PubMed Health⌕ Search

Biomedical subjects

G K Essick

Publications and source records attributed to G K Essick.

33 records · Page 2Linked to original sources

Effects of trauma to the mandibular nerve on human perioral directional sensitivity.

The capacity of 4 patients who had previously experienced trauma to their mandibular nerves to distinguish opposing directions of tactile motion over the distribution of the mental nerve was compared to that of 8 neurologically normal adults. Brushing stimuli were delivered to the perioral region and were precisely controlled for their velocity, the length of skin traversed, the width of skin contacted, and the orientation and direction of motion. A temporal, 2-alternative, forced choice method was used to obtain estimates of directional sensitivity, d'. It was discovered that impairment in cutaneous directional sensitivity could be readily detected within areas of hypaesthesia. Although directional sensitivity was found to increase linearly with the length of skin traversed for both the patients and the neurologically normal adults, the slope and the x-intercept of the linear relationship differed between the two groups. The difference in the slope suggests that direction discrimination within the hypaesthetic areas is relatively insensitive to changes in the length of skin traversed. The difference in the x-intercept suggests that a greater length of skin must be traversed before any information about direction is made available at the hypaesthetic sites. The dependency of the capacity of neurologically normal and impaired individuals to process information about direction of tactile motion on the length of skin traversed and the velocity of stimulation suggests that a high degree of stimulus control is required for the detection and quantification of subtle neurosensory deficits.

Adolescent↗

Perioral somesthetic sensibility: do the skin of the lower face and the midface exhibit comparable sensitivity?

Studies of the perioral somatosensory capacities of neurologically normal adults were reviewed to determine whether sensitivities within the mental and infraorbital nerve distributions are comparable. It was found that tactile detection sensitivity, spatial acuity, and sensitivity to warmth are greater on skin sites located on the midface than on the lower face. In contrast, sensitivity to direction of motion and to differences in surface texture may be greater on skin sites located on the lower face. The literature further suggests that sensitivity within the distribution of each nerve varies appreciably. For example, the vermilion of the lips exhibits considerably greater vibrotactile detection sensitivity, spatial acuity, and sensitivity to direction of motion than does the perioral hairy skin. In addition, spatial acuity is notably greater on midline structures. These findings suggest that knowledge of the patterns of spatial variations in perioral tactile sensibilities can be effectively used during neurosensory examination to select control skin sites for comparison with areas of suspected neurosensory impairment and to distinguish apparent pathological alterations in tactile sensitivity from normal regional differences that characterize the perioral complex.

Adult↗

Effects of traverse length on human perioral directional sensitivity.

The capacity of 8 neurologically healthy adults to distinguish direction of motion on the skin overlying the mental foramen was determined. The velocity, orientation, and the length and width of skin traversed by the moving tactile stimuli were precisely controlled. Directional sensitivity, d', was found to depend on both stimulus velocity and the length of skin traversed. Since the relationship between d' and velocity at each traverse length was well described by a generalized gamma function, it was possible to quantitatively characterize the effects of changes in traverse length on the relationship between d' and velocity. Specifically, peak (i.e., maximal) directional sensitivity increased as the length of skin traversed was increased, yet the velocity which resulted in peak directional sensitivity (i.e., the optimal or model velocity) remained invariant over the range of traverse lengths investigated (0.35-1.0 cm). The effect of stimulus velocity on directional sensitivity was least at the longest traverse lengths used. The generalized gamma function model fit the relationship between directional sensitivity and velocity equally well at all traverse lengths studied. The results lead us to anticipate that stimuli of the type used in this study should prove valuable for the detection and quantification of disturbances in orofacial tactile spatiotemporal integration in patients with peripheral nerve injury.

Adolescent↗

Human perioral directional sensitivity.

The capacity of 41 neurologically healthy young adults to distinguish opposing directions of brush motion across the skin innervated by the mental nerve was determined. The velocity and orientation and the length and width of skin traversed by the moving tactile stimuli were carefully controlled. Directional sensitivity, d', was found to vary curvilinearly with velocity over the range 0.5 to 32 cm/s. Because the data from most subjects were well described by a generalized gamma function, it was possible to characterize this velocity dependency quantitatively. Specifically, indices derived from these functions were found to describe the subject's peak (i.e., maximal) sensitivity, the velocity which resulted in peak sensitivity (i.e., the optimal velocity), and the degree to which stimulus velocity influenced the ability to recognize direction of motion (i.e., the velocity-tuning of d'). Peak sensitivity, optimal velocity, and the degree of global velocity-tuning were found to differ between males and females. Confidence limits (the lower and upper 2.5% points) for the normative data were determined to enable detection and characterization of deficits in orofacial tactile motion sensitivity in individuals with damaged mandibular nerves.

Adult↗

The capacity of human subjects to process directional information provided at two skin sites.

The ability of human subjects to discriminate direction of tactile stimulus motion on the dorsum of the hand was determined (1) in the absence and (2) in the presence of a moving stimulus delivered to a second skin site on the ipsilateral or contralateral forelimb. When the two skin sites were simultaneously contacted by stimuli moving in the same direction, directional sensitivity was typically below that predicted for a hypothetical subject who could independently process the information provided at each of the two skin sites. Even when the stimulus delivered to a second site was deliberately ignored, it could still alter a subject's perception of stimulus direction on the dorsal hand. Moreover, its influence was greatest whenever it moved in a direction opposite to that of the attended stimulus. Whenever the two moving stimuli were delivered nonsimultaneously to two skin sites, directional sensitivity rarely matched the levels predicted for a hypothetical subject who could independently process the information provided at each site. This, in part, resulted from the subjects' utilization of "long-range" cues provided by the temporal order of stimulation. Subjects frequently failed to distinguish these cues from the sensation of stimulus direction provided at each skin site.

Afferent Pathways↗

Discrimination and scaling of velocity of stimulus motion across the skin.

The capacity of human subjects to discriminate and to scale the velocity of tactile brushing stimuli was assessed. Signal detection and classical psychophysical techniques were employed to estimate the Weber fraction over a wide range of velocities (from 1.5 to 140 cm/sec). In addition, free magnitude estimates of (1) the velocity and (2) the duration of moving tactile stimuli were obtained. It was found that human capacity to discriminate stimuli delivered to a 4 to 6-cm chord of skin on the dorsal forearm and differing in velocity remains grossly constant over the range of velocities tested and is relatively poor (i.e., the Weber fraction = 0.2-0.25). A simple power function (exponent = 0.6) satisfactorily describes the psychophysical relation (1) between the perceived and actual velocity and (2) between the perceived and actual duration of these stimuli. Since a direct proportionality between the reciprocal of a subject's estimate of duration and his or her estimate of velocity was observed, it is suggested that these two sensory attributes may reflect the operation of a neural mechanism sensitive to the duration of stimulation. Moreover, the data are inconsistent with the hypothesis that the subjects computed estimates of mean velocity from the ratio of perceived distance to perceived duration.

Acceleration↗

Neurons of area 7 activated by both visual stimuli and oculomotor behavior.

Behavioral and clinical studies have long implicated the posterior parietal cortex of primates in spatial perception and spatially oriented behavior. However, recordings from single neurons in behaving monkeys by different laboratories have resulted in divergent views with some ascribing a largely motor and others a largely sensory role for this region. We have designed paradigms to separate the sensory and motor components of the neural activity and have found that the cells in this area respond to both sensory stimulation and motor behavior. Thus, it is likely that this area is not solely sensory or motor, but rather is involved in higher order aspects of sensory-motor integration.

Animals↗

Dependence of subjective traverse length on velocity of moving tactile stimuli.

Two series of experiments were performed to assess the effects of stimulus velocity on human subjects' perception of the distance traversed by a moving tactile stimulus. In all experiments, constant-velocity stimuli were applied to the dorsal surface of the left forearm; velocities ranging between 1.0 and 256 cm/sec were used. In some experiments the stimuli moved from distal to proximal over the skin, and in others they moved from proximal to distal. The length of skin contacted by the moving stimulus was defined by a plate having an aperture of 4.0 X 0.5 cm. In the first series of experiments, subjects were required to compare the distance traversed by a test stimulus delivered 2 sec after a standard stimulus, and also to report the on-locus and the off-locus of the brushing stimulus. In the second series of experiments, the subjects rated the perceived distance on the skin using a free-magnitude-estimation procedure. The data from both series of experiments defined the same relationship between stimulus velocity and perceived stimulus distance. More specifically, although the length of skin contacted by the stimulus was the same at all velocities, subjects' estimates of stimulus distance decreased with increasing stimulus velocity. In addition, the function relating estimates of stimulus distance to velocity was flat for velocities between 5 and 20 cm/sec, but possessed an appreciable negative slope at lower and higher velocities. It is interesting that the plateau of the relationship between perceived stimulus distance and velocity occurred within the range of velocities that human subjects employ to scan textured surfaces; it also corresponded precisely with the range of stimulus velocities at which the directional sensitivity of somatosensory cortical neurons and human subjects is optimal.

Adult↗

Encoding of spatial location by posterior parietal neurons.

The cortex of the inferior parietal lobule in primates is important for spatial perception and spatially oriented behavior. Recordings of single neurons in this area in behaving monkeys showed that the visual sensitivity of the retinotopic receptive fields changes systematically with the angle of gaze. The activity of many of the neurons can be largely described by the product of a gain factor that is a function of the eye position and the response profile of the visual receptive field. This operation produces an eye position-dependent tuning for locations in head-centered coordinate space.

Animals↗

Assessment of the capacity of human subjects and S-I neurons to distinguish opposing directions of stimulus motion across the skin.

The ability of human subjects and the capacities of single S-I neurons of macaque monkeys to distinguish opposing directions of movement over the skin were investigated by employing experimental paradigms and data analyses based on sensory decision theory (SDT). It is shown that these techniques can be utilized to provide behavioral and neurophysiological indices of directional sensitivity which have the same metric, and are amenable to statistical tests for significance. The influences of 3 different paradigms and modes of relative operating characteristic (ROC) curve construction on SDT indices of human cutaneous directional sensitivity were investigated. Response latency (RL) was used as an objective indication of certainty in all 3 paradigms; in one of the 3 paradigms the subject also rated the certainty of each report. The SDT indices of cutaneous directional sensitivity and response bias were shown to be independent of the paradigm and mode of ROC curve construction investigated, and the SDT 'Gaussian-equal variance' hypothesis was concluded to be consistent with the data provided by all 3 paradigms. A considerable amount of inter-subject as well as intra-subject variability in human cutaneous directional sensitivity is demonstrated for all subjects tested. This variability appears to be an attribute of the processes underlying the sensing of stimulus direction since it is present even when stimulus conditions are maintained constant. Experimental designs were developed which account for this variability, thus allowing detection and quantitation of the influence of variations in stimulus conditions on human directional sensitivity. It is demonstrated that for S-I neurons, an ROC curve can be generated from the responses to multiple replications of opposing directions of movement across the receptive field. The large number of stimulus presentations required to estimate directional sensitivity from ROC curves involves a prolonged period of single neuron recording that is difficult to achieve even under ideal experimental conditions. It is shown that one can obtain a reliable estimate of single neuron directional sensitivity (i.e. delta'e) using relatively few stimulus replications when mean firing rate is assumed to represent that aspect of the neural response carrying information about stimulus direction. These indices allow assessment of the selectivity of single S-I neurons for direction as stimulus parameters are varied. Examples are provided which show (utilizing delta'e) that those stimulus conditions evoking maximal firing rates from S-I neurons are often not optimal for signalling direction of movement across the skin.

Animals↗

Factors influencing cutaneous directional sensitivity: a correlative psychophysical and neurophysiological investigation.

The effects of 4 parameters of moving tactile stimuli (i.e., velocity, traverse length, position and orientation) on human cutaneous directional sensitivity and on the behavior of directionally sensitive neurons in S-I of unanesthetized macaque monkeys are studied. The experimental paradigms and approaches to data analysis are based on sensory decision theory (SDT), and provide indices of single neuron and of perceptual cutaneous direction sensitivity that can be compared. Human cutaneous directional sensitivity is shown to be maximal when the stimuli move at velocities between 5 and 30 cm/s, and to fall off either at lower or higher velocities. The neurophysiological studies of the effects of velocity reveal a heterogeneity in the population of directionally sensitive S-I neurons. Some neurons are shown to exhibit maximal directional sensitivity at velocities between 5 and 30 cm/s, whereas others possess maximal directional sensitivity at lower velocities (i.e., less than 5 cm/s). Human cutaneous directional sensitivity is determined at each of 5 different forelimb regions. The data reveal that a pronounced gradient in human cutaneous directional sensitivity exists along the proximodistal axis of the forelimb, with the greatest sensitivity existing at the most distal forelimb site studied. The companion neurophysiological studies reveal that a change in the position of the moving stimulus within the receptive field of an individual directionally sensitive S-I neuron is usually accompanied by a change in the magnitude of its directional sensitivity. Two major classes of directionally sensitive S-I neurons can be distinguished on the basis of the in-field variations in directional sensitivity they exhibit. For one neuron class, preferred direction remains the same at all regions within the receptive field; these are termed 'direction invariant neurons' and they appear to be capable of signalling direction of motion unambiguously under most of the experimental conditions used in this study. For the neurons of the second class, preferred direction varies with the position of the stimulus within the receptive field; these are termed 'direction variant' neurons. Direction variant S-I neurons signal movement toward or away from a given point within the receptive field. As a consequence, a reversal in cutaneous directional sensitivity within their receptive fields can typically be demonstrated. For every direction variant neuron studied the receptive field position at which cutaneous directional sensitivity reversed was located over a joint.(ABSTRACT TRUNCATED AT 400 WORDS)

Afferent Pathways↗

Variability in somatosensory cortical neuron discharge: effects on capacity to signal different stimulus conditions using a mean rate code.

1. The present study is based on the demonstration (8, 9) that the relationship between mean interval (MI) and standard deviation (SD) for stimulus-driven activity recorded from SI neurons is well fitted by the linear equation SD = a X MI + b and on the observations that the values of the slope (a) and y intercept (b) parameters of this relationship are independent of stimulus conditions and may vary widely from one neuron to the next (8). 2. A criterion for the discriminability of two different mean firing rates requiring that the mean intervals of their respective interspike interval (ISI) distributions be separated by a fixed interval (expressed in SD units) is developed and, on the basis of this criterion, a graphical display of the capacity of a neuron with a known SD-MI relationship to reflect a change in stimulus conditions with a change in mean firing rate is derived. Using this graphical approach, it is shown that the parameters of the SD-MI relationship for a single neuron determine a range of firing frequencies, within which that neuron exhibits the greatest capacity to signal differences in stimulus conditions using a frequency code. 3. The discrimination criterion is modified to incorporate the changes in the symmetry of the ISI distribution observed to accompany changes in mean firing rate. It is shown that, although the observed symmetry changes do influence the capacity of a cortical neuron to signal a change in stimulus conditions with a change in mean firing rate, they do not alter the range of firing rates (determined by the parameters of the SD-MI relationship) within which the capacity for discrimination is maximal. 4. The maximal number of firing levels that can be distinguished by a somatosensory cortical neuron (using the same discrimination criterion described above) discharging within a specified range of mean frequencies also is demonstrated to depend on the parameters of the linear equation which relates SD to MI. 5. Two approaches based on the t test for differences between two means are developed in an attempt to ascertain the minimum separation of the mean intervals of the ISI distributions necessary for two different mean firing rates to be discriminated with 80% certainty.

Animals↗

Dental research priorities and availability of research opportunities for dental students.

The American Student Dental Association surveyed 69 dental deans representing schools in the United States, Canada, and Puerto Rico to assess the priority of research and the role of dental students in research activity. Student interest, curricular requirements, potential funding, and opportunities available, as related to dental research, were topics included on the questionnaire. The results indicate that although the percentage of dental students seeking research involvement is small, opportunities and financial support for research are available in most dental schools as part of the regular curriculum.

Canada↗

A longitudinal study of the association between tooth loss and age-related hearing loss.

The purpose of this study was to investigate cross-sectional and longitudinal associations between hearing acuity and tooth loss in 1156 US veterans taking part in the Veterans Affairs' Normative Aging (NAS) and Dental Longitudinal (DLS) Studies in the Boston, MA, area. The mean age was 48 years (SD = 8.9), 5.3% were edentulous, and 15.4% had < 17 teeth at baseline. Hearing acuity was determined by puretone, air- and bone-conduction audiometry, and speech discrimination tests at triennial examinations over a 20-year follow-up period. Hearing decline was defined as a change from baseline in the average puretone air-conduction thresholds of > or = 20 dB at 0.25, 0.5, 1, 2, 3, 4, 6, and 8 kHz. The explanatory variables of interest were change since baseline in dentate status (cut points at < 1, < 17, and < 20 teeth), and in the number of teeth lost (linear). Linear and logistic regression models--which controlled for baseline audiological status, age, air-bone gap, and otoscopic examination at current visit--showed that subjects who went from having > or = 17 to < 17 teeth had 1.64 times (95% CI, 1.24-2.17) as high odds of having hearing decline as those with no change in their dentate status. For every tooth lost since baseline, there was a 1.04 times as high odds (95% CI, 1.02-1.06) for hearing decline, when additional baseline and time-varying covariates were taken into account in the model.

Adult↗