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      Effect of Remote Sensory Noise on Hand Function Post Stroke

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          Abstract

          Hand motor impairment persists after stroke. Sensory inputs may facilitate recovery of motor function. This pilot study tested the effectiveness of tactile sensory noise in improving hand motor function in chronic stroke survivors with tactile sensory deficits, using a repeated measures design. Sensory noise in the form of subthreshold, white noise, mechanical vibration was applied to the wrist skin during motor tasks. Hand dexterity assessed by the Nine Hole Peg Test and the Box and Block Test and pinch strength significantly improved when the sensory noise was turned on compared with when it was turned off in chronic stroke survivors. The subthreshold sensory noise to the wrist appears to induce improvements in hand motor function possibly via neuronal connections in the sensoriomotor cortex. The approach of applying concomitant, unperceivable mechanical vibration to the wrist during hand motor tasks is easily adoptable for clinic use as well as unsupervised home use. This pilot study suggests a potential for a wristband-type assistive device to complement hand rehabilitation for stroke survivors with sensorimotor deficit.

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          Most cited references76

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          Coding and use of tactile signals from the fingertips in object manipulation tasks.

          During object manipulation tasks, the brain selects and implements action-phase controllers that use sensory predictions and afferent signals to tailor motor output to the physical properties of the objects involved. Analysis of signals in tactile afferent neurons and central processes in humans reveals how contact events are encoded and used to monitor and update task performance.
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            Stochastic resonance and the benefits of noise: from ice ages to crayfish and SQUIDs.

            Noise in dynamical systems is usually considered a nuisance. But in certain nonlinear systems, including electronic circuits and biological sensory apparatus, the presence of noise can in fact enhance the detection of weak signals. This phenomenon, called stochastic resonance, may find useful application in physical, technological and biomedical contexts.
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              Stochastic resonance and sensory information processing: a tutorial and review of application.

              To review the stochastic resonance phenomena observed in sensory systems and to describe how a random process ('noise') added to a subthreshold stimulus can enhance sensory information processing and perception. Nonlinear systems need a threshold, subthreshold information bearing stimulus and 'noise' for stochastic resonance phenomena to occur. These three ingredients are ubiquitous in nature and man-made systems, which accounts for the observation of stochastic resonance in fields and conditions ranging from physics and engineering to biology and medicine. The stochastic resonance paradigm is compatible with single-neuron models or synaptic and channels properties and applies to neuronal assemblies activated by sensory inputs and perceptual processes as well. Here we review a few of the landmark experiments (including psychophysics, electrophysiology, fMRI, human vision, hearing and tactile functions, animal behavior, single/multiunit activity recordings). Models and experiments show a peculiar consistency with known neuronal and brain physiology. A number of naturally occurring 'noise' sources in the brain (e.g. synaptic transmission, channel gating, ion concentrations, membrane conductance) possibly accounting for stochastic resonance phenomena are also reviewed. Evidence is given suggesting a possible role of stochastic resonance in brain function, including detection of weak signals, synchronization and coherence among neuronal assemblies, phase resetting, 'carrier' signals, animal avoidance and feeding behaviors. Stochastic resonance is a ubiquitous and conspicuous phenomenon compatible with neural models and theories of brain function. The available evidence suggests cautious interpretation, but justifies research and should encourage neuroscientists and clinical neurophysiologists to explore stochastic resonance in biology and medical science.
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                Author and article information

                Contributors
                Journal
                Front Hum Neurosci
                Front Hum Neurosci
                Front. Hum. Neurosci.
                Frontiers in Human Neuroscience
                Frontiers Media S.A.
                1662-5161
                17 November 2014
                2014
                : 8
                : 934
                Affiliations
                [1] 1Department of Industrial and Manufacturing Engineering, University of Wisconsin–Milwaukee , Milwaukee, WI, USA
                [2] 2Department of Occupational Science and Technology, University of Wisconsin–Milwaukee , Milwaukee, WI, USA
                [3] 3Department of Electrical Engineering and Computer Science, University of Wisconsin–Milwaukee , Milwaukee, WI, USA
                [4] 4Clinical & Translational Science Institute, Medical College of Wisconsin , Milwaukee, WI, USA
                [5] 5Department of Kinesiology, University of Wisconsin-Milwaukee , Milwaukee, WI, USA
                [6] 6Department of Mechanical Engineering, Texas A&M University , College Station, TX, USA
                Author notes

                Edited by: Juergen Konczak, University of Minnesota, USA

                Reviewed by: Thomas Weiss, Friedrich Schiller University Jena, Germany; Ann Van De Winckel, University of Minnesota, USA

                *Correspondence: Na Jin Seo, Industrial and Manufacturing Engineering, University of Wisconsin-Milwaukee, 3200 North Cramer Street, Milwaukee, WI 53211, USA e-mail: najinseo@ 123456uwm.edu

                This article was submitted to the journal Frontiers in Human Neuroscience.

                Article
                10.3389/fnhum.2014.00934
                4235074
                25477806
                c4f9c4d8-d7ab-49bf-b985-930f13936a3c
                Copyright © 2014 Seo, Kosmopoulos, Enders and Hur.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 15 August 2014
                : 02 November 2014
                Page count
                Figures: 2, Tables: 1, Equations: 0, References: 94, Pages: 9, Words: 8000
                Categories
                Neuroscience
                Original Research

                Neurosciences
                sensory stimulation,sensory noise,stochastic resonance,stroke hand rehabilitation,hand function,tactile sensation

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