Evidence map›Paper›PMID 31160580›Full record

ArticleNature communications2019

Augmented manipulation ability in humans with six-fingered hands.

C Mehring, M Akselrod, L Bashford, M Mace, H Choi, M Blüher, A-S Buschhoff, T Pistohl, R Salomon, A Cheah and 3 more

Abstract readCase Reports
In one paragraph

Article in Nature communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
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

23 citing papers in PubMed.

  1. Article
  2. Article
  3. Early Motor Development and Rehabilitation Outcomes in Apert Syndrome: Gross Motor Function Measures-Case Report.Pathophysiology : the official journal of the International Society for Pathophysiology · 2026
    Article
  4. A detachable crawling robotic hand.Nature communications · 2026
    Article
  5. Article
  6. The Multiscale Wisdom of the Body: Collective Intelligence as a Tractable Interface for Next-Generation Biomedicine.BioEssays : news and reviews in molecular, cellular and developmental biology · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. 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

13 authors.

C MehringBernstein Center Freiburg, University of Freiburg, Freiburg im Breisgau, 79104, Germany. carsten.mehring@biologie.uni-freiburg.de.ORCID http://orcid.org/0000-0001-8125-5205
M AkselrodDepartment of Clinical Neurosciences, University Hospital Lausanne (CHUV), Lausanne, 1005, Switzerland.
L BashfordBernstein Center Freiburg, University of Freiburg, Freiburg im Breisgau, 79104, Germany.ORCID http://orcid.org/0000-0003-4391-2491
M MaceDepartment of Bioengineering, Imperial College of Science, Technology and Medicine, London, SW7 2AZ, UK.
H ChoiBernstein Center Freiburg, University of Freiburg, Freiburg im Breisgau, 79104, Germany.
M BlüherBernstein Center Freiburg, University of Freiburg, Freiburg im Breisgau, 79104, Germany.
A-S BuschhoffBernstein Center Freiburg, University of Freiburg, Freiburg im Breisgau, 79104, Germany.
T PistohlBernstein Center Freiburg, University of Freiburg, Freiburg im Breisgau, 79104, Germany.
R SalomonGonda Brain Research Center, Bar Ilan University, Ramat Gan, 5290002, Israel.
A CheahDepartment of Hand & Reconstruction Microsurgery, National University Hospital, Singapore, 119228, Singapore.
O BlankeCenter for Neuroprosthetics, Swiss Federal Institute of Technology of Lausanne (EPFL), Geneva, 1202, Switzerland.
A SerinoDepartment of Clinical Neurosciences, University Hospital Lausanne (CHUV), Lausanne, 1005, Switzerland.
E BurdetDepartment of Bioengineering, Imperial College of Science, Technology and Medicine, London, SW7 2AZ, UK. e.burdet@imperial.ac.uk.ORCID http://orcid.org/0000-0002-2123-0185

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neurotechnology attempts to develop supernumerary limbs, but can the human brain deal with the complexity to control an extra limb and yield advantages from it? Here, we analyzed the neuromechanics and manipulation abilities of two polydactyly subjects who each possess six fingers on their hands. Anatomical MRI of the supernumerary finger (SF) revealed that it is actuated by extra muscles and nerves, and fMRI identified a distinct cortical representation of the SF. In both subjects, the SF was able to move independently from the other fingers. Polydactyly subjects were able to coordinate the SF with their other fingers for more complex movements than five fingered subjects, and so carry out with only one hand tasks normally requiring two hands. These results demonstrate that a body with significantly more degrees-of-freedom can be controlled by the human nervous system without causing motor deficits or impairments and can instead provide superior manipulation abilities.

Indexed as

AdolescentBrainCerebral CortexFemaleFingersFunctional NeuroimagingHandHumansMagnetic Resonance ImagingMaleMiddle AgedMovementMuscle, SkeletalPolydactyly

Identifiers

PMID31160580
PMCPMC6547737

What OpenQuestion holds

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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.