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Thresholds for the perception of vibration on the hand reduce with increasing area of excitation when the thresholds are mediated by the Pacinian channel (a phenomenon known as spatial summation) but thresholds are generally independent of the area of excitation when they are mediated by non-Pacinian channels. The effect of the area of excitation on vibrotactile thresholds at the sole of the foot has not been thoroughly investigated. In the study reported in this paper, thresholds for the perception of 20 Hz vibration and 160 Hz vibration were determined on the foot (at the big toe (hallux), the medial (inside) ball, the lateral (outside) ball, and the heel) and on the hand (at the thenar eminence and at the fingertip) in 12 male subjects using four probe diameters: 1mm (0.19 cm(2) excitation area), 3mm (0.38 cm(2)), 6 mm (0.78 mm(2)) and 10 mm (1.53 cm(2)) with a 2mm gap between the vibrating probe and a fixed surround. On both the hand and the foot, thresholds for the perception of 160 Hz vibration decreased as the probe diameter increased. There was no overall consistent change in thresholds for the perception of 20 Hz vibration. Thresholds for the perception of 160 Hz vibration were lowest at the fingertip and highest at the big toe. Thresholds for 20 Hz vibration were also lowest at the fingertip. It is concluded that on the sole of the foot there is evidence of spatial summation in the perception of 160 Hz vibration, mediated by the Pacinian channel, but not in the perception of 20 Hz vibration, mediated by a non-Pacinian channel. The findings show that vibrotactile thresholds at the foot obtained with different areas of excitation, or an unknown area of excitation, should not be compared. It is concluded that there is a need to standardise methods of measuring the vibrotactile thresholds at the foot that are obtained for clinical applications., (Copyright © 2013 IPEM. Published by Elsevier Ltd. All rights reserved.)

When using vibrotactile thresholds to investigate neuropathy in the fingers, the indentation of a vibrating probe, and the force applied to a static surround around a vibrating probe, affect thresholds. This study was designed to investigate the effects on vibrotactile perception thresholds at the sole of the foot of probe indentation (i.e. height of a vibrating probe relative to a static surround) and the force applied to the static surround. Thresholds at 20 Hz (expected to be mediated by the NP I channel) and at 160 Hz (expected to be mediated by the Pacinian channel) were obtained at the hallux (i.e. greater toe) and the ball of the foot on 14 healthy subjects. In one condition, the height of the vibrating probe was varied to 0, 1, 2, 3, and 4 mm above a static surround with 4-N force applied to the surround. In a second condition, the force applied to the surround was varied to 1, 2, 3, 4, 5, and 6 N while using a probe height of 1mm. Thresholds at 20 Hz decreased with increasing probe height from 0 to 1 mm but showed no significant variation between 2, 3, and 4mm at either the hallux or the ball of the foot. Thresholds at 160 Hz decreased with increasing probe height from 0 to 4 mm at both the hallux and the ball of the foot. Thresholds at 20 Hz obtained with 1-N surround force were higher than thresholds obtained with 2 N, but there was no significant difference with surround forces from 2 to 6 N at either the hallux or the ball of the foot. Thresholds at 160 Hz were unaffected by variations in surround force at the ball of the foot but tended to decrease with increasing force at the hallux. It is concluded that a vibrating probe flush with a static surround, and a surround force in the range 2-4 N, are appropriate when measuring vibrotactile thresholds at the hallux and the ball of the foot with a 6-mm diameter contactor and a 2-mm gap to the static surround., (Copyright © 2011 IPEM. Published by Elsevier Ltd. All rights reserved.)

Thresholds for the perception of vibration vary with location on the body due to the organization of tactile channels in hairy and non-hairy skin, and variations in receptor density. This study determined vibration thresholds at four locations on the body with two different contactors so as to assist the identification of the tactile channel determining the threshold at each location. Vibrotactile thresholds at six frequencies from 8 to 250 Hz were measured on the distal phalanx of the index finger, the volar forearm, the large toe, and the heel with two contactors: (i) a 1-mm diameter circular probe with a 1-mm gap to a fixed circular surround (i.e., 7.1-mm(2) excitation area), and (ii) a 6-mm diameter circular probe with a 2-mm gap to a fixed circular surround (i.e., 79-mm(2) excitation area). At all frequencies and with both contactors, thresholds on the fingertip were lower than thresholds on the volar forearm, the large toe, and the heel, consistent with a greater density of mechanoreceptors at the fingertip. Thresholds with the larger contactor were lower than thresholds with the smaller contactor on the fingertip at high frequencies (63, 125, and 250 Hz), on the large toe (except at 250 Hz), on the heel (at all frequencies), and on the volar forearm at 250 Hz. It is concluded that at least two tactile channels (Pacinian from 63 to 250 Hz, and non-Pacinian from 8 to 31.5 Hz) determined vibrotactile thresholds at the fingertip, whereas non-Pacinian channels had a dominant influence on vibrotactile thresholds at the volar forearm. The role of Pacinian and non-Pacinian channels could not be confirmed at the large toe or the heel despite some evidence of spatial summation.

Studies of vibration perception in the glabrous skin of the human hand have identified four mechanoreceptor channels, with each channel showing characteristic variations in thresholds with variations in the frequency of vibration and the area of vibration excitation. To advance understanding of the channels mediating vibration perception on the sole of the foot, this study determined how thresholds depend on the frequency of vibration, the location on the foot (the big toe, the ball of the foot, and the heel), and the gap between a vibrating probe and a fixed surround. Thresholds at the three locations were obtained at the 12 preferred one-third octave centre frequencies from 20 to 250 Hz using a 6-mm diameter probe with both a 10-mm and a 20-mm diameter surround. With the 10-mm surround, the displacement thresholds at all three locations showed flat responses from 20 to 40 Hz. With both the 10-mm and the 20-mm surround, the displacement thresholds at the three locations showed 'U-shaped' responses from 40 to 250 Hz. Relative to thresholds obtained with the 20-mm surround, thresholds obtained with the 10-mm surround were lower at the toe and the heel with 20- and 25-Hz vibration, but higher at the ball of the foot with 31.5- to 250-Hz vibration. It is concluded that absolute thresholds for the perception of vibration at the sole of the foot show important variations with location and with contact conditions and tend to be mediated by the NP I channel in the range from about 20 to 40 Hz and the P channel from about 40 to 250 Hz. [ABSTRACT FROM AUTHOR]