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通过非侵入性诱发触觉为经桡骨截肢者恢复特定手指的感觉反馈。

Restoring Finger-Specific Sensory Feedback for Transradial Amputees via Non-Invasive Evoked Tactile Sensation.

作者信息

Hao Manzhao, Chou Chih-Hong, Zhang Jie, Yang Fei, Cao Chunyan, Yin Pengyu, Liang Wenyuan, Niu Chuanxin M, Lan Ning

机构信息

Institute of Medical RoboticsShanghai Jiao Tong University Shanghai 200240 China.

Laboratory of NeuroRehabilitation EngineeringSchool of Biomedical EngineeringShanghai Jiao Tong University Shanghai 200030 China.

出版信息

IEEE Open J Eng Med Biol. 2020 Mar 19;1:98-107. doi: 10.1109/OJEMB.2020.2981566. eCollection 2020.

Abstract

This study assessed the feasibility to restore finger-specific sensory feedback in transradial amputees with electrical stimulation of evoked tactile sensation (ETS). Here we investigated primary somatosensory cortical (SI) responses of ETS using Magnetoencephalography. SI activations revealed a causal correlation with peripheral stimulation of projected finger regions on the stump skin. Peak latency was accountable to neural transmission from periphery to SI. Peak intensity of SI response was proportional to the strength of peripheral stimulation, manifesting a direct neural pathway from skin receptors to SI neurons. Active regions in SI at the amputated side were consistent to the finger/hand map of homunculus, forming a mirror imaging to that of the contralateral hand. With sensory feedback, amputees can recognize a pressure at prosthetic fingers as that at the homonymous lost fingers. Results confirmed that the direct neural pathway from periphery to SI allows effective communication of finger-specific sensory information to these amputees.

摘要

本研究评估了通过诱发触觉感觉电刺激(ETS)恢复经桡骨截肢者手指特异性感觉反馈的可行性。在此,我们使用脑磁图研究了ETS的初级体感皮层(SI)反应。SI激活揭示了与残肢皮肤上投射手指区域的外周刺激之间的因果关系。峰值潜伏期可归因于从外周到SI的神经传导。SI反应的峰值强度与外周刺激的强度成正比,表明从皮肤感受器到SI神经元存在直接的神经通路。截肢侧SI的活跃区域与小人像的手指/手部图谱一致,形成对侧手的镜像。通过感觉反馈,截肢者能够将假肢手指上的压力识别为同名缺失手指上的压力。结果证实,从外周到SI的直接神经通路能够将手指特异性感觉信息有效地传递给这些截肢者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a89/8979634/1f4a1bc41f8d/lan1-2981566.jpg

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