[HN Gopher] Prosthetic limbs need not look like real ones
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       Prosthetic limbs need not look like real ones
        
       Author : sohkamyung
       Score  : 38 points
       Date   : 2024-02-06 14:02 UTC (1 days ago)
        
 (HTM) web link (www.economist.com)
 (TXT) w3m dump (www.economist.com)
        
       | 082349872349872 wrote:
       | compare https://en.wikipedia.org/wiki/Krukenberg_procedure
        
       | metadat wrote:
       | https://archive.today/Xy6ax
        
       | throwup238 wrote:
       | I can't wait for teledildonic prosthetics. That tentacle in the
       | photo looks like a good start!
       | 
       | Calling u/qdot76367
        
       | rompic wrote:
       | i remember talking to a former colleague who wrote a game to let
       | people train to control their prosthetic arm at home. I asked him
       | what the most wished for feature / most asked question for this
       | prosthetic arm was and he told me that the most asked for
       | question was if (mostly female) users could put nail polish on
       | its "nails".
       | 
       | Anecdata, but I assume most users just want to have a life-like
       | replacement.
        
         | hinkley wrote:
         | Pockets are power.
         | 
         | If I have an artificial limb, I'd like to have more storage
         | space. Human bodies try to keep crevices to a minimum since
         | they are points of attack by pathogens and parasites. An
         | artificial limb doesn't have to survive to see my grandkids.
         | 
         | There's also no reason a prosthetic limb has to constrain
         | itself to human standard dimensions. Oh I'm sure for propriety
         | and interpersonal dynamics they need a default mode that looks
         | quite similar, but an arm could telescope to give you a few
         | extra inches of reach.
         | 
         | And I've already seen science fiction where a prosthetic hand
         | has nine, ten fingers instead of 5, to facilitate human
         | computer interaction. Though one does wonder, if the brain is
         | capable of controlling a machine hand with higher numbers of
         | digits, can we not skip over the two middle steps in brain-
         | computer-input-computer translation and simply imagine you're
         | typing on a 150 key keyboard that isn't really there? Or at
         | least switch to a virtual hand that the computer uses to
         | intercept the motor commands to the physical hand.
        
           | crooked-v wrote:
           | > can we not skip over the two middle steps in brain-
           | computer-input-computer translation
           | 
           | Well, if we're talking Ghost in the Shell (the most iconic
           | case of robot-hand super-typing I can think of), having that
           | disconnect is entirely on purpose, to airgap the operators'
           | brains (enhanced, but self-contained) from any external
           | connections.
        
             | hinkley wrote:
             | I've seen it elsewhere but it's also possible those other
             | cases were an homage to GitS.
             | 
             | I think there's still an airgap if the human brain is not
             | feeding to or reading directly from the external computer.
             | To be clear, we are both treating the prosthetic as 'me' in
             | this exercise, and the system we are communicating with as
             | Other, which we cannot implicitly trust.
             | 
             | The brain-hand interface could act as an input device, then
             | you can still use your motor cortex to tell the hand to
             | type a SHIFT-a, and the interface interprets it directly as
             | an A instead of the movement for A. You can airgap an
             | output device and still use it. There are some precedents
             | for that in avionics I'm told, which are the moral
             | equivalent of optical isolators meant to keep power spikes
             | from frying the more delicate parts of an electrical
             | circuit.
             | 
             | Which I agree is a hell of a lot safer than directly
             | telling your brain you see a virtual terminal, and that now
             | is a good time to have a seizure.
        
           | LtWorf wrote:
           | You want to keep heavy stuff close to the centre of mass.
           | Heavy stuff flailing around isn't that good to keep balance
           | and do precise movements.
        
             | hinkley wrote:
             | My arm is full of oxygen delivery and self-repair
             | equipment. It also contains several parts of my immune
             | system.
             | 
             | A prosthetic arm within my lifetime will likely be lighter
             | than my real one. Carrying around a flashlight or a multi
             | tool embedded in a void in it wouldn't be that weird, and
             | wouldn't upset your balance.
             | 
             | Those running legs are already much lighter, but they don't
             | fulfill the full range of features provided by a lower leg.
        
         | giraffe_lady wrote:
         | Interestingly the one amputee I know well enough to speak about
         | this with is quite aggrieved by prosthetic design decisions
         | being made based on what someone assumes amputees need or want.
         | The final fitting and tuning is very custom but the functional
         | tradeoffs of the device are decided well before that, seemingly
         | without much collaboration with the people who will ultimately
         | use them.
        
         | mkoubaa wrote:
         | If I had fake feet I wouldn't mind if they could hover
        
           | DonHopkins wrote:
           | Both feet firmly planted in mid air.
        
       | WorkerBee28474 wrote:
       | Related: A 2009 TED Talk called "My 12 pairs of legs"
       | 
       | https://www.ted.com/talks/aimee_mullins_my_12_pairs_of_legs
        
       | bluGill wrote:
       | While they need not, you will often want that. Humans will
       | naturally shy away from someone who doesn't look 'normal' (a term
       | I didn't define). I often catch myself doing this even though all
       | evidence says the other person is fine despite missing limbs.
        
         | paulpauper wrote:
         | hmm there is the uncanny valley phenomenon
        
           | danielvaughn wrote:
           | Yeah I've seen some artificial limbs that have a cyborg-ish
           | look to them. I'm aware that not everyone will want to go for
           | something like that, but at least it doesn't give off the
           | uncanny valley vibe.
        
         | standardUser wrote:
         | Sort of. We certainly seem to have adapted rather rapidly to an
         | ever-increasing variety of hairstyles, clothes, tattoos,
         | piercings and accessories. We'd probably all "shy away" from
         | the average goth or punk rock kid if it was 1940. But who still
         | scoffs at those extreme looks these days when they serve you
         | coffee or stop you on the street for directions?
        
           | satvikpendem wrote:
           | > _But who still scoffs at those extreme looks these days
           | when they serve you coffee or stop you on the street for
           | directions?_
           | 
           | Lots of people, depending on how extreme.
        
         | TaylorAlexander wrote:
         | Depends on where you live and which people you will be hanging
         | out with that day (you can have multiple limbs - see this talk
         | where Aimee Mullins shows off her 12 pairs of legs and
         | discusses the context for each [1]. Limbs for Olympic running
         | already don't look "normal.")
         | 
         | I'm queer and trans and I live in Oakland and I hang out with
         | almost all queer anarchist people. You can bet I'd wear a
         | tentacle from time to time and they'd all think it's rad as
         | hell. I'm a robotics engineer and I tend to like to be a bit
         | loud at times and go against the grain. If I lost a hand or an
         | arm I'd almost certainly build myself a fire shooting tentacle.
         | (I could do this now but motivation goes up if I've lost a limb
         | and I've begun working on replacements.)
         | 
         | I learned long ago that trying to appease the normative views
         | of others simply isn't going to work for me, so I trained away
         | the part of my brain that worries what other people think as
         | long as I'm not actively harming others. In doing so I've found
         | a lot of people that appreciate this, and I've learned the
         | value in leaning into it and building community with the
         | weirdos.
         | 
         | If I'm going to my normie friend's wedding I might bring a
         | normal prosthetic and keep the fire shooting tentacle in the
         | car for all the nerds that want to see it after the ceremony.
         | 
         | [1] https://youtu.be/JQ0iMulicgg?si=kPDy_VcRtJbQPuCb
        
           | BiteCode_dev wrote:
           | Also the attitude matters a lot. If it comes from creativity,
           | joy, fun, etc., it will work way better than if it comes with
           | distanciation, opposition and awkwardness.
           | 
           | Context is important, but what you bring as well.
           | 
           | I have friends that can make a new pair of glasses uneasy,
           | and some that can rock devils horns on a tuesday.
        
             | TaylorAlexander wrote:
             | Yeah. I certainly understand that losing a limb is a big
             | deal emotionally and many will not want to stand out.
             | However as someone who has been interested in robotics
             | since I was 11 years old my plan has always been that if I
             | lose a limb I will build my own replacement. That gives me
             | a lot of clarity on how I would proceed after the initial
             | grieving and acceptance period.
        
         | maxglute wrote:
         | Sentiment probably shifting with cyberpunk media. If I see cool
         | prosthetics I probably couldn't resist to stare, which is also
         | annoying I imagine.
        
         | ben7799 wrote:
         | Our limbs evolved to be efficient for life on earth.
         | 
         | Then we built all this artificial stuff and designed it to be
         | as optimal as possible for human hands.
         | 
         | So intentionally making prosthetics really different from the
         | human norm might make things less convenient for the wearer.
        
           | thfuran wrote:
           | That's something only someone who has never played N64 could
           | say.
        
           | hinkley wrote:
           | One of the examples is an extra thumb. That prosthetic is
           | clearly meant to be available for able-armed people.
           | 
           | This is very hypothetical, but if a prosthetic becomes a tool
           | rather than a replacement for organics, then it's possible
           | that products will change to be compatible with the tool.
           | 
           | Coffee cups probably won't change, but power tools might, if
           | there's something about having an extra thumb that makes them
           | easier to operate. My cordless drills can go from forward to
           | reverse by moving my thumb twice, but other transitions
           | require more repositioning of the hands. You could move the
           | torque controller to be reached by the extra thumb, for
           | instance, reducing the steps to countersink a wood screw.
        
           | s0rce wrote:
           | Similarly, this issue occurs with your eyes. When you wear a
           | vision pro you can see flicker issues with tons of displays
           | that were designed to be visible by people and not machines.
        
           | pixl97 wrote:
           | >Our limbs evolved to be efficient for life on earth.
           | 
           | Eh, then why don't most other mammals have digital hands
           | (having 10 fingers that is) like humans?
           | 
           | It may be better to say that human society and products are
           | developed around us fingers, but there may very well be
           | specialist jobs that allow prosthetics to be more efficient.
        
         | jdietrich wrote:
         | Until recently, hearing aids were almost exclusively available
         | in "skin tone" colours that didn't particularly match anyone's
         | skin. Now all of the major manufacturers offer hearing aids in
         | a range of consumer electronic-like metallic and gloss colours;
         | this is especially true for hearing aids for children. There's
         | a major generational shift, driven partly by changing social
         | attitudes to disability but also because people are just much
         | more used to seeing people with electronic things in their
         | ears. A new generation of hearing aid users see their hearing
         | aids as a gadget rather than a medical device; the choice to
         | wear a "discreet" hearing aid is increasingly seen as a symptom
         | of internalised stigma.
         | 
         | The same thing is happening with prosthetic limbs, driven to a
         | very large extent by parasports. We're increasingly used to
         | seeing prosthetic limbs that were designed purely for
         | performance, where form follows function. Prosthetists used to
         | assume that everyone would want the most "normal-looking"
         | prosthetic limb, but that's no longer a safe assumption; to
         | many younger people with missing limbs, the thought of wearing
         | a prosthetic designed to mimic a natural limb is actively
         | repellent. They're much more comfortable wearing something made
         | of raw carbon fibre than something covered in beige rubber.
        
           | szundi wrote:
           | And the world of Cyberpunk and Shadowrun has officially
           | started now.
        
           | bobthepanda wrote:
           | if the "normal looking" thing doesn't look very good there's
           | not much point bothering.
           | 
           | this is like how it took a few decades for us to get "nude"
           | undergarments matching certain skin pigments in the United
           | States.
        
         | hinkley wrote:
         | The subject of this article has a woman with a tentacle arm
         | front and center. Some of the others are more human+ or human-
         | adjacent. An extra thumb will get looks and be a conversation
         | piece.
         | 
         | The tentacle is a little too deep into the uncanny valley.
        
           | s0rce wrote:
           | seems like a limb trying to look human but ending up creepy
           | is in the uncanny valley. A non-human tentacle limb is simply
           | that, its not mimicking human like characteristics in a
           | slightly off way.
        
       | nickdothutton wrote:
       | If a prosthetic's appearance is at best something in the uncanny
       | valley, I think if I ever needed one then I'd prefer a design
       | from Philippe Starck or Richard Rogers, or perhaps Jony Ive.
        
       | deadbabe wrote:
       | How do amputees feel about this?
        
         | LtWorf wrote:
         | Amputee here.
         | 
         | I see a lot of uninformed comments and completely idiotic ideas
         | in this comment section, from people who are thinking they are
         | very smart for coming up with things. Well nobody does it
         | probably for a reason.
         | 
         | First of all prosthetics are expensive as fuck, so a normal
         | person can't have 5 of them.
         | 
         | Secondly they are big, so unless you go around in a van you
         | can't really say "oh I need that other one now"... the one you
         | have on you is all.
         | 
         | Then the looks. They don't have to look realistic but many
         | people will want them to. I've met a few people in wheelchair
         | that have absolutely no use for a prosthetic and yet use one,
         | because it pains them to see themselves without... so i can't
         | imagine how a robocop leg would work for that issue. Also,
         | padding and stuff has the function of protecting the important
         | bits that are inside.
         | 
         | I do agree that there is no point in making them look over
         | realistic if the wearer isn't interested in doing that, and in
         | trying to simulate a real limb at the cost of pain, and reduced
         | time when they can be used.
         | 
         | In the end what nobody realizes is that prosthetics are
         | complete shit. Try typing on a keyboard or playing guitar for
         | several hours with 50cm sticks tied to your fingers and see how
         | that works out, both in efficacy and strain to your fingers. A
         | prosthetic is more or less something like that. Please stop
         | confusing sci-fi films with reality.
         | 
         | It is rather annoying having people come up to you and ask:
         | "why don't you have a 3 million dollar prosthetics that does
         | this and that?"... Well I don't have 3 million dollars and the
         | thing you're thinking of doesn't exist anyway.
        
           | deadbabe wrote:
           | Thank you for this perspective.
        
         | xtracto wrote:
         | I lost the distal phalanx of my thumb in my left hand when I
         | was a kid (6 y old). I've lived my whole life without it and
         | have had gone through the full "stages of grief" rainbow and
         | obligatory bullying in school.
         | 
         | Now I am 40 years old and _in general_ my feeling is the
         | following:I would enjoy having a prostetic phalanx which is
         | indistiguishable from the real deal mainly to avoid
         | "distracting" people that I am interacting with. The reaction
         | of most adults is basically to get "distracted" and wondering
         | at some point. I've caught a lot of thease both in public
         | moments (while giving a talk and gesticulating with my hands,
         | you can see into some people's eyes when they "found out", and
         | get distracted). And in private scenarios: I play guitar (more
         | on this later), I've had moments where I am playing with along
         | with somebody else, and you can clearly see when they "realize"
         | about my missing finger. Adults are usually shy/educated and
         | don't ask about it, but it is funny seeing that "moment of
         | silence" when they are pondering whether they should ask and I
         | guess they get "ashamed": "did he realized I stared" ... like,
         | after 30+ years, I don't give a fuck haha.
         | 
         | Now, on the other hand (pun intended), I've researched about
         | prostethics. There are some really good prosthetics which are
         | purely visual. I've never tried those (just haven't pushed
         | myself I guess), but what I would _really_ like is a prosthetic
         | that is more functional. As I mentioned, I play guitar, and one
         | of the things that I am missing is the ability to play some
         | Barre chords as well as I could, or doing shredding (I like to
         | play metal) on some topmost strings, basically because I am
         | missing the  "support" that would be provided by the thumb-tip
         | to apply the "force" (don't know if I am explaining myself
         | haha). Also, I've always wanted to play the piano but also ...
         | the remaining part of my thumb won't help with that haha.
         | 
         | So, I guess in summary: for the public side I'd like the
         | "transparent" prostethic, while for me, I'd love to have some
         | prosthetic that would make it easier for me to play guitar
         | haha. Or a laser pointer, or something cool... of course that
         | may be the geek side of me talking.
         | 
         | BTW: I caught your pun
        
       | starkparker wrote:
       | cf. Jason Barnes and his prosthesis designed for playing drums:
       | https://www.youtube.com/watch?v=uyHHxIYOs1g
        
       | nimish wrote:
       | Give me the Deus Ex or Cyberpunk 2020 look, honestly.
        
       | w4rh4wk5 wrote:
       | Maybe they "should", but really, when I lose an arm or a leg, I
       | kinda want it to look like Ian Davis' mechanical hand prosthetic!
       | 
       | https://www.youtube.com/watch?v=7VGgq1FjrCQ
        
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