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#MIXEDREALITIES

ENHANCING

VR PRESENCE

VR IN THE PROSTHETICS WORLD

Introduction to the case study

For this week I decided to have a look into how VR presence can be used for medical treatment. I decided I wanted to look into the prosthetics world, as this is a topic I'm passionate about, and I thought a sense of presence would be vital and potentially life changing for amputees. VR presence has the potential to help them better adapt to their prosthetic limb.

Reasons for selection

Having used VR myself, I understood how important presence was. During the first week of the semester I used the VR headset in the design studio to experience for myself the famous game 'Walk The Plank', whereby the player walks along a plank that goes off the edge of the building. When I first stepped onto the plank the whole experience felt incredibly convincing, until the real plank I was standing on started to shake from side to side – however, this motion was not mimicked in the virtual world. Following this realisation, the whole experience became less convincing as my brain then interpreted the VR world I was seeing as less authentic. With this realisation, it occurred to me that there was enormous potential for enhancing a more authentic and realistic feeling of presence for amputees.

Discussion

I decided to look into the research facility EPFL (Swiss Federal Institute of Technology), an engineering research institute that has been conducting ground-breaking experiments using VR to help traumatic amputee patients overcome phantom limb syndrome.

Phantom limb syndrome is where amputees feel the sensation of their limb that has been removed. This can cause often distressing sensations for the amputee such as itching, pain and sometimes the desire to make a gesture. Adding to this anguish, their phantom limb is often much smaller than their previous, real limb. The prosthetic limbs currently available don't provide sensory feedback; meaning they don't have the sensation of touch through the prosthesis. Through the use of VR the amputees could be convinced that their prosthetic limb is in fact an integral part of their body, therefore effectively mitigating the distressing presence of phantom limb syndrome.

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​To conduct this experiment, the students of EPFL ascertained that a sense of presence is incredibly important to convince the amputee’s brain to accept the robotic limb. To help increase the sense of presence they did two things. Firstly, they stimulated the patient’s sense of touch by pulsing electrical signals through the stump.  Secondly, when the amputee wore the VR goggles which showed an artificial hand, the hand glowed in the same places (and at the same time) as the electrical signals to make it seem as if they had their original limb back. Through the rich, highly realistic multi-sensory VR experience most amputees were convinced their limb was still attached; proving that a sense of presence makes the unreal seem real. After this experiment the amputees reported that their phantom limb had grown in size and now mimicked the size and feel of the limb they had lost. Through this, their body would better adapt to a prosthetic limb as it would feel much more realistic.

References

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