Haptic Feedback Systems for Lower-Limb Prosthetic Applications: A Review of System Design, User Experience, and Clinical Insights.

Systems presenting haptic information have emerged as an important technological advance in assisting individuals with sensory impairments or amputations, where the aim is to enhance sensory perception or provide sensory substitution through tactile feedback. These systems provide information on limb positioning, environmental interactions, and gait events, significantly improving mobility in amputees and their confidence about using such devices. This review summarizes recent progress in haptic feedback systems by providing a comparative analysis of different feedback approaches, evaluating their clinical effectiveness and usability, tactile feedback system design, and user experience, while identifying key gaps in the literature. These insights can contribute to the advancement of more effective, user-centered haptic feedback systems tailored for lower limb prosthetics. The findings are aimed at guiding future research in designing adaptive, intuitive, and clinically viable feedback mechanisms, fostering the widespread implementation of haptic systems in both assistive and rehabilitative applications.