Evidence map›Paper›PMID 29534154›Full record

ArticleBrain : a journal of neurology2018

Artificial limb representation in amputees.

Fiona M Z van den Heiligenberg, Tanya Orlov, Scott N Macdonald, Eugene P Duff, David Henderson Slater, Christian F Beckmann, Heidi Johansen-Berg, Jody C Culham, Tamar R Makin

Open access · hybridAbstract read
In one paragraph

Article in Brain : a journal of neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.

  1. Pooled it
  2. Brain lateralization in children with upper-limb reduction deficiency.Journal of neuroengineering and rehabilitation · 2021
    Trial
  3. Article
  4. Article
  5. Functional and Structural Neural Plasticity Following sEMG Control of a Virtual Prosthetic Hand in an Individual with Bilateral Upper-Limb Congenital Amputation.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Grasping with a Twist: Dissociating Action Goals from Motor Actions in Human Frontoparietal Circuits.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2023
    Article
  10. Embodiment for Robotic Lower-Limb Exoskeletons: A Narrative Review.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2023
    Article
  11. Article
  12. Article
  13. Getting a Child a Myoelectric Prosthesis: Did We Miss the Bus?Journal of prosthetics and orthotics : JPO · 2022
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Hand-Selective Visual Regions Represent How to Grasp 3D Tools: Brain Decoding during Real Actions.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2021
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 4 countries.

Fiona M Z van den HeiligenbergInstitute of Cognitive Neuroscience, University College London, London, UK.
Tanya OrlovNeurobiology Department, Life Sciences Institute, Hebrew University of Jerusalem, Jerusalem, Israel.
Scott N MacdonaldBrain and Mind Institute, Department of Psychology, University of Western Ontario, Canada.
Eugene P DuffFMRIB Centre, Nuffield Department of Clinical Neuroscience, University of Oxford, Oxford, UK.
David Henderson SlaterFMRIB Centre, Nuffield Department of Clinical Neuroscience, University of Oxford, Oxford, UK.
Christian F BeckmannDonders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen, Nijmegen, The Netherlands.
Heidi Johansen-BergFMRIB Centre, Nuffield Department of Clinical Neuroscience, University of Oxford, Oxford, UK.
Jody C CulhamBrain and Mind Institute, Department of Psychology, University of Western Ontario, Canada.
Tamar R MakinInstitute of Cognitive Neuroscience, University College London, London, UK.
University of Oxford · GBWellcome Centre for Integrative Neuroimaging · GBWestern University · CAHebrew University of Jerusalem · ILRadboud University Nijmegen · NLUniversity College London · GB

Funding

Wellcome Trust 104128/Z/14/ZWellcome Trust 110027/Z/15/Z
6 · The paper itself

Abstract

The human brain contains multiple hand-selective areas, in both the sensorimotor and visual systems. Could our brain repurpose neural resources, originally developed for supporting hand function, to represent and control artificial limbs? We studied individuals with congenital or acquired hand-loss (hereafter one-handers) using functional MRI. We show that the more one-handers use an artificial limb (prosthesis) in their everyday life, the stronger visual hand-selective areas in the lateral occipitotemporal cortex respond to prosthesis images. This was found even when one-handers were presented with images of active prostheses that share the functionality of the hand but not necessarily its visual features (e.g. a 'hook' prosthesis). Further, we show that daily prosthesis usage determines large-scale inter-network communication across hand-selective areas. This was demonstrated by increased resting state functional connectivity between visual and sensorimotor hand-selective areas, proportional to the intensiveness of everyday prosthesis usage. Further analysis revealed a 3-fold coupling between prosthesis activity, visuomotor connectivity and usage, suggesting a possible role for the motor system in shaping use-dependent representation in visual hand-selective areas, and/or vice versa. Moreover, able-bodied control participants who routinely observe prosthesis usage (albeit less intensively than the prosthesis users) showed significantly weaker associations between degree of prosthesis observation and visual cortex activity or connectivity. Together, our findings suggest that altered daily motor behaviour facilitates prosthesis-related visual processing and shapes communication across hand-selective areas. This neurophysiological substrate for prosthesis embodiment may inspire rehabilitation approaches to improve usage of existing substitutionary devices and aid implementation of future assistive and augmentative technologies.

Indexed as

Artificial LimbsHandAdultAmputeesBrain MappingCerebral CortexFeedback, SensoryFemaleFunctional LateralityHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleMiddle AgedOxygenPhotic StimulationOxygen

Identifiers

PMID29534154
PMCPMC5917779
OpenAlexW2793012680

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.