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Papaleo ED, D'Alonzo M, Fiori F, Piombino V, Falato E, Pilato F, De Liso A, Di Lazzaro V, Di Pino G. Integration of proprioception in upper limb prostheses through non-invasive strategies: a review. J Neuroeng Rehabil 2023; 20:118. [PMID: 37689701 PMCID: PMC10493033 DOI: 10.1186/s12984-023-01242-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2023] [Accepted: 08/24/2023] [Indexed: 09/11/2023] Open
Abstract
Proprioception plays a key role in moving our body dexterously and effortlessly. Nevertheless, the majority of investigations evaluating the benefits of providing supplemental feedback to prosthetics users focus on delivering touch restitution. These studies evaluate the influence of touch sensation in an attempt to improve the controllability of current robotic devices. Contrarily, investigations evaluating the capabilities of proprioceptive supplemental feedback have yet to be comprehensively analyzed to the same extent, marking a major gap in knowledge within the current research climate. The non-invasive strategies employed so far to restitute proprioception are reviewed in this work. In the absence of a clearly superior strategy, approaches employing vibrotactile, electrotactile and skin-stretch stimulation achieved better and more consistent results, considering both kinesthetic and grip force information, compared with other strategies or any incidental feedback. Although emulating the richness of the physiological sensory return through artificial feedback is the primary hurdle, measuring its effects to eventually support the integration of cumbersome and energy intensive hardware into commercial prosthetic devices could represent an even greater challenge. Thus, we analyze the strengths and limitations of previous studies and discuss the possible benefits of coupling objective measures, like neurophysiological parameters, as well as measures of prosthesis embodiment and cognitive load with behavioral measures of performance. Such insights aim to provide additional and collateral outcomes to be considered in the experimental design of future investigations of proprioception restitution that could, in the end, allow researchers to gain a more detailed understanding of possibly similar behavioral results and, thus, support one strategy over another.
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Affiliation(s)
- Ermanno Donato Papaleo
- Research Unit of Neurophysiology and Neuroengineering of Human-Technology Interaction (NeXTlab), Università Campus Bio-Medico Di Roma, Via Álvaro Del Portillo 21, 00128, Rome, Italy
| | - Marco D'Alonzo
- Research Unit of Neurophysiology and Neuroengineering of Human-Technology Interaction (NeXTlab), Università Campus Bio-Medico Di Roma, Via Álvaro Del Portillo 21, 00128, Rome, Italy
| | - Francesca Fiori
- Research Unit of Neurophysiology and Neuroengineering of Human-Technology Interaction (NeXTlab), Università Campus Bio-Medico Di Roma, Via Álvaro Del Portillo 21, 00128, Rome, Italy
| | - Valeria Piombino
- Research Unit of Neurophysiology and Neuroengineering of Human-Technology Interaction (NeXTlab), Università Campus Bio-Medico Di Roma, Via Álvaro Del Portillo 21, 00128, Rome, Italy
| | - Emma Falato
- Research Unit of Neurology, Department of Medicine and Surgery, Università Campus Bio-Medico Di Roma, Via Alvaro del Portillo, 21, 00128, Rome, Italy
- Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128, Rome, Italy
| | - Fabio Pilato
- Research Unit of Neurology, Department of Medicine and Surgery, Università Campus Bio-Medico Di Roma, Via Alvaro del Portillo, 21, 00128, Rome, Italy
- Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128, Rome, Italy
| | - Alfredo De Liso
- Research Unit of Neurology, Department of Medicine and Surgery, Università Campus Bio-Medico Di Roma, Via Alvaro del Portillo, 21, 00128, Rome, Italy
- Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128, Rome, Italy
| | - Vincenzo Di Lazzaro
- Research Unit of Neurology, Department of Medicine and Surgery, Università Campus Bio-Medico Di Roma, Via Alvaro del Portillo, 21, 00128, Rome, Italy
- Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128, Rome, Italy
| | - Giovanni Di Pino
- Research Unit of Neurophysiology and Neuroengineering of Human-Technology Interaction (NeXTlab), Università Campus Bio-Medico Di Roma, Via Álvaro Del Portillo 21, 00128, Rome, Italy.
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Han Y, Lu Y, Zuo Y, Song H, Chou CH, Wang X, Li X, Li L, Niu CM, Hou W. Substitutive proprioception feedback of a prosthetic wrist by electrotactile stimulation. Front Neurosci 2023; 17:1135687. [PMID: 36895418 PMCID: PMC9989268 DOI: 10.3389/fnins.2023.1135687] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2023] [Accepted: 02/01/2023] [Indexed: 02/25/2023] Open
Abstract
Objective Sensory feedback of upper-limb prostheses is widely desired and studied. As important components of proprioception, position, and movement feedback help users to control prostheses better. Among various feedback methods, electrotactile stimulation is a potential method for coding proprioceptive information of a prosthesis. This study was motivated by the need for proprioception information for a prosthetic wrist. The flexion-extension (FE) position and movement information of the prosthetic wrist are transmitted back to the human body through multichannel electrotactile stimulation. Approach We developed an electrotactile scheme to encode the FE position and movement of the prosthetic wrist and designed an integrated experimental platform. A preliminary experiment on the sensory threshold and discomfort threshold was performed. Then, two proprioceptive feedback experiments were performed: a position sense experiment (Exp 1) and a movement sense experiment (Exp 2). Each experiment included a learning session and a test session. The success rate (SR) and discrimination reaction time (DRT) were analyzed to evaluate the recognition effect. The acceptance of the electrotactile scheme was evaluated by a questionnaire. Main results Our results showed that the average position SRs of five able-bodied subjects, amputee 1, and amputee 2 were 83.78, 97.78, and 84.44%, respectively. The average movement SR, and the direction and range SR of wrist movement in five able-bodied subjects were 76.25, 96.67%, respectively. Amputee 1 and amputee 2 had movement SRs of 87.78 and 90.00% and direction and range SRs of 64.58 and 77.08%, respectively. The average DRT of five able-bodied subjects was less than 1.5 s and that of amputees was less than 3.5 s. Conclusion The results indicate that after a short period of learning, the subjects can sense the position and movement of wrist FE. The proposed substitutive scheme has the potential for amputees to sense a prosthetic wrist, thus enhancing the human-machine interaction.
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Affiliation(s)
- Yichen Han
- Biomedical Engineering Department, Bioengineering College, Chongqing University, Chongqing, China
| | - Yinping Lu
- Biomedical Engineering Department, Bioengineering College, Chongqing University, Chongqing, China
| | - Yufeng Zuo
- Biomedical Engineering Department, Bioengineering College, Chongqing University, Chongqing, China
| | - Hongliang Song
- Biomedical Engineering Department, Bioengineering College, Chongqing University, Chongqing, China
| | - Chih-Hong Chou
- Laboratory of Neurorehabilitation Engineering, School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China
| | - Xing Wang
- Biomedical Engineering Department, Bioengineering College, Chongqing University, Chongqing, China
| | - Xiangxin Li
- Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences (CAS), Shenzhen, Guangdong, China
| | - Lei Li
- Department of Rehabilitation, Southwest Hospital, Army Medical University, Chongqing, China
| | - Chuanxin M Niu
- Department of Rehabilitation Medicine, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
| | - Wensheng Hou
- Biomedical Engineering Department, Bioengineering College, Chongqing University, Chongqing, China
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Vargas L, Huang H, Zhu Y, Kamper D, Hu X. Resembled Tactile Feedback for Object Recognition Using a Prosthetic Hand. IEEE Robot Autom Lett 2022. [DOI: 10.1109/lra.2022.3196958] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- Luis Vargas
- Joint Department of Biomedical Engineering, University of North Carolina-Chapel Hill and NC State University, Raleigh, NC, USA
| | - He Huang
- Joint Department of Biomedical Engineering, University of North Carolina-Chapel Hill and NC State University, Raleigh, NC, USA
| | - Yong Zhu
- Mechanical and Aerospace Engineering Department, NC State University, Raleigh, NC, USA
| | - Derek Kamper
- Joint Department of Biomedical Engineering, University of North Carolina-Chapel Hill and NC State University, Raleigh, NC, USA
| | - Xiaogang Hu
- Joint Department of Biomedical Engineering, University of North Carolina-Chapel Hill and NC State University, Raleigh, NC, USA
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