Perceptual Design and Evaluation of a Forearm-Based Vibrotactile Interface for Transfemoral Prosthetic Feedback

The lack of reliable sensory input from prosthetic limbs limits transfemoral amputees' ability to perceive limb movement without visual monitoring. This study evaluated design parameters of a proposed forearm-based vibrotactile system in a pre-clinical, design-level perceptual evaluation, conveying prosthetic joint positions through patterned vibrations to provide non-invasive proprioceptive feedback. Healthy participants completed two experiments assessing detection of tactile cues from dual-actuator bands on the wrist and elbow representing assumed ankle and knee positions. The effects of temporal structuring (sequential vs. simultaneous stimulation), actuator configuration, amplitude and frequency settings, and signal duration on response accuracy were examined. Sequential vibrations produced significantly higher recognition accuracy than simultaneous presentation (72.4% vs. 42.7%, <i>p</i> < 0.001) in a variety of vibration signal parameter values. Actuator placement also influenced performance: simultaneous stimulation on opposite forearm sides yielded significantly lower accuracy (<i>p</i> < 0.001) than same-side configurations, whereas this directional effect was not significant for sequential presentation. Accuracy did not differ significantly between equal and unequal amplitude or frequency levels across actuators. Longer stimulus durations improved accuracy, increasing from 82.3% at 60 ms to 92.5% at 240 ms, though the results indicated a saturation point, suggesting an optimal temporal window. These findings inform the design of forearm-based sensory feedback systems for improved prosthetic limb control.