Effective Evaluation of Finger Sensation Evoking by Non-Invasive Stimulation for Sensory Function Recovery in Transradial Amputees.

Synergetic recovery of both somatosensory and motor functions is highly desired by limb amputees to fully regain their lost limb abilities. The commercially available prostheses can restore the lost motor function in amputees but lack intuitive sensory feedback. The previous studies showed that electrical stimulation on the arm stump would be a promising approach to induce sensory information into the nervous system, enabling the possibility of realizing sensory feedback in limb prostheses. However, there are currently limited studies on the effective evaluation of the sensations evoked by transcutaneous electrical nerve stimulation (TENS). In this paper, a multichannel TENS platform was developed and the different stimulus patterns were designed to evoke stable finger sensations for a transradial amputee. Electroencephalogram (EEG) was recorded simultaneously during TENS on the arm stump, which was utilized to evaluate the evoked sensations. The experimental results revealed that different types of sensations on three phantom fingers could be stably evoked for the amputee by properly selecting TENS patterns. The analysis of the event-related potential (ERP) of EEG recordings further confirmed the evoked sensations, and ERP latencies and curve characteristics for different phantom fingers showed significant differences. This work may provide insight for an in-depth understanding of how somatosensation could be restored in limb amputees and offer technical support for the applications of non-invasive sensory feedback systems.