ORCID Profile
0000-0002-8512-5288
Current Organisation
University of South Australia
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Publisher: Cold Spring Harbor Laboratory
Date: 17-01-2019
DOI: 10.1101/521302
Abstract: The pain threshold is traditionally conceptualised as a boundary that lies between painful and non-painful events, suggesting a reasonably stable relationship between stimulus and response. In two previous experiments, participants received laser stimuli of various intensities and rated each stimulus on the Sensation and Pain Rating Scale (SPARS), which includes ranges for rating painful and non-painful events and clearly defines the presumed boundary between them. In the second experiment, participants also provided ratings on the conventional 0-100 Numerical Rating Scale for pain (NRS) and a new rating scale for non-painful events. Those data showed the SPARS to have a curvilinear stimulus-response relationship, reflecting that several different intensities may be rated as painful and non-painful in different trials. This suggests that participants were uncertain about painfulness over a range of intensities and calls into question the idea of a boundary between non-painful and painful events. The current study aimed to determine the number of different stimulus intensities across which each participant provided ‘painful’ and ‘non-painful’ reports in different trials. We undertook novel exploratory analyses on data from the aforementioned two experiments (n = 19, 11 female, 18-31 years old n = 7, 5 female, 21-30 years old). We used the binomial test to formally determine the width of this ‘zone of uncertainty’ about painfulness, using ratings on the SPARS and the comparator scales, and data visualisation to assess whether trial-to-trial change in stimulus intensity influences ratings. We found that the width of the zone of uncertainty varied notably between in iduals and that the zone was non-continuous for most participants. Plots of group-level data concealed the inter-in idual variability apparent in the in idual plots, but still showed a wide zone of uncertainty on both the SPARS and the NRS, but a narrow zone on the scale for non-painful events. There was no evidence that trial-to-trial change in stimulus intensity influenced ratings. The variability revealed by this study has important design implications for experiments that include initial calibration of repeatedly delivered stimuli. The variability also stands to inflate the size of s le that is required for adequate statistical powering of experiments, and provides rationale for the use of statistical approaches that account for in idual variability in studies of pain. Finally, the high variability implies that, if experimental stimuli are to be used in clinical phenotyping, many trials may be required to obtain results that represent a single patient’s actual response profile.
Publisher: Wiley
Date: 08-07-2014
Publisher: Springer Science and Business Media LLC
Date: 24-10-2016
DOI: 10.1007/S00221-016-4782-6
Abstract: When vision and proprioception are rendered incongruent during a hand localisation task, vision is initially weighted more than proprioception in determining location, and proprioception gains more weighting over time. However, it is not known whether, under these incongruency conditions, particular areas of space are also weighted more heavily than others, nor whether explicit knowledge of the sensory incongruence (i.e. disconfirming the perceived location of the hand) modulates the effect. Here, we hypothesised that both non-informative inputs coming from one side of space and explicit knowledge of sensory incongruence would modulate perceived location of the limb. Specifically, we expected spatial weighting to shift hand localisation towards the weighted area of space, and we expected greater weighting of proprioceptive input once perceived location was demonstrated to be inaccurate. We manipulated spatial weighting using an established auditory cueing paradigm (Experiment 1, n = 18) and sensory incongruence using the 'disappearing hand trick' (Experiment 2, n = 9). Our first hypothesis was not supported-spatial weighting did not modulate hand localisation. Our second hypothesis was only partially supported-disconfirmation of hand position did lead to more accurate localisations, even if participants were still unaware of their hand position. This raised the possibility that rather than disconfirmation, a simple movement of the hand in view could update the sensory-motor system, by immediately increasing the weighting of proprioceptive input relative to visual input. This third hypothesis was then confirmed (Experiment 3, n = 9). These results suggest that hand localisation is robust in the face of differential weighting of space, but open to modulation in a modality-specific manner, when one sense (vision) is rendered inaccurate.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 03-2016
Publisher: Elsevier BV
Date: 10-2016
DOI: 10.1016/J.JPAIN.2016.06.012
Abstract: A classical conditioning framework is often used for clinical reasoning about pain that persists after tissue healing. However, experimental studies demonstrating classically conditioned pain in humans are lacking. The current study tested whether non-nociceptive somatosensory stimuli can come to modulate pain thresholds after being paired with painful nociceptive stimuli in healthy humans. We used a differential simultaneous conditioning paradigm in which one nonpainful vibrotactile conditioned stimulus (CS(+)) was simultaneously paired with an unconditioned painful laser stimulus, and another vibrotactile stimulus (CS(-)) was paired with a nonpainful laser stimulus. After acquisition, at-pain-threshold laser stimuli were delivered simultaneously with a CS(+) or CS(-) vibrotactile stimulus. The primary outcome was the percentage of at-threshold laser stimuli that were reported as painful. The results were as expected: after conditioning, at-threshold laser trials paired with the CS(+) were reported as painful more often, as more intense, and as more unpleasant than those paired with the CS(-). This study provides new evidence that pain thresholds can be modulated via classical conditioning, even when the stimulus used to test the threshold cannot be anticipated. As such, it lays a critical foundation for further investigations of classical conditioning as a possible driver of persistent pain. This study provides new evidence that human pain thresholds can be influenced by non-nociceptive somatosensory stimuli, via a classical conditioning effect. As such, it lays a critical foundation for further investigations of classical conditioning as a possible driver of persistent pain.
Publisher: Cold Spring Harbor Laboratory
Date: 27-05-2021
DOI: 10.1101/2021.05.27.445993
Abstract: The capacity to regulate one’s attention in accordance with fluctuating task demands and environmental contexts is an essential feature of adaptive behavior. Although the electrophysiological correlates of attentional processing have been extensively studied in the laboratory, relatively little is known about the way they unfold under more variable, ecologically-valid conditions. Accordingly, this study employed a ‘real-world’ EEG design to investigate how attentional processing varies under increasing cognitive, motor, and environmental demands. Forty-four participants were exposed to an auditory oddball task while (1) sitting in a quiet room inside the lab, (2) walking around a sports field, and (3) wayfinding across a university c us. In each condition, participants were instructed to either count or ignore oddball stimuli. While behavioral performance was similar across the lab and field conditions, oddball count accuracy was significantly reduced in the c us condition. Moreover, event-related potential components (mismatch negativity and P3) elicited in both ‘real-world’ settings differed significantly from those obtained under laboratory conditions. These findings demonstrate the impact of environmental factors on attentional processing during simultaneously-performed motor and cognitive tasks, highlighting the value of incorporating dynamic and unpredictable contexts within naturalistic designs.
Publisher: BMJ
Date: 18-12-2016
DOI: 10.1136/BJSPORTS-2015-095356
Abstract: Neural representations, or neurotags, refer to the idea that networks of brain cells, distributed across multiple brain areas, work in synergy to produce outputs. The brain can be considered then, a complex array of neurotags, each influencing and being influenced by each other. The output of some neurotags act on other systems, for ex le, movement, or on consciousness, for ex le, pain. This concept of neurotags has sparked a new body of research into pain and rehabilitation. We draw on this research and the concept of a cortical body matrix-a network of representations that subserves the regulation and protection of the body and the space around it-to suggest important implications for rehabilitation of sports injury and for sports performance. Protective behaviours associated with pain have been reinterpreted in light of these conceptual models. With a particular focus on rehabilitation of the injured athlete, this review presents the theoretical underpinnings of the cortical body matrix and its application within the sporting context. Therapeutic approaches based on these ideas are discussed and the efficacy of the most tested approaches is addressed. By integrating current thought in pain and cognitive neuroscience related to sports rehabilitation, recommendations for clinical practice and future research are suggested.
Publisher: Springer Berlin Heidelberg
Date: 2012
Publisher: SAGE Publications
Date: 03-2017
Publisher: SAGE Publications
Date: 03-2017
Publisher: Elsevier
Date: 2018
Publisher: Informa UK Limited
Date: 04-03-2017
Publisher: Springer Science and Business Media LLC
Date: 16-11-2021
DOI: 10.1038/S41598-021-01772-8
Abstract: The capacity to regulate one’s attention in accordance with fluctuating task demands and environmental contexts is an essential feature of adaptive behavior. Although the electrophysiological correlates of attentional processing have been extensively studied in the laboratory, relatively little is known about the way they unfold under more variable, ecologically-valid conditions. Accordingly, this study employed a ‘real-world’ EEG design to investigate how attentional processing varies under increasing cognitive, motor, and environmental demands. Forty-four participants were exposed to an auditory oddball task while (1) sitting in a quiet room inside the lab, (2) walking around a sports field, and (3) wayfinding across a university c us. In each condition, participants were instructed to either count or ignore oddball stimuli. While behavioral performance was similar across the lab and field conditions, oddball count accuracy was significantly reduced in the c us condition. Moreover, event-related potential components (mismatch negativity and P3) elicited in both ‘real-world’ settings differed significantly from those obtained under laboratory conditions. These findings demonstrate the impact of environmental factors on attentional processing during simultaneously-performed motor and cognitive tasks, highlighting the value of incorporating dynamic and unpredictable contexts within naturalistic designs.
Publisher: Springer Science and Business Media LLC
Date: 11-03-2015
DOI: 10.1007/S00221-015-4242-8
Abstract: Previous studies showed that self-localisation ability involves both vision and proprioception, integrated into a single percept, with the tendency to rely more heavily on visual than proprioceptive cues. Despite the increasing evidence for the importance of vision in localising the hands, the time course of the interaction between vision and proprioception during visual occlusion remains unclear. In particular, we investigated how the brain weighs visual and proprioceptive information in hand localisation over time when the visual cues do not reflect the real position of the hand. We tested three hypotheses: Self-localisations are less accurate when vision and proprioception are incongruent under the same conditions of incongruence, people first rely on vision and gradually revert to proprioception if vision is removed immediately prior to hand localisation, accuracy increases. Sixteen participants viewed a video of their hands, under three conditions each undertaken with eyes open or closed: Incongruent conditions (right hand movement seen: inward, right hand real movement: outward), Congruent conditions (movement seen congruent to real movement). The right hand was then hidden from view and participants performed a localisation task whereby a moving vertical arrow was stopped when aligned with the felt position of their middle finger. A second experiment used identical methodology, but with the direction of the arrow switched. Our data showed that, in the Incongruent conditions (both with eyes open and closed), participants perceived their right hand close to its last seen position. Over time, the perceived position of the hand shifted towards the physical position. Closing the eyes before the localisation task increased the accuracy in the Incongruent condition. Crucially, Experiment 2 confirmed the findings and showed that the direction of arrow movement had no effect on hand localisation. Our hypotheses were supported: When vision and proprioception were incongruent, participants were less accurate and initially relied on vision and then proprioception over time. When vision was removed, this shift occurred more quickly. Our findings are relevant in understanding the normal and pathological processes underpinning self-localisation.
Publisher: Wiley
Date: 18-11-2017
DOI: 10.1111/JOOR.12581
Abstract: Chronic oro-facial pain patients often perceive the painful face area as "swollen" without clinical signs, that is a perceptual distortion (PD). Local anaesthetic (LA) injections in healthy participants are also associated with PD. The aim was to explore whether PD evoked by LA into the infraorbital region could be modulated by adding mechanical stimulation (MS) to the affected area. Mechanical stimulation was given with a brush and a 128-mN von Frey filament. Firstly, sixty healthy participants were randomly ided into three groups: (i) LA control, (ii) LA with MS, (iii) isotonic solution (ISO) with MS as an additional control condition. To further examine the role of a multisensory modulation, an additional experiment was conducted. Twenty participants received LA with MS (filament) in addition to visual feedback of their distorted face. The results of the two experiments are presented together. All three LA groups experienced PD per contra, PD was not reported in the ISO group. MS alone did not change the magnitude of PD: brush (P = .089), filament (P = .203). However, when the filament stimulation was combined with additional visual information of a distorted face, there was observable decrease in PD (P = .002). The findings indicate the importance of multisensory integration for PD and represent a significant step forward in the understanding of the factors that may influence this common condition. Future studies are encouraged to investigate further the cortical processing for possible implications for PD in pain management.
Publisher: Public Library of Science (PLoS)
Date: 15-06-2016
No related grants have been discovered for Valeria Bellan.