A review of invasive and non-invasive sensory feedback in upper limb prostheses. 2017

Pamela Svensson, and Ulrika Wijk, and Anders Björkman, and Christian Antfolk
a Department of Biomedical Engineering , Lund University , Lund , Sweden.

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.

UI MeSH Term Description Entries
D011474 Prosthesis Design The plan and delineation of prostheses in general or a specific prosthesis. Design, Prosthesis,Designs, Prosthesis,Prosthesis Designs
D001828 Body Image Individuals' concept of their own bodies. Body Identity,Body Representation,Body Schema,Body Images,Body Representations,Body Schemas,Identity, Body,Image, Body,Representation, Body,Schema, Body
D004567 Electrodes, Implanted Surgically placed electric conductors through which ELECTRIC STIMULATION is delivered to or electrical activity is recorded from a specific point inside the body. Implantable Electrodes,Implantable Stimulation Electrodes,Implanted Electrodes,Implanted Stimulation Electrodes,Electrode, Implantable,Electrode, Implantable Stimulation,Electrode, Implanted,Electrode, Implanted Stimulation,Electrodes, Implantable,Electrodes, Implantable Stimulation,Electrodes, Implanted Stimulation,Implantable Electrode,Implantable Stimulation Electrode,Implanted Electrode,Implanted Stimulation Electrode,Stimulation Electrode, Implantable,Stimulation Electrode, Implanted,Stimulation Electrodes, Implantable,Stimulation Electrodes, Implanted
D006225 Hand The distal part of the arm beyond the wrist in humans and primates, that includes the palm, fingers, and thumb. Hands
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000674 Amputees Persons who have lost part of, or all of, a limb or other appendage of their body. Amputee,Multiple Amputee,Multiple Amputees,Amputee, Multiple,Amputees, Multiple
D001186 Artificial Limbs Prosthetic replacements for arms, legs, and parts thereof. Arm Prosthesis,Arm, Artificial,Artificial Arm,Artificial Leg,Extremities, Artificial,Leg Prosthesis,Leg, Artificial,Limb Prosthesis,Limbs, Artificial,Arm Prostheses,Arms, Artificial,Artificial Arms,Artificial Extremities,Artificial Extremity,Artificial Legs,Artificial Limb,Extremity, Artificial,Leg Prostheses,Legs, Artificial,Limb Prostheses,Limb, Artificial,Prostheses, Arm,Prostheses, Leg,Prostheses, Limb,Prosthesis, Arm,Prosthesis, Leg,Prosthesis, Limb
D056228 Feedback, Sensory A mechanism of communicating one's own sensory system information about a task, movement or skill. Visual Feedback,Audio Feedback,Proprioceptive Feedback,Sensorimotor Feedback,Audio Feedbacks,Feedback, Audio,Feedback, Proprioceptive,Feedback, Sensorimotor,Feedback, Visual,Feedbacks, Audio,Feedbacks, Proprioceptive,Feedbacks, Sensorimotor,Feedbacks, Sensory,Feedbacks, Visual,Proprioceptive Feedbacks,Sensorimotor Feedbacks,Sensory Feedback,Sensory Feedbacks,Visual Feedbacks
D034941 Upper Extremity The region of the upper limb in animals, extending from the deltoid region to the HAND, and including the ARM; AXILLA; and SHOULDER. Extremity, Upper,Membrum superius,Upper Limb,Extremities, Upper,Limb, Upper,Limbs, Upper,Upper Extremities,Upper Limbs

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