Upper limb prostheses: bridging the sensory gap
Review article, 2023
Replacing human hand function with prostheses goes far beyond only recreating muscle movement with feedforward motor control. Natural sensory feedback is pivotal for fine dexterous control and finding both engineering and surgical solutions to replace this complex biological function is imperative to achieve prosthetic hand function that matches the human hand. This review outlines the nature of the problems underlying sensory restitution, the engineering methods that attempt to address this deficit and the surgical techniques that have been developed to integrate advanced neural interfaces with biological systems. Currently, there is no single solution to restore sensory feedback. Rather, encouraging animal models and early human studies have demonstrated that some elements of sensation can be restored to improve prosthetic control. However, these techniques are limited to highly specialized institutions and much further work is required to reproduce the results achieved, with the goal of increasing availability of advanced closed loop prostheses that allow sensory feedback to inform more precise feedforward control movements and increase functionality.
motor control
sensory feedback
bioelectronics
signal processing
Prostheses
Author
Aidan D. Roche
NHS Foundation Trust
University of Edinburgh
Zachary K. Bailey
Imperial College London
Michael Gonzalez
University of Michigan
Philip P. Vu
University of Michigan
Cynthia A. Chestek
University of Michigan
Deanna H. Gates
University of Michigan
Stephen W.P. Kemp
University of Michigan
Paul S. Cederna
University of Michigan
Max Jair Ortiz Catalan
Chalmers, Electrical Engineering, Systems and control
Center for Bionics and Pain Research
University of Gothenburg
Sahlgrenska University Hospital
Oskar C. Aszmann
Medical University of Vienna
Journal of Hand Surgery: European Volume
1753-1934 (ISSN) 20436289 (eISSN)
Vol. 48 3 182-190Subject Categories (SSIF 2011)
Embedded Systems
Control Engineering
DOI
10.1177/17531934221131756
PubMed
36649123