Touching on elements for a non-invasive sensory feedback system for use in a prosthetic hand

Hand amputation results in the loss of motor and sensory functions, impacting activities of daily life and quality of life. Commercially available prosthetic hands restore the motor function but lack sensory feedback, which is crucial to receive information about the prosthesis state in real-time when interacting with the external environment. As a supplement to the missing sensory feedback, the amputee needs to rely on visual and audio cues to operate the prosthetic hand, which can be mentally demanding. This thesis revolves around finding potential solutions to contribute to an intuitive non-invasive sensory feedback system that could be cognitively less burdensome and enhance the sense of embodiment (the feeling that an artificial limb belongs to one’s own body), increasing acceptance of wearing a prosthesis.A sensory feedback system contains sensors to detect signals applied to the prosthetics. The signals are encoded via signal processing to resemble the detected sensation delivered by actuators on the skin. There is a challenge in implementing commercial sensors in a prosthetic finger. Due to the prosthetic finger’s curvature and the fact that some prosthetic hands use a covering rubber glove, the sensor response would be inaccurate. This thesis shows that a pneumatic touch sensor integrated into a rubber glove eliminates these errors. This sensor provides a consistent reading independent of the incident angle of stimulus, has a sensitivity of 0.82 kPa/N, a hysteresis error of 2.39±0.17%, and a linearity error of 2.95±0.40%.For intuitive tactile stimulation, it has been suggested that the feedback stimulus should be modality-matched with the intention to provide a sensation that can be easily associated with the real touch on the prosthetic hand, e.g., pressure on the prosthetic finger should provide pressure on the residual limb. A stimulus should also be spatially matched (e.g., position, size, and shape). Electrotactile stimulation has the ability to provide various sensations due to it having several adjustable parameters. Therefore, this type of stimulus is a good candidate for discrimination of textures. A microphone can detect texture-elicited vibrations to be processed, and by varying, e.g., the median frequency of the electrical stimulation, the signal can be presented on the skin. Participants in a study using electrotactile feedback showed a median accuracy of 85% in differentiating between four textures.During active exploration, electrotactile and vibrotactile feedback provide spatially matched modality stimulations, providing continuous feedback and providing a displaced sensation or a sensation dispatched on a larger area. Evaluating commonly used stimulation modalities using the Rubber Hand Illusion, modalities which resemble the intended sensation provide a more vivid illusion of ownership for the rubber hand.For a potentially more intuitive sensory feedback, the stimulation can be somatotopically matched, where the stimulus is experienced as being applied on a site corresponding to their missing hand. This is possible for amputees who experience referred sensation on their residual stump. However, not all amputees experience referred sensations. Nonetheless, after a structured training period, it is possible to learn to associate touch with specific fingers, and the effect persisted after two weeks. This effect was evaluated on participants with intact limbs, so it remains to evaluate this effect for amputees.In conclusion, this thesis proposes suggestions on sensory feedback systems that could be helpful in future prosthetic hands to (1) reduce their complexity and (2) enhance the sense of body ownership to enhance the overall sense of embodiment as an addition to an intuitive control system

Haptics: Science, Technology, Applications

This open access book constitutes the proceedings of the 12th International Conference on Human Haptic Sensing and Touch Enabled Computer Applications, EuroHaptics 2020, held in Leiden, The Netherlands, in September 2020. The 60 papers presented in this volume were carefully reviewed and selected from 111 submissions. The were organized in topical sections on haptic science, haptic technology, and haptic applications. This year's focus is on accessibility

Novel Bidirectional Body - Machine Interface to Control Upper Limb Prosthesis

Objective. The journey of a bionic prosthetic user is characterized by the opportunities and limitations involved in adopting a device (the prosthesis) that should enable activities of daily living (ADL). Within this context, experiencing a bionic hand as a functional (and, possibly, embodied) limb constitutes the premise for mitigating the risk of its abandonment through the continuous use of the device. To achieve such a result, different aspects must be considered for making the artificial limb an effective support for carrying out ADLs. Among them, intuitive and robust control is fundamental to improving amputees’ quality of life using upper limb prostheses. Still, as artificial proprioception is essential to perceive the prosthesis movement without constant visual attention, a good control framework may not be enough to restore practical functionality to the limb. To overcome this, bidirectional communication between the user and the prosthesis has been recently introduced and is a requirement of utmost importance in developing prosthetic hands. Indeed, closing the control loop between the user and a prosthesis by providing artificial sensory feedback is a fundamental step towards the complete restoration of the lost sensory-motor functions. Within my PhD work, I proposed the development of a more controllable and sensitive human-like hand prosthesis, i.e., the Hannes prosthetic hand, to improve its usability and effectiveness. Approach. To achieve the objectives of this thesis work, I developed a modular and scalable software and firmware architecture to control the Hannes prosthetic multi-Degree of Freedom (DoF) system and to fit all users’ needs (hand aperture, wrist rotation, and wrist flexion in different combinations). On top of this, I developed several Pattern Recognition (PR) algorithms to translate electromyographic (EMG) activity into complex movements. However, stability and repeatability were still unmet requirements in multi-DoF upper limb systems; hence, I started by investigating different strategies to produce a more robust control. To do this, EMG signals were collected from trans-radial amputees using an array of up to six sensors placed over the skin. Secondly, I developed a vibrotactile system to implement haptic feedback to restore proprioception and create a bidirectional connection between the user and the prosthesis. Similarly, I implemented an object stiffness detection to restore tactile sensation able to connect the user with the external word. This closed-loop control between EMG and vibration feedback is essential to implementing a Bidirectional Body - Machine Interface to impact amputees’ daily life strongly. For each of these three activities: (i) implementation of robust pattern recognition control algorithms, (ii) restoration of proprioception, and (iii) restoration of the feeling of the grasped object's stiffness, I performed a study where data from healthy subjects and amputees was collected, in order to demonstrate the efficacy and usability of my implementations. In each study, I evaluated both the algorithms and the subjects’ ability to use the prosthesis by means of the F1Score parameter (offline) and the Target Achievement Control test-TAC (online). With this test, I analyzed the error rate, path efficiency, and time efficiency in completing different tasks. Main results. Among the several tested methods for Pattern Recognition, the Non-Linear Logistic Regression (NLR) resulted to be the best algorithm in terms of F1Score (99%, robustness), whereas the minimum number of electrodes needed for its functioning was determined to be 4 in the conducted offline analyses. Further, I demonstrated that its low computational burden allowed its implementation and integration on a microcontroller running at a sampling frequency of 300Hz (efficiency). Finally, the online implementation allowed the subject to simultaneously control the Hannes prosthesis DoFs, in a bioinspired and human-like way. In addition, I performed further tests with the same NLR-based control by endowing it with closed-loop proprioceptive feedback. In this scenario, the results achieved during the TAC test obtained an error rate of 15% and a path efficiency of 60% in experiments where no sources of information were available (no visual and no audio feedback). Such results demonstrated an improvement in the controllability of the system with an impact on user experience. Significance. The obtained results confirmed the hypothesis of improving robustness and efficiency of a prosthetic control thanks to of the implemented closed-loop approach. The bidirectional communication between the user and the prosthesis is capable to restore the loss of sensory functionality, with promising implications on direct translation in the clinical practice

Development of a Tactile Thimble for Augmented and Virtual Reality Applications

The technologies that have gained a renewed interest during the recent years are Virtual Reality (VR) and Augmented Reality (AR), as they become more accessible and affordable for mass-production. The input device which allows us to interact with the virtual environment is a very crucial aspect. One of the main barriers to immerse ourselves in virtual reality is the lack of realistic feedback. The user has to almost rely entirely on visual feedback without any haptic feedback, and this increases the user's workload and decreases the performance. In this thesis, a functional demonstrator of a tactile feedback device which conveys compelling interactions with not just VR, but also AR is presented. The device is designed such that there is realistic feedback for virtual touches and least obstruction during contact of a real object in AR applications. New design principle of introducing small actuators allows the device to be compact and increases its portability. In contrast to actuators that are placed on the finger pad in most of the available input devices for VR, a tactile device with two actuators that are arranged laterally on the finger, so that the underside of the fingertip is free is proposed. The output from these actuators generate a tactile stimulus by stimulating a sense of touch, which helps the user to manipulate virtual objects. The actuators are designed to independently generate vibrations and this coupled tactile feedback enhances the stimulation resulting in a wide variety of stimulation patterns for the sense of touch. Preliminary experimental evaluation for design and location of actuators has been carried out to measure the vibration intensity. In addition, user experiments for design evaluation of the two actuators based on different vibration patterns have also been conducted

Haptics: Science, Technology, Applications

This open access book constitutes the proceedings of the 13th International Conference on Human Haptic Sensing and Touch Enabled Computer Applications, EuroHaptics 2022, held in Hamburg, Germany, in May 2022. The 36 regular papers included in this book were carefully reviewed and selected from 129 submissions. They were organized in topical sections as follows: haptic science; haptic technology; and haptic applications

Distributed Sensing and Stimulation Systems Towards Sense of Touch Restoration in Prosthetics

Modern prostheses aim at restoring the functional and aesthetic characteristics of the lost limb. To foster prosthesis embodiment and functionality, it is necessary to restitute both volitional control and sensory feedback. Contemporary feedback interfaces presented in research use few sensors and stimulation units to feedback at most two discrete feedback variables (e.g. grasping force and aperture), whereas the human sense of touch relies on a distributed network of mechanoreceptors providing high-fidelity spatial information. To provide this type of feedback in prosthetics, it is necessary to sense tactile information from artificial skin placed on the prosthesis and transmit tactile feedback above the amputation in order to map the interaction between the prosthesis and the environment. This thesis proposes the integration of distributed sensing systems (e-skin) to acquire tactile sensation, and non-invasive multichannel electrotactile feedback and virtual reality to deliver high-bandwidth information to the user. Its core focus addresses the development and testing of close-loop sensory feedback human-machine interface, based on the latest distributed sensing and stimulation techniques for restoring the sense of touch in prosthetics. To this end, the thesis is comprised of two introductory chapters that describe the state of art in the field, the objectives and the used methodology and contributions; as well as three studies distributed over stimulation system level and sensing system level. The first study presents the development of close-loop compensatory tracking system to evaluate the usability and effectiveness of electrotactile sensory feedback in enabling real-time close-loop control in prosthetics. It examines and compares the subject\u2019s adaptive performance and tolerance to random latencies while performing the dynamic control task (i.e. position control) and simultaneously receiving either visual feedback or electrotactile feedback for communicating the momentary tracking error. Moreover, it reported the minimum time delay needed for an abrupt impairment of users\u2019 performance. The experimental results have shown that electrotactile feedback performance is less prone to changes with longer delays. However, visual feedback drops faster than electrotactile with increased time delays. This is a good indication for the effectiveness of electrotactile feedback in enabling close- loop control in prosthetics, since some delays are inevitable. The second study describes the development of a novel non-invasive compact multichannel interface for electrotactile feedback, containing 24 pads electrode matrix, with fully programmable stimulation unit, that investigates the ability of able-bodied human subjects to localize the electrotactile stimulus delivered through the electrode matrix. Furthermore, it designed a novel dual parameter -modulation (interleaved frequency and intensity) and compared it to conventional stimulation (same frequency for all pads). In addition and for the first time, it compared the electrotactile stimulation to mechanical stimulation. More, it exposes the integration of virtual prosthesis with the developed system in order to achieve better user experience and object manipulation through mapping the acquired real-time collected tactile data and feedback it simultaneously to the user. The experimental results demonstrated that the proposed interleaved coding substantially improved the spatial localization compared to same-frequency stimulation. Furthermore, it showed that same-frequency stimulation was equivalent to mechanical stimulation, whereas the performance with dual-parameter modulation was significantly better. The third study presents the realization of a novel, flexible, screen- printed e-skin based on P(VDF-TrFE) piezoelectric polymers, that would cover the fingertips and the palm of the prosthetic hand (particularly the Michelangelo hand by Ottobock) and an assistive sensorized glove for stroke patients. Moreover, it developed a new validation methodology to examine the sensors behavior while being solicited. The characterization results showed compatibility between the expected (modeled) behavior of the electrical response of each sensor to measured mechanical (normal) force at the skin surface, which in turn proved the combination of both fabrication and assembly processes was successful. This paves the way to define a practical, simplified and reproducible characterization protocol for e-skin patches In conclusion, by adopting innovative methodologies in sensing and stimulation systems, this thesis advances the overall development of close-loop sensory feedback human-machine interface used for restoration of sense of touch in prosthetics. Moreover, this research could lead to high-bandwidth high-fidelity transmission of tactile information for modern dexterous prostheses that could ameliorate the end user experience and facilitate it acceptance in the daily life

Remote tactile feedback on interactive surfaces

Direct touch input on interactive surfaces has become a predominating standard for the manipulation of digital information in our everyday lives. However, compared to our rich interchange with the physical world, the interaction with touch-based systems is limited in terms of flexibility of input and expressiveness of output. Particularly, the lack of tactile feedback greatly reduces the general usability of a touch-based system and hinders from a productive entanglement of the virtual information with the physical world. This thesis proposes remote tactile feedback as a novel method to provide programmed tactile stimuli supporting direct touch interactions. The overall principle is to spatially decouple the location of touch input (e.g. fingertip or hand) and the location of the tactile sensation on the user's body (e.g. forearm or back). Remote tactile feedback is an alternative concept which avoids particular challenges of existing approaches. Moreover, the principle provides inherent characteristics which can accommodate for the requirements of current and future touch interfaces. To define the design space, the thesis provides a structured overview of current forms of touch surfaces and identifies trends towards non-planar and non-rigid forms with more versatile input mechanisms. Furthermore, a classification highlights limitations of the current methods to generate tactile feedback on touch-based systems. The proposed notion of tactile sensory relocation is a form of sensory substitution. Underlying neurological and psychological principles corroborate the approach. Thus, characteristics of the human sense of touch and principles from sensory substitution help to create a technical and conceptual framework for remote tactile feedback. Three consecutive user studies measure and compare the effects of both direct and remote tactile feedback on the performance and the subjective ratings of the user. Furthermore, the experiments investigate different body locations for the application of tactile stimuli. The results show high subjective preferences for tactile feedback, regardless of its type of application. Additionally, the data reveals no significant differences between the effects of direct and remote stimuli. The results back the feasibility of the approach and provide parameters for the design of stimuli and the effective use of the concept. The main part of the thesis describes the systematical exploration and analysis of the inherent characteristics of remote tactile feedback. Four specific features of the principle are identified: (1) the simplification of the integration of cutaneous stimuli, (2) the transmission of proactive, reactive and detached feedback, (3) the increased expressiveness of tactile sensations and (4) the provision of tactile feedback during multi-touch. In each class, several prototypical remote tactile interfaces are used in evaluations to analyze the concept. For example, the PhantomStation utilizes psychophysical phenomena to reduce the number of single tactile actuators. An evaluation with the prototype compares standard actuator technologies with each other in order to enable simple and scalable implementations. The ThermalTouch prototype creates remote thermal stimuli to reproduce material characteristics on standard touchscreens. The results show a stable rate of virtual object discrimination based on remotely applied temperature profiles. The AutmotiveRTF system is implemented in a vehicle and supports the driver's input on the in-vehicle-infotainment system. A field study with the system focuses on evaluating the effects of proactive and reactive feedback on the user's performance. The main contributions of the dissertation are: First, the thesis introduces the principle of remote tactile feedback and defines a design space for this approach as an alternative method to provide non-visual cues on interactive surfaces. Second, the thesis describes technical examples to rapidly prototype remote tactile feedback systems. Third, these prototypes are deployed in several evaluations which highlight the beneficial subjective and objective effects of the approach. Finally, the thesis presents features and inherent characteristics of remote tactile feedback as a means to support the interaction on today's touchscreens and future interactive surfaces.Die Interaktion mit berührungsempfindlichen Oberflächen ist heute ein Standard für die Manipulation von digitaler Information. Jedoch weist die Bedienung dieser interaktiven Bildschirme starke Einschränkungen hinsichtlich der Flexibilität bei der Eingabe und der Ausdruckskraft der Ausgabe auf, wenn man sie mit den vielfältigen Möglichkeiten des Umgangs mit Objekten in unserer Alltagswelt vergleicht. Besonders die nicht vorhandenen Tastsinnesrückmeldungen vermindern stark die Benutzbarkeit solcher Systeme und verhindern eine effektive Verknüpfung von virtueller Information und physischer Welt. Die vorliegende Dissertation beschreibt den Ansatz der 'distalen taktilen Rückmeldungen' als neuartige Möglichkeit zur Vermittlung programmierter Tastsinnesreize an Benutzer interaktiver Oberflächen. Das Grundprinzip dabei ist die räumliche Trennung zwischen der Eingabe durch Berührung (z.B. mit der Fingerspitze) und dem daraus resultierenden taktilen Reiz am Körper der Benutzer (z.B. am Rücken). Dabei vermeidet das Konzept der distalen taktilen Rückmeldungen einzelne technische und konzeptionelle Nachteile existierender Ansätze. Zusätzlich bringt es Interaktionsmöglichkeiten mit sich, die den Eigenheiten der Interaktion mit aktuellen und auch zukünftigen berührungsempfindlichen Oberflächen Rechnung tragen. Zu Beginn zeigt ein Überblick zu relevanten Arbeiten den aktuellen Forschungstrend hin zu nicht-flachen und verformbaren berührungsempfindlichen Oberflächen sowie zu vielfältigeren Eingabemethoden. Eine Klassifizierung ordnet existierende technische Verfahren zur Erzeugung von künstlichen Tastsinnesreizen und stellt jeweils konzeptuelle und technische Herausforderungen dar. Der in dieser Arbeit vorgeschlagene Ansatz der Verlagerung von Tastsinnesreizen ist eine Form der sensorischen Substitution, zugrunde liegende neurologische und psychologische Prinzipien untermauern das Vorgehen. Die Wirkprinzipien des menschlichen Tastsinnes und die Systeme zur sensorischen Substitution liefern daher konzeptionelle und technische Richtlinien zur Umsetzung der distalen taktilen Rückmeldungen. Drei aufeinander aufbauende Benutzerstudien vergleichen die Auswirkungen von direkten und distalen taktilen Rückmeldungen auf die Leistung und das Verhalten von Benutzern sowie deren subjektive Bewertung der Interaktion. Außerdem werden in den Experimenten die Effekte von Tastsinnesreizen an verschiedenen Körperstellen untersucht. Die Ergebnisse zeigen starke Präferenzen für Tastsinnesrückmeldungen, unabhängig von deren Applikationsort. Die Daten ergeben weiterhin keine signifikanten Unterschiede bei den quantitativen Effekten von direktem und distalen Rückmeldungen. Diese Ergebnisse befürworten die Realisierbarkeit des Ansatzes und zeigen Richtlinien für weitere praktische Umsetzungen auf. Der Hauptteil der Dissertation beschreibt die systematische Untersuchung und Analyse der inhärenten Möglichkeiten, die sich aus der Vermittlung distaler taktiler Rückmeldungen ergeben. Vier verschiedene Charakteristika werden identifiziert: (1) die vereinfachte Integration von Tastsinnesreizen, (2) die Vermittlung von proaktiven, reaktiven und entkoppelten Rückmeldungen, (3) die erhöhte Bandbreite der taktilen Signale und (4) die Darstellung von individuellen Tastsinnesreizen für verschiedene Kontaktpunkte mit der berührungsempfindlichen Oberfläche. Jedes dieser Prinzipien wird durch prototypische Systeme umgesetzt und in Benutzerstudien analysiert. Beispielsweise nutzt das System PhantomStation psychophysikalische Illusionen, um die Anzahl der einzelnen Reizgeber zu reduzieren. In einer Evaluierung des Prototypen werden mehrere Aktuatortechnologien verglichen, um einfache und skalierbare Ansätze zu identifizieren. Der ThermalTouch-Prototyp wird dazu genutzt, distale thermale Reize zu vermitteln, um so Materialeigenschaften auf Berührungsbildschirmen darstellen zu können. Eine Benutzerstudie zeigt, dass sich auf Basis dieser Temperaturverläufe virtuelle Objekte unterscheiden lassen. Das AutomotiveRTF-System wird schließlich in ein Kraftfahrzeug integriert, um den Fahrer bei der Eingabe auf dem Informations- und Unterhaltungssystem zu unterstützen. Eine Feldstudie untersucht die Auswirkungen der proaktiven und reaktiven Rückmeldungen auf die Benutzerleistung. Die vorliegende Dissertation leistet mehrere Beiträge zur Mensch-Maschine-Interaktion: Das Prinzip der distalen taktilen Rückmeldungen wird eingeführt als Alternative zur Erzeugung nicht-visueller Rückmeldungen auf interaktiven Oberflächen. Es werden technische Verfahrensweisen zur prototypischen Implementierung solcher Systeme vorgeschlagen. Diese technischen Prototypen werden in einer Vielzahl verschiedener Benutzerstudien eingesetzt, welche die quantitativen und qualitativen Vorteile des Ansatzes aufzeigen. Schließlich wird gezeigt, wie sich das Prinzip zur Unterstützung heutiger und zukünftiger Interaktionsformen mit berührungsempfindlichen Bildschirmen nutzen lässt

Touch Technology in Affective Human, Robot, Virtual-Human Interactions: A Survey

Given the importance of affective touch in human interactions, technology designers are increasingly attempting to bring this modality to the core of interactive technology. Advances in haptics and touch-sensing technology have been critical to fostering interest in this area. In this survey, we review how affective touch is investigated to enhance and support the human experience with or through technology. We explore this question across three different research areas to highlight their epistemology, main findings, and the challenges that persist. First, we review affective touch technology through the human–computer interaction literature to understand how it has been applied to the mediation of human–human interaction and its roles in other human interactions particularly with oneself, augmented objects/media, and affect-aware devices. We further highlight the datasets and methods that have been investigated for automatic detection and interpretation of affective touch in this area. In addition, we discuss the modalities of affective touch expressions in both humans and technology in these interactions. Second, we separately review how affective touch has been explored in human–robot and real-human–virtual-human interactions where the technical challenges encountered and the types of experience aimed at are different. We conclude with a discussion of the gaps and challenges that emerge from the review to steer research in directions that are critical for advancing affective touch technology and recognition systems. In our discussion, we also raise ethical issues that should be considered for responsible innovation in this growing area

Haptics: Science, Technology, Applications

This open access book constitutes the proceedings of the 12th International Conference on Human Haptic Sensing and Touch Enabled Computer Applications, EuroHaptics 2020, held in Leiden, The Netherlands, in September 2020. The 60 papers presented in this volume were carefully reviewed and selected from 111 submissions. The were organized in topical sections on haptic science, haptic technology, and haptic applications. This year's focus is on accessibility