Hap-Pro: a wearable haptic device for proprioceptive feedback

Objective: Myolectric hand prostheses have reached a considerable technological level and gained an increasing attention in assistive robotics. However, their abandonment rate remains high, with unintuitive control and lack of sensory feedback being major causes. Among the different types of sensory information, proprioception, e.g. information on hand aperture, is crucial to successfully perform everyday actions. Despite the many attempts in literature to restore and convey this type of feedback, much remains to be done to close the action-perception loop in prosthetic devices. Methods: With this as motivation, in this work we introduce HapPro, a wearable, non-invasive haptic device that can convey proprioceptive information for a prosthetic hand. The device was used with an under-actuated, simple to control anthropomorphic robotic hand, providing information on the level of hand aperture by mapping it to the position of a wheel that can run on the user's forearm. Tests with 43 able bodied subjects and one amputee subject were conducted in order to quantify the effectiveness of HapPro as a feedback device. Results: HapPro provided a good level of accuracy for item discrimination. Participants also reported the device to be intuitive and effective in conveying proprioceptive cues. Similar results were obtained in the proof-of-concept experiment with an amputee subject. Conclusions: Results show that HapPro is able to convey information on the opening of a prosthetic hand in a non-invasive way. Significance: Using this device for proprioceptive feedback could improve usability of myoelectric prostheses, potentially reducing abandonment and increasing quality of life for their users

An exploration of grip force regulation with a low-impedance myoelectric prosthesis featuring referred haptic feedback

Abstract Background Haptic display technologies are well suited to relay proprioceptive, force, and contact cues from a prosthetic terminal device back to the residual limb and thereby reduce reliance on visual feedback. The ease with which an amputee interprets these haptic cues, however, likely depends on whether their dynamic signal behavior corresponds to expected behaviors—behaviors consonant with a natural limb coupled to the environment. A highly geared motor in a terminal device along with the associated high back-drive impedance influences dynamic interactions with the environment, creating effects not encountered with a natural limb. Here we explore grasp and lift performance with a backdrivable (low backdrive impedance) terminal device placed under proportional myoelectric position control that features referred haptic feedback. Methods We fabricated a back-drivable terminal device that could be used by amputees and non-amputees alike and drove aperture (or grip force, when a stiff object was in its grasp) in proportion to a myoelectric signal drawn from a single muscle site in the forearm. In randomly ordered trials, we assessed the performance of N=10 participants (7 non-amputee, 3 amputee) attempting to grasp and lift an object using the terminal device under three feedback conditions (no feedback, vibrotactile feedback, and joint torque feedback), and two object weights that were indiscernible by vision. Results Both non-amputee and amputee participants scaled their grip force according to the object weight. Our results showed only minor differences in grip force, grip/load force coordination, and slip as a function of sensory feedback condition, though the grip force at the point of lift-off for the heavier object was significantly greater for amputee participants in the presence of joint torque feedback. An examination of grip/load force phase plots revealed that our amputee participants used larger safety margins and demonstrated less coordination than our non-amputee participants. Conclusions Our results suggest that a backdrivable terminal device may hold advantages over non-backdrivable devices by allowing grip/load force coordination consistent with behaviors observed in the natural limb. Likewise, the inconclusive effect of referred haptic feedback on grasp and lift performance suggests the need for additional testing that includes adequate training for participants.http://deepblue.lib.umich.edu/bitstream/2027.42/116041/1/12984_2015_Article_98.pd

A Review of Non-Invasive Haptic Feedback stimulation Techniques for Upper Extremity Prostheses

A sense of touch is essential for amputees to reintegrate into their social and work life. The design of the next generation of the prostheses will have the ability to effectively convey the tactile information between the amputee and the artificial limbs. This work reviews non-invasive haptic feedback stimulation techniques to convey the tactile information from the prosthetic hand to the amputee’s brain. Various types of actuators that been used to stimulate the patient’s residual limb for different types of artificial prostheses in previous studies have been reviewed in terms of functionality, effectiveness, wearability and comfort. The non-invasive hybrid feedback stimulation system was found to be better in terms of the stimulus identification rate of the haptic prostheses’ users. It can be conclude that integrating hybrid haptic feedback stimulation system with the upper limb prostheses leads to improving its acceptance among users

The Rice Haptic Rocker: Skin stretch haptic feedback with the Pisa/IIT SoftHand

Touch provides an important cue to perceive the physical properties of the external objects. Recent studies showed that tactile sensation also contributes to our sense of hand position and displacement in perceptual tasks. In this study, we tested the hypothesis that, sliding our hand over a stationary surface, tactile motion may provide a feedback for guiding hand trajectory. We asked participants to touch a plate having parallel ridges at different orientations and to perform a self-paced, straight movement of the hand. In our daily-life experience, tactile slip motion is equal and opposite to hand motion. Here, we used a well-established perceptual illusion to dissociate, in a controlled manner, the two motionestimates. According to previous studies, this stimulus produces a bias in the perceived direction of tactile motion, predicted by tactile flow model. We showed a systematic deviation in the movement of the hand towards a direction opposite to the one predicted by tactile flow, supporting the hypothesis that touch contributes to motor control of the hand. We suggested a model where the perceived hand motion is equal to a weighted sum of the estimate from classical proprioceptive cues (e.g., from musculoskeletal system) and the estimate from tactile slip

Design and Evaluation of a Vibrotactile Sensory Feedback System for Prostheses

Loss of a limb can severely impact everyday way of life. Prosthetics provide a way to return functionality to the user and improve quality of life. However, most prosthetic systems currently available in the market lack sensory feedback making them comparatively more difficult to use resulting in prosthetic abandonment. Therefore, an important design consideration for prosthetics is sensory feedback to increase their functionality, usability, and ultimately their purpose for the user. Previous development of sensory feedback devices for prosthetics tended to focus on device design with less focus on intentional training methods to teach users to use the device. This thesis presents the design of a vibrotactile sensory feedback system (SFS) to complement a hand prosthesis. The system provides a sense of touch and force to the prosthesis. A sequential training method to teach users to interpret signals from the device was also developed. After undergoing training, users were tested with a force matching task under three conditions: visual feedback only, sensory feedback only, and with both sensory conditions. When sensory feedback was the only form of feedback given users performed comparably worse with less time spent in range and with greater error, but over the course of testing users improved with slightly more time spent within range and with decreased error, providing evidence that given training users can improve their interpretation of the SFS. This work provides a basis for developing more efficient sensory feedback systems to improve usability and retention of prostheses

A hybrid haptic stimulation prosthetic wearable device to recover the missing sensation of the upper limb amputees

A hybrid haptic feedback stimulation system that is capable in sensing the contact pressure, the surface texture, and the temperature, simultaneously, was designed for a prosthetic hand to provide a tactile sensation to amputation patients. In addition, the haptic system was developed to enable the prosthetic’s users to implement withdrawal reflexes due to the thermal noxious stimulus in a quick manner. The re-sensation is achieved by non-invasively stimulating the skin of the patients’ residual limbs, based on the type and the level of tactile signals provided by the sensory system of the prostheses. Accordingly, three stages of design and development were performed to satisfy the research methodology. A vibrotactile prosthetic device, which is designed for the detection of contact pressure and surface texture in upper extremity, represents. While, the design of a novel wearable hybrid pressure-vibration haptic feedback stimulation device for conveying the tactile information regarding the contact pressure between the prosthetic hand and the grasped objects represents the second methodology stage. Lastly, the third stage was achieved by designing a novel hybrid pressure-vibration-temperature feedback stimulation system to provide a huge information regarding the prostheses environment to the users without brain confusing or requiring long pre-training. The main contribution of this work is the development and evaluation of the first step of a novel approach for a lightweight, 7 Degrees-Of-Freedom (DOF) tactile prosthetic arm to perform an effective as well as fast object manipulation and grasping. Furthermore, this study investigates the ability to convey the tactile information about the contact pressure, surface texture, and object temperature to the amputees with high identification accuracy by mean of using the designed hybrid pressure-vibration-temperature feedback wearable device. An evaluation of sensation and response has been conducted on forty healthy volunteers to evaluate the ability of the haptic system to stimulate the human nervous system. The results in term of Stimulus Identification Rate (SIR) show that all the volunteers were correctly able to discriminate the sensation of touch, start of touch, end of touch, and grasping objects. While 94%, 96%, 97%, and 95.24% of the entire stimuli were successfully identified by the volunteers during the experiments of slippage, pressure level, surface texture, and temperature, respectively. The position tracking controller system was designed to synchronize the movements of the volunteers’ elbow joints and the prosthetic’s elbow joint to record the withdrawal reflexes. The results verified the ability of the haptic system to excite the human brain at the abnormal noxious stimulus and enable the volunteers to perform a quick withdrawal reflex within 0.32 sec. The test results and the volunteers' response established evidence that amputees are able to recover their sense of the contact pressure, the surface texture, and the object temperature as well as to perform thermal withdrawal reflexes using the solution developed in this work

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

Haptic Sensory Feedback for Improved Interface to Smart Prosthetics.

Grip force feedback is not available in modern myoelectric upper-limb prostheses, yet its benefits are well known in object manipulation tasks performed through cable-driven body-powered prostheses. To evaluate the efficacy of grip force feedback in a myoelectric prosthesis, direct head-to-head comparisons should be made with body-powered prostheses, as well as with proposed designs that provide grip force feedback through haptic displays such as vibrotactile arrays. Direct comparisons, however, are difficult because myoelectric control for a trans-radial amputee uses residual muscles in the forearm, body-power generally refers interaction to the shoulder, and haptic displays often involve additional information encoding transformations. Currently, no unifying theory exists to cover both information encoding as well as the body part used for control or display. The work developed in this dissertation presents a systematic hypothesis-driven approach to evaluating both information encoding and body part used in the display of grip force feedback. Drawing upon principles from psychophysics, teleoperation, and sensory substitution, we use a series of human subject experiments to quantify the value of grip force feedback for an amputee wearing a trans-radial myoelectric prosthesis. Our findings demonstrate that both able-bodied individuals and amputees scale and coordinate their grip force for the anticipated weight of an object, that control and grip force feedback should be located on the same body site to improve stiffness recognition, and that grip force feedback is more useful than vision feedback in stiffness recognition through a prosthesis.PhDMechanical EngineeringUniversity of Michigan, Horace H. Rackham School of Graduate Studieshttp://deepblue.lib.umich.edu/bitstream/2027.42/108792/1/jdelaine_1.pd

A multi-dimensional framework for prosthetic embodiment: a perspective for translational research

The concept of embodiment has gained widespread popularity within prosthetics research. Embodiment has been claimed to be an indicator of the efficacy of sensory feedback and control strategies. Moreover, it has even been claimed to be necessary for prosthesis acceptance, albeit unfoundedly. Despite the popularity of the term, an actual consensus on how prosthetic embodiment should be used in an experimental framework has yet to be reached. The lack of consensus is in part due to terminological ambiguity and the lack of an exact definition of prosthetic embodiment itself. In a review published parallel to this article, we summarized the definitions of embodiment used in prosthetics literature and concluded that treating prosthetic embodiment as a combination of ownership and agency allows for embodiment to be quantified, and thus useful in translational research. Here, we review the potential mechanisms that give rise to ownership and agency considering temporal, spatial, and anatomical constraints. We then use this to propose a multi-dimensional framework where prosthetic embodiment arises within a spectrum dependent on the integration of volition and multi-sensory information as demanded by the degree of interaction with the environment. This framework allows for the different experimental paradigms on sensory feedback and prosthetic control to be placed in a common perspective. By considering that embodiment lays along a spectrum tied to the interactions with the environment, one can conclude that the embodiment of prosthetic devices should be assessed while operating in environments as close to daily life as possible for it to become relevant