Publication

Cognitive neuroprosthetics for investigating and restoring body perception

Marco Solcà
2019
Theses

Abstract

Our brain constantly receives and integrates a flow of multisensory bodily inputs that are responsible for the way our body is represented and consciously experienced. However, in some pathological conditions, patients might experience altered perceptions of their body or suffer from abnormal bodily sensations such as chronic pain. Recent studies in cognitive neuroscience demonstrate that it is possible to modulate bodily self-consciousness and related bodily experiences by experimentally manipulating multisensory bodily inputs. Using such approaches, this work aims to investigate abnormal body experiences and to develop new therapeutic solutions for patients suffering from distorted body representation and chronic pain. First, we manipulated visuo-tactile information to investigate alterations of bodily self-consciousness in spinal cord injured patients and demonstrated the potential analgesic effects of such multisensory stimulation (Study 1). Then, we combined neuro-tactile stimulation with visual stimulation via virtual reality in amputees to induce embodiment for their prosthetic hands, and to improve abnormal phantom limb perceptions (Study 2). We then used a similar approach in patients with chronic leg pain and combined spinal cord stimulation with visual stimulation via virtual reality to in-crease analgesia induced by neuromodulation (Study 3). In another series of studies, we investigated the role of inter-oceptive signals in chronic pain. First, we demonstrated that patients suffering from complex regional pain syndrome (CRPS) had reduced abilities in perceiving and processing their heartbeat (Study 4). Then, we manipulated interocep-tive information with visual stimulation via virtual reality to reduced CRPS symptoms (Study 5). Collectively, these five studies demonstrate the possibility to use the latest research on the neuroscience of embodi-ment and virtual technology to study disorders of body representation. Furthermore we aim to develop new cognitive neuroprosthetic approaches including restoring normal body perception, inducing embodiment for a prosthetic limb, and alleviating chronic pain.

Official source

https://infoscience.epfl.ch/entities/publication/3f6a5d5c-7ab6-4d37-aa43-30888e010b07

Marco Solcà
2019
Theses

Abstract

Official source

https://infoscience.epfl.ch/entities/publication/3f6a5d5c-7ab6-4d37-aa43-30888e010b07

Related concepts (32)

Out-of-body experience

An out-of-body experience (OBE or sometimes OOBE) is a phenomenon in which a person perceives the world from a location outside their physical body. An OBE is a form of autoscopy (literally "seeing self"), although this term is more commonly used to refer to the pathological condition of seeing a second self, or doppelgänger. The term out-of-body experience was introduced in 1943 by G. N. M. Tyrrell in his book Apparitions, and was adopted by researchers such as Celia Green, and Robert Monroe, as an alternative to belief-centric labels such as "astral projection" or "spirit walking".

Pain management

Pain management is an aspect of medicine and health care involving relief of pain (pain relief, analgesia, pain control) in various dimensions, from acute and simple to chronic and challenging. Most physicians and other health professionals provide some pain control in the normal course of their practice, and for the more complex instances of pain, they also call on additional help from a specific medical specialty devoted to pain, which is called pain medicine.

Near-death experience

A near-death experience (NDE) is a profound personal experience associated with death or impending death which researchers describe as having similar characteristics. When positive, which the great majority are, such experiences may encompass a variety of sensations including detachment from the body, feelings of levitation, total serenity, security, warmth, joy, the experience of absolute dissolution, review of major life events, the presence of a light, and seeing dead relatives.

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