Chapter 13 – Touch (Somatosensation)

Key Terminology

  • Kinesthesia: Perception of limb position & movement in space.

  • Proprioception: Perception of body state mediated by kinesthetic + internal receptors.

  • Somatosensation: Collective term for sensory signals from skin, muscles, tendons, joints, & internal receptors.

Neural Fibers of Somatosensory System

  • All touch receptors connect to afferent nerve fibers (axon ± myelin).

    • A-alpha fibers

    • Diameter: 13!–!20\ \mu \text{m}

    • Conduction speed: 80!–!120\ \text{m/s}

    • Source: proprioceptors in muscles/tendons.

    • A-beta fibers

    • Diameter: 6!–!12\ \mu \text{m}; Speed: 35!–!75\ \text{m/s}

    • Carry mechanical (touch) info from skin mechanoreceptors.

    • A-delta fibers

    • Diameter: 1!–!5\ \mu \text{m}; Speed: 5!–!30\ \text{m/s}

    • Carry pain & temperature (sharp/fast pain).

    • C fibers (unmyelinated)

    • Diameter: 0.2!–!1.5\ \mu \text{m}; Speed: 0.5!–!2\ \text{m/s}

    • Carry dull pain, temperature, itch, pleasant touch.

Cutaneous Mechanoreceptors

  • Located in epidermis & dermis; four classic types (“mechanoreceptors” = respond to mechanical force).

    • SA I (Merkel discs)

    • Slow adaptation, small RF.

    • Best for sustained pressure (<5\ \text{Hz}), coarse texture, pattern & form.

    • FA I (Meissner corpuscles)

    • Fast adaptation, small RF.

    • Sensitive to low-frequency vibration \sim5!–!50\ \text{Hz}; detect slip → grasp control.

    • SA II (Ruffini endings)

    • Slow adaptation, large RF.

    • Respond to skin stretch/ sustained downward pressure; encode finger position.

    • FA II (Pacinian corpuscles)

    • Fast adaptation, large RF.

    • Detect high-frequency vibration \sim50!–!700\ \text{Hz}; fine texture via vibration.

  • Functional triad for each receptor: stimulus type, RF size, adaptation rate.

Deep Mechanoreceptors for Movement

  • Kinesthetic receptors in muscles, joints, tendons.

    • Muscle spindle: senses muscle stretch/tension.

    • Tendon & joint receptors detect tension & extreme joint angles.

  • Clinical note: Patient Ian Waterman lost kinesthesia (viral neuropathy) → must visually monitor limbs.

Thermoreception

  • Thermoreceptors: warm & cold fibers that detect deviations from neutral skin temp (~34\,^{\circ}\text{C}).

  • ThermoTRP channels (e.g., TRPV1 for heat/chili, TRPM8 for menthol/cool) transduce thermal/chemical signals.

Nociception & Pain

  • Nociceptors = A-delta (fast, sharp) + C fibers (slow, dull).

  • Two-stage pain experience:

    1. Quick sharp pain via A-delta.

    2. Throbbing via C fibers.

  • Gate-Control Theory: Dorsal-horn interneurons modulate ascending pain.

  • Endogenous opiates produce analgesia (e.g., soldier un-aware of wounds). External analogs: morphine, codeine, heroin.

  • Pain sensitization:

    • Hyperalgesia (heightened response).

    • Neuropathic pain (nervous-system damage).

  • Cognitive/affective pain areas:

    • S1/S2 = sensory-discriminative.

    • Anterior cingulate = unpleasantness.

    • Prefrontal cortex = expectation/executive (can amplify pain).

Pleasant Touch & CT Afferents

  • Fifth discriminative component; mediated by unmyelinated C-tactile (CT) afferents in hairy skin.

  • Optimal stimulus: slow caress (~3!–!10\ \text{cm/s}).

  • Processed in orbitofrontal cortex (reward) not S1/S2.

  • Psychophysics: Pleasantness peaks at CT-optimal speeds while perceived intensity increases linearly.

Spinal Processing & Ascending Pathways

  • Fibers enter dorsal horn (laminar, somatotopic).

  • Labeled lines intermix → complex coding.

  • Two main tracts:

    1. Spinothalamic: pain & temperature (slow).

    2. Dorsal Column–Medial Lemniscal (DCML): touch, vibration, proprioception (fast).

Cortical Representation

  • S1 (Post-central gyrus) subdivided into areas 1, 2, 3a, 3b; S2 lateral.

  • Homunculus: magnified lips, hands, face; body image biased “top-heavy.”

  • Plasticity examples:

    • Tool use elongates arm representation.

    • Post-surgical limb lengthening resets map in \approx6 months.

    • Blindfold 5 days → V1 recruited for Braille (reversible).

    • Phantom limb sensations = cortical crosstalk; face stim → hand percepts.

    • Transplanted / prosthetic hands can gain cortical representation; biomimetic feedback evokes naturalistic sensations.

Tactile Sensitivity & Acuity

  • Von Frey method: nylon monofilaments calibrated by diameter/force.

  • Sensitivity hierarchy: Face > arms/fingers > trunk > legs/feet.

  • Smallest detectable raised dot ≈ 10\ \text{nm} = 10^{-8}\ \text{m} (FA I).

  • Vibration thresholds vary with frequency; FA II best at \sim250\ \text{Hz} (lowest threshold).

  • Two-point threshold: minimal distance to perceive 2 touches; lowest on fingertips/face (≈2\ \text{mm}).

  • Temporal acuity: two tactile pulses distinguishable at \approx5\ \text{ms} separation (better than vision, worse than audition).

  • Age: sighted adults lose acuity; congenitally blind maintain high acuity (implications for late-onset blindness & Braille).

  • Star-nosed mole: 25 k mechanoreceptors, 11th ray = tactile fovea; cortex contains multiple star maps.

Haptic Perception (Active Touch)

Perception for Action
  • Use proprioception + cutaneous cues to grasp, manipulate, maintain posture.

Action for Perception: Exploratory Procedures (EPs)
  • Lateral motion → texture.

  • Pressure → hardness.

  • Static contact → temperature.

  • Unsupported holding → weight.

  • Enclosure / contour following → global & exact shape.

  • Different EPs optimize information acquisition; FA/SA fibers contribute differentially (e.g., FA II for fine textures via vibration “timbre”).

The “What” System of Touch
  • Haptic recognition relies on material > geometric properties (opposite of vision).

  • 2-D line drawings recognizable visually but not haptically.

Haptic Search & Preattentive Features
  • Certain properties “pop-out” regardless of distractor set size: rough-vs-smooth, hard-vs-soft, cool-vs-warm, edges-vs-flat.

  • Orientation (horizontal vs vertical) does not pop-out.

  • Response-time slopes differ for target-present vs target-absent as in visual search.

Pattern Perception & Braille
  • Touch acts like blurred vision; confusion matrices match when visual stimuli are low-pass filtered to fingertip acuity.

  • Tactile agnosia: parietal lesions → object-recognition loss by touch (hemispheric specificity case study).

The “Where” System
  • Locating objects egocentrically; haptic egocenter lies near knuckle of middle finger / between shoulders (debated).

  • Frame-of-reference transformations crucial when searching alarm snooze button in dark.

Tactile Spatial Attention
  • Spatial cueing (arrow predicts vibration) yields facilitation (valid) & cost (invalid) akin to visual covert attention.

  • Cross-modal cueing: expecting touch but receiving vision/audition leads to largest costs → narrow tactile attentional channel.

Social & Developmental Touch

  • Incidental touch biases social judgments (e.g., weight = importance).

  • Rat maternal licking/grooming → lifelong gene expression (epigenetic) & reduced anxiety; pups adopt style of foster mother.

Multisensory Integration

  • Vision vs touch dominance depends on question asked: density (vision) vs roughness (touch).

  • Maximum-likelihood integration demonstrated with virtual raised surfaces (Ernst & Banks, 2002): perception weighted by modality reliability; yields compromise heights.

Ethical, Clinical & Practical Implications

  • Importance of pain perception for survival (case “Miss C”).

  • Design of prosthetics with sensory feedback improves embodiment & control.

  • Understanding CT pleasant touch informs therapies for social disorders.

  • Age/vision interactions suggest early Braille training & tactile enrichment for low-vision populations.

Key Numerical & Formulaic References

  • Conduction velocity ranges summarized above.

  • Optimal CT stroking speed \approx3!–!10\ \text{cm/s}.

  • Two-point threshold fingertip \approx2\ \text{mm}; face similar; calf >4\ \text{cm}.

  • Temporal discrimination thresholds: touch 5\ \text{ms}, vision 25\ \text{ms}, audition 0.01\ \text{ms}.

  • Detectable raised dot height 10\ \text{nm} = 10^{-8}\ \text{m}.


These bullet-point notes consolidate every major and minor concept, example, figure insight, and quantitative detail from Chapter 13 “Touch,” forming a comprehensive stand-alone study resource.