Robotic Assessment of Wrist Proprioception During Kinaesthetic Perturbations: A Neuroergonomic Approach
| Autor: | Maura Casadio, Jürgen Konczak, Fabrizio Patanè, Jacopo Zenzeri, Elisa Galofaro, Lorenzo Masia, Erika D'Antonio |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
030506 rehabilitation
medicine.medical_specialty Computer science proprioception Biomedical Engineering Sensory system Wrist robotic assessment biomechanics motor control multi-joint static perturbation lcsh:RC321-571 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Forearm Artificial Intelligence medicine lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry Original Research Haptic technology Proprioception Work (physics) Biomechanics Motor control medicine.anatomical_structure 0305 other medical science 030217 neurology & neurosurgery Neuroscience |
| Zdroj: | Frontiers in Neurorobotics, Vol 15 (2021) D'Antonio, E, Galofaro, E, Zenzeri, J, Patané, F, Konczak, J, Casadio, M & Masia, L 2021, ' Robotic Assessment of Wrist Proprioception During Kinaesthetic Perturbations : A Neuroergonomic Approach ', Frontiers in Neurorobotics, vol. 15, 640551 . https://doi.org/10.3389/fnbot.2021.640551 Frontiers in Neurorobotics |
| ISSN: | 1662-5218 |
| DOI: | 10.3389/fnbot.2021.640551/full |
| Popis: | Position sense refers to an aspect of proprioception crucial for motor control and learning. The onset of neurological diseases can damage such sensory afference, with consequent motor disorders dramatically reducing the associated recovery process. In regular clinical practice, assessment of proprioceptive deficits is run by means of clinical scales which do not provide quantitative measurements. However, existing robotic solutions usually do not involve multi-joint movements but are mostly applied to a single proximal or distal joint. The present work provides a testing paradigm for assessing proprioception during coordinated multi-joint distal movements and in presence of kinaesthetic perturbations: we evaluated healthy subjects' ability to match proprioceptive targets along two of the three wrist's degrees of freedom, flexion/extension and abduction/adduction. By introducing rotations along the pronation/supination axis not involved in the matching task, we tested two experimental conditions, which differed in terms of the temporal imposition of the external perturbation: in the first one, the disturbance was provided after the presentation of the proprioceptive target, while in the second one, the rotation of the pronation/ supination axis was imposed during the proprioceptive target presentation. We investigated if (i) the amplitude of the perturbation along the pronation/supination would lead to proprioceptive miscalibration; (ii) the encoding of proprioceptive target, would be influenced by the presentation sequence between the target itself and the rotational disturbance. Eighteen participants were tested by means of a haptic neuroergonomic wrist device: our findings provided evidence that the order of disturbance presentation does not alter proprioceptive acuity. Yet, a further effect has been noticed: proprioception is highly anisotropic and dependent on perturbation amplitude. Unexpectedly, the configuration of the forearm highly influences sensory feedbacks, and significantly alters subjects' performance in matching the proprioceptive targets, defining portions of the wrist workspace where kinaesthetic and proprioceptive acuity are more sensitive. This finding may suggest solutions and applications in multiple fields: from general haptics where, knowing how wrist configuration influences proprioception, might suggest new neuroergonomic solutions in device design, to clinical evaluation after neurological damage, where accurately assessing proprioceptive deficits can dramatically complement regular therapy for a better prediction of the recovery path. |
| Databáze: | OpenAIRE |
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