Sensory Feedback for Lower Extremity Prostheses Incorporating Targeted Muscle Reinnervation (TMR)

Abstract

The purpose of this research is to improve stair descent for lower limb amputees by providing sensory feedback of foot placement. An increasing number of amputees are receiving a nerve transfer surgery, Targeted Reinnervation, that can have profound sensory effects. Touches at the site of the surgery can feel like they are originating from the amputated limb. This capability is an unprecedented opportunity to provide sensory feedback that is intuitive and useful, but sensory recovery after the surgery is not well understood. Therefore the two Specific Aims of this project are to (1) Systematically map and characterize the sensory capabilities of lower extremity Targeted Reinnervation (TR) sites under tactile stimulation, and (2) Measure the effects of vibrotactile cues of foot placement on stair descent of transtibial amputees. We have created the tactile stimulation apparatus and protocols for both of these aims, including a novel stimulator design and a novel methodology for understanding visual-tactile integration. We have recruited all personnel, received approval to conduct the studies, pending final review by HRPO, and have conducted preliminary studies using control participants for the already-approved sensory studies.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2016
Accession Number
AD1028474

Entities

People

  • Eric Rombokas

Organizations

  • Seattle Institute for Biomedical and Clinical Research

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Amputation
  • Amputees
  • Feedback
  • Institutional Review Board
  • Lower Extremity
  • Lower Limb Amputees
  • Medical Personnel
  • Prostheses And Implants
  • Prosthetics
  • Residual Limbs
  • Surgery
  • Surgical Amputations
  • Virtual Reality

Readers

  • Brain and Cognitive Science; Experimental Psychology; Cognitive Neuroscience
  • Neurotrauma and Rehabilitation Medicine.
  • Rehabilitation and Prosthetic Care for Military Service Members and Veterans with Limb Loss or Disability.