A review of invasive and non-invasive sensory feedback in upper limb prostheses

Expert Rev Med Devices. 2017 Jun;14(6):439-447. doi: 10.1080/17434440.2017.1332989.

Abstract

The constant challenge to restore sensory feedback in prosthetic hands has provided several research solutions, but virtually none has reached clinical fruition. A prosthetic hand with sensory feedback that closely imitates an intact hand and provides a natural feeling may induce the prosthetic hand to be included in the body image and also reinforces the control of the prosthesis. Areas covered: This review presents non-invasive sensory feedback systems such as mechanotactile, vibrotactile, electrotactile and combinational systems which combine the modalities; multi-haptic feedback. Invasive sensory feedback has been tried less, because of the inherent risk, but it has successfully shown to restore some afferent channels. In this review, invasive methods are also discussed, both extraneural and intraneural electrodes, such as cuff electrodes and transverse intrafascicular multichannel electrodes. The focus of the review is on non-invasive methods of providing sensory feedback to upper-limb amputees. Expert commentary: Invoking embodiment has shown to be of importance for the control of prosthesis and acceptance by the prosthetic wearers. It is a challenge to provide conscious feedback to cover the lost sensibility of a hand, not be overwhelming and confusing for the user, and to integrate technology within the constraint of a wearable prosthesis.

Keywords: Upper limb prosthetics; closed loop control; non-invasive feedback; peripheral nerve stimulation; sensory feedback; targeted sensory reinnervation.

Publication types

  • Review

MeSH terms

  • Amputees
  • Artificial Limbs*
  • Body Image
  • Electrodes, Implanted
  • Feedback, Sensory*
  • Hand*
  • Humans
  • Prosthesis Design
  • Upper Extremity