OTCase SeriesJournal of neuroengineering and rehabilitation2020

Sensitivity to temporal parameters of intraneural tactile sensory feedback.

Giacomo Valle, Ivo Strauss, Edoardo D'Anna and 7 others

PMID 32799900

WHAT IT FOUND

Two amputees with implanted nerve electrodes could tell apart timing differences in artificial touch.

They recognized object shape similarly when stimulation was simulated and when they controlled a robotic hand. The work involved only two participants.

Key findings

01At a 0.25-second difference between dynamic patterns, Subject 1's performance was no better than chance.

02At a 0.125-second gap between two-channel sensations, both subjects' performance was no better than chance.

03Simulated and real-hand shape recognition scores were close: 93.6% and 83.6% for Subject 1, and 94.6% and 84.7% for Subject 2.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

Only two people were studied, and Subject 2 did not take part in the dynamic task, so this is not evidence for a broader group. The shape task used fixed object placement and a repeated grasp, so it does not show performance in varied daily tasks. The dynamic task tested only linear increases in stimulation intensity, not more natural feedback patterns. The study used implanted nerve electrodes and a research robotic hand, so it does not test a routine clinic-ready therapy.

The easy way to misread this

Do not conclude that intraneural sensory feedback alone improves prosthetic function or daily life. The tested system also included implanted nerve electrodes, a stimulator, muscle-control signals, and a robotic hand, and only two participants were tested in controlled tasks.

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