Electrodes May Help Prosthetic Devices Feel Lighter

A prosthetic leg can often be jarring for new amputees, even with the most sophisticated prostheses. One important reason for this is that they perceive the weight of the prosthesis as too high, despite the fact that prosthetic legs are usually less than half the weight of a natural limb. Researchers led by Stanisa Raspopovic, a professor at the Department of Health Sciences and Technology, have now been able to show that connecting the prostheses to the nervous system helps amputees to perceive the prosthesis weight as lower, which is beneficial for their acceptance.

Together with an international council, Raspopovic has in recent years developed prosthetic devices that provide feedback to the wearer’s nervous system. This is done via electrodes implanted in the thigh, which are connected to the leg nerves present there. Information from tactile sensors under the sole of the prosthetic foot and from angle sensors in the electronic prosthetic knee joint are converted into pulses of current and passed into the nerves.

“To trick an above-knee amputee’s brain into the belief that the prosthetic leg was similar to his own leg, we artificially restored the lost sensory feedback,” says Raspopovic. In a study published last year, he and his team showed that wearers of such neurofeedback prostheses can move more safely and with less effort.

In a further study, the scientists were now able to show that neurofeedback also reduces the perceived weight of the prosthesis. They published the results in the journal Current Biology.

In order to determine how heavy an amputee perceives their prosthetic leg to be, the team had a voluntary study participant complete gait exercises with either neurofeedback switched on or off. They weighed down the healthy foot with additional weights and asked the study participant to rate how heavy he felt the two legs were in relation to each other. Neurofeedback was found to reduce the perceived weight of the prosthesis by 23 percent, or almost 500 grams.

The scientists also confirmed a beneficial involvement of the brain by a motor-cognitive task, during which the volunteer had to spell backwards five-letter words while walking. The sensory feedback not only allowed him to have a faster gait but also to have a higher spelling accuracy which indicates that they needed to think less about walking with the electrodes turned on.

“Neurofeedback not only enables faster and safer walking and positively influences weight perception,” says Raspopovic. “Our results also suggest that, quite fundamentally, it can take the experience of patients with an artificial device closer to that with a natural limb.”

Source: Science Daily