A Virtual Reality Application of the Rubber Hand Illusion Induced by Ultrasonic Mid-air Haptic Stimulation

Ultrasonic mid-air haptic technologies, which provide haptic feedback through airwaves produced using ultrasound, could be employed to investigate the sense of body ownership and immersion in virtual reality (VR) by inducing the virtual hand illusion (VHI). Ultrasonic mid-air haptic perception has solely been investigated for glabrous (hairless) skin, which has higher tactile sensitivity than hairy skin. In contrast, the VHI paradigm typically targets hairy skin without comparisons to glabrous skin. The aim of this article was to investigate illusory body ownership, the applicability of ultrasonic mid-air haptics, and perceived immersion in VR using the VHI. Fifty participants viewed a virtual hand being stroked by a feather synchronously and asynchronously with the ultrasonic stimulation applied to the glabrous skin on the palmar surface and the hairy skin on the dorsal surface of their hands. Questionnaire responses revealed that synchronous stimulation induced a stronger VHI than asynchronous stimulation. In synchronous conditions, the VHI was stronger for palmar stimulation than dorsal stimulation. The ultrasonic stimulation was also perceived as more intense on the palmar surface compared to the dorsal surface. Perceived immersion was not related to illusory body ownership per se but was enhanced by the provision of synchronous stimulation.

Contributions of Body-Orientation to Mental Ball Dropping Task During Out-of-Body Experiences

Out-of-body experiences (OBEs) provide fascinating insights into our understanding of bodily self-consciousness and the workings of the brain. Studies that examined individuals with brain lesions reported that OBEs are generally characterized by participants experiencing themselves outside their physical body (i.e., disembodied feeling) (Blanke and Arzy, 2005). Based on such a characterization, it has been shown that it is possible to create virtual OBEs in immersive virtual environments (Ehrsson, 2007; Ionta et al., 2011b; Bourdin et al., 2017). However, the extent to which body-orientation influences virtual OBEs is not well-understood. Thus, in the present study, 30 participants (within group design) experienced a full-body ownership illusion (synchronous visuo-tactile stimulation only) induced with a gender-matched full-body virtual avatar seen from the first-person perspective (1PP). At the beginning of the experiment, participants performed a mental ball dropping (MBD) task, seen from the location of their virtual avatar, to provide a baseline measurement. After this, a full-body ownership illusion (embodiment phase) was induced in all participants. This was followed by the virtual OBE illusion phase of the experiment (disembodiment phase) in which the first-person viewpoint was switched to a third-person perspective (3PP), and participants' disembodied viewpoint was gradually raised to 14 m above the virtual avatar, from which altitude they repeated the MBD task. During the experiment, this procedure was conducted twice, and the participants were allocated first to the supine or the standing body position at random. Results of the MBD task showed that the participants experienced increased MBD durations during the supine condition compared to the standing condition. Furthermore, although the findings from the subjective reports confirmed the previous findings of virtual OBEs, no significant difference between the two postures was found for body ownership. Taken together, the findings of the current study make further contributions to our understanding of both the vestibular system and time perception during OBEs.

The body-ownership is unconsciously distorted in the brain: An event-related potential study of rubber hand illusion

Many studies have reported that bottom-up multisensory integration of visual, tactile, and proprioceptive information can distort our sense of body-ownership, producing rubber hand illusion (RHI). There is less evidence about when and how the body-ownership is distorted in the brain during RHI. To examine whether this illusion effect occurs preattentively at an early stage of processing, we monitored the visual mismatch negativity (vMMN) component (the index of automatic deviant detection) and N2 (the index for conflict monitoring). Participants first performed an RHI elicitation task in a synchronous or asynchronous setting and then finished a passive visual oddball task in which the deviant stimuli were unrelated to the explicit task. A significant interaction between Deviancy (deviant hand vs. standard hand) and Group (synchronous vs. asynchronous) was found. The asynchronous group showed clear mismatch effects in both vMMN and N2, while the synchronous group had such effect only in N2. The results indicate that after the elicitation of RHI bottom-up integration could be retrieved at the early stage of sensory processing before top-down processing, providing evidence for the priority of the bottom-up processes after the generation of RHI and revealing the mechanism of how the body-ownership is unconsciously distorted in the brain.

Top-down recognition leads to a reduced sense of body ownership in individuals with depersonalization tendencies: A focus on full body illusion

Sense of body ownership, i.e., the feeling that “my body belongs to me,” has been examined by both the rubber hand illusion (RHI) and full body illusion (FBI). In a study that examined the relationship between RHI and depersonalization, a symptom in which people experience a lower sense of body ownership, the degree of illusion was higher in people with a high depersonalization tendency. However, other reports have suggested that people with depersonalization disorder have difficulty feeling the sense of body ownership. Examination of depersonalization suggests that the negative body recognition in people with depersonalization may make them less likely to feel a sense of body ownership, but this has not yet been examined. In this study, by manipulating top-down recognition (e.g., instructing participants to recognize a fake body as theirs), we clarified the cause of the reduced sense of body ownership in people with a high depersonalization tendency. The FBI procedure was conducted in a virtual reality environment using an avatar as a fake body. The avatar was presented from a third-person perspective, and visual-tactile stimuli were presented to create an illusion. To examine the degree of illusion, we measured the skin conductance responses to the fear stimulus presented after the visual-tactile stimuli presentation. The degree of depersonalization was measured using the Japanese version of the Cambridge Depersonalization Scale. To manipulate the top-down recognition to the avatar, we provided self-association instructions before the presentation of the visual-tactile stimuli. The results showed that participants with a high depersonalization tendency had a lower degree of illusion (rho = -.589, p < .01) in the self-association condition, and a higher one (rho = .552, p < .01) in the non-association instruction condition. This indicates that although people with a high depersonalization tendency are more likely to feel a sense of body ownership through the integration of visual-tactile stimuli, top-down recognition of the body as one’s own leads to a decrease in the sense of body ownership.

When Right Goes Left: Phantom Touch Induced by Mirror Box Procedure in Healthy Individuals

In the present article, we investigated the possibility of inducing phantom tactile sensations in healthy individuals similar to those that we observed in patients after stroke. On the basis of previous research, we assumed that manipulating visual feedbacks may guide and influence, under certain conditions, the phenomenal experience of touch. To this aim, we used the Tactile Quadrant Stimulation (TQS) test in which subjects, in the crucial condition, must indicate whether and where they perceive a double tactile stimulation applied simultaneously in different quadrants of the two hands (asymmetrical Double Simultaneous Stimulation trial, Asym-DSS). The task was performed with the left-hand out of sight and the right-hand reflected in a mirror so that the right-hand reflected in the mirror looks like the own left-hand. We found that in the Asym-DSS trial, the vision of the right-hand reflected in the mirror and stimulated by a tactile stimulus elicited on the left-hand the sensation of having been touched in the same quadrant as the right-hand. In other words, we found in healthy subjects the same phantom touch effect that we previously found in patients. We interpreted these results as modulation of tactile representation by bottom-up (multisensory integration of stimuli coming from the right real and the right reflected hand) and possibly top-down (body ownership distortion) processing triggered by our experimental setup, unveiling bilateral representation of touch.

The illusion of having a large virtual body biases action-specific perception in patients with mild cognitive impairment

The illusion of having a large body makes us perceive objects as smaller than they really are. This action-specific perception effect occurs because we perceive the property of an object (i.e., size) differently according to our unique action capability (i.e., the affordance of body size). Although the body-ownership illusion contributing to this action-specific perception has been studied, its effects remain unclear in neurological patients. We examined the action-specific perception impairments of MCI patients by means of body-ownership illusion in a non-immersive virtual reality environment. Twenty healthy young adults, 21 healthy older adults, and 15 MCI patients were recruited. We assessed their “original-body action-specific perception” and “enlarged-body action-specific perception” using the original and enlarged sizes of their virtual bodies, respectively. The MCI patients’ original-body action-specific perception was no different than that of the healthy controls (p = 0.679). However, the enlarged-body action-specific perception of the MCI patients was significantly biased (p < 0.001). The inclusion of the enlarged-body action-specific perception provides additional discriminative power for early diagnosis of MCI (89.3% accuracy, 75.0% sensitivity, 100.0% specificity, and 87.5% balanced accuracy).

Ambiguous Body Ownership Experience Caused by Feeling–judgement Conflict: Evidence from Subjective Measurement in Rubber Hand Illusion using Integrated Information Theory

Human body awareness is malleable and adaptive to changing contexts. The illusory sense of body-ownership has been studied since the publication of the rubber hand illusion, where ambiguous body ownership feeling, expressed as "the dummy hand is my hand even though that is not true", was first defined. Phenomenologically, the ambiguous body ownership is attributed to a conflict between feeling and judgement; in other words, it characterises a discrepancy between first-person (i.e. bottom-up) and third-person (i.e. top-down) processes. Although Bayesian inference can explain this malleability of body image sufficiently, the theory does not provide a good illustration of why we have different experiences to the same stimuli -- the difficulty lies in the uncertainty regarding the concept of judgement in their theory. This study attempts to explain subjective experience during rubber hand illusions using integrated information theory (IIT). The integrated information Φ in IIT measures the difference between the entire system and its subsystems. This concept agrees with the phenomenological interpretation -- that is, there is conflict between judgement and feeling. By analysing the seven nodes of a small body--brain system, we demonstrate that the integrity of the entire system during the illusion decreases with increasing integrity of its subsystems. These general tendencies agree well with many brain-image analyses and subjective reports; furthermore, we found that subjective ratings were associated with the Φs. Our result suggests that IIT can explain the general tendency of the sense of ownership illusions and individual differences in subjective experience during the illusions.

A novel upper-limb tracking system in a virtual environment for stroke rehabilitation

Background The transfer of the behaviors of a human’s upper limbs to an avatar is widely used in the field of virtual reality rehabilitation. To perform the transfer, movement tracking technology is required. Traditionally, wearable tracking devices are used for tracking; however, these devices are expensive and cumbersome. Recently, non-wearable upper-limb tracking solutions have been proposed, which are less expensive and more comfortable. However, most products cannot track the upper limbs, including the arms and all the fingers at the same time, which limits the limb parts for tracking in a virtual environment and may lead to a limited rehabilitation effect. Methods In this paper, a novel virtual reality rehabilitation system (VRRS) was developed for upper-limb rehabilitation. The VRRS could track the motion of both upper limbs, integrate fine finger motion and the range of motion of the entire arm and map the motion to an avatar. To test the performance of VRRS, two experiments were designed. In the first experiment, we investigated the effect of VRRS on virtual body ownership, agency and location of the body and usability in 8 healthy participants by comparing it with a partial upper-limb tracking method based on a Leap Motion controller (LP) in the same virtual environments. In the second experiment, we examined the feasibility of VRRS in upper-limb rehabilitation with 27 stroke patients. Results VRRS improved the users’ senses of body ownership, agency, and location of the body. The users preferred using the VRRS to using the LP. In addition, we found that although the upper limb motor function of patients from all groups was improved, the difference between the FM scores tested on the first day and the last day of the experimental group was more significant than that of the control groups. Conclusions A VRRS with motion tracking of the upper limbs and avatar control including the arms and all the fingers was developed. It resulted in an improved user experience of embodiment and effectively improved the effects of upper limb rehabilitation in stroke patients. Trial registration The study was registered at the First Affiliated Hospital of Jinan University Identifier: KY-2020–036; Date of registration: June 01, 2020.

EXPRESS: Behavioral evidence of altered sensory attenuation in obesity

Body ownership (i.e., the conscious belief of owning a body) and sense of agency (i.e., being the agent of one’s own movements) are part of a pre-reflective experience of bodily self, which grounds on low-level complex sensory–motor processes. While previous literature had already investigated body ownership in obesity, sense of agency was never explored. Here, we exploited the sensory attenuation effect (i.e., an implicit marker of the sense of agency; SA effect) to investigate whether the sense of agency was altered in a sample of eighteen individuals affected by obesity as compared with eighteen healthy-weight individuals. In our experiment, participants were asked to rate the perceived intensity of self-generated and other-generated tactile stimuli. Healthy-weight individuals showed a significantly greater SA effect than participants affected by obesity. Indeed, while healthy-weight participants perceived self-generated stimuli as significantly less intense as compared to externally generated ones, this difference between stimuli was not reported by affected participants. Our results relative to the SA effect pinpointed an altered sense of agency in obesity. We discussed this finding within the motor control framework with reference to obesity. We encouraged future research to further explore such effect and its role in shaping the clinical features of obesity.