Electrotactile Feedback Improves Grip Force Control and Enables Object Stiffness Recognition While Using a Myoelectric Hand

Current myoelectric hands are limited in their ability to provide effective sensory feedback to the users, which highly affects their functionality and utility. Although the sensory information of a myoelectric hand can be acquired with equipped sensors, transforming the sensory signals into effective tactile sensations on users for functional tasks is a largely unsolved challenge. The purpose of this study aims to demonstrate that electrotactile feedback of the grip force improves the sensorimotor control of a myoelectric hand and enables object stiffness recognition. The grip force of a sensorized myoelectric hand was delivered to its users via electrotactile stimulation based on four kinds of typical encoding strategies, including graded (G), linear amplitude (LA), linear frequency (LF), and biomimetic (B) modulation. Object stiffness was encoded with the change of electrotactile sensations triggered by final grip force, as the prosthesis grasped the objects. Ten able-bodied subjects and two transradial amputees were recruited to participate in a dual-task virtual eggs test (VET) and an object stiffness discrimination test (OSDT) to quantify the prosthesis users' ability to handle fragile objects and recognize object stiffnesses, respectively. The quantified results showed that with electrotactile feedback enabled, the four kinds of encoding strategies allowed subjects to better able to handle fragile objects with similar performance, and the subjects were able to differentiate four levels of object stiffness at favorable accuracies (>86%) and high manual efficiency. Strategy LA presented the best stiffness discrimination performance, while strategy B was able to reduce the discrimination time but the discrimination accuracy was not better than the other three strategies. Electrotactile feedback also enhanced prosthesis embodiment and improved the users' confidence in prosthetic control. Outcomes indicate electrotactile feedback can be effectively exploited by the prosthesis users for grip force control and object stiffness recognition, proving the feasibility of functional sensory restoration of myoelectric prostheses equipped with electrotactile feedback.