Breathing control, brain, and bodily self-consciousness: Toward immersive digiceuticals to alleviate respiratory suffering

Breathing is peculiar among autonomic functions through several characteristics. It generates a very rich afferent traffic from an array of structures belonging to the respiratory system to various areas of the brain. It is intimately associated with bodily movements. It bears particular relationships with consciousness as its efferent motor control can be automatic or voluntary. In this review within the scope of "respiratory neurophysiology" or "respiratory neuroscience", we describe the physiological organisation of breathing control. We then review findings linking breathing and bodily self-consciousness through respiratory manipulations using virtual reality (VR). After discussing the currently admitted neurophysiological model for dyspnea, as well as a new Bayesian model applied to breathing control, we propose that visuo-respiratory paradigms -as developed in cognitive neuroscience- will foster insights into some of the basic mechanisms of the human respiratory system and will also lead to the development of immersive VR-based digital health tools (i.e. digiceuticals).

Mechanisms of the breathing contribution to bodily self‐consciousness in healthy humans: Lessons from machine‐assisted breathing?

Sophie Jacqueline Andrée Betka, Olaf Blanke, Elisa Canzoneri, Bruno Herbelin, Oliver Alan Kannape

Previous studies investigated bodily self‐consciousness (BSC) by experimentally exposing subjects to multisensory conflicts (i.e., visuo‐tactile, audio‐tactile, visuo‐cardiac) in virtual reality (VR) that involve the participant's torso in a paradigm known as the full‐body illusion (FBI). Using a modified FBI paradigm, we found that synchrony of visuo‐respiratory stimulation (i.e., a flashing outline surrounding an avatar in VR; the flash intensity depending on breathing), is also able to modulate BSC by increasing self‐location and breathing agency toward the virtual body. Our aim was to investigate such visuo‐respiratory effects and determine whether respiratory motor commands contributes to BSC, using non‐invasive mechanical ventilation (i.e., machine‐delivered breathing). Seventeen healthy participants took part in a visuo‐respiratory FBI paradigm and performed the FBI during two breathing conditions: (a) “active breathing” (i.e., participants actively initiate machine‐delivered breaths) and (b) “passive breathing” (i.e., breaths’ timing was determined by the machine). Respiration rate, tidal volume, and their variability were recorded. In line with previous results, participants experienced subjective changes in self‐location, breathing agency, and self‐identification toward the avatar's body, when presented with synchronous visuo‐respiratory stimulation. Moreover, drift in self‐location was reduced and tidal volume variability were increased by asynchronous visuo‐respiratory stimulations. Such effects were not modulated by breathing control manipulations. Our results extend previous FBI findings showing that visuo‐respiratory stimulation affects BSC, independently from breathing motor command initiation. Also, variability of respiratory parameters was influenced by visuo‐respiratory feedback and might reduce breathing discomfort. Further exploration of such findings might inform the development of respiratory therapeutic tools using VR in patients.

Wiley2020

Embodied space in architecture, cognitive neuroscience, and virtual reality

Isabella Maria Pasqualini

Recent findings in cognitive neuroscience enable improved understanding of embodiment and egocentric space in architecture. From a historical perspective the human body has been inferred as a reference in the debate of architectonic proportion. It was suggested that architectonic form moulds the subjective experience of the environment in contingency with skilful articulation of geometrical proportions in a three-dimensional construct. Modern science recalls several notions of how perception, thought and action are embodied. Embodiment and the sense of body ownership as such have been linked to multisensory and own-body processing, allowing for a relationship between aspects of the self to the conception of architectonic space and theory. Investigations about multisensory integration of architectonic space and its relation to own-body processing may therefore provide scientific insight to metaphorical and functional associations with the human bodily experience of architectonic space and its digital representation including perspective and immersive virtual reality. Attempts to sketch an interaction between architecture and cognitive neuroscience may bring about a design discipline based on multisensory own-body processing with permeable borders to contemporary science and technologies. This PhD thesis introduces digital space and cognitive neuroscience to the investigation of embodiment in architecture using techniques from immersive virtual reality and cognitive psychology. Here, three experimental studies using immersive virtual reality were based on the phenomenology of own-body perception introducing parameters from architecture. With such setups we tested whether bodily self-consciousness may be associated to architecture through a visuo-tactile conflict, and, whether changes in the architectonic space modulate bodily self-consciousness. Our results relate bodily self-consciousness with architecture specific perceptions, as well as bodily stability. Also, we observed perceptual changes related to visual perspective. We discuss such findings with regard to bodily feelings and perceived geometry through a critical confrontation with notions of embodiment in architecture.

EPFL2012

Subjective feeling of re‐experiencing past events using immersive virtual reality prevents a loss of episodic memory

Olaf Blanke, Lucie Bréchet, Bruno Herbelin, Robin Mange, Andrea Serino

Introduction: Personally meaningful past episodes, defined as episodic memories (EM), are subjectively re-experienced from the natural perspective and location of one's own body, as described by bodily self-consciousness (BSC). Neurobiological mechanisms of memory consolidation suggest how initially irrelevant episodes may be remembered, if related information makes them gain importance later in time, leading for instance, to a retroactive memory strengthening in humans. Methods: Using an immersive virtual reality system, we were able to directly manipulate the presence or absence of one's body, which seems to prevent a loss of initially irrelevant, self-unrelated past events. Results and conclusion: Our findings provide an evidence that personally meaningful memories of our past are not fixed, but may be strengthened by later events, and that body-related integration is important for the successful recall of episodic memories.