Asynchronous Stimulation Research Articles

Embodiment in the enfacement illusion is mediated by self-other overlap.

The enfacement illusion is a facial version of the rubber hand illusion, in which participants experience tactile stimulation of their own faces synchronously with the observation of the same stimulation applied to another's face. In previous studies, participants have reported experiencing an illusory embodiment of the other's face following synchronous compared to asynchronous stimulation. In a series of three experiments, we addressed the following three questions: (i) how does similarity between the self and the other, operationalized here as being of the same or different gender to the other, impact the experience of embodiment in the enfacement illusion; (ii) does the experience of embodiment result from alterations to the self-concept; and (iii) is susceptibility to the experience of embodiment associated with interoceptive processing, i.e. perception of the internal state of the body? Results indicate that embodiment is facilitated by the similarity between the self and the other and is mediated by the incorporation of the other into the self-concept, but sensitivity to one's own internal states does not impact upon embodiment within the enfacement illusion. This article is part of the theme issue 'Minds in movement: embodied cognition in the age of artificial intelligence'.

Changes in blink reflex after simultaneous supraorbital and mental nerve stimulations in healthy subjects.

In this study, we investigated the blink reflex (BR) after simultaneous and asynchronous stimulation of two trigeminal nerve branches. The objective was to characterize the physiology of trigeminal and facial circuits. We performed three sets of experiments: recording BR response i. after supraorbital nerve stimulation (SON), after mental nerve stimulation (MN), and after simultaneous SON and MN stimulation (SON+MN) in 18 healthy individuals; ii. after MN (at an intensity eliciting BR response) preceding SON at various interstimulus intervals (ISIs) in seven healthy subjects; iii after MN (at sensory threshold) preceding SON at various ISIs. We compared the magnitudes of early and late responses. The R1 amplitude after simultaneous SON+MN stimulation was greater than responses after single stimulation of the same branches. After simultaneous stimulations, the R2 and R2c areas under the curve (AUC) were smaller than the arithmetic sums of R2 and R2c AUC obtained after single stimulations. The second experiment provided a recovery excitability curve. In the third step, we obtained facilitation of R1 and inhibition of late responses. The SON+MN stimulation caused an increased R1 circuit excitability compared to the arithmetic sum of the single stimulations; however, magnitudes of late responses did not potentiate. Thus, we have provided evidence for R1 circuit enhancement by simultaneous stimulation in humans, whereas modulation of late responses exhibited a recovery curve similar to that shown for paired SON stimulation.

Brief Submotor-Threshold Electrical Stimulation Applied Synchronously Over Wrist Flexor and Extensor Muscles does Not Suppress Essential Tremor, Independent of Stimulation Frequency.

Electrical stimulation of muscles below motoneuron threshold has shown potential as a low-cost and minimally invasive treatment for Essential Tremor (ET). Prior studies have stimulated wrist flexor and extensor muscles synchronously with diverging results, calling for further investigation. Also, prior studies have only used a narrow range of stimulation parameters, so stimulation parameters have not been optimized. Our purpose was to further investigate synchronous submotor stimulation and identify the effect of stimulation frequency on tremor suppression. We quantified the effect of brief, synchronous stimulation at 15 different frequencies from 10-150 Hz applied over wrist flexors and extensors on both tremor power and frequency in 20 ET patients. We compared tremor power and frequency from hand acceleration and sEMG between pre-, per-, and post-stimulation phases. Our stimulation paradigm did not result in significant tremor suppression or tremor frequency changes at any tested stimulation frequency, showing no significant interaction between phase and stimulation frequency for tremor power measured by either hand acceleration (p = 0.69) or sEMG (p = 0.07). Additionally, the effect of phase interacting with stimulation frequency on tremor frequency was statistically insignificant for acceleration (p = 0.64) and sEMG (p = 0.37). We conclude that brief synchronous submotor-threshold stimulation does not reduce tremor in ET patients, independent of stimulation frequency (from 10 to 150 Hz). Our results are consistent with the hypothesis that brief submotor-threshold stimulation suppresses tremor via reciprocal inhibition, which requires asynchronous stimulation. In contrast, it is hypothesized that synchronous stimulation might require longer stimulation durations to affect supraspinal tremor networks. We studied the effects of synchronous submotor electrical stimulation over wrist flexor and extensor muscles on Essential Tremor. Our results indicate that suppressing tremor with brief synchronous stimulation is ineffective. Based on recently hypothesized mechanisms of peripheral tremor suppression, we hypothesize that asynchronous stimulation or long-duration synchronous stimulation are more effective approaches to peripheral tremor suppression.

Modular architecture facilitates noise-driven control of synchrony in neuronal networks.

High-level information processing in the mammalian cortex requires both segregated processing in specialized circuits and integration across multiple circuits. One possible way to implement these seemingly opposing demands is by flexibly switching between states with different levels of synchrony. However, the mechanisms behind the control of complex synchronization patterns in neuronal networks remain elusive. Here, we use precision neuroengineering to manipulate and stimulate networks of cortical neurons in vitro, in combination with an in silico model of spiking neurons and a mesoscopic model of stochastically coupled modules to show that (i) a modular architecture enhances the sensitivity of the network to noise delivered as external asynchronous stimulation and that (ii) the persistent depletion of synaptic resources in stimulated neurons is the underlying mechanism for this effect. Together, our results demonstrate that the inherent dynamical state in structured networks of excitable units is determined by both its modular architecture and the properties of the external inputs.

Cardiac interoception in infants: Behavioral and neurophysiological measures in various emotional and self-related contexts.

Interoception, the perception of internal bodily signals, is fundamental to our sense of self. Even though theoretical accounts suggest an important role for interoception in the development of the self, empirical investigations are limited, particularly in infancy. Previous studies used preferential-looking paradigms to assess the detection of sensorimotor and multisensory contingencies in infancy, usually related to proprioception and touch. So far, only one recent study reported that infants discriminated between audiovisual stimuli presented synchronously or asynchronously with their heartbeat. This discrimination was related to the amplitude of the infant's heartbeat evoked potentials (HEP), a neural correlate of interoception. In the current study, we measured looking preferences between synchronous and asynchronous visuocardiac (bimodal), and audiovisuocardiac (trimodal) stimuli as well as the HEP in conditions of different emotional contexts and with different degrees of self-relatedness in a mirror-like setup. While the infants preferred trimodal to bimodal stimuli, we did not observe the predicted differences between synchronous and asynchronous stimulation. Furthermore, the HEP was not modulated by emotional context or self-relatedness. These findings do not support previously published results and highlight the need for further studies on the early development of interoception in relation to the development of the self.

Look at me now! Enfacement illusion over computer-generated faces.

According to embodied cognition research, one's bodily self-perception can be illusory and temporarily shifted toward an external body. Similarly, the so-called "enfacement illusion" induced with a synchronous multisensory stimulation over the self-face and an external face can result in implicit and explicit changes in the bodily self. The present study aimed to verify (i) the possibility of eliciting an enfacement illusion over computer-generated faces and (ii) which multisensory stimulation condition was more effective. A total of 23 participants were asked to look at a gender-matched avatar in three synchronous experimental conditions and three asynchronous control conditions (one for each stimulation: visuotactile, visuomotor, and simple exposure). After each condition, participants were asked to complete a questionnaire assessing both the embodiment and the enfacement sensations to address different facets of the illusion. Results suggest a stronger effect of synchronous vs. asynchronous stimulation, and the difference was more pronounced for the embodiment items of the questionnaire. We also found a greater effect of visuotactile and visuomotor stimulations as compared to the simple exposure condition. These findings support the enfacement illusion as a new paradigm to investigate the ownership of different face identities and the specific role of visuotactile and visuomotor stimulations with virtual reality stimuli.

Multisensory Integration Dominates Hypnotisability and Expectations in the Rubber Hand Illusion.

Some recent papers by P. Lush and colleagues have argued that the rubber hand illusion (RHI), where participants can feel a rubber hand as their own under appropriate multisensory stimulation, may be caused mainly by hypnotic suggestibility and expectations (demand characteristics). These papers rely primarily on a study with 353 participants who took part in a RHI experiment carried out in a classical way with brush stroking. Participants experienced a synchronous condition where the rubber hand was seen to be touched in synchrony with touch felt on their corresponding hidden real hand, or the touches were applied asynchronously as a control. Each participant had a related measure of their hypnotisability on a scale known as the Sussex-Waterloo Scale of Hypnotisability (SWASH). The authors found a correlation between the questionnaire ratings of the RHI in the synchronous condition and the SWASH score. From this, they concluded that the RHI is largely driven by suggestibility and further proposed that suggestibility and expectations may even entirely explain the RHI. Here we examine their claims in a series of extensive new analyses of their data. We find that at every level of SWASH, the synchronous stimulation results in greater levels of the illusion than the asynchronous condition; moreover, proprioceptive drift is greater in the synchronous case at every level of SWASH. Thus, while the level of hypnotisability does modestly influence the subjective reports (higher SWASH is associated with somewhat higher illusion ratings), the major difference between the synchronous and asynchronous stimulation is always present. Furthermore, by including in the model the participants’ expectancy ratings of how strongly they initially believed they would experience the RHI in the two conditions, we show that expectations had a very small effect on the illusion ratings; model comparisons further demonstrate that the multisensory condition is two-to-three-times as dominant as the other factors, with hypnotisability contributing modestly and expectations negligibly. Thus, although the results indicate that trait suggestibility may modulate the RHI, presumably through intersubject variations in top-down factors, the findings also suggest that the primary explanation for the RHI is as a multisensory bodily illusion.

Beyond nursing programming: preventing adverse events in patients with implantable cardiac devices undergoing invasive procedures and MRI after lean healthcare method

Abstract Funding Acknowledgements Type of funding sources: None. Introduction Follow-up in patients with cardiovascular implantable electronic devices (CIED) is essential to avoid adverse events and complications, such as arrhythmias, device dysfunction, and infections, among other events. Prevention plays a fundamental role, especially when these patients undergo non-cardiological invasive tests and/or procedures (e.g., surgeries) or magnetic resonance imaging (MRI). These situations sometimes require the reprogramming of the device. In our Arrhythmia's Unit, after developing a healthcare management model based on the Lean methodology, 2 processes were identified that implied a reduction in activity, a threat to efficiency and a risk to patients who would undergo invasive non-cardiological procedures or MRI. One of them was a significant number of "urgent" consultations and calls to evaluate and/or reprogram CIED in patients that underwent invasive non-cardiological procedures the same day, many of them without indication of reprogramming according to the type of procedure. Another one was the increase in consultations of people with CIED who require MRI, was often contraindicated because it produces adverse effects on the patient and/or device. Objectives: To implement action protocols, depending on the type of device and dependant on stimulation, for patients with CIED who undergo surgery and invasive non-cardiac procedures and MRI. To evaluate the number of urgent calls and adverse events before and after implementation. Methods: A single-centre, not randomized study has been designed. A year before and after the implementation of the protocol the following variables were quantified a) number of urgent calls b) number of adverse events (persistence of the special programming of the device more than 24 h after the end of the procedure: asynchronous stimulation, ICD therapies off, CIED dysfunction or unnecessary programming). Two protocols were developed: a) management of CIED carriers undergoing invasive non-cardiological procedures according to recent clinical practice guidelines. b) risk of dysfunction after MRI based on type/compatibility with MRI of the device, implanted leads, and stimulation dependence, using a colour scale, from safe (in green) to high risk of dysfunction (in black) Pictures 1,2. The protocols for action in the anaesthesia and radiology services were disseminated through sessions given by the arrhythmia unit staff. Results: In the year prior to implementing the protocol, 185 urgent calls/year were quantified, (15.1 calls/month) and the number of adverse events was 4 (0.2 events/month). One year after the implementation of the protocol, urgent calls were reduced to 4calls/year, representing 0.33 calls/month (p <0.001) and there was an absence of adverse events (zero events/month). Conclusions. The implementation of protocols based on recent clinical practice guidelines can reduce urgent calls and adverse events related to reprogramming in our centre, thus increasing patient safety.

Advancing dosimetry for Dating Environmental Materials: Development of an ultra-sensitive beta dosimeter system and potential for beta autoradiography

Beta Dose Rate heterogeneity is a recognized source of uncertainty when applying luminescence dating to heterogeneous samples, such as coarse crystalline rocks and clast-rich sediments. Simulations have shown that a combination of a heterogeneous distribution of minerals and radioactive elements can lead to complex dose distributions, overdispersion and potentially to bias in equivalent dose determinations. However setting realistic conditions for such simulations remains difficult, and there are at present only a few experimental validation cases for such simulated systems. Project ADDEM is investigating means of linking Monte Carlo simulations of dose rate to specific minerals with direct observations using high sensitivity phosphor plates and laser scanning imaging systems in combination with phase mapping. To overcome some of the limitations of autoradiographic imaging of low level beta dose distributions work has been undertaken using Landauer alumina OSL phosphor screens in combination with a laser scanning system developed at the Scottish Universities Environmental Research Centre (SUERC). Preliminary excitation spectra, emission band characterization and time resolved measurements were undertaken, confirming the potential to recording low doses using asynchronous stimulation at 635 nm coupled with blue band detection. Taking advantage of the slow decay of the luminescence signal the scanning equipment has been configured for pulsed stimulation and asynchronous detection to maximise signal to background ratios. Exploratory work was calibrated using a 60Co facility capable of calibrating doses in the μGy to mGy range. A series of powdered granulite/basalt mixtures of known mean activity and dose rate (Dr) have also been used to calibrate the phosphor screens. To reduce background levels during autoradiographic signal accumulation rock slices are being exposed in the Zeplin shield of the STFC Boulby Underground Laboratory, in an environment which is essentially free from cosmic ray muon background.Simulations have been conducted providing preliminary deconvolution parameters in order to either reconstruct the beta dose rate (β Dr) distribution received by the grains in the sample, or retrieve the radioactive element distributions in the minerals of the sample, providing the data required for representative simulations of β Dr.This paper outlines the spectroscopy and sensitivity verification of the autoradiography system, confirming its prospects for measuring spatially resolved β Dr distributions with single pixel lower detection limit of 130 μGy and spatial resolution of 150 μm. Prospects are outlined.

A Virtual Reality Application of the Rubber Hand Illusion Induced by Ultrasonic Mid-air Haptic Stimulation

Ultrasonic mid-air haptic technologies, which provide haptic feedback through airwaves produced using ultrasound, could be employed to investigate the sense of body ownership and immersion in virtual reality (VR) by inducing the virtual hand illusion (VHI). Ultrasonic mid-air haptic perception has solely been investigated for glabrous (hairless) skin, which has higher tactile sensitivity than hairy skin. In contrast, the VHI paradigm typically targets hairy skin without comparisons to glabrous skin. The aim of this article was to investigate illusory body ownership, the applicability of ultrasonic mid-air haptics, and perceived immersion in VR using the VHI. Fifty participants viewed a virtual hand being stroked by a feather synchronously and asynchronously with the ultrasonic stimulation applied to the glabrous skin on the palmar surface and the hairy skin on the dorsal surface of their hands. Questionnaire responses revealed that synchronous stimulation induced a stronger VHI than asynchronous stimulation. In synchronous conditions, the VHI was stronger for palmar stimulation than dorsal stimulation. The ultrasonic stimulation was also perceived as more intense on the palmar surface compared to the dorsal surface. Perceived immersion was not related to illusory body ownership per se but was enhanced by the provision of synchronous stimulation.

New treatment for amblyopia based on rules of synaptic plasticity: a randomized clinical trial.

Amblyopia resulting from early deprivation of vision or defocus in one eye reflects an imbalance of input from the eyes to the visual cortex. We tested the hypothesis that asynchronous stimulation of the two eyes might induce synaptic plasticity and rebalance input. Experiments on normal adults showed that repetitive brief exposure of grating stimuli, with the onset of each stimulus delayed by 8.3 ms in one eye, results in a shift in perceptual eye dominance. Clinical studies (Clinical trial registration number: ChiCTR2100049130), using popular 3D movies with similar asynchrony between the two eyes (amblyopic eye stimulated first) to treat anisometropic amblyopia, established that just 10.5 h of conditioning over <3 weeks produced improvement that met criteria for successful treatment. The benefits of asynchronous conditioning accumulate over 20-30 45 min sessions, and are maintained for at least 2 years. Finally, we demonstrate that asynchronous binocular treatment alone is more effective than patching only. This novel treatment is popular with children and is some 50 times more efficient than patching alone.

A general framework for automatic closed-loop control of bladder voiding induced by intraspinal microstimulation in rats

Individuals with spinal cord injury or neurological disorders have problems in voiding function due to the dyssynergic contraction of the urethral sphincter. Here, we introduce a closed-loop control of intraspinal microstimulation (ISMS) for efficient bladder voiding. The strategy is based on asynchronous two-electrode ISMS with combined pulse-amplitude and pulse-frequency modulation without requiring rhizotomy, neurotomy, or high-frequency blocking. Intermittent stimulation is alternately applied to the two electrodes that are implanted in the S2 lateral ventral horn and S1 dorsal gray commissure, to excite the bladder motoneurons and to inhibit the urethral sphincter motoneurons. Asynchronous stimulation would lead to reduce the net electric field and to maximize the selective stimulation. The proposed closed-loop system attains a highly voiding efficiency of 77.2–100%, with an average of 91.28 ± 8.4%. This work represents a promising approach to the development of a natural and robust motor neuroprosthesis device for restoring bladder functions.

The contribution of stimulating multiple body parts simultaneously to the illusion of owning an entire artificial body.

The full-body ownership illusion exploits multisensory perception to induce a feeling of ownership of an entire artificial body. Although previous research has shown that synchronous visuotactile stimulation of a single body part is sufficient for illusory ownership of the whole body, the effect of combining multisensory stimulation across multiple body parts remains unknown. Therefore, 48 healthy adults participated in a full-body ownership illusion with conditions involving synchronous (illusion) or asynchronous (control) visuotactile stimulation to one, two, or three body parts simultaneously (2×3 design). We used questionnaires to isolate illusory ownership of five specific body parts (left arm, right arm, trunk, left leg, right leg) from the full-body ownership experience and sought to test not only for increased ownership in synchronous versus asynchronous conditions but also for potentially varying degrees of full-body ownership illusion intensity related to the number of body parts stimulated. Illusory full-body ownership and all five body-part ownership ratings were significantly higher following synchronous stimulation than asynchronous stimulation (p-values < .01). Since non-stimulated body parts also received significantly increased ownership ratings following synchronous stimulation, the results are consistent with an illusion that engages the entire body. Furthermore, we noted that ownership ratings for right body parts (which were often but not always stimulated in this experiment) were significantly higher than ownership ratings for left body parts (which were never stimulated). Regarding the effect of stimulating multiple body parts simultaneously on explicit full-body ownership ratings, there was no evidence of a significant main effect of the number of stimulations (p = .850) or any significant interaction with stimulation synchronicity (p = .160), as assessed by linear mixed modelling. Instead, median ratings indicated a moderate affirmation (+1) of an illusory full-body sensation in all three synchronous conditions, a finding mirrored by comparable full-body illusion onset times. In sum, illusory full-body ownership appears to be an ‘all-or-nothing’ phenomenon and depends upon the synchronicity of visuotactile stimulation, irrespective of the number of stimulated body parts.

Application of the Virtual Reality-Pattern Visual Evoked Potential in Forensic Visual Acuity Evaluation

Objective To explore a kind of visual evoked potential test equipment and method that is more suitable for the application of forensic clinical visual acuity evaluation. Methods Thirty-four volunteers （68 eyes） were selected, including 15 males and 19 females, aged between 20 and 40 years. Test lenses were placed before the tested eyes of volunteers to induce refractive myopia with insert method, and the diopter lenses were adjusted so that the visual acuity level of one eye of volunteers was above 0.8, and the visual acuity of the other eye was at moderate damage level （<0.3 and ≥0.1）. The tests were carried out under the binocular simultaneous asynchronous stimulation mode （hereinafter referred to as "binocular mode"） and monocular separate stimulation mode （hereinafter referred to as "monocular mode"） of virtual reality-pattern visual evoked potential （VR-PVEP）, and the amplitude of PVEP of volunteers under the two modes was compared at four spatial frequencies of 8×8, 16×16, 24×24 and 32×32. Results The differences in the amplitude of P100 wave between monocular and binocular modes at 8×8 spatial frequency had no statistical significance and the differences in amplitude of P100 wave between monocular and binocular modes at 16×16, 24×24, and 32×32 spatial frequencies had statistical significance （P<0.05）. The amplitude of the same eye in monocular mode was higher than that in binocular mode. Through correlation analysis, it was found that the amplitude of P100 wave in monocular mode was moderately correlated with amplitude of P100 wave in binocular mode. Conclusion In forensic identification practice, VR-PVEP is helpful for overcoming the disturbance of poor fixation, and to increase the reliability of PVEP evaluation results. It can greatly shorten the detection time of PVEP and improve work efficiency.

Creation of virtual channels in the retina using synchronous and asynchronous stimulation—a modelling study

Objective. The spatial resolution of an implantable neural stimulator can be improved by creation of virtual channels (VCs). VCs are commonly achieved through synchronized stimulation of multiple electrodes. It remains unknown whether asynchronous stimulation is able to generate comparable VC performance in retinal stimulation, and how VC can be optimized by re-designing stimulation settings. This study begins with exploring the feasibility of creating VCs using synchronous and asynchronous epiretinal stimulation, and ending with predicting the possible VC performance with a thorough exploration of stimulation parameter space. Approach. A computational model of epiretinal dual-electrode stimulation is developed to simulate the neural activity of a population of retinal ganglion cells (RGCs) under both synchronous and asynchronous stimulation conditions. The interaction between the electrode and RGCs under a range of stimulation parameters are simulated. Main results. Our simulation based on direct RGC activation suggests that VCs can be created using asynchronous stimulation. Two VC performance measures: 1) linearity in the change in centroid location of activated RGC populations, and 2) consistency in the size of activated RGC populations, have comparable performance under asynchronous and synchronous stimulation with appropriately selected stimulation parameters. Significance. Our findings support the possibility of creating VCs by directly activating RGCs under synchronous and asynchronous stimulation conditions. This study establishes the fundamental capability of VC creation based on temporal interactions within the RGC population alone and does not include the effects of potential indirect activation of any surviving inner retinal network neurons. Our results provide theoretical evidence for designing next-generation retinal prosthesis with higher spatial resolution.

The Virtual Hand Illusion in Obesity: Dissociation Between Multisensory Interactions Supporting Illusory Experience and Self-Location Recalibration.

The Rubber Hand Illusion (RHI) is used widely to investigate the multisensory integration mechanisms that support bodily self-consciousness and, more specifically, body ownership and self-location. It has been reported that individuals affected by obesity show anomalous multisensory integration processes. We propose that these obesity-induced changes could lead to an unusual susceptibility to the RHI and anomalous bodily self-experience. To test this hypothesis, we administered a modified version of the RHI (using a picture of the participant's hand) to individuals affected by obesity and participants with a healthy weight. During synchronous and asynchronous stimulation, we compared the subjective experience of the illusion (using a questionnaire) and the effect of the illusion on self-location (i.e., proprioceptive drift). In accordance with the illusion phenomenology, both groups had a comparable subjective illusory experience after the synchronous stimulation. Nevertheless, individuals affected by obesity showed less recalibration of self-location than healthy weight participants. In light of a recent interpretation of the multisensory integration mechanisms that underpin the RHI, our findings suggest that in obesity visuo-tactile integration supporting the subjective experience of the illusion is preserved, whereas visuo-proprioceptive integration for self-location is reduced.

How His bundle pacing prevents and reverses heart failure induced by right ventricular pacing.

Ideal heart performance demands vigorous systolic contractions and rapid diastolic relaxation. These sequential events are precisely timed and interdependent and require the rapid synchronous electrical stimulation provided by the His-Purkinje system. Right ventricular (RV) pacing creates slow asynchronous electrical stimulation that disrupts the timing of the cardiac cycle and results in left ventricular (LV) mechanical asynchrony. Long-term mechanical asynchrony produces LV dysfunction, remodeling, and clinical heart failure. His bundle pacing preserves synchronous electrical and mechanical LV function, prevents or reverses RV pacemaker-induced remodeling, and reduces heart failure.

Visual appearance of the virtual hand affects embodiment in the virtual hand illusion

Body ownership (the feeling that one’s body belongs to oneself) is commonly studied with Rubber hand illusion (RHI) paradigm that allows inducing a temporary illusory feeling of ownership of a life-sized rubber hand. However, it remains unclear whether illusory ownership of the fake hand relies on the same mechanisms as ownership of one’s own real hand. Here, we directly compared ownership of the own hand (OH) and fake hand (FH) in the same set of conditions within immersive virtual reality. We obtained behavioral (proprioceptive drift) and subjective (questionnaire) measures of ownership and disownership for virtual OH, FH and object (Obj) that were located congruently or incongruently with the participant’s real hand and were stimulated synchronously or asynchronously with the real hand. Both OH and FH (but not Obj) were embodied after synchronous stimulation in both locations. Crucially, subjective ownership of the OH was stronger than of the FH in congruent location after synchronous stimulation. It was also present after asynchronous stimulation, being stronger when the virtual OH was subjectively more similar to the real hand. The results suggest that the detailed appearance of the body might act as an additional component in the construction of body ownership.

Altered self-recognition in patients with schizophrenia

Self-alienation is a common characterization of various disturbing experiences in patients with schizophrenia. A vivid example comes from patient reports of not recognizing themselves when inspecting their specular image in the mirror. By applying the multisensory paradigm of the Enfacement Illusion, this study empirically addresses the specular Self-Other discrimination in patients with schizophrenia. 35 patients diagnosed with schizophrenia and 35 healthy matched controls were enrolled in the study. Results found that the group of patients with schizophrenia had a significant skewed self-other discrimination towards the other at baseline. Furthermore, the effect of visuo-tactile stimulation on self-recognition in the schizophrenia patients was significantly altered after both synchronous and asynchronous stimulation compared to baseline. This contrasted with healthy controls which in line with earlier studies only had significantly different self-recognition after synchronous stimulation. The study thus suggests that patients with schizophrenia have deviations in their specular self-recognition compared to healthy controls. Moreover, that temporal factors in multisensory integration may contribute to alterations of self-related stimuli in patients with schizophrenia.

A Survey of Lower Limb Rehabilitation Systems and Algorithms Based on Functional Electrical Stimulation

Functional electrical stimulation is a method of repairing a dysfunctional limb in a stroke patient by using low-intensity electrical stimulation. Currently, it is widely used in smart medical treatment for limb rehabilitation in stroke patients. In this paper, the development of FES systems is sorted out and analyzed in a time order. Then, the progress of functional electrical stimulation in the field of rehabilitation is reviewed in details in two aspects, i.e., system development and algorithm progress. In the system aspect, the development of the first FES control and stimulation system, the core of the lower limb-based neuroprosthesis system and the system based on brain-computer interface are introduced. The algorithm optimization for control strategy is introduced in the algorithm. Asynchronous stimulation to prolong the function time of the lower limbs and a method to improve the robustness of knee joint modeling using neural networks. Representative applications in each of these aspects have been investigated and analyzed.