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Perceptual abnormalities in amputees: phantom pain, mirror-touch synaesthesia and referred tactile sensations

机译:截肢者的感知异常:幻痛,镜面触觉通感和所谓的触觉感受

摘要

It is often reported that after amputation people experience "a constant orudinconstant... sensory ghost... faintly felt at time, but ready to be called up to [their]udperception" (Mitchell, 1866). Perceptual abnormalities have been highlighted in amputees,udsuch as sensations in the phantom when being stroked elsewhere (Ramachandran et al., 1992) or when observing someone in pain (Giummarra and Bradshaw, 2008). This thesis explored the perceptual changes that occur following amputation whist focusing on pain, vision and touch. A sample of over 100 amputees were recruited through the National Health Service. Despite finding no difference in phantom pain based on physical amputation details or nonpainful perceptual phenomena, results from Paper 1 indicated that phantom pain may be more intense, with sensations occurring more frequently, in amputees whose pain was triggerinduced. The survey in Paper 2 identified a group of amputees who in losing a limb acquired mirror-touch synaesthesia. Higher levels of empathy found in mirror-touch amputees might mean that some people are predisposed to develop synaesthesia, but that it takes sensory loss to bring dormant cross-sensory interactions into consciousness. Although the mirror-system may reach supra-threshold levels in some amputees, the experiments in Paper 3 suggested a relatively intact mirror-system in amputees overall. Specifically, in a task of apparent biological motion, amputees showed a similar, although weaker, pattern of results to normalbodied participants. The results of Paper 4 showed that tactile spatial acuity on the face was also largely not affected by amputation, as no difference was found between the sides ipsilateral and contralateral to the stump. In Paper 5 cross-modal cuing was used to investigate whether referred tactile sensations could prime a visually presented target in space occupied by the phantom limb. We conclude that perception is only moderately affected in most amputees, but that in some the sensory loss causes normally sub-threshold processing to enhance into conscious awareness.
机译:经常有报道说,截肢后人们会经历“一个不断的或 udinconstant ...感觉鬼...时而隐隐感觉到,但准备被称为 uudception”(Mitchell,1866)。在截肢者中已经突出了知觉异常,例如在其他地方被抚摸时(Ramachandran等人,1992)或在观察某人的疼痛时(Giummarra和Bradshaw,2008),幻影中的感觉。本文探讨了截肢后疼痛,视力和触觉发生的知觉变化。通过国家卫生局招募了100多名截肢者。尽管根据肢体截肢细节或非痛性知觉现象没有发现幻影疼痛的差异,但论文1的结果表明,在诱发疼痛的被截肢者中,幻影疼痛可能会更剧烈,且感觉更频繁。论文2中的调查确定了一组截肢者,他们因失去肢体而获得了镜面通感。在镜面碰触截肢者中发现较高的同理心可能意味着有些人容易产生联觉,但是需要感觉丧失才能将休眠的交叉感觉交互作用带入意识中。尽管在某些截肢者中镜系统可能达到阈值以上的水平,但论文3中的实验表明,在整个截肢者中镜系统相对完整。具体而言,在一项明显的生物运动任务中,截肢者显示出与正常参与者相似但较弱的结果模式。论文4的结果表明,截肢对面部的触觉空间敏锐度也没有很大的影响,因为残端的同侧和对侧没有差异。在论文5中,交叉模态提示被用于调查所提及的触觉是否可以在幻肢占据的空间中引发视觉呈现的目标。我们得出的结论是,在大多数截肢者中,知觉只会受到中等程度的影响,但是在某些感觉上的丧失会导致正常的亚阈值处理,从而增强意识。

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    Goller Aviva Idit;

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