Evidence map›Paper›PMID 34043536›Full record

ArticleScience robotics2021

Robotic hand augmentation drives changes in neural body representation.

Paulina Kieliba, Danielle Clode, Roni O Maimon-Mor, Tamar R Makin

Open access · greenAbstract readEvaluation Study
In one paragraph

Article in Science robotics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
10.1field-weighted citation impact, top 1% 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

52 citing papers in PubMed, 1 synthesis or guideline pooled it, 154 citations in OpenAlex.

  1. Neural correlates of phantom motor execution: A functional neuroimaging systematic review and meta-analysis.Cortex; a journal devoted to the study of the nervous system and behavior · 2024
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  14. Enhanced Somatosensory Inhibition Sharpens Hand Representation and Sensorimotor Skills in Pianists.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
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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

4 authors at 3 institutions in 1 country.

Paulina KielibaInstitute of Cognitive Neuroscience, University College London, 17 Queen Square, London WC1N 3AZ, UK.ORCID 0000-0003-2864-6770
Danielle ClodeInstitute of Cognitive Neuroscience, University College London, 17 Queen Square, London WC1N 3AZ, UK.ORCID 0000-0001-9388-2599
Roni O Maimon-MorInstitute of Cognitive Neuroscience, University College London, 17 Queen Square, London WC1N 3AZ, UK.ORCID 0000-0001-5262-9976
Tamar R MakinInstitute of Cognitive Neuroscience, University College London, 17 Queen Square, London WC1N 3AZ, UK. t.makin@ucl.ac.uk.ORCID 0000-0002-5816-8979
Queen Mary University of London · GBNational Hospital for Neurology and Neurosurgery · GBWellcome Centre for Human Neuroimaging · GB

Funding

Wellcome TrustWellcome Trust 215575/Z/19/Z
6 · The paper itself

Abstract

Humans have long been fascinated by the opportunities afforded through augmentation. This vision not only depends on technological innovations but also critically relies on our brain's ability to learn, adapt, and interface with augmentation devices. Here, we investigated whether successful motor augmentation with an extra robotic thumb can be achieved and what its implications are on the neural representation and function of the biological hand. Able-bodied participants were trained to use an extra robotic thumb (called the Third Thumb) over 5 days, including both lab-based and unstructured daily use. We challenged participants to complete normally bimanual tasks using only the augmented hand and examined their ability to develop hand-robot interactions. Participants were tested on a variety of behavioral and brain imaging tests, designed to interrogate the augmented hand's representation before and after the training. Training improved Third Thumb motor control, dexterity, and hand-robot coordination, even when cognitive load was increased or when vision was occluded. It also resulted in increased sense of embodiment over the Third Thumb. Consequently, augmentation influenced key aspects of hand representation and motor control. Third Thumb usage weakened natural kinematic synergies of the biological hand. Furthermore, brain decoding revealed a mild collapse of the augmented hand's motor representation after training, even while the Third Thumb was not worn. Together, our findings demonstrate that motor augmentation can be readily achieved, with potential for flexible use, reduced cognitive reliance, and increased sense of embodiment. Yet, augmentation may incur changes to the biological hand representation. Such neurocognitive consequences are crucial for successful implementation of future augmentation technologies.

Indexed as

HandAdultBiomechanical PhenomenaComputer SimulationEquipment DesignFemaleHaptic TechnologyHumansMaleMan-Machine SystemsPrinting, Three-DimensionalPsychomotor PerformanceRoboticsSensorimotor CortexTask Performance and AnalysisThumb

Identifiers

PMID34043536
PMCPMC7612043
OpenAlexW3163765339

What OpenQuestion holds

Textmetadata
LicenceTDM
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.