A Virtual Integrated Environment for phantom limb pain treatment and Modular Prosthetic Limb training

We explored the use of the Virtual Integrated Environment (VIE), developed by the Johns Hopkins University Applied Physics Lab (JHU/APL), in treating phantom limb pain in seven upper-extremity amputees. Further, we tested pattern recognition control of a virtual avatar using surface electromyography signals captured from subjects' residual limbs. The majority of patients responded to treatment, reporting decreased pain intensity and symptoms. Six of seven subjects showed greater than eighty percent classification accuracies for at least seven motion classes. After successfully operating the VIE, one subject underwent preliminary testing with an advanced myoelectric prosthesis, the Modular Prosthetic Limb, also developed by JHU/APL.

[1]  Toby Howard,et al.  The treatment of phantom limb pain using immersive virtual reality: Three case studies , 2007, Disability and rehabilitation.

[2]  N. Birbaumer,et al.  BCI2000: a general-purpose brain-computer interface (BCI) system , 2004, IEEE Transactions on Biomedical Engineering.

[3]  Catherine Mercier,et al.  Training With Virtual Visual Feedback to Alleviate Phantom Limb Pain , 2009, Neurorehabilitation and neural repair.

[4]  E. Brodie,et al.  Analgesia through the looking‐glass? A randomized controlled trial investigating the effect of viewing a ‘virtual’ limb upon phantom limb pain, sensation and movement , 2007, European journal of pain.

[5]  V. Tronnier,et al.  Current and future options for the management of phantom-limb pain , 2012, Journal of pain research.

[6]  S. Kim,et al.  Mirror Therapy for Phantom Limb Pain , 2012, The Korean journal of pain.

[7]  M. Hauschild,et al.  A Virtual Reality Environment for Designing and Fitting Neural Prosthetic Limbs , 2007, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[8]  R. Jacob Vogelstein,et al.  A Real-Time Virtual Integration Environment for Neuroprosthetics and Rehabilitation , 2011 .

[9]  Ronald Melzack,et al.  The short-form McGill pain questionnaire , 1987, Pain.

[10]  Donald D. Price,et al.  A comparison of pain measurement characteristics of mechanical visual analogue and simple numerical rating scales , 1994, Pain.

[11]  Simon Crowle,et al.  Exploratory findings with virtual reality for phantom limb pain; from stump motion to agency and analgesia , 2009, Disability and rehabilitation.

[12]  V. Ramachandran,et al.  The perception of phantom limbs. The D. O. Hebb lecture. , 1998, Brain : a journal of neurology.

[13]  V. Ramachandran,et al.  Synaesthesia in phantom limbs induced with mirrors , 1996, Proceedings of the Royal Society of London. Series B: Biological Sciences.

[14]  Rahman Davoodi,et al.  A Software Tool for Faster Development of Complex Models of Musculoskeletal Systems and Sensorimotor Controllers in Simulink TM , 2002 .

[15]  P. Dijkstra,et al.  Phantom pain and phantom sensations in upper limb amputees: an epidemiological study , 2000, Pain.