephalography (EEG) and magnetoencephalography (MEG) research. Our design goal was to create a system capable of providing up to five independently controlled mechanical stimulations with precise timing. We developed a Graphic User Interface (GUI) in LabVIEW, which controls a commercially available piezoelectric braille stimulator using an Arduino based controller. We made a customized braille stimulator based on the Metec Braille device. Results Our system can control up to five tactile stimulators with independent timing control and negligible errors. Although it can be directly used for behavioral and EEG research, the piezoelectric stimulators in our system generate stimulus artifacts that interfere with MEG recordings. A moving averaging subtraction algorithm we developed can remove the artifact. The stimulator can be used to measure somatic evoked magnetic fields from the somatosensory cortex of a child without the artifact. Comparison to existing methods Our system provides an accurate independent control of one or more piezoelectric actuators using a GUI-based easy-to-control programming approach based on recent advances in embedded systems and software. Versatility and precise stimulation timing distinguish our system compared to existing somatic stimulators. Conclusions Our system may be useful for somatic research. [ABSTRACT FROM AUTHOR]

The theory of affordances states that perception is of environmental properties that are relevant to action-capabilities of perceivers. The present study illustrates how concepts and methodological tools from the theory of affordances may help to advance research in the field of sensory substitution. The sensory substitution device (SSD) that was used consisted of two horizontal rows of 12 coin motors that each vibrated as a function of the distance to the nearest object. Sixty blindfolded participants used the SSD to explore virtual horizontal apertures with different widths. They were asked to judge the passability of the apertures. Participants with narrow shoulders judged narrower apertures as passable than participants with wide shoulders. This difference disappeared when aperture width was scaled to shoulder width, demonstrating that perception was body scaled. The actual aperture width was closely related to aspects of the exploratory movements and to aspects of the vibrotactile stimulation that was obtained with the exploratory movements. This implies that the exploratory movements themselves and the vibrotactile stimulation were both informative about the aperture width, and hence that the perception of passability may have been based on either of them or on a global variable that spans vibrotactile as well as kinaesthetic stimulation. Similar performance was observed for participants who accomplished the 7-trial familiarization phase with or without vision, meaning that practice with vision is not indispensable to learn to use the SSD. [ABSTRACT FROM AUTHOR]

Haptic-based vibrotactile biofeedback (BF) is a promising technique to improve rehabilitation of balance in stroke patients. However, the extent to which BF training changes temporal structure of the center of pressure (CoP) trajectories remains unknown. This study aimed to investigate the effect of vibrotactile BF training on the temporal structure of CoP during quiet stance in chronic stroke patients using detrended fluctuation analysis (DFA). Nine chronic stroke patients (age; 81.56 ± 44 months post-stroke) received a balance training regimen using a vibrotactile BF system twice a week over 4 weeks. A Wii Balance board was used to record five 30 s trials of quiet stance pre- and post-training at 50 Hz. DFA revealed presence of two linear scaling regions in CoP indicating presence of fast- and slow-scale fluctuations. Averaged across all trials, fast-scale fluctuations showed persistent dynamics (α = 1.05 ± 0.08 for ML and α = 0.99 ± 0.17 for AP) and slow-scale fluctuations were anti-persistent (α = 0.35 ± 0.05 for ML and α = 0.32 ± 0.05 for AP). The slow-scale dynamics of ML CoP in stroke patients decreased from pre-training to post-BF training (α = 0.40 ± 0.13 vs. 0.31 ± 0.09). These results suggest that the vibrotactile BF training affects postural control strategy used by chronic stroke patients in the ML direction. Results of the DFA are further discussed in the context of balance training using vibrotactile BF and interpreted from the perspective of intermittent control of upright stance. [ABSTRACT FROM AUTHOR]

Background: Hearing loss is becoming a real social and health problem. Its prevalence in the elderly is an epidemic. The risk of developing hearing loss is also growing among younger people. If left untreated, hearing loss can perpetuate development of neurodegenerative diseases, including dementia. Despite recent advancements in hearing aid (HA) and cochlear implant (CI) technologies, hearing impaired users still encounter significant practical and social challenges, with or without aids. In particular, they all struggle with understanding speech in challenging acoustic environments, especially in presence of a competing speaker. Objectives: In the current proof-of-concept study we tested whether multisensory stimulation, pairing audition and a minimal-size touch device would improve intelligibility of speech in noise. Methods: To this aim we developed an audio-to-tactile sensory substitution device (SSD) transforming low-frequency speech signals into tactile vibrations delivered on two finger tips. Based on the inverse effectiveness law, i.e., multisensory enhancement is strongest when signal-to-noise ratio is lowest between senses, we embedded non-native language stimuli in speech-like noise and paired it with a low-frequency input conveyed through touch. Results: We found immediate and robust improvement in speech recognition (i.e. in the Signal-To-Noise-ratio) in the multisensory condition without any training, at a group level as well as in every participant. The reported improvement at the group-level of 6 dB was indeed major considering that an increase of 10 dB represents a doubling of the perceived loudness. Conclusions: These results are especially relevant when compared to previous SSD studies showing effects in behavior only after a demanding cognitive training. We discuss the implications of our results for development of SSDs and of specific rehabilitation programs for the hearing impaired either using or not using HAs or CIs. We also discuss the potential application of such a set-up for sense augmentation, such as when learning a new language. [ABSTRACT FROM AUTHOR]

This study explores the subjective use of adjectives to verbally communicate vibrotactile stimulation across multiple frequencies. In total, nine different vibrotactile stimulus frequencies (10–300 Hz) were utilized, and subjective evaluation methods, which involved adjectives, were used to assess the sensory representations of the participants (18 healthy male participants; mean age, 22.9 years; standard deviation, 3.5). Sensory terms such as 'slow,' 'protruding,' and 'thick' were used as representative expressions to describe low-frequency (10–100 Hz) vibrotactile stimulations, while 'fast,' 'shallow,' and 'tickly' were used to describe high-frequency (225–300 Hz) vibrotactile stimulations. At the frequencies of 150 and 200 Hz, no characteristic word was found because there was no difference in subjective evaluation scores from other low or high frequencies. The results suggest that vibrotactile stimulation at different frequencies induce diverse sensory representations, owing to not only the motion and shape of the stimuli but also the subjective responses of the perceivers. The results of this study could be utilized in developing affective haptic devices in the future. [ABSTRACT FROM AUTHOR]

This double-blind, two-arm parallel randomized controlled trial investigated the effects of gamma-frequency rhythmic sensory stimulation on fibromyalgia. We were interested in whether rhythmic sensory stimulation would promote significant changes in fibromyalgia and associated symptoms, and whether treatment effects would differ between two distinct treatment parameters. Fifty patients with a formal diagnosis of fibromyalgia were randomly assigned to two test groups. One group received vibrotactile stimulation from a continuous sine wave single-frequency stimulation (40 Hz) for 30 minutes, five days per week, over five weeks, concomitant with usual care. The second group completed the same treatment protocol but received a different stimulation, consisting of random and intermittent complex wave gamma-range vibrotactile stimulation. Fibromyalgia symptoms, pain severity and interference, depression symptoms, quality of life and sleep quality were assessed at baseline and post-intervention. Results indicated that there were statistically significant changes from baseline to post-treatment in measures of fibromyalgia symptom severity, pain interference, depression, and sleep quality. However, treatment outcomes did not differ significantly between groups. These findings provide preliminary evidence that gamma-frequency rhythmic vibroacoustic stimulation may decrease fibromyalgia symptoms and ease associated comorbidities, opening new avenues for further investigation of the effects of rhythmic sensory stimulation on chronic pain conditions. [ABSTRACT FROM AUTHOR]

Abstract The human insula is an important target for spinothalamic input, but there is still no consensus on its role in pain perception and nociception. In this study, we show that the human insula exhibits activity preferential for sustained thermonociception. Using intracerebral EEG recorded from the insula of 8 patients (2 females) undergoing a presurgical evaluation of focal epilepsy (53 contacts: 27 anterior, 26 posterior), we "frequency-tagged" the insular activity elicited by sustained thermonociceptive and vibrotactile stimuli, by periodically modulating stimulation intensity at a fixed frequency of 0.2 Hz during 75 s. Both types of stimuli elicited an insular response at the frequency of stimulation (0.2 Hz) and its harmonics, whose magnitude was significantly greater in the posterior insula compared to the anterior insula. Compared to vibrotactile stimulation, thermonociceptive stimulation exerted a markedly greater 0.2 Hz modulation of ongoing theta-band (4–8 Hz) and alpha-band (8–12 Hz) oscillations. These modulations were also more prominent in the posterior insula compared to the anterior insula. The identification of oscillatory activities preferential for thermonociception could lead to new insights into the physiological mechanisms of nociception and pain perception in humans. [ABSTRACT FROM AUTHOR]

Highlights • This study investigates the effects of TOR modalities and NDRT on take-over performance. • Significant main effect of modalities was found for takeover time and hands-on time. • The non-driving related tasks had significant effect on the time to fix the eyes on the road. • Subjective ratings showed significant main effect of NDRT and alert modality. Abstract This study investigated the influences of takeover request (TOR) modalities on a drivers' takeover performance after they engaged in non-driving related (NDR) tasks in highly automated driving (HAD). Visual, vibrotactile, and auditory modalities were varied in the design of the experiment under four conditions: no-task, phone conversation, smartphone interaction, and video watching tasks. Driving simulator experiments were conducted to analyze the drivers' take-over performance by collecting data during the transition time of re-engaging control of the vehicle, the time taken to be on the loop, and time taken to be physically ready to drive. Data were gathered on the perceived usefulness, safety, satisfaction, and effectiveness for each TOR based on a self-reported questionnaire. Takeover and hands-on times varied considerably, as shown by high standard deviation values between modalities, especially for phone conversations and smartphone interaction tasks. Moreover, it was found that participants failed to take over control of the vehicle when they were given visual TORs for phone conversation and smartphone interaction tasks. The perceived safety and satisfaction varied for the NDR task. Results from the statistical analysis showed that the NDR task significantly influenced the takeover time, but there was no significant interaction effect between the TOR modalities and the NDR task. The results could potentially be applied to the design of safe and efficient transitions of highly controlled, automated driving, where drivers are enabled to engage in NDR tasks. [ABSTRACT FROM AUTHOR]