Physicians and biomedical engineers from Johns Hopkins University School of Medicine, Baltimore, report what they believe is the first successful effort to wiggle fingers individually and independently of each other using a mind-controlled artificial arm to control the movement.
The proof-of-concept, described online Feb. 15 in theÂ Journal of Neural Engineering, represents a potential advance in technologies to restore refined hand function to those who have lost arms to injury or disease, researchers said in a news release. The young man on whom the experiment was performed was not missing an arm or hand, but he was outfitted with a device that essentially took advantage of a brain-mapping procedure to bypass control of his own arm and hand.
â€œWe believe this is the first time a person using a mind-controlled prosthesis has immediately performed individual digit movements without extensive training,â€ senior author Nathan Crone, MD, professor of neurology at Johns Hopkins, said in the release. â€œThis technology goes beyond available prostheses, in which the artificial digits, or fingers, moved as a single unit to make a grabbing motion, like one used to grip a tennis ball.â€
For the experiment, the research team recruited a young man with epilepsy who already was scheduled to undergo brain mapping at Johns Hopkins Hospitalâ€™s epilepsy monitoring unit to pinpoint the origin of his seizures. While the brain recordings were made using electrodes surgically implanted for clinical reasons, researchers could then use the signals to control a modular prosthetic limb developed by the Johns Hopkins University Applied Physics Laboratory.
First, the patientâ€™s neurosurgeon placed an array of 128 electrode sensors â€” all on a single rectangular sheet of film the size of a credit card â€” on the part of the manâ€™s brain that normally controls hand and arm movements. Each sensor measured a circle of brain tissue 1 millimeter in diameter.
An illustration showing the electrode array on the subjectâ€™s brain, including a representation of what part of the brain controls each finger. (Photo courtesy of Guy Hotson)
Before connecting the prosthesis, the researchers mapped and tracked the specific parts of the patientâ€™s brain responsible for moving each finger. Then they programmed the prosthesis to move the corresponding finger.
The computer program the Johns Hopkins team developed had the man move individual fingers on command and recorded which parts of the brain lit up when each sensor detected an electric signal.
In addition to collecting data on the parts of brain involved in motor movement, the researchers measured electrical brain activity involved in tactile sensation. To do this, the subject was outfitted with a glove with small, vibrating buzzers in the fingertips, which went off individually in each finger. The researchers measured the resulting electrical activity in the brain for each finger connection.
After the motor and sensory data were collected, the researchers programmed the prosthetic arm to move corresponding fingers based on which part of the brain was active. The researchers turned on the prosthetic arm, which was wired to the patient through the brain electrodes, and asked the subject to think about individually moving thumb, index, middle, ring and pinkie fingers. The electrical activity generated in the brain moved the fingers, according to the release.
â€œThe electrodes used to measure brain activity in this study gave us better resolution of a large region of cortex than anything weâ€™ve used before and allowed for more precise spatial mapping in the brain,â€ study lead author Guy Hotson, graduate student, said in the release. â€œThis precision is what allowed us to separate the control of individual fingers.â€
Initially, the mind-controlled limb had an accuracy of 76%. Once the researchers coupled the ring and pinkie fingers together, the accuracy increased to 88%.
â€œThe part of the brain that controls the pinkie and ring fingers overlaps, and most people move the two fingers together,â€ Crone said in the release. â€œIt makes sense that coupling these two fingers improved the accuracy.â€
The researchers said no pre-training was required for the subject to gain this level of control, and the experiment took less than two hours.
Crone said application of this technology to those actuallymissing limbsÂ is still some years away and will be costly, requiring extensive mapping and computer programming. According to the Amputee Coalition, more than 100,000 people living in the U.S. have amputated hands or arms, and most could potentially benefit from such technology.
Additional authors on the study include David McMullen, Matthew Fifer, William Anderson and Nitish Thakor of Johns Hopkins Medicine and Matthew Johannes, Kapil Katyal, Matthew Para, Robert Armiger and Brock Wester of the Johns Hopkins Applied Physics Laboratory.
This study was funded by theÂ National Institute of Neurological Disorders and Stroke.