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Cortical responses to the mirror box illusion: a high-resolution EEG study

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Abstract

The mirror box illusion has proven a helpful therapy in pathologies such as phantom limb pain, and although the effect has been suggested to be a result of the interaction between pain, vision, touch, and proprioception, the mechanisms are still unknown. Multichannel (124) brain responses were investigated in healthy men (N = 11) and women (N = 14) during the mirror box illusion. Tactile somatosensory evoked potentials were recorded from the right thumb during two control conditions and two illusions: (control 1) no mirror: looking at the physical right thumb during stimulation, (control 2) no mirror: looking at the physical left thumb during stimulation, (illusion 1) mirror: the illusion that both thumbs were stimulated, and (illusion 2) mirror: the illusion that none of the thumbs were stimulated. In men, a significant medial shift in the y coordinate of the N70 dipole in illusion 2 (P = 0.021) was found when compared with illusion 1. No dipole shift was found for women. Additionally, men showed higher prevalence of P180 cingulate cortex activation during illusion 2 when compared with control 1 and 2 (P = 0.002). During illusion 2, the degree of conformity with the statement “The hand in the mirror feels like my other hand” was negatively correlated with the N70 x coordinate for men and positively correlated with the N70 z coordinate for women. In conclusion, short-term cortical plasticity can be induced by a mismatch between visual input and location of tactile stimulation in men. The present study suggests that gender differences exist in the perception of the mirror box illusion.

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Acknowledgments

The European project EU FP7 “SOMAPS” has supported this study. The authors would like to thank the PhD student Xi Li for her help in constructing the mirror box and the tactile stimulator.

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Correspondence to Laura Petrini.

Appendix 1

Appendix 1

 

(A) The hand in the mirror is my hand

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(B) The hand in the mirror feels like my other hand

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(C) The stimulations were on one hand (mark which one: RIGHT/LEFT)

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(D) The stimulations were on both hands (mark the dominant: RIGHT/LEFT)

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(E) It felt like I had an extra hand

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(F) It felt like I had lost a hand

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(G) I was less aware of my hidden hand

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(H) I was less aware of my visible hand

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(I) I lost sensation in my hidden hand

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(J) I lost sensation in my visible hand

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Mark the words from the list which describe the experience and the stimulation during the experiment

 

The experience

The stimulation

Weird

Natural

Sore

Dislike

Joyful

Aching

Anxious

Happy

Painful

Awkward

Amused

Awful

Unpleasant

Pleasant

Stinging

Irritating

Calm

Tingling

Confused

Exciting

Itchy

Discomforting

Confident

Jumping

Stressful

Relaxed

Dull

Insecure

Secure

Intense

Any other notes or remarks:

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Egsgaard, L.L., Petrini, L., Christoffersen, G. et al. Cortical responses to the mirror box illusion: a high-resolution EEG study. Exp Brain Res 215, 345–357 (2011). https://doi.org/10.1007/s00221-011-2902-x

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