Experimentally induced pain does not influence updating of peripersonal space and body representations following tool-use

This is the final version. Available from the publisher via the DOI in this record.The data is available on the Open Science Framework. URL: https://osf.io/4v938/. DOI: 10.17605/OSF.IO/4V938.Representations of the body and peripersonal space can be distorted for people with some chronic pain conditions. Experimental pain induction can give rise to similar, but transient distortions in healthy individuals. However, spatial and bodily representations are dynamic, and constantly update as we interact with objects in our environment. It is unclear whether induced pain disrupts the mechanisms involved in updating these representations. In the present study, we sought to investigate the effect of induced pain on the updating of peripersonal space and body representations during and following tool-use. We compared performance under three conditions (pain, active placebo, neutral) on a visuotactile crossmodal congruency task and a tactile distance judgement task to measure updating of peripersonal space and body representations, respectively. Consistent with previous findings, the difference in crossmodal interference from visual distractors in the same compared to opposite visual field to the tactile target was less when tools were crossed than uncrossed. This suggests an extension of peripersonal space to incorporate the tips of the tools. Also consistent with previous findings, estimates of the felt tactile distance judgements decreased after active tool-use. In contrast to our predictions, however, we found no evidence that pain interfered with performance on either task when compared to the control conditions. Our findings suggest that the updating of peripersonal space and body representations is not disrupted by induced pain. That is, experiencing acute pain does not give rise to distorted representations of the body and peripersonal space that can be present in people with chronic pain conditions.Medical Research Council (MRC

Altered updating of bodily and spatial representations following tool-use in complex regional pain syndrome

This is the author accepted manuscript. The final version is available from Lippincott, Williams & Wilkins via the DOI in this record.  Distorted representations of the body and peripersonal space are common in Complex Regional Pain Syndrome (CRPS), and might modulate its symptoms (e.g. asymmetric limb temperature). In pain-free people, such representations are malleable, and update when we interact with objects in our environment (e.g. during tool-use). Distortions are also common after immobilisation, but quickly normalise once movement is regained. We tested the hypothesis that people with CRPS have problems updating bodily and spatial representations, which contributes to the maintenance of their distorted representations by preventing normalization. We also explored spatially defined modulations of hand temperature asymmetries, and any influence of updating bodily and spatial representations on this effect. Thirty-six people with unilateral CRPS (18 upper limb, 18 lower limb) and 36 pain-free controls completed tool-use tasks considered to alter body and peripersonal space representations (measured using tactile distance judgements and a visuotactile crossmodal congruency task, respectively). We also tested how the arrangement (crossed, uncrossed) of the hands and tools affected hand temperature. In upper limb CRPS the non-affected arm representation updated normally, but the affected arm representation updated in the opposite to normal direction. A similar pattern was seen in lower limbs CRPS, although not significant. Furthermore, people with CRPS showed more pronounced updating of peripersonal space than the controls. We did not observe any modulation of hand temperature asymmetries by the arrangement of hands or tools. Our findings show enhanced malleability of bodily and spatial representations in CRPS, which may suggest that central mechanisms are altered in this condition.Medical Research Counci

Characterising sensorimotor adaptation in Complex Regional Pain Syndrome

This is the author accepted manuscript. The final version is available from Elsevier via the DOI in this recordData availability: Materials and data from this study are available at https://osf.io/6jpfg/files/It has been suggested that sensorimotor conflict contributes to the maintenance of some pathological pain conditions, implying that there are problems with the adaptation processes that normally resolve such conflict. We tested whether sensorimotor adaptation is impaired in people with Complex Regional Pain Syndrome (CRPS) by characterising their adaption to lateral prismatic shifts in vision. People with unilateral upper-limb CRPS Type I (n = 17), and pain-free individuals (n = 18; matched for age, sex, and handedness) completed prism adaptation with their affected/non-dominant and non-affected/dominant arms. We examined 1) the rate at which participants compensated for the optical shift during prism exposure (i.e., strategic recalibration), 2) endpoint errors made directly after prism adaptation (sensorimotor realignment) and the retention of these errors, and 3) kinematic markers associated with strategic control. Direct comparisons between people with CRPS and controls revealed no evidence of any differences in strategic recalibration, including no evidence for differences in a kinematic marker associated with trial-by-trial changes in movement plans during prism exposure. All participants made significant endpoint errors after prism adaptation exposure, indicative of sensorimotor realignment. Overall, the magnitude of this realignment did not differ between people with CRPS and pain-free controls. However, when endpoint errors were considered separately for each hand, people with CRPS made greater errors (indicating more rather than less realignment) when using their affected hand than their non-affected hand. No such difference was seen in controls. Taken together, these findings provide no evidence of impaired strategic control or sensorimotor realignment in people with CRPS. In contrast, they provide some indication that there could be a greater propensity for sensorimotor realignment in the CRPS-affected arm, consistent with more flexible representations of the body and peripersonal space. Our study challenges an implicit assumption of the theory that sensorimotor conflict might underlie some pathological pain conditions.GW4 BioMed Medical Research Council Doctoral Training PartnershipNetherlands Organisation for Scientific Research (NWO

Are Women Happier When Their Spouse is Teleworker?

© 2017 Springer Science+Business Media Dordrecht. This study explores the household production allocation and happiness of women when their spouse is teleworker using data from the British Household Panel Survey over the years 1991–2009. The study aims to answer whether the women spend additional time on housework and are happier when they or their partner is teleworker. Also, we explore whether are happier when they share the household–domestic production with their partners. Fixed effects estimates take place, and we consider a Bayesian Network framework and a directed acyclic graph for causal inference. The results show that women are more likely to state that the household allocation, such as cooking, cleaning, ironing and childcare is shared when their partner teleworks. Shopping is an exception which can be regarded as an outdoor activity while one partner may be mainly responsible for this chore. In addition, women are happier when they or their spouse is teleworker, and they report higher levels of happiness when the household production allocation is a shared process. This may indicate men teleworkers may contribute extra to the household production releasing a burden for the partners and improving their well-being

Bringing organic food home: Possibilities and constraints of transmitting experiences with organic food in the out of home sector to the overall food market

The point of departure for this paper is the observation that in spite of the public measures taken in order to increase the use of organic food in the out of home eating sector (the catering sector), there is little evidence that this sector has contributed to an overall increase in consumption of organic food. Our aim with this paper is not to discuss whether this is the case or not, but with an open mind we want to point at some factors or mechanisms that may explain the (lack of) connections between consumption of food within and outside of the home

The sensorimotor theory of pathological pain revisited.

This is the final version. Available from Elsevier via the DOI in this record. Data Availability: No data was used for the research described in the article.Harris (1999) proposed that pain can arise in the absence of tissue damage because changes in the cortical representation of the painful body part lead to incongruences between motor intention and sensory feedback. This idea, subsequently termed the sensorimotor theory of pain, has formed the basis for novel treatments for pathological pain. Here we review the evidence that people with pathological pain have changes to processes contributing to sensorimotor function: motor function, sensory feedback, cognitive representations of the body and its surrounding space, multisensory processing, and sensorimotor integration. Changes to sensorimotor processing are most evident in the form of motor deficits, sensory changes, and body representations distortions, and for Complex Regional Pain Syndrome (CRPS), fibromyalgia, and low back pain. Many sensorimotor changes are related to cortical processing, pain, and other clinical characteristics. However, there is very limited evidence that changes in sensorimotor processing actually lead to pain. We therefore propose that the theory is more appropriate for understanding why pain persists rather than how it arises.GW4 BioMed Medical Research Council (United Kingdom) Doctoral Training Partnershi