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  4. Assimilation of virtual legs and perception of floor texture by complete paraplegic patients receiving artificial tactile feedback

Assimilation of virtual legs and perception of floor texture by complete paraplegic patients receiving artificial tactile feedback

Scientific Reports, 2016 · DOI: 10.1038/srep32293 · Published: September 19, 2016

Assistive TechnologyNeurologyBiomedical

Simple Explanation

This study explores a novel approach to restore lower limb sensory feedback in paraplegic patients by remapping tactile sensations from their legs and feet onto their forearms. A portable haptic display, integrated with virtual reality, simulates walking on different surfaces. The haptic display creates realistic illusions of walking on surfaces like sand, pavement, and grass for most patients. They also experienced movements of the virtual legs, and could even report the position of the avatar leg during virtual walking based solely on tactile feedback. The study found that patients assimilated the virtual lower limbs as their own, suggesting the potential of adding tactile feedback to neuroprosthetic devices. This could improve prosthetic acceptance and motor proficiency for spinal cord injury patients.

Study Duration
6 Months
Participants
Eight complete paraplegic patients
Evidence Level
Not specified

Key Findings

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    SCI patients could perceive the position of a virtual leg during locomotion using tactile feedback on their forearms.
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    Patients incorporated the avatar legs as an extension of their body schema through visuo-tactile stimulation.
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    SCI patients experienced a realistic sensation of walking on different ground surfaces by relying on tactile feedback alone.

Research Summary

This study introduces a new method for providing lower limb somatosensory feedback to paraplegic patients by remapping tactile sensations to their forearms using a haptic display and virtual reality. The central goal was to allow these SCI patients to use this haptic display in order to sense the position of the virtual legs in space, the contact of the virtual foot with the floor, and the type of surface with which they were in contact. The results indicated that patients could intuitively perceive leg position, assimilated the virtual legs into their body representation, and experienced the sensation of walking on different surfaces based on the tactile feedback. Analysis of the patients’ performance in a crossmodal congruency task revealed that subjects experienced an assimilation of the virtual legs as a projection of their own body. The findings suggest that tactile feedback is essential for restoring a full lower limb perceptual experience in SCI patients and could lead to better prosthetic device acceptance and motor skills. Our experiments highlight the importance of tactile feedback over vision for perception of floor texture.

Practical Implications

Prosthetic Design

The addition of tactile feedback to neuroprosthetic devices can improve the user's sense of embodiment and control.

Rehabilitation

The use of virtual reality and tactile feedback can aid in the rehabilitation of SCI patients by providing a more realistic and immersive experience.

Body Schema Research

The study contributes to the understanding of how the brain adapts and incorporates external tools or virtual limbs into the body schema.

Study Limitations

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