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Vision and touch are automatically integrated for the perception of sequences of events.

The purpose of the present experiment was to investigate the integration of sequences of visual and tactile events. Subjects were presented with sequences of visual flashes and tactile taps simultaneously and instructed to count either the flashes (Session 1) or the taps (Session 2). The number of flashes could differ from the number of taps by +/-1. For both sessions, the perceived number of events was significantly influenced by the number of events presented in the task-irrelevant modality. Touch had a stronger influence on vision than vision on touch. Interestingly, touch was the more reliable of the two modalities-less variable estimates when presented alone. For both sessions, the perceptual estimates were less variable when stimuli were presented in both modalities than when the task-relevant modality was presented alone. These results indicate that even when one signal is explicitly task irrelevant, sensory information tends to be automatically integrated across modalities. They also suggest that the relative weight of each sensory channel in the integration process depends on its relative reliability. The results are described using a Bayesian probabilistic model for multimodal integration that accounts for the coupling between the sensory estimates.

Adult↗

The biobehavioral effects of gentle human touch on preterm infants.

This study examined the physiological and behavioral effects of a gentle human touch nursing intervention on medically fragile preterm infants (27 to 32 weeks gestational age). The Roy adaptation model of nursing was the framework for the study. The results of this study suggest that the immediate and short-term effects of a gentle human touch nursing intervention were not aversive or stressful to preterm infants of 27 to 32 weeks gestational age; furthermore, the findings document several positive, beneficial behavioral effects of the intervention on preterm infants and indicate this type of touching may be appropriate for infants in the neonatal intensive care unit.

Adaptation, Psychological↗

The effectiveness of therapeutic touch: a meta-analytic review.

The purpose of this article is to explore the adequacy of published scientific evidence supporting therapeutic touch as a nursing intervention. Meta-analytic techniques were used to integrate the research-based literature published in the past decade. The results seem to indicate that therapeutic touch has a positive, medium effect on physiological and psychological variables. It is impossible to make any substantive claims at this time because there is limited published research and because many of the studies had significant methodological issues that could seriously bias the reported results. Resolving these methodological issues is imperative for therapeutic touch research to move forward.

Bias↗

Efficacy of therapeutic touch in treating pregnant inpatients who have a chemical dependency.

Chemical dependency is known to complicate about 3.8% of pregnancies in Vancouver, British Columbia, Canada. In this study, 54 English-speaking, hospitalized women were randomly assigned to receive either (a) daily Therapeutic Touch over a 7-day period for 20 minutes each day, (b) shared activity with a registered nurse for 20 minutes over a 7-day period, or (c) standard ward care. Anxiety was measured using Spielberger's State-Trait Anxiety Inventory. Withdrawal symptoms were measured using a standardized Symptom Checklist. Anxiety scores were significantly less on Days 1, 2, and 3 (p<.05) for the group receiving Therapeutic Touch. Therapeutic Touch may be of value as an adjunctive measure in the treatment of chemical dependency among pregnant women.

Adolescent↗

Effect of therapeutic touch on the well-being of persons with terminal cancer.

The purpose of this study was to examine the effect of three Therapeutic Touch treatments on the well-being of 20 persons with terminal cancer in palliative care. Participants in the experimental group (n = 10) received three noncontact Therapeutic Touch treatments, the duration of which varied between 15 to 20 minutes. Participants in the control group (n = 10) participated in three rest periods. Well-being was measured at preintervention time and immediately postintervention time using the Well-Being Scale, a visual analogue scale measuring pain, nausea, depression, anxiety, shortness of breath, activity, appetite, relaxation, and inner peace. The results of the study support the hypothesis that three noncontact Therapeutic Touch treatments increase sensation of well-being in persons with terminal cancer.

Adult↗

Effects of therapeutic touch on anxiety in the institutionalized elderly.

The purpose of this study was to determine the effects of therapeutic touch, a specific healing technique, on state anxiety in 105 institutionalized elderly. A double-blind, three-group experimental design was used. State anxiety was measured using the Spielberger State-Trait Anxiety Inventory. The anxiety level of subjects who received therapeutic touch in the form of a back rub was found to be significantly lower than the anxiety level of subjects who received a back rub without therapeutic touch. Results suggest that this noninvasive intervention has potential for enhancing the quality of life for this population.

Aged↗

The effect of therapeutic touch on agitated behavior and cortisol in persons with Alzheimer's disease.

Agitated behavior in persons with Alzheimer's disease (AD) presents a challenge to current interventions. Recent developments in neuroendocrinology suggest that changes in the hypothalamic-pituitary-adrenal (HPA) axis alter the responses of persons with AD to stress. Given the deleterious effects of pharmacological interventions in this vulnerable population, it is essential to explore noninvasive treatments for their potential to decrease a hyperresponsiveness to stress and indirectly decrease detrimental cortisol levels. This within-subject, interrupted time-series study was conducted to test the efficacy of therapeutic touch on decreasing the frequency of agitated behavior and salivary and urine cortisol levels in persons with AD. Ten subjects who were 71 to 84 years old and resided in a special care unit were observed every 20 minutes for 10 hours a day, were monitored 24 hours a day for physical activity, and had samples for salivary and urine cortisol taken daily. The study occurred in 4 phases: 1) baseline (4 days), 2) treatment (therapeutic touch for 5 to 7 minutes 2 times a day for 3 days), 3) posttreatment (11 days), and 4) post- "wash-out" (3 days). An analysis of variance for repeated measures indicated a significant decrease in overall agitated behavior and in 2 specific behaviors, vocalization and pacing or walking, during treatment and posttreatment. A decreasing trend over time was notedfor salivary and urine cortisol. Although this study does not provide direct clinical evidence to support dysregulation in the HPA axis, it does suggest that environmental and behavioral interventions such as therapeutic touch have the potential to decrease vocalization and pacing, 2 prevalent behaviors, and may mitigate cortisol levels in persons with AD.

Aged↗

MEC-12, an alpha-tubulin required for touch sensitivity in C. elegans.

mec-12 is one of a dozen genes required for touch receptor neuron function in Caenorhabditis elegans. Some mec-12 mutants (mechanosensory-defective) lack the large-diameter microtubules that are characteristic of these neurons (15 protofilaments, as opposed to 11). Mutants of mec-7, a alpha-tubulin encoding gene, have a similar phenotype. We have identified the nature of mec-12 by germline transformation rescue and characterization of a point mutation. Sequence analysis of the mec-12 encoded product (MEC-12) indicates that it corresponds to a novel C. elegans alpha-tubulin. MEC-12 is the only identified C. elegans alpha-tubulin that contains a lysine at position 40, a known site of post-translational acetylation. Some mec-12 mutations eliminate microtubule acetylation as assayed immunocyto-chemically; phenotypic rescue using a MEC-12 variant lacking the lysine-40 showed that acetylation is not required for MEC-12 activity. Although functionally needed only in the touch neurons, mec-12 is expressed in several other neuron types. These results support the notion that tubulin isotype diversity contributes to the formation of distinct classes of microtubules; 15-protofilament microtubule assembly requires MEC-12 alpha-tubulin and MEC-7 beta-tubulin, which are both highly expressed in the touch receptor neurons. MEC-12 is the first reported alpha-tubulin isotype that appears to be required in a single class of neuronal microtubules.

Acetylation↗

The effects of social experience on the behavioral response to unexpected touch in crayfish.

Crayfish fight and form a dominance hierarchy characterized by a pattern of repeated agonistic interactions between animals with a consistent outcome of winner and loser. Once a dominance hierarchy is established, dominant animals display an elevated posture with both claws held laterally and forward, whereas subordinate animals display a more prone posture with both claws extended forward and down. Dominant animals behave aggressively towards the subordinate opponent, often approaching and attacking, whereas subordinate animals behave submissively by tailflipping and retreating. To evaluate whether the differences in social behavior are accompanied by differences in responses to non-social stimuli, we exposed socially naïve and experienced crayfish (Procambarus clarkii) to an unexpected touch in different social conditions. Socially naïve animals turned to confront the source of a unilateral touch with raised claws and elevated posture. Dominant animals also turned to face the stimulus source with raised claws and elevated posture, both when tested alone and in the presence of a subordinate opponent. Subordinate animals displayed this orienting response only while separated from their dominant partners. When paired with their dominant partners, subordinates avoided the stimulus source by walking rapidly forwards or backwards. When the subordinate animals were later tested again, first while semi-separated from the dominant and later while fully separated, they displayed a mixed pattern of avoidance and orienting responses. These results indicate that the behavioral responses of subordinate crayfish to touch depend on their social status, their current social conditions and their recent social history.

Animals↗

Parallel thalamic pathways for whisking and touch signals in the rat.

In active sensation, sensory information is acquired via movements of sensory organs; rats move their whiskers repetitively to scan the environment, thus detecting, localizing, and identifying objects. Sensory information, in turn, affects future motor movements. How this motor-sensory-motor functional loop is implemented across anatomical loops of the whisker system is not yet known. While inducing artificial whisking in anesthetized rats, we recorded the activity of individual neurons from three thalamic nuclei of the whisker system, each belonging to a different major afferent pathway: paralemniscal, extralemniscal (a recently discovered pathway), or lemniscal. We found that different sensory signals related to active touch are conveyed separately via the thalamus by these three parallel afferent pathways. The paralemniscal pathway conveys sensor motion (whisking) signals, the extralemniscal conveys contact (touch) signals, and the lemniscal pathway conveys combined whisking-touch signals. This functional segregation of anatomical pathways raises the possibility that different sensory-motor processes, such as those related to motion control, object localization, and object identification, are implemented along different motor-sensory-motor loops.

Afferent Pathways↗

[Occurrence and significance of touching between nursing professionals and patients in an ICU and a semi-intensive surgical unit].

This study aims to identify the use of the instrumental and/or emotional touch and its characteristics by nursing professionals in the nonverbal communication with the ICU and Semi Intensive Surgical Unit patients of a school hospital--University of São Paulo; and to identify the professionals and patients feelings and perceptions in relation to the touches experienced. The study was developed with 19 nursing professionals and 19 patients, from October to November 2000, through direct observation of the interaction and individual interview. The feelings and perceptions reported were classified and we noticed that most of the touches were instrumental-emotional.

Attitude of Health Personnel↗

The function of self-touchings, posture shifts, and motor discharges in children from 3 to 6 years of age.

The function of self-touchings, posture shifts, and discharges was studied by comparing videotapes of 48 normal children aged 3 to 6 yr. performing on two tasks, watching cartoons and telling about these cartoons. We scored the occurrence of self-touchings, posture shifts and discharges by 5-sec. intervals on both tasks. We could not find developmental changes between 3 and 6 yr. of age, but significant differences in the numbers of movements between watching and telling appeared. Children moved much more during telling than during watching cartoons. This was interpreted as a reflection of task-specific attention in watching and telling. The attention-regulating function of the behavior was further shown by an outburst of movements during the first 10 sec. after the start of watching each cartoon. Self-touchings, posture shifts, and discharges seem to be part of the 'orienting reflex'.

Arousal↗

Another evaluation of touch and helping behavior.

Although positive effect of touch on compliance has been widely reported, new evaluation was made with an unusual request. 80 male bus drivers were solicited by a male or a female confederate to take the bus despite having too little money for the fare. Bus drivers were briefly touched by the confederate during solicitation. Analysis showed that bus drivers who were touched accepted the request more favorably but only when made by a female.

Adult↗

Crossmodal links between audition and touch in covert endogenous spatial attention.

We report three experiments designed to investigate the nature of any crossmodal links between audition and touch in sustained endogenous covert spatial attention, using the orthogonal spatial cuing paradigm. Participants discriminated the elevation (up vs. down) of auditory and tactile targets presented to either the left or the right of fixation. In Experiment 1, targets were expected on a particular side in just one modality; the results demonstrated that the participants could spatially shift their attention independently in both audition and touch. Experiment 2 demonstrated that when the participants were informed that targets were more likely to be on one side for both modalities, elevation judgments were faster on that side in both audition and touch. The participants were also able to "split" their auditory and tactile attention, albeit at some cost, when targets in the two modalities were expected on opposite sides. Similar results were also reported in Experiment 3 when participants adopted a crossed-hands posture, thus revealing that crossmodal links in audiotactile attention operate on a representation of space that is updated following posture change. These results are discussed in relation to previous findings regarding crossmodal links in audiovisual and visuotactile covert spatial attentional orienting.

Adult↗

Selective perception by dynamic touch.

Perceiving the length of a rod by dynamic touch is tied to the inertia tensor Iij, a quantification of its resistance to rotational acceleration. Perception of the portion extending in front of the grasp has previously been ascribed to decomposing one component of Iij by attention. The tensorial nature of dynamic touch suggests that this ability must be anchored wholly in the tensor. Three experiments show that perceived partial length is a function of two components of the tensor, one tied primarily to magnitude and the other tied primarily to direction, whereas perceived whole length is a function of a magnitude component alone. Dynamic touch is characterized in terms of a haptic perceptual instrument that softly assembles to exploit Iij differently depending on the intention, producing 1:1 maps that are appropriately scaled for each intention.

Adult↗

[Effects of self-touching behavior on the performance of lexical retrieval].

In this study, effects of self-touching behavior on the performance of lexical retrieval were investigated. In Experiment 1, 52 women were required to retrieve Japanese idioms, and to recall them approximately 2 minutes after the retrieval. The participants were randomly assigned into two groups; in one group, they were tested with the restriction of their hand movement, whereas in the other group, they were allowed to move their hands freely. Results revealed that when the movement was restricted, their performance in the retrieval task was significantly deteriorated. In Experiment 2, after the presentation of tape-recorded verbal stimuli, 26 women were required to recall them either with an interval of 2 minutes or with an interval of 2 weeks. The self-touching behavior was found to occur more often when the recall was performed with the interval of 2 weeks than when it took place immediately after the stimulus presentation. Thus self-touching is considered to serve as a cue to retrieve information stored in the long term memory.

Adult↗

[Orofacial touch and pressure sensitivity in children].

This study assessed the thresholds of orofacial touch and pressure sensation in children and compared them with those in adults. Child subjects who were outpatients of TMDU Dental Hospital and who had no particular systemic diseases other than dental problems, were classified into 4 groups: preschool children (4-5 y, n=26), lower-grade elementary school pupils (6-9 y, n=100), higher-grade elementary school pupils (10-12 y, n=36), and junior high school pupils (13-15 y, n=26). Adult subjects were TMDU students (23-31 y, n=37). The thresholds of touch and pressure sensation were measured with a Semmes-Weinstein pressure aesthesiometer which consisted of 20 filaments with different marking values (Fm). Stimulation was applied with the thinner 10 filaments with lower values ranging from 1.65 to 4.31 Fm (0.0045-2.052 gw). The measurements were carried out on the following 10 points in the orofacial area in all the subjects: the upper lip, gingiva of upper anterior teeth, palate, lower lip, gingiva of lower anterior teeth, buccal mucous membrane, tongue tip, skin above eyebrow, cheek skin and mentum skin. The thresholds in the child subjects were not different from those in the adult subjects on most measurement points, but were significantly different on the gingiva and palate. The lower the age, the lower the thresholds on the gingiva. Since these measurement points are located in the chewing mucous membrane, it is considered that the threshold changes occurred due to histological alterations with growth. It is suggested that the threshold values of orofacial touch and pressure sensation obtained from this study could be used as the standard values for an indicator of the development of oral function and structure in children.

Adolescent↗