Vibrotactile amplitude discrimination capacity parallels magnitude changes in somatosensory cortex and follows Weber's Law

Cognitive response to energy variations in Non-Contact tactile sensations interface using Laser-Induced plasma

Laser-induced plasma technology provides a novel method for generating tactile sensations without physical contact, offering precise and controlled stimulation. However, the impact of varying energy levels on human cognitive and perceptual responses is not yet fully understood. This study aimed to present tactile sensations using laser-induced plasma in a non-contact manner and investigate the cognitive characteristics linked to changes in the plasma's energy parameters, specifically Pulse Width (PW) and Set Current (SC). The experiment was conducted with 35 right-handed male and female adults in their 20 s. Tactile stimuli were presented under two conditions: Condition 1 fixed SC and varied PW, while Condition 2 fixed PW and varied SC, with each condition adjusted to produce three energy levels. Subjective evaluations included assessments of tactile intensity and vocabulary using a 5-point scale. Sixteen terms related to tactile sensations were evaluated. A two-way repeated measures analysis of variance was used to compare scores across both factors (Condition and Energy). The results showed that as the energy level increased, the perceived intensity also rose. In the vocabulary evaluation, sensations such as "Tapping" and "Rapping" were predominant, with higher scores at increased energy levels. No significant differences were observed between the two conditions for either tactile intensity or vocabulary evaluations. In conclusion, varying the energy magnitude of laser-induced plasma can produce tactile sensations of different intensities, and the parameters used in this study successfully evoked specific sensations like slow vibration.

A Hand-Held Device Presenting Haptic Directional Cues for the Visually Impaired

Haptic information is essential in everyday activities, especially for visually impaired people in terms of real-world navigation. Since human haptic sensory processing is nonlinear, asymmetric vibrations have been widely studied to create a pulling sensation for the delivery of directional haptic cues. However, the design of an input control signal that generates asymmetric vibrations has not yet been parameterised. In particular, it is unclear how to quantify the asymmetry of the output vibrations to create a better pulling sensation. To better understand the design of an input control signal that generates haptic directional cues, we evaluated the effect of the pulling sensations corresponding to the three adjustable parameters (i.e., delay time, ramp-down step length, and cut-off voltage) in a commonly applied step-ramp input signal. The results of a displacement measurement and a psychophysical experiment demonstrate that when the quantified asymmetry ratio is in a range of 0.3430-0.3508 with an optimised cut-off voltage for our hand-held device, the haptic directional cues are better perceived by participants. Additionally, the results also showed a superior performance in haptic delivery by shear forces than normal forces.

Human Perception of Wrist Flexion and Extension Torque During Upper and Lower Extremity Movement

Real-world application of haptic feedback from kinesthetic devices is implemented while the user is in motion, but human wrist torque magnitude discrimination has previously only been characterized while users are stationary. In this study, we measured wrist torque discrimination in conditions relevant to activities of daily living, using a previously developed backdrivable wrist exoskeleton capable of applying wrist flexion and extension torque. We implemented a torque comparison test using a two-alternative forced-choice paradigm while participants were both seated and walking on a treadmill, with both a stationary and a moving wrist. Like most kinesthetic haptic devices, the wrist exoskeleton output torque is commanded in an open-loop manner. Thus, the study design was informed by Monte Carlo simulations to verify that the errors in the wrist exoskeleton output torque would not significantly affect the results. Results from ten participants show that although both walking and moving wrist conditions result in higher Weber Fractions (worse perception), participants were able to detect relatively small changes in torque of 12-19% on average in all grouped conditions. The results provide insight regarding the torque magnitudes necessary to make wrist-worn kinesthetic haptic devices noticeable and meaningful to the user in various conditions relevant to activities of daily living.

A Moisture-Resistant Soft Actuator with Low Driving Voltages for Haptic Stimulations in Virtual Games

Strong and robust stimulations to human skins with low driving voltages under high moisture working conditions are desirable for wearable haptic feedback applications. Here, a soft actuator based on the "air bubble" electret structure is developed to work in high-moisture environments and produce haptic sensations to human skin with low driving voltages. Experimentally, the water soaking and drying process has been conducted repeatedly for the first time and the 20th time to test the antimoisture ability of the actuator as it recovers its output force up 90 and 65% of the initial value, respectively. The threshold voltages for sensible haptic sensations for the fingertip and palm of volunteers have been characterized as 7 and 10 V, respectively. Furthermore, a demonstration example has been designed and conducted in a virtual boxing game to generate the designated haptic sensations according to the gaming conditions with an accuracy of 98% for more than 100 tests. As such, the design principle, performance characteristic, and demonstration example in this work could inspire various applications with improved reliability for wearable haptic devices.

Effect of 2.5D haptic feedback on virtual object perception via a stylus

As touch screen technologies advanced, a digital stylus has become one of the essential accessories for a smart device. However, most of the digital styluses so far provide limited tactile feedback to a user. Therefore we focused on the limitation and noted the potential that a digital stylus may offer the sensation of realistic interaction with virtual environments on a touch screen using a 2.5D haptic system. Thus, we developed a haptic stylus with SMA (Shape Memory Alloy) and a 2.5D haptic rendering algorithm to provide lateral skin-stretch feedback to mimic the interaction force between fingertip and a stylus probing over a bumpy surface. We conducted two psychophysical experiments to evaluate the effect of 2.5D haptic feedback on the perception of virtual object geometry. Experiment 1 investigated the human perception of virtual bump size felt via the proposed lateral skin-stretch stylus and a vibrotactile stylus as reference. Experiment 2 tested the participants’ ability to count the number of virtual bumps rendered via the two types of haptic styluses. The results of Experiment 1 indicate that the participants felt the size of virtual bumps rendered with lateral skin-stretch stylus significantly sensitively than the vibrotactile stylus. Similarly, the participants counted the number of virtual bumps rendered with the lateral skin-stretch stylus significantly better than with the vibrotactile stylus. A common result of the two experiments is a significantly longer mean trial time for the skin-stretch stylus than the vibrotactile stylus.

FeelMusic: Enriching Our Emotive Experience of Music through Audio-Tactile Mappings

We present and evaluate the concept of FeelMusic and evaluate an implementation of it. It is an augmentation of music through the haptic translation of core musical elements. Music and touch are intrinsic modes of affective communication that are physically sensed. By projecting musical features such as rhythm and melody into the haptic domain, we can explore and enrich this embodied sensation; hence, we investigated audio-tactile mappings that successfully render emotive qualities. We began by investigating the affective qualities of vibrotactile stimuli through a psychophysical study with 20 participants using the circumplex model of affect. We found positive correlations between vibration frequency and arousal across participants, but correlations with valence were specific to the individual. We then developed novel FeelMusic mappings by translating key features of music samples and implementing them with “Pump-and-Vibe”, a wearable interface utilising fluidic actuation and vibration to generate dynamic haptic sensations. We conducted a preliminary investigation to evaluate the FeelMusic mappings by gathering 20 participants’ responses to the musical, tactile and combined stimuli, using valence ratings and descriptive words from Hevner’s adjective circle to measure affect. These mappings, and new tactile compositions, validated that FeelMusic interfaces have the potential to enrich musical experiences and be a means of affective communication in their own right. FeelMusic is a tangible realisation of the expression “feel the music”, enriching our musical experiences.

Evaluation of a Field-Ready Neurofunctional Assessment Tool for Use in a Military Environment

INTRODUCTION

The Office of Naval Research sponsored the Blast Load Assessment Sense and Test (BLAST) program to develop a rapid, in-field solution that could be used by team leaders, commanders, and medical personnel to provide a standardized approach to operationally relevant monitoring and analysis of service members exposed to single or repeated low-level blast. A critical piece of the BLAST team's solution was the development of the Brain Gauge technology which includes a cognitive assessment device that measures neurofunctional changes by testing sensory perceptions and a suite of mathematical algorithms that analyze the results of the test. The most recent versions of the technology are easily portable; the device is in the size and shape of a computer mouse. Tests can be administered in a matter of minutes and do not require oversight by a clinician, making Brain Gauge an excellent choice for field use. This paper describes the theoretical underpinnings and performance of a fieldable Brain Gauge technology for use with military populations.

MATERIALS AND METHODS

The methods used by the Brain Gauge have been documented in over 80 peer-reviewed publications. These papers are reviewed, and the utility of the Brain Gauge is described in terms of those publications.

RESULTS

The Brain Gauge has been demonstrated to be an effective tool for assessing blast-induced neurotrauma and tracking its recovery. Additionally, the method parallels neurophysiological findings of animal models which provide insight into the sensitivity of specific metrics to mechanisms of information processing.

CONCLUSIONS

The overall objective of the work was to provide an efficient tool, or tools, that can be effectively used for (1) determining stand-down criteria when critical levels of blast exposure have been reached and (2) tracking the brain health history until return-to-duty status is achieved. Neurofunctional outcome measures will provide the scientific link between blast sensors and the impact of blast on biological health. This calibration process is strengthened with outcome measures that have a biological basis that are paralleled in animal models. The integrative approach that utilizes the Brain Gauge technology will provide a significant advance for assessing the impact of blast exposure and support rapid, science-based decision-making that will ensure mission success and promote the protection of brain health in service members.

An Accurate Measure of Reaction Time can Provide Objective Metrics of Concussion

There have been numerous reports of neurological assessments of post-concussed athletes and many deploy some type of reaction time assessment. However, most of the assessment tools currently deployed rely on consumer-grade computer systems to collect this data. In a previous report, we demonstrated the inaccuracies that typical computer systems introduce to hardware and software to collect these metrics with robotics (Holden et al, 2020). In that same report, we described the accuracy of a tactile based reaction time test (administered with the Brain Gauge) as approximately 0.3 msec and discussed the shortcoming of other methods for collecting reaction time. The latency errors introduced with those alternative methods were reported as high as 400 msec and the system variabilities could be as high as 80 msec, and these values are several orders of magnitude above the control values previously reported for reaction time (200-220msec) and reaction time variability (10-20 msec). In this report, we examined the reaction time and reaction time variability from 396 concussed individuals and found that there were significant differences in the reaction time metrics obtained from concussed and non-concussed individuals for 14-21 days post-concussion. A survey of the literature did not reveal comparable sensitivity in reaction time testing in concussion studies using alternative methods. This finding was consistent with the prediction put forth by Holden and colleagues with robotics testing of the consumer grade computer systems that are commonly utilized by researchers conducting reaction time testing on concussed individuals. The significant difference in fidelity between the methods commonly used by concussion researchers is attributed to the differences in accuracy of the measures deployed and/or the increases in biological fidelity introduced by tactile based reaction times over visually administered reaction time tests. Additionally, while most of the commonly used computerized testing assessment tools require a pre-season baseline test to predict a neurological insult, the tactile based methods reported in this paper did not utilize any baselines for comparisons. The reaction time data reported was one test of a battery of tests administered to the population studied, and this is the first of a series of papers that will examine each of those tests independently.  

EXTRACTION OF COGNITIVE CHARACTERISTIC FUNCTIONS ACCORDING TO VARIOUS PARAMETER CHANGES OF VIBRATORY STIMULATION

In this study, vibratory stimuli with various intensities (four levels) and frequencies (10, 50, 100, 150, 200, 225, 250 and 300[Formula: see text]Hz) were applied to the right index finger to extract cognitive characteristic functions for the intensity and frequency. For subjective assessment, an experiment was conducted with 30 healthy adults in their twenties who were right-handed and had normal cognitive function. One trial of the experiment was composed of a vibration phase (0.1 s) and a rest phase (10 s). After vibration simulation was applied once for each intensity and frequency, the participants filled out a subjective assessment form. After extracting the score of each word, the cognitive characteristic function was derived through discriminant analysis and regression analysis according to the frequency and intensity. Through the cognitive characteristic function, the level of cognitive characteristics of each word can be investigated according to the influence of the frequency and intensity. The results observed through the cognitive characteristics function of each word showed that the words affected by the frequency and intensity were “light,” “thick,” “heavy,” “blunt,” “vibrating,” “fast” and “weak.” “Itchy” and “slow” were cognitive characteristics affected only by the frequency, and “strong” and “push” were affected only by the intensity. Through the vibratory stimulation presentation parameters, i.e., frequency and intensity, the results capable of predicting the degrees of various cognitive characteristics were presented.

The Brain Gauge: a novel tool for assessing brain health

Background. A large number of neurological disorders (neurodegenerative, neurodevelopmental or trauma induced) are difficult to diagnose or assess, thus limiting treatment efficacy.  Existing solutions and products for this need are costly, extremely slow, often invasive, and in many cases fail to definitively (and quantitatively) diagnose or assess treatment.  Advances. For the past decade, we have been developing what we consider to be an innovative low-cost sensory testing device (the Brain Gauge) that non-invasively assesses the central nervous system (CNS).  The objective has been to develop an inexpensive, highly accurate, simple to use device to assess brain health in all environments: in the clinic, at home, at work, on the battlefield or sports field.  The device is non-invasive, generates no harmful radiation, requires no chemicals nor exposure to dangerous substances.  The device does not require expensive disposables and does not involve the use of samples that require physical processing in a central laboratory.  Tests can be administered in a matter of minutes and do not require expert oversight.  The most recent versions of the technology are easily portable; the device is the size and shape of a computer mouse.  As such, the technology is particularly well suited to non-drug, non-radiation based alternative and in-home care.  The device and methods have been used in numerous studies of neurological cohorts that are often considered difficult to diagnose or assess objectively. Based on over a decade of studies (currently an ontological database of over 10,000 subjects and over 60 peer reviewed publications), the system can be used to enable clinicians to have a much better view of a patient’s CNS health status.  The diagnostic system delivers a battery of sensory based (tactile) tests that are conducted rapidly – much like an eye exam with verbal feedback – and the tests were  designed to be predominantly impacted by specific mechanisms of CNS information processing.  Because of the broad diversity of the questions addressed by the different metrics, combining the metrics allows for the generation of a unique individual CNS profile that appears to be very sensitive to neurological status. Outlook.  A review of the development of the system and the application of the method in basic and clinical research is provided to give readers an insight into why the methods were developed, how the methods work and what the methods can be optimally utilized for. The methods provide an objective means for clinicians and researchers to track brain health, and examples of case studies of tracking recovery from concussion as well as response to treatments are provided.

Functional Frequency Discrimination From Cortical Somatosensory Stimulation in Humans

Recently, efforts to produce artificial sensation through cortical stimulation of primary somatosensory cortex (PSC) in humans have proven safe and reliable. Changes in stimulation parameters like frequency and amplitude have been shown to elicit different percepts, but without clearly defined psychometric profiles. This study investigates the functionally useful limits of frequency changes on the percepts felt by three epilepsy patients with subdural electrocorticography (ECoG) grids. Subjects performing a hidden target task were stimulated with parameters of constant amplitude, pulse-width, and pulse-duration, and a randomly selected set of two frequencies (20, 30, 40, 50, 60, and 100 Hz). They were asked to decide which target had the “higher” frequency. Objectively, an increase in frequency differences was associated with an increase in perceived intensity. Reliable detection of stimulation occurred at and above 40 Hz with a lower limit of detection around 20 Hz and a just-noticeable difference estimated at less than 10 Hz. These findings suggest that frequency can be used as a reliable, adjustable parameter and may be useful in establishing settings and thresholds of functionality in future BCI systems.

Spatial and temporal influences on discrimination of vibrotactile stimuli on the arm

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.

Haptic Feedback Perception and Learning With Cable-Driven Guidance in Exosuit Teleoperation of a Simulated Drone

Robotics teleoperation enables human operators to control the movements of distally located robots. The development of new wearable interfaces as alternatives to hand-held controllers has created new modalities of control, which are more intuitive to use. Nevertheless, such interfaces also require a period of adjustment before operators can carry out their tasks proficiently. In several fields of human-machine interaction, haptic guidance has proven to be an effective training tool for enhancing user performance. This paper presents the results of psychophysical and motor learning studies that were carried out with human participant to assess the effect of cable-driven haptic guidance for a task involving aerial robotic teleoperation. The guidance system was integrated into an exosuit, called the Flyjacket, that was developed to control drones with torso movements. Results for the just noticeable difference and from the Stevens Power Law suggest that the perception of force on the users' torso scales linearly with the amplitude of the force exerted through the cables and the perceived force is close to the magnitude of the stimulus. Motor learning studies reveal that this form of haptic guidance improves user performance in training, but this improvement is not retained when participants are evaluated without guidance.

Damping Perception During Active Ankle and Knee Movement

The mechanical impedance of the leg governs many important aspects of locomotion, including energy storage, transfer, and dissipation between joints. These mechanical properties, including stiffness and damping, have been recently quantified at the ankle joint during walking. However, little is known about the human ability to sense changes in impedance. Here, we investigate the ability to detect small changes in damping coefficients when interacting with a mechanical system coupled to the ankle or knee joint. Using a psychophysical experiment (adaptive, weighted staircase method) and an admittance-controlled dynamometer, we determined the 75% minimum detectable change by tasking subjects to compare the damping values of different virtual spring-mass-damper systems. The Weber fraction for damping coefficient ranged from 12% to 31%, with similar performance across the ankle and knee. Damping perception performance was similar to previous stiffness perception results, suggesting that both the stiffness and damping of the environment are important for the human sensorimotor system and motivating further investigation on the role of damping in biomechanics, motor control, and wearable robotic technologies.

Sensory integration of apparent motion speed and vibration magnitude

Tactile apparent motion can display directional information in an intuitive way. It can for example be used to give directions to visually impaired individuals, or for waypoint navigation while cycling on busy streets, when vision or audition should not be loaded further. However, although humans can detect very short tactile patterns, discriminating between similar motion speeds has been shown to be difficult. Here we develop and investigate a method where the speed of tactile apparent motion around the user's wrist is coupled with vibration magnitude. This redundant coupling is used to produce tactile patterns from slow&weak to fast&strong. We compared the just noticeable difference (JND) of the coupled and the individual variables. The results show that the perception of the coupled variable can be characterised by JND smaller than JNDs of the individual variables. This allowed us to create short tactile pattens (tactons) for display of direction and speed, which can be distinguished significantly better than tactons based on motion alone. Additionally, most subjects were also able to identify the coupled-variable tactons better than the magnitude-based tactons.

The statistics of the vestibular input experienced during natural self-motion differ between rodents and primates

KEY POINTS

In order to understand how the brain's coding strategies are adapted to the statistics of the sensory stimuli experienced during everyday life, the use of animal models is essential. Mice and non-human primates have become common models for furthering our knowledge of the neuronal coding of natural stimuli, but differences in their natural environments and behavioural repertoire may impact optimal coding strategies. Here we investigated the structure and statistics of the vestibular input experienced by mice versus non-human primates during natural behaviours, and found important differences. Our data establish that the structure and statistics of natural signals in non-human primates more closely resemble those observed previously in humans, suggesting similar coding strategies for incoming vestibular input. These results help us understand how the effects of active sensing and biomechanics will differentially shape the statistics of vestibular stimuli across species, and have important implications for sensory coding in other systems.

ABSTRACT

It is widely believed that sensory systems are adapted to the statistical structure of natural stimuli, thereby optimizing coding. Recent evidence suggests that this is also the case for the vestibular system, which senses self-motion and in turn contributes to essential brain functions ranging from the most automatic reflexes to spatial perception and motor coordination. However, little is known about the statistics of self-motion stimuli actually experienced by freely moving animals in their natural environments. Accordingly, here we examined the natural self-motion signals experienced by mice and monkeys: two species commonly used to study vestibular neural coding. First, we found that probability distributions for all six dimensions of motion (three rotations, three translations) in both species deviated from normality due to long tails. Interestingly, the power spectra of natural rotational stimuli displayed similar structure for both species and were not well fitted by power laws. This result contrasts with reports that the natural spectra of other sensory modalities (i.e. vision, auditory and tactile) instead show a power-law relationship with frequency, which indicates scale invariance. Analysis of natural translational stimuli revealed important species differences as power spectra deviated from scale invariance for monkeys but not for mice. By comparing our results to previously published data for humans, we found the statistical structure of natural self-motion stimuli in monkeys and humans more closely resemble one another. Our results thus predict that, overall, neural coding strategies used by vestibular pathways to encode natural self-motion stimuli are fundamentally different in rodents and primates.

Percept of the duration of a vibrotactile stimulus is altered by changing its amplitude

There have been numerous studies conducted on time perception. However, very few of these have involved tactile stimuli to assess a subject’s capacity for duration discrimination. Previous optical imaging studies in non-human primates demonstrated that increasing the duration of a vibrotactile stimulus resulted in a consistently longer and more well defined evoked SI cortical response. Additionally, and perhaps more interestingly, increasing the amplitude of a vibrotactile stimulus not only evoked a larger magnitude optical intrinsic signal (OIS), but the return to baseline of the evoked response was much longer in duration for larger amplitude stimuli. This led the authors to hypothesize that the magnitude of a vibrotactile stimulus could influence the perception of its duration. In order to test this hypothesis, subjects were asked to compare two sets of vibrotactile stimuli. When vibrotactile stimuli differed only in duration, subjects typically had a difference limen (DL) of approximately 13%, and this followed Weber’s Law for standards between 500 and 1500 ms, as increasing the value of the standard yielded a proportional increase in DL. However, the percept of duration was impacted by variations in amplitude of the vibrotactile stimuli. Specifically, increasing the amplitude of the standard stimulus had the effect of increasing the DL, while increasing the amplitude of the test stimulus had the effect of decreasing the DL. A pilot study, conducted on individuals who were concussed, found that increasing the amplitude of the standard did not have an impact on the DL of this group of individuals. Since this effect did not parallel what was predicted from the optical imaging findings in somatosensory cortex of non-human primates, the authors suggest that this particular measure or observation could be sensitive to neuroinflammation and that neuron-glial interactions, impacted by concussion, could have the effect of ignoring, or not integrating, the increased amplitude.

Statistics of the vestibular input experienced during natural self-motion: implications for neural processing

It is widely believed that sensory systems are optimized for processing stimuli occurring in the natural environment. However, it remains unknown whether this principle applies to the vestibular system, which contributes to essential brain functions ranging from the most automatic reflexes to spatial perception and motor coordination. Here we quantified, for the first time, the statistics of natural vestibular inputs experienced by freely moving human subjects during typical everyday activities. Although previous studies have found that the power spectra of natural signals across sensory modalities decay as a power law (i.e., as 1/f(α)), we found that this did not apply to natural vestibular stimuli. Instead, power decreased slowly at lower and more rapidly at higher frequencies for all motion dimensions. We further establish that this unique stimulus structure is the result of active motion as well as passive biomechanical filtering occurring before any neural processing. Notably, the transition frequency (i.e., frequency at which power starts to decrease rapidly) was lower when subjects passively experienced sensory stimulation than when they actively controlled stimulation through their own movement. In contrast to signals measured at the head, the spectral content of externally generated (i.e., passive) environmental motion did follow a power law. Specifically, transformations caused by both motor control and biomechanics shape the statistics of natural vestibular stimuli before neural processing. We suggest that the unique structure of natural vestibular stimuli will have important consequences on the neural coding strategies used by this essential sensory system to represent self-motion in everyday life.

Vibrotactile discriminative capacity is impacted in a digit-specific manner with concurrent unattended hand stimulation

A number of perceptual and neurophysiological studies have investigated the effects of delivering unilateral versus bilateral tactile sensory stimulation. While a number of studies indicate that perceptual discrimination degrades with opposite-hand stimulation, there have been no reports that examined the digit specificity of cross-hemispheric interactions to discriminative capabilities. The purpose of this study was to determine whether unattended hand (UH) stimulation significantly degraded or improved amplitude discriminative capacity on the attended hand (AH) in a digit-specific manner. The methods are based on a sensory perceptual task (vibrotactile amplitude discriminative capacity on the tips of the fingers D2 and D3 of the left hand) in the absence and presence of conditioning stimuli delivered to D2 and D3 of the right hand. Non-specific equal-amplitude stimulation to D2 and D3 of the UH significantly worsened amplitude discrimination (AD) performance, while delivering unequal-amplitude stimuli to D2 and D3 of the UH worsened task performance only under the condition in which the unattended stimuli failed to appropriately match the stimulus parameters on the AH. Additionally, delivering single-site stimuli to D2 or D3 of the UH resulted in degraded performance on the AD task when the stimulus amplitude did not match the amplitude of the stimulus applied to homologous digits of the AH. The findings demonstrate that there is a reduction in performance under conditions where UH stimulation least matched stimulation applied to the AH, while there was little or no change in performance when stimulus conditions on the homologous digit(s) of the contralateral sites were similar. Results suggest that bilateral interactions influence perception in a context-dependent manner that is digit specific.

Functional deficits in carpal tunnel syndrome reflect reorganization of primary somatosensory cortex

Carpal tunnel syndrome, a median nerve entrapment neuropathy, is characterized by sensorimotor deficits. Recent reports have shown that this syndrome is also characterized by functional and structural neuroplasticity in the primary somatosensory cortex of the brain. However, the linkage between this neuroplasticity and the functional deficits in carpal tunnel syndrome is unknown. Sixty-three subjects with carpal tunnel syndrome aged 20-60 years and 28 age- and sex-matched healthy control subjects were evaluated with event-related functional magnetic resonance imaging at 3 T while vibrotactile stimulation was delivered to median nerve innervated (second and third) and ulnar nerve innervated (fifth) digits. For each subject, the interdigit cortical separation distance for each digit's contralateral primary somatosensory cortex representation was assessed. We also evaluated fine motor skill performance using a previously validated psychomotor performance test (maximum voluntary contraction and visuomotor pinch/release testing) and tactile discrimination capacity using a four-finger forced choice response test. These biobehavioural and clinical metrics were evaluated and correlated with the second/third interdigit cortical separation distance. Compared with healthy control subjects, subjects with carpal tunnel syndrome demonstrated reduced second/third interdigit cortical separation distance (P < 0.05) in contralateral primary somatosensory cortex, corroborating our previous preliminary multi-modal neuroimaging findings. For psychomotor performance testing, subjects with carpal tunnel syndrome demonstrated reduced maximum voluntary contraction pinch strength (P < 0.01) and a reduced number of pinch/release cycles per second (P < 0.05). Additionally, for four-finger forced-choice testing, subjects with carpal tunnel syndrome demonstrated greater response time (P < 0.05), and reduced sensory discrimination accuracy (P < 0.001) for median nerve, but not ulnar nerve, innervated digits. Moreover, the second/third interdigit cortical separation distance was negatively correlated with paraesthesia severity (r = -0.31, P < 0.05), and number of pinch/release cycles (r = -0.31, P < 0.05), and positively correlated with the second and third digit sensory discrimination accuracy (r = 0.50, P < 0.05). Therefore, reduced second/third interdigit cortical separation distance in contralateral primary somatosensory cortex was associated with worse symptomatology (particularly paraesthesia), reduced fine motor skill performance, and worse sensory discrimination accuracy for median nerve innervated digits. In conclusion, primary somatosensory cortex neuroplasticity for median nerve innervated digits in carpal tunnel syndrome is indeed maladaptive and underlies the functional deficits seen in these patients.

Application of psychophysical techniques to haptic research

Various psychophysical methods have been used to study human haptic perception, although the selection of a particular method is often based on convention, rather than an analysis of which technique is optimal for the question being addressed. In this review, classical psychophysical techniques used to measure sensory thresholds are described as well as more modern methods such as adaptive procedures and those associated with signal detection theory. Details are provided as to how these techniques should be implemented to measure absolute and difference thresholds and factors that influence subjects' responses are noted. In addition to the methods used to measure sensory thresholds, the techniques available for measuring the perception of suprathreshold stimuli are presented. These scaling methods are reviewed in the context of the various stimulus and response biases that influence how subjects respond to stimuli. The importance of understanding the factors that influence perceptual processing is highlighted throughout the review with reference to experimental studies of haptic perception.

Human force discrimination during active arm motion for force feedback design

The goal of this study was to analyze the human ability of external force discrimination while actively moving the arm. With the approach presented here, we give an overview for the whole arm of the just-noticeable differences (JNDs) for controlled movements separately executed for the wrist, elbow, and shoulder joints. The work was originally motivated in the design phase of the actuation system of a wearable exoskeleton, which is used in a teleoperation scenario where force feedback should be provided to the subject. The amount of this force feedback has to be calibrated according to the human force discrimination abilities. In the experiments presented here, 10 subjects performed a series of movements facing an opposing force from a commercial haptic interface. Force changes had to be detected in a two-alternative forced choice task. For each of the three joints tested, perceptual thresholds were measured as absolute thresholds (no reference force) and three JNDs corresponding to three reference forces chosen. For this, we used the outcome of the QUEST procedure after 70 trials. Using these four measurements we computed the Weber fraction. Our results demonstrate that different Weber fractions can be measured with respect to the joint. These were 0.11, 0.13, and 0.08 for wrist, elbow, and shoulder, respectively. It is discussed that force perception may be affected by the number of muscles involved and the reproducibility of the movement itself. The minimum perceivable force, on average, was 0.04 N for all three joints.

A vibrotactile behavioral battery for investigating somatosensory processing in children and adults

The cortical dynamics of somatosensory processing can be investigated using vibrotactile psychophysics. It has been suggested that different vibrotactile paradigms target different cortical mechanisms, and a number of recent studies have established links between somatosensory cortical function and measurable aspects of behavior. The relationship between cortical mechanisms and sensory function is particularly relevant with respect to developmental disorders in which altered inhibitory processing has been postulated, such as in ASD and ADHD. In this study, a vibrotactile battery consisting of nine tasks (incorporating reaction time, detection threshold, and amplitude- and frequency discrimination) was applied to a cohort of healthy adults and a cohort of typically developing children to assess the feasibility of such a vibrotactile battery in both cohorts, and the performance between children and adults was compared. These results showed that children and adults were both able to perform these tasks with a similar performance, although the children were slightly less sensitive in frequency discrimination. Performance within different task-groups clustered together in adults, providing further evidence that these tasks tap into different cortical mechanisms, which is also discussed. This clustering was not observed in children, which may be potentially indicative of development and a greater variability. In conclusion, in this study, we showed that both children and adults were able to perform an extensive vibrotactile battery, and we showed the feasibility of applying this battery to other (e.g., neurodevelopmental) cohorts to probe different cortical mechanisms.

Neurosensory assessments of migraine

Headache medicine is primarily dependent on patients' subjective reports of pain, which are assessed at diagnosis and throughout the duration of treatment. There is a need for an objective, quantitative biological measurement of headache pain severity. In this study, quantitative sensory testing (QST) was conducted via multi-site vibrotactile stimulation in patients with migraine. The purpose was to investigate the sensitivity of the method and to determine if the metrics obtained from migraineurs could be differentiated from controls. Metrics reflecting sensory percepts of baseline measures of stimulus amplitude discrimination, temporal order judgment, and duration discrimination were significantly different. Additional measures previously demonstrated to be sensitive to alterations in centrally-mediated information processing features such as adaptation and synchronization were also significantly different from control values. In contrast, reaction times and vibrotactile detection thresholds of migraineurs failed to differentiate them from controls, indicating that the results are not due to peripheral neuropathy or some other primary afferent mechanism. The long-term objective of the study is to develop methods that can improve diagnosis and enable more accurate assessments of treatment efficacy in migraine.

Centrally-mediated sensory information processing is impacted with increased alcohol consumption in college-aged individuals

Alcohol consumption can have an impact on a variety of centrally-mediated functions of the nervous system, and some aspects of sensory perception can be altered as a result of long-term alcohol use. In order to assess the potential impact of alcohol intake on sensory information processing, metrics of sensory perception (simple and choice reaction time; static and dynamic threshold detection; amplitude discrimination with and without pre-exposure to conditioning stimulation) were tested in college-aged subjects (18 to 26 years of age) across a broad range of levels of alcohol consumption. The analysis indicated no detectable associations between reaction time and threshold measures with alcohol consumption. However, measures of adaptation to short duration (0.5s) conditioning stimuli were significantly associated with alcohol consumption: the impact of a confounding conditioning stimulus on amplitude discriminative capacity was comparable to values reported in previous studies on healthy controls (28.9±8.6) for light drinkers while the same adaptation metric for heavy drinkers (consuming greater than 60 drinks per month) was significantly reduced (8.9±7.1). The results suggest that while some of the sensory perceptual metrics which are normally impacted in chronic alcoholism (e.g., reaction time and threshold detection) were relatively insensitive to change with increased alcohol consumption in young non-alcoholic individuals, other metrics, which are influenced predominantly by centrally-mediated mechanisms, demonstrate a deviation from normative values with increased consumption. Results of this study suggest that higher levels of alcohol consumption may be associated with alterations in centrally-mediated neural mechanisms in this age group.

Altered central sensitization in subgroups of women with vulvodynia

OBJECTIVE

To investigate the clinical correlates of central nervous system alterations among women with vulvodynia. Altered central sensitization has been linked to dysfunction in central nervous system-inhibitory pathways (e.g., γ-aminobutyric acidergic), and metrics of sensory adaptation, a centrally mediated process that is sensitive to this dysfunction, could potentially be used to identify women at risk of treatment failure using conventional approaches.

METHODS

Twelve women with vulvodynia and 20 age-matched controls participated in this study, which was conducted by sensory testing of the right hand's index and middle fingers. The following sensory precepts were assessed: (1) vibrotactile detection threshold; (2) amplitude discrimination capacity (defined as the ability to detect differences in intensity of simultaneously delivered stimuli to 2 fingers); and (3) a metric of adaptation (determined by the impact that applying conditioning stimuli have on amplitude discriminative capacity).

RESULTS

Participants did not differ on key demographic variables, vibrotactile detection threshold, and amplitude discrimination capacity. However, we found significant differences from controls in adaptation metrics in 1 subgroup of vulvodynia patients. Compared with healthy controls and women with a shorter history of pain [n=5; duration (y) = 3.4 ± 1.3], those with a longer history [n=7; duration (y) = 9.3 ± 1.4)] were found to be less likely to have adaptation metrics similar to control values.

DISCUSSION

Chronic pain is thought to lead to altered central sensitization, and adaptation is a centrally mediated process that is sensitive to this condition. This report suggests that similar alterations exist in a subgroup of vulvodynia patients.

Vibrotactile sensory substitution in multi-fingered hand prostheses: evaluation studies

This paper presents a vibrotactile sensory substitution system that could be used to deliver sensory feedback to transradial amputees wearing a myoelectric hand prosthesis. The novelty is an architecture that allows simultaneous variation of both amplitude and frequency using low-cost components and traditional techniques. The small dimension of the system allows to place it on different target points of the residual limb of an amputee (e.g. corresponding to phantom fingers). Experiments to evaluate the human capability to discriminate differently modulated stimulations and stimulation sites were carried out on healthy volunteers. Subjects were able to properly discriminate the different force amplitudes exerted by the device at different fixed frequencies. The effect of amplitude on the frequency discrimination was also studied and for most subjects it was easier to discriminate a lower frequency when its amplitude was lower than the amplitude of the reference signal. The distance of the stimulation sites for an optimal discrimination was also identified.

Somatosensory information processing in the aging population

While it is well known that skin physiology – and consequently sensitivity to peripheral stimuli – degrades with age, what is less appreciated is that centrally mediated mechanisms allow for maintenance of the same degree of functionality in processing these peripheral inputs and interacting with the external environment. In order to demonstrate this concept, we obtained observations of processing speed, sensitivity (thresholds), discriminative capacity, and adaptation metrics on subjects ranging in age from 18 to 70. The results indicate that although reaction speed and sensory thresholds change with age, discriminative capacity, and adaptation metrics do not. The significance of these findings is that similar metrics of adaptation have been demonstrated to change significantly when the central nervous system (CNS) is compromised. Such compromise has been demonstrated in subject populations with autism, chronic pain, acute NMDA receptor block, concussion, and with tactile–thermal interactions. If the metric of adaptation parallels cortical plasticity, the results of the current study suggest that the CNS in the aging population is still capable of plastic changes, and this cortical plasticity could be the mechanism that compensates for the degradations that are known to naturally occur with age. Thus, these quantitative measures – since they can be obtained efficiently and objectively, and appear to deviate from normative values significantly with systemic cortical alterations – could be useful indicators of cerebral cortical health.

A novel device for the study of somatosensory information processing

Current methods for applying multi-site vibratory stimuli to the skin typically involve the use of multiple, individual vibrotactile stimulators. Limitations of such an arrangement include difficulty with both positioning the stimuli as well as ensuring that stimuli are delivered in a synchronized and deliberate manner. Previously, we reported a two-site tactile stimulator that was developed in order to solve these problems (Tannan et al., 2007a). Due to both the success of that novel stimulator and the limitations that were inherent in that device, we designed and fabricated a four-site stimulator that provides a number of advantages over the previous version. First, the device can stimulate four independent skin sites and is primarily designed for stimulating the digit tips. Second, the positioning of the probe tips has been re-designed to provide better ergonomic hand placement. Third, the device is much more portable than the previously reported stimulator. Fourth, the stimulator head has a much smaller footprint on the table or surface where it resides. To demonstrate the capacity of the device for delivering tactile stimulation at four independent sites, a finger agnosia protocol, in the presence and absence of conditioning stimuli, was conducted on seventeen healthy control subjects. The study demonstrated that with increasing amplitudes of vibrotactile conditioning stimuli concurrent with the agnosia test, inaccuracies of digit identification increased, particularly at digits D3 and D4. The results are consistent with prior studies that implicated synchronization of adjacent and near-adjacent cortical ensembles with conditioning stimuli in impacting TOJ performance (Tommerdahl et al., 2007a,b).

Continuous theta-burst rTMS over primary somatosensory cortex modulates tactile perception on the hand

OBJECTIVE

Theta-burst stimulation (TBS) over the primary somatosensory cortex (SI) alters cortical excitability, and in its intermittent form (iTBS) improves tactile spatial acuity. The effects of continuous TBS (cTBS) on tactile acuity remain unknown. The present study examined the influence of cTBS over SI on temporal and spatial tactile acuity on the contralateral hand.

METHODS

In separate experiments, temporal discrimination threshold (TDT) and spatial amplitude discrimination threshold (SDT) were obtained from the right hand before and for up to 34 min following real and sham cTBS (600 pulses) over left-hemisphere SI.

RESULTS

CTBS reduced temporal and spatial tactile acuity for up to 18 min following real cTBS. Tactile acuity was unaltered in the groups receiving sham cTBS.

CONCLUSIONS

CTBS over SI impairs both temporal and spatial domains of tactile acuity for a similar duration.

SIGNIFICANCE

CTBS over SI appears to decrease neural activity within targeted cortex and has potential utility in reducing excessive sensory processing.

A miniature vibrotactile sensory substitution device for multifingered hand prosthetics

A multisite, vibrotactile sensory substitution system, that could be used in conjunction with artificial touch sensors in multifingered prostheses, to deliver sensory feedback to upper limb amputees is presented. The system is based on a low cost/power/size smart architecture of off-the-shelf miniaturized vibration motors; the main novelty is that it is able to generate stimuli where both vibration amplitude and frequency as well as beat interference can be modulated. This paper is aimed at evaluating this system by investigating the capability of healthy volunteers to perceive-on their forearms-vibrations with different amplitudes and/or frequencies. In addition, the ability of subjects in spatially discriminating stimulations on three forearm sites and recognizing six different combinations of stimulations was also addressed. Results demonstrate that subjects were able to discriminate different force amplitudes exerted by the device (accuracies greater than 75%); when both amplitude and frequency were simultaneously varied, the pure discrimination of amplitude/frequency variation was affected by the variation of the other. Subjects were also able to discriminate with an accuracy of 93% three different sites and with an accuracy of 78% six different stimulation patterns.

Modulation of somatosensory abilities and the feeling of ear fullness in patients with acute sensorineural hearing loss

OBJECTIVE

Patients with acute sensorineural hearing loss (ASNHL) often complain of a feeling of ear fullness (FEF) that is similar to the sensation experienced during barometric pressure changes. This suggests that modulation of somatosensory abilities may relate to the manifestation of FEF, whereas it cannot simply be assumed that somatosensory abilities would be directly affected by ASNHL. To examine this possible relationship, we estimated somatosensory abilities of the tympanic membrane, and investigated the relationship between them and the manifestation of FEF.

METHODS

To estimate somatosensory abilities of the tympanic membrane, 83 new patients demonstrating unilateral sudden deafness were studied. The air pressure was loaded through an exclusive device on the external auditory canals in order to measure the minimum change in air pressure sensed by the subjects. The minimum pressure was defined as the minimum sensory threshold for air pressure loading (MSTAP; daPa). We estimated patient's somatosensory abilities and inquired about their experiences with FEF at the first medical examination (point 1) and at the time a steady audiogram was obtained (point 2). We also estimated MSTAP in 65 volunteers (130 ears) with no history of ear diseases and compared their MSTAP with that of sudden deafness patients.

RESULTS

MSTAP values (-64.0±32.2daPa, 60.5±26.0daPa) on the affected side with both negative pressure and positive pressure measured at point 1 were significantly higher than those (-40.7±15.0daPa, 40.0±12.7daPa) obtained at point 2 in all sudden deafness patients (p=0.0001, p=0.0001). There was no difference between MSTAP values (-39.6±10.7daPa, 39.9±11.4daPa) in normal subjects and those obtained at point 2 in all sudden deafness patients. On the other hand, significant differences of MSTAP with negative pressures between the affected and unaffected sides at point 1 were seen in 32 patients, and manifestation of FEF showed an insignificant association in these 32 patients (p<0.05).

CONCLUSION

Modulation of somatosensory abilities in ASNHL seemed to be the best possible explanation for results, suggesting that a rise in MSTAP may somehow be associated with FEF. Although it cannot be verified by result of the current study, consideration of the previous literature suggests that the phenomenon may be caused by cross-modality of hearing and somatosensory abilities.

Vibrotactile masking experiments reveal accelerated somatosensory processing in congenitally blind braille readers

Braille reading is a demanding task that requires the identification of rapidly varying tactile patterns. During proficient reading, neighboring characters impact the fingertip at ∼100 ms intervals, and adjacent raised dots within a character at 50 ms intervals. Because the brain requires time to interpret afferent sensorineural activity, among other reasons, tactile stimuli separated by such short temporal intervals pose a challenge to perception. How, then, do proficient Braille readers successfully interpret inputs arising from their fingertips at such rapid rates? We hypothesized that somatosensory perceptual consolidation occurs more rapidly in proficient Braille readers. If so, Braille readers should outperform sighted participants on masking tasks, which demand rapid perceptual processing, but would not necessarily outperform the sighted on tests of simple vibrotactile sensitivity. To investigate, we conducted two-interval forced-choice vibrotactile detection, amplitude discrimination, and masking tasks on the index fingertips of 89 sighted and 57 profoundly blind humans. Sighted and blind participants had similar unmasked detection (25 ms target tap) and amplitude discrimination (compared with 100 μm reference tap) thresholds, but congenitally blind Braille readers, the fastest readers among the blind participants, exhibited significantly less masking than the sighted (masker, 50 Hz, 50 μm; target-masker delays, ±50 and ±100 ms). Indeed, Braille reading speed correlated significantly and specifically with masking task performance, and in particular with the backward masking decay time constant. We conclude that vibrotactile sensitivity is unchanged but that perceptual processing is accelerated in congenitally blind Braille readers.

Effects of parietal TMS on somatosensory judgments challenge interhemispheric rivalry accounts

Interplay between the cerebral hemispheres is vital for coordinating perception and behavior. One influential account holds that the hemispheres engage in rivalry, each inhibiting the other. In the somatosensory domain, a seminal paper claimed to demonstrate such interhemispheric rivalry, reporting improved tactile detection sensitivity on the right hand after transcranial magnetic stimulation (TMS) to the right parietal lobe (Seyal, Ro, & Rafal, 1995). Such improvement in tactile detection ipsilateral to TMS could follow from interhemispheric rivalry, if one assumes that TMS disrupted cortical processing under the coil and thereby released the other hemisphere from inhibition. Here we extended the study by Seyal et al. (1995) to determine the effects of right parietal TMS on tactile processing for either hand, rather than only the ipsilateral hand. We performed two experiments applying TMS in the context of median-nerve stimulation; one experiment required somatosensory detection, the second somatosensory intensity discrimination. We found different TMS effects on detection versus discrimination, but neither set of results followed the prediction from hemispheric rivalry that enhanced performance for one hand should invariably be associated with impaired performance for the other hand, and vice-versa. Our results argue against a strict rivalry interpretation, instead suggesting that parietal TMS can provide a pedestal-like increment in somatosensory response.

Human discrimination of rotational velocities

Vestibular reflexes are critically important for stabilizing gaze and maintaining posture, but comparatively little is known about conscious perceptions of vestibular stimuli and how they may relate to balance function. We used psychophysical methods to determine the ability of normal subjects and a vestibular-deficient subject to discriminate among velocities of earth-vertical sinusoidal rotations. Discrimination thresholds in normal subjects rose from 2.26 deg/s at a peak velocity of 20 deg/s up to 5.16 deg/s at 150 deg/s. The relationship between threshold and peak angular velocity was well described by the power law function DeltaI = 0.88I(0.37), where I is the magnitude of the stimulus and DeltaI is the discrimination threshold. The subject with bilateral vestibular hypofunction had thresholds more than an order of magnitude worse than normals. The performance of normal subjects is much better than that predicted by Weber's Law, which states that discrimination thresholds increase proportionally with stimulus magnitude (i.e., DeltaI/I = C, where C is the "Weber fraction"). This represents a remarkable exception to other sensory systems and may reflect the vestibular system's ability to stabilize gaze and maintain posture even at high stimulus intensities. Quantifying this relationship may help elucidate the role of higher-level processes in maintaining balance and provide information to diagnose and guide therapy of patients with central causes for imbalance.

The impact of non-noxious heat on tactile information processing

A significant number of studies that evaluated tactile-pain interactions employed heat to evoke nociceptive responses. However, relatively few studies have examined the effects of non-noxious thermal stimulation on tactile discriminative capacity. In this study, the impact that non-noxious heat had on three features of tactile information processing capacity was evaluated: vibrotactile threshold, amplitude discriminative capacity, and adaptation. It was found that warming the skin made a significant improvement on a subject's ability to detect a vibrotactile stimulus, and although the subjects' capacities for discriminating between two amplitudes of vibrotactile stimulation did not change with skin heating, the impact that adapting or conditioning stimulation normally had on amplitude discrimination capacity was significantly attenuated by the change in temperature. These results suggested that although the improvements in tactile sensitivity that were observed could have been a result of enhanced peripheral activity, the changes in measures that reflect a decrease in the sensitization to repetitive stimulation are most likely centrally mediated. The authors speculate that these centrally mediated changes could be a reflection of a change in the balance of cortical excitation and inhibition.