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PubMed1989

The neural dependency of Merkel cell development in the rat: the touch domes and foot pads contrasted.

We have used the quinacrine labeling technique and electron microscopy to study the development of the Merkel cell population in the skin of the rat and how this is affected by denervation produced at birth and at various times thereafter. An unexpected difference was found between the Merkel cells of glabrous and hairy skin. In the paw pads of rats aged 1 day or older the Merkel cells differentiated normally and survived quantitatively in the absence of their nerves. In the touch domes however, denervation at 1-4 days prevented the differentiation of the normal Merkel cell population and led to the disappearance of all or most of the Merkel cells that were already present. The Merkel cells in touch domes of the lower leg were affected by denervation like those of the back skin, differing strikingly from the Merkel cells of the footpads, even though the hairy skin of the leg and the glabrous skin of the foot are innervated by the same anatomical nerve. In adult rats, axons regenerating to denervated paws reinnervated epidermal Merkel cells of the pads and restored essentially normal mechanosensitivity to them; thus the Merkel cells of mammalian glabrous skin, like their counterparts in the wholly glabrous skin of lower vertebrates (S. A. Scott, E. Cooper, and J. Diamond, 1981, Proc. R. Soc. London B211, 455-470; K. M. Mearow and J. Diamond, 1988, Neuroscience 26, 695-708), can act as targets for ingrowing nerves. However, even though the differentiation of Merkel cells in hairy skin is nerve dependent, they probably have in common with the Merkel cells of glabrous skin the role of acting as final targets for nerves during development and regeneration.

Aging↗
PubMed1986

Reactions to music, touch and object presentation in the final stage of dementia. An exploratory study.

Two patients in the final stage of dementia of Alzheimer type were stimulated with music, touch and object presentation during 12 consecutive days (16 trials per patient). Evaluations were made by direct observations, analysis of video-taped recordings and registrations of pulse and rate of respiration. Both patients reacted differently to music than to touch and object presentation.

Aged↗
PubMed1991

A taste illusion: taste sensation localized by touch.

Taste sensations appear to come from all over the inner surface of the mouth, yet the taste receptors are restricted to relatively small particular areas of the oral surface. In addition, even if a relatively large (e.g., one half) proportion of the taste field is damaged, subjective taste experience may be unaffected. The touch system contributes to this constancy because taste sensations appear to be localized by touch. If a taste solution is painted from the side of the tongue (an area of low receptor density) past the tip (an area of high receptor density) and on to the second side, the taste sensation begins weak, gets stronger at the tip, and retains much of its intensity. The strong taste from the tip follows the tactile path of the stimulus sweep. This illusion occurs for all four stimuli tested: sucrose, sodium chloride, citric acid, and quinine hydrochloride.

Adolescent↗
PubMed1992

Recognition of familiar individuals by touch.

I have examined whether adults can recognize their boyfriends/husbands or girlfriends/wives by stroking either their partner's hand or face. On both trials, subjects were asked to chose their mate from amongst two unfamiliar age- and gender-matched adult foils. During testing, the subject's eyes and nose were covered and auditory cues were masked by ambient noise. The results show that a significant proportion of the total sample succeeded on one or both of the touch-recognition tasks. However, while both women and men were successful at the face-touch-recognition task, only the women were successful at the hand-recognition task. I conclude that tactile cues afforded by stroking skin are sufficiently salient to allow for individual recognition. As for the gender-related difference, women may have an advantage at hand recognition because men's hands are more discriminable than women's hands.

Adult↗
PubMed1990

Short-term effects of early suckling and touch of the nipple on maternal behaviour.

The objective was to evaluate the effects of suckling within 30 min after birth when skin-to-skin body contact for mothers and infants was held constant in both cases (n = 32) and control groups (n = 25). Mother-infant interaction during breast-feeding, infants' time spent in nursery and different aspects of breast-feeding were evaluated. Prolactin and gastrin were measured in maternal serum before and after breast-feeding on day 4 post partum. The aim to evaluate effects of early post delivery suckling failed since only six of the 32 case infants did suck at this time. In spite of this, we found three significant differences among cases and controls. In the case group where all infants had touched or licked the areola and nipple, the mothers left the infants in the nursery for a significantly shorter time and significantly more mothers talked to their infants during the short breast-feeding observation. Median gastrin levels were significantly lower in cases than in controls both before (P less than 0.01) and after (P less than 0.03) breast-feeding. In conclusion, the infant's early touch of the mother's areola and nipple seemed to have positively influenced the mother/infant relationship during the first four days after birth. It was also associated with lower maternal gastrin levels which suggests that maternal neuroendocrine functions were also influenced. Ten months after birth, we found no differences between cases and controls.

Adolescent↗
PubMed2006

The effect of visual threat on spatial attention to touch.

Viewing a threatening stimulus can bias visual attention toward that location. Such effects have typically been investigated only in the visual modality, despite the fact that many threatening stimuli are most dangerous when close to or in contact with the body. Recent multisensory research indicates that a neutral visual stimulus, such as a light flash, can lead to a tactile attention shift towards a nearby body part. Here, we investigated whether the threat value of a visual stimulus modulates its effect on attention to touch. Participants made speeded discrimination responses about tactile stimuli presented to one or other hand, preceded by a picture cue (snake, spider, flower or mushroom) presented close to the same or the opposite hand. Pictures of snakes led to a significantly greater tactile attentional facilitation effect than did non-threatening pictures of flowers and mushrooms. Furthermore, there was a correlation between self-reported fear of snakes and spiders and the magnitude of early facilitation following cues of that type. These findings demonstrate that the attentional bias towards threat extends to the tactile modality and indicate that perceived threat value can modulate the cross-modal effect that a visual cue has on attention to touch.

Adolescent↗
PubMed2006

Advantages of combined touch screen technology and text hyperlink for the pathology grossing manual: a simple approach to access instructive information in biohazardous environments.

Gross examination, encompassing description, dissection, and sampling, is a complex task and an essential component of surgical pathology. Because of the complexity of the task, standardized protocols to guide the gross examination often become a bulky manual that is difficult to use. This problem is further compounded by the high specimen volume and biohazardous nature of the task. As a result, such a manual is often underused, leading to errors that are potentially harmful and time consuming to correct-a common chronic problem affecting many pathology laboratories. To combat this problem, we have developed a simple method that incorporates complex text and graphic information of a typical procedure manual and yet allows easy access to any intended instructive information in the manual. The method uses the Object-Linking-and-Embedding function of Microsoft Word (Microsoft, Redmond, WA) to establish hyperlinks among different contents, and then it uses the touch screen technology to facilitate navigation through the manual on a computer screen installed at the cutting bench with no need for a physical keyboard or a mouse. It takes less than 4 seconds to reach any intended information in the manual by 3 to 4 touches on the screen. A 3-year follow-up study shows that this method has increased use of the manual and has improved the quality of gross examination. The method is simple and can be easily tailored to different formats of instructive information, allowing flexible organization, easy access, and quick navigation. Increased compliance to instructive information reduces errors at the grossing bench and improves work efficiency.

Containment of Biohazards↗
PubMed2005

Visual landmark orientation by flying bats at a large-scale touch and walk screen for bats, birds and rodents.

Orientation depends on multi-modal information about the locally perceptible environment (local view) in many situations. We developed a behavioural paradigm for investigating visual orientation of flying bats based on a large-scale touch screen (1.2 m x 1.8 m). It functions by a grid of rows and columns of infra-red beams just in front of a screen with back-projected visual stimuli. Approaching animals interrupt the beams and thus permit automatic recording of the time and place of an animal's locational choice. We used it as a vertical touch surface. Installed as a horizontal walk surface, it may also serve as a more natural 'firm ground', circular arena analogue to the 'Morris water maze' for investigating orientation behaviour and spatial cognition from rodents to birds while offering automatic real-time recording of paths, times and latencies with enhanced possibilities to score details of motor behaviour and to control stimuli interactively. Bats offer a unique possibility to investigate the use of both echo-acoustic and visual information processing pathways for the process of self-localization and orientation. In our first experiment, a bat was presented with five identical targets, one central and four peripheral and had to choose the central target. After task acquisition, the array was shifted by the distance between targets, so that a formerly peripheral landmark was now in the absolute location of the formerly central target. At small inter-target distances, the bat 'went with' the array, and chose the new central target (at a new absolute location). With 30 cm or more of inter-target distance (60 cm across the landmark configuration), however, the bat went with absolute location, and chose a peripheral target. In experiment 2, the bat was presented with two landmarks 30 cm apart and an unmarked target located at midline beneath them. On tests, the landmarks either maintained training distance or were expanded to 50 cm apart. On such expansion tests, the bat chose most the location at the correct vector from the right landmark. This showed that the bat first identified a single landmark by the configuration and then applied a previously learnt vector (angle and distance) to locate the target. Glossophaga did not orient by pure angular geometry between landmarks and target.

Animals↗
PubMed2005

Evaluation of age-related plantar-surface insensitivity and onset age of advanced insensitivity in older adults using vibratory and touch sensation tests.

Age-related decline in plantar-surface sensitivity has been cited as one of the reasons for balance problems in older adults. This study investigated the level of plantar-surface sensitivity in older adults compared to young adults. Additionally, this study attempted to identify the onset age of advanced insensitivity in older adults and how well monofilament testing was able to predict insensitivity and onset age of advanced insensitivity. Vibration thresholds were assessed at four frequencies (3, 25, 100 and 250 Hz) and four foot sole locations (heel, first metatarsal, fifth metatarsal and great toe). Touch thresholds were evaluated with Semmes-Weinstein monofilaments at the same four locations. Results indicated that older adults showed insensitivity to vibratory (25 and 100 Hz) and touch stimuli when compared to young adults. Vibration testing at 100 Hz indicated that early in the seventh decade (72-73 years old) participants started to show a doubling of their detection threshold as compared to their younger counterparts (65-71 years old). Regression analysis indicated a significant predictive value of the monofilaments to 100 Hz vibration thresholds, but a caution is noted that this type of testing is not as sensitive to the onset of advanced plantar-surface insensitivity. Therefore, older adults have significant plantar-surface insensitivity as compared to young adults and have an onset of advanced insensitivity in the seventh decade of life. Monofilaments are useful to assess the age-related insensitivity but are not when attempting to identify the onset of advanced insensitivity.

Adult↗
PubMed1999

The effect of expressive physical touch on patients with dementia.

This study explored the effect of expressive physical touch with verbalization (EPT/V) on anxiety and dysfunctional behavior in patients with dementia using a one group repeated measures design. The study findings are that (1) anxiety is lower immediately following EPT/V and (2) EPT/V causes decreasing episodes of dysfunctional behavior. Therefore, it behooves caregivers and family members to use expressive physical touch and verbalization when caring for these patients, since it is cost-effective, simple to learn and practice and it is most effective in improving and maintaining patient's high quality of life.

Aged↗
PubMed2001

Spatial attention and crossmodal interactions between vision and touch.

In the present paper, we review several functional imaging studies investigating crossmodal interactions between vision and touch relating to spatial attention. We asked how the spatial unity of a multimodal event in the external world might be represented in the brain, where signals from different modalities are initially processed in distinct brain regions. The results highlight several links between visual and tactile spatial representations. First, we found that activity in the anterior part of the intraparietal sulcus was influenced by stimulus position independently of the modality of the stimulation. This is consistent with crossmodal interactions via sensory convergence from early modality-specific spatial maps to higher-order multimodal regions. Second, we found that stimulation in, or attention to, one modality could affect activity in areas dedicated to a different modality, in a spatially-specific manner. These spatial crossmodal effects in unimodal regions demonstrate congruous activity in anatomically distant brain areas that represent similar external locations, implicating a distributed network of spatial representations in crossmodal integration. Finally, the results suggest that the temporo-parietal junction may be involved in aspects of controlling spatial attention, for both vision and touch. A multimodal attentional system may influence activity in distinct brain areas representing common regions of space for different modalities, thus suggesting a link between spatial attention and crossmodal integration.

Attention↗
PubMed1997

Touch allodynia following endoscopic (single portal) or open decompression for carpal tunnel syndrome.

We investigated if single-portal endoscopic carpal tunnel decompression equipment (Agee, 3M, USA) would cause increased carpal tunnel pressure during the release and if endoscopic release would reduce postoperative touch allodynia. Measurements on cadavers of the pressure produced during endoscopic release showed similar pressures to those produced during maximal range of motion. One hundred patients underwent either open or endoscopic decompressions. Twenty normal individuals served as controls. At 1 month after surgery both groups had significant allodynia compared with the controls, but at 3 months the endoscopic group had returned to normal though the open group was still significantly abnormal. The reported endoscopic release may therefore be of particular advantage to patients who would seriously be disadvantaged if postoperative touch allodynia should develop. The Agee endoscope is unlikely to cause disturbance of the nerve function due to increased carpal pressure during the release.

Carpal Tunnel Syndrome↗
PubMed2001

The DRASIC cation channel contributes to the detection of cutaneous touch and acid stimuli in mice.

Cation channels in the DEG/ENaC family are proposed to detect cutaneous stimuli in mammals. We localized one such channel, DRASIC, in several different specialized sensory nerve endings of skin, suggesting it might participate in mechanosensation and/or acid-evoked nociception. Disrupting the mouse DRASIC gene altered sensory transduction in specific and distinct ways. Loss of DRASIC increased the sensitivity of mechanoreceptors detecting light touch, but it reduced the sensitivity of a mechanoreceptor responding to noxious pinch and decreased the response of acid- and noxious heat-sensitive nociceptors. The data suggest that DRASIC subunits participate in heteromultimeric channel complexes in sensory neurons. Moreover, in different cellular contexts, DRASIC may respond to mechanical stimuli or to low pH to mediate normal touch and pain sensation.

Acid Sensing Ion Channels↗
PubMed1996

Communicating with sedated ventilated patients in intensive care: focusing on the use of touch.

Communication with intensive care patients is of paramount importance, especially when communicating with a critically ill patient who is sedated and ventilated, and therefore unable to speak. Disclosure under these circumstances is extremely difficult, so in this situation touch is a valuable means of conveying messages. Consequently, touch as a way of communicating is discussed in this paper, highlighting the advantages and disadvantages. Barriers to communication in this environment are also discussed.

Communication Barriers↗
PubMed1998

Experiences of administering and receiving therapeutic touch in intensive care.

This article describes the experiences of a practitioner who administered therapeutic touch (TT) to two patients in an intensive care unit and the experiences of the two patients who received TT. The experiences are presented as two case studies. Each of the patients presented in the case studies received either five or ten treatments of TT lasting five minutes each. Following each administration of TT the practitioner described what she sensed verbally and in writing. However, owing to the medical conditions of the patients, only brief interviews were conducted in which the patients were asked to describe their experiences of receiving TT. The experiences, which have been reflected in the case studies, indicate TT assists patients to relax, brings comfort and a sense of peace. Much like meditation, TT helps patients become more in touch with themselves. They come to understand more about themselves and reality. TT is recommended as a practice which could contribute to the psychological well-being of patients in intensive care as it promotes relaxation, comfort and a sense of peace.

Adult↗
PubMed2006

Abnormal physiological responses to touch among children with persistent feeding difficulties.

Pediatric feeding/swallowing specialists commonly observe infants and toddlers who present with gagging or significant behavior state changes as a result of touch to oral and body regions. To date, this behavior has not been fully characterized or documented experimentally. This paper describes an exploratory study aimed at filling in these lacunae and providing a possible explanation. The study compares the responses to firm tactile pressure of 40 children between the ages of 3 and 18 months. The experimental group consisted of 20 children (12 males, 8 females) with heterogeneous medical diagnoses, at least 2 weeks of alternative feedings during the first 3 months of life, and a common history of persistent feeding difficulties. The comparison group consisted of 20 children with an unremarkable medical history matched by age and sex to the experimental group. Firm, tactile pressure was applied in a predetermined sequence following dermatome regions from legs to mouth. Response was recorded in terms of presence/absence of gagging and/or behavior state changes. Fifteen of the 20 children in the experimental group showed gagging (14) or inconsolable crying (1) in response to touch. None of the matched comparison group demonstrated either gagging or behavior state changes. The experimental and comparison groups showed significant differences in response to tactile input. Further, the source of these abnormal responses must be sought in similarity of experience across heterogeneous medical diagnoses and interventions. One possible explanation is a history of oral deprivation due to alternative feedings.

Adolescent↗
PubMed1991

Children's memories of a physical examination involving genital touch: implications for reports of child sexual abuse.

Evaluation of child sexual abuse often necessitates interviewing children about genital touch, yet little scientific research exists on how best to obtain children's reports of genital contact. To examine this issue, 72 five- and seven-year-old girls experienced a standardized medical checkup. For half of the children, the checkup included a vaginal and anal examination (genital condition); for the other half, the checkup included a scoliosis examination instead (nongenital condition). The children's memories were later solicited through free recall, anatomically detailed doll demonstration, and direct and misleading questions. The majority of children in the genital condition revealed vaginal and anal contact only when asked directly about it. Children in the nongenital condition never falsely reported genital touch in free recall or doll demonstration; when asked directly, the false report rate was low. Significant age differences in free recall and doll demonstration, found only in the nongenital condition, implicated socioemotional factors as suppressing the reports of older children who experienced genital contact.

Child↗