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      Perspectives on Sensory Processing Disorder: A Call for Translational Research

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          Abstract

          This article explores the convergence of two fields, which have similar theoretical origins: a clinical field originally known as sensory integration and a branch of neuroscience that conducts research in an area also called sensory integration. Clinically, the term was used to identify a pattern of dysfunction in children and adults, as well as a related theory, assessment, and treatment method for children who have atypical responses to ordinary sensory stimulation. Currently the term for the disorder is sensory processing disorder (SPD). In neuroscience, the term sensory integration refers to converging information in the brain from one or more sensory domains. A recent subspecialty in neuroscience labeled multisensory integration (MSI) refers to the neural process that occurs when sensory input from two or more different sensory modalities converge. Understanding the specific meanings of the term sensory integration intended by the clinical and neuroscience fields and the term MSI in neuroscience is critical. A translational research approach would improve exploration of crucial research questions in both the basic science and clinical science. Refinement of the conceptual model of the disorder and the related treatment approach would help prioritize which specific hypotheses should be studied in both the clinical and neuroscience fields. The issue is how we can facilitate a translational approach between researchers in the two fields. Multidisciplinary, collaborative studies would increase knowledge of brain function and could make a significant contribution to alleviating the impairments of individuals with SPD and their families.

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          Most cited references88

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          The ventriloquist effect results from near-optimal bimodal integration.

          Ventriloquism is the ancient art of making one's voice appear to come from elsewhere, an art exploited by the Greek and Roman oracles, and possibly earlier. We regularly experience the effect when watching television and movies, where the voices seem to emanate from the actors' lips rather than from the actual sound source. Originally, ventriloquism was explained by performers projecting sound to their puppets by special techniques, but more recently it is assumed that ventriloquism results from vision "capturing" sound. In this study we investigate spatial localization of audio-visual stimuli. When visual localization is good, vision does indeed dominate and capture sound. However, for severely blurred visual stimuli (that are poorly localized), the reverse holds: sound captures vision. For less blurred stimuli, neither sense dominates and perception follows the mean position. Precision of bimodal localization is usually better than either the visual or the auditory unimodal presentation. All the results are well explained not by one sense capturing the other, but by a simple model of optimal combination of visual and auditory information.
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            Is neocortex essentially multisensory?

            Although sensory perception and neurobiology are traditionally investigated one modality at a time, real world behaviour and perception are driven by the integration of information from multiple sensory sources. Mounting evidence suggests that the neural underpinnings of multisensory integration extend into early sensory processing. This article examines the notion that neocortical operations are essentially multisensory. We first review what is known about multisensory processing in higher-order association cortices and then discuss recent anatomical and physiological findings in presumptive unimodal sensory areas. The pervasiveness of multisensory influences on all levels of cortical processing compels us to reconsider thinking about neural processing in unisensory terms. Indeed, the multisensory nature of most, possibly all, of the neocortex forces us to abandon the notion that the senses ever operate independently during real-world cognition.
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              Immediate perceptual response to intersensory discrepancy.

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                Author and article information

                Journal
                Front Integr Neurosci
                Front. Integr. Neurosci.
                Frontiers in Integrative Neuroscience
                Frontiers Research Foundation
                1662-5145
                27 April 2009
                30 September 2009
                2009
                : 3
                : 22
                Affiliations
                [1] 1simpleSensory Processing Disorder Foundation Greenwood Village, CO, USA
                [2] 2simpleUniversity of Colorado at Denver Denver, CO, USA
                [3] 3simpleRocky Mountain University of Health Professionals Provo, UT, USA
                Author notes

                Edited by: John J. Foxe, Nathan S. Kline Institute for Psychiatric Research, USA; City College of the City University of New York, USA

                Reviewed by: David J. Lewkowicz, Florida Atlantic University, USA; John G. McHaffie, University of Wake Forest, USA

                *Correspondence: Lucy J. Miller, Sensory Processing Disorder Foundation, 5655 South Yosemite Street Suite 305, Greenwood Village, CO 80111, USA. e-mail: miller@ 123456SPDfoundation.net
                Article
                10.3389/neuro.07.022.2009
                2759332
                19826493
                5c1c7fe6-5c76-4b32-96b4-6bd26bb1531b
                Copyright © 2009 Miller, Nielsen, Schoen and Brett-Green.

                This is an open-access article subject to an exclusive license agreement between the authors and the Frontiers Research Foundation, which permits unrestricted use, distribution, and reproduction in any medium, provided the original authors and source are credited.

                History
                : 02 April 2009
                : 03 September 2009
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 132, Pages: 12, Words: 12643
                Categories
                Neuroscience
                Review Article

                Neurosciences
                sensory processing disorder,multisensory integration,sensory integration,translational research

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