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呼吸控制、大脑和身体自我意识:迈向沉浸式数字化医疗以缓解呼吸苦难。

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

机构信息

Laboratory of Cognitive Neuroscience, Brain Mind Institute and Center for Neuroprosthetics, Faculty of Life Sciences, Ecole Polytechnique Fédérale de Lausanne, (EPFL), Geneva 1202, Switzerland.

Division of Lung Diseases, University Hospital and Geneva Medical School, University of Geneva, Switzerland.

出版信息

Biol Psychol. 2022 May;171:108329. doi: 10.1016/j.biopsycho.2022.108329. Epub 2022 Apr 19.

Abstract

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).

摘要

呼吸在自主功能中具有几个特点,显得非常独特。它从属于呼吸系统的各种结构中产生非常丰富的传入信号,并传递到大脑的多个区域。呼吸与身体运动密切相关。呼吸与意识也有特殊的关系,因为其传出运动控制可以是自动的或随意的。在“呼吸神经生理学”或“呼吸神经科学”的范围内,我们描述了呼吸控制的生理组织。然后,我们通过虚拟现实 (VR) 技术对呼吸的操纵,综述了与呼吸和身体自我意识有关的发现。在讨论了目前被接受的呼吸困难的神经生理学模型,以及应用于呼吸控制的新贝叶斯模型之后,我们提出视-呼吸范式(在认知神经科学中发展起来的)将有助于深入了解人体呼吸系统的一些基本机制,并将导致基于沉浸式 VR 的数字健康工具(即“digiceuticals”)的开发。

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