Electrical stimulation of the forearm: A method for transmitting sensory signals from the artificial hand to the brain

Abstract

This research is in line with an important comment from the first amputee who tried the prosthetic hand with tactile feedback developed within the Smarthand project [1]. While trying the system with tactile feedback the patient said: "It's a feeling I have not had in a long time. When I grab something tightly I can feel it in the fingertips. It's strange since I don't have them anymore! It's amazing." We describe here the instrumentation and methods for testing the abilities of humans to discriminate sensations generated by electrical stimulation applied to the skin on the forearm. The instruments allowed testing of electrical stimulation with various properties (pulse duration, intensity, and rate). We tested the perception and pain thresholds, with the emphasis that comfortable sensations are a must. During the tests subjects were asked to locate the point on the skin that was stimulated and describe their perception of the elicited sensation. Results of first tests with small concentric electrodes suggest that non-amputees can distinguish up to seven perceptual qualities (the most common one was vibration, followed by tingling and tickling). Certain sensations had a higher occurrence rate along one axial line of the forearm than another of the forearm. In terms of spatial acuity, the subjects had more difficulties in distinguishing between the positions in the axial direction of the forearm compared with the circumferential direction. These results guided the design of the new array electrode with multiple cathodes and anodes positioned circumferential to the forearm. The results of the tests conducted with this electrode design showed high location discernment accuracy, and demonstrated the ability to memorize and later accurately recall six different electrical ?messages? created by delivering electrical stimulation onto three different electrode pads with two different stimulation parameters.