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1. Stiffness Perception using Transcutaneous Electrical Stimulation during Active and Passive Prosthetic Control

   https://doi.org/10.1109/EMBC44109.2020.9176078  

   Vargas, Luis ; Huang, Helen ; Zhu, Yong ; Hu, Xiaogang ( July 2020 , International Conference of the IEEE Engineering in Medicine & Biology Society (EMBC))

   null (Ed.)

   Haptic feedback allows an individual to identify various object properties. In this preliminary study, we determined the performance of stiffness recognition using transcutaneous nerve stimulation when a prosthetic hand was moved passively or was controlled actively by the subjects. Using a 2×8 electrode grid placed along the subject's upper arm, electrical stimulation was delivered to evoke somatotopic sensation along their index finger. Stimulation intensity, i.e. sensation strength, was modulated using the fingertip forces from a sensorized prosthetic hand. Object stiffness was encoded based on the rate of change of the evoked sensation as the prosthesis grasped one of three objects of different stiffness levels. During active control, sensation was modulated in real time as recorded forces were converted to stimulation amplitudes. During passive control, prerecorded force traces were randomly selected from a pool. Our results showed that the accuracy of object stiffness recognition was similar in both active and passive conditions. A slightly lower accuracy was observed during active control in one subject, which indicated that the sensorimotor integration processes could affect haptic perception for some users. 

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2. Electrically-evoked referred sensations induce embodiment of rubber limb

   https://doi.org/10.1177/20556683231183633  

   Nguyen, Anthony ; Draggoo, Brooke ; Tobias, Brooklyn ; DuBose, Payton ; Polasek, Katharine ( January 2023 , Journal of Rehabilitation and Assistive Technologies Engineering)

   Introduction Electrical stimulation is increasingly relevant in a variety of medical treatments. In this study, the quality of referred sensations evoked using surface electrical stimulation was evaluated using the rubber hand and foot illusions. Methods The rubber hand and foot illusions were attempted under 4 conditions: (1) multi-location tapping; (2) one-location tapping; (3) electrical stimulation of sensation referred to the hand or foot; (4) asynchronous control. The strength of each illusion was quantified using a questionnaire and proprioceptive drift, where a stronger response suggested embodiment of the rubber limb. Results 45 able-bodied individuals and two individuals with amputations participated in this study. Overall, the illusion evoked by nerve stimulation was not as strong as illusions evoked by physically tapping but stronger than the control illusion. Conclusion This study has found that the rubber hand and foot illusion can be performed without touching the distal limb of the participant. Electrical stimulation that produced referred sensation in the distal extremity was realistic enough to partially incorporate the rubber limb into a person’s body image. 

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3. Quantitative Characterization of Haptic Sensory Adaptation Evoked Through Transcutaneous Nerve Stimulation

   https://doi.org/10.1109/ICHMS56717.2022.9980598  

   Prabhu, Nita ; Vargas, Luis ; Hu, Xiaogang ( November 2022 , 2022 IEEE 3rd International Conference on Human-Machine Systems (ICHMS))

   Objective: Haptic perception is an important component of bidirectional human-machine interactions that allow users to better interact with their environment. Artificial haptic sensation along an individual’s hand can be evoked via noninvasive electrical nerve stimulation; however, continuous stimulation can result in adaptation of sensory perception over time. In this study, we sought to quantify the adaptation profile via the change in perceived sensation intensity over time. Approach: Noninvasive stimulation of the peripheral nerve bundles evoked haptic perception using a 2x5 electrode grid placed along the medial side of the upper arm near the median and ulnar nerves. An electrode pair that evoked haptic sensation along the forearm and hand was selected. During a trial of 110-s of continuous stimulation, a constant stimulus amplitude just below the motor threshold was delivered. Each subject was instructed to press on a force transducer producing a force amplitude matched with the perceived intensity of haptic sensation. Main Findings: A force decay (i.e., intensity of sensation) was observed in all 7 subjects. Variations in the rate of decay and the start of decay across subjects were also observed. Significance: The preliminary findings established the sensory adaptation profile of peripheral nerve stimulation. Accounting for these subject-specific profiles of adaptation can allow for more stable communication between a robotic device and a user. Additionally, sensory adaptation characterization can promote the development of new stimulation strategies that can mitigate these observed adaptations, allowing for a better and more stable human-machine interaction experience. 

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4. Merged Haptic Sensation in the Hand during Concurrent Non-Invasive Proximal Nerve Stimulation

   https://doi.org/10.1109/EMBC.2018.8512707  

   Vargas, Luis ; Huang, He Helen ; Zhu, Yong ; Hu, Xiaogang ( July 2018 , International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC))

   null (Ed.)

   When individuals interact with the environment, sensory feedback is a critical aspect of the experience. Individuals using prosthesis often have difficulty controlling their device, partly due to a lack of sensory information. Transcutaneous nerve stimulation has the potential to elicit focal haptic sensation when controlled electrical current was delivered to a pair of electrodes in proximity to the nerve. The objective of this preliminary study was to evaluate how different elicited focal haptic sensation were altered, when multiple concurrent electrical stimuli were delivered to different portions of the median and ulnar nerve bundles. The delay between the individual stimulation during concurrent stimuli was also varied to identify if this parameter could alter the resulting sensation region. Lastly, the stability/repeatability of the perceived sensation during concurrent stimuli was determined. Our preliminary results showed that the spatial distribution of the haptic sensation was largely a direct summation/merge of the sensation regions from the individual nerve stimulation when comparing the regions to that of the concurrent double stimulation. Our results also showed that merged sensation region was not sensitive to different time delays the two concurrent stimuli. Lastly, the sensation regions remained stable and showed repeatable sensation in the hand even with 20-60 minutes between repeated stimulations. 

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5. Perception of Mechanical Properties via Wrist Haptics: Effects of Feedback Congruence

   https://doi.org/10.1109/IROS47612.2022.9982079  

   Sarac, Mine ; Di Luca, Massimiliano ; Okamura, Allison M. ( October 2022 , IEEE/RSJ International Conference on Intelligent Robots and Systems (IROS))

   Despite non-co-location, haptic stimulation at the wrist can potentially provide feedback regarding interactions at the fingertips without encumbering the user’s hand. Here we investigate how two types of skin deformation at the wrist (normal and shear) relate to the perception of the mechanical properties of virtual objects. We hypothesized that a congruent mapping (i.e. when the most relevant interaction forces during a virtual interaction spatially match the haptic feedback at the wrist) would result in better perception than other map- pings.We performed an experiment where haptic devices at the wrist rendered either normal or shear feedback during manipulation of virtual objects with varying stiffness, mass, or friction properties. Perception of mechanical properties was more accurate with congruent skin stimulation than noncongruent. In addition, discrimination performance and subjective reports were positively influenced by congruence. This study demonstrates that users can perceive mechanical properties via haptic feedback provided at the wrist with a consistent mapping between haptic feedback and interaction forces at the fingertips, regardless of congruence. 

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