Robotic touch shifts perception of embodiment to a prosthesis in targeted reinnervation amputees
Identifieur interne : 001854 ( Ncbi/Merge ); précédent : 001853; suivant : 001855Robotic touch shifts perception of embodiment to a prosthesis in targeted reinnervation amputees
Auteurs : Paul D. Marasco [États-Unis] ; Keehoon Kim [États-Unis] ; James Edward Colgate [États-Unis] ; Michael A. Peshkin [États-Unis] ; Todd A. Kuiken [États-Unis]Source :
- Brain [ 0006-8950 ] ; 2011.
Abstract
Existing prosthetic limbs do not provide amputees with cutaneous feedback. Tactile feedback is essential to intuitive control of a prosthetic limb and it is now clear that the sense of body self-identification is also linked to cutaneous touch. Here we have created an artificial sense of touch for a prosthetic limb by coupling a pressure sensor on the hand through a robotic stimulator to surgically redirected cutaneous sensory nerves (targeted reinnervation) that once served the lost limb. We hypothesize that providing physiologically relevant cutaneous touch feedback may help an amputee incorporate an artificial limb into his or her self image. To investigate this we used a robotic touch interface coupled with a prosthetic limb and tested it with two targeted reinnervation amputees in a series of experiments fashioned after the Rubber Hand Illusion. Results from both subjective (self-reported) and objective (physiological) measures of embodiment (questionnaires, psychophysical temporal order judgements and residual limb temperature measurements) indicate that returning physiologically appropriate cutaneous feedback from a prosthetic limb drives a perceptual shift towards embodiment of the device for these amputees. Measurements provide evidence that the illusion created is vivid. We suggest that this may help amputees to more effectively incorporate an artificial limb into their self image, providing the possibility that a prosthesis becomes not only a tool, but also an integrated body part.
Url:
DOI: 10.1093/brain/awq361
PubMed: 21252109
PubMed Central: 3044830
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<front><div type="abstract" xml:lang="en"><p>Existing prosthetic limbs do not provide amputees with cutaneous feedback. Tactile feedback is essential to intuitive control of a prosthetic limb and it is now clear that the sense of body self-identification is also linked to cutaneous touch. Here we have created an artificial sense of touch for a prosthetic limb by coupling a pressure sensor on the hand through a robotic stimulator to surgically redirected cutaneous sensory nerves (targeted reinnervation) that once served the lost limb. We hypothesize that providing physiologically relevant cutaneous touch feedback may help an amputee incorporate an artificial limb into his or her self image. To investigate this we used a robotic touch interface coupled with a prosthetic limb and tested it with two targeted reinnervation amputees in a series of experiments fashioned after the Rubber Hand Illusion. Results from both subjective (self-reported) and objective (physiological) measures of embodiment (questionnaires, psychophysical temporal order judgements and residual limb temperature measurements) indicate that returning physiologically appropriate cutaneous feedback from a prosthetic limb drives a perceptual shift towards embodiment of the device for these amputees. Measurements provide evidence that the illusion created is vivid. We suggest that this may help amputees to more effectively incorporate an artificial limb into their self image, providing the possibility that a prosthesis becomes not only a tool, but also an integrated body part.</p>
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<article-categories><subj-group subj-group-type="heading"><subject>Original Articles</subject>
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<title-group><article-title>Robotic touch shifts perception of embodiment to a prosthesis in targeted reinnervation amputees</article-title>
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<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Marasco</surname>
<given-names>Paul D.</given-names>
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<xref ref-type="aff" rid="AFF1"><sup>1</sup>
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<xref ref-type="author-notes" rid="FN1">*</xref>
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<contrib contrib-type="author"><name><surname>Kim</surname>
<given-names>Keehoon</given-names>
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<xref ref-type="aff" rid="AFF1"><sup>2</sup>
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<xref ref-type="author-notes" rid="FN2">†</xref>
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<contrib contrib-type="author"><name><surname>Colgate</surname>
<given-names>James Edward</given-names>
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<contrib contrib-type="author"><name><surname>Peshkin</surname>
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<xref ref-type="aff" rid="AFF1"><sup>2</sup>
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<contrib contrib-type="author"><name><surname>Kuiken</surname>
<given-names>Todd A.</given-names>
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<xref ref-type="aff" rid="AFF1"><sup>1</sup>
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<xref ref-type="aff" rid="AFF1"><sup>3</sup>
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<xref ref-type="aff" rid="AFF1"><sup>4</sup>
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<aff id="AFF1">1 Neural Engineering Centre for Artificial Limbs, Rehabilitation Institute of Chicago, 345 E. Superior St. Rm. 1309 Chicago, IL 60611, USA</aff>
<aff id="AFF2">2 Department of Mechanical Engineering, Northwestern University, 2145 Sheridan Road, Evanston, IL 60208, USA</aff>
<aff id="AFF3">3 Department of Physical Medicine and Rehabilitation, Northwestern University, 345 E. Superior St., Chicago, IL 60611, USA</aff>
<aff id="AFF4">4 Department of Biomedical Engineering, Northwestern University, 2145 Sheridan Road, Evanston, IL 60208, USA</aff>
<author-notes><corresp>Correspondence to: Paul D. Marasco, Principal Investigator, Advanced Platform Technology (APT) Centre, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, 10701 East Boulevard, 151 AW/APT, Cleveland, OH 44106, USA E-mail: <email>pmarasco@aptcenter.org</email>
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<fn id="FN1"><p>*Present address: Advanced Platform Technology Centre, Louis Stokes Cleveland Department of Veterans Affairs Medical Center,10701 East Boulevard, 151 AW/APT Cleveland, OH 44106, USA</p>
</fn>
<fn id="FN2"><p>†Present address: Cognitive Robotics Centre, Korea Institute of Science and Technology, 39-1 Hawolgok-Dong, Seongbuk-Gu, Seoul 136-791, Korea</p>
</fn>
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<volume>134</volume>
<issue>3</issue>
<fpage>747</fpage>
<lpage>758</lpage>
<history><date date-type="received"><day>22</day>
<month>5</month>
<year>2010</year>
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<date date-type="rev-recd"><day>27</day>
<month>10</month>
<year>2010</year>
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<date date-type="accepted"><day>28</day>
<month>10</month>
<year>2010</year>
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<permissions><copyright-statement>© The Author (2011). Published by Oxford University Press on behalf of the Guarantors of Brain. All rights reserved. For Permissions, please email: journals.permissions@oup.com</copyright-statement>
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<abstract><p>Existing prosthetic limbs do not provide amputees with cutaneous feedback. Tactile feedback is essential to intuitive control of a prosthetic limb and it is now clear that the sense of body self-identification is also linked to cutaneous touch. Here we have created an artificial sense of touch for a prosthetic limb by coupling a pressure sensor on the hand through a robotic stimulator to surgically redirected cutaneous sensory nerves (targeted reinnervation) that once served the lost limb. We hypothesize that providing physiologically relevant cutaneous touch feedback may help an amputee incorporate an artificial limb into his or her self image. To investigate this we used a robotic touch interface coupled with a prosthetic limb and tested it with two targeted reinnervation amputees in a series of experiments fashioned after the Rubber Hand Illusion. Results from both subjective (self-reported) and objective (physiological) measures of embodiment (questionnaires, psychophysical temporal order judgements and residual limb temperature measurements) indicate that returning physiologically appropriate cutaneous feedback from a prosthetic limb drives a perceptual shift towards embodiment of the device for these amputees. Measurements provide evidence that the illusion created is vivid. We suggest that this may help amputees to more effectively incorporate an artificial limb into their self image, providing the possibility that a prosthesis becomes not only a tool, but also an integrated body part.</p>
</abstract>
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