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Title: Thermal pain and detection threshold modulation in augmented reality
Authors: Eckhoff, D
Sandor, C
Cheing, GLY 
Schnupp, J
Cassinelli, A
Issue Date: 2022
Source: Frontiers in virtual reality, 2022, v. 3, 952637
Abstract: Augmented Reality (AR) overlays computer-generated visual, auditory or other sensory information onto the real world. Due to recent technological advancement in the field, it can become increasingly difficult for the user to differentiate between sensory information coming from real and virtual objects, leading to interesting perceptual phenomena. For example, an AR experience in which users can experience their own hands in flames has been shown to elicit heat illusions on the affected hands. In this study, we investigate the potential that AR has for top-down modulation of pain and thermal perception. We assessed thermal pain and detection thresholds on the participant's right hand while covering it with realistic virtual flames. We compared this experience to a baseline condition with no additional stimuli. We also report on a condition in which the hand is covered by a blue fluid not instantly associated with fire. We found that experiencing a virtual burning hand induces analgesic as well hyperalgesic effects as participants begin to feel heat related pain at lower temperatures and cold related pain at higher temperatures. The experience also impacts significantly on the lowest temperature at which participants starts perceiving warmth. The blue fluid do not affect the thresholds corresponding to the baseline condition. Our research thus confirms previous experiments showing that pain and thermal perception can be manipulated by by AR, while providing quantitative results on the magnitude of this effect.
Keywords: Augmented reality
Thermoception
Nociception
Pain
Embodiment
Presence
Publisher: Frontiers Research Foundation
Journal: Frontiers in virtual reality 
EISSN: 2673-4192
DOI: 10.3389/frvir.2022.952637
Rights: © 2022 Eckhoff, Sandor , Cheing, Schnupp and Cassinelli. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
The following publication Eckhoff D, Sandor  C, Cheing GLY, Schnupp J and Cassinelli A (2022) Thermal pain and detection threshold modulation in augmented reality. Front. Virtual Real. 3:952637 is available at https://dx.doi.org/10.3389/frvir.2022.952637.
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