Mechanisms of the breathing contribution to bodily self‐consciousness in healthy humans: Lessons from machine‐assisted breathing?

Synchronous visual feedback that matches a person's breathing—such as a flashing outline around a virtual body whose intensity changes with each breath—can alter bodily self-consciousness, making people feel more located in and in control of the virtual body. In 17 healthy participants, this effect occurred whether they actively initiated machine-delivered breaths or the machine set the timing, showing that the sense of owning a virtual body does not depend on the brain's motor commands to breathe. Asynchronous visual feedback reduced the sense of being located in the virtual body and increased variability in tidal volume, which may lessen breathing discomfort. These findings could inform virtual-reality tools for respiratory therapy.

Study at a glance

Abstract

Abstract Previous studies investigated bodily self‐consciousness (BSC) by experimentally exposing subjects to multisensory conflicts (i.e., visuo‐tactile, audio‐tactile, visuo‐cardiac) in virtual reality (VR) that involve the participant's torso in a paradigm known as the full‐body illusion (FBI). Using a modified FBI paradigm, we found that synchrony of visuo‐respiratory stimulation (i.e., a flashing outline surrounding an avatar in VR; the flash intensity depending on breathing), is also able to modulate BSC by increasing self‐location and breathing agency toward the virtual body. Our aim was to investigate such visuo‐respiratory effects and determine whether respiratory motor commands contributes to BSC, using non‐invasive mechanical ventilation (i.e., machine‐delivered breathing). Seventeen healthy participants took part in a visuo‐respiratory FBI paradigm and performed the FBI during two breathing conditions: (a) “active breathing” (i.e., participants actively initiate machine‐delivered breaths) and (b) “passive breathing” (i.e., breaths’ timing was determined by the machine). Respiration rate, tidal volume, and their variability were recorded. In line with previous results, participants experienced subjective changes in self‐location, breathing agency, and self‐identification toward the avatar's body, when presented with synchronous visuo‐respiratory stimulation. Moreover, drift in self‐location was reduced and tidal volume variability were increased by asynchronous visuo‐respiratory stimulations. Such effects were not modulated by breathing control manipulations. Our results extend previous FBI findings showing that visuo‐respiratory stimulation affects BSC, independently from breathing motor command initiation. Also, variability of respiratory parameters was influenced by visuo‐respiratory feedback and might reduce breathing discomfort. Further exploration of such findings might inform the development of respiratory therapeutic tools using VR in patients.