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Keywords = sensory trick

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22 pages, 2719 KB  
Article
Enhancement of Visual Feedback Ownership in Hand Mirror Therapy Using Automated Control of Electrical Muscle Stimulation Based on Healthy Hand Movement
by Adhe Rahmatullah Sugiharto Suwito P, Ayumi Ohnishi, Tsutomu Terada and Masahiko Tsukamoto
Appl. Sci. 2025, 15(20), 11179; https://doi.org/10.3390/app152011179 - 18 Oct 2025
Viewed by 1006
Abstract
Mirror therapy (MT) has been recognized for its potential to harness neuroplasticity and improve recovery in post-stroke patients. In MT, a mirror tricks the brain into thinking that the weak or paralyzed side of the body is moving when the healthy side moves, [...] Read more.
Mirror therapy (MT) has been recognized for its potential to harness neuroplasticity and improve recovery in post-stroke patients. In MT, a mirror tricks the brain into thinking that the weak or paralyzed side of the body is moving when the healthy side moves, thereby helping to stimulate healing and relearn movement after a stroke or injury. However, MT is limited in addressing the sensory impairment and visual feedback ownership on the affected hand. A combination of MT and electrical muscle stimulation (EMS) is believed to enhance muscle strength and sensory perception, but lacks synchronization with the movement intention of the healthy hand. This study aims to advance MT to further promote neuroplasticity through movement synchronization in both hands. A stretch-sensor glove was used on the unaffected hand to capture finger movement kinematics, controlling the electrical intensity of an EMS device on the assumed affected hand. Thereby, a proportional control of electrical intensity and synchronous movement of both hands was achieved. This study compared four types of electrical intensities, spanning from baseline (no stimulation) to higher intensities (S0–S4). As a result, body representation perception showed an overall negative correlation with the level of comfort associated with the stimulus. Enhancements in body representation perception were significantly confirmed (p < 0.01) in stronger stimulus types, notably S4 and S4F of the spontaneous movement scheme, compared to the baseline stimulus S0 and the weak intensity S1. There may be a possibility of enhancing neuroplasticity by strategically using various electrical intensities. The proposed system shows promising performance by enhancing body representation through improved visual feedback ownership at higher electrical intensities. Full article
(This article belongs to the Special Issue Current Advances in Rehabilitation Technology)
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5 pages, 567 KB  
Case Report
Electrically Induced Sensory Trick in a Patient with Musician’s Dystonia: A Case Report
by Daisuke Nishida, Katsuhiro Mizuno, Osamu Takahashi, Meigen Liu and Tetsuya Tsuji
Brain Sci. 2023, 13(2), 223; https://doi.org/10.3390/brainsci13020223 - 29 Jan 2023
Cited by 2 | Viewed by 3855
Abstract
A sensory trick is a specific maneuver that temporarily improves focal dystonia. We describe a case of musician’s dystonia in the right-hand fingers of a patient, who showed good and immediate improvement after using an electrical stimulation-mimicking sensory trick. A 49-year-old professional guitarist [...] Read more.
A sensory trick is a specific maneuver that temporarily improves focal dystonia. We describe a case of musician’s dystonia in the right-hand fingers of a patient, who showed good and immediate improvement after using an electrical stimulation-mimicking sensory trick. A 49-year-old professional guitarist presented with chronic involuntary flexion of the right-hand third and fourth fingers that occurred during guitar performances. Electrical stimulation with a frequency of 40 Hz and an intensity of 1.5 times the sensory threshold was administered on the third and fourth fingernails of the right hand, which facilitated fluent guitar playing. While he played guitar with and without electrical stimulation, we measured the surface electromyograms (sEMG) of the right extensor digitorum and flexor digitorum superficialis muscles to evaluate the sensory-trick-like effects of electrical stimulation. This phenomenon can offer clues for developing electrical stimulation-based treatment devices for focal dystonia. Electrical stimulation has the advantage that it can be turned off to avoid habituation. Moreover, the device is easy to use and portable. These findings warrant further investigation into the use of sensory stimulation for treating focal dystonia. Full article
(This article belongs to the Section Sensory and Motor Neuroscience)
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18 pages, 1471 KB  
Review
Dystonia Diagnosis: Clinical Neurophysiology and Genetics
by Lazzaro di Biase, Alessandro Di Santo, Maria Letizia Caminiti, Pasquale Maria Pecoraro, Simona Paola Carbone and Vincenzo Di Lazzaro
J. Clin. Med. 2022, 11(14), 4184; https://doi.org/10.3390/jcm11144184 - 19 Jul 2022
Cited by 17 | Viewed by 8004
Abstract
Dystonia diagnosis is based on clinical examination performed by a neurologist with expertise in movement disorders. Clues that indicate the diagnosis of a movement disorder such as dystonia are dystonic movements, dystonic postures, and three additional physical signs (mirror dystonia, overflow dystonia, and [...] Read more.
Dystonia diagnosis is based on clinical examination performed by a neurologist with expertise in movement disorders. Clues that indicate the diagnosis of a movement disorder such as dystonia are dystonic movements, dystonic postures, and three additional physical signs (mirror dystonia, overflow dystonia, and geste antagonists/sensory tricks). Despite advances in research, there is no diagnostic test with a high level of accuracy for the dystonia diagnosis. Clinical neurophysiology and genetics might support the clinician in the diagnostic process. Neurophysiology played a role in untangling dystonia pathophysiology, demonstrating characteristic reduction in inhibition of central motor circuits and alterations in the somatosensory system. The neurophysiologic measure with the greatest evidence in identifying patients affected by dystonia is the somatosensory temporal discrimination threshold (STDT). Other parameters need further confirmations and more solid evidence to be considered as support for the dystonia diagnosis. Genetic testing should be guided by characteristics such as age at onset, body distribution, associated features, and coexistence of other movement disorders (parkinsonism, myoclonus, and other hyperkinesia). The aim of the present review is to summarize the state of the art regarding dystonia diagnosis focusing on the role of neurophysiology and genetic testing. Full article
(This article belongs to the Special Issue Clinical Management of Movement Disorders)
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11 pages, 4437 KB  
Article
Gray and White Matter Changes Associated with Psychophysical Functions Induced by Diabolo Training in Young Men
by Ming-Chung Chou, Jui-Hsing Lin and Ming-Ting Wu
Tomography 2022, 8(2), 858-868; https://doi.org/10.3390/tomography8020070 - 21 Mar 2022
Viewed by 3277
Abstract
Learning a skill has been demonstrated to relate to neural plasticity in both animal and human brains. Performing diabolo consists of different tricks and may cause brain structural changes associated with psychophysical functions. Therefore, the purpose of this study was to investigate gray [...] Read more.
Learning a skill has been demonstrated to relate to neural plasticity in both animal and human brains. Performing diabolo consists of different tricks and may cause brain structural changes associated with psychophysical functions. Therefore, the purpose of this study was to investigate gray matter (GM) and white matter (WM) changes associated with psychophysical functions induced by diabolo training in healthy subjects. Fourteen healthy right-handed male subjects were enrolled to receive the diabolo training. Whole brain T1-weighted images and diffusion tensor imaging (DTI) data were acquired from all subjects on a 3.0 T magnetic resonance scanner before and after the training. Voxel-based morphometry (VBM), surface-based morphometry (SBM), and voxel-wise DTI analysis were carried out to detect the GM volume, cortical thickness, and WM diffusion changes using T1-weighted image and DTI data, respectively. In addition, two-arm coordination and mirror-drawing tests were performed to evaluate their psychophysical functions before and after 2, 4, 6 and 8 weeks of training. Analysis of variance was performed to understand whether the psychophysical functions changed over time after the training. The results showed that the psychophysical functions were significantly changed over time during the training. The VBM and SBM analyses revealed that the GM volume and cortical thickness were significantly increased in the brain areas associated with visual, motor, sensory, and spatial cognition functions. The voxel-wise DTI analysis further demonstrated that the mean diffusivity was significantly reduced in the genu of corpus callosum. Moreover, significant correlations were revealed between the increase rate of GM volume and the improvement rate of psychophysical functions in the left angular gyrus. The results suggest that the diabolo training may induce increased GM volume associated with improved psychophysical function in the brain region involved in spatial cognition and attention. Therefore, we conclude that the diabolo training may improve psychophysical function which might be reflected by the increased GM volume in the angular gyrus. Full article
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11 pages, 1124 KB  
Article
Odor–Taste–Texture Interactions as a Promising Strategy to Tackle Adolescent Overweight
by Cristina Proserpio, Elvira Verduci, Gianvincenzo Zuccotti and Ella Pagliarini
Nutrients 2021, 13(10), 3653; https://doi.org/10.3390/nu13103653 - 19 Oct 2021
Cited by 17 | Viewed by 4690
Abstract
The adolescence period is characterized by a considerable risk to weight gain due to the high consumption of food rich in sugar. A promising strategy to reduce sugar consumption may lie in exploiting the ability of our senses to interact to each other [...] Read more.
The adolescence period is characterized by a considerable risk to weight gain due to the high consumption of food rich in sugar. A promising strategy to reduce sugar consumption may lie in exploiting the ability of our senses to interact to each other (cross-modal interactions). The aims were to investigate the cross-modal interactions and gustatory function in normal-weight and overweight adolescents. Fifty adolescents (25 overweight and 25 normal-weight) were involved. Subjects rated liking and attribute intensity in pudding samples obtained by adding vanilla aroma (0.1%; 0.3%), butter aroma (0.05%; 0.1%) or a thickener agent (1%; 1.5%) to a base formulation. The gustatory function was also measured through the “taste strips” methodology. Overweight adolescents were found to have a significantly (p < 0.001) worse ability to correctly identify all tastes. Cross-modal interactions occurred differently according to their body mass index, with a significant increase (p < 0.05) in sensory desirable characteristics (e.g., sweet and creaminess) due to aroma addition, especially in overweight subjects. Furthermore, butter aroma significantly increased hedonic responses only in overweight subjects. Tricking our senses in the way of perceiving sensory attributes could be a promising strategy to develop innovative food formulations with a reduced sugar amount, which will lead to a potential decrease in caloric intake and help to tackle the obesity epidemic. Full article
(This article belongs to the Special Issue Implications of Taste and Olfaction in Nutrition and Health)
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5 pages, 127 KB  
Article
Microsaccades: Empirical Research and Methodological Advances—Introduction to Part 1 of the Thematic Special Issue
by Susana Martinez-Conde, Ralf Engbert and Rudolf Groner
J. Eye Mov. Res. 2019, 12(6), 1-5; https://doi.org/10.16910/jemr.12.6.1 - 19 Jun 2020
Viewed by 540
Abstract
Recent technical developments and increased affordability of high-speed eye tracking devices have brought microsaccades to the forefront of research in many areas of sensory, perceptual, and cognitive processes. The present thematic issue on “Microsaccades: Empirical Research and Methodological Advances” invited authors to submit [...] Read more.
Recent technical developments and increased affordability of high-speed eye tracking devices have brought microsaccades to the forefront of research in many areas of sensory, perceptual, and cognitive processes. The present thematic issue on “Microsaccades: Empirical Research and Methodological Advances” invited authors to submit original research and reviews encompassing measurements and data analyses in fundamental, translational, and applied studies. We present the first volume of this special issue, comprising 14 articles by research teams around the world. Contributions include the characterization of fixational eye movements and saccadic intrusions in neurological impairments and in visual disease, methodological developments in microsaccade detection, the measurement of fixational eye movements in applied and ecological scenarios, and advances in the current understanding of the relationship between microsaccades and cognition. When fundamental research on microsaccades experienced a renaissance at the turn of the millennium (c.f. Martinez-Conde, Macknik, & Hubel, 2004), one could hardly have been so bold as to predict the manifold applications of research on fixational eye movements in clinic and practice. Through this great variety of areas of focus, some main topics emerge. One such theme is the applicability of microsaccade measures to neurological and visual disease. Whereas microsaccade quantifications have been largely limited to participants with intact visual and oculomotor systems, recent research has extended this interest into the realm of neural and ophthalmic impairment (see Alexander, Macknik, & Martinez-Conde, 2018, for a review). In this volume, Becker et al. analyze “Saccadic intrusions in amyotrophic lateral sclerosis (ALS)” and Kang et al. study “Fixational eye movement waveforms in amblyopia”, delving into the characteristics of fast and slow eye movements. Two other articles focus on how the degradation of visual information, which is relevant to many ophthalmic pathologies, affects microsaccadic features. Tang et al. investigate the “Effects of visual blur on microsaccades on visual exploration” and conclude that the precision of an image on the fovea plays an important role in the calibration of microsaccade amplitudes during visual scanning. Otero-Millan et al. use different kinds of visual stimuli and viewing tasks in the presence or absence of simulated scotomas, to determine the contributions of foveal and peripheral visual information to microsaccade production. They conclude that “Microsaccade generation requires a foveal anchor”. The link between microsaccadic characteristics and cognitive processes has been a mainstay of microsaccade research for almost two decades, since studies in the early 2000s connected microsaccade directions to the spatial location of covert attentional cues (Engbert & Kliegl, 2003; Hafed & Clark, 2002). In the present volume, Dalmaso et al. report that “Anticipation of cognitive conflict is reflected in microsaccades”, providing new insights about the top-down modulation of microsaccade dynamics. Ryan et al. further examine the relationship between “Microsaccades and covert attention” during the performance of a continuous, divided-attention task, and find preliminary evidence that microsaccades track the ongoing allocation of spatial attention. Krueger et al. discover that microsaccade rates modulate with visual attention demands and report that “Microsaccades distinguish looking from seeing”. Taking the ecological validity of microsaccade investigations one step further, Barnhart et al. evaluate microsaccades during the observation of magic tricks and conclude that “Microsaccades reflect the dynamics of misdirected attention in magic”. Two articles examine the role of individual differences and intraindividual variability over time on microsaccadic features. In “Reliability and correlates of intra-individual variability in the oculomotor system” Perquin and Bompas find evidence for intra-individual reliability over different time points, while cautioning that its use to classify self-reported individual differences remains unclear. Stafford et al. provide a counterpoint in “Can microsaccade rate predict drug response?” by supporting the use of microsaccade occurrence as both a trait measure of individual differences and as a state measure of response to caffeine administration. Methodological and technical advances are the subjects of three papers in this volume. In “Motion tracking of iris features to detect small eye movements” Chaudhary and Pelz describe a new video-based eye tracking methodology that relies on higher-order iris texture features, rather than on lower-order pupil center and corneal reflection features, to detect microsaccades with high confidence. Munz et al. present an open source visual analytics system called “VisME: Visual microsaccades explorer” that allows users to interactively vary microsaccade filter parameters and evaluate the resulting effects on microsaccade behavior, with the goal of promoting reproducibility in data analyses. In “What makes a microsaccade? A review of 70 years research prompts a new detection method” Hauperich et al. review the microsaccade properties reported between the 1940s and today, and use the stated range of parameters to develop a novel method of microsaccade detection. Lastly, Alexander et al. switch the focus from the past of microsaccade research to its future, by discussing the recent and upcoming applications of fixational eye movements to ecologically-valid and real-world scenarios. Their review “Microsaccades in applied environments: real-world applications of fixational eye movement measurements” covers the possibilities and challenges of taking microsaccade measurements out of the lab and into the field. Microsaccades have engaged the interest of scientists from different backgrounds and disciplines for many decades and will certainly continue to do so. One reason for this fascination might be microsaccades’ role as a link between basic sensory processes and high-level cognitive phenomena, making them an attractive focus of interdisciplinary research and transdisciplinary applications. Thus, research on microsaccades will not only endure, but keep evolving as the present knowledge base expands. Part 2 of the special issue on microsaccades is already in progress with articles currently under review and will be published in 2021. Full article
7 pages, 1394 KB  
Case Report
Sensory Trick in a Patient with Cervical Dystonia: Insights from Magnetoencephalography
by Abhimanyu Mahajan, Andrew Zillgitt, Susan M. Bowyer and Christos Sidiropoulos
Brain Sci. 2018, 8(4), 51; https://doi.org/10.3390/brainsci8040051 - 22 Mar 2018
Cited by 13 | Viewed by 6899
Abstract
Background: The proposed mechanisms for the sensory trick include peripheral sensory feedback to aid in correcting abnormal posture or movement. Case report: A 53-year-old woman with cervical dystonia underwent magnetoencephalography pre- and post-botulinum toxin injection and sensory trick, which was described as yawning. [...] Read more.
Background: The proposed mechanisms for the sensory trick include peripheral sensory feedback to aid in correcting abnormal posture or movement. Case report: A 53-year-old woman with cervical dystonia underwent magnetoencephalography pre- and post-botulinum toxin injection and sensory trick, which was described as yawning. Study revealed connectivity between the left frontal and inferior frontal gyrus before yawning, which changed to the visual cortex and right middle frontal gyrus with yawning. Beta frequencies reduced and gamma frequencies increased after yawning. Discussion: The increase in gamma frequency bands may indicate increased GABAergic activity. Increase in connectivity in the right cerebellar region underscores the importance of cerebellum in pathogenesis of dystonia. Full article
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