Practical Science on Movement and Pain

The Marble Hand Illusion

180px-Michelangelos_DavidMoshe Feldenkrais said “we move in accordance with our self image.” A new study provides some cool evidence that our self-image is easily modified, and that the modifications have physiological consequences.

The illusion was created quite simply. Researchers repeatedly struck someone’s hand very gently with a tiny hammer. Each time the hand was struck, the natural sound of the hammer on the hand was replaced with the sound of a hammer striking marble. After a while, subjects felt that their hands were heavier, stiffer, harder, less natural, and generally weird.

Further, when subjects were presented with a threatening stimulus in the form of a needle nearby the hand, there was an enhanced galvanic response. This reminds me of the effects of a “rubber hand illusion” which results in the neglected hand becoming colder and more subject to inflammation.

I find these illusions interesting not just because they are fun party tricks. (Which they are.) But also because they tell us something about how we form perceptions about the body.

We tend to assume that we hear only with our ears, see with our eyes, taste with our tongue, and feel pain with our nociceptors. But in fact our perceptions are formed through a process of multisensory integration. This means that, for example, sensory information from the eyes can change how something tastes, or that sensory information from the ears can affect how something feels.

The perceptions of threat which lead to pain are also created through a process of multisensory integration. As Lorimer Moseley puts it:

once a danger message arrives at the brain, it has to answer a very important question: “How dangerous is this really?” In order to respond, the brain draws on every piece of credible information previous exposure, cultural influences, knowledge, other sensory cues – the list is endless.

The marble illusion study is evidence that the list of inputs the brain uses to form an image of the body is long indeed. Apparently, the brain even considers what a hand sounds like in determining how it should feel.

Thus, the self image is a plastic construct that is modified in surprising ways. The image is built from information and can change when new information is received. The new information might arrive through the eyes, ears, nose, skin, joints, muscles, through memories or past experience. Or by what a therapist tells a client about the state of their body.

What kind of an image does someone start to form about their body if they hear from an authority figure that their discs can slip, that they have the neck of a seventy year old, that their core is unstable, that they have adhesions and scar tissue? How does the image change if they are provided information indicating that their body is flexible, strong, safe, healthy, and coordinated? You never know!

If you find this topic interesting and would like more information on what illusions can tell us about pain, here are some other articles that address this subject.  

The Thermal Grill Illusion

Review of Lorimer Moseley Conference Part Three

The Rubber Hand Illusion

More on Pain and Illusions

Watch Your Back: Mirrors Reduce Back Pain

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7 Responses to The Marble Hand Illusion

  1. Great insight, thanks for the post! It reminds me of much of the ‘fake it till you make it’ advice I see; it is often good guidance and the best/fastest way to actually ‘making it’ but on some level until the internal belief is true it will not properly manifest itself in the real world.

  2. Mohz says:

    Fantastic post. People often intuit that self-image is demonstrable through body language but fail to understand that the inverse is also true. What we consciously do with out bodies has a direct correlation to our self-image.

    • Todd Hargrove says:

      Thanks Mohz. For sure and see my comment above! I have a post called Jump Therapy which discusses a similar idea I think.

  3. Interesting idea! Stay positive in life to create a positive self-image :)

  4. Nick says:

    Very powerful! Makes me think of Tony Robbins talks about state management. He recommends that we use information and sensations that reinforce an empowering state. We already have many triggers of fear and disempowerment…..the question really is how can we true lily empower ourselves and others/clients to fully commit and act?

    • Todd Hargrove says:

      Hi Nick,

      Interesting. Yes that is what I try to do in a nutshell, use movement and other forms of information to send as much good news to the CNS as possible, because almost all bad things (pain, stiffness, weakness, altered coordination, etc.) are caused in part by perception of threat.

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