Evaluation of the attention network test using vibrotactile stimulations

We report a vibrotactile version of the attention network test (ANT)-the tactile ANT (T-ANT). It has been questioned whether attentional components are modality specific or not. The T-ANT explores alertness, orienting, cognitive control, and their relationships, similar to its visual counterpart, in the tactile modality. The unique features of the T-ANT are in utilizing stimuli on a single plane-the torso-and replacing the original imperative flanker task with a tactile Simon task. Subjects wore a waist belt mounted with two vibrotactile stimulators situated on the back and positioned to the right and left of the spinal column. They responded by pressing keys with their right or left hand in reaction to the type of vibrotactile stimulation (pulsed/continuous signal). On a single trial, an alerting tone was followed by a short tactile (informative/noninformative) peripheral cue and an imperative tactile Simon task target. The T-ANT was compared with a variant of the ANT in which the flanker task was replaced with a visual Simon task. Experimental data showed effects of orienting over control only when the peripheral cues were informative. In contrast to the visual task, interactions between alertness and control or alertness and orienting were not found in the tactile task. A possible rationale for these results is discussed. The T-ANT allows examination of attentional processes among patients with tactile attentional deficits and patients with eyesight deficits who cannot take part in visual tasks. Technological advancement would enable implementation of the T-ANT in brain-imaging studies.