{"id":79385,"date":"2025-12-26T18:48:55","date_gmt":"2025-12-26T18:48:55","guid":{"rendered":"https:\/\/one.sightlinemg.com\/navytimes\/uncategorized\/2025\/12\/26\/soldier-regains-sense-of-touch-through-neural-enabled-prosthetic-limb\/"},"modified":"2026-08-08T17:21:09","modified_gmt":"2026-08-08T17:21:09","slug":"soldier-regains-sense-of-touch-through-neural-enabled-prosthetic-limb","status":"publish","type":"post","link":"https:\/\/one.sightlinemg.com\/navytimes\/news\/your-navy\/2025\/12\/26\/soldier-regains-sense-of-touch-through-neural-enabled-prosthetic-limb\/","title":{"rendered":"Soldier regains sense of touch through neural-enabled prosthetic limb"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">A U.S. soldier participating in a clinical trial at Walter Reed National Military Medical Center is testing a neural-enabled prosthetic arm designed to restore the sense of touch through nerve stimulation, the Maryland hospital recently announced.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The concept for the device originated with Drs. Ranu Jung and James Abbas of the University of Arkansas, who are conducting a study and contacted Walter Reed to participate as a second site.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cWe created this prosthetic system to allow someone who uses a motorized prosthesis to feel what they are touching,\u201d Abbas said in a release last month. \u201cWhen someone has a standard motorized prosthesis, when the hand closes and touches something, they don\u2019t feel it.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The participant, described in the release as a soldier with an amputation below the elbow, typically uses a standard prosthetic with no sensation. After volunteering to test the sensory hand, the soldier described what changes when touch is returned. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cThe new [prosthetic] gives me a \u2018feeling sensation\u2019 when I grab an object,\u201d the soldier said. \u201cI don\u2019t need to look at an object when I pick it up, because I know it\u2019s there. If I reach over to grab a pillow, the electrodes in the fingertips of the hand make it so that I have the sensation of holding something.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dr. Paul Pasquina, chief of the Department of Rehabilitation at Walter Reed, said troops\u2019 experience with limb loss during the wars in Iraq and Afghanistan helped sharpen the need for better upper-limb prosthetics. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Combat trauma produces a higher percentage of upper-limb loss and multiple limb loss compared with disease-based amputations, which more often affect the lower limbs, Pasquina said in an interview with Military Times.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That gap, Pasquina said, also helped drive the Defense Department\u2019s investment. He described early engagement with the Defense Advanced Research Projects Agency, including visits with wounded service members to better understand the limits of existing prosthetics. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Those conversations helped spur what became a multidisciplinary effort that brought together engineers, neuroscientists and clinicians to push both robotics and the human-machine interface forward, Pasquina said.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">One of the biggest remaining limitations, he said, is sensory feedback, as there\u2019s no prostheses available that provides such feedback. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Without sensation, users must rely on constant visual attention. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cIf you have to look at everything that you\u2019re picking up, your concentration needs to be on that thing you\u2019re picking up,\u201d Pasquina said. \u201cIt distracts you from other activities.\u201d <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cWe cannot underestimate the importance of touch,\u201d he added, citing the example of holding a child\u2019s hand and knowing it is secure \u2014 moments that become far more complicated without sensation.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"6000\" height=\"4000\" src=\"\/wp-content\/uploads\/2026\/08\/9417862-1.jpg.jpg\" alt=\"\" class=\"wp-image-109888\" srcset=\"https:\/\/one.sightlinemg.com\/wp-content\/uploads\/2026\/08\/9417862-1.jpg.jpg 6000w, https:\/\/one.sightlinemg.com\/wp-content\/uploads\/2026\/08\/9417862-1.jpg.jpg?resize=300,200 300w, https:\/\/one.sightlinemg.com\/wp-content\/uploads\/2026\/08\/9417862-1.jpg.jpg?resize=768,512 768w, https:\/\/one.sightlinemg.com\/wp-content\/uploads\/2026\/08\/9417862-1.jpg.jpg?resize=1024,683 1024w, https:\/\/one.sightlinemg.com\/wp-content\/uploads\/2026\/08\/9417862-1.jpg.jpg?resize=1536,1024 1536w, https:\/\/one.sightlinemg.com\/wp-content\/uploads\/2026\/08\/9417862-1.jpg.jpg?resize=2048,1365 2048w\" sizes=\"auto, (max-width: 6000px) 100vw, 6000px\" \/><figcaption class=\"wp-element-caption\">A clinical trial participant demonstrates different functions of a neural-enabled prosthetic arm at Walter Reed. (Ann Brandstadter\/DOD)<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">The trial aims to address that gap through an implanted interface paired with an advanced prosthetic hand. To enable sensation, the participant underwent surgery in which electrodes were implanted in their upper-arm nerves. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">On the prosthetic itself, sensors in the fingertips connect to a box embedded in the forearm, described as an implant-hand interface that communicates with an implanted neurostimulator. When the soldier grasps an object, the system sends neural signals intended to re-create the feeling of touch, the release said. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The participant has tested the arm for more than a year and said it feels closer to a natural limb than any prosthetic used before.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The work presents challenges on both the surgical and engineering sides, according to Pasquina. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cThese are tiny, tiny, fine wires that need to be implanted,\u201d he said, describing the difficulty of placing electrodes near nerves while keeping the interface stable over time. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">After implantation, the system must be calibrated, a process that relies heavily on participant feedback as engineers adjust stimulation frequency, intensity and duration to produce usable sensation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Michelle Nordstrom, a research occupational therapist in the Department of Physical Medicine and Rehabilitation, said sensation restored through stimulation is not identical to natural touch, but it provides critical information users otherwise lack.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The added feedback can significantly reduce the mental effort required to use a myoelectric prosthesis, Nordstrom told Military Times. She described clinical testing in which participants struggled with certain tasks when stimulation was turned off. Examples include picking up a penny or maintaining a grip on a zipper pull.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cOnce we turn the stimulation on,\u201d she said, \u201cthey\u2019re able to pick up that penny. They\u2019re able to grab a hold of that zipper and maintain it.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Restored sensation can increase confidence in everyday situations, from holding a drink in public to walking a dog using a prosthetic hand, Abbas, one of the device\u2019s developers, told Military Times. He also noted the potential benefit for people with bilateral limb loss, particularly those injured by blasts, who lack an intact limb to compensate for sensory gaps.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Three of the seven participants in the study are connected to the military community, according to Nordstrom. She said the Walter Reed participant remains active in the Army, and two additional participants are veterans.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Trial participants commit to major surgery and years of testing without guarantees of success. That sense of service often resonates strongly with service members, even after injury, Abbas said.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cThere are uncertainties, and we are asking a lot of the participants,\u201d he said. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The study remains ongoing and is expected to move into a larger clinical trial. The device is not commercially available. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">One of the biggest hurdles for widespread access is the economics of commercialization for relatively small patient populations, Pasquina said. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Further, insurance limitations in civilian settings can further restrict access to advanced prosthetics, a contrast to military care systems, Nordstrom noted.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Even after those limitations, prosthetic use remains a personal choice, Nordstrom said. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cThere\u2019s nothing wrong with someone choosing not to use a prosthetic device.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A U.S. Army soldier is participating in a clinical trial at Walter Reed testing a neural-enabled prosthetic limb designed to restore the sense of touch. 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