2014
DOI: 10.1126/scitranslmed.3006820
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Restoring Natural Sensory Feedback in Real-Time Bidirectional Hand Prostheses

Abstract: Hand loss is a highly disabling event that markedly affects the quality of life. To achieve a close to natural replacement for the lost hand, the user should be provided with the rich sensations that we naturally perceive when grasping or manipulating an object. Ideal bidirectional hand prostheses should involve both a reliable decoding of the user's intentions and the delivery of nearly "natural" sensory feedback through remnant afferent pathways, simultaneously and in real time. However, current hand prosthe… Show more

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Cited by 827 publications
(787 citation statements)
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“…57). Also, the model will be valuable in neuroprosthetic applications that aim to restore the sense of touch through peripheral nerve interfaces (58)(59)(60). Indeed, the output of sensors on the prosthesis during object contact can be used as input to the simulated afferents, which then provide an accurate representation of how the nerve from an intact hand would respond to object contact.…”
Section: Discussionmentioning
confidence: 99%
“…57). Also, the model will be valuable in neuroprosthetic applications that aim to restore the sense of touch through peripheral nerve interfaces (58)(59)(60). Indeed, the output of sensors on the prosthesis during object contact can be used as input to the simulated afferents, which then provide an accurate representation of how the nerve from an intact hand would respond to object contact.…”
Section: Discussionmentioning
confidence: 99%
“…As a result, many amputee patients wear prosthetic limbs for cosmetic utility 3 or as supplementary movement aids 4 rather than as a functional replacement for natural limbs. Recent advances in the design of prosthetic limbs integrated with rigid and/or semi-flexible tactile sensors provide sensory reception to enable feedback in response to variable environments 5 . However, there still exists a mechanical mismatch between conventional electronics in wearable prosthetics and soft biological tissues, which impede the utility and performance of prosthetics in amputee populations.…”
mentioning
confidence: 99%
“…On the other hand, implant stability is also critical for providing long-term sensory feedback. While much higher selectivity can be obtained through intrafascicular implants (Davis et al, 2016;Dhillon and Horch, 2005;Raspopovic et al, 2014;Rossini et al, 2010), only extra-fascicular implants have exhibited stability for long periods of time (Tan et al, 2015;Tan et al, 2014).…”
Section: Hardware Considerationsmentioning
confidence: 99%
“…The other family of approaches consists of activating, using electrical stimulation, the neuronal populations that would be activated if the limb and nervous system were intact. For amputees, somatosensory restoration involves interfacing with the nerve using chronically implanted multi-electrode arrays (Clark et al, 2014;Dhillon and Horch, 2005;Raspopovic et al, 2014;Tan et al, 2014). For tetraplegic patients, somatosensory feedback is conveyed by directly stimulating the brain, somewhere along the neuraxis from the brain stem through the somatosensory cortex (Bensmaia and Miller, 2014;Cushing, 1909;Dadarlat et al, 2015;Davis et al, 1998;Fitzsimmons et al, 2007;Kim et al, 2015;O'Doherty et al, 2009;O'Doherty et al, 2011;O'Doherty et al, 2012;Penfield and Boldrey, 1937;Richardson et al, 2016;Romo et al, 1998;Tabot et al, 2013).…”
Section: Introductionmentioning
confidence: 99%