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Updated: May 15, 2026

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Characterization of the Sense of Agency over the Actions of Neural-machine Interface-operated Prostheses
Published on: January 7, 2019
Non-invasive somatotopic proprioceptive feedback for closed-loop robotic hand aperture control.
Olivier Lecompte1, Sofiane Achiche1, Maria Haddad2
1Department of Mechanical Engineering, Polytechnique Montréal, Montréal, Qc, Canada.
Journal of Neural Engineering
|May 13, 2026
Summary
This study shows that transcutaneous electrical nerve stimulation (TENS) can provide artificial proprioceptive feedback for prosthetic hands. This feedback improves hand control accuracy and reduces reliance on vision, even under cognitive load.
Area of Science:
- Neuroscience
- Biomedical Engineering
- Rehabilitation Technology
Background:
- Robotic prostheses for transradial amputation often lack proprioceptive feedback, hindering precise control and increasing visual dependence.
- Restoring physiological feedback is crucial for improving prosthetic limb function and user experience.
Purpose of the Study:
- To investigate the efficacy of non-invasive somatotopic feedback using transcutaneous electrical nerve stimulation (TENS) for conveying hand aperture information.
- To determine if TENS-based artificial proprioception can mitigate control challenges and reduce reliance on vision in prosthetic hand users.
Main Methods:
- Twenty healthy participants performed an aperture control task under visual and non-visual conditions, with or without TENS feedback.
- A Stroop task was included to assess cognitive load during the aperture control task.
- Control accuracy, learning rates, and visual dependence were compared between groups with and without TENS feedback.
Main Results:
- Participants receiving TENS feedback demonstrated significantly reduced aperture control errors under visual deprivation compared to the control group.
- TENS-based feedback enabled immediate control accuracy comparable to visual input.
- The TENS group maintained cognitive performance and effective hand control even when performing a secondary task.
Conclusions:
- Non-invasive somatotopic proprioceptive feedback via TENS holds significant potential for restoring proprioceptive function in prosthetic hand users.
- This approach offers a physiologically meaningful way to enhance prosthetic hand control and reduce user reliance on visual input.
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