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Sensory feedback by peripheral nerve stimulation improves task performance in individuals with upper limb loss using a myoelectric prosthesis
Open accessAbstract
OBJECTIVE: Tactile feedback is critical to grip and object manipulation. Its absence results in reliance on visual and auditory cues. Our objective was to assess the effect of sensory feedback on task performance in individuals with limb loss. APPROACH: Stimulation of the peripheral nerves using implanted cuff electrodes provided two subjects with sensory feedback with intensity proportional to forces on the thumb, index, and middle fingers of their prosthetic hand during object manipulation. Both subjects perceived the sensation on their phantom hand at locations corresponding to the locations of the forces on the prosthetic hand. A bend sensor measured prosthetic hand span. Hand span modulated the intensity of sensory feedback perceived on the thenar eminence for subject 1 and the middle finger for subject 2. We performed three functional tests with the blindfolded subjects. First, the subject tried to determine whether or not a wooden block had been placed in his prosthetic hand. Second, the subject had to locate and remove magnetic blocks from a metal table. Third, the subject performed the Southampton Hand Assessment Procedure (SHAP). We also measured the subject's sense of embodiment with a survey and his self-confidence. MAIN RESULTS: Blindfolded performance with sensory feedback was similar to sighted performance in the wooden block and magnetic block tasks. Performance on the SHAP, a measure of hand mechanical function and control, was similar with and without sensory feedback. An embodiment survey showed an improved sense of integration of the prosthesis in self body image with sensory feedback. SIGNIFICANCE: Sensory feedback by peripheral nerve stimulation improved object discrimination and manipulation, embodiment, and confidence. With both forms of feedback, the blindfolded subjects tended toward results obtained with visual feedback.
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“Electrical stimulation in the form of spikes has been given to the residual stump nerve of a patient through typically implanted electrodes, and psychophysical judgments and verbal reports were gathered (Polasek et al., 2009; Schiefer et al., 2016).”
From Selectivity and Longevity of Peripheral-Nerve and Machine Interfaces: A Review. (2017) · cites this paper as Schiefer et al., 2016
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“Repeated clinical demonstration with replicated results has been achieved for peripheral interfaces (Schiefer et al., 2016).”
From Selectivity and Longevity of Peripheral-Nerve and Machine Interfaces: A Review. (2017) · cites this paper as Schiefer et al., 2016
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Metadata
- Authors
- Schiefer, M., Tan, D., Sidek, S. M., & Tyler, D. J.
- Affiliations
- Louis Stokes Cleveland VA Medical Center (US)
- Corresponding author
- Tyler, Dustin J
- Venue
- Journal of Neural Engineering
- Publisher
- IOP Publishing
- Published
- 2015-12-08
- Volume
- 13
- Issue
- 1
- Pages
- 016001
- ISSN
- 1741-2552 (ISSN-L)
- 1741-2560
- PMC
- PMC5517302
- OpenAlex
- W2286606309
- Cited by
- 255
- References
- 50
- Citations by year
- 2026: 9 · 2025: 18 · 2024: 19 · 2023: 26 · 2022: 31 · 2021: 37 · 2020: 33 · 2019: 40 · 2018: 23 · 2017: 16 · 2016: 3
- FWCI
- 6.53
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Neural Engineering (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- U.S. Department of Veterans Affairs (A6156R)
- Defense Advanced Research Projects Agency (DARPA) RENET (N66001-12-C-4173)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neural Engineering
- Physical Sciences › Engineering › Biomedical Engineering › Muscle activation and electromyography studies
- Physical Sciences › Engineering › Biomedical Engineering › Prosthetics and Rehabilitation Robotics
- Keywords
- sensory feedback, peripheral nerve stimulation, myoelectric prosthesis, upper limb loss, tactile feedback, phantom hand, hand span, embodiment, self-confidence, object manipulation, Southampton Hand Assessment Procedure
- MeSH terms
- Amputation, Surgical, Artificial Limbs, Electric Stimulation, Hand, Humans, Prosthesis Design, Task Performance and Analysis, Touch, Hand Strength, Equipment Failure Analysis, Feedback, Sensory
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