NIH R15 NS067536-01A1 (to DC) and the Macalester College Wallace Research Fund (to DC) supported these studies. Macalester College Library supported the open access publication of this article. In addition, we thank current and former Chatterjea lab members for their support.

Macalester College&#39;s Institutional Animal Care and Use Committee (IACUC) approved all protocols. 8-12 week-old male ND4 Swiss mice were used for these experiments.
1. Bothrops jararaca&#160;Venom Preparation and Injection
<ol>
	<li>CAUTION: B. jararaca venom is toxic. Wear gloves, mask, and eye protection when handling the powder and preparing solutions.</li>
	<li>Administer 45 &#181;g/kg B. jararaca venom (regimen determined by earlier dose-response experiments) or 0.9% saline vehicle (10 &#181;l) via intra-plantar injection into both hind paws using 3/10 ml insulin syringes with 29 G x 1/2 in needles. Note: Depending on experimental design, treatment and control solutions can be separately injected into each hind paw respectively to provide internal controls within each subject.</li>
</ol>
2. Electronic von Frey Apparatus Setup and Operation
<ol>
	<li>Place the electronic von Frey unit onto the probe stand. Ensure that the probe and cable are appropriately connected to the display unit, and turn the instrument on. Set the readout to zero (0.00 g) in the setup mode, and gently place the provided test weight (5.00 g) onto the cone of the von Frey probe.</li>
	<li>Record the readout in a laboratory notebook, and repeat this procedure upon finishing the testing session. If there is a discrepancy greater than 0.20 g between your test weight readouts before and after the testing session, or if the readout fluctuates once the test weight is applied, recalibration of the apparatus (by the manufacturer) may be necessary.</li>
	<li>To assess withdrawal threshold of the mouse hind paw, use the appropriate polypropylene tip from among those supplied with the probe. Tip choice depends on the tissue being probed. Rigid tips work well for the less sensitive, tougher hind paw tissue while semi-flexible tips may be a better choice for a more tender area such as the ano-genital ridge (Chatterjea, unpublished). Gently mount the rigid tip onto the cone of the probe.</li>
	<li>To record the maximum applied pressure, switch the operating mode from setup to operation such that the maximum applied pressure will be recorded on the display. In this mode, the maximum applied pressure readout will be saved on the display screen when the probe is retracted.</li>
</ol>
3. General Considerations for Hind Paw Withdrawal Threshold Assessment
<ol>
	<li>Ideally, two investigators are needed to measure hind paw withdrawal threshold (mechanical sensitivity) using an EvF apparatus - one to operate the apparatus and carry out the measurements, and another to transcribe the recorded measurements and handle mice.</li>
	<li>In order to reduce bias, the investigator operating the apparatus should be blinded to treatments and to the recorded withdrawal threshold values. Furthermore, to ensure consistency between measurements, the same individual should assess all baseline and experimental withdrawal thresholds.</li>
	<li>Perform all measurements in a quiet, temperature-controlled room, and at the same time of day14.</li>
	<li>The experimenter recording measurements should place each mouse into individual chambers of multiunit polymethyl methacrylate (PMMA) housing set on a mesh floor stand. Cover the chambers with perforated PMMA lids, and place a heavy object on top, to prevent mice from escaping. Place absorbent material below the stand to absorb/collect excreted waste. Allow mice to acclimate for 15 min in chambers prior to baseline or experimental withdrawal threshold assessment 6,7,10.</li>
	<li>The hind paws of the mice have to be easily accessible through the openings of the mesh floor; therefore, place the mesh floor stand at a comfortable height on a cart with brakes, or on a steady benchtop that is accessible from all sides.</li>
	<li>During measurements, mice may have to be distracted with a food pellet15 placed just outside the measurement chamber or a very slight noise produced by tapping or running a pen along the wire mesh of the floor of the chamber before, but not during, the measurement. This induces the mouse to hold still enabling the experimenter to begin taking measurements more easily.</li>
</ol>
4. Baseline Hind Paw Withdrawal Threshold Assessment
<ol>
	<li>The first set of baseline measurements should be performed 48 hr prior to administering treatment. Zero the probe upon mounting the rigid tip. Using two hands, raise the probe slowly to stimulate the middle (footpad area) of either the left or the right hind paw (if both paws received the same treatment).</li>
	<li>Increase pressure gradually until defined nociceptive response behaviors such as hind paw retraction, hind paw licking, or four-paw jumping6,10 are observed. Instruct the other investigator to transcribe the pressure that elicited the observed behavior.</li>
	<li>Measure the withdrawal threshold of the mouse situated in the adjacent chamber. Continue until you have assessed withdrawal thresholds of each mouse once. Repeat another four times, so that each mouse is measured 5x as previously described10.</li>
	<li>For each mouse, calculate the median value of the 5 measurements, and then calculate how much each value deviates from the median. Select 3 values that deviate the least, and average them to obtain a baseline withdrawal threshold as previously described10. In this demonstration, measurement has been standardized by using 3 out of 5 values; while the specific numbers of measurements can vary by experimental design, it is important to ensure that all mice are poked an equal number of times to assess baselines.</li>
	<li>Repeat the baseline measurements 24 hr later. Take 5 measurements per mouse, and average the 3 that are closest to the median to obtain a baseline withdrawal threshold.</li>
	<li>To calculate the average baseline withdrawal threshold of a mouse, average its baseline withdrawal thresholds taken at 48 and 24 hr prior to treatment. If the average baseline withdrawal threshold is below 3.50 g, or if the two baseline thresholds differ by 2.00 g or more, exclude the mouse from the experiment. These criteria ensure that all mice in the experiment have consistent baseline responses, and sufficiently high baseline withdrawal thresholds that allow observing lower thresholds following treatment.</li>
	<li>Note: The exclusion threshold will depend on the tissue being probed, the strain of animals studied, and the type of tip used. For example, we have found 3.5 g to be a useful benchmark for ND4 hind paw tissue but more tender areas such as the ano-genital ridge need a lower exclusion threshold (Chatterjea, unpublished).</li>
	<li>Assign mice into treatment groups so that the average withdrawal baseline of the experimental groups is as similar as possible before treatments are administered.</li>
</ol>
Note: Baseline measurements can be performed prior to 48 hr before an experiment. However, at least 2 sets of baseline measurements at regular intervals before the start of treatments should be completed.
5. Experimental Hind Paw Withdrawal Threshold Assessment
<ol>
	<li>Assess hind paw withdrawal threshold (mechanical sensitivity) following treatment at appropriate time points determined by the design of the experiment. Return mice to their cages with access to food and water promptly after measurements are completed.</li>
	<li>Follow steps outlined above; take 3 instead of 5 measurements to decrease the possibility of over-stimulating the (treated) hind paw tissue especially if sensitivity is to be assessed at multiple time points. If any two measurements out of the taken three differ by more than 2.00 g, take a fourth measurement.</li>
	<li>Calculate the average of 3 measurements to obtain experimental withdrawal threshold for each mouse. For any mice for which 4 measurements were taken, compute the average of three that deviate least from the median, in order to obtain experimental withdrawal threshold.</li>
	<li>To obtain delta withdrawal threshold for each mouse at a particular time point, subtract the baseline from the experimental withdrawal threshold. Repeat for all mice and all experimental time points9.</li>
	<li>Perform appropriate statistical analysis on collected data. Here we used JMP 9.0 (SAS, Cary, NC) to carry out One-way ANOVA and Tukey HSD post hoc analysis.</li>
</ol>

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The authors have no competing financial interests to disclose.

The measurement of changes in withdrawal responses is an important tool used to assess changes in tactile sensitivity in rodent models of pain and inflammation. Here we demonstrate the utility of an electronic von Frey apparatus to perform this assessment. There are several advantages to this technique: i) we can rapidly assess withdrawal responses to applied pressure for multiple mice at multiple time points that are fairly close together, ii) we can use a single tip to apply continuous and specific pressure to a small area of tissue, iii) we can accurately measure the precise pressure applied to obtain a withdrawal response, and iv) we can easily implement robust baseline cutoffs, exclusion criteria, and internal controls to ensure that behavioral assessments are as precise and objective as possible.
The critical steps to ensure best outcomes for an EvF assay are prior calibration of the instrument and consistent measurement practices. As detailed in the protocol section, the instrument needs to be handled with care and proper calibration ensured before and during use. Before any measurements are taken, the test weight readings must be confirmed to ensure optimal machine function. If the readings fluctuate significantly or if the test weight readings are not accurate, the manufacturer should be promptly contacted to calibrate the apparatus. With this in mind, having a backup electronic von Frey apparatus is advisable, if possible, so as not to compromise time-sensitive experiments due to an unexpected need for calibration of the instrument. Further, a single, well-trained investigator should take all baseline and experimental measurements for a given study or series of experiments while remaining blinded to treatment groups. Mice should be evaluated in a quiet room, held at a constant temperature, acclimated to the EvF chambers for at least 15 min but not restrained in the chamber any longer than necessary (especially if multiple measurements are taken within a single day) so as to minimize stress and discomfort-induced behavioral variations.
EvF measurements offer significant improvements with respect to the existing CvF techniques. Researchers can apply continuous pressure and do not have to switch between tips of various weights as is done in CvF filament experiments6. This leads to fewer pokes on the tissue, which is especially relevant in the case of inflamed or injured tissue. Precise pressure at which withdrawal occurs can be measured vs. using 50% withdrawal measurements that are also limited by available filament weights used in CvF measurements13. Because rational and uniform exclusion criteria can be implemented (as discussed above), mice can be assigned to experimental groups such that all groups have similar average baselines at the beginning of the experiment. EvF measurements assess the changes in behavioral response to a given stimulus, and not the absolute responses themselves. Therefore each mouse&#39;s change in nociceptive response is measured as the difference between its individual experimental and baseline withdrawals thus providing internal controls for every measurement taken.
Perhaps the most significant limitation of EvF is that, similar to its manual counterpart, the same researcher must take all measurements for a particular series of baseline and experimental measurements. This makes scaling up of the technique challenging from the standpoints of time, personnel and equipment. We find that ~20 mice at a time (depending on the configuration of assay chambers) can be measured in 30-45 min or less at multiple timepoints provided there are at least 45 min between measurements. A related consideration in this regard is the learning curve of individual experimenters. Internal consistency has to be established before an individual researcher can embark on a full-scale experiment and this requires many hours of dedicated practice involving repeated baseline response measurements until the desired consistency is reached. In addition, using baseline cutoffs implies that not all mice baselined for an experiment can be included; we find that 25-30% of mice baselined per experiment are typically excluded.
In terms of modifications and future applications, EvF behavioral measurements add a powerful dimension to a wide range of models of inflammation to analyze concomitant acute and/or chronic pain that can underlie inflammatory pathologies. In envenomation, we found that pronounced, rapid-onset changes in tactile sensitivity accompanied the expected outcomes of tissue swelling, leukocyte recruitment and mast cell degranulation in the hind paws of ND4 male mice. These findings corroborate previous observations about the contributions of mast cell mediators to thermal sensitivity in rats20 and mechanical sensitivity induced by B. jararaca venom in ND4 Swiss mice measured using CvF21. The EvF protocol can easily be modified for use on tissues other than the hind paw e.g. abdomen7 and ano-genital ridge8 where CvF is currently used. Rodent models of allergies, wound healing, neuropathies and other pathologies can be easily adapted to include measures of mechanical sensitivity in tissues including and beyond the hind paw.
In summary, EvF is a useful and effective technique that updates a classical approach of measurement of nociception in rodents and is an important new tool in probing the complex underlying mechanisms of pain in a wide array of disease models.

Chronic noncommunicable diseases are responsible for a disproportionate share of the human burdens of mortality and morbidity1. Chronic pain is increasingly recognized as an important component of the global burden of disease2. This has provided great impetus to innovations in the prevention, management, and treatment of pain. At the same time, there is abundant evidence that the underlying biology of pain is complex3. The mechanisms underlying protective as well as maladaptive and chronic pain point to intricate interplay between the immune and nervous systems3,4. The elucidation of these mechanisms demands rigorous quantitative, reproducible experimental approaches from molecular dissection to behavioral analysis.
Rodent models have been invaluable in the characterization of molecular players of inflammatory and neuropathic pain5. Reduction in time and intensity of previously specified responses to noxious stimuli are used to measure pain states in these animals as rodent subjects are not otherwise able to report a sensation of pain6. Altered responses to temperature and pressure are commonly used as metrics of tissue sensitivity in rodent models of inflammatory nociception that can be caused by infection7,8, chemical exposure6, 9,10, surgical incision11, as well as neuropathic pain caused by nerve ligation12.
Mechanical sensitivity, or response to pressure stimuli, is often measured using classical von Frey filaments (CvF) - a series (e.g. 0.4-15 g13) of weighted tips manually applied to test tissue in serial increments until pain behaviors are induced in controls vs. experimental subjects. There are various methods for using these tips or hairs to assess mechanical sensitivity6,13; the most frequently used method is as follows. A tip with a certain pressure (within the series; e.g. 2 g13) is selected as a starting point and a rat or mouse&#39;s 50% withdrawal threshold (the stimulus intensity required to produce a response 50% of the times the tip is applied to the tissue) is determined by moving up and down in tip weight based on the display of previously specified response behaviors13. Absolute 50% withdrawal thresholds for treatment groups are then compared between baseline and post-treatment time points. This manual technique is quite time-consuming. In addition to increased time spent by each subject confined in a von Frey chamber, this also increases the number of times that test tips of various weights are applied to inflamed tissue causing greater discomfort to the rodents in the study. Furthermore, 50% withdrawal thresholds are calculated and compared between groups of rodents; the individual responses of experimental subjects are typically not normalized to their individual untreated baseline responses with, to our knowledge, one exception6. As a consequence, rodent subjects are not usually reported as assigned to treatment groups on the basis of consistent baseline responses within a previously determined range and neither are individual subjects evaluated on the basis of a consistently applied set of exclusion criteria that allow for baseline responses to be standardized for any particular set of studies and assays.
Here, we present an alternative method for measuring mouse hind paw tactile sensitivity following exposure to Bothrops jararaca venom using an electronic von Frey apparatus (EvF). Cunha and colleagues6 have pioneered the use of EvF techniques in rodents and systematically compared CvF and EvF efficacy to demonstrate that EvF provides &#34;a more sensitive, objective and quantitative&#34; measure of tactile sensitivity in rodent models of inflammatory pain. Briefly, in EvF measurements, a nonhygroscopic polypropylene von Frey tip of uniform diameter (0.8 mm) of suitable rigidity for the tissue being tested is attached to an electronic probe and readout that displays the force/weight at which the rodent retracts from the tip. There are several important differences between CvF and EvF measurements. First, the process of measuring both baseline and experimental responses using EvF is greatly streamlined as pressure on the hind paw can be applied with increasing force until there is a response and there is no need to change tips as in CvF; animals spend less time confined in the assay chambers and are therefore less stressed and more comfortable during an experiment. Second, EvF allows for relative ease of implementation of rational exclusion criteria for study subjects in the form of ranges of acceptable baseline thresholds. This allows for standardization of baseline responses within and across treatment groups. Third, a subject&#39;s response following an experimental treatment is always compared to its own individual baseline response creating important internal controls for measurements. Fourth, the accuracy of the withdrawal thresholds is recorded at a higher level of resolution as pressure can be applied continuously rather than in increments available in the form of weights of manual filaments. As with well-designed CvF assays, EvF-based experiments are also carried out with the same investigator (blind to treatment) applying the force and recording the response behaviors. It is important to note that this technique requires time and effort on the part of investigators to establish internal consistency of measurements and requires experiments to be planned such that appropriate allowances are made for mice that may have to be excluded due to inconsistent baseline responses.
An easy to implement, effective, well-controlled assessment of mechanical sensitivity facilitates the addition of behavioral assessment to models of inflammatory events such as envenomation - the example we have used here to illustrate the capacities and power of EvF measurements in the measurement of changes in tactile sensitivity. We found that male ND4 Swiss mice showed an enhanced mechanical sensitivity following injection of venom derived from the South American pit viper Bothrops jararaca in the hind paw. Behavioral responses were accompanied by edema, influx of neutrophils, and mast cell degranulation in the affected tissue.

<table border="0" cellpadding="0" cellspacing="0" width="837">
	<colgroup>
		<col />
		<col />
		<col />
		<col />
	</colgroup>
	<tbody>
		<tr height="50">
			<td height="50" style="height:51px;width:321px;">Name of Material/ Equipment</td>
			<td style="width:85px;">Company</td>
			<td style="width:119px;">Catalog Number</td>
			<td style="width:312px;">Comments/Description</td>
		</tr>
		<tr height="78">
			<td height="78" style="height:79px;width:321px;">ND4 Swiss male mice</td>
			<td style="width:85px;">Harlan</td>
			<td style="width:119px;">0-32</td>
			<td style="width:312px;">Mice used here were 8-12 weeks old and were housed and used according to Macaleter College&#39;s IACUC guidelines.</td>
		</tr>
		<tr height="64">
			<td height="64" style="height:64px;width:321px;">3 ml/100 Insulin syringe with 29 G 1/2 in needle</td>
			<td style="width:85px;">BD</td>
			<td style="width:119px;">BD309301</td>
			<td style="width:312px;">Dispose after each use into the appropriate container.</td>
		</tr>
		<tr height="78">
			<td height="78" style="height:79px;width:321px;">B. jararaca venom</td>
			<td style="width:85px;">Sigma</td>
			<td>V5625</td>
			<td style="width:312px;">CAUTION: Toxic substance. Wear eye and skin protection. Dissolve in sterile 0.9% saline.</td>
		</tr>
		<tr height="112">
			<td height="112" style="height:112px;width:321px;">Electronic von Frey apparatus; probe = 90 g range</td>
			<td style="width:85px;">IITC</td>
			<td style="width:119px;">2394</td>
			<td style="width:312px;">Move gently and ensure it is always horizontal. For zeroing the probe, press &#34;Program&#34; and &#34;Clear&#34;. For switching from setup to operation mode, press &#34;Function&#34;(for &#34;MH&#34; readout) or &#34;MAX&#34;.</td>
		</tr>
		<tr height="65">
			<td height="65" style="height:65px;width:321px;">Mesh stand + PMMA chambers</td>
			<td style="width:85px;">IITC</td>
			<td style="width:119px;">410</td>
			<td style="width:312px;">Place on a steady bench top or a cart with four wheels in order to access all sides.</td>
		</tr>
		<tr height="66">
			<td height="66" style="height:67px;width:321px;">Electronic von Frey rigid tips only, 90 g range</td>
			<td style="width:85px;">IITC</td>
			<td style="width:119px;">2390</td>
			<td>n/a</td>
		</tr>
	</tbody>
</table>

measuring changes in tactile sensitivity in the hind paw of mice using an electronic von frey apparatus

Measuring inflammation-induced changes in thresholds of hind paw withdrawal from mechanical pressure is a useful technique to assess changes in pain perception in rodents. Withdrawal thresholds can be measured first at baseline and then following drug, venom, injury, allergen,&#160;or otherwise evoked inflammation by applying an accurate force on very specific areas of the skin. An electronic von Frey apparatus allows precise assessment of mouse hind paw withdrawal thresholds that are not limited by the available filament sizes in contrast to classical von Frey measurements. The ease and rapidity of measurements allow for incorporation of assessment of tactile sensitivity outcomes in diverse models of rapid-onset inflammatory and neuropathic pain as multiple measurements can be taken within a short time period. Experimental measurements for individual rodent subjects can be internally controlled against individual baseline responses and exclusion criteria easily established to standardize baseline responses within and across experimental groups. Thus, measurements using an electronic von Frey apparatus represent a useful modification of the well-established classical von Frey filament-based assays for rodent mechanical allodynia that may also be applied to other nonhuman mammalian models.

Local B. jararaca venom administration causes changes in hind paw tactile sensitivity&#160;and tissue edema in ND4 Swiss male mice.
1.5 hr after the administration of 45 &#181;g/kg B. jararaca venom, ND4 Swiss male mice withdrew their hind paws at a pressure 3.0 g lower than baseline (Figure 1A). Baseline withdrawal for all groups occurred at ~4.5 g of applied pressure; after venom-treatment, experimental mice withdrew their hind paws at 1-1.5 g of applied pressure (data not shown). Saline-treated control mice showed little to no reduction in response to pressure compared to baseline at all time points tested. Decreased response thresholds in treated mice were clearly maintained at 3 and 6 hr post-envenomation (Figure 1A) and were indistinguishable from controls by 24 hr (data not shown). The hind paws of envenomated mice showed tissue edema characteristic of inflammation. At 1.5 hr post venom administration, treated hind paws, measured as previously described10, were 1.5 mm thicker than at baseline; edema was sustained through 3 and 6 hr (Figure 1B). In contrast, saline treated paws showed no swelling or change in thickness through the experimental period. For the representative experiment shown here, a total of 21 mice were used for baseline measurements and 14 selected for inclusion in the experiment. These were assigned to treatment groups such that average withdrawal responses at baseline were around 4.5 g for each group as a whole.
B. jararaca venom-induced changes in tactile sensitivity are accompanied by mast cell degranulation and neutrophil influx into the hind paws of ND4 Swiss male mice.
In addition to increased tactile sensitivity and tissue edema, we also assessed neutrophil influx (Figures 2A-B) and mast cell degranulation (Figures 2C-D) in the hind paws of envenomated vs. saline-treated mice. Neutrophils are the first inflammatory cells to be recruited into a lesion from the circulation and are known to mediate inflammatory nociceptive responses10,16,17. Mast cells are tissue-resident sentinel cells18 and mast cell degranulation has been associated with nociceptive responses in the hind paw of mice10 and the dura mater of rats19.
Here, we found that neutrophil influx into the envenomated hind paws was increased almost 1,000-fold in comparison to saline-treated hind paws (Figure 3A) as evaluated by counting hematoxylin-eosin stained 4 &#181;m paraffin embedded sagittal plantar tissue sections10 harvested at 1.5 hr post venom administration from euthanized mice.
In saline treated paws, plantar mast cells in the hind paw tissue were largely intact or showed mild degranulation (Figure 3B). In contrast, envenomated hind paws showed 15-20% moderate and extensive degranulation of mast cells (Figure 3B). Tissue sections described above were stained with toluidine blue and numbers of visible granules counted per mast cell observed to ascertain degranulation status as previously described10.
<img alt="Figure 1" fo:content-width="6in" src="/files/ftp_upload/51212/51212fig1.jpg" /> 
Figure 1. Local B. jararaca venom administration causes changes in hind paw mechanical sensitivity, and tissue edema in ND4 Swiss male mice. Baseline withdrawal thresholds and baseline paw width were assessed at 48 and 24 hr prior to intra-plantar B. jararaca venom (Bjv; 45 &#181;g/kg) or vehicle (saline) treatment (10 &#181;l). Withdrawal thresholds were assessed at 1.5, 3, and 6 hr following treatment (A). Average paw width (mean width of the left and the right paw of a mouse) at the mid-plantar region&#160;was assessed using digital calipers at baseline and then 1.5, 3, and 6 hr following treatment to determine tissue edema as previously described10 (B). Significances are compared to Sal-treated mice (* = p &#60; 0.05, ** = p &#60; 0.01, *** = p &#60; 0.001 respectively). n = 10-11 mice per treatment group. <a href="https://www.jove.com/files/ftp_upload/51212/51212fig1highres.jpg" target="_blank">Click here to view larger image</a>.
<img alt="Figure 2" fo:content-width="6in" src="/files/ftp_upload/51212/51212fig2.jpg" /> 
Figure 2. B. jararaca venom-induced mechanical sensitivity is accompanied by mast cell degranulation and neutrophil influx into the hind paws of ND4 Swiss male mice. 3 mice/treatment were euthanized by CO2 at 1.5 hr&#160;post treatment and their hind paws were excised, stored in 10% formalin for 24 hr, and transferred to 70% ethanol, decalcified for 1-2 weeks in 15% EDTA, and embedded in paraffin. 4 &#181;m sagittal sections were stained with hematoxylin-eosin (A-B) and toluidine blue (C-D) for visualizing neutrophils (A-B) and mast cells (C-D), respectively. Images were acquired at 400X&#160;and 1,000X&#160;as annotated. <a href="https://www.jove.com/files/ftp_upload/51212/51212fig2highres.jpg" target="_blank">Click here to view larger image</a>.&#160;
<img alt="Figure 3" fo:content-width="6in" src="/files/ftp_upload/51212/51212fig3.jpg" /> 
Figure 3. B. jararaca venom-induced mechanical sensitivity is accompanied by significant increases in mast cell degranulation levels and neutrophil influx into the hind paws of ND4 Swiss male mice. Neutrophils and mast cells on stained tissue sections were counted using an Olympus CX21LED microscope. Neutrophils were counted in 3 hind paws per treatment from the heel to the toes in adjacent fields of view at 400X magnification&#160;(A). Mast cells were counted in 3 footpads/treatment and their degranulation status was scored based on the number of visible granules outside of the cell boundary: intact (0), mild (0-10), moderate (10-20), extensive (21+), as described previously10 (B). &#160;To avoid counting the same cells twice, the investigators assessing neutrophil numbers and mast cell degranulation levels in the hind paw sections used a grid inscribed in the eyepiece reticle. Investigators were blinded to treatments.&#160;Significances are compared to Sal-treated mice (* = p &#60; 0.05, ** = p &#60; 0.01, *** = p &#60; 0.001 respectively). n =3 mice per treatment group.&#160;&#160;<a href="https://www.jove.com/files/ftp_upload/51212/51212fig3highres.jpg" target="_blank">Click here to view larger image</a>.

Watch this Scientific Journal Video about Measuring Changes in Tactile Sensitivity in the Hind Paw of Mice Using an Electronic von Frey Apparatus at JoVE.com

Measuring Changes in Tactile Sensitivity in the Hind Paw of Mice Using an Electronic von Frey Apparatus

Electronic von Frey measurements are an effective and improved alternative to classical von Frey filaments, as they allow rapid and precise measurement of changes in rodent mechanical withdrawal thresholds to continuously applied pressure stimuli before and after an inflammatory event.

Measuring inflammation-induced changes in thresholds of hind paw withdrawal from mechanical pressure is a useful technique to assess changes in pain ...

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32.9K ビュー.  Macalester College. Electronic von Frey measurements are an effective and improved alternative to classical von Frey filaments, as they allow rapid and precise measurement of changes in rodent mechanical withdrawal thresholds to continuously applied pressure stimuli before and after an inflammatory event.

ビデオ: Measuring Changes in Tactile Sensitivity in the Hind Paw of Mice Using an Electronic von Frey Apparatus

Electronic von Frey measurements are an effective and improved alternative to classical von Frey filaments, as they allow rapid and precise measurement of changes in rodent mechanical withdrawal thresholds to continuously applied pressure stimuli before and after an inflammatory...

automated gait analysis in mice with chronic constriction injury

Automated Gait Analysis in Mice with Chronic Constriction Injury

The precise assessment of pain response in a neuropathic animal model is critical to investigate the pathophysiology of pain diseases and develop new analgesics. We present a sensitive and objective method to determine the sensory function of the rodent hind paw by an automated gait analysis...

assessment of perigenital sensitivity and prostatic mast cell activation in a mouse model of neonatal maternal separation

Assessment of Perigenital Sensitivity and Prostatic Mast Cell Activation in a Mouse Model of Neonatal Maternal Separation

We are measuring perigenital mechanical sensitivity and mast cell activation in the prostate of male C57BL/6 mice that underwent an early life stress paradigm &#8211; neonatal maternal separation, in order to induce a preclinical model of chronic prostatitis/chronic pelvic pain...

electronic von frey associated with the mouse grimace scale to assess allodynia and pain in trypanosoma evansi-infected mice

Author Spotlight: Assessing Pain and Promoting Animal Welfare in Laboratory Animals Infected with &lt;em&gt;Trypanosoma evansi&lt;/em&gt;

Here, we present a protocol to evaluate nociception in mice infected with Trypanosoma evansi, using the electronic von Frey apparatus as a tool, measuring mechanical thresholds of the hind paw and...

Electronic von Frey associated with the Mouse Grimace Scale to Assess Allodynia and Pain in Trypanosoma evansi-Infected Mice

Assessing Pain and Allodynia in &lt;em&gt;T. evansi&lt;/em&gt;-Infected Animals

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electronic von frey (evf) apparatus set up for the evaluation of allodynia and pain in trypanosoma evansi infected animals

Electronic Von Frey (EvF) Apparatus Set up for the Evaluation of Allodynia and Pain in Trypanosoma evansi Infected Animals

dural stimulation and periorbital von frey testing in mice as a preclinical model of headache

Dural Stimulation and Periorbital von Frey Testing in Mice As a Preclinical Model of Headache

The most notable symptom of migraine is severe head pain, and it is hypothesized that this is mediated by sensory neurons innervating the meninges. Here, we present a method to locally apply substances to the dura in a minimally invasive manner while using facial hypersensitivity as an output.

temporomandibular joint pain measurement by bite force and von frey filament assays in mice

Author Spotlight: Comprehensive Assessment of Orofacial Pain Behavior in a Mouse Model of TMJ Osteoarthritis Induced by CFA Injection

This protocol describes how measuring bite force and head withdrawal threshold can capture pain behavior in Complete Freund's Adjuvant (CFA)-induced inflammatory temporomandibular joint (TMJ)...

Temporomandibular Joint Pain Measurement by Bite Force and Von Frey Filament Assays in Mice

a modified inflammatory pain model to study the analgesic effect in mice

Author Spotlight: Enhanced Method for Evaluating Analgesic Effects &#8212; Dual Hind Paw Carrageenan Injection in Mice

Here, we present a modified inflammatory pain model with the both-hind-paw carrageenan injection to evaluate the analgesic...

Dual Hind Paw Injection for Enhanced Analgesic Testing

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assessment of midline lingual point-pressure somatosensation using von frey hair monofilaments

Assessment of Midline Lingual Point-Pressure Somatosensation Using Von Frey Hair Monofilaments

This work describes a standard method to assess tactile sensation at the midline of the tongue tip. Using Von Frey Hair (VFH) monofilaments, this protocol provides estimates of detection and discrimination threshold estimates for oral point pressure...

assessing changes in volatile general anesthetic sensitivity of mice after local or systemic pharmacological intervention

Assessing Changes in Volatile General Anesthetic Sensitivity of Mice after Local or Systemic Pharmacological Intervention

Loss of the righting reflex has long served as a standard behavioral surrogate for unconsciousness, also called hypnosis, in laboratory animals.  Alterations in volatile anesthetic sensitivity caused by pharmacological interventions can be detected with a carefully controlled high-throughput assessment system, which may be adapted for delivery of any inhaled...

assessment of spatial lingual tactile sensitivity using a gratings orientation test

Assessment of Spatial Lingual Tactile Sensitivity using a Gratings Orientation Test

This work illustrates a standard procedure and threshold determination by the R-index to assess spatial lingual tactile sensitivity using a gratings orientation test.

measuring changes in mitochondrial metabolism in hypoxic rpe using resipher system

Measuring Changes in Mitochondrial Metabolism in Hypoxic RPE Using Resipher System

establishing a modified inflammatory pain model with both-hind-paw carrageenan injection

Establishing a Modified Inflammatory Pain Model with Both-Hind-Paw Carrageenan Injection

measuring respiratory function in mice using unrestrained whole-body plethysmography

Measuring Respiratory Function in Mice Using Unrestrained Whole-body Plethysmography

The assessment of respiratory physiology has traditionally relied upon techniques, which require restraint or sedation of the animal. Unrestrained whole-body plethysmography, however, provides precise, non-invasive, quantitative analysis of respiratory physiology in animal models. In addition, the technique allows repeated respiratory assessment of mice allowing for longitudinal...

measuring ascending aortic stiffness in vivo in mice using ultrasound

Measuring Ascending Aortic Stiffness In Vivo in Mice Using Ultrasound

We describe a technique for measuring aortic stiffness from its pressure-diameter relationship in vivo in mice. Aortic diameter is recorded by ultrasound and aortic pressure is measured invasively with a solid-state pressure catheter. Blood pressure is changed incrementally and the resulting diameter is...

Measuring Ascending Aortic Stiffness In Vivo in Mice Using Ultrasound

quantitatively measuring in situ flows using a self-contained underwater velocimetry apparatus (scuva)

Quantitatively Measuring In situ Flows using a Self-Contained Underwater Velocimetry Apparatus SCUVA

This protocol provides instructions on how to use a self-contained underwater velocimetry apparatus (SCUVA), which is designed for quantification of in situ animal-generated flows. In addition, this protocol addresses challenges posed by field conditions, and includes operator motion, predicting position of animals, and orientation of...

Quantitatively Measuring In situ Flows using a Self-Contained Underwater Velocimetry Apparatus (SCUVA)

measuring motor coordination in mice

Measuring Motor Coordination in Mice

Protocols are presented for two established motor coordination tasks, the accelerating rotarod and horizontal bar, also two tests developed in Oxford recently, the static rods and parallel bars. These tests can detect motor impairments potentially of interest in their own right, as well as being possible variables in tests of other areas of...

revealing subtle changes in cardiac function using transthoracic dobutamine stress echocardiography in mice

Revealing Subtle Changes in Cardiac Function using Transthoracic Dobutamine Stress Echocardiography in Mice

Left ventricular dysfunction constitutes the final common pathway for a host of cardiac disorders. We here provide a detailed protocol of transthoracic dobutamine stress echocardiography approach for comprehensive evaluation of the left ventricular function of mouse models of cardiac disease as well as cardiac...

measuring the strength of mice

Measuring the Strength of Mice

Deficits in muscular strength occur in many clinical conditions such as motor neuron disease. The inverted screen and weight lifting tests described here measure strength in mice almost exclusively, with minimal influence of factors such as...

Measuring Circadian and Acute Light Responses in Mice using Wheel Running Activity

Circadian rhythms are physiological functions that cycle over a period of approximately 24 hours (circadian- circa: approximate and diem: day)1, 2. They are responsible for timing our sleep/wake cycles and hormone secretion. Since this timing is not precisely 24-hours, it is synchronized to the solar day by light input. This is accomplished via photic input from the retina to the suprachiasmatic nucleus (SCN) which serves as the master pacemaker synchronizing peripheral clocks in other regions of the brain and peripheral tissues to the environmental light dark cycle3-7. The alignment of rhythms to this environmental light dark cycle organizes particular physiological events to the correct temporal niche, which is crucial for survival8. For example, mice sleep during the day and are active at night. This ability to consolidate activity to either the light or dark portion of the day is referred to as circadian photoentrainment and requires light input to the circadian clock9. Activity of mice at night is robust particularly in the presence of a running wheel. Measuring this behavior is a minimally invasive method that can be used to evaluate the functionality of the circadian system as well as light input to this system. Methods that will covered here are used to examine the circadian clock, light input to this system, as well as the direct influence of light on wheel running behavior.

This article will review methods that can be used to determine circadian function and light responsiveness in mice.

Circadian rhythms are physiological functions that cycle over a period of approximately 24 hours (circadian- circa: approximate and diem: day)1, 2.  They ...

Mice are increasingly being used in behavioral neuroscience, largely replacing rats as the behaviorist's animal of choice. Before aspects of behavior such as emotionality or cognition can be assessed, however, it is vital to determine whether the motor capabilities of e.g. a mutant or lesioned mouse allow such an assessment. Performance on a maze task requiring strength and coordination, such as the Morris water maze, might well be impaired in a mouse by motor, rather than cognitive, impairments, so it is essential to selectively dissect the latter from the former. For example, sensorimotor impairments caused by NMDA antagonists have been shown to impair water maze performance2. 
Motor coordination has traditionally been assessed in mice and rats by the rotarod test, in which the animal is placed on a horizontal rod that rotates about its long axis; the animal must walk forwards to remain upright and not fall off. Both set speed and accelerating versions of the rotarod are available.
The other three tests described in this article (horizontal bar, static rods and parallel bars) all measure coordination on static apparatus. The horizontal bar also requires strength for adequate performance, particularly of the forelimbs as the mouse initially grips the bar just with the front paws. 
Adult rats do not perform well on tests such as the static rods and parallel bars (personal observations); they appear less well coordinated than mice. I have only tested male rats, however, and male mice seem generally less well coordinated than females. Mice appear to have a higher strength:weight ratio than rats; the Latin name, Mus musculus, seems entirely appropriate. The rotarod, the variations of the foot fault test12 or the Catwalk (Noldus)15 apparatus are generally used to assess motor coordination in rats.

Protocols are presented for two established motor coordination tasks, the accelerating rotarod and horizontal bar, also two tests developed in Oxford recently, the static rods and parallel bars. These tests can detect motor impairments potentially of interest in their own right, as well as being possible variables in tests of other areas of behavior.

Mice are increasingly being used in behavioral neuroscience, largely replacing rats as the behaviorist's animal of choice. Before aspects of behavior such ...

The Neuromuscular Junction: Measuring Synapse Size, Fragmentation and Changes in Synaptic Protein Density Using Confocal Fluorescence Microscopy

The neuromuscular junction (NMJ) is the large, cholinergic relay synapse through which mammalian motor neurons control voluntary muscle contraction. Structural changes at the NMJ can result in neurotransmission failure, resulting in weakness, atrophy and even death of the muscle fiber. Many studies have investigated how genetic modifications or disease can alter the structure of the mouse NMJ. Unfortunately, it can be difficult to directly compare findings from these studies because they often employed different parameters and analytical methods. Three protocols are described here. The first uses maximum intensity projection confocal images to measure the area of acetylcholine receptor (AChR)-rich postsynaptic membrane domains at the endplate and the area of synaptic vesicle staining in the overlying presynaptic nerve terminal. The second protocol compares the relative intensities of immunostaining for synaptic proteins in the postsynaptic membrane. The third protocol uses Fluorescence Resonance Energy Transfer (FRET) to detect changes in the packing of postsynaptic AChRs at the endplate. The protocols have been developed and refined over a series of studies. Factors that influence the quality and consistency of results are discussed and normative data are provided for NMJs in healthy young adult mice.

The neuromuscular junction (NMJ) is altered in a variety of conditions that can sometimes culminate in synaptic failure. This report describes fluorescence microscope-based methods to quantify such structural changes.

The neuromuscular junction (NMJ) is the large, cholinergic relay synapse through which mammalian motor neurons control voluntary muscle contraction. ...

A Simple and Inexpensive Method for Determining Cold Sensitivity and Adaptation in Mice

Cold hypersensitivity is a serious clinical problem, affecting a broad subset of patients and causing significant decreases in quality of life. The cold plantar assay allows the objective and inexpensive assessment of cold sensitivity in mice, and can quantify both analgesia and hypersensitivity. Mice are acclimated on a glass plate, and a compressed dry ice pellet is held against the glass surface underneath the hindpaw. The latency to withdrawal from the cooling glass is used as a measure of cold sensitivity.
Cold sensation is also important for survival in regions with seasonal temperature shifts, and in order to maintain sensitivity animals must be able to adjust their thermal response thresholds to match the ambient temperature. The Cold Plantar Assay (CPA) also allows the study of adaptation to changes in ambient temperature by testing the cold sensitivity of mice at temperatures ranging from 30 &#176;C to 5 &#176;C. Mice are acclimated as described above, but the glass plate is cooled to the desired starting temperature using aluminum boxes (or aluminum foil packets) filled with hot water, wet ice, or dry ice. The temperature of the plate is measured at the center using a filament T-type thermocouple probe. Once the plate has reached the desired starting temperature, the animals are tested as described above.
This assay allows testing of mice at temperatures ranging from innocuous to noxious. The CPA yields unambiguous and consistent behavioral responses in uninjured mice and can be used to quantify both hypersensitivity and analgesia. This protocol describes how to use the CPA to measure cold hypersensitivity, analgesia, and adaptation in mice.

The Cold Plantar Assay (CPA) measures cold responsiveness between 30 &#176;C and 5 &#176;C, and can also measure cold adaptation. This protocol describes how to use the CPA to measure cold hypersensitivity, analgesia, and adaptation in mice.

Cold hypersensitivity is a serious clinical problem, affecting a broad subset of patients and causing significant decreases in quality of life.  The cold ...

An Inexpensive, Scalable Behavioral Assay for Measuring Ethanol Sedation Sensitivity and Rapid Tolerance in Drosophila

Alcohol use disorder (AUD) is a serious health challenge. Despite a large hereditary component to AUD, few genes have been unambiguously implicated in their etiology. The fruit fly, Drosophila melanogaster, is a powerful model for exploring molecular-genetic mechanisms underlying alcohol-related behaviors and therefore holds great promise for identifying and understanding the function of genes that influence AUD. The use of the Drosophila model for these types of studies depends on the availability of assays that reliably measure behavioral responses to ethanol. This report describes an assay suitable for assessing ethanol sensitivity and rapid tolerance in flies. Ethanol sensitivity measured in this assay is influenced by the volume and concentration of ethanol used, a variety of previously reported genetic manipulations, and also the length of time the flies are housed without food immediately prior to testing. In contrast, ethanol sensitivity measured in this assay is not affected by the vigor of fly handling, sex of the flies, and supplementation of growth medium with antibiotics or live yeast. Three different methods for quantitating ethanol sensitivity are described, all leading to essentially indistinguishable ethanol sensitivity results. The scalable nature of this assay, combined with its overall simplicity to set-up and relatively low expense, make it suitable for small and large scale genetic analysis of ethanol sensitivity and rapid tolerance in Drosophila.

An Inexpensive, Scalable Behavioral Assay for Measuring Ethanol Sedation Sensitivity and Rapid Tolerance in Drosophila

Straightforward assays for measuring ethanol sensitivity and rapid tolerance in Drosophila facilitate the use of this model organism for investigating these important ethanol-related behaviors. Here, a relatively simple, scalable assay for measuring ethanol sensitivity and rapid tolerance in flies is described.

Alcohol use disorder (AUD) is a serious health challenge. Despite a large hereditary component to AUD, few genes have been unambiguously implicated in ...

Video Imaging and Spatiotemporal Maps to Analyze Gastrointestinal Motility in Mice

The enteric nervous system (ENS) plays an important role in regulating gastrointestinal (GI) motility and can function independently of the central nervous system. Changes in ENS function are a major cause of GI symptoms and disease and may contribute to GI symptoms reported in neuropsychiatric disorders including autism. It is well established that isolated colon segments generate spontaneous, rhythmic contractions known as Colonic Migrating Motor Complexes (CMMCs). A procedure to analyze the enteric neural regulation of CMMCs in ex vivo preparations of mouse colon is described. The colon is dissected from the animal and flushed to remove fecal content prior to being cannulated in an organ bath. Data is acquired via a video camera positioned above the organ bath and converted to high-resolution spatiotemporal maps via an in-house software package. Using this technique, baseline contractile patterns and pharmacological effects on ENS function in colon segments can be compared over 3-4 hr. In addition, propagation length and speed of CMMCs can be recorded as well as changes in gut diameter and contraction frequency. This technique is useful for characterizing gastrointestinal motility patterns in transgenic mouse models (and in other species including rat and guinea pig). In this way, pharmacologically induced changes in CMMCs are recorded in wild type mice and in the Neuroligin-3R451C mouse model of autism. Furthermore, this technique can be applied to other regions of the GI tract including the duodenum, jejunum and ileum and at different developmental ages in mice.

This article describes a video imaging technique and high-resolution spatiotemporal mapping to identify changes in the neural regulation of colonic motility in adult mice. Subtle effects on gastrointestinal (GI) function can be detected using this approach in isolated tissue preparations to advance our understanding of GI disease.

The enteric nervous system (ENS) plays an important role in regulating gastrointestinal (GI) motility and can function independently of the central ...

Measuring In Vivo Changes in Extracellular Neurotransmitters During Naturally Rewarding Behaviors in Female Syrian Hamsters

The ability to measure neurotransmitter release on a rapid time scale allows patterns of neurotransmission to be linked to specific behaviors or manipulations; a powerful tool in elucidating underlying mechanisms and circuitry. While the technique of microdialysis has been used for decades to measure nearly any analyte of interest in the brain, this technique is limited in temporal resolution. Alternatively, fast scan cyclic voltammetry is both temporally precise and extremely sensitive; however, because this technically difficult method relies on the electroactivity of the analyte of interest, the possibility to detect nonelectroactive substances (e.g., the neurotransmitter glutamate) is eliminated. This paper details the use of a turn-key system that combines fixed-potential amperometry and enzymatic biosensing to measure both electroactive and nonelectroactive neurotransmitters with temporal precision. The pairing of these two powerful techniques allows for the measurement of both tonic and phasic neurotransmission with relative ease, and permits recording of multiple neurotransmitters simultaneously. The aim of this manuscript is to demonstrate the process of measuring dopamine and glutamate neurotransmission in vivo using a naturally rewarding behavior (i.e., sexual behavior) in female hamsters, with the ultimate goal of displaying the technical feasibility of this assay for examining other behaviors and experimental paradigms.

Measuring In Vivo Changes in Extracellular Neurotransmitters During Naturally Rewarding Behaviors in Female Syrian Hamsters

This paper details the use of fixed-potential amperometric recordings using carbon fiber electrodes and enzymatic biosensor technology to measure the release of dopamine and glutamate with high temporal resolution during natural rewarding behavior in the female hamster.

The ability to measure neurotransmitter release on a rapid time scale allows patterns of neurotransmission to be linked to specific behaviors or ...

Electrocorticographic Recording of Cerebral Cortex Areas Manipulated Using an Adeno-Associated Virus Targeting Cofilin in Mice

The use of electrocorticographic (ECoG) recordings in rodents is relevant to sleep research and to the study of a wide range of neurological conditions. Adeno-associated viruses (AAVs) are increasingly used to improve understanding of brain circuits and their functions. The AAV-mediated manipulation of specific cell populations and/or of precise molecular components has been tremendously useful to identify new sleep regulatory circuits/molecules and key proteins contributing to the adverse effects of sleep loss. For instance, inhibiting activity of the filamentous actin-severing protein&#160;cofilin&#160;using AAV prevents sleep deprivation-induced memory impairment. Here, a protocol is&#160;described that combines the manipulation of cofilin function in a cerebral cortex area with the recording of ECoG activity to examine whether cortical cofilin modulates the wakefulness and sleep ECoG signals. AAV injection is performed during the same surgical procedure as the implantation of ECoG and electromyographic (EMG) electrodes in adult male and female mice. Mice are anesthetized, and their heads are shaved. After skin cleaning and incision, stereotaxic coordinates of the motor cortex are determined, and the skull is pierced at this location. A cannula prefilled with an AAV expressing cofilinS3D, an inactive form of cofilin, is slowly positioned in the cortical tissue. After AAV infusion, gold-covered screws (ECoG electrodes) are screwed through the skull and cemented to the skull with gold wires inserted in the neck muscles (EMG electrodes). The animals are allowed three weeks to recover and to ensure sufficient expression of cofilinS3D. The infected area and cell type are verified using immunohistochemistry, and the ECoG is analyzed using visual identification of vigilance states and spectral analysis. In summary, this combined methodological approach allows the investigation of the precise contribution of molecular components regulating neuronal morphology and connectivity to the regulation of synchronized cerebral cortex activity during wakefulness and sleep.

This article describes a protocol for the manipulation of molecular targets in the cerebral cortex using adeno-associated viruses and for monitoring the effects of this manipulation during wakefulness and sleep using electrocorticographic recordings.

The use of electrocorticographic (ECoG) recordings in rodents is relevant to sleep research and to the study of a wide range of neurological conditions. ...

The cranial meninges, comprised of the dura mater, arachnoid, and pia mater, are thought to primarily serve structural functions for the nervous system. For example, they protect the brain from the skull and anchor/organize the vascular and neuronal supply of the cortex. However, the meninges are also implicated in nervous system disorders such as migraine, where the pain experienced during a migraine is attributed to local sterile inflammation and subsequent activation of local nociceptive afferents. Of the layers in the meninges, the dura mater is of particular interest in the pathophysiology of migraines. It is highly vascularized, harbors local nociceptive neurons, and is home to a diverse array of resident cells such as immune cells. Subtle changes in the local meningeal microenvironment may lead to activation and sensitization of dural perivascular nociceptors, thus leading to migraine pain. Studies have sought to address how dural afferents become activated/sensitized by using either in vivo electrophysiology, imaging techniques, or behavioral models, but these commonly require very invasive surgeries. This protocol presents a method for comparatively non-invasive application of compounds on the dura mater in mice and a suitable method for measuring headache-like tactile sensitivity using periorbital von Frey testing following dural stimulation. This method maintains the integrity of the dura and skull and reduces confounding effects from invasive techniques by injecting substances through a 0.65 mm modified cannula at the junction of unfused sagittal and lambdoid sutures. This preclinical model will allow researchers to investigate a wide range of dural stimuli and their role in the pathological progression of migraine, such as nociceptor activation, immune cell activation, vascular changes, and pain behaviors, all while maintaining injury-free conditions to the skull and meninges.

The most notable symptom of migraine is severe head pain, and it is hypothesized that this is mediated by sensory neurons innervating the meninges. Here, we present a method to locally apply substances to the dura in a minimally invasive manner while using facial hypersensitivity as an output.

The cranial meninges, comprised of the dura mater, arachnoid, and pia mater, are thought to primarily serve structural functions for the nervous system.  ...

Assessment of Audio-Tactile Sensory Substitution Training in Participants with Profound Deafness Using the Event-Related Potential Technique

This paper examines the application of electroencephalogram-based methods to assess the effects of audio-tactile substitution training in young, profoundly deaf (PD) participants, with the aim of analyzing the neural mechanisms associated with vibrotactile complex sound discrimination. Electrical brain activity reflects dynamic neural changes, and the temporal precision of event-related potentials (ERPs) has proven to be key in studying time-locked processes while performing behavioral tasks that involve attention and working memory. 
The current protocol was designed to study electrophysiological activity in PD subjects while they performed a continuous performance task (CPT) using complex-sound stimuli, consisting of five different animal sounds delivered through a portable stimulator system worn on the right index finger. As a repeated-measures design, electroencephalogram (EEG) recordings in standard conditions were performed before and after a brief training program (five 1 h sessions over 15 days), followed by offline artifact correction and epoch averaging, to obtain individual and grand-mean waveforms. Behavioral results show a significant improvement in discrimination and a more robust P3-like centroparietal positive waveform for the target stimuli after training. In this protocol, ERPs contribute to the further understanding of learning-related neural changes in PD subjects associated with audio-tactile discrimination of complex sounds.

This protocol is designed to explore underlying learning-related electrophysiological changes in subjects with profound deafness after a short training period in audio-tactile sensory substitution by applying the event-related potential technique.