Biomedical subjects

Angelo Maravita

Publications and source records attributed to Angelo Maravita.

6 recordsLinked to original sources

PubMed2003

Multisensory integration and the body schema: close to hand and within reach.

There has been a recent and dramatic growth of interest in the psychological and neural mechanisms of multisensory integration between different sensory modalities. Much of this recent research has focused specifically on how multisensory representations of body parts and of the 'peripersonal' space immediately around them, are constructed. Research has also focused on how this may lead to multisensorially determined perceptions of body parts, to action execution, and even to attributions of agency and self-ownership for the body parts in question. Converging evidence from animal and human studies suggests that the primate brain constructs various body-part-centred representations of space, based on the integration of visual, tactile and proprioceptive information. These representations can plastically change following active tool-use that extends reachable space and also modifies the representation of peripersonal space. These new results indicate that a modern cognitive neuroscience approach to the classical concept of the 'body schema' may now be within reach.

Animals↗

PubMed2002

Tool-use changes multimodal spatial interactions between vision and touch in normal humans.

In a visual-tactile interference paradigm, subjects judged whether tactile vibrations arose on a finger or thumb (upper vs. lower locations), while ignoring distant visual distractor lights that also appeared in upper or lower locations. Incongruent visual distractors (e.g. a lower light combined with upper touch) disrupt such tactile judgements, particularly when appearing near the tactile stimulus (e.g. on the same side of space as the stimulated hand). Here we show that actively wielding tools can change this pattern of crossmodal interference. When such tools were held in crossed positions (connecting the left hand to the right visual field, and vice-versa), the spatial constraints on crossmodal interference reversed, so that visual distractors in the other visual field now disrupted tactile judgements most for a particular hand. This phenomenon depended on active tool-use, developing with increased experience in using the tool. We relate these results to recent physiological and neuropsychological findings.

Adult↗

PubMed2002

Is the intact side really intact? Perseverative responses in patients with unilateral neglect: a productive manifestation.

The main defective manifestations of extra-personal unilateral spatial neglect concern the side of space contralateral to the hemispheric lesion (contralesional). Since the disorder is more frequent and severe after damage to the right hemisphere, patients typically fail to explore the left side and ignore stimuli located in that sector of space. The patients' behaviour in the side of space ipsilateral to the side of the lesion (ipsilesional) is not intact, however. In cancellation tasks, it can be observed that patients with unilateral neglect, in addition to failing to respond to contralesional stimuli, may show perseverative behaviour, crossing out many times the same stimulus in the ipsilesional side of the sheet. We analyzed the occurrence of this phenomenon during the execution of a cancellation task in a large series of brain-damaged patients with left- and right-sided hemispheric lesions, with and without evidence of unilateral spatial neglect, and in a group of patients suffering from senile dementia of the Alzheimer-type. Perseverative responses were found to be much more frequent in patients with spatial neglect and when the frontal lobe or subcortical structures were damaged. The results are interpreted in the context of a multi-componential view of the neglect syndrome, with reference to a distinction originally put forward by Derek Denny-Brown (1958) between 'frontal or magnetic' and 'parietal or repellent' apraxia. In patients with spatial neglect, frontal damage releases drawing perseverative behaviour in the ipsilesional sector of space. Perseveration in exploratory tasks constitutes a main instance of the productive manifestations of spatial neglect.

Aged↗

PubMed2002

The electrophysiology of tactile extinction: ERP correlates of unconscious somatosensory processing.

We examined the electrophysiological correlates of left-sided tactile extinction in a patient with right-hemisphere damage. Computer-controlled punctate touch was presented to the left, right or both index fingers in an unpredictable sequence. The patient reported his conscious tactile percept ("left", "right" or "both"). He showed extinction on 75% of bilateral trials, reporting only right stimulation for these. Somatosensory evoked potentials for unilateral stimulation showed early components over contralateral somatosensory areas (P60 and N110) for either hand. In contrast to the results observed for age-matched controls, the patient's P60 was smaller in amplitude for left-hand touch over the right hemisphere than for right-hand touch over the intact hemisphere. Bilateral trials with extinction revealed residual P60 and N110 components over the right hemisphere in response to the extinguished left touch. These results demonstrate residual unconscious somatosensory processing of extinguished touch. They also suggest that tactile extinction can be caused by attenuation rather than elimination of somatosensory responses in the damaged hemisphere, with an underlying deficit even on unilateral trials.

Aged↗

PubMed2002

Active tool use with the contralesional hand can reduce cross-modal extinction of touch on that hand.

After a unilateral brain lesion, patients may show cross-modal, visual-tactile extinction. Such patients may fail to report tactile stimuli on the contralesional hand when presented together with competing visual stimuli near the ipsilesional hand. In this work we tested the hypothesis that this cross-modal extinction may be reduced when a patient has used a tool with the contralesional hand to reach for objects in the ipsilesional visual field. Consistent with previous work, we hypothesize that active use of a tool may extend cross-modal interactions between visual stimuli at the tip of the tool and tactile stimuli on the hand wielding the tool. In the new situation of a tool connecting the contralesional hand with ipsilesional visual space, competition between stimuli on these opposite sides may be reduced, so that extinction decreases. We studied patient BV, who showed reliable cross-modal, visual-tactile extinction after right-hemisphere stroke. In two separate sessions we showed that prolonged tool use (10-20 min) with the contralesional hand in ipsilesional space reduced cross-modal extinction for up to 60-90 min post-training. We propose that an actively used tool may be effective in linking cross-modal stimuli presented along its extension. This can then overcome competition between stimuli presented on opposite sides of the body midline, thus modulating extinction.

Aged↗

PubMed2002

Seeing your own touched hands in a mirror modulates cross-modal interactions.

In mirror reflections, visual stimuli in near peripersonal space (e.g., an object in the hand) can project the retinal image of far, extrapersonal stimuli "beyond" the mirror. We studied the interaction of such visual reflections with tactile stimuli in a cross-modal congruency task. We found that visual distractors produce stronger interference on tactile judgments when placed close to the stimulated hand, but observed indirectly as distant mirror reflections, than when directly observed in equivalently distant far space, even when in contact with a dummy hand or someone else's hand in the far location. The stronger visual-tactile interference for the mirror condition implies that near stimuli seen as distant reflections in a mirror view of one's own hands can activate neural networks coding peripersonal space, because these visual stimuli are coded as having a true source near to the body.

Adult↗