Toward an Embodied Medicine: A Portable Device with Programmable Interoceptive Stimulation for Heart Rate Variability Enhancement

In this paper, we describe and test a new portable device that is able to deliver tactile interoceptive stimulation. The device works by delivering precise interoceptive parasympathetic stimuli to C-tactile afferents connected to the lamina I spinothalamocortical system. In humans, interoceptive sti...

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Main Authors: Daniele Di Lernia, Pietro Cipresso, Elisa Pedroli, Giuseppe Riva
Format: Article
Language:English
Published: MDPI AG 2018-07-01
Series:Sensors
Subjects:
Online Access:http://www.mdpi.com/1424-8220/18/8/2469
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author Daniele Di Lernia
Pietro Cipresso
Elisa Pedroli
Giuseppe Riva
author_facet Daniele Di Lernia
Pietro Cipresso
Elisa Pedroli
Giuseppe Riva
author_sort Daniele Di Lernia
collection DOAJ
description In this paper, we describe and test a new portable device that is able to deliver tactile interoceptive stimulation. The device works by delivering precise interoceptive parasympathetic stimuli to C-tactile afferents connected to the lamina I spinothalamocortical system. In humans, interoceptive stimulation can be used to enhance heart rate variability (HRV). To test the effectiveness of the device in enhancing HRV, 13 subjects were randomly assigned in a single-blind between-subjects design either to the experimental condition or to the control condition. In the experimental condition, subjects received stimulation with the developed device; in the control condition subjects received stimulation with static non-interoceptive pressure. Subjects’ electrocardiograms (ECG) were recorded, with sampling at 1000 Hz for 5 min as a baseline, and then during the stimulations (11 min). Time domain analyses were performed to estimate the short-term vagally mediated component (rMSSD) of HRV. Results indicated that the experimental group showed enhanced rMSSD, compared to the control group. Moreover, frequency domain analyses indicated that high frequency band power, which reflects parasympathetic activity in humans, also appeared to be enhanced in the experimental group compared to control subjects. Conclusions and future challenges for an embodied perspective of rehabilitative medicine are discussed.
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spelling doaj.art-6d8992d5c27a4be2a7b043c1cc3ae2362022-12-22T04:01:12ZengMDPI AGSensors1424-82202018-07-01188246910.3390/s18082469s18082469Toward an Embodied Medicine: A Portable Device with Programmable Interoceptive Stimulation for Heart Rate Variability EnhancementDaniele Di Lernia0Pietro Cipresso1Elisa Pedroli2Giuseppe Riva3Department of Psychology, Università Cattolica del Sacro Cuore, Largo Gemelli, 1, 20100 Milan, ItalyDepartment of Psychology, Università Cattolica del Sacro Cuore, Largo Gemelli, 1, 20100 Milan, ItalyApplied Technology for Neuro-Psychology Lab, IRCCS Istituto Auxologico Italiano, Via Magnasco, 2, 20149 Milan, ItalyDepartment of Psychology, Università Cattolica del Sacro Cuore, Largo Gemelli, 1, 20100 Milan, ItalyIn this paper, we describe and test a new portable device that is able to deliver tactile interoceptive stimulation. The device works by delivering precise interoceptive parasympathetic stimuli to C-tactile afferents connected to the lamina I spinothalamocortical system. In humans, interoceptive stimulation can be used to enhance heart rate variability (HRV). To test the effectiveness of the device in enhancing HRV, 13 subjects were randomly assigned in a single-blind between-subjects design either to the experimental condition or to the control condition. In the experimental condition, subjects received stimulation with the developed device; in the control condition subjects received stimulation with static non-interoceptive pressure. Subjects’ electrocardiograms (ECG) were recorded, with sampling at 1000 Hz for 5 min as a baseline, and then during the stimulations (11 min). Time domain analyses were performed to estimate the short-term vagally mediated component (rMSSD) of HRV. Results indicated that the experimental group showed enhanced rMSSD, compared to the control group. Moreover, frequency domain analyses indicated that high frequency band power, which reflects parasympathetic activity in humans, also appeared to be enhanced in the experimental group compared to control subjects. Conclusions and future challenges for an embodied perspective of rehabilitative medicine are discussed.http://www.mdpi.com/1424-8220/18/8/2469interoceptioninteroceptive stimulationheart rate variabilityC-tactileaffective touchCT afferentsrehabilitative medicine
spellingShingle Daniele Di Lernia
Pietro Cipresso
Elisa Pedroli
Giuseppe Riva
Toward an Embodied Medicine: A Portable Device with Programmable Interoceptive Stimulation for Heart Rate Variability Enhancement
Sensors
interoception
interoceptive stimulation
heart rate variability
C-tactile
affective touch
CT afferents
rehabilitative medicine
title Toward an Embodied Medicine: A Portable Device with Programmable Interoceptive Stimulation for Heart Rate Variability Enhancement
title_full Toward an Embodied Medicine: A Portable Device with Programmable Interoceptive Stimulation for Heart Rate Variability Enhancement
title_fullStr Toward an Embodied Medicine: A Portable Device with Programmable Interoceptive Stimulation for Heart Rate Variability Enhancement
title_full_unstemmed Toward an Embodied Medicine: A Portable Device with Programmable Interoceptive Stimulation for Heart Rate Variability Enhancement
title_short Toward an Embodied Medicine: A Portable Device with Programmable Interoceptive Stimulation for Heart Rate Variability Enhancement
title_sort toward an embodied medicine a portable device with programmable interoceptive stimulation for heart rate variability enhancement
topic interoception
interoceptive stimulation
heart rate variability
C-tactile
affective touch
CT afferents
rehabilitative medicine
url http://www.mdpi.com/1424-8220/18/8/2469
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