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The perception of signals from within the body, known as interoception, is increasingly recognized as a prerequisite for physical and mental health. This study is dedicated to the development of effective technological approaches for enhancing interoceptive abilities. We provide evidence of the effectiveness and practical feasibility of a novel real‐time haptic heartbeat supplementation technology combining principles of biofeedback and sensory augmentation. In a randomized controlled study, we applied the developed naturalistic haptic feedback on a group of 30 adults, while another group of 30 adults received more traditional real‐time visual heartbeat feedback. A single session of haptic, but not visual heartbeat feedback resulted in increased interoceptive accuracy and confidence, as measured by the heart rate discrimination task, and in a shift of attention toward the body. Participants rated the developed technology as more helpful and pleasant than the visual feedback, thus indicating high user satisfaction. The study highlights the importance of matching sensory characteristics of the feedback provided to the natural bodily prototype. Our work suggests that real‐time haptic feedback might be a superior approach for strengthening the mind–body connection in interventions for physical and mental health. In the study, we evaluate the efficacy of a newly developed interoceptive training—supplementation of heartbeat sensations through real‐time haptic feedback. We revealed that the haptic feedback technology improves interoceptive accuracy, increases confidence, and shifts attention toward bodily sensations more effectively than the traditional visual feedback approach, opening new possibilities for clinical and neurowellness applications. [ABSTRACT FROM AUTHOR]

Background: The absence of force feedback (FFB) is considered a technical limitation in robotic-assisted surgery (RAS). This pre-clinical study aims to evaluate the forces applied to tissues using a novel integrated FFB technology, which allows surgeons to sense forces exerted at the instrument tips. Methods: Twenty-eight surgeons with varying experience levels employed FFB instruments to perform three robotic-assisted surgical tasks, including retraction, dissection, and suturing, on inanimate or ex-vivo models, while the instrument sensors recorded and conveyed the applied forces to the surgeon hand controllers of the robotic system. Generalized Estimating Equations (GEE) models were used to analyze the mean and maximal forces applied during each task with the FFB sensor at the "Off" setting compared to the "High" sensitivity setting for retraction and to the "Low", "Medium", and "High" sensitivity settings for dissection and suturing. Sub-analysis was also performed on surgeon experience levels. Results: The use of FFB at any of the sensitivity settings resulted in a significant reduction in both the mean and maximal forces exerted on tissue during all three robotic-assisted surgical tasks (p < 0.0001). The maximal force exerted, potentially associated with tissue damage, was decreased by 36%, 41%, and 55% with the use of FFB at the "High" sensitivity setting while performing retraction, dissection, and interrupted suturing tasks, respectively. Further, the use of FFB resulted in substantial reductions in force variance during the performance of all three types of tasks. In general, reductions in mean and maximal forces were observed among surgeons at all experience levels. The degree of force reduction depends on the sensitivity setting selected and the types of surgical tasks evaluated. Conclusions: Our findings demonstrate that the utilization of FFB technology integrated in the robotic surgical system significantly reduced the forces exerted on tissue during the performance of surgical tasks at all surgeon experience levels. The reduction in the force applied and a consistency of force application achieved with FFB use, could result in decreases in tissue trauma and blood loss, potentially leading to better clinical outcomes in patients undergoing RAS. Future studies will be important to determine the impact of FFB instruments in a live clinical environment. [ABSTRACT FROM AUTHOR]

Background/Objectives: In perioperative nursing practice, nursing students can engage in direct, in-person clinical experiences in perioperative environments; however, they face limitations due to infection and contamination risks. This study aimed to develop and evaluate educational content for perioperative clinical practice for nursing students using virtual reality (VR) and haptic technology. Methods: The program, based on the Unity Engine, was created through programming and followed the system development lifecycle (SDLC) phases of analysis, design, implementation, and evaluation. This program allows nursing students to engage in perioperative practice using VR and haptic technology, overcoming previous environmental limitations and enhancing practical and immersive experiences through multi-sensory stimuli. Results: Expert evaluations indicated that the developed content was deemed suitable for educational use. Additionally, a usability assessment with 29 nursing students revealed high levels of presence, usability, and satisfaction among the participants. Conclusions: This program can serve as a foundation for future research on VR-based perioperative nursing education. [ABSTRACT FROM AUTHOR]

Background: Haptic feedback is an established method to provide sensory information (tactile or kinesthetic) about the performance of an activity that an individual can not consciously detect. After a stroke, hemiparesis usually leads to gait and balance disorders, where haptic feedback can be a promising approach to promote recovery. The aim of the present study is to understand its potential effects on gait and balance impairments, both after interventions and in terms of immediate effects. Methods: This research was carried out using the following scientific databases: Embase, Scopus, Web of Science, and Medline/PubMed from inception to May 2024. The Checklist for Measuring quality, PEDro scale, and the Cochrane collaboration tool were used to assess the methodological quality and risk of bias of the studies. Results: Thirteen articles were chosen for qualitative analysis, with four providing data for the meta-analysis. The findings did not yield definitive evidence on the effectiveness of haptic feedback for treating balance and gait disorders following a stroke. Conclusions: Further research is necessary in order to determine the effectiveness of haptic feedback mechanisms, with larger sample sizes and more robust methodologies. Longer interventions and pre–post design in gait training with haptic feedback are necessary. [ABSTRACT FROM AUTHOR]

Virtual reality (VR) offers immersive visual and auditory experiences, transporting users to alternate realities. However, existing VR systems lack realistic haptic feedback mechanisms, resulting in unsatisfactory immersive experiences. In this study, we developed and tested a haptic glove that simulates realistic tactile sensations, enhancing user interaction with virtual artifacts. Our research investigates the impact of finger-specific vibrotactile feedback (FSVF) on user experience in virtual museum environments. Using a mixed-methods approach, 30 participants engaged in object-manipulation tasks in three settings: no haptic feedback, standard controller feedback, and vibrotactile glove feedback. The findings demonstrate that the vibrotactile glove approach considerably improves user accuracy, efficiency, immersion, and satisfaction compared with other traditional interaction methods. Participants completed tasks more accurately and quickly with the glove, reporting high levels of engagement and immersion. The results highlight the potential of advanced haptic feedback in transforming virtual reality technology, particularly for educational and cultural applications. Further, they provide valuable insights for designing and applying future haptic technology in immersive environments. [ABSTRACT FROM AUTHOR]

Lateropulsion is a post-stroke phenomenon marked by an active push of the body across the midline towards the more affected side and/or a resistance of the weight shift towards the less affected side. Within the mechanisms of treatment, feedback systems have been shown to be effective. The aim of the present study was to create a body of knowledge by performing a literature review on the use of feedback mechanisms in the treatment of lateropulsion and to report two cases of lateropulsion patients who had undergone feedback-based treatment. Methods: The review was performed across five different databases (Embase, Medline/PubMed, Scopus, Web of Science, and PEDro) up to February 2024, and haptic feedback intervention was incorporated into the case series (with lateropulsion and ambulation capacity as the main variables). Results: In total, 211 records were identified and 6 studies were included after the review of the literature. The most used feedback modality was visual feedback. In the case series, positive results were observed from the intervention, particularly in the recovery of lateropulsion and balance, as well as in the improvement of gait for one patient. Patients demonstrated good adherence to the intervention protocol without adverse effects. Conclusions: Visual feedback is the most commonly used feedback modality in lateropulsion patients but other mechanisms such as haptic feedback also are feasible and should be taken into account. Larger sample sizes, extended follow-up periods, and the isolation of feedback mechanisms must be established to clarify evidence. [ABSTRACT FROM AUTHOR]

Purpose: The use of 3D-printing in every field of medicine is expanding, notably as an educational tool. The aim of this study was to assess how visuospatial abilities (VSA) of students may impact learning helped with 3D-printed models. Methods: Participants were undergraduate medical school students during their clinical rotation in oral and maxillofacial surgery in two French Universities. Students were included prospectively and consecutively from September 2021 to June 2023. First, a lecture about craniosynostosis was performed with the help of 3D-printed models of craniosynostotic skulls. Then, a mental rotation test (MRT) followed by a multiple-choice questions (MCQs) form about craniosynostosis presentations were submitted to the students. Results: Forty undergraduate students were finally included. Median MRT score was 15 (10.75;21) and median score to the MCQs was 13 (11.75;14). There was a significantly weak correlation between the MRT-A score and the score to the MCQs (rs = 0.364; p = 0.022). A simple linear regression was calculated to predict the result to the MCQs on MRT-A score [ (F(1,39) = 281.248; p < 0.0001), with a R2 of 0.878 ]. Conclusion: This study showed that VSA has an impact on the recognition of complex clinical presentations, i.e. skulls with craniosynostosis. The correlation found between VSA and complex 3D shape recognition after learning aided with 3D-printed model is emphasizing the importance of VSA when using innovative technologies. Thus, VSA training should be envisioned during the curriculum. [ABSTRACT FROM AUTHOR]

Abstract Novel sensing and actuation technologies have notably advanced haptic interfaces, paving the way for more immersive user experiences. We introduce a haptic system that transcends traditional pressure-based interfaces by delivering more comprehensive tactile sensations. This system provides an interactive combination of a robotic hand and haptic glove to operate devices within the wireless communication range. Each component is equipped with independent sensors and actuators, enabling real-time mirroring of user’s hand movements and the effective transmission of tactile information. Remarkably, the proposed system has a multimodal feedback mechanism based on both vibration motors and Peltier elements. This mechanism ensures a varied tactile experience encompassing pressure and temperature sensations. The accuracy of tactile feedback is meticulously calibrated according to experimental data, thereby enhancing the reliability of the system and user experience. The Peltier element for temperature feedback allows users to safely experience temperatures similar to those detected by the robotic hand. Potential applications of this system are wide ranging and include operations in hazardous environments and medical interventions. By providing realistic tactile sensations, our haptic system aims to improve both the performance and safety of workers in such critical sectors, thereby highlighting the great potential of advanced haptic technologies.

Novel sensing and actuation technologies have notably advanced haptic interfaces, paving the way for more immersive user experiences. We introduce a haptic system that transcends traditional pressure-based interfaces by delivering more comprehensive tactile sensations. This system provides an interactive combination of a robotic hand and haptic glove to operate devices within the wireless communication range. Each component is equipped with independent sensors and actuators, enabling real-time mirroring of user's hand movements and the effective transmission of tactile information. Remarkably, the proposed system has a multimodal feedback mechanism based on both vibration motors and Peltier elements. This mechanism ensures a varied tactile experience encompassing pressure and temperature sensations. The accuracy of tactile feedback is meticulously calibrated according to experimental data, thereby enhancing the reliability of the system and user experience. The Peltier element for temperature feedback allows users to safely experience temperatures similar to those detected by the robotic hand. Potential applications of this system are wide ranging and include operations in hazardous environments and medical interventions. By providing realistic tactile sensations, our haptic system aims to improve both the performance and safety of workers in such critical sectors, thereby highlighting the great potential of advanced haptic technologies. [ABSTRACT FROM AUTHOR]

This case report presents a challenging case of catastrophic failure of a fixed partial denture involving fracture of the prosthesis as well as supporting implants and teeth. The use of robotics facilitated efficient and successful restoration of the patient's dentition. After extraction of 2 fractured teeth and 1 fractured implant, 2 new implants were placed with haptic guidance from robotics, which allowed for stable osteotomies and high initial implant stability quotients. Due to the patient's tremors and heavy occlusal forces, restoration was delayed to allow the surgical site to heal, and the patient received a provisional partial denture. With subsequent placement of the final restoration, the treatment was fully completed in 4.5 months and required only a single surgical procedure. The use of haptic robotics in this case allowed for accurate planning, spacing, and placement of screw-retained implants with an optimal arch, leading to the best long-term outcome for the patient. [ABSTRACT FROM AUTHOR]

Autistic people typically need methodical support as they explore and interact with their immediate surroundings and the objects associated with them, emphasising the importance of spatial knowledge and cognitive skills in improving and understanding their surroundings. The objective of this research paper is to present a conceptual and technical framework that could be of significant assistance in developing spatial ability and cognitive skills in autistic people. This framework is constructed based on aspects of autistic behaviour, spatial cognition, and technical aspects of haptic technology and virtual environments (VEs). The framework uses the Model, View, Controller (MVC) pattern as its structural foundation. This paper highlights the important elements required for scholars and designers to create and develop a haptic-based virtual environment (HBVE) for autistic people in order to improve spatial knowledge and cognitive skills. Furthermore, this research also aimed to create an HBVE application based on the proposed framework in order to assess its effectiveness. This research paper evaluates the proposed framework based on end-user perspectives. The findings indicate that the experimental study conducted with autistic people has demonstrated notable progress in enhancing spatial knowledge and cognitive abilities among this population. The experimental implementation of these findings supports the developed framework’s efficacy.

Background/Objectives: In perioperative nursing practice, nursing students can engage in direct, in-person clinical experiences in perioperative environments; however, they face limitations due to infection and contamination risks. This study aimed to develop and evaluate educational content for perioperative clinical practice for nursing students using virtual reality (VR) and haptic technology. Methods: The program, based on the Unity Engine, was created through programming and followed the system development lifecycle (SDLC) phases of analysis, design, implementation, and evaluation. This program allows nursing students to engage in perioperative practice using VR and haptic technology, overcoming previous environmental limitations and enhancing practical and immersive experiences through multi-sensory stimuli. Results: Expert evaluations indicated that the developed content was deemed suitable for educational use. Additionally, a usability assessment with 29 nursing students revealed high levels of presence, usability, and satisfaction among the participants. Conclusions: This program can serve as a foundation for future research on VR-based perioperative nursing education.

Virtual reality (VR) offers immersive visual and auditory experiences, transporting users to alternate realities. However, existing VR systems lack realistic haptic feedback mechanisms, resulting in unsatisfactory immersive experiences. In this study, we developed and tested a haptic glove that simulates realistic tactile sensations, enhancing user interaction with virtual artifacts. Our research investigates the impact of finger-specific vibrotactile feedback (FSVF) on user experience in virtual museum environments. Using a mixed-methods approach, 30 participants engaged in object-manipulation tasks in three settings: no haptic feedback, standard controller feedback, and vibrotactile glove feedback. The findings demonstrate that the vibrotactile glove approach considerably improves user accuracy, efficiency, immersion, and satisfaction compared with other traditional interaction methods. Participants completed tasks more accurately and quickly with the glove, reporting high levels of engagement and immersion. The results highlight the potential of advanced haptic feedback in transforming virtual reality technology, particularly for educational and cultural applications. Further, they provide valuable insights for designing and applying future haptic technology in immersive environments.

Lateropulsion is a post-stroke phenomenon marked by an active push of the body across the midline towards the more affected side and/or a resistance of the weight shift towards the less affected side. Within the mechanisms of treatment, feedback systems have been shown to be effective. The aim of the present study was to create a body of knowledge by performing a literature review on the use of feedback mechanisms in the treatment of lateropulsion and to report two cases of lateropulsion patients who had undergone feedback-based treatment. Methods: The review was performed across five different databases (Embase, Medline/PubMed, Scopus, Web of Science, and PEDro) up to February 2024, and haptic feedback intervention was incorporated into the case series (with lateropulsion and ambulation capacity as the main variables). Results: In total, 211 records were identified and 6 studies were included after the review of the literature. The most used feedback modality was visual feedback. In the case series, positive results were observed from the intervention, particularly in the recovery of lateropulsion and balance, as well as in the improvement of gait for one patient. Patients demonstrated good adherence to the intervention protocol without adverse effects. Conclusions: Visual feedback is the most commonly used feedback modality in lateropulsion patients but other mechanisms such as haptic feedback also are feasible and should be taken into account. Larger sample sizes, extended follow-up periods, and the isolation of feedback mechanisms must be established to clarify evidence.

An emerging view in cognitive neuroscience holds that the extraction of emotional relevance from sensory experience extends beyond the centralized appraisal of sensation in associative brain regions, including frontal and medial‐temporal cortices. This view holds that sensory information can be emotionally valenced from the point of contact with the world. This view is supported by recent research characterizing the human affiliative touch system, which carries signals of soft, stroking touch to the central nervous system and is mediated by dedicated C‐tactile afferent receptors. This basic scientific research on the human affiliative touch system is informed by, and informs, technology design for communicating and regulating emotion through touch. Here, we review recent research on the basic biology and cognitive neuroscience of affiliative touch, its regulatory effects across the lifespan, and the factors that modulate it. We further review recent work on the design of haptic technologies, devices that stimulate the affiliative touch system, such as wearable technologies that apply the sensation of soft stroking or other skin‐to‐skin contact, to promote physiological regulation. We then point to future directions in interdisciplinary research aimed at both furthering scientific understanding and application of haptic technology for health and wellbeing. [ABSTRACT FROM AUTHOR]

In this paper, an interactive learning experience is proposed, aiming to involve museum visitors in a personalized experience of the transmittal of cultural knowledge in an active and creative way. The proposed system, called HapticSOUND, consists of three subsystems: (a) the Information, where visitors are informed about the traditional musical instruments; (b) the Entertainment, where visitors are entertained by playing serious games to virtually assemble traditional musical instruments by a set of 3D objects; and (c) the Interaction, where visitors interact with a digital musical instrument which is an exact 3D-printed replica of a traditional musical instrument, where cameras have been placed to capture user gestures and machine learning algorithms have been implemented for gesture recognition. The museum visitor can interact with the lifelike replica to tactilely and aurally explore the instrument's abilities, producing sounds guided by the system and receiving real-time visual and audio feedback. Emphasis is given to the Interaction Subsystem, where a pilot study was conducted to evaluate the usability of the subsystem. Preliminary results were promising since the usability was satisfactory, indicating that it is an innovative approach that utilizes sensorimotor learning and machine learning techniques in the context of playing sounds based on real-time gesture and fingering recognition. [ABSTRACT FROM AUTHOR]

This study describes a new method for gripping and sensing a physical object (or material) with a prosthetic arm that uses haptic technologies, kinaesthetic communication, and machine learning. Haptic technology is a method of determining if an object is firm or soft as if it were gripped by a human and determining how much gripping force the object can withstand without crushing it. The bending moment and gripping force are measured using a flex sensor in human fingers and a pressure sensor applied by the tip of the human fingers. Three different types of objects (soft sponge, hard sponge, and plastic) are studied and tested in this work by pressing them with varying gripping pressures (soft, firm, and firmer). In addition, a model (Haptic Intelligence Recorder arm) is proposed that can anticipate the object type and gripping force based on the recorded intelligence data. The major goal is to educate our prosthetic hand to be able to grip various items with varying finger pressures, much like we can do naturally. Finally, a glove is created that is tailored to the intelligence arm’s ability to anticipate grabbing items.

[Display omitted] Increasing the surface contact area (SCA) between active materials of triboelectric nanogenerator (TENG) can effectively enhance energy harvesting performance. In the meantime, owing to potential intimate contacts between skin and wearables, hygienic aspects of TENG devices with high SCA become important. Herein, we present a robust route to fabricate flexible TENGs with antimicrobial capability realized by nano-patterning thermoplastic polyurethane (TPU) thin films. Without involving sophisticated equipment and time-consuming technique, simply tuning curing conditions of capillary force lithography could precisely control the nanostructure geometry. Our topographically designed TENGs could promote higher power generation while preventing biofilm formation without adding any chemical additives. Analysis of pattern amplitude and wavelength correlation to output power is uniquely provided for a deeper understanding of how patterns enable peak performance of TENGs. Furthermore, a prototype TENG was innovatively applied to a smart device as a transparent screen sensor. Specific finger trajectories could be recognized by different electric responses, and as-generated electricity can be directly charged into comercial capacitors. Our proposed TENGs with critical hygienic advancements are expected to open avenues for TENG-incorporated wearables in the post-pandemic era. [ABSTRACT FROM AUTHOR]

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• Well-designed high-fidelity simulation methods and haptic virtual simulation methods can be used to ensure the maintenance and retention of theoretical knowledge in learning CPR practice. • Simulations using computer-assisted full-body high reality simulators and technological virtual simulations that give the feeling of haptic touch in a virtual environment allow the implementation of all steps in the CPR training skill and evaluate the student. • Nurse educators should consider the advantages of high-fidelity simulation methods over haptic virtual simulation to improve satisfaction and confidence in learning CPR. Simulation provides learners with a realistic learning environment where they experience real-life situations. Cardiopulmonary resuscitation (CPR) is performed to maintain respiration and circulation. Nursing students may experience CPR unexpectedly. Simulation types are increasing in line with the needs of nursing education. The study aims to compare the effects of haptic virtual simulations (HVS) versus high-fidelity simulations (HFS) in CPR training of nursing students on their knowledge, skills, satisfaction, and self-confidence levels. The study sample consisted of 60 students, 30 in the HVS group and 30 in the HFS group. The same scenario was used in both simulations. Data were collected with the Sociodemographic Data Form, the Cardiopulmonary Resuscitation Knowledge Test, the Cardiopulmonary Resuscitation Skills Checklist, and the Student Satisfaction and Self Confidence in Learning Scale. The CPR knowledge level of both groups increased significantly after the simulation (p < 0.05). No significant difference was found between the practice skill levels between the groups (p > 0.05). The satisfaction and self-confidence levels of the students in HFS group were significantly higher than in HVS group (p < 0.05). Haptic virtual and high fidelity CPR training simulations equally affect students' knowledge and skill levels. On the other hand, students' satisfaction and self-confidence levels in learning increased more with high-fidelity simulators. [ABSTRACT FROM AUTHOR]

The rapid and accurate assessment of neonatal asphyxia is critical to preventing potentially fatal outcomes. Therefore, nursing students must acquire the skills to assess newborn conditions immediately after birth and implement appropriate interventions. Virtual reality (VR) simulation education has emerged as a promising tool for nursing education, offering repetitive and customizable clinical training while ensuring patient safety and overcoming spatiotemporal limitations. This study investigated the effects of a contactless hand-tracking-based immersive VR neonatal Apgar scoring program, adapted from experiential learning theory. A non-randomized controlled trial with a pre-post-test, quasi-experimental design was conducted. The study was conducted at two nursing schools from July to October 2023. Participants comprised nursing students holding bachelor's degrees in nursing, with three or four years of experience and successful completion of a neonatal nursing theory course. Additionally, individuals with at least six months of experience working in a neonatal ward or delivery room before enrolling in nursing school were eligible. The participants were divided into three groups: the VR group (n = 27) received contactless hand-tracking-based immersive VR neonatal Apgar scoring training; the simulation group (n = 28) received face-to-face Apgar scoring simulation training; and the control group (n = 26) received instruction on the Apgar scoring criteria. Changes in scores among the VR, simulation, and control groups were statistically compared using ANOVA with SPSS-WIN 27.0. The VR group exhibited significant improvements in knowledge, learning satisfaction, self-confidence, immersion, and motivation compared to the simulation and control groups. Moreover, satisfaction was significantly higher in the VR group than in the simulation group. The hand-tracking-based immersive VR neonatal Apgar scoring program represents an innovative and effective educational tool, prioritizing the privacy and rights of mothers and infants. It can potentially replace traditional delivery-room clinical training, which is observation-based and limited. • An immersive VR newborn Apgar score measurement training program is developed. • The program uses contactless hand tracking to minimize cognitive dissonance. • Face-to-face Apgar score measurement is simulated using a high-fidelity simulator. • The effectiveness and usability were compared with related online lectures. • Significantly improved results were obtained in the VR group. [ABSTRACT FROM AUTHOR]

The article presents information related to sensory science, a scientific discipline to invoke responses that are perceived by sensory organs. Topics include digital technology as a natural facilitator to separate the conscious response, Ultraleap's haptic technology, an the usage of virtual reality (VR) and augmented reality (AR) in sensory science research.

Affective haptic devices (AHDs) have been developed with the aim of communicating touch acts, symbolic messages, emotions, and/or providing a sense of social awareness. Within AHDs, three categories can be distinguished: mediated social touch (MST), symbolic communication systems, and awareness systems. For each of these categories, prototypes have been developed and discussed in the literature. Each such prototype, however, describes but a small part of the design space of AHDs. What is lacking is a description of the design space itself—of all choices that can be considered during the design process. Such a description will allow for a more systematic exploration of AHD designs and provides a means of combining insights gained from individual point solutions (i.e., existing prototypes). Therefore, in this article, we provide a systematic description of the design space of AHDs and its underlying dimensions based on general (e.g., revisability or synchronicity) and AHD-specific (e.g., actuation type) communication system characteristics. This resulted in 17 design dimensions, each consisting of two or more categories (the design characteristics). Based on a systematic literature search from devices up to 2019, 89 AHD prototypes were identified, and each was classified on the design dimensions. The empirical analysis of where these AHDs are located in the design space revealed, first, that potentially interesting characteristics from mediated communication, such as revisability and reviewability, are underexplored in AHDs. Second, MST devices were found to often lack those system characteristics, such as real-time modalities, that seem crucial for providing the affordances needed to simulate social touch. In particular, when comparing symbolic and awareness devices to MST devices, we found the latter to more frequently lack some of the key characteristics of face-to-face communication (i.e., bi-directional and symmetric communication). Limitations and implications are discussed.

In this paper, an interactive learning experience is proposed, aiming to involve museum visitors in a personalized experience of the transmittal of cultural knowledge in an active and creative way. The proposed system, called HapticSOUND, consists of three subsystems: (a) the Information, where visitors are informed about the traditional musical instruments; (b) the Entertainment, where visitors are entertained by playing serious games to virtually assemble traditional musical instruments by a set of 3D objects; and (c) the Interaction, where visitors interact with a digital musical instrument which is an exact 3D-printed replica of a traditional musical instrument, where cameras have been placed to capture user gestures and machine learning algorithms have been implemented for gesture recognition. The museum visitor can interact with the lifelike replica to tactilely and aurally explore the instrument’s abilities, producing sounds guided by the system and receiving real-time visual and audio feedback. Emphasis is given to the Interaction Subsystem, where a pilot study was conducted to evaluate the usability of the subsystem. Preliminary results were promising since the usability was satisfactory, indicating that it is an innovative approach that utilizes sensorimotor learning and machine learning techniques in the context of playing sounds based on real-time gesture and fingering recognition.

Aims: We present an innovative method based on haptics for the evaluation of the sense of touch in the hand, in people affected by type 1 diabetes. Methods: Forty individuals affected by diabetes and 20 healthy controls took part in the study; the diabetes group was further divided into two subgroups based on vibration sensitivity in the lower limb. By means of a novel haptic device, tactile sensitivity in the fingertip was measured as the ability of the participants to discriminate slip motion speed. Results: Tactile sensitivity was significantly lower in individuals affected by diabetes as compared to controls. Depending on the subgroup, the difference from the controls was equal to 0.11 (95% CI from 0.029 to 0.186) and to 0.267 (95% CI from 0.198 to 0.336). Within the diabetes group, tactile sensitivity correlated with vibration sensitivity in the upper (p = 0.001) and lower limb (p = 0.003). A significant relationship between nerve conduction parameters and tactile sensitivity was found (p = 0.03). Finally, we combined the different predictors (clinical, vibratory and electroneurography data) by using cluster analysis; tactile sensitivity was found to be significantly different between different clusters (p = 0.004). Conclusions: Early signs of tactile dysfunction in the hand were found in individuals affected by diabetes, even in absence of diabetic neuropathy. The protocol presented in this study is a promising tool for the assessment of tactile dysfunction in the hand in people affected by type 1 diabetes. [ABSTRACT FROM AUTHOR]

It is well known that primary school children may face difficulties in acquiring mathematical competence, possibly because teaching is generally based on formal lessons with little opportunity to exploit more multisensory-based activities within the classroom. To overcome such difficulties, we report here the exemplary design of a novel multisensory learning environment for teaching mathematical concepts based on meaningful inputs from elementary school teachers. First, we developed and administered a questionnaire to 101 teachers asking them to rate based on their experience the learning difficulty for specific arithmetical and geometrical concepts encountered by elementary school children. Additionally, the questionnaire investigated the feasibility to use multisensory information to teach mathematical concepts. Results show that challenging concepts differ depending on children school level, thus providing a guidance to improve teaching strategies and the design of new and emerging learning technologies accordingly. Second, we obtained specific and practical design inputs with workshops involving elementary school teachers and children. Altogether, these findings are used to inform the design of emerging multimodal technological applications, that take advantage not only of vision but also of other sensory modalities. In the present work, we describe in detail one exemplary multisensory environment design based on the questionnaire results and design ideas from the workshops: the Space Shapes game, which exploits visual and haptic/proprioceptive sensory information to support mental rotation, 2D–3D transformation and percentages. Corroborating research evidence in neuroscience and pedagogy, our work presents a functional approach to develop novel multimodal user interfaces to improve education in the classroom. [ABSTRACT FROM AUTHOR]

Affective haptic devices (AHDs) are communication technologies utilizing the sense of touch, and include mediated social touch (MST), symbolic haptic messaging, and awareness systems that, for example, let one feel another person's heartbeat. The COVID-19 pandemic and consequent social distancing measures have led to a reemphasis of the importance of social touch, and many people have experienced firsthand what it is like to miss touching loved ones. This offers an excellent opportunity to study people's intention to use AHDs. For this purpose, a survey study (n = 277) was conducted combining qualitative and quantitative data analysis methods. Touch deprivation, resulting from not being able to touch a loved one, was associated with intention to use AHDs: the more deprived an individual, the higher his or her intention to use AHDs. Technology readiness and touch aversion did not affect intention to use AHDs. AHDs for symbolic messaging gained higher interest than MST and awareness devices, and long-distance relationships were seen as the most likely scenario for using AHDs. Bi-directionality, synchronicity, and symmetry were regarded as important features for providing shared meaning and a sense of connectedness. Reviewability, multimodality, and actuation type were also deemed important. Limitations of the study and implications for the design of AHDs are discussed.

This article and the design fictions it presents are bound up with an ongoing qualitative-ethnographic study with Imazighen, the native people in remote Morocco. This group of people is marked by textual and digital illiteracy. We are in the process of developing multi-modal design fictions that can be used in workshops as a starting point for the co-development of further design fictions that envision the local population's desired digital futures. The design fictions take the form of storyboards, allowing for a non-textual engagement. The current content seeks to explore challenges, potentials, margins, and limitations for the future design of haptic and touch-sensitive technology as a means for interpersonal communication and information procurement. Design fictions provide a way of exposing the locals to possible digital futures so that they can actively engage with them and explore the bounds and confines of their literacy and the extent to which it matters. [ABSTRACT FROM AUTHOR]

After decades of research and development, haptic feedback is increasingly appearing in consumer products. While the prevalence of haptic feedback is increasing, the integration rarely offers increased fidelity to previous generations. We argue this is because of the tremendous complexity of successful haptic design engineering, but critically, also because of information saturation. With novel cutaneous feedback technologies and companies emerging almost daily, the multi-disciplinary nature of haptics and the marketing-driven terminology used to stand out in a crowded market makes it challenging to select and integrate actuators correctly. To manage this complexity and facilitate the interdisciplinary exchange of user requirements and material affordances, we introduce a novel classification criterion for haptic actuators focused on the bandwidth and fidelity of potential effects. We introduce vocabulary for describing the precise experience the actuators and corresponding systems should deliver. Lastly, we summarize currently commercially available cutaneous-based haptic technology. In the nearby future, the same criterion and language can also prove valuable for steering technology development of new and improved actuators and enabling novice and experienced practitioners to understand and integrate cutaneous feedback in their products. [ABSTRACT FROM AUTHOR]

This study describes a new method for gripping and sensing a physical object (or material) with a prosthetic arm that uses haptic technologies, kinaesthetic communication, and machine learning. Haptic technology is a method of determining if an object is firm or soft as if it were gripped by a human and determining how much gripping force the object can withstand without crushing it. The bending moment and gripping force are measured using a flex sensor in human fingers and a pressure sensor applied by the tip of the human fingers. Three different types of objects (soft sponge, hard sponge, and plastic) are studied and tested in this work by pressing them with varying gripping pressures (soft, firm, and firmer). In addition, a model (Haptic Intelligence Recorder arm) is proposed that can anticipate the object type and gripping force based on the recorded intelligence data. The major goal is to educate our prosthetic hand to be able to grip various items with varying finger pressures, much like we can do naturally. Finally, a glove is created that is tailored to the intelligence arm's ability to anticipate grabbing items. [ABSTRACT FROM AUTHOR]

Tram drivers operate a master controller to control the acceleration and braking of the tram. Operation should ensure passenger comfort and safety through smooth tram motion and the avoidance of jerkiness that may cause passengers to fall in the carriage. This work investigates current driver practices and strategies for tram driving in normal operations through interviews and the capacity of a new haptic master controller to support drivers in achieving smooth and safe tram journeys. A haptic feedback algorithm based on viscosity was implemented on the master controller to provide drivers with feedback on the rate at which they were accelerating and braking the tram. This aspect was tested in a virtual tram within a simulated inner city virtual reality environment. Results indicate that the haptic master controller and coupled viscosity feedback algorithm did not increase smoothness of driving during the simulated experiences. Despite this, the drivers indicated a preference for the provision of further haptic information to support driving tasks and the overall journey safety and smoothness. Practitioner Summary: This research comprises two studies. The first investigates strategies currently used by drivers to operate a tram smoothly in order to elicit design requirements for a haptic tram master controller. The second study evaluates the impact of a novel haptic master controller on journey smoothness within a virtual environment. [ABSTRACT FROM AUTHOR]

Mobile technology devices continue to develop and change, creating increased opportunity for use by children. However, parents remain wary of screen time and question the benefits of using these devices for teaching specific content (e.g., science, technology, engineering, and math—STEM). Parent attitudes can play a very powerful role in children's media use and these attitudes may be even more impactful with emerging or novel technologies. As such, this study used a nationally representative sample of US parents to further document what child, parent, and family‐level variables predict preschool children's mobile media device use with a particular focus on parent attitudes. Additionally, this study is the first to examine parent attitudes toward the emerging technological feature of haptic technology as an additional medium for teaching young children STEM content. Results demonstrate that parent technology attitudes, their own mobile media use, and certain family‐level variables are related to general child mobile media use as well as science and math media use. Findings are discussed in relation to previous research and future work on haptic technology use for young children. [ABSTRACT FROM AUTHOR]

Embodied cognition theories view sensorimotor activity as fundamental to learning, knowing, and reasoning. To investigate the role of physical movement in conceptual learning, we developed and explored an Embodied Learning Interactive Chemistry environment (ELI‐Chem). The ELI‐Chem learning environment includes a computer simulation, a device for interacting with the simulation, and an online activity guide. In particular, we focused on the topic of chemical bonding—an abstract and nonintuitive phenomenon that is crucial to chemistry learning and that presents pervasive problems in learning. The ELI‐Chem learning environment embodies atoms' movement through four increasing degrees of bodily engagement in terms of range of motion and forces—movie, simulation, joystick, and haptic device (applies force feedback). A randomly assigned pretest‐intervention‐posttest four‐group comparison design was used with a mixed‐methods research approach. Quantitative analysis of pretest and posttest questionnaires tested the conceptual learning. Qualitative analysis of students' filled activity guides explored students' perceptions of the learning process and features of understanding. The participants were 48 high school chemistry students, 12 students in each degree of bodily engagement. During the activity, students were prompted to discover the forces underlying chemical bonding and to explore the energy changes involved. We found an increase in students' conceptual understanding in all four degrees of bodily engagement, with significantly higher learning gains and causal understanding in the haptic condition with a greater range of motion and forces. This study highlights the states in which embodied learning uniquely contributes to understanding and perception: absence of prior embodied experience, learning about a nonvisual concept related to forces, and a high congruence with the concept learned. [ABSTRACT FROM AUTHOR]

The emergence of new norms of sociability has historically compromised with segregation of entire communities that enforced certain ways of experiencing reality. Historically speaking, social segregation in capitalist western societies abounds with restrictive norms of touching beings and things in times of viral crisis. This article puts into perspective such paradigms of exclusion by critically addressing the role of haptic technology in promoting social segregation. Firstly, the article historically contextualises the haptic paradigm of social exclusion in two critical moments that define our contemporary regime of tactility: the immunity crisis in sixteenth-century Venice that led to the formation of the Jewish Ghetto and the capitalist secularisation of Protestantism. Drawing on this historical context, the second section starts with Baudrillard´s example of the 'boy in the bubble' to reflect on the anaphylactic paradox of authoritarian utopias based on total immunity. Following this discussion, the article critically analyses the haptic device PULSE in the light of the anaphylactic paradox of killing with excess of immunity and advances the relevance of the Levinasian caress to ethically question the role of haptic technology in preventing intersubjective responsibility amongst beings. [ABSTRACT FROM AUTHOR]

Diagnostics of a hand requires measurements of kinematics and joint limits. The standard tools for this purpose are manual devices such as goniometers which allow measuring only one joint simultaneously, making the diagnostics time-consuming. The paper presents a system for automatic measurement and computer presentation of essential parameters of a hand. Constructed software uses an integrated vision system, a haptic device for measurement, and has a web-based user interface. The system provides a simplified way to obtain hand parameters, such as hand size, wrist, and finger range of motions, using the homogeneous-matrix-based notation. The haptic device allows for active measurement of the wrist’s range of motion and additional force measurement. A study was conducted to determine the accuracy and repeatability of measurements compared to the gold standard. The system functionality was confirmed on five healthy participants, with results showing comparable results to manual measurements regarding fingers’ lengths. The study showed that the finger’s basic kinematic structure could be measured by a vision system with a mean difference to caliper measurement of 4.5 mm and repeatability with the Standard Deviations up to 0.7 mm. Joint angle limits measurement achieved poorer results with a mean difference to goniometer of 23.6º. Force measurements taken by the haptic device showed the repeatability with a Standard Deviation of 0.7 N. The presented system allows for a unified measurement and a collection of important parameters of a human hand with therapist interface visualization and control with potential use for post-stroke patients’ precise rehabilitation.

Over the past few decades, the rapid development of haptic technology has made it widely used in the fields of virtual reality, video games, rehabilitation, education, and manufacturing. This article presents a study on the rapid construction of a cost-effective virtual haptic device. In this connection, this article proposed a new design concept called the haptic environment. A whole haptic system is divided into an environment, which consists of all common modules, and a haptic robot. As such, a customized haptic robot can be plugged into the environment to form a haptic system. The environment also contains the adapters that facilitate the accommodation of the customized haptic robot into the environment. To show the effectiveness of this concept, a three-degree-of-freedom robot along with the environment was implemented in this article. Experiments were conducted to understand the performance of the prototype of the haptic system, as developed, and the results show that the developed haptic system has the graphical refresh frequency of about 60 Hz and the haptic rendering frequency of about 500 Hz, nearly three times faster than the Phantom Omni device commercially available. The contribution of the study reported in this article includes the demonstration of the feasibility of the rapid construction of a virtual haptic device and the provision of a cost-effective haptic device for applications in the robotic rehabilitation and human assistive systems. [ABSTRACT FROM AUTHOR]

In this study, we analyzed students' reasoning and explanations of friction concepts before and after engaging in guided experimentation with visuohaptic (VH) simulations. The VH experimentation included two affordances: visual cues and haptic feedback. Specifically, we analyzed the outcomes of two treatment groups with different sequences of affordance introduction. The first treatment group started with visual cues, with haptic feedback added later, while the second treatment group started with haptic feedback and added the visual cues later. We recruited 48 students who had previously taken at least one physics course. Participants completed a pre‐ and posttest assessment, which included both procedural and conceptual questions about friction before and after the guided experimentation task. The results show that the participants from both treatment groups benefited from using VH simulations. Both treatment groups showed statistically significant pre/post improvements in their understanding of friction. Moreover, both treatment groups showed a statistically significant increase in the conceptual understanding of friction concepts from pretest to posttest with moderate to strong effect sizes. Implications for laboratory instruction are also discussed. [ABSTRACT FROM AUTHOR]

With the rapid rise of metaverse spaces, the integration of haptic technology has become an integral part of users' immersion and engagement in different domains. This study shades the light on public engagement with haptic technology applications in various contexts. The YouTube Application Programming Interface was used to extract data about haptic technology within a specific time period. Public engagement was estimated based on users' cognitive and behavioral engagement with haptic-video materials. A topic modeling approach was used to extract the main topics associated with haptic technology. The main types of users' emotions and their word association were extracted using the association rules mining technique. The results showed that public engagement with haptic technology was mostly observed in few categories (e.g., gaming). Joy and positive sentiments were strongly associated with the extracted topics. The findings offer new insights into the tendency of utilizing haptic technology across communities. The outcomes can help industries and decision makers understand ways to improve the integration of haptic technology in according to the needs of specific domains. • Sentiment analysis was employed to explore the current trends in haptic technology over a ten-year span. • Public cognitive and behavioral engagement with haptic technology was mostly observed in few areas (e.g., gaming). • We found that joy and positive sentiments were strongly associated with the discussed haptic technology-related topics among online users. [ABSTRACT FROM AUTHOR]

The aim of this study was to develop and test a scoring system to assess the learning progression of novice dental students using haptic virtual workstations. For the study, 101 first-year dental students at a UK dental school conducted one practice task (task 1) and four simulated cavity removal tasks (tasks 2-5) of increasing difficulty over two laboratory sessions in 2015. Performance data on the students' attempts were recorded as haptic technology-enhanced learning (hapTEL) log-files showing the percentage of caries, healthy tissue, and pulp removed. On-screen results were photographed and submitted by the students to the tutors. A scoring system named the Accuracy of Caries Excavation (ACE) score was devised to score these results and achieve an even distribution of scores and a calculated combined score. A total of 127 individual logged attempts by 80% of the students over sessions 1 and 2 were recorded and submitted to the tutors. The mean ACE scores for both sessions for tasks 2 through 5 were 9.2, 11.6, 6.4, and 4.9, respectively; for Session 2 (tasks 3-5), scores were 12.4, 6.7, and 5.0, respectively (p<0.001). The average performance on task 3, which was attempted in similar numbers during both sessions, improved from the first to the second session (8.14 vs. 12.38; p=0.009). Using the HapTEL system in a first-year BDS curriculum improved the students' performance of simulated cavity preparation after practicing over two sessions. Use of the ACE scoring system enabled tutors to make consistent assessments across a large student cohort and provided an objective method of formative assessment. [ABSTRACT FROM AUTHOR]

With the extension of life span and advances in medical technology, there has been an increasing number of operations and procedures for human organs that were previously impossible. Successful completion of complex surgery requires considerable trial and error and medical training, which is costly and risky. To deliver a realistic feeling in virtual surgery, it is essential to know the distribution of the stresses to produce the repulsive force associated with the deformation of the organ. However, it is not possible to measure or calculate in real-time stresses of the necessary parts while observing the actual organ movements during the operation. We propose a method called the cell element method, which calculates the real-time stress by applying an external load to a soft tissue specimen. A combination of an image-processing technique along with a camera and the cell element method based on finite element method makes it possible to provide the calculated stresses as the loadings apply. For the verification of the method, we used the method of calculating the stress by measuring the strain by applying the load using the specimen made of PVC. The results are relatively close to those of finite element simulations under the same mechanical conditions.

Virtual reality-based technologies have been used in dentistry for almost two decades. Dental simulators, planning software and CAD/CAM (computer-aided design/computer-aided manufacturing) systems have significantly developed over the years and changed both dental education and clinical practice. This study aimed to assess the knowledge, attitudes and practice of VRBT among dental students and educators in one European dental school using a paper-based questionnaire and the KAP among students and dental practitioners from 35 countries using an online survey. Dental students, educators and practitioners have overall positive attitudes towards VRBT but very few have used VRBT in education and practice. The majority of respondents plan to use VRBT in their future clinical practice and believe that those technologies will be widely adopted by dental practices within 22 years. Learning about VRBT and using them as part of undergraduate and continued education programmes could affect dental practitioners' willingness to implement new technologies and enhance critical assessment of new trends in dentistry. [ABSTRACT FROM AUTHOR]

Electromagnetism is an umbrella encapsulating several different concepts like electric current, electric fields and forces, and magnetic fields and forces, among other topics. However, a number of studies in the past have highlighted the poor conceptual understanding of electromagnetism concepts by students even after instruction. This study aims to identify novel forms of 'hands-on' instruction that can result in representational competence and conceptual gain. Specifically, this study aimed to identify if the use of visuohaptic simulations can have an effect on student representations of electromagnetic-related concepts. The guiding questions is How do visuohaptic simulations influence undergraduate students' representations of electric forces? Participants included nine undergraduate students from science, technology, or engineering backgrounds who participated in a think-aloud procedure while interacting with a visuohaptic simulation. The think-aloud procedure was divided in three stages, a prediction stage, a minimally visual haptic stage, and a visually enhanced haptic stage. The results of this study suggest that students' accurately characterized and represented the forces felt around a particle, line, and ring charges either in the prediction stage, a minimally visual haptic stage or the visually enhanced haptic stage. Also, some students accurately depicted the three-dimensional nature of the field for each configuration in the two stages that included a tactile mode, where the point charge was the most challenging one. [ABSTRACT FROM AUTHOR]

This paper deals with a virtual anastylosis of a Greek Archaic statue from ancient Sicily and the development of a public outreach protocol for those with visual impairment or cognitive disabilities through the application of three-dimensional (3-D) printing and haptic technology. The case study consists of the marble head from Leontinoi in southeastern Sicily, acquired in the 18th century and later kept in the collection of the Museum of Castello Ursino in Catania, and a marble torso, retrieved in 1904 and since then displayed in the Archaeological Museum of Siracusa. Due to similar stylistic features, the two pieces can be dated to the end of the sixth century BC. Their association has been an open problem, largely debated by scholars, who have based their hypotheses on comparisons between pictures, but the reassembly of the two artifacts was never attempted. As a result the importance of such an artifact, which could be the only intact Archaic statue of a kouros ever found in Greek Sicily, has not fully been grasped by the public. Consequently, the curatorial dissemination of the knowledge related with such artifacts is purely based on photographic material. As a response to this scenario, the two objects have been 3-D scanned and virtually reassembled. The result has been shared digitally with the public via a web platform and, in order to include increased accessibility for the public with physical or cognitive disabilities, copies of the reassembled statue have been 3-D printed and an interactive test with the 3-D model has been carried out with a haptic device. [ABSTRACT FROM AUTHOR]

Background: Major depressive disorder (MDD) is one of the most common mental illnesses. In recent years, Virtual reality (VR) interventions have appeared more extensively used as a therapeutic tool in psychology and psychiatry. Objective: The study aimed to determine the effects of VR in treating and improving the symptoms of patients with MDD. Material and Methods: This study was conducted on the potential of VR in MDD in 2014-2022. The present article systematically reviewed available literature in PubMed, Google Scholar, and Scopus databases using PRISMA guidelines. Results: A total of 144 studies were examined, and 28 articles were selected for the eligibility phase. We analyzed the resulting set of 14 studies that met the inclusion criteria. Six of them reported the usability of VR in treating MDD, five said the uses of VR in improving symptoms, and three articles showed how cognitive behavioral therapy is included as a part of VR technologies in depression. Conclusion: The capability of VR to simulate reality could significantly increase access to psychological therapies for people who live in remote areas and do not receive adequate mental health care. Virtual reality has been successfully used to support treatment and can add many advantages to the treatment of MDD. However, there is a critical need for more investigation in the area, and it is required to develop constant validations. [ABSTRACT FROM AUTHOR]

As interest in multimodal and tangible interfaces is increasing in the field of human-robot interaction and virtual reality, haptics has been researched across areas such as engineering, computer science, psychology, and neuroscience. The main objective of the study was to construct a comprehensive review of the current haptic-related literature based on quantitative data derived from content analysis and network analysis. Using the results of content analysis and network analysis of 6,000 research articles on haptic interaction, the haptic-related literature was classified into two categories: 1) studies on technologies providing haptic stimuli and 2) studies on the human perception of haptic stimuli. Emotions in haptic feedback and haptic perception characteristics of various body sites were identified as potential research topics for further investigation. Greater research effort on understanding human haptic sensation and perception using the proposed systematic approach could accelerate the development of haptic interaction technology. [ABSTRACT FROM AUTHOR]