Baltimore Sun Sunday

MEDICINE&SCIENCE

- Cwells@baltsun.com

More at particular­ly to those developing virtual reality devices, which often require hands to simulate walking.

“It just gives a whole new layer of functional­ity to games,” he said. “We have our legs and it’s not used when we’re interfacin­g with computers.”

The loss of upper limbs is rare. According to research published in the Archives of Physical Medicine and Rehabilita­tion in 2008, just 56,000 people are estimated to have lost a hand or an arm in the United States. Of the estimated 2 million people who have lost a limb, finger or toe, about two-thirds lost a lower extremity. A third, or 700,000, were classified as having lost an upper extremity, but most of those people have lost a finger or fingers.

The device could be useful for those with spinal cord injuries who have lost dexterity or function in their upper limbs, said Heather Weesner, an occupation­al therapist at the University of Maryland Rehabilita­tion and Orthopaedi­c Institute and a certified hand therapist. Many people who have lost their hands or the use of them are trying to use voice-activated technology to interact with computers, but it can be prohibitiv­ely expensive, she said.

Prosthetic limbs also can be very expensive and cost as much as $100,000, said Karen Lundquist, a spokeswoma­n for the Amputee Coalition. Upper-limb prosthetic­s are trickier to design and can be uncomforta­ble and difficult to manage, she said.

“There’s a huge gap in what’s available and what’s possible,” Lundquist said.

Some upper-limb amputees have “gotten very life-hack about it,” she said, developing unique solutions. A person might attach a cup holder to a prosthetic arm, for instance, she said.

The ability to use the internet is crucial for those who have lost limbs, Lundquist said.

“To be able to be socially connected to other people with disabiliti­es, it could connect you to the world and give you a lot of work opportunit­ies as well,” she said. “You’re more likely to not be depressed, you’re more likely to be employed.”

That loss of social connection via the internet isn’t something that really affects lower-limb amputees, Weesner said. But for upper-limb amputees, being able to use a computer is often a top priority after figuring out how to dress and bathe.

“It really helps the patient’s psyche when they can have some of the activities that they used to have,” such as video games, she said. “Especially when they’re fun.”

While testing the device, Levay and three nonamputee­s played the first-person actionadve­nture game Mirror’s Edge and posted video of the game play online, asking viewers to guess which player was using the device. More than 80 percent of people who viewed the videos couldn’t identify which player was using the GEAR controller.

Such online anonymity could be good for those who have lost their upper limbs, Levay said, so they can temporaril­y avoid the odd glances from people who are surprised by their appearance.

“I walk down the street and people think about what’s going on,” with his appearance, Levay said. “Without hearing it, you hear it in your mind. It doesn’t bother me necessaril­y, but it can get annoying after some time. But there are people who would rather not go out and socialize … and all that goes away with computer games because no one sees you, so all they’re going judge you by is how well you play.”

Still, Levay said that because he is focused on graduate school and building better prosthetic­s, he hasn’t had much time to actually use the device and enjoy his old hobby.

“The motivation was of course to allow me to play, but I haven’t had any time to play on this or anything else,” Levay said. “I’m happy it’s there as a possibilit­y. One day maybe I’ll have more time.”

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