Finger Stimulation Research Articles

Inter-hemispheric interaction of touches at the fingers: A combined psychophysics and TMS approach

Many studies have investigated interactions in the processing of tactile stimuli across different fingers. However, the precise time-scale of these interactions when stimuli arrive on opposite sides of the body remains uncertain. Specifically, it is not clear how tactile stimulation of different fingers of the same and different hands can interact with each other. The aim of the present study was to address this issue using a novel approach combining the QUEST threshold estimation method with single pulse TMS (spTMS). First, QUEST was used in a two-interval forced-choice design in order to establish threshold for detecting a 200 ms, 100 Hz sinusoidal vibration applied to the index fingertip (target finger threshold). This was done either when the target was presented in isolation, or concurrently with a distractor stimulus on another finger of the same or a different hand. Second, the same participants underwent a series of MRI scans (localisers) to produce somatotopic maps of SI and SII cortices. These maps were used to stimulate over SI with spTMS during a subsequent behavioural task, with the aim of modulating the behavioural interactions between the different fingers. The results showed that the threshold for detecting the target was lower when it was presented in isolation, as compared to when a concurrent distractor was present. Moreover, detection thresholds varied as a function of the distractor finger stimulated. The differential effect of the distractor finger on target detection thresholds is consistent with the segregation of different fingers in early somatosensory processing, from the periphery to SI.

Selectivity and Resolution of Surface Electrical Stimulation for Grasp and Release

Electrical stimulation of arm and hand muscles can be a functional tool for patients with motor dysfunction. Sufficient stimulation of finger and thumb musculature can support natural grasping function. Yet it remains unclear how different grasping movements can be selectively supported by electrical stimulation. The goal of this study is to determine to what extent activation of individual fingers is possible with surface electrical stimulation for the purpose of rehabilitation following stroke. The extensor digitorum communis (EDC) muscle, flexor pollicis longus (FPL) muscle, and the thenar muscle group, all involved in grasp and release, were selected for stimulation. The evoked forces in individual fingers were measured. Stimulation thresholds and selective ranges were determined for each subject. Electrode locations where the highest selective range occurred were compared between subjects and influences of different isometric wrist positions were assessed. In all subjects selective stimulation of middle finger extension and thumb flexion was possible. In addition, selective stimulation of index and ring finger extension was possible in most cases. In nine out of the ten EDC subjects we were able to stimulate three or all four fingers selectively. However, large variability in electrode locations for high selectivity was observed between the subjects. Within the designs of grasping prostheses and grasping rehabilitation devices, the variability of electrode locations should be taken into account. The results of our study facilitate the optimization of such designs and favour a design which allows individualized stimulation locations.

The Role of Periaqueductal Gray and Cingulate Cortex During Suppression of Pain in Complex Regional Pain Syndrome

Complex regional pain syndrome I (CRPS I) is a frequent and debilitating condition with unclear etiology. Hypothesizing that maladaptive central processes play a crucial role in CRPS, the current study set out to explore cerebral activation during a task to suppress the feeling of pain under constant painful stimulation. Ten individuals with CRPS I with symptoms on their left hand were subjected to electrical stimulation of both index fingers subsequently in a functional magnetic resonance imaging experiment. Their data were compared with 15 healthy controls. Concerning psychophysical measures, patients succeeded similarly as healthy controls in suppressing the feeling of pain. However, during constant painful stimulation and with the task to suppress the feeling of pain, there were significant differences in the interaction analyses of the corresponding cortical activation. Patients differ from healthy controls by the activation pattern of cerebral areas that belong to the descending opioid pain suppression pathway: PAG and cingulate cortex are activated significantly less during suppression of pain, regardless of whether the symptomatic or asymptomatic hand was stimulated. Thus, there is a generalized functional change in individuals with CRPS I. However, it cannot be deducted whether the abnormality is causative or merely an effect, possibly maladaptive.

Cutaneous afferent input does not modulate motor intracortical inhibition in ageing men

Afferent input has been shown to be a powerful modulator of cortical inhibition. Such modulation is likely to be important for the control of ongoing movement, but may also play a role in facilitating neuroplastic reorganisation. Human motor control and neuroplasticity both decline with ageing, whereas the efficacy of short-interval intracortical inhibition (SICI) appears not to. We examined if ageing alters the efficacy of afferent modulation of SICI. Previously, electrical cutaneous stimulation of a finger has been shown to reduce SICI in the motor cortices of young adults. Paired-pulse transcranial magnetic stimulation was used to assess SICI in the cortical representation of the first dorsal interosseous muscle. SICI was assessed separately under two conditions: with and without prior afferent input from electrical cutaneous stimulation of the index finger. Fifteen 'young' (20.1 ± 2.1 years) and 15 'old' male humans (65.5 ± 3.9 years) were studied. SICI did not differ when young and old males were compared. However, when preceded by electrical cutaneous finger stimulation, SICI was reduced in young men but not old men. Reflex testing indicated preservation of the afferent volley to the cortex. These findings suggest that a contributing factor in the decline of motor function, and possibly neuroplasticity, with ageing is loss of SICI modulation, probably due to altered cortical sensorimotor integration of afferent input.

Aberrant high-gamma oscillations in the somatosensory cortex of children with cerebral palsy: A meg study

Objective: Our study is to investigate somatosensory dysfunction in children with spastic cerebral palsy (CP) using magnetoencephalography (MEG) and synthetic aperture magnetometry (SAM). Methods: Six children with spastic CP and six age- and gender-matched typically developing children were studied using a 275-channel MEG system while their left and right index fingers were stimulated in random order. The latency and amplitude of somatosensory evoked magnetic fields were analyzed at sensor level. The patterns of high-gamma oscillations were investigated with SAM at source level. Results: In comparison to the children with typical development, the latency of the first response of somatosensory evoked magnetic fields (SEFs) in the children with spastic CP was significantly delayed (p<0.05). High-gamma oscillations were identified in the somatosensory cortex in both children with CP and typical developing children. Interestingly, children with spastic CP had significantly higher incidence of ipsilateral activation in the somatosensory cortex following right and left finger stimulation, compared to typically developing children (p=0.05). Conclusion: The results suggest that children with spastic CP have a measurable delay of SEFs and high-gamma oscillations. The high rates of ipsilateral cortical activation imply the impairments of functional lateralization in the developing brain. This is the first MEG study to demonstrate abnormal high-gamma oscillations of somatosensory cortices representing the finger in children with spastic CP.

Reorganization of multi-muscle and joint withdrawal reflex during arm movements in post-stroke hemiparetic patients

ObjectivesTo investigate the behavior of the nociceptive withdrawal reflex (NWR) in the upper limb during reaching and grasping movements in post-stroke hemiparetic patients. MethodsEight patients with chronic stroke and moderate motor deficits were included. An optoelectronic motion analysis system integrated with a surface EMG machine was used to record the kinematic and EMG data. The NWR was evoked through a painful electrical stimulation of the index finger during a movement which consisted of reaching out, picking up a cylinder, and returning it to the starting position. ResultsWe found that: (i) the NWR is extensively rearranged in hemiparetic patients, who were found to present different kinematic and EMG reflex patterns with respect to controls; (ii) patients partially lose the ability to modulate the reflex in the different movement phases; (iii) the impairment of the reflex modulation occurs at single-muscle, single-joint and multi-joint level. ConclusionsPatients with chronic and mild-moderate post-stroke motor deficits lose the ability to modulate the NWR dynamically according to the movement variables at individual as well as at multi-muscle and joint levels. SignificanceThe central nervous system is unable to use the NWR substrate dynamically and flexibly in order to select the muscle synergies needed to govern the spatio–temporal interaction among joints.

Activation in parietal operculum parallels motor recovery in stroke

Motor recovery after stroke requires continuous interaction of motor and somatosensory systems. Integration of somatosensory feedback with motor programs is needed for the automatic adjustment of the speed, range, and strength of the movement. We recorded somatosensory evoked fields (SEFs) to tactile finger stimulation with whole-scalp magnetoencephalography in 23 acute stroke patients at 1 week, 1 month, and 3 months after stroke to investigate how deficits in the somatosensory cortical network affect motor recovery. SEFs were generated in the contralateral primary somatosensory cortex (SI) and in the bilateral parietal opercula (PO) in controls and patients. In the patients, SI amplitude or latency did not correlate with any of the functional outcome measures used. In contrast, the contralateral PO (cPO) amplitude to the affected hand stimuli correlated significantly with hand function in the acute phase and during recovery; the weaker the PO activation, the clumsier the hand was. At 1 and 3 months, enhancement of the cPO activation paralleled the improvement of the hand function. Whole-scalp magnetoencephalography measurements revealed that dysfunction of somatosensory cortical areas distant from the ischemic lesion may affect the motor recovery. Activation strength of the PO paralleled motor recovery after stroke, suggesting that the PO area is an important hub in mediating modulatory afferent input to motor cortex.

Vision of the Body Modulates Somatosensory Intracortical Inhibition

The magnitude of somatosensory evoked potentials (SEPs) elicited by simultaneous electrical stimulation of adjacent digits is generally less than the sum of potentials evoked by stimulation of each digit individually. This under-additivity suggests suppression between representations of adjacent skin regions and may reflect a process of lateral inhibition by interneurons in somatosensory cortex. Given that simply viewing the body enhances tactile acuity and that tactile acuity depends on cortical lateral inhibition, we investigated how viewing the body modulates suppressive interactions between simultaneous afferent volleys from adjacent fingers. We recorded SEPs evoked by electrical stimulation of the right index and middle fingers, either individually or simultaneously, while participants viewed either their own hand or an object. In between trains of electrical stimuli, participants discriminated the orientation of tactile gratings applied to either finger. Consistent with previous findings, viewing the hand enhanced tactile acuity. Furthermore, viewing the hand increased the suppression of the P50 potential due to simultaneous electrical stimulation of both fingers. Moreover, the visual enhancement of tactile performance correlated across participants with the visual modulation of suppression. These results demonstrate that vision enhances somatosensation by modulating activity of inhibitory interneuronal circuits in the somatosensory cortex.

Transient and steady-state responses to mechanical stimulation of different fingers reveal interactions based on lateral inhibition

Objective Simultaneous tactile finger stimulation evokes transient ERP responses that are smaller than the linear summation of ERP responses to individual stimulation. Occlusion and lateral inhibition are two possible mechanisms responsible for this effect. The present study disentangles these two effects using steady-state somatosensory evoked potentials (SSSEP). Simultaneous stimulation on adjacent and distant finger pairs with the same and different stimulation frequencies are compared. Methods The index finger (IF), middle finger (MF) and little finger (LF) were mechanically stimulated with a frequency of 18, 22 or 26 Hz, respectively. Stimulation was applied for each finger separately, and for the IF (18 Hz) in combination with either the MF or LF for 22 and 26 Hz, respectively. A measure for interaction (IR) was calculated for the P60 component and the SSSEP amplitude. Results Significant interactions were found in both the P60 response and in the SSSEP response. Stimulation of adjacent finger combinations caused more interaction than distant finger combinations. No difference was found between stimulation of two fingers with the same or a different frequency. Conclusions Our results indicate that lateral inhibition is mainly responsible for the interaction effect. Significance These observations provide further insight in the mechanisms behind interaction between somatosensory inputs.

Alterations in Excitatory and Inhibitory Brainstem Interneuronal Circuits after Severe Spinal Cord Injury

Reorganization of the central nervous system following spinal cord injury (SCI) involves changes not only at the cortical level, but also at the level of the brainstem. To further understand changes in excitatory and inhibitory brainstem interneuronal circuits following SCI, we studied recovery curves of the blink reflex (BR) to paired suprathreshold stimuli at various intervals (160, 300, 500, and 1000 msec), and prepulse inhibition of the BR following right index finger stimulation 100 msec prior to supraorbital nerve stimulation. Both parameters were studied in patients with SCI without baclofen treatment (n = 19), in patients with continuous intrathecal baclofen (CITB) (n = 9), and in healthy controls (n = 13). R2 recovery, expressed as the ratio of R2 area following the second stimulus divided by the R2 area following the first stimulus, was significantly greater in SCI patients without baclofen compared to controls and patients with CITB at all intervals, while there was no difference between patients with CITB and controls. Prepulse inhibition of R2 was significantly less in patients without baclofen compared to patients with CITB and healthy controls. Our findings indicate enhanced excitability and reduced inhibition of brainstem interneuronal circuits in patients with SCI, that are restored in the presence of baclofen to levels comparable to controls. In conclusion, SCI patients show more extended alterations in brainstem circuitry than previously thought. Decreased GABAergic mechanisms seem to be related to both excitatory and inhibitory brainstem circuit alterations. Baclofen appears to effectively restore this decreased GABAeregic activity.

The frequency profile of somatosensory evoked magnetic fields in the developing brain

Event Abstract Back to Event The frequency profile of somatosensory evoked magnetic fields in the developing brain Yingying Wang1, 2*, Jing Xiang2, Douglas Rose1, 2, Tom Holroyd3, Elana Harris2 and Ton DeGrauw2 1 University of Cincinnati, United States 2 Cincinnati Children's Hospital Medical Center, United States 3 National Institute of Mental Health, United States The objective of this paper is to study the variations of magnetic fields evoked by index finger stimulation in four age groups (6-9, 10-13, 14-17 and 18-49 years old) of normal population. We recorded magnetic fields during unilateral electrical stimulation of the index finger in 60 healthy children (7±1.2, 12±1.3 and 15±1.1) and 20 healthy adults (30±5.7) using a 275-channel whole head magnetoencephalography (MEG) system. Each group consisted of 10 females and males. Electrical stimulation was applied in randomized order to the right or left index finger with two digital rings. One hundred trials were recorded for both the right and left index finger stimulations. MEG data were analyzed in both the time and frequency domains. Brain regions associated with finger stimulations were localized with the equivalent current dipoles (ECDs). Time-frequency analysis was at the source level with a vector beamformer and Morlet wavelets. Our data have revealed evoked neuromagnetic signals in low-frequency ranges (10-40 Hz). In addition, the spectrograms revealed consistent focal increases of spectral power around 120-200 Hz in the left and right hemispheres in children. Furthermore, the neuromagnetic activation above 200 Hz was also observed, which were in the frequency range of 600-890 Hz. The preliminary data suggest that neuromagnetic signals above 120 Hz in the developing brain are noninvasive detectable. Conference: Biomag 2010 - 17th International Conference on Biomagnetism , Dubrovnik, Croatia, 28 Mar - 1 Apr, 2010. Presentation Type: Poster Presentation Topic: Sensory Processing and Functional Connectivity Citation: Wang Y, Xiang J, Rose D, Holroyd T, Harris E and DeGrauw T (2010). The frequency profile of somatosensory evoked magnetic fields in the developing brain. Front. Neurosci. Conference Abstract: Biomag 2010 - 17th International Conference on Biomagnetism . doi: 10.3389/conf.fnins.2010.06.00134 Copyright: The abstracts in this collection have not been subject to any Frontiers peer review or checks, and are not endorsed by Frontiers. They are made available through the Frontiers publishing platform as a service to conference organizers and presenters. The copyright in the individual abstracts is owned by the author of each abstract or his/her employer unless otherwise stated. Each abstract, as well as the collection of abstracts, are published under a Creative Commons CC-BY 4.0 (attribution) licence (https://creativecommons.org/licenses/by/4.0/) and may thus be reproduced, translated, adapted and be the subject of derivative works provided the authors and Frontiers are attributed. For Frontiers’ terms and conditions please see https://www.frontiersin.org/legal/terms-and-conditions. Received: 25 Mar 2010; Published Online: 25 Mar 2010. * Correspondence: Yingying Wang, University of Cincinnati, Cincinnati, United States, wang2yg@mail.uc.edu Login Required This action requires you to be registered with Frontiers and logged in. To register or login click here. Abstract Info Abstract The Authors in Frontiers Yingying Wang Jing Xiang Douglas Rose Tom Holroyd Elana Harris Ton DeGrauw Google Yingying Wang Jing Xiang Douglas Rose Tom Holroyd Elana Harris Ton DeGrauw Google Scholar Yingying Wang Jing Xiang Douglas Rose Tom Holroyd Elana Harris Ton DeGrauw PubMed Yingying Wang Jing Xiang Douglas Rose Tom Holroyd Elana Harris Ton DeGrauw Related Article in Frontiers Google Scholar PubMed Abstract Close Back to top Javascript is disabled. Please enable Javascript in your browser settings in order to see all the content on this page.

High-resolution optical functional mapping of the human somatosensory cortex

Non-invasive optical imaging of brain function has been promoted in a number of fields in which functional magnetic resonance imaging (fMRI) is limited due to constraints induced by the scanning environment. Beyond physiological and psychological research, bedside monitoring and neurorehabilitation may be relevant clinical applications that are yet little explored. A major obstacle to advocate the tool in clinical research is insufficient spatial resolution. Based on a multi-distance high-density optical imaging setup, we here demonstrate a dramatic increase in sensitivity of the method. We show that optical imaging allows for the differentiation between activations of single finger representations in the primary somatosensory cortex (SI). Methodologically our findings confirm results in a pioneering study by Zeff et al. (2007) and extend them to the homuncular organization of SI. After performing a motor task, eight subjects underwent vibrotactile stimulation of the little finger and the thumb. We used a high-density diffuse-optical sensing array in conjunction with optical tomographic reconstruction. Optical imaging disclosed three discrete activation foci one for motor and two discrete foci for vibrotactile stimulation of the first and fifth finger, respectively. The results were co-registered to the individual anatomical brain anatomy (MRI) which confirmed the localization in the expected cortical gyri in four subjects. This advance in spatial resolution opens new perspectives to apply optical imaging in the research on plasticity notably in patients undergoing neurorehabilitation.

Oscillatory response function: Towards a parametric model of rhythmic brain activity

Rhythmic brain activity, measured by magnetoencephalography (MEG), is modulated during stimulation and task performance. Here, we introduce an oscillatory response function (ORF) to predict the dynamic suppression-rebound modulation of brain rhythms during a stimulus sequence. We derived a class of parametric models for the ORF in a generalized convolution framework. The model parameters were estimated from MEG data acquired from 10 subjects during bilateral tactile stimulation of fingers (stimulus rates of 4 Hz and 10 Hz in blocks of 0.5, 1, 2, and 4 s). The envelopes of the 17-23 Hz rhythmic activity, computed for sensors above the rolandic region, correlated 25%-43% better with the envelopes predicted by the models than by the stimulus time course (boxcar). A linear model with separate convolution kernels for onset and offset responses gave the best prediction. We studied the generalizability of this model with data from 5 different subjects during a separate bilateral tactile sequence by first identifying neural sources of the 17-23 Hz activity using cortically constrained minimum norm estimates. Both the model and the boxcar predicted strongest modulation in the primary motor cortex. For short-duration stimulus blocks, the model predicted the envelope of the cortical currents 20% better than the boxcar did. These results suggest that ORFs could concisely describe brain rhythms during different stimuli, tasks, and pathologies.

Aberrant high-frequency desynchronization of cerebellar cortices in early-onset psychosis

Sensorimotor integration deficits are routinely observed in both schizophreniform and mood-disordered psychoses. Neurobiological theories of schizophrenia and related psychoses have proposed that aberrations in large-scale cortico-thalamic–cerebellar–thalamic–cortical loops may underlie integration abnormalities, and that such dysfunctional connectivity may be central to the pathophysiology. In this study, we utilized a basic mechanoreception task to probe cortical–cerebellar circuitry in early-onset psychosis. Ten adolescents with psychosis and 10 controls completed unilateral tactile stimulation of the right and left index finger, as whole-head magnetoencephalography (MEG) data were acquired. MEG data were imaged in the frequency domain, using spatial filtering, and the resulting event-related synchronizations and desynchronizations (ERS/ERD) were subjected to voxel-wise analyses of group and task effects using statistical parametric mapping. Our results indicated bilateral ERD activation of cerebellar regions and postcentral gyri in both groups during stimulation of either hand. Interestingly, during left finger stimulations, adolescents with psychosis exhibited greater alpha and gamma ERD activity in right cerebellar cortices relative to controls. Subjects with psychosis also showed greater ERD in bilateral cerebellum and the right postcentral gyrus during right finger stimulation, and these differences were statistically stronger for higher frequency bins. Lastly, controls exhibited greater alpha ERS of the right postcentral gyrus during right finger stimulation. These findings provide new data on the neurodevelopmental trajectory of basic mechanoreception in adolescents, and also indicate aberrant cerebellar functioning in early-onset psychoses, especially in the right cerebellum, which may be the crucial dysfunctional node in cortico-thalamic–cerebellar–thalamic–cortical circuits.

Afferent‐induced facilitation of primary motor cortex excitability in the region controlling hand muscles in humans

Sensory inputs from cutaneous and limb receptors are known to influence motor cortex network excitability. Although most recent studies have focused on the inhibitory influences of afferent inputs on arm motor responses evoked by transcranial magnetic stimulation (TMS), facilitatory effects are rarely considered. In the present work, we sought to establish how proprioceptive sensory inputs modulate the excitability of the primary motor cortex region controlling certain hand and wrist muscles. Suprathreshold TMS pulses were preceded either by median nerve stimulation (MNS) or index finger stimulation with interstimulus intervals (ISIs) ranging from 20 to 200 ms (with particular focus on 40-80 ms). Motor-evoked potentials recorded in the abductor pollicis brevis (APB), first dorsalis interosseus and extensor carpi radialis muscles were strongly facilitated (by up to 150%) by MNS with ISIs of around 60 ms, whereas digit stimulation had only a weak effect. When MNS was delivered at the interval that evoked the optimal facilitatory effect, the H-reflex amplitude remained unchanged and APB motor responses evoked with transcranial electric stimulation were not increased as compared with TMS. Afferent-induced facilitation and short-latency intracortical inhibition (SICI) and intracortical facilitation (ICF) mechanisms are likely to interact in cortical circuits, as suggested by the strong facilitation observed when MNS was delivered concurrently with ICF and the reduction of SICI following MNS. We conclude that afferent-induced facilitation is a mechanism which probably involves muscle spindle afferents and should be considered when studying sensorimotor integration mechanisms in healthy and disease situations.

Cortical Reorganization in Primary Somatosensory Cortex in Patients With Unilateral Chronic Pain

Bodily representations of the primary somatosensory (SI) cortex are constantly modified according to sensory input. Increased input due to training as well as loss of input due to deafferentation are reflected as changes in the extent of cortical representations. Recent studies in complex regional pain syndrome (CRPS) patients have indicated that the chronic pain itself is associated with cortical reorganization. However, it is unclear whether the observed reorganization is specific for CRPS or if it can be detected also in other types of chronic pain. We therefore searched for signs of cortical reorganization in a group of 8 patients who suffered from chronic pain associated with herpes simplex virus infections. The pain was widespread but restricted to unilateral side of the body and included the upper limb. We recorded neuromagnetic responses to tactile stimulation of fingers of both hands in patients and in a group of healthy, matched control subjects. In the patients, the distance between the thumb (D1) and little finger (D5) representations in SI cortex was statistically significantly smaller in the hemisphere contralateral to painful side than in the hemisphere contralateral to healthy side. In the control subjects, the D1-D5 distance was the same in both hemispheres. The present results indicate that cortical reorganization occurs in chronic neuropathic pain patients even without peripheral nerve damage. It is possible that cortical reorganization is related to chronic pain, regardless of its etiology. Causality between reorganization and chronic pain should be examined further to develop therapeutic approaches for chronic pain.

Maturation of somatosensory cortical processing from birth to adulthood revealed by magnetoencephalography

To evaluate the maturation of tactile processing by recording somatosensory evoked magnetic fields (SEFs) from healthy human subjects. SEFs to tactile stimulation of the left index finger were measured from the contralateral somatosensory cortex with magnetoencephalography (MEG) in five age groups: newborns, 6- and 12-18-month-olds, 1.6-6-year-olds, and adults. The waveforms of the measured signals and equivalent current dipoles (ECDs) were analyzed in awake and sleep states in order to separate the effects of age and vigilance state on SEFs. There was an orderly, systematic change in the measured and ECD source waveforms of the initial cortical responses with age. The broad U-shaped response in newborns (M60) shifted to a W-shaped response with emergence of a notch by 6 months of age. The adult-type response with M30 and M50 components was present by 2 years. The ECDs of M60 and M30 were oriented anteriorly and that of M50 posteriorly. These maturational changes were independent of vigilance state. The most significant maturation of short latency cortical responses to tactile stimulation takes place during the first 2 years of life. The maturational changes of somatosensory processing can noninvasively be evaluated with MEG already in infancy.

Altered somatosensory processing in trigeminal neuralgia

Trigeminal neuralgia (TN) is a pain state characterized by intermittent unilateral pain attacks in one or several facial areas innervated by the trigeminal nerve. The somatosensory cortex is heavily involved in the perception of sensory features of pain, but it is also the primary target for thalamic input of nonpainful somatosensory information. Thus, pain and somatosensory processing are accomplished in overlapping cortical structures raising the question whether pain states are associated with alteration of somatosensory function itself. To test this hypothesis, we used functional magnetic resonance imaging to assess activation of primary (SI) and secondary (SII) somatosensory cortices upon nonpainful tactile stimulation of lips and fingers in 18 patients with TN and 10 patients with TN relieved from pain after successful neurosurgical intervention in comparison with 13 healthy subjects. We found that SI and SII activations in patients did neither depend on the affected side of TN nor differ between operated and nonoperated patients. However, SI and SII activations, but not thalamic activations, were significantly reduced in patients as compared to controls. These differences were most prominent for finger stimulation, an area not associated with TN. For lip stimulation SI and SII activations were reduced in patients with TN on the contra- but not on the ipsilateral side to the stimulus. These findings suggest a general reduction of SI and SII processing in patients with TN, indicating a long-term modulation of somatosensory function and pointing to an attempt of cortical adaptation to potentially painful stimuli.

Specificity and Coherence of Body Representations

Bodily illusions differently affect body representations underlying perception and action. We investigated whether this task dependence reflects two distinct dimensions of embodiment: the sense of agency and the sense of the body as a coherent whole. In experiment 1 the sense of agency was manipulated by comparing active versus passive movements during the induction phase in a video rubber hand illusion (vRHI) setup. After induction, proprioceptive biases were measured both by perceptual judgments of hand position, as well as by measuring end-point accuracy of subjects' active pointing movements to an external object with the affected hand. The results showed, first, that the vRHI is largely perceptual: passive perceptual localisation judgments were altered, but end-point accuracy of active pointing responses with the affected hand to an external object was unaffected. Second, within the perceptual judgments, there was a novel congruence effect, such that perceptual biases were larger following passive induction of vRHI than following active induction. There was a trend for the converse effect for pointing responses, with larger pointing bias following active induction. In experiment 2, we used the traditional RHI to investigate the coherence of body representation by synchronous stimulation of either matching or mismatching fingers on the rubber hand and the participant's own hand. Stimulation of matching fingers induced a local proprioceptive bias for only the stimulated finger, but did not affect the perceived shape of the hand as a whole. In contrast, stimulation of spatially mismatching fingers eliminated the RHI entirely. The present results show that (i) the sense of agency during illusion induction has specific effects, depending on whether we represent our body for perception or to guide action, and (ii) representations of specific body parts can be altered without affecting perception of the spatial configuration of the body as a whole.

Spatial acuity and summation on the hand: The role of thermal cues in material discrimination

The spatial characteristics of thermal perception were studied in two experiments that examined how thermal stimuli are processed within the hands. A thermal display that simulates cues associated with making contact with different materials was used in these studies. In the first experiment, participants indicated which of two simulated materials that were presented to the index fingertip was cooler. The results indicated that participants were unable to resolve the two areas of thermal stimulation. In the second experiment, the effects of concurrent thermal stimulation on the ability to discriminate between simulated materials were evaluated. Thermal cues were presented to the middle fingers of both hands and to two adjacent fingers on one hand. Thermal spatial summation was evident across the fingers, which enhanced the ability to discriminate between materials when the cooler stimulus was presented to three fingers. When the same stimulus was presented to the two hands, the stimulation of adjacent fingers altered the perceived thermal response.