Sensation

感觉
  • 文章类型: Journal Article
    双眼光泽现象可以通过简单的双中心周围刺激引起,显示出眼睛之间的亮度对比差。先前的发现支持这种现象是由低级冲突机制介导的,该机制整合了来自不同类型对比检测器细胞的单眼信号。此外,眼睛之间具有不同颜色对比的孤立光刺激可以触发光泽感。这里,我们研究了这种纯色刺激中的光泽印象是否取决于眼间对比差异,尤其是与消色差病例相似的眼间对比极性配对。在我们的实验中,我们使用一系列具有不同环宽度的孤立光二向型中心-环-环绕刺激测量了光泽响应的大小,这些刺激的颜色特性沿红色-绿色和蓝色-黄色基数方向变化。数据的趋势与我们以前的消色差刺激研究非常相似,表明两种情况下的机制相似。经验光泽数据也可以通过我们的两眼冲突模型的彩色版本进行预测(总体R2值在0.577和0.639之间),其中使用了两种不同的感受野模型,在V1中模拟颜色敏感的双对手单元的行为。
    The phenomenon of binocular luster can be evoked by simple dichoptic center-surround stimuli showing a luminance contrast difference between the eyes. Previous findings support the idea that this phenomenon is mediated by a low-level conflict mechanism that integrates the monocular signals from different types of contrast detector cells. Also, isoluminant stimuli with different chromatic contrasts between eyes can trigger sensations of luster. Here, we investigate whether the lustrous impression in such purely chromatic stimuli depends on interocular contrast differences and in particular on interocular contrast polarity pairings in a similar way as in the achromatic case. In our experiments, we measured the magnitude of the lustrous response using a series of isoluminant dichoptic center-ring-surround stimuli with varying ring width whose chromatic properties were varied along the red-green and blue-yellow cardinal directions. The trends in the data were very similar to those of our former study with achromatic stimuli, indicating similar mechanisms in both cases. The empirical luster data could also be predicted fairly well by a chromatic version of our interocular conflict model (with overall R2 values between 0.577 and 0.639), for which two different receptive field models were used, simulating the behavior of color-sensitive double-opponent cells in V1.
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  • 文章类型: Journal Article
    背景:减弱的社会注意力是自闭症谱系障碍(ASD)的关键标志。最近的神经影像学发现也强调了ASD中感觉显著性的改变。蓝斑-去甲肾上腺素系统(LC-NE)已被建立为这种感觉显着性处理(SSP)的调节剂。我们检验了以下假设:LC-NE功能的改变会导致不同的SSP,并导致ASD中社会关注的差异。
    方法:我们分析了EU-AIMS纵向欧洲自闭症项目(LEAP)的基线眼动追踪数据(n=166,年龄=6-30岁,IQ=61-138,性别[女性/男性]=41/125)或神经典型发育(TD;n=166,年龄=6-30岁,IQ=63-138,性别[女性/男性]=49/117),人口统计学变量和数据质量相匹配。参与者观看了简短的电影场景(k=85),描绘了社交场合(人类)或没有人类(非人类)的人类。SSP是通过对身体和运动显著性的凝视以及相应的瞳孔反应来估计的,该瞳孔反应指示了LC-NE的阶段性活动。社会注意力是通过手动定义感兴趣的领域对面部的凝视来估计的。SSP通过考虑场景内时间动态的线性混合模型在组之间进行比较,并与社会关注相关。模型是针对共病精神病理学控制的,凝视行为,和亮度。
    结果:我们没有发现在显著性上的凝视的群体差异,而瞳孔反应与身体和运动显著性的视线改变有关。在ASD与TD相比,我们观察到非人类场景的瞳孔反应较高,而人类场景的瞳孔反应较低。在ASD,我们在整个场景的持续时间内观察到面部较低的视线。至关重要的是,这种不同的社会注意力受到对身体显着性的注视的影响,并受到瞳孔反应的调节。
    结论:自然研究设计排除了实验操作和刺激控制,而效应大小为小到中等。年龄和智商的协变量效应表明,年龄和发育亚组之间的发现不同。
    结论:瞳孔反应作为视觉注意过程中LC-NE阶段性活动的代表被认为可以调节感觉显着性加工,并有助于减轻ASD中的社会注意力。
    Attenuated social attention is a key marker of autism spectrum disorder (ASD). Recent neuroimaging findings also emphasize an altered processing of sensory salience in ASD. The locus coeruleus-norepinephrine system (LC-NE) has been established as a modulator of this sensory salience processing (SSP). We tested the hypothesis that altered LC-NE functioning contributes to different SSP and results in diverging social attention in ASD.
    We analyzed the baseline eye-tracking data of the EU-AIMS Longitudinal European Autism Project (LEAP) for subgroups of autistic participants (n = 166, age = 6-30 years, IQ = 61-138, gender [female/male] = 41/125) or neurotypical development (TD; n = 166, age = 6-30 years, IQ = 63-138, gender [female/male] = 49/117) that were matched for demographic variables and data quality. Participants watched brief movie scenes (k = 85) depicting humans in social situations (human) or without humans (non-human). SSP was estimated by gazes on physical and motion salience and a corresponding pupillary response that indexes phasic activity of the LC-NE. Social attention is estimated by gazes on faces via manual areas of interest definition. SSP is compared between groups and related to social attention by linear mixed models that consider temporal dynamics within scenes. Models are controlled for comorbid psychopathology, gaze behavior, and luminance.
    We found no group differences in gazes on salience, whereas pupillary responses were associated with altered gazes on physical and motion salience. In ASD compared to TD, we observed pupillary responses that were higher for non-human scenes and lower for human scenes. In ASD, we observed lower gazes on faces across the duration of the scenes. Crucially, this different social attention was influenced by gazes on physical salience and moderated by pupillary responses.
    The naturalistic study design precluded experimental manipulations and stimulus control, while effect sizes were small to moderate. Covariate effects of age and IQ indicate that the findings differ between age and developmental subgroups.
    Pupillary responses as a proxy of LC-NE phasic activity during visual attention are suggested to modulate sensory salience processing and contribute to attenuated social attention in ASD.
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  • 文章类型: Journal Article
    感觉特征是自闭症诊断标准的一部分,包括感觉低/高反应性和不寻常的感觉兴趣;然而,额外的感官差异,即感觉统合的差异,没有被常规探索。这项研究描述了一组确诊为自闭症(5-9岁)的儿童(n=93)的感觉统合差异,标准参考电池。平均z分数,自闭症诊断评分,和智商报告。参与者在触觉感知方面表现出巨大的缺陷,实践,balance,视觉感知,和视觉运动技能。与自闭症诊断测试评分的关系较弱或缺失。研究结果表明,在表征自闭症的感觉特征时,通常不会评估或考虑其他感觉困难。这些数据对于更好地理解自闭症表型的感觉特征和个性化治疗的发展具有意义。
    Sensory features are part of the diagnostic criteria for autism and include sensory hypo/hyper reactivity and unusual sensory interest; however, additional sensory differences, namely differences in sensory integration, have not been routinely explored. This study characterized sensory integration differences in a cohort of children (n = 93) with a confirmed diagnosis of autism (5-9 years) using a standardized, norm-referenced battery. Mean z scores, autism diagnostic scores, and IQ are reported. Participants showed substantial deficits in tactile perception, praxis, balance, visual perception, and visual-motor skills. Relationship with autism diagnostic test scores were weak or absent. Findings suggest additional sensory difficulties that are not typically assessed or considered when characterizing sensory features in autism. These data have implications for a greater understanding of the sensory features in the autism phenotype and the development of personalized treatments.
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  • 文章类型: Journal Article
    未经证实:目前对脊髓功能障碍引起的感觉障碍的治疗干预措施无效。我们提出了一种使用经皮神经电刺激(TENS)治疗感觉异常的新型干预措施,我们提供了一个深入的案例系列。
    未经证实:将常规高频TENS和新型感觉异常匹配TENS(DM-TENS)应用于9例脊髓功能障碍患者的16只手。感觉异常匹配的TENS刺激强度和频率与患者感觉异常的强度和体感特征相匹配。在电刺激/无刺激期间应用简短形式的McGill疼痛问卷版本2(SF-MPQ2)和定量感觉测试(QST)。我们确定了组内相关系数(ICC),以评估设置的可靠性以及在没有TENS和DM-TENS的情况下每位患者的基线之间对感觉障碍的影响以及主观感觉障碍的变化。
    UNASSIGNED:我们能够对14只手(8名患者)应用与患者主观感觉异常相匹配的电刺激。由于严重的感觉缺陷,其余患者无法使用TENS。与患者基线和高频TENS相比,DM-TENS显着减少了SF-MPQ2的刺痛/针刺和麻木,并且显着改善了QST的动态和静态机械检测。关于感觉异常匹配的TENS设置的可靠性,ICC(1.5)是强度,0.95;频率,1.00;以及对感觉异常的影响,0.98.
    UNASSIGNED:DM-TENS改善了脊髓功能障碍引起的感觉障碍和机械感觉减退。DM-TENS的有效性,特别是对刺痛和麻木的有效性明显更高,并且在患者体内是可靠的。这些结果可能建议有效治疗脊髓功能障碍患者的感觉障碍。
    UNASSIGNED:[https://rctportal。尼夫.走吧。jp/s/detail/um?trial_id=UMIN000045332],标识符[UMIN000045332]。
    UNASSIGNED: Current therapeutic interventions for dysesthesias caused by spinal cord dysfunctions are ineffective. We propose a novel intervention using transcutaneous electrical nerve stimulation (TENS) for dysesthesias, and we present an in-depth case series.
    UNASSIGNED: Conventional high-frequency TENS and the novel dysesthesia-matched TENS (DM-TENS) were applied to 16 hands of nine patients with spinal cord dysfunction. The dysesthesia-matched TENS\' stimulus intensity and frequency matched the intensity and somatosensory profile of the patients\' dysesthesias. The Short-Form McGill Pain Questionnaire version-2 (SF-MPQ2) and quantitative sensory testing (QST) were applied during electrical stimulation/no stimulation. We determined intraclass correlation coefficients (ICCs) to evaluate the reliability of the setting and the effects on the dysesthesias and the change in subjective dysesthesia between each patient\'s baseline without TENS and DM-TENS.
    UNASSIGNED: We were able to apply electrical stimulation matching the patients\' subjective dysesthesia for 14 hands (eight patients). TENS could not be applied for the remaining patient due to severe sensory deficits. Compared to the patients\' baseline and high-frequency TENS, the DM-TENS provided significant decreases in tingling/pins-and-needles and numbness on the SF-MPQ2, and it significantly improved the dynamic and static mechanical detection on QST. Regarding the reliability of the dysesthesia-matched TENS settings, the ICCs (1,5) were intensity, 0.95; frequency, 1.00; and effect on dysesthesia, 0.98.
    UNASSIGNED: DM-TENS improved the dysesthesias and mechanical hypoesthesia caused by spinal cord dysfunction. The effectiveness of DM-TENS particularly for tingling and numbness was clearly higher and was reliable within the patients. These results may suggest an effective treatment of dysesthesias in patients with spinal cord dysfunction.
    UNASSIGNED: [https://rctportal.niph.go.jp/s/detail/um?trial_id=UMIN000045332], identifier [UMIN000045332].
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  • 文章类型: Journal Article
    运动平台已经在所有类型的模拟器中使用了几十年。由于不可能通过物理限制的系统(平台)无限制地再现车辆的加速度,通常使用冲刷过滤器和运动提示算法(MCA)来选择再现哪些加速度,哪些不再现。尽管他们的发展已经过去了一段时间,这些算法中的大多数仍然使用经典的冲刷算法。在使用这些MCAs时,总会有信息丢失,如果该信息对模拟器(训练模拟器)的目的很重要,该模拟器的用户获得的结果将不令人满意。本文展示了一个案例研究,一辆装有传感器的宝马325XiAUT,记录几次运行过程中所有自由度(DOF)产生的加速度,数据已在6DOF运动平台的数学仿真软件(冲刷运动学执行器仿真)中进行了介绍。对系统的输入与输出进行了定性比较,观察到大多数模拟充分反映了系统的输入。尽管如此,有三个事件加速度丢失。专家认为这些事件对于模拟器中的学习过程的结果是足够的至关重要的。
    Motion platforms have been used in simulators of all types for several decades. Since it is impossible to reproduce the accelerations of a vehicle without limitations through a physically limited system (platform), it is common to use washout filters and motion cueing algorithms (MCA) to select which accelerations are reproduced and which are not. Despite the time that has passed since their development, most of these algorithms still use the classical washout algorithm. In the use of these MCAs, there is always information that is lost and, if that information is important for the purpose of the simulator (the training simulators), the result obtained by the users of that simulator will not be satisfactory. This paper shows a case study where a BMW 325Xi AUT fitted with a sensor, recorded the accelerations produced in all degrees of freedom (DOF) during several runs, and data have been introduced in mathematical simulation software (washout + kinematics + actuator simulation) of a 6DOF motion platform. The input to the system has been qualitatively compared with the output, observing that most of the simulation adequately reflects the input to the system. Still, there are three events where the accelerations are lost. These events are considered by experts to be of vital importance for the outcome of a learning process in the simulator to be adequate.
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  • 文章类型: Case Reports
    体感障碍通常在脑中风后出现。这些缺陷与患者的残疾有关。因此,他们的康复在康复计划中很重要。然而,在神经康复期间,感觉的治疗仍然很少考虑,主动感觉训练的证据有限。镜盒疗法是一种简单的训练,用于治疗中风患者的上肢运动缺陷和疼痛。然而,镜盒疗法对卒中后患者体感损伤的影响尚未深入研究,治疗期间通常仅提供运动锻炼。本研究的目的是研究镜盒疗法感觉训练对上肢受损的中风患者体感缺陷的影响。病人接受了四周的训练,一周五天。之前,在镜盒疗法治疗期间和之后,通过Rivermead体感表现评估对患者进行评估.在训练前后,还评估了上肢运动功能和日常生活活动能力。训练后,患者的体感表现有所改善。后续保持了收益。此病例报告显示了镜盒疗法感觉训练对亚急性期丘脑囊出血性中风患者上肢改善感觉和运动的影响。
    Somatosensory disorders are often present after cerebral stroke. These deficits are associated with patients\' disability. Therefore, their rehabilitation takes an importance in recovery program. However, the treatment of sensation remains poorly considered during neurorehabilitation and evidence for active sensory training is limited. Mirror Box Therapy is a simple training used to treat upper extremity motor deficits and pain also in patients with stroke. However, the effects of Mirror Box Therapy on somatosensory impairments in post-stroke patients are not deeply investigated and often exclusively motor exercises are provided during therapy.The aim of the present study was to investigate the effects of Mirror Box Therapy sensory training on somatosensory deficits in a stroke patient presenting upper limb impairment.The patient underwent to four weeks of training, five days a week. Before, during and after the Mirror Box Therapy treatment, the patient was assessed by Rivermead Assessment of Somatosensory Performance. Before and after training also upper limb motor function and performance in activities of daily living were assessed.After training patient showed an improvement in somatosensory performance. The gain was maintained at follow-up.This case report shows the effects of Mirror Box Therapy sensory training on the upper extremity for the improvement of sensation and movement in a patient with a thalamo-capsular hemorrhagic stroke during the subacute phase.
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  • 文章类型: Case Reports
    OBJECTIVE: One of the most common and debilitating complications of diabetes is peripheral neuropathy. Physical modalities such as whole-body vibration are used to treat diabetic peripheral neuropathy (DPN), but there are limted studies on the effectiveness of local vibration for the treatment of PDN. In this study, we aimed to evaluate the effectiveness of local vibration in treating a patient with DPN.
    METHODS: The local vibration was applied on the plantar side of both feet. The patient received 10 min of local vibration with 62.5 Hz frequency for five sessions. We used brief BESTest for balance evaluation, Numerical Pain Rating Scale (NPRS) for pain assessment, monofilament examination score for protective sensation evaluation, vibration threshold, and skin temperature to evaluate the effects of local vibration, which were measured before the treatment, after one session  of treatment, and after 5th session of treatment.
    RESULTS: There was a 62.5% reduction in pain severity after five sessions of treatment. Vibration threshold of both patient\'s feet and protective sensation of right foot returned to normal after treatment. Skin temperature was increased in all evaluated points of both patient\'s feet, brief BESTest score increased by six points after five treatment sessions, indicating improvements in the blood flow of feet and balance, respectively.
    CONCLUSIONS: Local plantar vibration was effective in improving the symptoms of DPN.
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  • 文章类型: Journal Article
    帕金森病(PD)温度感觉异常的病理生理学尚不清楚。异常热检测似乎不依赖于多巴胺能缺陷,表明其他系统在这些变化中发挥作用,可能是中央和外围。
    我们在28例PD患者中使用定量感觉测试(QST)测量了热检测阈值(TDT),并将其与15例健康对照进行了比较。
    在28名患者中,根据规范数据,21%的人增加了TDT。占主导地位的TDT较高。TDT与病程无相关性,运动障碍的严重程度,并观察到多巴胺能治疗。50%的患者难以区分温暖和寒冷的刺激,因为大多数患者的TDT都在正常范围内。
    根据规范数据,我们研究中21%的患者TDT增加。异常热检测在优势侧更为明显。热刺激之间的异常差异表明热信息的中央处理受损。
    UNASSIGNED: The pathophysiology of abnormal temperature sensation in Parkinson\'s disease (PD) remains unclear. Abnormal thermal detection does not seem to depend on the dopaminergic deficit, suggesting that other systems play a role in these changes, probably both central and peripheral.
    UNASSIGNED: We measured thermal detection thresholds (TDT) using quantitative sensory testing (QST) in 28 patients with PD and compared them with 15 healthy controls.
    UNASSIGNED: Of 28 patients, 21% had increased TDT according to the normative data. TDT were higher on the dominant side. No correlation between TDT and disease duration, severity of motor impairment, and dopaminergic therapy was observed. 50% of the patients had difficulty differentiating between warm and cold stimuli, as TDT were within the normal range in most of these patients.
    UNASSIGNED: Twenty-one percent of the patients in our study had increased TDT according to the normative data. Abnormal thermal detection was more pronounced on the dominant side. Abnormal differentiation between the thermal stimuli suggest impaired central processing of thermal information.
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  • 文章类型: Case Reports
    描述了一例罕见的62岁女性,其非典型的心脏症状是喉阻塞的感觉,是急性冠状动脉综合征的表现。最初,该患者的检查结果无明显变化,被诊断为咽喉炎并出院。然而,24小时后,她返回医院,心电图(ECG)异常,肌钙蛋白水平升高,被诊断为ST段抬高型心肌梗死(STEMI)。她出现了心力衰竭,心源性休克并死亡。临床医生应意识到,在鉴别诊断中,应考虑患有无法解释的喉部阻塞感的患者是否存在MI,因为这可能是某些危及生命的心肌缺血患者的唯一症状。
    A rare case of a 62-year-old woman with an atypical cardiac symptom of sensation of laryngeal obstruction as a manifestation of acute coronary syndrome is described. Initially, the patient showed unremarkable test results and was diagnosed with laryngopharyngitis and discharged from hospital. However, 24 hours later she returned to the hospital with an abnormal electrocardiogram (ECG) and elevated blood troponin levels and was diagnosed with ST-segment elevation myocardial infarction (STEMI). She developed heart failure, cardiogenic shock and died. Clinicians should be aware that patients with an unexplained sensation of laryngeal obstruction should be considered for the presence of MI within their differential diagnosis since this may be the only symptom in some patients with life-threatening cardiac ischemia.
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  • 文章类型: Case Reports
    经处理的同种异体神经移植物越来越多地用于治疗小感觉神经的创伤性神经瘤。本研究的目的是研究在损伤和修复之间不同间隔后使用同种异体移植物,并分析结果。不仅是为了止痛的成功,但也有可能及时恢复感觉。对四名下肢小感觉神经疼痛性神经瘤患者进行了脱细胞同种异体移植手术治疗。前瞻性随访患者至少1年。使用Likert量表评估临床结果。使用Semmes-Weinstein单丝测试感觉恢复。在所有4例病例中,切除神经瘤后,均使用3厘米的同种异体移植物重建腓浅(3)或腓肠神经(1)的缺损。2例患者的疼痛症状得到了完全缓解:1例涉及神经瘤的重建,损伤和修复之间的间隔小于1y,1例神经瘤的连续性。在这两种情况下感觉完全恢复。在其他两种情况下,受伤和重建之间的间隔超过1年,既没有成功缓解疼痛,也没有恢复感觉。这项前瞻性研究表明,处理后的同种异体神经移植可以成功重建创伤神经瘤切除后的小感觉神经,以恢复疼痛和感觉。但在这个小病例系列中,只有损伤和重建之间的间隔<1y。
    Processed nerve allografts are used increasingly in the treatment of traumatic neuroma in small sensory nerves. The goal of the present study was to investigate the use of an allograft after different intervals between injury and repair and to analyze results, not only for the success of pain relief, but also for potential recovery of sensation in time. Four patients with painful neuroma in small sensory nerves in the lower extremity were surgically treated with a decellularized allograft. Patients were followed prospectively for at least 1 y. Clinical outcome was assessed using the Likert scale. Recovery of sensation was tested using Semmes-Weinstein monofilaments. In all 4 cases an allograft of 3-cm was used to reconstruct a defect in the superficial peroneal (3) or sural nerve (1) after excision of the neuroma. Complete relief of pain symptoms was achieved in 2 patients: 1 case concerned the reconstruction of a neuroma with an interval of less than 1 y between injury and repair and 1 case a neuroma-in-continuity. Sensation recovered completely in these 2 cases. In the other 2 cases, that had an interval between injury and reconstruction of more than 1 y, there was neither successful pain relief nor recovery of sensation. This prospective study shows that processed nerve allografts can be successful for the reconstruction of small sensory nerves after excision of the traumatic neuroma both for recovery of pain and sensation, but in this small case series only if the interval between injury and reconstruction was <1 y.
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