Document Detail

Direct neural sensory feedback and control of a prosthetic arm.
MedLine Citation:
PMID:  16425828     Owner:  NLM     Status:  MEDLINE    
Evidence indicates that user acceptance of modern artificial limbs by amputees would be significantly enhanced by a system that provides appropriate, graded, distally referred sensations of touch and joint movement, and that the functionality of limb prostheses would be improved by a more natural control mechanism. We have recently demonstrated that it is possible to implant electrodes within individual fascicles of peripheral nerve stumps in amputees, that stimulation through these electrodes can produce graded, discrete sensations of touch or movement referred to the amputee's phantom hand, and that recordings of motor neuron activity associated with attempted movements of the phantom limb through these electrodes can be used as graded control signals. We report here that this approach allows amputees to both judge and set grip force and joint position in an artificial arm, in the absence of visual input, thus providing a substrate for better integration of the artificial limb into the amputee's body image. We believe this to be the first demonstration of direct neural feedback from and direct neural control of an artificial arm in amputees.
Gurpreet Singh Dhillon; Kenneth W Horch
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Publication Detail:
Type:  Clinical Trial; Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society     Volume:  13     ISSN:  1534-4320     ISO Abbreviation:  IEEE Trans Neural Syst Rehabil Eng     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2006-01-23     Completed Date:  2006-02-14     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  101097023     Medline TA:  IEEE Trans Neural Syst Rehabil Eng     Country:  United States    
Other Details:
Languages:  eng     Pagination:  468-72     Citation Subset:  IM    
Michael E DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX 77030, USA.
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MeSH Terms
Amputees / rehabilitation*
Arm / innervation,  physiopathology
Artificial Limbs*
Electric Stimulation / methods*
Electrodes, Implanted*
Equipment Failure Analysis
Motor Neurons*
Peripheral Nerves / physiopathology*
Prosthesis Design
Sensory Receptor Cells / physiopathology*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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