President Barack Obama fist-bumps the robotic arm of Nathan Copeland during a tour at the White House Frontiers Conference in Pittsburgh, Pa. (Official White House Photo by Pete Souza)
Researchers published results of an experiment that allowed a single paralyzed patient to “feel” in a limited way through a robotic arm, via the addition of electrodes implanted in his brain.
It is an fascinating technology, and one that many people will read about. But, this is a story about a case study involving one man and an experimental device. Such an anecdote needs lots of backstopping, since many patients may never benefit from the incremental experiment being reported. We’ve seen this sort of story before – as here from BuzzFeed.
What’s missing in this story is more detailed caveats on how preliminary this technology is, and how there are many, many unknowns with this kind of research.
A single patient had limited success at feeling objects due to brain implants combined with a robotic arm. Many millions of people live with amputations or paralysis, and for those readers, this story skimps on some key points.
For reference, the AP did a better job of giving context and quoting someone apart from the authors of the journal article about the limitations of this research–and included the illuminating detail that the patient doesn’t get to keep the arm; he’s back to how he was before the experiment began. Also, this older story from NOVA on prostheses for amputees did a great job on discussing uncertainties of “state-of-the-art” devices.
The story states: “At the moment, they [robotic arms with touch sensitivity] are still too expensive, too bulky and too finicky to be used outside a laboratory setting.”
While the story could have helped provide more context by explaining the cost of the experimental surgery on the patient–even without speculating on the cost of the robotic arm itself–this is enough to merit a satisfactory rating.
The story doesn’t overstate the benefits to this one patient. It explains that the benefits seen here–the sense of “touch” provided to this paralyzed individual through a brain-computer interface–does not replicate what most of us might think of as a complete sense of touch. For example, one quote says “we’re really not at the point where we could, say, get him to feel the difference between silk and burlap.” We did feel the headline strays over the line a bit, by claiming “implant restores sense of touch.”
What is needed here is more qualification that this is just one patient, and given the variability in spinal cord injuries, it’s really unknown how this will play out for other people. We also took issue with the ending quote of the story that states we’re “on the verge of something here that’s going to transform lives.” This needs to be hedged with the reality of the slow pace of the scientific and medical research process.
The story does not describe any harms that may lurk in future applications of surgical implants to communicate with a potential robotic arm. The most obvious way to approach this would be to talk about risks of neurosurgery generally; accidental destruction of healthy tissue, for example, or stroke. But there may be others related to the technology–essentially there are a lot of unknowns when the patient test group is one individual.
The story does make clear this is a laboratory result for a single man. But: How exactly did researchers measure what was gained by the patient? What are the limitations? And, as we explained in the benefits criterion, the story could have done a better job stressing how preliminary these findings are, perhaps by more thoroughly explaining the future steps this kind of research requires before it’s a mass-market device, and how similar technologies created similar excitement early on but never came to pass. Bottom line: It was a case study, not a controlled trial, and the multiple limitations inherent in a case study needed more mention.
The story did not quote anyone outside the Pittsburgh team that collaborated on this project.
The story does not give readers any sense of what else is out there for an amputee, including other prosthetics such as one from 2014 that provides “sensory” info without need of a brain implant. (The electrodes are implanted in the patient’s arm.)
It also does not provide context that many people with upper limb amputations choose to use less-high-tech prosthetics because these last longer and are more durable or because they cost less.
The story makes clear this patient is the first to receive this treatment in an experimental setting, so it is clear that this is not available except in a laboratory.
The novelty is well-established by the story’s explanation of the experimental therapy.
The story contains quotes that were not in the original news release.
Systematic, Criteria-Driven
More for milk debates: "Switching to skim #milk may slow biological aging" https://upi.com/6975065t via @upi cc @garyschwitzer @joansalgeblake
"We can't say that this was caused by milk fat." As is often the case with nutrition studies: correlation ≠ causation.
#RelaxDammit
@HealthNewsRevu @mcjaklevic HealthNewsReview once again revealing hype that far outstrips reality. I suspect that one day, AI will meaningfully contribute to good patient care. Whether that's in 10 years or 100, I couldn't say. What is clear is that we ain't there yet.
Comments
Please note, comments are no longer published through this website. All previously made comments are still archived and available for viewing through select posts.
Our Comments Policy
But before leaving a comment, please review these notes about our policy.
You are responsible for any comments you leave on this site.
This site is primarily a forum for discussion about the quality (or lack thereof) in journalism or other media messages (advertising, marketing, public relations, medical journals, etc.) It is not intended to be a forum for definitive discussions about medicine or science.
We will delete comments that include personal attacks, unfounded allegations, unverified claims, product pitches, profanity or any from anyone who does not list a full name and a functioning email address. We will also end any thread of repetitive comments. We don”t give medical advice so we won”t respond to questions asking for it.
We don”t have sufficient staffing to contact each commenter who left such a message. If you have a question about why your comment was edited or removed, you can email us at feedback@healthnewsreview.org.
There has been a recent burst of attention to troubles with many comments left on science and science news/communication websites. Read “Online science comments: trolls, trash and treasure.”
The authors of the Retraction Watch comments policy urge commenters:
We”re also concerned about anonymous comments. We ask that all commenters leave their full name and provide an actual email address in case we feel we need to contact them. We may delete any comment left by someone who does not leave their name and a legitimate email address.
And, as noted, product pitches of any sort – pushing treatments, tests, products, procedures, physicians, medical centers, books, websites – are likely to be deleted. We don”t accept advertising on this site and are not going to give it away free.
The ability to leave comments expires after a certain period of time. So you may find that you’re unable to leave a comment on an article that is more than a few months old.
You might also like