A Haptic Sleeve as a Method of Mechanotactile Feedback Restoration for Myoelectric Hand Prosthesis Users.
Violet R Borkowska, Alistair McConnell, Sethu Vijayakumar and 2 others
PMID 36188923WHAT IT FOUND
Haptic forearm feedback improved grasp success and reduced energy expenditure compared with vision alone in eight able-bodied volunteers operating a myoelectric hand.
It is a prototype, not tested in amputees.
Key findings
01Compared with vision alone, vision plus haptic feedback was higher by 34.6% for grasp success in normal grasp, 19.2% in strong grasp, and 10.5% in weak grasp.
02Compared with vision alone, haptic feedback with vision disabled was higher by 29.7% for grasp success in normal grasp and 22.8% in strong grasp.
03Grasp success with vision plus haptic feedback was not significantly different from grasp success with haptic feedback alone in any task.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
The study tested eight able-bodied volunteers, not amputees, because pandemic restrictions made amputee recruitment impossible. Able-bodied participants retained intact proprioception, so they could sense hand position even when blindfolded, which may have improved their performance compared with amputees. The task was grasping a plastic cup with a one-degree-of-freedom myoelectric hand mounted on a table, rather than a wider range of manipulative tasks. The repetitions were 10 seconds each, and the study did not assess long-term use or the learning curve. The sample size was calculated from preliminary data from the first four participants, and the device was a non-portable prototype. The primary outcome analysis was not significant across feedback conditions for the weak grasp task, although a further comparison with vision plus haptic feedback was significant.
Declared interests
The study was funded by the Academy of Medical Sciences through a Starter Grant for Clinical Lecturers to the corresponding author. The prototype was manufactured by Koalaa Prostheses, but the authors declared no commercial or financial relationships that could be construed as a potential conflict of interest.
The easy way to misread this
Do not conclude that this haptic sleeve will improve prosthetic use for amputees. It was tested only in eight able-bodied volunteers operating a myoelectric hand mounted on a table, and the authors state generalisability to amputees is compromised.