Elena Nava

Enhanced reactivity to visual stimuli in deaf individuals

PURPOSE Several studies have reported faster response time to visual stimuli in profoundly deaf individuals. This result is often linked to the processing of peripheral targets, and it is assumed to occur in relation to attention orienting. We evaluated whether enhanced reactivity to visual events in profoundly deaf individuals can be explained by faster orienting of visual attention alone. METHODS We examined 11 deaf individuals and 11 hearing controls, in a simple detection task and in a shape discrimination task. While simple detection can be performed under distributed attention, shape discrimination requires orienting of spatial attention to the target. The same visual targets served for both tasks, presented at central or peripheral locations and corrected for cortical magnification. RESULTS The simple detection task revealed faster RTs in deaf than hearing controls, regardless of target location. Moreover, while hearing controls paid a cost in responding to peripheral than central targets, deaf participants performed equally well regardless of target eccentricity. In the shape discrimination task deaf never outperformed hearing controls. CONCLUSIONS These findings reveal that enhanced reactivity to visual stimuli in the deaf cannot be explained only by faster orienting of visual attention and can emerge for central as well as peripheral targets. Moreover, the persisting advantage for peripheral locations in the deaf, observed here under distributed attention, suggests that this spatially-selective effect could result from reorganised sensory processing rather than different attentional gradients.

Distorting the visual size of the hand affects hand pre-shaping during grasping

Vision of the body is known to affect somatosensory perception (e.g. proprioception or tactile discrimination). However, it is unknown whether visual information about one’s own body size can influence bodily action. We tested this by measuring the maximum grip aperture (MGA) parameter of grasping while eight subjects viewed a real size, enlarged or shrunken image of their hand reaching to grasp a cylinder. In the enlarged view condition, the MGA decreased relative to real size view, as if the grasping movement was actually executed with a physically larger hand, thus requiring a smaller grip aperture to grasp the cylinder. Interestingly, MGA remained smaller even after visual feedback was removed. In contrast, no effect was found for the reduced view condition. This asymmetry may reflect the fact that enlargement of body parts is experienced more frequently than shrinkage, notably during normal growth. In conclusion, vision of the body can significantly and persistently affect the internal model of the body used for motor programming.

Visual temporal order judgment in profoundly deaf individuals

We investigated temporal processing in profoundly deaf individuals by testing their ability to make temporal order judgments (TOJs) for pairs of visual stimuli presented at central or peripheral visual eccentricities. Ten profoundly deaf participants judged which of the two visual stimuli appearing on opposite sides of central fixation was delivered first. Stimuli were presented either symmetrically, at central or peripheral locations, or asymmetrically (i.e. one central and the other peripheral) at varying stimulus onset asynchronies (SOAs) using the method of constant stimuli. Two groups of hearing controls were also tested in this task: 10 hearing controls auditory-deprived during testing and 12 hearing controls who were not subjected to any deprivation procedure. Temporal order thresholds (i.e. just noticeable differences) and points of subjective simultaneity for the two visual stimuli did not differ between groups. However, faster discrimination responses were systematically observed in the deaf than in either group of hearing controls, especially when the first of the two stimuli appeared at peripheral locations. Contrary to some previous findings, our results show that a life-long auditory deprivation does not alter temporal processing abilities in the millisecond range. In fact, we show that deaf participants obtain similar temporal thresholds to hearing controls, while also responding much faster. This enhanced reactivity is documented here for the first time in the context of a temporal processing task, and we suggest it may constitute a critical aspect of the functional changes occurring as a consequence of profound deafness.

Adaptation and maladaptation: insights from brain plasticity

Evolutionary concepts such as adaptation and maladaptation have been used by neuroscientists to explain brain properties and mechanisms. In particular, one of the most compelling characteristics of the brain, known as neuroplasticity, denotes the ability of the brain to continuously adapt its functional and structural organization to changing requirements. Although brain plasticity has evolved to favor adaptation, there are cases in which the same mechanisms underlying adaptive plasticity can turn into maladaptive changes. Here, we will consider brain plasticity and its functional and structural consequences from an evolutionary perspective, discussing cases of adaptive and maladaptive plasticity and using examples from typical and atypical development.

Hearing again with two ears: recovery of spatial hearing after bilateral cochlear implantation.

Bilateral cochlear implants (CI) offer a unique opportunity for the study of spatial hearing plasticity in humans. Here we studied the recovery of spatial hearing in two sequential bilateral CI recipients, adopting a longitudinal approach. Each recipient was tested in a sound-source identification task shortly after bilateral activation and at 1, 6, and 12 months follow-up. The results show fast recovery (1 month from CI activation) in the recipient who had substantial experience with auditory cues in adulthood. By contrast, the bilateral CI recipient who developed profound deafness in childhood, regained spatial hearing abilities only 12 months after CI activation. These findings provide the first direct evidence that recovery of auditory spatial abilities in bilateral CI recipients can occur shortly after activation of the two devices. In addition, they suggest that previous auditory experience can constrain the time course of this recovery.

Chapter 12 - Adaptation and maladaptation: insights from brain plasticity

Evolutionary concepts such as adaptation and maladaptation have been used by neuroscientists to explain brain properties and mechanisms. In particular, one of the most compelling characteristics of the brain, known as neuroplasticity, denotes the ability of the brain to continuously adapt its functional and structural organization to changing requirements. Although brain plasticity has evolved to favor adaptation, there are cases in which the same mechanisms underlying adaptive plasticity can turn into maladaptive changes. Here, we will consider brain plasticity and its functional and structural consequences from an evolutionary perspective, discussing cases of adaptive and maladaptive plasticity and using examples from typical and atypical development.

Audio-tactile integration in congenitally and late deaf cochlear implant users.

Several studies conducted in mammals and humans have shown that multisensory processing may be impaired following congenital sensory loss and in particular if no experience is achieved within specific early developmental time windows known as sensitive periods. In this study we investigated whether basic multisensory abilities are impaired in hearing-restored individuals with deafness acquired at different stages of development. To this aim, we tested congenitally and late deaf cochlear implant (CI) recipients, age-matched with two groups of hearing controls, on an audio-tactile redundancy paradigm, in which reaction times to unimodal and crossmodal redundant signals were measured. Our results showed that both congenitally and late deaf CI recipients were able to integrate audio-tactile stimuli, suggesting that congenital and acquired deafness does not prevent the development and recovery of basic multisensory processing. However, we found that congenitally deaf CI recipients had a lower multisensory gain compared to their matched controls, which may be explained by their faster responses to tactile stimuli. We discuss this finding in the context of reorganisation of the sensory systems following sensory loss and the possibility that these changes cannot be “rewired” through auditory reafferentation.

Spatial hearing with a single cochlear implant in late-implanted adults

We assessed sound localisation abilities of late-implanted adults fitted with a single cochlear implant (CI) and examined whether these abilities are affected by the duration of implant use. Ten prelingually and four postlingually deafened adults who received a unilateral CI were tested in a sound-source identification task. Above chance performance was observed in those prelingual CI recipients who had worn their implant for longer time (9 years on average), revealing some monaural sound localisation abilities in this population but only after extensive CI use. On the contrary, the four postlingual recipients performed equal or better with respect to the best prelingual participants despite shorter experience with the monaural implant (11 months on average). Our findings reveal that some sound localisation ability can emerge in prelingually deafened adults fitted with a single implant, at least in a controlled laboratory setting. This ability, however, appears to emerge only after several years of CI use. Furthermore, the results of four postlingually deafened adults suggest that early experience with auditory cues may result in more rapid acquisition of spatial hearing with a single CI.

Both developmental and adult vision shape body representations

Sense of body ownership and body representation are fundamental parts of human consciousness, but the contribution of the visual modality to their development remains unclear. We tested congenitally and late blind adults on a somatosensory version of the rubber hand illusion, and on the Aristotle illusion, in which sighted controls touching a single sphere with crossed fingers commonly report perceiving two. We found that congenitally and late blind individuals did not report subjectively experiencing the rubber hand illusion. However, in an objective measure, the congenitally blind did not show a recalibration of the position of their hand towards the rubber hand while late blind and sighted individuals did. By contrast, all groups experienced the Aristotle illusion. This pattern of results provides evidence for a dissociation of the concepts of body ownership and spatial recalibration and, furthermore, suggests different reference frames for hands (external space) and fingers (anatomical space).

Experience-dependent emergence of functional asymmetries.

Right head-turning preference is assumed to be a developmental default. This motor asymmetry seems to influence the development of other lateralised behaviours—such as handedness—as a consequence of orienting vision towards the right side of the body. To document the role of visual experience in promoting lateralised functions we assessed head-turning preference and handedness in a group of congenitally blind human adults. We found a left-side preference for head turning but a clear right-handedness in the same individuals. This asymmetric relationship suggests that absence of visual experience can alter head-turning preference and that handedness can emerge without visual orientation towards the right side. Our findings shed new light on the role of visual sensory experience in shaping functional asymmetries and suggest that single-gene models and environment alone cannot fully explain the emergence of functional asymmetries in humans.