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      Crossmodal illusions in neurorehabilitation

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          Abstract

          In everyday life, many diverse bits of information, simultaneously derived from the different sensory channels, converge into discrete brain areas, and are ultimately synthetized into unified percepts. Such multisensory integration can dramatically alter the phenomenal experience of both environmental events and our own body. Crossmodal illusions are one intriguing product of multisensory integration. This review describes and discusses the main clinical applications of the most known crossmodal illusions in rehabilitation settings. We consider evidence highlighting the contribution of crossmodal illusions to restore, at least in part, defective mechanisms underlying a number of disorders of body representation related to pain, sensory, and motor impairments in neuropsychological and neurological diseases, and their use for improving neuroprosthetics. This line of research is enriching our understanding of the relationships between multisensory functions and the pathophysiological mechanisms at the basis of a number of brain disorders. The review illustrates the potential of crossmodal illusions for restoring disarranged spatial and body representations, and, in turn, different pathological symptoms.

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          Most cited references51

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          Multisensory Interplay Reveals Crossmodal Influences on ‘Sensory-Specific’ Brain Regions, Neural Responses, and Judgments

          Although much traditional sensory research has studied each sensory modality in isolation, there has been a recent explosion of interest in causal interplay between different senses. Various techniques have now identified numerous multisensory convergence zones in the brain. Some convergence may arise surprisingly close to low-level sensory-specific cortex, and some direct connections may exist even between primary sensory cortices. A variety of multisensory phenomena have now been reported in which sensory-specific brain responses and perceptual judgments concerning one sense can be affected by relations with other senses. We survey recent progress in this multisensory field, foregrounding human studies against the background of invasive animal work and highlighting possible underlying mechanisms. These include rapid feedforward integration, possible thalamic influences, and/or feedback from multisensory regions to sensory-specific brain areas. Multisensory interplay is more prevalent than classic modular approaches assumed, and new methods are now available to determine the underlying circuits.
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            The use of visual feedback, in particular mirror visual feedback, in restoring brain function.

            This article reviews the potential use of visual feedback, focusing on mirror visual feedback, introduced over 15 years ago, for the treatment of many chronic neurological disorders that have long been regarded as intractable such as phantom pain, hemiparesis from stroke and complex regional pain syndrome. Apart from its clinical importance, mirror visual feedback paves the way for a paradigm shift in the way we approach neurological disorders. Instead of resulting entirely from irreversible damage to specialized brain modules, some of them may arise from short-term functional shifts that are potentially reversible. If so, relatively simple therapies can be devised--of which mirror visual feedback is an example--to restore function.
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              Touching the phantom limb.

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                Author and article information

                Contributors
                Journal
                Front Behav Neurosci
                Front Behav Neurosci
                Front. Behav. Neurosci.
                Frontiers in Behavioral Neuroscience
                Frontiers Media S.A.
                1662-5153
                10 August 2015
                2015
                : 9
                : 212
                Affiliations
                [1] 1Department of Psychology, University of Milano-Bicocca Milan, Italy
                [2] 2Laboratory of Neuropsychology, IRCSS Istituto Auxologico Italiano Milan, Italy
                [3] 3NeuroMi – Milan Center for Neuroscience Milan, Italy
                Author notes

                Edited by: Katiuscia Sacco, University of Turin, Italy

                Reviewed by: Francesca Garbarini, University of Turin, Italy; Francesca Frassinetti, University of Bologna, Italy

                *Correspondence: Nadia Bolognini, Department of Psychology, University of Milano-Bicocca, Building U6, Piazza Dell’Ateneo Nuovo 1, 20126 Milano, Italy nadia.bolognini@ 123456unimib.it
                Article
                10.3389/fnbeh.2015.00212
                4530305
                26321933
                881c919b-821f-456c-b4da-0e0a70871dd1
                Copyright © 2015 Bolognini, Russo and Vallar.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution and 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
                : 24 April 2015
                : 28 July 2015
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 59, Pages: 6, Words: 4955
                Categories
                Neuroscience
                Mini Review

                Neurosciences
                crossmodal illusions,neurorehabilitation,multisensory,body representation,pain,motor disorders,sensory disorders

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