Background
Some amputees have been prominently reported to perceive touch applied to their face as coming from their phantom hand. These referred sensations have been classically interpreted as the perceptual correlate of cortical remapping of the face into the neighbouring missing- hand territory in primary somatosensory cortex (S1). We investigated whether referred sensations reports are associated with S1 remapping or can instead be attributed to demand characteristics (e.g., compliance, expectation, and suggestion), which were uncontrolled in previous studies.
Methods
Unilateral upper-limb amputees (N=18), congenital one-handers (N=19), and two-handers (N=20) were repeatedly stimulated with PC-controlled vibrations on ten body-parts and asked to report on each trial the occurrence of any concurrent sensations on their hand(s). To further manipulate expectations, we gave participants the suggestion that some of these vibrations had a higher probability to evoke referred sensations. To evaluate remapping, we analysed fMRI data in S1 from two tasks involving movement of facial and whole-body parts, using univariate and multivariate approaches.
Results
The frequency and distribution of reported referred sensations were similar across groups, with higher frequencies in the high expectancy condition. In amputees, referred sensations were evoked by stimulation of multiple body-parts and reported in both the intact and phantom hand. The group profiles for referred sensations reports were not consistent with the observed patterns of S1 remapping.
Conclusions
These findings weaken the interpretation of referred sensations as a perceptual consequence of post-amputation S1 remapping and reveal the need to account for demand characteristics when evaluating anomalous perceptual and germane phenomena.