Search

Existing haptic actuators are often rigid and limited in their ability to replicate real-world tactile sensations. We present a wearable haptic artificial muscle skin (HAMS) based on fully soft, millimeter-scale, multilayer dielectric elastomer actuators (DEAs) capable of significant out-of-plane deformation, a capability that typically requires rigid or liquid biasing. The DEAs use a thickness-varying multilayer structure to achieve large out-of-plane displacement and force, maintaining comfort and wearability. Experimental results demonstrate that HAMS can produce complex tactile feedback with high perception accuracy. Moreover, we show that HAMS can be integrated into extended reality (XR) systems, enhancing immersion and offering potential applications in entertainment, education, and assistive technologies.

Wearable haptics serve as an enhanced media to connect humans and VR/robots. The inevitable sweating issue in all wearables creates a bottleneck for wearable haptics, as the sweat/moisture accumulated in the skin/device interface can substantially affect feedback accuracy, comfortability, and create hygienic problems. Nowadays, wearable haptics typically gain performance at the cost of sacrificing the breathability, comfort, and biocompatibility. Here, we developed a fully integrated breathable haptic textile (FIBHT) to solve these trade-off issues, where the FIBHT exhibits high-level integration of 128 pixels over the palm, great stretchability of 400%, and superior permeability of over 657 g/m2/day (moisture) and 40 mm/s (air). It is a stand-alone haptic system totally composed of stretchable, breathable, and bioadhesive materials, which empowers it with precise, sweating/movement-insensitive and dynamic feedback, and makes FIBHT powerful for virtual touching in broad scenarios.

The dense mechanoreceptors in human fingertips enable texture discrimination. Recent advances in flexible electronics have created tactile sensors that effectively replicate slowly adapting (SA) and rapidly adapting (RA) mechanoreceptors. However, the influence of dermatoglyphic structures on tactile signal transmission, such as the effect of fingerprint ridge filtering on friction-induced vibration frequencies, remains unexplored. A novel multi-layer flexible sensor with an artificially synthesized skin surface capable of replicating arbitrary fingerprints is developed. This sensor simultaneously detects pressure (SA response) and vibration (RA response), enabling texture recognition. Fingerprint ridge patterns from notable historical figures - Rosa Parks, Richard Nixon, Martin Luther King Jr., and Ronald Reagan - are fabricated on the sensor surface. Vibration frequency responses to assorted fabric textures are measured and compared between fingerprint replicas. Results demonstrate that fingerprint topography substantially impacts skin-surface vibrational transmission. Specifically, Parks fingerprint structure conveyed higher frequencies more clearly than those of Nixon, King, or Reagan. This work suggests individual fingerprint ridge morphological variation influences tactile perception and can confer adaptive advantages for fine texture discrimination. The flexible bioinspired sensor provides new insights into human vibrotactile processing by modeling fingerprint-filtered mechanical signals at the finger-object interface.

Atypical sensory processing is common in autism, but how neural coding is disrupted in sensory cortex is unclear. We evaluate whisker touch coding in L2/3 of somatosensory cortex (S1) in Cntnap2-/- mice, which have reduced inhibition. This classically predicts excess pyramidal cell spiking, but this remains controversial, and other deficits may dominate. We find that c-fos expression is elevated in S1 of Cntnap2-/- mice under spontaneous activity conditions but is comparable to that of control mice after whisker stimulation, suggesting normal sensory-evoked spike rates. GCaMP8m imaging from L2/3 pyramidal cells shows no excess whisker responsiveness, but it does show multiple signs of degraded somatotopic coding. This includes broadened whisker-tuning curves, a blurred whisker map, and blunted whisker point representations. These disruptions are greater in noisy than in sparse sensory conditions. Tuning instability across days is also substantially elevated in Cntnap2-/-. Thus, Cntnap2-/- mice show no excess sensory-evoked activity, but a degraded and unstable tactile code in S1.

Affective touch-a slow, gentle, and pleasant form of touch-activates a different neural network than which is activated during discriminative touch in humans. Affective touch perception is enabled by specialized low-threshold mechanoreceptors in the skin with unmyelinated fibers called C tactile (CT) afferents. These CT afferents are conserved across mammalian species, including macaque monkeys. However, it is unknown whether the neural representation of affective touch is the same across species and whether affective touch's capacity to activate the hubs of the brain that compute socioaffective information requires conscious perception. Here, we used functional MRI to assess the preferential activation of neural hubs by slow (affective) vs. fast (discriminative) touch in anesthetized rhesus monkeys (Macaca mulatta). The insula, anterior cingulate cortex (ACC), amygdala, and secondary somatosensory cortex were all significantly more active during slow touch relative to fast touch, suggesting homologous activation of the interoceptive-allostatic network across primate species during affective touch. Further, we found that neural responses to affective vs. discriminative touch in the insula and ACC (the primary cortical hubs for interoceptive processing) changed significantly with age. Insula and ACC in younger animals differentiated between slow and fast touch, while activity was comparable between conditions for aged monkeys (equivalent to >70 y in humans). These results, together with prior studies establishing conserved peripheral nervous system mechanisms of affective touch transduction, suggest that neural responses to affective touch are evolutionarily conserved in monkeys, significantly impacted in old age, and do not necessitate conscious experience of touch.

Somatosensory coding in rodents has been mostly studied in the whisker system and hairy skin, whereas the function of low-threshold mechanoreceptors (LTMRs) in the rodent glabrous skin has received scant attention, unlike in primates where the glabrous skin has been the focus. The relative activation of different LTMR subtypes carries information about vibrotactile stimuli, as does the rate and temporal patterning of LTMR spikes. Rate coding depends on the probability of a spike occurring on each stimulus cycle (reliability), whereas temporal coding depends on the timing of spikes relative to the stimulus cycle (precision). Using in vivo extracellular recordings in male rats and mice of either sex, we measured the reliability and precision of LTMR responses to tactile stimuli including sustained pressure and vibration. Similar to other species, rodent LTMRs were separated into rapid-adapting (RA) or slow-adapting based on their response to sustained pressure. However, unlike the dichotomous frequency preference characteristic of RA1 and RA2/Pacinian afferents in other species, rodent RAs fell along a continuum. Fitting generalized linear models to experimental data reproduced the reliability and precision of rodent RAs. The resulting model parameters highlight key mechanistic differences across the RA spectrum; specifically, the integration window of different RAs transitions from wide to narrow as tuning preferences across the population move from low to high frequencies. Our results show that rodent RAs can support both rate and temporal coding, but their heterogeneity suggests that coactivation patterns play a greater role in population coding than for dichotomously tuned primate RAs. [ABSTRACT FROM AUTHOR]

Objective: Premature infants require special attention during nursing. This study aimed to explore the effects of baby touch on the growth, immunity, sleep and communication in premature infants. Methods: This was a retrospective study. A total of 64 premature infants with a gestational age of 30-36 weeks were selected at Maternity & Child Care Center of Qinhuangdao from June 2022 to May 2023, and randomly divided into experimental group and control group. The control group received routine comprehensive nursing care for newborns, while the experimental group was additionally treated with touch intervention using the international standard touch method. The effects of the three months touch on the growth and development, immunological function, sleep quality, and emotional communication of the premature infants were observed. Results: No statistically significant differences were found in gender, gestational age, birth weight, birth length, or head circumference at birth between the two groups (p> 0.05). In the third month, the increases in body weight, body length and head circumference were significantly more obvious, the immunological function indicators including CD3+, CD4+, CD8+, IgG, IgA and IgM were all significantly higher, the sleep time and sleep quality were both significantly superior, and the interaction time and intimacy with parents were significantly superior in the experimental group compared with the control group, with statistically significant differences (p< 0.05). Conclusion: Baby touch can promote growth and development, strengthen immunological function, improve sleep quality and enhance the emotional communication abilities of premature infants, and help them better adapt to the environment and grow. [ABSTRACT FROM AUTHOR]

Virtual reality systems may benefit from wearable (fingertip-mounted) haptic displays capable of rendering the softness of virtual objects. According to neurophysiological evidence, the easiest reliable way to render a virtual softness is to generate purely tactile (as opposed to kinaesthetic) feedback to be delivered via a finger-pulp-interfaced deformable surface. Moreover, it is necessary to control not only the skin indentation depth by applying quasi-static (non-vibratory) contact pressures, but also the skin contact area. This is typically impossible with available devices, even with those that can vary the contact area, because the latter cannot be controlled due to the complexity of sensing it at high resolutions. This causes indetermination on an important tactile cue to render softness. Here, we present a technology that allows the contact area to be open-loop controlled via personalised optical calibrations. We demonstrate the solution on a modified, pneumatic wearable tactile display of softness previously described by us, consisting of a small chamber containing a transparent membrane inflated against the finger pulp. A window on the device allowed for monitoring the skin contact area with a camera from an external unit to generate a calibration curve by processing photos of the skin membrane interface at different pressures. The solution was validated by comparisons with an ink-stain-based method. Moreover, to avoid manual calibrations, a preliminary automated procedure was developed. This calibration strategy may be applied also to other kinds of displays where finger pulps are in contact with transparent deformable structures. [ABSTRACT FROM AUTHOR]

Changes in the function of inhibitory interneurons (INs) during cortical development could contribute to the pathophysiology of neurodevelopmental disorders. Using all-optical in vivo approaches, we find that parvalbumin (PV) INs and their immature precursors are hypoactive and transiently decoupled from excitatory neurons in postnatal mouse somatosensory cortex (S1) of Fmr1 KO mice, a model of fragile X syndrome (FXS). This leads to a loss of parvalbumin INs (PV-INs) in both mice and humans with FXS. Increasing the activity of future PV-INs in neonatal Fmr1 KO mice restores PV-IN density and ameliorates transcriptional dysregulation in S1, but not circuit dysfunction. Critically, administering an allosteric modulator of Kv3.1 channels after the S1 critical period does rescue circuit dynamics and tactile defensiveness. Symptoms in FXS and related disorders could be mitigated by targeting PV-INs.

Background: Advanced neuromuscular training prepares patients with anterior cruciate ligament reconstruction (ACLR) for sport participation. Return-to-sport testing often includes single-leg hop tests, yet combining motor and cognitive tasks (i.e., dual-task) might reveal neurocognitive reliance. Purpose/Hypothesis: This study examined changes in performance on visuomotor reactions tests and single-leg hop tests following advanced neuromuscular training in patients with ACLR. The hypothesis was that performance would improve less on reaction tests than on single-leg hop tests. Study Design: Quasi experimental, Pretest-Posttest Methods: Twenty-five patients with ACLR (11 males) completed 10 sessions of advanced neuromuscular training and pre-and post-training testing. Reaction tests outcomes were from a platform and visual display. The double-leg reaction test involved touching target dots with either leg for 20 seconds; correct touches and errors were recorded. The single-leg reaction test involved hopping on the test leg to 10 target dots; hop time and errors were recorded. Single-leg hop tests included forward, triple, crossover triple, and timed hop; limb symmetry index was recorded. Effect sizes were calculated for corrected touches on the double-leg reaction test, surgical side hop time on the single-leg reaction test, and surgical side hop distance or time on single-leg hop tests. Results: Correct touches on the double-leg reaction test significantly increased from pre- to post-training (20.4 +/- 4.3 vs. 23.9 +/- 2.8, p<0.001). Hop time on the single-leg reaction test significantly decreased from pre- to post-training (Surgical leg 13.2 vs. 12.3 seconds, non-surgical leg 13.0 vs. 12.1 seconds, p=0.003). Mean errors did not significantly change on either reaction test (p> 0.05). Cohens d effect sizes in descending order was single-leg hop tests (d=0.9 to 1.3), double-leg reaction test (d=0.9), and single-leg reaction test (d=0.5). Conclusion: Motor performance improved after advanced neuromuscular training, but the effect size was less on visuomotor reaction tests than single-leg hop tests. The results suggest persistence of neurocognitive reliance after ACLR and a need for more dual-task challenges in training. Level of Evidence: 3 [ABSTRACT FROM AUTHOR]

Nowadays, artificial intelligence is used in many fields to diagnose and treat different diseases. Robots are also useful tools that substitute for human work. Despite robots being used also for touch therapy, can they substitute for the human touch? Human touch has a strong social component, and it is necessary for the correct development of newborns and the treatment of pathological situations. To substitute human touch, it is necessary to integrate robots with artificial intelligence as well as with sensors that mimic human skin. Today, the question remains without answer: Can human touch be substituted with AI in its social and affiliative components?

Background: Fever is a very common presenting complaint in children and is of great diagnostic importance. The presence of fever in a child which is often determined by tactile assessment is a major source of concern to caregivers necessitating either the use of medications and /or hospital visitation. Objective: To test the reliability of tactile assessment of fever by mothers and to ascertain if palpation of a single site or multiple sites affects the accuracy. Method: The study was conducted at the University of Benin Teaching Hospital, Benin City between July and September 2009 and involved 359 children aged six months to five years. Each child had a tactile assessment of fever by the mother after which the patient's axillary temperature was measured and documented. Results: One hundred and forty-five mothers (40.4%) palpated multiple sites while 214 mothers (59.6%) palpated a single site.Of those that palpated a single site, the head was the most frequently used site (31%) while the groin was the least used site (0.5%). The sensitivity, specificity, positive predictive value and negative predictive value of mother's perception of fever using a single site were 89.2%, 64.3%, 56.9% and 91.8% respectively while for mothers who used multiple sites were 89.4%, 55.7%, 62.8% and 86.3% respectively. No significant difference was found when the values were compared. Conclusion: Tactile assessment is still a relevant tool in the determination of the presence of fever in children. The use of one or more anatomical sites does not affect its accuracy.

Touch is an essential form of non-verbal communication. While language and its neural basis are widely studied, tactile communication is less well understood. We used fMRI and multivariate pattern analyses in pairs of emotionally close adults to examine the neural basis of human-to-human tactile communication. In each pair, a participant was designated either as sender or as receiver. The sender was instructed to communicate specific messages by touching only the arm of the receiver, who was inside the scanner. The receiver then identified the message based on the touch expression alone. We designed two multivariate decoder algorithms—one based on the sender's intent (sender-decoder), and another based on the receiver's response (receiver-decoder). We identified several brain areas that significantly predicted behavioural accuracy of the receiver. Regarding our a priori region of interest, the receiver's primary somatosensory cortex (S1), both decoders were able to accurately differentiate the messages based on neural activity patterns here. The receiver-decoder, which relied on the receivers' interpretations of the touch expressions, outperformed the sender-decoder, which relied on the sender's intent. Our results identified a network of brain areas involved in human-to-human tactile communication and supported the notion of non-sensory factors being represented in S1. This article is part of the theme issue 'Sensing and feeling: an integrative approach to sensory processing and emotional experience'. [ABSTRACT FROM AUTHOR]

Emotional experiences are driven, in part, by the way we process and integrate information from different sensory modalities. Understanding how perceptual and emotional systems interact to give rise to subjective feelings is an important, complex and challenging issue, requiring new approaches and integrative thinking that fuses the fundamentals of low-level sensory perception with higher-level cognitive and affective processes. The Theme Issue 'Sensing and feeling: an integrative approach to sensory processing and emotional experience' showcases fifteen theoretical, empirical, and review articles from experts working at the intersection of perception and emotion, encompassing multiple sensory systems (visual, auditory, tactile and interoceptive), clinical and non-clinical perspectives (e.g. affective disorders and hearing loss), contextual and social perspectives, and complex emotional experiences in special populations. Articles in Part 1 emphasize recent advances across fields in sensory and emotion science and give insights into future directions. Each article in Part 2 provides more detailed and specific methodological approaches or theoretical models, and focuses on basic mechanisms linking sensation to emotional experience. This article is part of the theme issue 'Sensing and feeling: an integrative approach to sensory processing and emotional experience'. [ABSTRACT FROM AUTHOR]

Background: Children with visual impairment and additional disabilities (VIAD) have difficulty accessing the visual information related to their parents' facial expressions and gestures. Similarly, it may be hard for parents to detect their children's subtle expressions. These challenges in accessibility may compromise emotional availability (EA) in parent--child interactions. The systematic use of the bodily-tactile modality for expressive and receptive communicative functions may function as a strategy to compensate for a child's lack of vision. This multiple-case study explored the effects of a bodily-tactile early intervention for three mothers and their one-year-old children with VIAD. Methods: Video data from baseline, intervention, and follow-up sessions were analyzed using a bodily-tactile coding procedure and EA Scales. Results: During the intervention, all mothers began to use a more bodily-tactile modality in early play routines and in different communicative functions. They increased their use of anticipatory cues, noticing responses, and tactile signs. Moreover, the children were more emotionally available to their mothers during the intervention and follow-up compared to the baseline. Conclusion: The results indicated that, during a short intervention, mothers could adopt a systematic use of the bodily-tactile modality in interactions with their children with VIAD. The results also suggest that, when mothers increased flexibility in communication channels, it was positively linked to their children's EA. [ABSTRACT FROM AUTHOR]

Recently, several previously undiscussed concerns in acupuncture research have been brought to light. Among these, the core issue stems from the ambiguity surrounding the identity of acupoints. Hence, the question "What is the identity of acupoints?" remains of particular importance in acupuncture research. To answer this question, we reviewed the original concept of acupoints explained in Oriental medicine, from which acupuncture treatment originated, and examined scientific research on acupuncture and acupoints. We then proposed a perspective on the identity of acupoints and speculated about a possible reason for their elusive nature: qi, which congregates at and flows in and out of acupoints, might be bioelectricity, making these points inherently difficult to measure anatomically or histologically. Consequently, acupoints are suggested to be spaces where bioelectricity congregates, thus inevitably exhibiting electrical characteristics. [ABSTRACT FROM AUTHOR]

Background: Personalized medicine, an emerging approach, considers individual differences to tailor treatments optimally. Persian medicine (PM) incorporates individual differences through Mizāj (temperament). A comprehensive understanding of each Mizaj type's characteristics is essential in designing standardized diagnostic tools. Objectives: This study aims to explore the attributes of one of the most significant Mizaj groups, namely cold-wet Mizaj, and its subtypes, including cold-wet Su-e-Mizaj (dystemperament), as well as phlegm dominance in PM sources. Methods: Persian medicine literature, including the Canon of Medicine, was reviewed for relevant concepts. Reliable scientific databases, including PubMed, Scopus, and MagIran, were searched using keywords such as Mizaj, temperament, Su-e-Mizaj, dystemperament, cold-wet dystemperament, phlegm, and Balgham. The obtained results were studied and categorized. Results: Out of the 196 articles obtained related to Mizaj, 16 investigated indices. No studies were found on the indices of coldwet Mizaj and phlegm dominance separately. PM sources exhibit high congruence in describing the characteristics of cold-wet Mizaj. Specifically, emphasis is placed on characteristics such as coldness and softness of the skin to the touch, high fat mass, pale and white complexion, excessive body secretions, weakness and slowness of physical and physiological actions, low vitality, timidity, poor memory, and slow-wittedness. In cold-wet dystemperament, symptoms are more severe, and in the presence of phlegm, a feeling of heaviness is also mentioned as a specific symptom. Conclusions: By compiling indices of cold-wet Mizaj/dystemperament and phlegm dominance, this study can contribute to the development of standardized PM questionnaires, facilitating a personalized approach to the diagnosis and treatment of diseases. [ABSTRACT FROM AUTHOR]

Background/Objectives: With the rising ubiquity of digital media and screens in everyday life, toddlers are increasingly exposed to different screens from an early age (i.e., television, computer, tablet, phone). However, few studies have examined the effect of these screens on toddlers' perceptual development. Since tactile exploration skills are necessary for environmental discovery and overall development, the current research investigates the links between screen-use habits and the tactile exploration skills (with visual control) of 6- to 36-month-old toddlers. Methods: The study involved observing the interactions of 135 toddlers with various objects and assessing the complexity of their visuo-tactile exploration strategies through two original experimental tasks. Data concerning screen habits and other relevant factors, such as socio-economic level, were collected using a parental questionnaire. Results: Toddlers with greater screen exposure time demonstrated weaker tactile exploration skills and employed less age-appropriate exploration strategies. Socio-economic factors and parental engagement in alternative activities significantly influenced these developmental outcomes. Conclusions: These findings emphasize the importance of reducing screen time and promoting interactive co-viewing and alternative activities to mitigate the negative effects of screen exposure. Further longitudinal research is needed to determine the long-term impacts of early screen exposure on tactile exploration and overall psychological development. [ABSTRACT FROM AUTHOR]

Touch sensitivity generally declines with age, contributing to loss of manual dexterity and tactile function. We investigated how touch changes over the lifespan, using different tests and on three body sites. We used a classical test of force detection sensitivity, where calibrated monofilaments were applied passively to the right index finger pad, forearm, and cheek. In addition, at the index, we used an active touch spatial discrimination task, developed by our group. Spatial discrimination was estimated through participants' ability to evaluate the distance between parallel bands printed on acrylic plates. Data were collected from 96 healthy women, aged 20-75 years. Force detection and tactile spatial discrimination on the index deteriorated significantly with age; however, no change was found for tactile detection on the forearm or cheek. Tactile detection on the cheek remained remarkably highly sensitive throughout life. There was a significant positive relationship between force detection and spatial discrimination on the index. Further, force detection on the forearm was significantly associated with detection on the index and cheek. Our results suggest a decrease in touch perception with age on the index finger pad, yet a preservation of tactile sensitivity in hairy skin. This opens discussion about the impact of daily activities upon the glabrous hand skin and on the function of hairs in tactile sensitivity. We highlight the need for new methods in evaluating tactile sensitivity on hairy skin. [ABSTRACT FROM AUTHOR]

Fingernails are specialized features of the primate hand, which are believed to contribute to manual dexterity. The sensorimotor functions of fingernails, however, remain poorly understood. This study investigates the ability of humans to precisely localize touches applied to the fingernail plate. Nine different locations on the fingernail were touched and participants judged the location by clicking a mouse cursor on a photograph of their finger. Performance in this condition was compared with stimuli applied to the skin of the fingertip. The results showed that participants are able to localize touch on the fingernails at substantially higher than chance levels. Moreover, the precision of this ability is not appreciably lower than that of the fingertips. These results show that the fingernail is a highly sensitive sensory organ, which is capable of providing rich spatial information about tactile stimuli. [ABSTRACT FROM AUTHOR]

Multimodal haptic perception is essential for enhancing perceptual experiences in augmented reality applications. To date, several artificial tactile interfaces have been developed to perceive pressure and precontact signals, while simultaneously detecting object type and softness with quantified modulus still remains challenging. Here, inspired by the campaniform sensilla on insect antennae, we proposed a hemispherical bimodal intelligent tactile sensor (BITS) array using the triboelectric effect. The system is capable of softness identification, modulus quantification, and material type recognition. In principle, due to the varied deformability of materials, the BITS generates unique triboelectric output fingerprints when in contact with the tested object. Furthermore, owing to the different electron affinities, the BITS array can accurately recognize material type (99.4% accuracy), facilitating softness recognition (100% accuracy) and modulus quantification. It is promising that the BITS based on the triboelectric effect has the potential to be miniaturized to provide real-time accurate haptic information as an artificial antenna toward applications of human-machine integration. [ABSTRACT FROM AUTHOR]

The aim was to investigate brain responses to non-painful tactile stimuli applied to the non-dominant hand during sleep. 21 healthy subjects participated in the study (11 female, mean age ± SD: 20.67 ± 1.91 years). A 40-channel polysomnography system and a pneumatic tactile stimulator unit were used. Stimuli were applied to the participants' non-dominant hand. Evoked potential components of the CZ electrode were examined in four sleep stages (N1, N2, N3, and REM). Repeated measures ANOVA was used in statistical analyses. Brain responses, categorized as early (P50, N100, and P200), mid-early (N300, P450, and N550), and late (P900 and Nlate), were detected all sleep stages. No notable variances were found in the amplitude and latency of early brain responses when analyzed across different sleep stages. Differences in both amplitude and latency were observed across different sleep stages for the N300, P450, P900, and Nlate response components. This study presents a pioneering exploration into the responses of the non-dominant hand throughout all sleep stages, encompassing eight distinct response components. This novel investigation contributes to the existing literature by shedding light on previously unexplored aspects. The observed early responses are identified as sensory, while middle to late responses align with cognitive processes within the realm of sleep research. Notably, N300, P450, P900, and Nlate components display variations across diverse sleep stages, marked by alterations in both amplitude and latency. These findings offer valuable insights into the dynamic nature of hand responses throughout the sleep continuum. [ABSTRACT FROM AUTHOR]

Predicting the timing of incoming information allows brain to optimize information processing in dynamic environments. However, the effects of temporal predictions on tactile perception are not well established. In this study, two experiments were conducted to determine how temporal predictions interact with conditional probabilities in tactile perceptual processing. In Experiment 1, we explored the range of the interval between preceding ready cues and imperative targets in which temporal prediction effects can be observed. This prediction effect was observed for intervals of 500 and 1,000 ms. In Experiment 2, we investigated the benefits of temporal predictions on tactile perception while manipulating the conditional probability (setting the stimulus onset earlier or later than the predicted moment in short and long intervals). Our results revealed that this effect became stronger as the probability of the stimulus at the predicted time point increased under short-interval conditions. Together, our results show that the difficulty of transferring processing resources increases in temporally dynamic environments, suggesting a greater subjective cost associated with maladaptive responses to temporally uncertain events. [ABSTRACT FROM AUTHOR]

Inappropriate sexual behaviors may be observed in individuals with intellectual disabilities (ID), especially during adolescence. There are several undesired consequences of exhibiting such behaviors in public spaces, such as schools. The competencies and attitudes of special education teachers, who are responsible for the education of individuals with ID, are of significant influence. This study was conducted to investigate the views of special education teachers working with adolescents with ID on inappropriate sexual behaviors exhibited in educational settings. Accordingly, semi-structured interviews were conducted with 12 special education teachers. The phenomenological research design, one of the qualitative research methods, and thematic analysis were used in this study. Five themes were identified after the analysis of the findings of the study, namely, common behaviors, teacher attitudes, teacher competencies, teacher interventions, and educational content. The findings were discussed on the basis of the relevant studies in the literature and a number of conclusions were reached. Accordingly, the inappropriate sexual behaviors that special education teachers encounter the most frequently are masturbation, undressing, and touching, and when these behaviors are exhibited aggressively, teachers have difficulty in intervening. Participants regard themselves to be incompetent in terms of sexual education and consider relevant educational content inadequate. [ABSTRACT FROM AUTHOR]

With the arrival of the Internet of Things era, the demand for tactile sensors continues to grow. However, traditional sensors mostly require an external power supply to meet real-time monitoring, which brings many drawbacks such as short service life, environmental pollution, and difficulty in replacement, which greatly limits their practical applications. Therefore, the development of a passive self-power supply of tactile sensors has become a research hotspot in academia and the industry. In this review, the development of self-powered tactile sensors in the past several years is introduced and discussed. First, the sensing principle of self-powered tactile sensors is introduced. After that, the main performance parameters of the tactile sensors are briefly discussed. Finally, the potential application prospects of the tactile sensors are discussed in detail. [ABSTRACT FROM AUTHOR]

Purpose: Identifying sexual grooming behaviors holds potential to reduce the occurrence of child sexual abuse (CSA) and increase disclosure rates. Given the influential role parents play in CSA prevention and the lack of previous research examining parent-specific sexual grooming recognition abilities, this study examined both generalized adult (i.e., parent and nonparent) and parent special abilities to recognize sexual grooming behaviors as identified in the Sexual Grooming Model (SGM), as well as the relationship between reported confidence in recognition abilities and measured abilities. Methods: The current study used an experimental vignette design among a sample of 420 parents and 445 nonparents to measure abilities to associate sexual grooming behaviors with CSA. Participants also rated how confident they felt in their abilities to recognize signs of sexual grooming. Results: Parental status did not have a significant impact on sexual grooming recognition abilities. However, the sample as a whole (i.e., parents and nonparents combined) were more likely to recognize sexual grooming when presented with behaviors from all of the SGM's stages or behaviors related to desensitization to touch and sexual content. Participant confidence in their recognition abilities did not predict measured abilities. Conclusion: Regardless of parental status, the sample did not strongly associate sexual grooming behaviors with CSA perpetration except when behaviors related to sexual content and physical touch were presented. This suggests heightened associations of more overt sexual grooming behaviors with CSA. The discrepancy found between confidence and recognition abilities calls for targeted educational efforts to increase awareness in types of behaviors that may be indicative of abuse. [ABSTRACT FROM AUTHOR]

Early childhood education is critical in shaping children's intellectual and motor skills as it provides a solid foundation for cognitive, social, and emotional development, which highly depends on spatial thinking. Haptic feedback can be effectively used for educational and training purposes, particularly in fields such as physics, math, and arts, offering a more interactive learning media and supporting kinesthetic learners by its nature. Herein, different ways of implementing haptic feedback on different educational scenarios from the perspective of technological development and their impact on children's learned skills and outcomes (e.g., their motivation, their analytical or spatial thinking abilities, or fine motor skills) will be examined. This article provides an overview of how haptic feedback has been implemented in different learning scenarios for children. Particularly, it is indicated that haptics can potentially improve early childhood learning outcomes and spatial reasoning skills as it can increase children's interest, participation, performance in educational activities, and analytical ability. The major drawbacks of the current studies, such as variance in participants' learning challenges and small sample numbers are also highlighted. [ABSTRACT FROM AUTHOR]

The idea of this paper was developed in our minds by seeing a lot of things which could be transformed, to create friendly objects for the people. To create and build a sensory design means to have a lot of inventiveness, to learn about the psychological and physiological challenges. It is about the senses of human being to communicate with others and, of course, with the environmental world. We have agreed that the most important things are touch and sight. In this paper we have developed a few objects which are in accordance with the term of sensory design. We have learned interesting information about sensory design from other authors and we have presented a few of their creations. [ABSTRACT FROM AUTHOR]

It is a challenging task to localize and track an in-hand object in robotic domain. Researchers were mainly using the vision as major modality for extracting object's pose. The vision approaches are fragile when the object is occluded by the robotic arm and hand. To this end, we propose a tactile-based DTI-Tracker (tracking object's pose via Dynamic Tactile Interaction) approach and formalize the object's tracking as a filter problem. An Extended Kalman Filter (EKF) is used to estimate the in-hand object pose exploiting the high spatial resolution tactile feedback. Given the initial estimation error, the proposed approach rapidly converges the estimation result to the real pose and the statistic evaluation shows the robustness of the proposed approach. We evaluate this method in physics simulation and real multi-fingered grasping setup while the object is static and movable. The proposed method is a potential tool to foster future research on dexterous manipulation using multifingered robotic hand. [ABSTRACT FROM AUTHOR]

Based on visuo-tactile stimulation, the rubber hand illusion induces a sense of ownership for a dummy hand. Manipulating the visibility of the dummy hand during the stimulation influences cognitive aspects of the illusion, suggesting that the related brain activity may be influenced too. To test this, we analyzed brain activity (fMRI), subjective ratings, and skin conductance from 45 neurotypical participants undergoing a modified rubber hand illusion protocol where we manipulated the visibility (high, medium, and low) of a virtual hand, not the brush (virtual hand illusion; VHI). To further investigate the impact of visibility manipulations on VHI-related secondary effects (i.e. vicarious somatosensation), we recorded brain activity and skin conductance during a vicarious pain protocol (observation of painful stimulations of the virtual hand) that occurred after the VHI procedure. Results showed that, during both the VHI and vicarious pain periods, the activity of distinct visual, somatosensory, and motor brain regions was modulated by (i) visibility manipulations, (ii) coherence between visual and tactile stimulation, and (iii) time of visuo-tactile stimulation. Accordingly, embodiment-related subjective ratings of the perceived illusion were specifically influenced by visibility manipulations. These findings suggest that visibility modifications can impact the neural and cognitive effects of illusory body ownership, in that when visibility decreases the illusion is perceived as weaker and the brain activity in visual, motor, and somatosensory regions is overall lower. We interpret this evidence as a sign of the weight of vision on embodiment processes, in that the cortical and subjective aspects of illusory body ownership are weakened by a degradation of visual input during the induction of the illusion.

Gentle stroking of the skin is a common social touch behavior with positive affective consequences. A preference for slow versus fast stroking of hairy skin has been closely linked to the firing of unmyelinated C-tactile (CT) somatosensory afferents. Because the firing of CT afferents strongly correlates with touch pleasantness, the CT pathway has been considered a social-affective sensory pathway. Recently, ablation of the spinothalamic pathway- thought to convey all C-fiber sensations- in patients with cancer pain impaired pain, temperature, and itch, but not ratings of pleasant touch. This suggested integration of afferent A and CT fiber input in the spinal cord, or mechanoreceptive A-fiber contributions to computations of touch pleasantness in the brain. However, contribution of mechanoreceptive A-fibers to touch pleasantness, in humans without pain, remains unknown. In the current, single-blinded study, we performed two types of peripheral nerve blocks in healthy adults to temporarily eliminate the contribution of A-fibers to touch perception. Our findings show that when mechanoreceptive A-fiber function is greatly diminished, the perceived intensity and pleasantness of both gentle stroking and deep pressure are nearly abolished. These findings demonstrate that explicit perception of the pleasantness of CT-targeted brushing and pressure both critically depend on afferent A-fibers.

The evolution of new traits enables expansion into new ecological and behavioural niches. Nonetheless, demonstrated connections between divergence in protein structure, function and lineage-specific behaviours remain rare. Here we show that both octopus and squid use cephalopod-specific chemotactile receptors (CRs) to sense their respective marine environments, but structural adaptations in these receptors support the sensation of specific molecules suited to distinct physiological roles. We find that squid express ancient CRs that more closely resemble related nicotinic acetylcholine receptors, whereas octopuses exhibit a more recent expansion in CRs consistent with their elaborated taste by touch sensory system. Using a combination of genetic profiling, physiology and behavioural analyses, we identify the founding member of squid CRs that detects soluble bitter molecules that are relevant in ambush predation. We present the cryo-electron microscopy structure of a squid CR and compare this with octopus CRs1 and nicotinic receptors2. These analyses demonstrate an evolutionary transition from an ancestral aromatic cage that coordinates soluble neurotransmitters or tastants to a more recent octopus CR hydrophobic binding pocket that traps insoluble molecules to mediate contact-dependent chemosensation. Thus, our study provides a foundation for understanding how adaptation of protein structure drives the diversification of organismal traits and behaviour.

Chemotactile receptors (CRs) are a cephalopod-specific innovation that allow octopuses to explore the seafloor via taste by touch1. CRs diverged from nicotinic acetylcholine receptors to mediate contact-dependent chemosensation of insoluble molecules that do not readily diffuse in marine environments. Here we exploit octopus CRs to probe the structural basis of sensory receptor evolution. We present the cryo-electron microscopy structure of an octopus CR and compare it with nicotinic receptors to determine features that enable environmental sensation versus neurotransmission. Evolutionary, structural and biophysical analyses show that the channel architecture involved in cation permeation and signal transduction is conserved. By contrast, the orthosteric ligand-binding site is subject to diversifying selection, thereby mediating the detection of new molecules. Serendipitous findings in the cryo-electron microscopy structure reveal that the octopus CR ligand-binding pocket is exceptionally hydrophobic, enabling sensation of greasy compounds versus the small polar molecules detected by canonical neurotransmitter receptors. These discoveries provide a structural framework for understanding connections between evolutionary adaptations at the atomic level and the emergence of new organismal behaviour.

Anxiety disorders are characterized by persistent and excessive fear, anxiety and concern, accompanied by avoidance behaviors and physical symptoms such as increased heart rate, shortness of breath and muscle tension, which is one of the most prevalent psychiatric disorders. Research has shown that early life stress (ELS) can increase individual susceptibility to developing anxiety disorders during childhood and adulthood by modifying brain structure and functions. A large number of papers have reviewed the pathophysiological mechanisms of ELS-related anxiety disorders, while only a few have reviewed interventional techniques for ELS-related anxiety disorders. The phenomenon of tactile deprivation is prevalent in individuals experiencing ELS. Most current researches on affective touch and anxiety disorders suggest that affective touch is an intervention for ELS-related anxiety disorders. The review firstly introduces the phenomenon of touch deprivation in individuals experiencing ELS, discusses the effect of affective touch intervention on ELS-related anxiety disorders, and then summarizes the mechanism of affective touch in terms of neural circuits and neuroendocrinology, in order to provide reference for complementary intervention treatment of ELS-related anxiety disorders.

Abstract Allogrooming is a widespread, pervasive activity among non-human primates. Besides its hygienic function, it is thought to be instrumental in maintaining social bonds and establishing hierarchical structures within groups. However, the question arises as to whether the physiological and social benefits derived from social touch stem directly from body stimulation, or whether other mechanisms come into play. We address this question by analyzing an elaborate social behavior that we observed in two adult male macaques. This behavior demonstrates the existence of a persistent motivation to interact through a form of simulated grooming, as the animals were housed in adjacent enclosures separated by a glass panel preventing direct tactile contact. We find that such virtual grooming produces similar physiological sensations and social effects as allogrooming. We suggest that this behavior engages affective and reward brain circuits to the same extent as real social touch, and that this is probably achieved through high level processes similar to those involved in bodily illusions or synaesthetic phenomena previously described in humans. This observation reveals the unsuspected capacity of non-human primates to invent alternative, quasi-symbolic strategies to obtain effects similar to those provided by direct bodily interaction, which are so important for maintaining social bonds.

The text discusses the concept of ethics of touch in the Anthropocene from a theoretical perspective, highlighting how humans have influenced and how they continue to shape the world, especially through the digital space and the emerging technologies. The relationship between perception and touch is explored, both in an artistic context and in the virtual environment of video games, emphasizing the ethical implications of this technological evolution. Finally, visual representations of touch and how they reflect and perpetuate the traumatic nature of human interaction are discussed.

Abstract Background Tactile and mechanical pain are crucial to our interaction with the environment, yet the underpinning molecular mechanism is still elusive. Endophilin A2 (EndoA2) is an evolutionarily conserved protein that is documented in the endocytosis pathway. However, the role of EndoA2 in the regulation of mechanical sensitivity and its underlying mechanisms are currently unclear. Methods Male and female C57BL/6 mice (8–12 weeks) and male cynomolgus monkeys (7–10 years old) were used in our experiments. Nerve injury-, inflammatory-, and chemotherapy-induced pathological pain models were established for this study. Behavioral tests of touch, mechanical pain, heat pain, and cold pain were performed in mice and nonhuman primates. Western blotting, immunostaining, co-immunoprecipitation, proximity ligation and patch-clamp recordings were performed to gain insight into the mechanisms. Results The results showed that EndoA2 was primarily distributed in neurofilament-200-positive (NF200+) medium-to-large diameter dorsal root ganglion (DRG) neurons of mice and humans. Loss of EndoA2 in mouse NF200+ DRG neurons selectively impaired the tactile and mechanical allodynia. Furthermore, EndoA2 interacted with the mechanically sensitive ion channel Piezo2 and promoted the membrane trafficking of Piezo2 in DRG neurons. Moreover, as an adaptor protein, EndoA2 also bound to kinesin family member 5B (KIF5B), which was involved in the EndoA2-mediated membrane trafficking process of Piezo2. Loss of EndoA2 in mouse DRG neurons damaged Piezo2-mediated rapidly adapting mechanically activated currents, and re-expression of EndoA2 rescued the MA currents. In addition, interference with EndoA2 also suppressed touch sensitivity and mechanical hypersensitivity in nonhuman primates. Conclusions Our data reveal that the KIF5B/EndoA2/Piezo2 complex is essential for Piezo2 trafficking and for sustaining transmission of touch and mechanical hypersensitivity signals. EndoA2 regulates touch and mechanical allodynia via kinesin-mediated Piezo2 trafficking in sensory neurons. Our findings identify a potential new target for the treatment of mechanical pain.

Purpose: The purpose of this study is to shed light on the experience of adolescents with severe anorexia nervosa with Norwegian Psychomotor Physiotherapy in the specialist healthcare. Design: The study has a qualitative research design Method: Adolescents (aged 12-18) with severe anorexia nervosa, who had attended psychomotor physiotherapy in specialist healthcare, were recruited. Six girls aged 14-16 were included. Individual semi-structured interviews were conducted and analyzed with systematic text condensation and discussed in light of Benjamin's intersubjective relational theory. Findings: The analysis led to two categories of results: "Bodily and linguistic interaction as a source of insight" and "Bodily experiences as aids in everyday life". The findings showed how the adolescents experienced the interaction with the physiotherapist during the treatment. Conclusion: The treatment gave the adolescents the opportunities to explore their own subjectivity through the bodily and verbal interaction with the physiotherapist, in what Benjamin refers to as thirdness. They gained insight and a better contact with their own bodies and needs, insight and experiences they transferred to their everyday lives. Security and recognition were crucial for the change and development. The treatment approach offered something complementary and different from the other treatments in the specialist healthcare. In light of Benjamins’s theory, the bodily psychomotor approach appears as a resource-oriented aid in tolerating strict restrictions and dietary regimens that the adolescents had to undergo. The study highlights the potential contributions of psychomotor physiotherapy in interdisciplinary treatment of adolescents with eating disorders.

Mechanosensory neurons that innervate the tongue provide essential information to guide feeding, speech, and social grooming. We use in vivo calcium imaging of mouse trigeminal ganglion neurons to identify functional groups of mechanosensory neurons innervating the anterior tongue. These sensory neurons respond to thermal and mechanical stimulation. Analysis of neuronal activity patterns reveal that most mechanosensory trigeminal neurons are tuned to detect moving stimuli across the tongue. Using an unbiased, multilayer hierarchical clustering approach to classify pressure-evoked activity based on temporal response dynamics, we identify five functional classes of mechanosensory neurons with distinct force-response relations and adaptation profiles. These populations are tuned to detect different features of touch. Molecular markers of functionally distinct clusters are identified by analyzing cluster representation in genetically marked neuronal subsets. Collectively, these studies provide a platform for defining the contributions of functionally distinct mechanosensory neurons to oral behaviors crucial for survival in mammals.

Social touch is an important form of interpersonal emotion regulation. In recent years, the emotion regulation effects of two types of touch have been studied extensively: handholding and stroking (specifically of skin with C-tactile afferents on the forearm, i.e. C-touch). While some studies compare their effectiveness, with mixed results, no study to date has examined which type of touch is subjectively preferred. Given the potential bidirectional communication provided by handholding, we hypothesized that to regulate intense emotions, participants would prefer handholding. In four pre-registered online studies (total N = 287), participants rated handholding and stroking, presented in short videos, as emotion regulation methods. Study 1 examined touch reception preference in hypothetical situations. Study 2 replicated Study 1 while also examining touch provision preferences. Study 3 examined touch reception preferences of participants with blood/injection phobia in hypothetical injection situations. Study 4 examined types of touch participants who have recently given birth recalled receiving during childbirth and their hypothetical preferences. In all studies, participants preferred handholding over stroking; participants who have recently given birth reported receiving handholding more than stroking. This was especially evident in Studies 1-3 in emotionally intense situations. These results demonstrate that handholding is preferred over stroking as a form of emotion regulation, especially in intense situations, and support the importance of two-way sensory communication for emotion regulation via touch. We discuss the results and possible additional mechanisms, including top-down processing and cultural priming.

The current study investigated spatial scaling of tactile maps among blind adults and blindfolded sighted controls. We were specifically interested in identifying spatial scaling strategies as well as effects of different scaling directions (up versus down) on participants' performance. To this aim, we asked late blind participants (with visual memory, Experiment 1) and early blind participants (without visual memory, Experiment 2) as well as sighted blindfolded controls to encode a map including a target and to place a response disc at the same spot on an empty, constant-sized referent space. Maps had five different sizes resulting in five scaling factors (1:3, 1:2, 1:1, 2:1, 3:1), allowing to investigate different scaling directions (up and down) in a single, comprehensive design. Accuracy and speed of learning about the target location as well as responding served as dependent variables. We hypothesized that participants who can use visual mental representations (i.e., late blind and blindfolded sighted participants) may adopt mental transformation scaling strategies. However, our results did not support this hypothesis. At the same time, we predicted the usage of relative distance scaling strategies in early blind participants, which was supported by our findings. Moreover, our results suggested that tactile maps can be scaled as accurately and even faster by blind participants than by sighted participants. Furthermore, irrespective of the visual status, participants of each visual status group gravitated their responses towards the center of the space. Overall, it seems that a lack of visual imagery does not impair early blind adults' spatial scaling ability but causes them to use a different strategy than sighted and late blind individuals. [ABSTRACT FROM AUTHOR]

We often talk about the way we talk, and we frequently try to see the way we see, but for some reasons we have rarely touched on the way we touch. The communication we transmit with touch is perceived to be one of the most powerful means of establishing human relationships. In particular, tactile communication with parents, caregivers and teachers is particularly important for infants and students, as it helps make stronger relationships between educators or teachers and schoolers and also between students. Research has demonstrated the numerous benefits that an affective touch has on students, physically, socially and cognitively, or as has observed, touch touches deeper that just one’s skin and it is a recipe for creating meaningful relations. However, in the educational context, touch is perceived to be a complex phenomenon full of tension and emotion. For years, a dilemma has arisen in educational institutions in some countries, whether teachers can touch students or not? Despite the benefits that affective touch brings to students, cases of sexual abuse and inappropriate behavior at school have alerted the education system, to such an extent that many teachers worldwide consider what is and is not appropriate when communicating affectively with their students through touch. In this perspective article, by drawing on previous literature reviews, we shall highlight the benefits that affective touch has on learners. [ABSTRACT FROM AUTHOR]

This paper argues that a lonely death is, by definition, a bad death and that society as a whole, as well as individuals in society are obligated to assure a certain degree of well‐being, flourishing, or care among and for fellow individuals. Individuals can then be said to have a right against dying a lonely death. Such a right has corresponding duties. The paper further specifies what such duties may entail based on what individuals may need on their deathbed, specifically focusing on the need for human touch. Assuming that human touch might indeed be needed by some individuals in order to avoid a lonely death, the paper explores potential implications from a public health perspective, particularly during infectious disease outbreaks such as COVID. [ABSTRACT FROM AUTHOR]

Anxiety disorders are characterized by persistent and excessive fear, anxiety and concern, accompanied by avoidance behaviors and physical symptoms such as increased heart rate, shortness of breath and muscle tension, which is one of the most prevalent psychiatric disorders. Research has shown that early life stress (ELS) can increase individual susceptibility to developing anxiety disorders during childhood and adulthood by modifying brain structure and functions. A large number of papers have reviewed the pathophysiological mechanisms of ELS-related anxiety disorders, while only a few have reviewed interventional techniques for ELS-related anxiety disorders. The phenomenon of tactile deprivation is prevalent in individuals experiencing ELS. Most current researches on affective touch and anxiety disorders suggest that affective touch is an intervention for ELS-related anxiety disorders. The review firstly introduces the phenomenon of touch deprivation in individuals experiencing ELS, discusses the effect of affective touch intervention on ELS-related anxiety disorders, and then summarizes the mechanism of affective touch in terms of neural circuits and neuroendocrinology, in order to provide reference for complementary intervention treatment of ELSrelated anxiety disorders. [ABSTRACT FROM AUTHOR]

Background Verbal and tactile cues can increase muscle activity, force production, and kinematics. Several studies demonstrate the effects of verbal and tactile cues on upper extremity muscles, while relatively few examined lower extremity muscles, specifically the gluteals. Studies that observed changes in gluteal function from verbal and tactile cues examined muscle activity via electromyography rather than force production or functional activities such as jumping. Purpose The purpose of this study was to measure the effects of verbal and tactile cues on gluteal force production and broad jump distance. Study Design Cross-Sectional cohort Methods Gluteus maximus force production and broad jump distance were tested in forty-two healthy male and female university students at baseline and after verbal and tactile cues given in random order. Gluteus maximus force was measured using handheld dynamometry and reported in kilograms. Verbal cues included "push, push, push" before both tests. The examiner provided tactile cues to the gluteus maximus before force production testing, and the participant provided tactile cues to both gluteus maximus muscles before performing the broad jump. Performance on the broad jump was measured in centimeters. Descriptive statistics and test-retest reliability via Pearson correlation coefficients were calculated, differences in performance between sexes were analyzed with an independent t-test, and changes in force production and jump distance from baseline were analyzed using a one-way ANOVA. Results Mean gluteus maximus force production following verbal cues significantly increased (p = 0.000) by 13.48% (3.83 kg) compared to the control condition, while gluteal force production following the tactile cues was not significantly different. Broad jump distance following the verbal cues significantly increased (p = 0.000) 3.99% (7.71 cm) compared to the control condition and significantly increased (p = 0.000) by 2.95% (5.71 cm) following the tactile cues. There were no significant differences in performances between males and females. The test-retest reliability of all measurements was 0.97-0.99. Conclusion Verbal cues significantly increased gluteus maximus force production and broad jump distance. Tactile cues significantly increased broad jump distance but had no significant effect on gluteus maximus force. These results have implications for clinical testing and athletic performance when gluteus maximus force and jump distance are concerned. Level of Evidence 3 [ABSTRACT FROM AUTHOR]

Phantom pain is a common consequence of amputation, it is difficult to treat and usually associated with discomfort, impairment, interruption of daily activities, and declining general health. By engaging in mirror therapy and tactile discrimination training, one might lessen pain and other symptoms associated with psychological and physical complaints. The aim: To examine the effect of mirror therapy with tactile discrimination training on phantom pain and general health post amputation. Setting: Data were collected from neurological outpatient clinics of Menoufia University Hospital, Egypt. Design: Quasi-experimental design. Subjects: A purposive sample of 100 patients with phantom pain. Tools: Four tools were used to collect data: (I) A structured interviewing questionnaire, (II) Defense and Veteranspain rating scale, (III) General health scale and (IV) Self-reported compliance sheet. Results: Initially, 74% of the study group were complaining severe pain, but this percentage decreased to 54.0% and 44.0% respectively after two and four months. Also, 78% of the study group initially was dependent with poor physical ability, but after two months the percent decreased to 8% and was eliminated (0.00%) by four months. There was a significant negative correlation between the study group’s compliance and pain level and general health after 4 months. Conclusion: A noticeable phantom pain reduction with general health improvements among amputees after mirror therapy with tactile discrimination training was explored. Recommendations: The appropriate simple and cheap mirror therapy with tactile discrimination training should be implemented among all amputees for phantom pain reduction as illustrated in the current study. [ABSTRACT FROM AUTHOR]

Over time, there has been an increase in research on how to improve emotional state rehabilitation processes, and it is notable that the use of technology has had a positive result, with increasing accuracy. Serious Games (SG) for Virtual Reality (VR) are extremely beneficial in this regard, and the use of haptic devices as a tool for researchers and medical teams is increasing in popularity. The current study aims to conduct an initial investigation into the use of a haptic vest to see if haptic touch can aid in emotional conditioning, which may result in improved disease and phobia rehabilitation, and whether different interactions with virtual scenarios, such as a virtual hug, can increase immersiveness. The investigation seeks to discover the most effective ways to convey a virtual to physical hug using the haptic device. Previous research has revealed a high level of participant interest, as well as increased immersion in SGs realism, leading to additional research and implementation. [ABSTRACT FROM AUTHOR]