Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “TOUCH”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 199 records · Page 11Linked to original sources

The Müller-Lyer illusion in touch and vision: implications for multisensory processes.

In six experiments, we used the Müller-Lyer illusion to investigate factors in the integration of touch, movement, and spatial cues in haptic shape perception, and in the similarity with the visual illusion. Latencies provided evidence against the hypothesis that scanning times explain the haptic illusion. Distinctive fin effects supported the hypothesis that cue distinctiveness contributes to the illusion, but showed also that it depends on modality-specific conditions, and is not the main factor. Allocentric cues from scanning an external frame (EF) did not reduce the haptic illusion. Scanning elicited downward movements and more negative errors for horizontal convergent figures and more positive errors for vertical divergent figures, suggesting a modality-specific movement effect. But the Müller-Lyer illusion was highly significant for both vertical and horizontal figures. By contrast, instructions to use body-centered reference and to ignore the fins reduced the haptic illusion for vertical figures in touch from 12.60% to 1.7%. In vision, without explicit egocentric reference, instructions to ignore fins did not reduce the illusion to near floor level, though external cues were present. But the visual illusion was reduced to the same level as in touch with instructions that included the use of body-centered cues. The new evidence shows that the same instructions reduced the Müller-Lyer illusion almost to zero in both vision and touch. It suggests that the similarity of the illusions is not fortuitous. The results on touch supported the hypothesis that body-centered spatial reference is involved in integrating inputs from touch and movement for accurate haptic shape perception. The finding that explicit egocentric reference had the same effect on vision suggests that it may be a common factor in the integration of disparate inputs from multisensory sources.

Adolescent↗

[Value of touch in the diagnosis of fever and of paleness in the diagnosis of anemia. Observational study in adults].

UNLABELLED: Estimation of fever by touch and of pallor as a sign of anemia are common practices during physical examination. The diagnostic value of these procedures has been extensively studied in children, but there are fewer studies in adults. OBJECTIVE: To evaluate the diagnostic value of physician's estimation of fever and anemia by touch and pallor, respectively. PATIENTS AND METHODS: The study included 600 patients (mean age 66 years, range 14-94 years, 58% males) admitted to a hospital (n = 300) or seen at its Emergency Department (n = 300). Two physicians independently estimated the presence of fever by touch, as well as the presence of anemia by pallor (in the skin, nail or conjunctiva). Axillary temperature and peripheral blood hemoglobin were employed as standards for comparison. RESULTS: Specificity of touch was higher than 90%, both for the diagnosis of axillary temperatures > or = 37.2 degrees C and > or = 38 degrees C, with a lower sensitivity. Interobserver concordance was fair (Kappa index, 0.47). Negative predictive value of touch was also high (99%) for the observed prevalence of fever (5%), with a very much lower positive predictive value. Similarly, specificity of pallor was high, particularly for hemoglobin values lower than 10 g/dL, with a substantially lower sensitivity. The best diagnostic values were obtained with conjunctival pallor. The Kappa index of concordance for the various types of pallor (skin, nail or conjunctiva) ranged between 0.39 and 0.44. Negative predictive value of pallor was high (98%) for the observed prevalence (9%) of significant anemia (hemoglobin < 10 g/dL), with a lower positive predictive value. CONCLUSIONS: In adult patients of a hospital, physi-cian's estimation of fever by touch and anemia by pallor have a relatively low diagnostic value. Nevertheless, the estimation that the patient is afebrile or not pale make very improbable the presence of fever and significant anemia, respectively.

Adolescent↗

Testicular touch preparation cytology.

PURPOSE: The applications, technique and limitations of testicular touch preparation cytology in evaluation of the infertile man are described. MATERIALS AND METHODS: The technique and histological results of testicular touch preparation cytology for normal specimens and various pathological conditions of male infertility are described in detail. RESULTS: Testicular touch preparation cytology is able to differentiate between late spermatids and mature spermatozoa, as well as to identify other spermatogenic elements. CONCLUSIONS: Touch preparation cytology has 2 important purposes: 1) distinguishing between maturation arrest at the late spermatid stage and normal spermatogenesis, and 2) determining whether obstruction is the cause of azoospermia. While testis biopsy is the gold standard, touch preparation cytology is an extremely important adjunct because of its ability to define whole sperm. The urologist and pathologist are better able to make a diagnosis when routine biopsy and touch preparation cytology are performed.

Cytological Techniques↗

[Efficacy of Warm Touch warming system for hypothermia].

Anesthetized surgical patients frequently become hypothermic, because of decreased metabolic heat production, increased heat loss, surgical exposure, and dry respiration gases. Intraoperative hypothermia may trigger postoperative protein breakdown, shivering, myocardial ischemia, and many other problems. For that reason, heat conservation is a major anesthetic management. We determined the efficacy of Warm Touch warming system (Mallinckrodt Medical, Inc.) compared with that of a warming blanket. Sixteen patients undergoing oral and maxillo-facial surgery under neuroleptanesthesia were studied by measuring rectal and finger-tip skin temperature. Patients were divided in Warm Touch group (n = 8) using Warm Touch warming system Model 5100 and warming blanket group (n = 8) and the temperatures were measured every quarter over 60 minutes. Rectal temperature increased 0.62 degrees C after 60 minutes in the Warm Touch group, but significant changes were absent in warming blanket group. Temperature gradient between the rectum and finger-tip skin decreased markedly in the Warm Touch group. This study suggests that Warm Touch is useful to restore body temperature and to prevent postoperative problems arising from intraoperative hypothermia.

Body Temperature↗

The touch dome in human skin is supplied by different types of nerve fibers.

Receptor end organs and free-nerve endings in the skin are the peripheral sentinels of the sensorial nervous system encoding for touch, temperature, and pain. Using a novel approach to analyze the outermost nerves of the skin, we visualized for the first time the distinct microanatomical structure of the touch dome of human hairy skin. The dermal nerve fibers of this slowly adapting type 1 mechanoreceptor were embedded in dermal protrusions that could be readily discerned by Laminin-5 staining. Concerning the nerves supplying the touch domes, we found, unexpectedly, that besides Abeta-fibers, Adelta- and C-fibers also were regularly present. The epidermis overlying the nerve convolutes showed a distinctive architecture of the rete ridges clearly demarcated from the surroundings and extending over 0.193 +/- 0.138 mm(2) (mean +/- standard deviation). Within this area, 756 +/- 386 Merkel cells/mm(2) (mean +/- standard deviation) were present compared with less than 50/mm(2) outside the touch dome, demonstrating for the first time a highly discontinuous distribution of these cells in nonglabrous skin. Our findings strongly suggest that the receptive qualities of human touch domes exceed mechanosensation, and that they may serve as multifunctional nerve end organs in human skin.

Adult↗

The role of the left hemisphere in motor control of touch: a functional magnetic resonance imaging analysis.

Previous research using a simple finger-touching task has shown greater blood oxygenation level dependent (BOLD) activation volume in the motor cortex of the right hemisphere for contralateral finger touching compared to ipsilateral finger touching, but no significant contralateral advantage for the left hemisphere. Such equal involvement of the left hemisphere for both contralateral and ipsilateral finger touching suggests a special role of the left hemisphere for finger touching. In contrast, we found a contralateral advantage in the motor cortex of both hemispheres in a majority of participants (14/16) when consistently activated BOLD volumes were examined. However, participants who did not show a clear contralateral advantage for the left hemisphere did show activation in the left inferior frontal gyrus (IFG; Broca's Area) and in the left insular cortex, which suggests that verbally mediated sequencing of finger movements can account for our less frequent result.

Brain↗

Touch-screen system for assessing visuo-motor exploratory skills in neuropsychological disorders of spatial cognition.

A new computerised test adopting touch-screen technology has been developed to assess the visuo-motor exploration of extra-personal space. The test was derived from well-known paper-and-pencil cancellation tasks used widely in the diagnosis and quantitative assessment of unilateral spatial neglect (USN), a neuropsychological syndrome that is more frequent and severe after damage to the right cerebral hemisphere. A main component deficit of USN is the defective visuo-motor exploration of the side of space contralateral to the side of the lesion (contralesional), namely, in right-sided brain-damaged patients it occurs on the left side and vice versa. The computer-based paradigm consisted of a visuo-motor spatial exploratory task: the subjects were instructed to touch, in any order they wished, all the targets they detected on a computer touch-screen. This measured the time of occurrence and the spatial co-ordinates of each touch event and forwarded the data to the computer for storage; the computer provided feedback to the subject by 'tagging' the touched target. The paradigm allowed the calculation of accuracy and latency indexes and recorded the exploratory pathway taken by each subject. A pilot study was performed in ten normal subjects and 15 brain-damaged patients, with and without psychometric evidence of USN; the results showed that the equipment was able to provide quantitative indexes related to the spatial-temporal aspects of exploratory ability, which are useful for diagnostic purposes, and revealed significant differences between the controls and patients with USN: the overall average values of latency and crossing indexes increased in patients with USN, compared with the controls (latency from 0.77 to 1.90s; path crossing index from 7.0% to 59.5%), and the significantly negative USN patient latency gradient (-2.79 against a null control value) evidenced a worsening of performance towards the left side.

Aged↗

Touch responses made to remembered and visual target locations in the dark: a human psychophysical study.

UNLABELLED: Saccadic eye movements made to remembered locations in the dark show a distinct up-shift in macaque monkey, and slight upward bias in humans (Gnadt et al. 1991). This upward bias created in the visual spatial mapping of a saccade may be translated downstream in a hand/touch movement. This error could possibly reveal (a) information about the frames of reference used in each scenario and (b) the sources of this error within the brain. This would suggest an early planning stage if they are shared, or a later stage if the errors are distinct. METHODS: Eight human subjects performed touch responses to a touch screen monitor to both visual and remembered target locations. The subjects used a high-resolution touch-screen monitor, a bite bar and chin-rest for restricting head movements during responses. All target locations were 20 degrees vectors from the central starting position in horizontal, vertical and oblique planes of motion. RESULTS: Subjects were accurate to both visual and remembered target locations with little variance. Subject means showed no significant differences between control and memory trials; however, a distinct asymmetry was observed between cardinal and oblique planes during memory trials. Subjects consistently made errors to oblique locations during touches made to the remembered location that was not evident in control conditions. This error pattern revealed a strong hypermetric tendency for oblique planes of touches made to a remembered location.

Adolescent↗

Binding of movement, sound and touch: multimodal coordination dynamics.

Very little is known about the coordination of movement in combination with stimuli such as sound and touch. The present research investigates the hypothesis that both the type of action (e.g., a flexion or extension movement) and the sensory modality (e.g., auditory or tactile) determine the stability of multimodal coordination. We performed a parametric study in which the ability to synchronize movement, touch and sound was explored over a broad range of stimulus frequencies or rates. As expected, synchronization of finger movement with external auditory and tactile stimuli was successfully established and maintained across all frequencies. In the key experimental conditions, participants were instructed to synchronize peak flexion of the index finger with touch and peak extension with sound (and vice-versa). In this situation, tactile and auditory stimuli were delivered counter-phase to each other. Two key effects were observed. First, switching between multimodal coordination patterns occurred, with transitions selecting one multimodal pattern (flexion with sound and extension with touch) more often than its partner. This finding indicates that the stability of multimodal coordination is influenced by both the type of action and the stimulus modality. Second, at higher rates, transitions from coherent to incoherent phase relations between touch, movement and sound occurred, attesting to the breakdown of multimodal coordination. Because timing errors in multimodal coordination were systematically altered when compared to unimodal control conditions we are led to consider the role played by time delays in multimodal coordination dynamics.

Auditory Perception↗

Differences in face touching by Japanese and British people.

The face touching behavior of Japanese and British subjects was compared under three different conditions, viz. listening to a lecture, listening to music and without a specially assigned task. The results showed that (1) British people did more frequent face touching than Japanese people and left hand usage was more prominent, while the Japanese did not show a hand difference in either the lecture listening or the no-task condition, (2) the duration of face touching did not differ between Japanese and British and (3) British people touched their chin and mouth frequently while Japanese touched their nose and eyes frequently. From these results the hypothesis of cross-cultural difference of cerebral functioning between the Japanese and the British was examined.

Adult↗

Phantom limb pain: are cutaneous nociceptors and spinothalamic neurons involved in the signaling and maintenance of spontaneous and touch-evoked pain? A case report.

A patient suffered multiple fractures of the right leg and a left brain-stem infarction involving the anterolateral fasciculus of the central nociceptive system following multiple trauma. Later, the right leg was amputated, resulting in spontaneous and touch-evoked phantom pain and mechanical stump allodynia. However, quantitative sensory testing revealed considerable impairment of sensations normally mediated by cutaneous nociceptors and central spinothalamic systems on the right body side, including the stump but nearly intact touch and vibration senses. Quantitative assessment of peripheral nociceptive C-fiber function (axon reflex vasodilatation and flare) showed no abnormalities on both sides. Sympathetic blocks did not change spontaneous and evoked pain. Epidural and spinal anesthesia abolished evoked pain but had no effect on spontaneous phantom pain. Extirpation of a neuroma of the sciatic nerve did not alter spontaneous and evoked pain. TENS resulted in an increase in pain. We concluded the following. (i) Painful somatosensory memories that are responsible for phantom limb pain are located in the brain, most probably in the thalamus or cortex. (ii) Touch-evoked phantom pain and stump allodynia are not mediated by cutaneous nociceptive C and A delta fibers and spinal nociceptive pathways (spinothalamic tract). Activity in the lemniscal system (low-threshold mechanoreceptive A beta afferents, dorsal columns and medial lemnicus system) may be transferred to central pain signaling neurons in the thalamus or cortex resulting in touch-evoked pain sensations. (iii) Ongoing activity in cutaneous nociceptive C fibers and spinal nociceptive systems is not necessary to maintain central processes that account for spontaneous and touch-evoked pain sensations. Activity in nociceptors of deep somatic tissues might be more important.

Amputation Stumps↗

Touch. The beneficial effects for the surgical patient.

Touch can cause positive or negative neurophysiological responses. In the OR, nurses do a great deal of touching, and they need to be aware of the appropriateness of their touch. Touch can be an alternative mode of conveying empathy and caring for certain patients when it is difficult for the nurse to communicate verbal empathy. Touch assessments and interventions need to be included in perioperative nursing care plans to promote the patient's comfort and avoid unwanted physiological responses from the patient.

Autonomic Nervous System↗

Haptic after-effect of successively touched curved surfaces.

A flat surface is more often judged to be convex after the touching of a concave surface than after the touching of a convex surface. This haptic after-effect increases with the time of contact with the curved surface till it saturates, and it decreases with the time-lapse between the touching of the first surface and the next one. In this paper, the haptic after-effect of two successively touched spherically curved surfaces is investigated. It is found that both surfaces contribute to the after-effect, but the after-effect is not additive. The time course of the after-effect of two successive surfaces can be described by a first-order integrator with a single time constant of about 7 s and an amplitude equal to the difference between the saturation levels of the after-effects of the two surfaces when measured in isolation. The new saturation level is therefore equal to that of the after-effect of the most recently touched surface.

Discrimination Learning↗

Spatial discrimination thresholds for pain and touch in human hairy skin.

The traditional concept that pain is poorly localized has been challenged by recent studies, where subjects were able to point to the stimulated spot on the skin with an accuracy of 10-20 mm. Pointing movements themselves, however, have errors of about 15 mm. To determine the limits of sensory performance of the nociceptive system independent of motor performance, point localization of heat pain (540 mJ punctate laser stimuli, 5 mm diameter), mechanical pain (256 mN punctate probe, 200 microm diameter), and touch (16 mN von Frey probe, 1.1 mm diameter) were tested in a two-alternative forced-choice paradigm in 12 healthy subjects. Stimuli were applied in randomized order to two parallel lines on the back of the hand (4-32 mm distance). The cumulative distribution functions for correct localization were of similar sigmoid shape for all test stimuli, indicating logarithmic normal distributions. The 75% correct localization threshold for painful heat was 8.6 mm (3.1 +/- 0.1 log2 units) and did not differ significantly from that of non-painful touch (9.0 mm, 3.2+/-0.2 log2 units). Localization of mechanically-induced pain (5.1 mm, 2.4 +/- 0.2 log2 units) was significantly more accurate than both heat pain and touch, possibly due to a synergism of two different sensory channels, the tactile channel and the nociceptive channel, which were activated simultaneously. For all three stimuli, discrimination was significantly better in radial-ulnar compared to proximal-distal direction, which might be related to oval receptive field shapes. Sequential spatial discrimination for touch was significantly better than simultaneous spatial discrimination tested with a grating orientation task (18.9 mm), but both were one order of magnitude worse than at the finger tip (1.3 mm, 0.4 +/- 0.1 log2 units). In conclusion, pain evoked by radiant heat pulses and touch evoked by von Frey probes were localized with similar precision on the back of the hand. These findings indicate that outside the tactile fovea at finger tips or lips the spatial discrimination capacities of the nociceptive and tactile systems are about equal.

Adult↗

Reducing anxiety: the employment of Therapeutic Touch as a nursing intervention.

Patient anxiety is frequently associated with admission and treatment in Critical Care Units. In Critical Care, one aim is the promotion of comfort so that anxiety experienced by patients can be reduced. In this article, a quasi-experimental design which attempted to determine the effectiveness of Therapeutic Touch as a nursing intervention is described. It was hypothesized that Therapeutic Touch would promote comfort and reduce anxiety. Before implementation of the project, a semi-structured interview was conducted amongst nurses (n = 18) from an Intensive Care Unit in a District General Hospital in East London. Interviews were conducted in order to determine the nurses' perceptions of the effectiveness of Therapeutic Touch as a complementary therapy. Initial findings of nurse interviews, a nurse's personal experiences of administering Therapeutic Touch and a case study indicate there may be a place for Therapeutic Touch as an intervention for promoting comfort and reducing anxiety in Critical Care.

Adult↗

Sensory assessment of epidural block for Caesarean section: a systematic comparison of pinprick, cold and touch sensation.

BACKGROUND AND OBJECTIVE: Comparisons between the profile of regional blocks are difficult to make because different methods of testing are used among the studies. The aims of this prospective study were to describe the profile of epidural block by using a scoring system to evaluate the density of the block as assessed by the loss to pinprick, cold and touch sensation; to evaluate the extent of differential block and to determine whether there is any relationship between these three modalities of testing. METHODS: We studied 85 parturients undergoing elective Caesarean delivery with epidural anaesthesia with pH adjusted lidocaine 2% with epinephrine 1:400,000 and sufentanil 10 microg. Assessment of sensory block was done in each dermatomal level bilaterally for loss to pinprick, cold and light touch sensation and the density of the block was evaluated on an ordinal scale every 5 min for 20 min and thereafter at 30 and 40 min. RESULTS: We observed a two dermatomes differential block between the complete loss of cold sensation being cephalad and the complete loss of both pinprick and light touch sensation being caudal. We established a significant correlation between the scores used to assess the density of the block in the three different modalities by considering the pinprick score as reference (Spearman's rank correlation is 0.94, P<0.001 for pinprick vs. cold, 0.97, P<0.001 for pinprick vs. light touch). CONCLUSIONS: By scoring the density of the block on an ordinal scale, knowing the level of the block to pinprick allows one to predict the level of the block to touch and vice versa.

Adult↗

The suggestibility of children's memory for being touched: planting, erasing, and changing memories.

Investigates recent claims that it is relatively easy to suggestively plant false memories in children, by comparing the relative vulnerability to suggestibility of changed, planted, and erased memories. 80 4-year-olds and 80 10-year-olds either were touched in a specific way or were not touched at all, and it was later suggested that a different touch, a completely new touch, or no touch at all had occurred. The suggestibility effect occurred only in the changed memory condition; the difference between the experimental changed condition and the corresponding control condition was significant. In the planted and erased memory conditions no suggestibility effect occurred; there was no significant reduction in the experimental groups relative to the corresponding control conditions. Thus, although it is relatively easy to suggest to a child a change in an event that was experienced, it is less likely that an event can be planted in or erased from memory. It is thus inappropriate to provide courtroom testimony regarding the probability of suggestively planting false memories based on the classic suggestibility research, which has largely been restricted to the study of suggestively changing memories.

Child↗

Accuracy of perception and touch for detecting fever in adults: a hospital-based study from a rural, tertiary hospital in Central India.

OBJECTIVES: To evaluate the diagnostic accuracy of the patient's perception, and of the touch of patient attendants and a doctor for detecting fever. METHODS: We enrolled patients older than 13 years who presented with history of fever to the in- and out-patient departments of a rural teaching hospital. The design was a double-blind, cross-sectional analysis of a hospital-based case series, independently comparing reported history of fever and touch of patient attendant and that of doctor against an established reference standard (axillary temperature > 37.5 degrees C). Diagnostic accuracy was measured by computing sensitivity, specificity, and likelihood ratio values. The agreement between the patient, his attendant and the doctor was assessed by kappa statistic. RESULTS: We studied 462 patients of whom 274 (59.3%) were men. A total of 206 patients (44.58%) had fever. The patient's perception of fever (LR+ 1.77; 95% CI 1.52, 2.06), patient attendant's touch (LR+ 2.03; 95% CI 1.74, 2.36) and the doctor's touch (LR+ 3.08; 95% CI 2.51, 3.71) did not accurately distinguish those with and without fever. Doctors (LR- 0.20; 95% CI 0.17, 0.34) and patient attendants (LR- 0.24; 95% CI 0.14, 0.28) were more accurate in ruling out fever. The patient's perception agreed moderately with patient attendant's touch (kappa = 0.44; 95% CI 0.36, 0.53), and the doctor's assessment (kappa = 0.47; 95% CI 0.39, 0.55). There was moderate agreement between patients' attendants and the study doctor (kappa = 0.48; 95% CI 0.40, 0.56). CONCLUSIONS: Our findings suggest that patients, their attendants or doctors cannot accurately detect the presence of a fever without using a thermometer. Doctors should confirm a history of fever by recording temperature.

Adolescent↗