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Granata G, Di Iorio R, Miraglia F, Caulo M, Iodice F, Vecchio F, Valle G, Strauss I, D'anna E, Iberite F, Lauretti L, Fernandez E, Romanello R, Petrini FM, Raspopovic S, Micera S, Rossini PM. Brain reactions to the use of sensorized hand prosthesis in amputees. Brain Behav 2020; 10:e01734. [PMID: 32949216 PMCID: PMC7667362 DOI: 10.1002/brb3.1734] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/09/2019] [Revised: 05/06/2020] [Accepted: 06/06/2020] [Indexed: 01/10/2023] Open
Abstract
OBJECTIVE We investigated for the first time the presence of chronic changes in the functional organization of sensorimotor brain areas induced by prolonged training with a bidirectional hand prosthesis. METHODS A multimodal neurophysiological and neuroimaging evaluation of brain functional changes occurring during training in five consecutive amputees participating to experimental trials with robotic hands over a period of 10 years was carried out. In particular, modifications to the functional anatomy of sensorimotor brain areas under resting conditions were explored in order to check for eventual changes with respect to baseline. RESULTS Full evidence is provided to demonstrate brain functional changes, and some of them in both the hemispheres and others restricted to the hemisphere contralateral to the amputation/prosthetic hand. CONCLUSIONS The study describes a unique experimental experience showing that brain reactions to the prolonged use of an artificial hand can be tracked for a tailored approach to a fully embedded artificial upper limb for future chronic uses in daily activities.
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Affiliation(s)
- Giuseppe Granata
- Institute of Neurology, Fondazione Policlinico A. Gemelli-IRCCS, Roma, Italy
| | - Riccardo Di Iorio
- Institute of Neurology, Fondazione Policlinico A. Gemelli-IRCCS, Roma, Italy
| | - Francesca Miraglia
- Department of Neuroscience & Rehabilitation, IRCCS San Raffaele Pisana, Roma, Italy.,Institute of Neurology, Catholic University of The Sacred Heart, Roma, Italy
| | - Massimo Caulo
- Department of Neuroscience and Imaging and ITAB-Institute of Advanced Biomedical Technologies, University G. d'Annunzio, Chieti, Italy
| | - Francesco Iodice
- Institute of Neurology, Fondazione Policlinico A. Gemelli-IRCCS, Roma, Italy.,Department of Neuroscience & Rehabilitation, IRCCS San Raffaele Pisana, Roma, Italy
| | - Fabrizio Vecchio
- Department of Neuroscience & Rehabilitation, IRCCS San Raffaele Pisana, Roma, Italy
| | - Giacomo Valle
- The BioRobotics Institute and Department of Excellence in Robotics and AI, Scuola Superiore Sant'Anna, Pisa, Italy.,Center for Neuroprosthetics and Institute of Bioengineering, School of Engineering, École Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland.,Laboratory for Neuroengineering, Department of Health Sciences and Technology, Institute for Robotics and Intelligent Systems, ETH Zürich, Zürich, Switzerland
| | - Ivo Strauss
- The BioRobotics Institute and Department of Excellence in Robotics and AI, Scuola Superiore Sant'Anna, Pisa, Italy
| | - Edoardo D'anna
- Center for Neuroprosthetics and Institute of Bioengineering, School of Engineering, École Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland
| | - Francesco Iberite
- The BioRobotics Institute and Department of Excellence in Robotics and AI, Scuola Superiore Sant'Anna, Pisa, Italy
| | - Liverana Lauretti
- Institute of Neurosurgery, Fondazione Policlinico A. Gemelli-IRCCS, Roma, Italy
| | - Eduardo Fernandez
- Institute of Neurology, Fondazione Policlinico A. Gemelli-IRCCS, Roma, Italy.,Institute of Neurosurgery, Fondazione Policlinico A. Gemelli-IRCCS, Roma, Italy
| | - Roberto Romanello
- Institute of Neurology, Fondazione Policlinico A. Gemelli-IRCCS, Roma, Italy
| | - Francesco M Petrini
- Center for Neuroprosthetics and Institute of Bioengineering, School of Engineering, École Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland.,Laboratory for Neuroengineering, Department of Health Sciences and Technology, Institute for Robotics and Intelligent Systems, ETH Zürich, Zürich, Switzerland
| | - Stanisa Raspopovic
- Center for Neuroprosthetics and Institute of Bioengineering, School of Engineering, École Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland.,Laboratory for Neuroengineering, Department of Health Sciences and Technology, Institute for Robotics and Intelligent Systems, ETH Zürich, Zürich, Switzerland
| | - Silvestro Micera
- The BioRobotics Institute and Department of Excellence in Robotics and AI, Scuola Superiore Sant'Anna, Pisa, Italy.,Center for Neuroprosthetics and Institute of Bioengineering, School of Engineering, École Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland
| | - Paolo M Rossini
- Department of Neuroscience & Rehabilitation, IRCCS San Raffaele Pisana, Roma, Italy
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