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Alessandro Farnè

Publications and source records attributed to Alessandro Farnè.

18 recordsLinked to original sources
PubMed2006

Can vision of the body ameliorate impaired somatosensory function?

Viewing the body is reported to improve tactile acuity [Kennett, S., Taylor-Clarke, M., & Haggard, P. (2001). Non-informative vision improves the spatial resolution of touch in humans. Current Biology, 11, 1188-1191]. The aim of the present study was to investigate whether this effect might be useful in improving somatosensory deficits of brain damaged patients. To support this proposal, we firstly tested the hypothesis that vision might modulate tactile performance when tactile information is limited. Thirty-two healthy subjects performed a two points discrimination task (2PDT) in three conditions: looking at their stimulated forearm, at a neutral object or at a rubber foot. The results showed that the effectiveness of visual enhancement of touch varies as a function of subjects' tactile acuity. Moreover, the accuracy in 2PDT was higher when viewing their arm only in subjects with lower tactile sensitivity. To directly demonstrate that viewing the body might ameliorate tactile deficits, the same experiment was conducted on 10 brain damaged patients suffering a reduced somatosensory sensitivity. An amelioration of the performance was found in viewing arm condition. These findings suggest that the interaction between different sensory modalities might be effective in ameliorating deficits in single modalities.

Adult↗
PubMed2006

Prism adaptation in the rehabilitation of patients with visuo-spatial cognitive disorders.

PURPOSE OF REVIEW: The traditional focus of neurorehabilitaion has been on the patients' attention on their deficit, such that they should become aware of their problems and gain intentional control of compensatory strategies (descending approach). We review prism adaptation as one of the approaches that emphasize ascending rather than descending strategies to the rehabilitation of visuo-spatial disorders. The clinical outcome of prism adaptation highlights the need for a theoretical reconsideration of some previous stances to neurological rehabilitation. RECENT FINDINGS: Recent years have given rise to a growing body of experimental studies showing that the descending strategy is not always optimal, especially when higher-level cognition is affected by the patients' condition. Ascending approaches have, for example, used visuo-manual adaptation for the rehabilitation of visuo-spatial deficits. A simple task of pointing to visual targets while wearing prismatic goggles can produce remarkable improvements of various aspects of unilateral neglect. SUMMARY: The neural mechanisms underpinning visuo-manual plasticity can be viewed as a powerful rehabilitation tool that produces straightforward effects not only on visual and motor parameters, but on visuo-spatial, attentional and higher cognitive neurological functions. The use of prism adaptation therapy in neglect and other visuo-spatial disorders has just started to reveal its potential, both at a practical and theoretical level.

Adaptation, Physiological↗
PubMed2006

Neglect and extinction: within and between sensory modalities.

PURPOSE: The interest in human conscious awareness has increasingly propelled the study of neglect, the most striking occurrence of an acquired lack of conscious experience of space. Neglect syndromes commonly arise after unilateral brain damage that spares primary sensory areas nonetheless leading to a lack of conscious stimulus perception. Because of the central role of vision in our everyday life and motor behaviour, most research on neglect has been carried out in the visual domain. Here, we suggest that a comprehensive perspective on neglect should examine in parallel evidence from all sensory modalities. METHODS: We critically reviewed relevant literature on neglect within and between sensory modalities. RESULTS: A number of studies have investigated manifestations of neglect in the tactile and auditory modalities, as well as in the chemical senses, supporting the idea that neglect can arise in various sensory modalities, either separately or concurrently. Moreover, studies on extinction (i.e., failure to report the contralesional stimulus only when this is delivered together with a concurrent one in the ipsilesional side), a deficit to some extent related to neglect, showed strong interactions between sensory modality for the conscious perception of stimuli and representation of space. CONCLUSIONS: Examining neglect and extinction by taking into account evidence from all sensory modalities in parallel can provide deeper comprehension of the neglect syndrome mechanisms and possibly more effective multi-sensory based rehabilitation approaches.

Animals↗
PubMed2005

Neuropsychological evidence of modular organization of the near peripersonal space.

BACKGROUND: The space closely surrounding the body, near peripersonal space, is represented through multisensory coding, as witnessed by the spatial distribution of visual-tactile extinction in brain-damaged patients. Typically, tactile stimuli delivered on the contralesional hand are more severely extinguished by visual stimuli presented near to than far from the ipsilesional hand. OBJECTIVE: To investigate whether the near peripersonal space is a unitary multisensory representation of the peribody space or is organized in a modular fashion, separately representing different body parts. METHODS: Cross-modal extinction was used to assess right brain-damaged patients with left tactile extinction by presenting a combination of ipsilesional visual and contralesional tactile stimuli, both between homologous body parts (i.e., the two hands and sides of the face) and between nonhomologous body parts (i.e., right hand + left face and right face + left hand). RESULTS: Visual-tactile extinction observed in the near peripersonal space of homologous body parts was more severe than that obtained between nonhomologous body parts. In contrast, cross-modal extinction observed in the far peripersonal space was overall weak and comparable when stimulating homologous or nonhomologous body sectors. In addition, a clear near-far modulation of visual-tactile extinction was obtained only when stimulating homologous, but not nonhomologous, body parts. These findings were observed irrespective of the severity of unisensory tactile extinction. CONCLUSIONS: Near peripersonal space is not unitary but is functionally organized in modules and consists of at least two different spatial representations, one around the hand and another around the face, which might be selectively affected in patients with extinction.

Aged↗
PubMed2005

Parietal rTMS distorts the mental number line: simulating 'spatial' neglect in healthy subjects.

Patients with left-sided visuospatial neglect, typically after damage to the right parietal lobe, show a systematic bias towards larger numbers when asked to bisect a numerical interval. This has been taken as further evidence for a spatial representation of numbers, perhaps akin to a mental number line with smaller numbers represented to the left and larger numbers to the right. Previously, contralateral neglect-like symptoms in physical line bisection have been induced in healthy subjects with repetitive transcranial magnetic stimulation (rTMS) over right posterior parietal lobe. Here we used rTMS over parietal and occipital sites in healthy subjects to investigate spatial representations in a number bisection task. Subjects were asked to name the midpoint of numerical intervals without calculating. On control trials subjects' behaviour was similar to performance reported in physical line bisection experiments. Subjects underestimated the midpoint of the numerical interval. Repetitive transcranial magnetic stimulation produced representational neglect-like symptoms in number bisection when applied over right posterior parietal cortex (right PPC). Repetitive TMS over right PPC shifted the perceived midpoint of the numerical interval significantly to the right while occipital TMS had no effect on bisection performance. Our study therefore provides further evidence that subjects use spatial representations, perhaps akin to a mental number line, in basic numerical processing tasks. Furthermore, we showed that the right posterior parietal cortex is crucially involved in spatial representation of numbers.

Adult↗
PubMed2005

Shaping multisensory action-space with tools: evidence from patients with cross-modal extinction.

Recent findings from neurophysiology, neuropsychology and psychology have shown that peri-personal space is represented through an integrated multisensory processing. In humans, the interaction between peri-personal space representation and action execution can be revealed through the use of tools that, by extending the reachable space, modify the strength of visual-tactile extinction. We have previously shown that the peri-hand space whereby vision and touch are integrated can be expanded, and contracted, depending upon tool-use. Here, we show that these dynamic changes critically depend upon active tool-use, as they are not found after an equally long, but passive exposure to an elongated (hand+tool) body configuration. We also show that the extent of the peri-hand space elongation, as assessed at fixed far location (60 cm from the hand), varies according to the tool length such that a 30 cm long tool produced less elongation than a 60 cm long tool. This reveals for the first time that the distal border of elongated area is not sharply limited to the tool length, but extends beyond its physical size to include a peri-tool space whereby the strength of visual-tactile integration seems to fade. Remarkably, a similar amount of peri-hand space elongation was found when the effects of using a 30 cm long tool were compared with those produced by using a tool that was physically 60 cm long, but operationally 30 cm long. By dissociating with this 'hybrid' tool, the amount of space that is globally added to the hand (60 cm) from the one that is actually reachable (30 cm), we provide here the first evidence that the extent of peri-hand space elongation after tool use is tightly related to the functionally effective length of the tool, and not merely to its absolute length.

Adult↗
PubMed2003

Inhibition of return and the human frontal eye fields.

Inhibition of return (IOR) is a bias against reorienting attention to a previously cued location. In this study, using single-pulse transcranial magnetic stimulation (TMS), we show that the human frontal eye fields (FEF) play a crucial role in the generation of IOR. When TMS was applied over the right FEF at a time interval after a visual cue but shortly before the target, IOR was modulated in the hemifield ipsilateral to the TMS such that responses to a previously cued target were no longer slower than responses to uncued targets. Control TMS over the superior parietal lobule, as well as TMS of the FEF shortly after the cue but well before the target, had no influence on IOR. We further show that the FEF is involved with visual selection as responses to targets appearing contralateral to the TMS of the FEF, but not the control site, were delayed. These results suggest that the FEF produces IOR by biasing attention and eye movements away from a previously attended location and facilitating target detection at novel locations.

Adolescent↗
PubMed2003

Task-dependent visual coding of sound position in visuospatial neglect patients.

Recent neurophysiological evidence has shown that sound position can be coded in multiple frames of reference in the animal brain (i.e. head-centred, eye-centred, or intermediate head/eye centred). Here, we provide evidence for multiple coding of sound positions in humans, by studying pointing to sounds in 14 right brain-damaged (RBD) patients with or without visual neglect (a visuospatial neurological disturbance typically affecting contralesional space). Patients were asked to indicate the position of free-field sounds, either with a hand-pointing or with a head-turning response. Pointing movements were performed either blindfolded or with eyes open, but no visual feedback was available about sound position or the motor response. All RBD patients showed some impairment in sound localisation, particularly for sounds towards the contralesional side. In addition, task-irrelevant vision was more detrimental for hand-pointing than head-turning responses, only for neglect patients. We propose that this finding reflects visual coding of sound position when the eyes are open, which extends the pathological visuospatial bias of neglect patients to sound localisation. Moreover, the absence of any modulatory effects of ambient vision when head-turning responses were adopted suggests task-dependent visual coding of sound position, in agreement with multiple frames of reference for sound localisation.

Aged↗
PubMed2003

Bottom-up transfer of sensory-motor plasticity to recovery of spatial cognition: visuomotor adaptation and spatial neglect.

A large proportion of right-hemisphere stroke patients show hemispatial neglect, a neurological deficit of perception, attention, representation, and/or performing actions within their left-sided space, inducing many functional debilitating effects on everyday life, and responsible for poor functional recovery and ability to benefit from treatment. This spatial cognition disorder affects the orientation of behavior with a shift of proprioceptive representations toward the lesion side. This shift is similar to that produced by psychophysical manipulations as a wedge-prism exposure in normal healthy subjects. In both subjects, one major compensative effect of short-term prism adaptation is a shift of proprioceptive representations, demonstrated by a shift in manual straight-ahead pointing in the dark, in a direction opposite to the visual shift. In neglect patients, prism adaptation involves the shift of proprioceptive representations to the left with a reduction of rightward bias observed in neglect patients in visuo-manual tasks as line-bisection, line-cancellation or copy drawing. Improvement of neglect is also observed in no visuo-manual tasks as mental imagery, auditory extinction or posture. This generalization of prism adaptation effects at different neglect level symptoms suggests that the process of prism adaptation may activate brain functions related to multisensory integration and higher spatial representations. Moreover the positive effects found for both sensorimotor and more cognitive spatial functions lasted for at least two or more hours after prism removal. Unlike reduction of neglect through sensory stimulations, the long-lasting improvement of neglect after prism adaptation suggests the activation of short-term plasticity of brain functions related to coordinate transformations and space representations. Lastly, the duration of these effects could be useful in rehabilitation programs, as suggested by the effects of prism adaptation on disabling neglect symptoms as wheelchair driving, posture or writing.

Adaptation, Physiological↗
PubMed2003

Beyond the window: multisensory representation of peripersonal space across a transparent barrier.

A large body of neuropsychological evidence has been recently provided showing that humans can code visual objects in nearby space through multisensory visuo-tactile integrative processes, which share several similarities with the functional properties of bimodal neurons documented in neurophysiological studies. In particular, the phenomenon of visuo-tactile extinction reveals that crossmodal integration may take place in a privileged manner within a limited sector of space closely surrounding the body surface, i.e. in the near peripersonal space. Here we report that visuo-tactile extinction can seemingly be obtained when a physical, transparent barrier is interposed between the patients' hand and a proximal visual stimulus. These findings show that visuo-tactile representation of peripersonal space can be formed despite the subject's explicit awareness concerning the physical impossibility for the hand to be touched. This phenomenon indicates that multisensory integrative processing can occur in a bottom-up fashion without necessarily being modulated by more 'cognitive' processes. Such integration may be functionally important for automatic reactions such as head turning or hand withdrawal.

Aged↗
PubMed2002

Auditory peripersonal space in humans.

In the present study we report neuropsychological evidence of the existence of an auditory peripersonal space representation around the head in humans and its characteristics. In a group of right brain-damaged patients with tactile extinction, we found that a sound delivered near the ipsilesional side of the head (20 cm) strongly extinguished a tactile stimulus delivered to the contralesional side of the head (cross-modal auditory-tactile extinction). By contrast, when an auditory stimulus was presented far from the head (70 cm), cross-modal extinction was dramatically reduced. This spatially specific cross-modal extinction was most consistently found (i.e., both in the front and back spaces) when a complex sound was presented, like a white noise burst. Pure tones produced spatially specific cross-modal extinction when presented in the back space, but not in the front space. In addition, the most severe cross-modal extinction emerged when sounds came from behind the head, thus showing that the back space is more sensitive than the front space to the sensory interaction of auditory-tactile inputs. Finally, when cross-modal effects were investigated by reversing the spatial arrangement of cross-modal stimuli (i.e., touch on the right and sound on the left), we found that an ipsilesional tactile stimulus, although inducing a small amount of cross-modal tactile-auditory extinction, did not produce any spatial-specific effect. Therefore, the selective aspects of cross-modal interaction found near the head cannot be explained by a competition between a damaged left spatial representation and an intact right spatial representation. Thus, consistent with neurophysiological evidence from monkeys, our findings strongly support the existence, in humans, of an integrated cross-modal system coding auditory and tactile stimuli near the body, that is, in the peripersonal space.

Aged↗
PubMed2002

Face or hand, not both: perceptual correlates of reafferentation in a former amputee.

The topography of the somatosensory maps of our body can be largely shaped by alterations of peripheral sensory inputs. Following hand amputation, the hand cortical territory becomes responsive to facial cutaneous stimulation. Amputation-induced remapping, however, reverses after transplantation, as the grafted hand (re)gains its sensorimotor representation. Here, we investigate hand tactile perception in a former amputee by touching either grafted hand singly or in combination with another body part. The results showed that tactile sensitivity recovered rapidly, being remarkably good 5 months after transplant. In the right grafted hand, however, the newly acquired somatosensory awareness was strikingly hampered when the ipsilateral face was touched simultaneously, i.e., right face perception extinguished right hand perception. Ipsilateral face-hand extinction was present in the formerly dominant right hand 5 months after transplant and eventually disappeared 6 months afterwards. Control conditions' results showed that right hand tactile awareness was not extinguished either by contralateral left face and left hand stimulation or ipsilateral stimulation of the arm, which is bodily close to, but cortically far from, the hand. We suggest that ipsilateral face-hand extinction is a perceptual counterpart of the remapping that occurs after allograft and eyewitnesses the inherently competitive nature of sensory representations.

Adult↗
PubMed2002

Dissociated long lasting improvements of straight-ahead pointing and line bisection tasks in two hemineglect patients.

In this experiment, we evaluated over a longer time period the previously demonstrated effects of a short prism adaptation on hemispatial neglect. We followed two patients (PE and SA), during a period of 5 days (1 day before and 4 days after the prism adaptation procedure), repeatedly measuring their performances on a straight-ahead pointing task and a line bisection task. We also assessed the comparative temporal evolution of the rightward biased egocentric reference frame (as measured by the straight-ahead demonstration) and a classical neuropsychological symptom of neglect, namely the rightward bias observed on line bisection. Firstly, the results showed that prismatic effect could be maintained for 4 days, on the two tasks (separately straight-ahead for PE, line bisection for SA). This long-term effect implies a very profound action of prism adaptation based on active processes and opens large possibilities for clinical applications. Secondly, no correlation was found between the evolution of the performances on the two tasks, neither for patient PE, nor for patient SA (within-subject double-dissociation). Moreover, a double-dissociation between subjects was demonstrated on long-term effects. A new conception has thus to be found to explain the various symptoms manifested in neglect and more investigations have to be performed in order to establish to what extent they can be considered independent. It can be concluded that elucidating the mechanism through which prism adaptation affects neglect could lead to a better understanding of the neglect syndrome.

Adaptation, Psychological↗
PubMed2002

Ameliorating neglect with prism adaptation: visuo-manual and visuo-verbal measures.

Previous studies have shown that adaptation to rightward displacing prisms improves performance of neglect patients on visuo-manual (VM) tasks such as line cancellation, figure copying, and line bisection [Nature 395 (1998) 166]. The present study further evaluated the effect of prism adaptation (PA) on neglect symptoms by investigating: (a) the range of beneficial effects on common visuo-spatial deficits as well as less frequent phenomena like neglect dyslexia; (b) the duration of improvement following a single exposure to the right optical deviation; (c) the extent to which visuo-spatial performance can be comparatively ameliorated in VM tasks and visuo-verbal (VV) tasks (i.e. involving or not the adapted arm, respectively) and (d) the presence and duration of the manual visuo-motor bias induced by the prismatic adaptation (i.e. the after-effect). We investigated these issues in a group of neglect patients with right hemispheric damage who were also affected by neglect dyslexia. Following a single, brief prismatic adaptation the results showed that (a) several visuo-spatial abilities, including accuracy in reading single words and non-words, considerably improved, (b) the amelioration was long-lasting, continuing for at least 24h, (c) the presence, amount, and duration of neglect amelioration was not limited to VM tasks, but extended to VV tasks and (d) the presence and duration of the after-effect induced by prismatic adaptation remarkably paralleled the presence and duration of the improvement of neglect symptoms. These findings clearly demonstrate that beneficial effects induced by a single PA are very long-lasting and spread over a wide range of visuo-spatial deficits, independent of the type of response required. In addition, our results strongly suggest that the process of adaptation, as revealed by the presence of a visuo-motor after-effect, might be essential for establishing amelioration. In light of its characteristics, the prismatic adaptation technique should be a priority tool for the rehabilitation of the multifaceted hemispatial neglect syndrome.

Adaptation, Psychological↗
PubMed2002

Locating the human frontal eye fields with transcranial magnetic stimulation.

The variability in the location and function of the human frontal eye fields (FEFs) was assessed using transcranial magnetic stimulation (TMS). Ten subjects performed a saccadic eye movement task previously shown to be influenced by TMS of the FEFs. A sequence of points over the prefrontal cortex was stimulated until an effective site of the TMS was found that induced contralateral saccade delays. In 7 out of the 10 subjects, we were able to localize a region in the prefrontal cortex that when stimulated produced delays in the execution of contralateral saccadic eye movements. The location of this functionally defined FEF region across these subjects was approximately 1.5 cm anterior to the motor hand area, although there was considerable variability in this measure. In the remaining 3 subjects, no site within our circumscribed probing was found that when disrupted with TMS produced delays in contralateral saccadic eye movements. The inter-individual differences in the location and function of the FEFs highlights the importance of using functional as well as anatomical landmarks when attempting to localize brain structures.

Adult↗
PubMedDate not supplied

Visuo-tactile representation of near-the-body space.

Here we report findings from neuropsychological investigations showing the existence, in humans, of intersensory integrative systems representing space through the multisensory coding of visual and tactile events. In addition, these findings show that visuo-tactile integration may take place in a privileged manner within a limited sector of space closely surrounding the body surface, i.e., the near-peripersonal space. They also demonstrate that the representation of near-peripersonal space is not static, as objects in the out-of-reach space can be processed as nearer, depending upon the (illusory) visual information about hand position in space, and the use of tools as physical extensions of the reachable space. Finally, new evidence is provided suggesting the multisensory coding of peripersonal space can be achieved through bottom-up processing that, at least in some instances, is not necessarily modulated by more "cognitive" top-down processing, such as the expectation regarding the possibility of being touched. These findings are entirely consistent with the functional properties of multisensory neuronal structures coding near-peripersonal space in monkeys, as well as with behavioral, and neuroimaging evidence for the cross-modal coding of space in normal subjects. This high level of convergence ultimately favors the idea that multisensory space coding is achieved through similar multimodal structures in both humans and non-human primates.

Animals↗
PubMedDate not supplied

Visual enhancing of tactile perception in the posterior parietal cortex.

The visual modality typically dominates over our other senses. Here we show that after inducing an extreme conflict in the left hand between vision of touch (present) and the feeling of touch (absent), sensitivity to touch increases for several minutes after the conflict. Transcranial magnetic stimulation of the posterior parietal cortex after this conflict not only eliminated the enduring visual enhancement of touch, but also impaired normal tactile perception. This latter finding demonstrates a direct role of the parietal lobe in modulating tactile perception as a result of the conflict between these senses. These results provide evidence for visual-to-tactile perceptual modulation and demonstrate effects of illusory vision of touch on touch perception through a long-lasting modulatory process in the posterior parietal cortex.

Electric Stimulation↗