G Ganesh1, T Yoshioka2, R Osu2, T Ikegami3. 1. 1] Center for Information and Neural Networks (CiNet), National Institute of Information and Communications Technology, 1-4 Yamadaoka, Osaka University Campus, Suita 5650871, Japan [2] CNRS-AIST JRL (Joint Robotics Laboratory), UMI3218/CRT, Intelligent Systems Research Institute, National Institute of Advanced Industrial Science and Technology (AIST) Tsukuba Central 2, 1-1-1 Umezono, Tsukuba, Ibaraki 305-8568, Japan. 2. ATR Brain Information Communications research Laboratories, 2-2-2 Hikaridai, Seika-cho, Soraku-gun, Kyoto 6190288, Japan. 3. Center for Information and Neural Networks (CiNet), National Institute of Information and Communications Technology, 1-4 Yamadaoka, Osaka University Campus, Suita 5650871, Japan.
Abstract
Human dexterity with tools is believed to stem from our ability to incorporate and use tools as parts of our body. However tool incorporation, evident as extensions in our body representation and peri-personal space, has been observed predominantly after extended tool exposures and does not explain our immediate motor behaviours when we change tools. Here we utilize two novel experiments to elucidate the presence of additional immediate tool incorporation effects that determine motor planning with tools. Interestingly, tools were observed to immediately induce a trial-by-trial, tool length dependent shortening of the perceived limb lengths, opposite to observations of elongations after extended tool use. Our results thus exhibit that tools induce a dual effect on our body representation; an immediate shortening that critically affects motor planning with a new tool, and the slow elongation, probably a consequence of skill related changes in sensory-motor mappings with the repeated use of the tool.
Human dexterity with tools is believed to stem from our ability to incorporate and use tools as parts of our body. However tool incorporation, evident as extensions in our body representation and peri-personal space, has been observed predominantly after extended tool exposures and does not explain our immediate motor behaviours when we change tools. Here we utilize two novel experiments to elucidate the presence of additional immediate tool incorporation effects that determine motor planning with tools. Interestingly, tools were observed to immediately induce a trial-by-trial, tool length dependent shortening of the perceived limb lengths, opposite to observations of elongations after extended tool use. Our results thus exhibit that tools induce a dual effect on our body representation; an immediate shortening that critically affects motor planning with a new tool, and the slow elongation, probably a consequence of skill related changes in sensory-motor mappings with the repeated use of the tool.
Humans use a myriad of tools in their daily life ranging from a spoon to a golf club,
without giving much thought. Contrary to the apparent ease, planning a movement with
even a simple tool like a pointing stick is not trivial. To point to a board with a
pointing stick, an individual’s brain has to first recognize the stick’s
size, shape and dynamics, then locate its target in the visual and body coordinates,
integrate this information with the stored body representation, before finally
calculating the changes in limb angles required to make the movement to touch the
target. It is generally accepted that, despite these complex and error-prone
calculations, humans are dexterous with tools because of their ability to incorporate
and use tools as extensions of their body1234.However tool embodiment, evident as tool-induced lengthening of our perceived limb
lengths, or body representation567, and extensions of the neural
representation of the space around the body (so called peri-personal space)23891011, has been examined predominantly after extended use
(~tens of minutes) of any tool. On the other hand, an individual can immediately
switch from pointing on a board with the pointing stick to pointing with a much shorter
pen without requiring any practice. This empirical fact suggests other immediate
incorporation processes induced by tools. The existence of such immediate adaptations of
body representations has been previously suggested4, but never proved. On
the other hand, while studies have occasionally reported the peri-personal space to
change even without specific tool training2121314, the effect of
these changes on the subject’s motor behaviour with the tools have never been
examined. Overall, whether and what immediate tool incorporation processes exist and if
so, how they affect human motor behaviour is still not clear.In this study we aimed to isolate the immediate tool incorporation processes that
determine motor planning with a tool. We first developed a two-choice forced
discrimination task which allowed us to examine the immediate changes in the perceived
free-arm reach space when an individual uses a tool. Next, using a novel tool-held
reaching task, we examine the cause of the changes observed in the first task, and how
these affect movement planning with tools. We used a haptic manipulandum in our tasks
which enabled us to precisely measure the tool-held movements made by the subjects and
equalize the dynamics across tools and no-tool conditions. Our results exhibit that
tools induce immediate changes in our body representation; they immediately shorten our
perceived arm length. The shortening is shown to critically determine the movement
planning with the tool. Successful use of the tool with these initial planning processes
are arguably key prerequisites for the long-term tool incorporation processes that have
been regularly observed by previous studies123456789101112.
Results
Tools induce immediate perception changes
In the first key-in-hole (KIH) experiment (Fig. 1a),
subjects were required to make a short reaching movement holding a haptic
manipulandum, followed by a reachability judgement task. The subjects received
visual feedback of their hand position, tool and the target throughout a reach
trial and were required to reach a target either with their hand cursor (no-tool
trial) or with the tip of a virtual tool (the key) that was presented on a
screen with its base over their right hand (in a tool trial). Immediately after
every reach, the subjects were presented with the outline of their current key
(the keyhole) at a random location on the table (see white key outline in Fig. 1a). They were asked to judge if the keyhole was
reachable with the key (and with the way they currently held the key) by
pressing either a ‘yes’ or ‘no’ button with their
free left hand. Note that the keyhole was distinct from the reach target. The
subjects were required to hold their right hand at the reach target during the
judgement task and after each judgement they went on to the next trial and never
made an actual reach to the keyhole. Critically, the subjects were explicitly
instructed that the keyholes always matched the size and angle of the held key.
Therefore the judgement task in this experiment implicitly required the subjects
to estimate if their hand could reach the base of the keyhole (Fig. 1a). The reachability judgement in the KIH task thus provided
us with a way to estimate the immediate effects of the tool on the
subject’s perception of his arm length, during tool (key) use. Note that
the arm reaching in the KIH task only served as a contextual cue915 for tool use and helped us magnify the tool incorporation
effect9.
Figure 1
KIH experiment.
(a) The subjects held a manipulandum and were provided with virtual
tools displayed on a screen over their hand. They were instructed to make a
reaching movement with the tool from the reach start point to the tool
target, following which they were presented with a ‘keyhole’.
They judged if they can put their tool (key) into the keyhole using
judgement buttons. (b) Each subject worked with one of two tool sets.
(c) They performed three test sessions, each preceded by a
calibration session. The calibration sessions included only
‘no-tool’ trials and was used to calibrate the reach boundary,
about which the keyholes were presented in the following test session.
(d and e) The judgement from the tool and no-tool trials
in the test sessions were assimilated over 10 subjects to create the
psychometric curves and examine the immediate effect of tools on the reach
space of one’s arm. We observed a significant change in both the
decision boundary (T(9)=3.59, P=0.0058; two-tailed
t-test on the individual differences between tool trials and no-tool
trials) and sensitivity (T(9)=3.13, P=0.012; two-tailed
t-test on the individual differences between the slopes of the
tool and no-tool trials) between the tool and no-tool trials. Error bars
represent s.e.
Each subject made 60 no-tool trials and 180 tool trials (divided equally between
the three keys) over three sessions. To examine immediate effects of tool use on
body perception, the tool and no-tool trials were mixed and presented randomly
in each session, with three keys (tools of different orientation) presented
randomly within the tool trials (see Fig. 1b, each subject
received one of two tool set). The keyholes were presented between
±6 cm from the reach boundary (the origin of abscissa in Fig. 1d, also see Methods), which was calibrated before each
session using a calibration session (experiment timeline shown in Fig. 1c) where subjects made 45 (only) no-tool trials (details in
the Methods section). The data from the judgement task in the randomly presented
tool and no-tool trials were collected to generate a psychometric plot for each
case.Figure 1d shows the psychometric plot of the keyhole
reachability judgement averaged over the 10 subjects and the three test
sessions. The data from the tool trials were combined as no differences were
observed between the three keys in regards to the decision boundaries
(F(2,18)=1.36, P=0.28, repeated measures one-way analysis of
variance (ANOVA)) or sensitivities (F(2,18)=0.86, P=0.44, repeated
measures one-way ANOVA) . The reachable space in the no-tool trials remained
similar to the preceding calibration session (note that the red trace passes
through the origin of the abscissa, two-tailed t-test, T(9)=0.218,
P=0.83). However in the presence of a tool, the reachable space shown
by the decision boundary of the hand shrunk across the tools (T(9)=3.59,
P=0.0058; two-tailed t-test on the individual differences
between tool trials and no-tool trials, Fig. 1e) such that
the subjects judged closer keyholes to be not reachable. Furthermore, the
sensitivity of the reach perception was also observed to decrease
(T(9)=3.13, P=0.012; two-tailed t-test on the individual
differences between the slopes of the tool and no-tool trials, Fig. 1e) in the presence of tools.As the tool and no-tool trials were mixed throughout the KIH experiment, the
above observations clearly show that tools can immediately affect the
subject’s perceived arm reach space without requiring any training with
the tool; the perceived reach space decreased every time a subject held a tool
and reverted back in the no-tool trials. Though interestingly, the immediate
effect induced by the tools was seemingly contradictory to the perceived
elongation of body representation2345 and peri-personal
space23891011 that has been observed by previous
studies after the extended use of tools. Other than the fact that we looked for
immediate tool effects, another difference of our study was in the
characteristics of the tools used. While all the previous studies have
consistently used tools that point away from the body (tending to extend the
reach of the arm), our study also included tools that pointed towards the body
when held in the hand (see tools in Fig. 1b). To ensure
that this qualitative difference in tool orientation was not the cause of the
opposite observations, we conducted a subsidiary KIH (sKIH) experiment with
eight subjects. The subjects in sKIH followed the same procedure as KIH subjects
but, similar to previous studies, were only presented with tools that pointed
away from the body (see Fig. 2a). As we again observed no
difference in the decision boundary (F(2,14)=2.55, P=0.12,
repeated measures one-way ANOVA) or sensitivity (F(2,14)=0.08,
P=0.93, repeated measures one-way ANOVA) across the tools, the data from
the tool trials were combined for analysis (Fig. 2b). A
significant and immediate reduction in the perceived reachable space was again
observed in the sKIH experiment in the presence of tools (T(7)=4.32,
P=0.0035; two-tailed t-test on the individual differences
between tool trials and no-tool trials, Fig. 2c), though
the sensitivity to reach perception was no longer observed to be different
between the tool and no-tool trials (T(7)=0.34, P=0.75; two-tailed
t-test on the individual differences between the slopes of the tool
and no-tool trials in Fig. 2c).
Figure 2
sKIH experiment.
Eight subjects participated in this experiment. The subsidary KIH experiment
followed the same procedure and timeline as the KIH experiment. The only
difference was in the tool set presented to the subject. (a) All
tools presented in the sKIH pointed away from the body. (b and
c) We observed a significant change in only the decision boundary
between the tool and no-tool trials (T(7)=4.318, P=0.0035;
two-tailed t-test on the individual differences between tool trials
and no-tool trials). Error bars represent s.e.
The use of virtual tools (like the one presented in the KIH and sKIH experiments)
enabled us to equalize the dynamics across tools and no-tool conditions, as well
as instantly switch between tool and no-tool conditions trial to trial. However,
a critical concern remained regarding whether the observed reduction was a
characteristic only while using virtual tools, and whether a similar reduction
will also be observed with a real tool. To address this concern, we next
conducted a third real-tool KIH experiment with 11 subjects, where we repeated
the same KIH task but with subjects operating with a real tool in their hand
(Fig. 3a,b, and see Methods). We again observed a
significant and immediate reduction in the perceived reachable space in the
real-tool KIH experiment in the presence of tools (T(10)=2.53,
P=0.029; two-tailed t-test on the individual differences between
tool trials and no-tool trials, Fig. 3 c,d). Similar to
the sKIH experiment, the no-tool decision boundary was again not different from
zero (T(10)=1.17, P=0.26). The sensitivity to reach perception was
observed to be similar between the tool and no-tool trials (T(10)=1.15,
P=0.28; two-tailed t-test on the individual differences
between the slopes of the tool and no-tool trials in Fig.
3d; psychometric curves from each subject are shown in Supplementary Fig. 1). Quantitatively, the
reduction with the 10-cm real tool was around 0.6 cm, which was
considerably less than 1.1 cm observed with the 3-cm tools in the sKIH
experiment. This difference was probably induced by the fact that the subject
had to actively release their grip and switch between the ‘tool’
and ‘no-tool’ trials in the real-tool KIH, whereas these were
changed immediately and without a grip change in the sKIH experiment (as the
tools were virtual projections). Furthermore, the number of tool orientation was
more in the sKIH experiment and may be a reason for the increased reduction in
reach boundary observed in sKIH.
Figure 3
Real-tool KIH experiment.
The real-tool KIH experiment followed a similar procedure and timeline as the
KIH experiment with 11 subjects manipulating real keys (tools). (a)
The tool handle was made from plastic whereas the body was made with
styrofoam. The ‘no-tool’ key consisted only of the handle.
(b) The projected keyhole during a no-tool trial (left panel) and
a tool trial (right panel). The subjects had to judge if the keyhole was
reachable without making an actual movement to the keyhole. (c and
d) We observed a significant change in only the decision boundary
(T(10)=2.53, P=0.029; two-tailed t-test on the
individual differences between tool trials and no-tool trials) but not in
the sensitivity (T(10)=1.148, P=0.28; two-tailed t-test
on the individual differences between the slopes of the tool and no-tool
trials) between the tool and no-tool trials. Error bars represent s.e.
Parallel extension of perceived reach space
Each test session in the KIH experiments was preceded by a calibration session
(Fig. 1c) that was used to calibrate the no-tool reach
space for that session. While the comparison between the tool and no-tool trials
across test sessions helped us analyse the immediate perceptual changes in the
presence of tools (Figs 1, 2, 3), the comparison of the no-tool reach space perception
across the three calibration sessions helped us analyse the long-term effects of
tool use that exist in parallel to the immediate shortening of perceived reach
space. We observed that the perceived free hand (no tool) reach boundary
consistently increased across the calibration sessions of the KIH experiments
(Fig. 4). Although the increase did not reach
significance in the KIH experiment (solid trace in Fig. 4;
T(9)=2.08, P=0.076, two-tailed t-test of the individual
difference between the first and last calibration sessions), the use of tools
pointing away from the body led to a significant increase in the reach boundary
across the calibration sessions in sKIH experiment (dashed trace in Fig. 4; T(7)=2.99, P=0.047 two-tailed
t-test of the individual difference between the first and last
calibration sessions) as well as the real-tool KIH experiment (thick dashed
trace in Fig. 4; T(9)=3.01, P=0.015;
two-tailed t-test of the individual difference between the first and last
calibration sessions, one subject data was observed to be different by more than
2 × s.d. and was classified as a outlier).
Figure 4
Change of perceived reach boundary.
The actual reach boundary calculated in the calibration sessions increased
across the 10 subjects in KIH (solid red trace), 8 subjects in sKIH (dashed
brown trace) and 11 subjects in real-tool KIH (dotted light orange trace)
experiments. The P-values represent the two-tailed t-tests
performed on the difference in the percieved reach boundary in the first and
the last calibration session across the subjects in each experiment. Error
bars represent s.e.
Tools effects and their cause
Together the KIH, sKIH and real-tool KIH experiments concretely exhibit that
tools induce a dual effect; an immediate reduction in the perceived reachable
space when a tool is held, and a slow elongation of the reach space with the
repeated use of tools, even when the tool trials were intermingled with no-tool
trials. On the other hand, we believe that the change in sensitivity in the
presence of tools arises from the interaction of the transients of the tool
incorporation processes between the individual tool and no-tool trials. The
transient interactions are more complex when the number of tools is more,
leading to more noise in the perception (and loss of sensitivity). In agreement
to this belief, we observe a decrease in sensitivity in the KIH task but not in
the sKIH task where the tools are more similar (in terms of orientation) or in
the real-tool KIH task where only one tool was used. As in this study we are
interested in the change in body representation, we will concentrate on the
reduction and its causes and leave the details regarding the sensitivity for
future work.The KIH experiments required the subjects to view the keyhole and utilize their
perceived arm length, or body representation, to estimate if the key was
reachable. The reduction in the perceived reachability could thus have occurred
due to either or both of two reasons; a change in body representation and
specifically a reduction in the perceived arm length, or/and an elongation of
the visually perceived keyhole distance probably due to the deformation of the
peri-personal space911 in the presence of tools. To concretely
check the cause, we next investigated the effects of tools on the motor planning
of arm movements made while holding the tool and compared it with the
predictions made by models of changes in body representation and visual
perception.
Tool-held reach experiment
In the second tool-held reaching (THR) experiment, we presented nine subjects
with eight different tools, again as two different tool sets (see Fig. 5b), and asked them to make movements to reach randomly
presented targets (at a distance of 10 or 15 cm) with the tip of their
tools. The targets were presented over one of six areas (see distribution of
sample results from one subject superimposed in Fig. 5a in
which each coloured dot represents the hand position with different tools).
Unknown to the subjects, we offset the presented tool targets and equalized
their hand movements such that correct movement with each tool required the
subject to make the same hand movement as in the no-tool trial (see ‘Hand
movement equalization’ section in Methods for details). Similar to the
KIH experiments, the tool and no-tool trials were presented randomly across the
THR experiment and at the start of each trial, a subject was presented with the
visual feedback of the tool (and hand position), start position (of the hand)
and the target for making the movement. However, in contrast to the KIH
experiments, the visual feedback of the hand and tool in the THR experiment was
switched off once the subject started to make a reach so as to avoid visual
corrections during or after the movements. The target was visible to the subject
throughout the trial. Therefore, the THR task required the subjects to plan
their reach movement before each trial with the visible tool and target, and
then make the movement relying solely on the motor planning (as no visual
feedback was available during or after the reach). The THR experiment thus
enabled us to observe the motor planning errors induced by the tools, which we
then compared with error predictions made by models of body representation
change (BRC model) and visual perception change (VPC model).
Figure 5
THR experiment.
(a) Experiment: Nine subjects performed reach movements to one of six
hand targets holding a set of nine tools (eight tools and no-tool) presented
randomly to them. The hand position data from a representative subject while
holding different tools (colour code shown in c) is superimposed.
(b) Each subject worked with one of two tool sets. The subjects
were given visual feedback of their hand position, tool, start point and
target before beginning each trial. The visual feedback of the tool and hand
position were switched off once they started their movement. (c) Body
representation change (BRC) model prediction: the BRC model assumes the
tools lead to a proportional decrease in the perceived length of the upper
arm and forearm. The colour code represents the tool orientation angles as
shown in the left panel of c such that for example, the hand
positions after reach with tools of 0 degree (θt=0)
are averaged and represented by light green, those with tools of
θt=45 are averaged and represented by orange and
so on. The ‘no-tool’ condition is shown in red. The right
panel of c shows the predicted tool-held hand position with respect
to the target (black circle) averaged over the same targets as in the
experiment. The model predicted that no-tool trials to reach the target (see
red disk in black circle). It predicted that the tools to lead to both an
overshoot (d) of the target, as well as a deviation (r) along
the length of the tool, such that (d) the target miss angle
θm is roughly 180° flipped with respect to
the tool angle θt. The example hand position without
a tool and the hand and tool position for a tool of
θt=135 degrees is shown (not to scale).
(e) The values of r and d were predicted to
increase linearly with the tool length (orange–yellow trace). On the
other hand, the VPC model predicts a deformation in the visual perception
leading to only a target offset proportional to the length of the tool
(green–yellow trace in d).
Tool-induced body representation change model
In our KIH tasks we had observed that the decrease in perceived reachable space
occurred irrespective of the tool orientation. Therefore in our body
representation change (BRC) model, we assumed that only the tool length causes
the changes in body representation. Specifically, the BRC model assumes that
tool use leads to a reduction in the perceived arm length (upper arm
l→(l−δl);
forearm
l→(l−δl))
proportional to the length of the tool (concept shown in Fig.
5c, left panel). The model thus predicts that in the presence of a
tool, the shoulder and elbow angles required for the reach movement will be
planned with a reduced arm length and consequently, when these angles are
executed with the actual arm, the model predicted the tool tips to miss the
target in our experiment in a systematic pattern (see cartoon in the right panel
of Fig. 5c, details of the simulation in methods). The BRC
model predicted the tool tip and hence the hand position to not only overshoot
the no-tool target along the direction of movement (d in Fig. 5c) but also deviate systematically along the length of the
tool (r in Fig. 5c) such that, interestingly, the
tool angles (represented by various colours in Fig. 5) are
considered relatively well (see the miss pattern cartoon in Fig.
5c). The predicted miss angles are presented in Fig.
5d. Furthermore, the model predicted both these errors (r and
d) to increase linearly with the length of the tool
(orange–yellow trace, Fig. 5e).
Tool-induced visual perception change model
Next to model VPC, we again considered only the length of the tool so as to keep
consistent with the BRC model. The VPC model assumes that holding a tool deforms
the visual perception of an individual such that the visually observed targets
are perceived farther away in proportion to the length of the tool. Though
quantitatively opposite, this model is motivated by the reported decrease in
perceived visual distance after extended use of tools9. The VPC
model expects the targets in our task to be misperceived to be farther away in
the presence of tools. Therefore, it predicts the subsequent movements with the
tool (without visual feedback) to only overshoot the target (d) but show
no deviation (r). The VPC model may thus be represented by y axis
in Fig. 5e. As the model assumes the effect to depend on
the length of the tool, it predicts the overshoot to increase with tool length
(green–yellow trace in Fig. 5e).
Data and models
The subject hand positions at the end of the reach through the THR experiment are
analysed in Fig. 6. First, across the subjects we observed
that the no-tool trials reached every target (T(8)<0.55,
P>0.60, two-tailed t-tests on the ordinate and abscissa errors
for each target over the subjects) with no consistent error relative to the
target position. Therefore, for rest of the analysis, the hand positions for
each subject were calculated relative to their mean no-tool endpoint. The inset
of Fig. 6a shows the plot of the data from all our
subjects across all the tools and targets during the THR experiment (see Supplementary Fig. 2 for separate
plots for each target) plotted relative to their mean no-tool reach trials (red
data point located at the origin). The colours represent the tool angles (colour
coding same as in Fig. 5c). In Fig.
6a inset and Supplementary
Fig. 2, we again notice the immediate effects of tool use on the arm
movements—even though the tool and no-tool trials were mixed, the tool
trials show a systematic error depending on the tool orientation (shades of
blue, green, purple and orange) with respect to the no-tool trials (red data).
The subjects consistently overshot the targets and also deviated along the
length of the tool. These errors correspond well to the BRC model, which
predicted the target miss angle θm to be roughly
180° flipped with respect to the tool angle θt
(Fig. 6a), although a small but significant difference
of the miss angle from the model prediction were observed for three out of eight
tool angles (two-tailed t-tests, T(8)>2.35, P<0.05
for θm=45, 90, 270). The overshoot (Fig.
6b) was also well explained by the BRC model for the three cases of
no tool, a 2-cm tool (the ratio of d/r was not different from the model
prediction; two-tailed t-test gave T(8)=0.05, P=0.96, Fig. 6b) and 4-cm tool (T(8)=0.34, P=0.70). On
the other hand, the miss behaviours were significantly different from the VPC
model (T(8)=7.03, P=10−4, two-tailed
t-test for 2-cm tools, and T(8)=4.44, P=0.002 for 4-cm
tools, relative to the y axis).
Figure 6
THR experimental models and data.
The model predictions have been replotted with the experiment data
superimposed on top. (a) The inset shows the individual subject data
averaged over the targets with the colour code representing the tool angle
and the large circles representing the across subject average. The data is
plotted relative to the mean no-tool reach positon (red plot on inset
origin). The target miss angle of the collected data (from the inset) is
plotted (different colours correponding to the colour code) over the BRC
model prediction of the miss angles (yellow trace in a). The
experiment data matched the model well, though there was a small but
significant difference for three tool orientations (two-tailed
t-tests, T(8)>2.35, P<0.05 for
θm=45, 90, 270). (b) The ratio of the
overshoot (d) is plotted against the deviation (r) from the
experiment matched with the BRC model (orange–yellow trace) for both
the 2-cm tools and 4-cm tools (two-tailed t-test gave
T(8)=0.05, P=0.96) and 4-cm tool (T(8)=0.34,
P=0.70). On the other hand, the miss behaviours were significantly
different from the VPC model (green–yellow) both for the 2-cm tool
(T(8)=7.03, P=10−4, two-tailed
t-test relative to the y axis) and 4-cm tool
(T(8)=4.44, P=0.002, two-tailed t-test relative to the
y axis). The data from the control THR experiment is plotted in
pink. Radial deviation was absent in the control task (two-tailed
t-test for the difference of r values from zero;
T(9)=1.17, P=0.27). A target overshoot was observed
(T(9)=3.71, P=0.0048, two-tailed t-test) in the control
but it was less than the THR experiment for the same tool length (two-sample
two-tailed t-test between the r values from Control and THR
experiments; T(17)=2.66, P<0.017). Error bars represent
s.e.
Control for misperception of tool length
Next we conducted an important control experiment to show that the deviations
(r) observed in our task were not due to a visual misperception of
the tool length by the subject. A separate group of 10 subjects participated in
the control experiment. While in the THR task the subjects had no feedback of
either their hand position or the tool during the reach, the subjects in the
control experiment were provided the visual feedback of only their hand position
(and not the tool) during the reaching movement. It was observed that in the
presence of the visual feedback of their hand position, the subjects could
consistently reach the target with the tool (see pink plot in Fig. 6b). The radial deviation r was absent (two-tailed
t-test for the difference of r values from zero;
T(9)=1.17, P=0.27). Though a target overshoot was still observed
(T(9)=3.71, P=0.0048, two-tailed t-test), it was
significantly less than in the THR experiment for the same tool length
(two-sample two-tailed t-test between the r values from Control
and THR experiments; T(17)=2.66, P<0.017). Critically, the
absence of deviations in the presence of visual feedback of the subject hand in
this control experiment clearly exhibits that the deviation observed in the THR
were not due to a visual misperception of the tool length but due to the
misperception of the hand (body) position.
Discussion
Previous studies investigating tool embodiment in primates have repeatedly shown
changes in the peri-personal space and body representation induced by repeated use
of a tool. However, these effects induced by protracted tool use do not explain our
ability to immediately use a tool that we have just picked up. In this study we
exhibited that tool incorporation includes immediate perception changes that are
arguably critical to this ability. We started with a simple two-choice
discrimination task (KIH experiment) similar to the study of Bourgeois et
al.16 and exhibited that tools can induce an immediate change
in the perceived reachable space of the tool-free arm. Next, using a movement task
in the THR experiment, we exhibited that the changes observed by us are well
explained by changes in body representation in the presence of a tool. Critically,
in both experiments we utilized tools of different size and orientation and mixed
the tool and no-tool trials. This ensured that the changes we observed were
immediate effects associated with tool use and different from the changes in body
representation due to repeated use of a same tool.However interestingly, the effects observed in our experiment were opposite to that
observed by previous studies; we observed that the perceived arm length shortens
immediately in the presence of a tool, whereas previous studies have exhibited that
the repeated use of a tool elongates the body representations567
and peri-personal space23891011. We hypothesized the
differences between our observations and that of the previous studies to be due to
the presence of two parallel processes of different time constants during tool use;
a fast shortening process in the presence of a tool and a slow elongation process
resulting from the extended use of tools. This hypothesis is supported by our
observations that, in addition to the immediate shortening (Figs
1d, 2b and 3c), tool use also
results in a slow increase in the perceived reach boundary across the KIH
calibration sessions (Fig. 4)—a result that agrees with
the previous reported extensions of body representation.So what can be the reason for the presence of two parallel tool-induced adaptations
of the body representation? When a tool is used repeatedly, the association between
the control commands to the arm while holding the tool and the sensory signals
received with the tools can lead our central nervous system to develop new
sensory–motor associations; a process which was arguable the cause of the
extensions in body representations observed by previous studies. This long-term
association probably helps reduce the computational time and cost of motor planning
with the tools and determines our skill with the tool. On the other hand, this
incorporation by association is expected to take at least few trials and not be very
useful for the immediate use of a new tool after a tool change. Using a new tool,
like for reaching in our THR task, requires an immediate estimation of the tool
kinematics followed by movement planning corresponding to the kinematics, and
finally the movement execution aided by the visual feedback. Especially the visual
feedback, which is most active at the end of the reach17, is probably
the key factor that determines successful reach with a new tool. For efficient
visual feedback, the one crucial requirement is that the hand (and tool) movement
does not occlude the view of the reach target. Considering the fact that the
tool-held reaching can be affected by the visual perception errors, motor planning
noise18 and motor execution noise19, an obvious
efficient strategy would be to plan the movement away (deviate) from the target
(r in Fig. 5c), make sure the target is not
occluded and then rely on the visual feedback to bring the tool to the target at the
end of the reach. We suggest the shortening of limb representation to be a
deliberate procedure adopted by the human central nervous system to achieve an
approximate deviation (r in Fig. 5c); where the
deviation is calculated by utilizing the estimate of one’s own motor
noise20 but without requiring accurate visual calculations of the
tool characteristics (especially the orientation). In fact in partial support to the
deliberate nature of the arm shortening we find a significant correlation
(R=0.37, P<0.01, Supplementary Fig. 3) between an individual’s motor noise,
measured in the no-tool trials, and the associated deviation (r) in the tool
trials in our THR experiment. To our knowledge, this observation provides the first
direct evidence to show that tool-induced changes in body representation have a
functional role in motor control with the tool.While the observations in this study are well explained by the perceived shortening
of the limb lengths (BRC model) and not by a simple deformation of visual perception
(VPC model), the results may be explained if we take a more complicated VPC model
considering simultaneous elongation (along the movement) and warping (along the tool
length) of visual perception in the presence of tools11. However, two
aspects of our results suggest the changes in body representation as the major
source of movement errors with tools. First, the elegant explanation of the
seemingly complex target miss patterns provided by a simple body representation
change model (Fig. 6); And second, the dependence of the
deviation on an individual’s internal motor noise parameters (Supplementary Fig. 3, as discussed in the
previous paragraph). However having said that, we cannot conclude that the changes
in body representation were the sole cause of the effects observed in our
experiments. In fact, the continued presence of target overshoots in the control
experiment (pink plot of Fig. 6b), model errors in specific
tool orientations (Fig. 6a) and a requirement of a scaling
factor in our BRC model (see Methods) exhibit that, either the BRC model can be
optimized by considering additional transformations in its tool estimates and/or
additional tool-induced processes, probably related to changes in the visual
perception and peri-personal space, are also active during tool use. Critically,
whatever the relative quantitative contribution of the causes, the THR experiment
clearly exhibits the presence of the immediate tool incorporation process and that
it effects tool-held movements, which is the main goal of this study.Though the complete definition of a ‘tool’ is still not clear and the
classical definition by Beck21 is considered too strict22, it is generally believed that tools cause a physical effect on the
environment, and a consequent haptic feedback to the user. To this effect,
tool-induced perceptual effects have been observed to be different in the presence
and absence of physical interactions; when a tool is used to estimate the size of an
object rather than lift it23 and when a stick rather than a light
pointer is used to point to a line centre in a line bisection task2.
Interestingly in our tool tasks, which may be considered similar to pointing, we
observed tool incorporation effects even in the absence of a specific physical
effect on the environment. However, though the tool use in our tasks did not lead to
a physical consequence, they resulted in changes in the experiment environment; Tool
reach resulted in the appearance of the keyhole in the KIH tasks, and tool reach was
followed by the subject hand being brought back to the start position by the robot
manipulandum in the THR task. We believe that these changes were perceived by the
subjects as effects being caused by their tool use, and this causal perception was
responsible for the tool incorporation observed in our tasks. Therefore our results
support the definition suggested by Holmes et al.22 and
suggest that the sensory perception of an effect (even non-haptic) as being caused
by an object held task is key for the object to be perceived as a tool.Incorporation of tools into one’s body has been the general terminology
regularly used for perceived extensions in one’s body and environment
representations in the presence of tools, and considered to be critical in
one’s ability to use tools134. Our results indicate that
the incorporation of tools is a more complex process than previously known and
includes multiple processes of different time scales. Understanding the human
ability of tool use requires not only the isolation of these perceptual processes
but also understanding their interactions with the movement control in the presence
of the tools24. The immediate processes induced by the tools, like
the one exhibited in this study, are of critical importance in this regard because
they determine the successful use of a new tool. It is only in the presence of these
initial successes that the sensory–motor associations in the presence of the
tool can be reinforced25 and lead to long-term ‘incorporation
of the tool into one’s body’.
Methods
Subjects
Forty-nine subjects, aged 23–42 years, participated in our five
experiments. The subject numbers were kept to around 10 per experiment
corresponding to previous studies on arm-reaching and tool-induced perception
changes. All participants were right-handed as assessed by the Edinburgh
Handedness Inventory (Oldfield, 1971). The subjects gave informed consent for
their participation in the experiments, which were conducted according to the
principles in the Declaration of Helsinki and approved by the ethics committee
at the National Institute of Information and Communications Technology.In all our experiments, subjects were seated comfortably on a chair and strapped
to the position using seat belts (See Fig. 1a). They held
the handle of TVINS robot manipulandum with their right hand and were provided
with the visual feedback of their hand position (cursor) and targets on a
projection screen that covered their hand (Fig. 1a). In
the tool trials, a virtual tool of particular orientation and size was projected
at the hand position.
KIH experiment
Ten subjects participated in this experiment. The KIH experiment consisted of
nine sessions starting with three training sessions to acclimatize them to the
manipulandum and experiment, followed by three sets of alternating calibration
and KIH sessions (data from these KIH sessions are presented in Fig. 1)The subjects first started with a session where they were asked to make 50
reaching movements holding the manipulandum to visual targets presented randomly
on the screen and at a distance of 10 cm from the start point. The
subjects were provided with a ‘go’ signal to make the movement but
were specifically told there was no particular movement speed required and that
they could move their hands at any chosen comfortable speed. This session helped
the subjects get used to making movements holding the manipulandum.In the next training session, the subjects were provided with different tools and
asked to make reaching movements to reach targets with the tip of their tool.
They made a total of 25 movements with four different tools and without a tool.
The tools presented in this session were different from those presented in the
experiment after.Finally in the third training session, the subjects first made a reaching
movement either with and without the tool (which we called a key) to a reach
target. After the reach, their hand was held at the reach target by the robot
and they were presented with an outline of their tool (or keyhole) on the
projection screen and asked to judge, without making an actual movement, if
their hand and key could reach the presented keyhole. They made their judgement
by pressing on one of the ‘yes’ or ‘no’ buttons with
their index finger of their left hand (Fig. 1a).
Critically, the subjects were explicitly instructed that the keyholes always
matched the size and angle of the held key. Therefore the judgement task in this
experiment implicitly required the subjects to estimate if their hand could
reach the base of the keyhole (Fig. 1a). The KIH task thus
provided us with a way to estimate the changes in the body representation when
holding a tool (the key). The subjects performed 25 trials in this training
session.The calibration sessions were used to calibrate the ‘reach
boundary’ for a subject. The calibration session consisted of two
sub-sessions. In the first sub-session, the subjects made 15 reach movements
without tools (all no-tool trials) to a target presented 20 cm away and
with full visual feedback. This section was added to enable the subjects to
‘stretch their arm’ after complaints by subjects during our
pretests (used for designing the experiment) that they felt constrained as they
never got to stretch their arm for about an hour. In the second sub-session, the
subjects made 45 movements without a tool (all no-tool trials) to reach targets
presented randomly at 10 cm from the start position, following which they
were presented with reach circles similar to the cursor and asked to judge if it
was reachable or not. The reach circles were presented pseudo randomly between
52 and 80 cm from the shoulder (a range in which we found the subject arm
lengths to lie in). The psychometric curve plotted with this data was used to
define the reach boundary (Bc centimeters) as perceived by
each subject before each KIH session.Finally in the KIH session (Fig. 1) subjects were asked to
make a short arm-reaching movement (of 10 cm) to touch a target either
with their hand cursor (no-tool trial) or with the tip of a virtual tool (the
key) held in their right hand (tool trial). The tool and no-tool trials were
mixed and were presented randomly. In addition, three keys were presented
randomly within the tool trials (see Fig. 1b, each subject
received one of two tool set). Similar to the calibration session, after the
reach, the subjects were asked to hold their hand position at the reach target
(the robot held their arm as well) and then presented with the keyhole at a
random location on the table (see white key outline in Fig.
1a). They were asked to judge if the keyhole was reachable with the
key (and with the way they currently held the key) by pressing either the
‘yes’ or ‘no’ button with their free left hand. The
keyholes were presented at one of 15 locations over a range of −6 to
+6 cm around the calibrated reach boundary (Bc) at
distances of {Bc+[−6, −4, −3, −2,
−1.5, −1, −0.5, 0, 0.5, 1, 1.5, 2, 3 ,4 ,6]} cm.The calibration and KIH sessions were repeated three times. We were thus able to
analyse both the change in reach boundary across the three calibration sessions
(Fig. 4) and the change in the reach boundary within
the KIH sessions between the tool and no-tool trials (Fig.
1d).
Subsidiary KIH experiment
Eight subjects participated in the sKIH experiment. The sKIH experiment followed
the exact same procedure as the KIH experiment with the only difference being in
the key orientation. All tools (keys) presented to the subjects in sKIH
experiment pointed away from the body (see Fig. 2).
Real-tool KIH experiment
To check that the results we observe are not specific to the use of virtual
tools, we also performed the KIH task with a real tool. 11 subjects participated
in this experiment. Two tools (keys) were used in this real-tool KIH task. The
‘tool’ key was constructed by using a plastic handle with a round
base and styrofoam tool head of 10 cm length. The ‘no-tool’
key was identical except that it did not have a tool head (see Fig. 3a). The plastic and styrofoam ensured that the tools were very
light and could smoothly slide over our experiment table. The weights of the two
keys were equalized. The subjects worked on the same table (robot-visual
feedback setup) as the other KIH experiments, but instead of holding a robot
under the table with a virtual tool projection, they used a real tool that they
could move by sliding on the table (Fig. 3a,b). The
subjects followed the same experimental procedure as the KIH task, with a few
changes. The subjects were asked to grip the tool such that the tool axis was
aligned with their forearm. As the tool was 10 cm long, the reach targets
were presented further at 20 cm for the tool conditions and at
10 cm for the no-tool condition to roughly equalize the arm movements to
the previous KIH tasks. Before the start of each movement, they were instructed
to pick up and use one of two keys (Fig. 3a) according to
the presented shape of the start position. A circular start point indicated that
they have to use the ‘no-tool’ key to make the reach, whereas an
elongated starting location (same length as the real tool key) indicated that
they had to pick up the tool key and align it to the start before making a
reach. As we no longer use the manipulandum and were unable to judge when the
reach is completed, the key presentation was fixed at 0.85 s after the
start of the reach. This delay was found to be long enough for the subjects to
make a reach at a comfortable speed and similar to the reaches in the previous
KIH tasks. The axis of the keyhole was always presented aligned along a line
joining the shoulder and keyhole location. The other instructions and procedure
regarding the reach to a given target and the subsequent reachability judgement
remained same as before.Ten subjects participated in the THR experiment. One subject was omitted as he
felt sleepy and missed majority of his trials in a session. None of the subjects
had experience in either of the KIH experiments. The subjects started with a
training session in which they made 48 movements without a tool. This session
enabled subjects to acclimatize themselves to make reaching movements with our
manipulandum. The subjects were provided with the visual feedback of the target,
hand position and tool at the start of the reach movement but the visual
feedback of the hand position and tool were switched off as soon as the hand
left the start position. Therefore, the subjects could not rely on the visual
feedback to reach the target but had to rely on their movement planning
performed before the reach, to make each reach. They were asked to make a
`one-shot' reach movement and maintain their hand at the reached position until
the manipulandum brought their hand back to the start position. The point where
their velocity fell below 0.02 ms−1 was considered
as the movement end. This threshold was determined by previous motor reach
experiments in the lab. The visual feedback of the hand and that of the new tool
were switched on again when the subject returned back to the start position for
the next trial.After the training session, the subjects participated in four sessions, in which
they made 108 movements each, with similar visual feedback conditions as they
had trained for. In each trial, a subject was presented with one of eight tools
(from one of two tool sets, see Fig. 5b), to reach one of
the targets with the tip of the provided tool. In total, each subject made 432
movements over the four sessions either without a tool or with one of eight
tools (48 trials of each). We used two tool sets, with five subjects working
with each. In addition, 30 no-tool visual trials (where the vision of the hand
was kept on through the movement) were included randomly across the four
sessions to ensure that there is no slow drift in the target reaches. These
trials were not considered in the data analysis.
Hand movement equalization
Note that to ensure that the change in intended hand movement with each tool (to
the same target) does not influence the results, we equalized the required hand
movements made with each tool to the same hand target as follows. We decided the
hand targets (see white dashed circle in Supplementary Fig. 4) first and offset the presented tool target
corresponding to each tool (white solid circle in Supplementary Fig. 4) such that the hand
movement with each tool becomes same (Supplementary Fig. 4 shows the tool target presented with each tool.
Note that they all lead to the same hand movement if performed correctly). The
subjects were unaware of this modification and did not realize that their hand
movements were same while reaching with a different tool towards the same
direction.
Control tool-held reach experiment
To check that the subjects do not visually misperceive the length of the tool, we
performed a control THR experiment with 10 subjects. The subjects in the control
performed the same THR task, but were provided with the visual feedback of the
hand cursor (but not of the tool) when they made the reaching movement. The
logic behind this experiment was that if the subject visually misperceived the
length of the tool, then the errors we observed in the THR experiment would
remain in the control. On the other hand, if they misperceived their hand
position in the THR experiment, then behaviour in the control would be different
from the THR experiment.
Body representation change model
The BRC model assumes that holding a tool leads to one’s arm (upper and
forearm) being perceived shorter than usual. Note that as we lock the wrist
position, in the following explanation we assume the wrist to be an extended
part of the forearm. Given the start angles, the model assumes that the plan for
the movement with the tool is developed with a (misperceived) shortened upper
and forearm. It predicts that when the joint angles calculated with this plan is
applied with the real arm, it would lead to target misses.The model assumed the upper arm and forearm shorten in the presence of a tool as
follows:Where represent the perceived upper arm and
forearm lengths in the presence of the tool, while the represent the normal/real perception of the upper arm and forearm
lengths when no tool is present. lt represents the tool length
while ρ (=0.013) represents the linear factor that determines how
the tool affects the perceived limb lengths. We took
lua=30 cm and lfa (forearm+closed
wrist)=35 cm.At the start of a reach trial, a subject is shown his hand position, tool and the
target. Given the reach target as (Xtar,
Ytar), start position of hand as (Xst,
Yst) and assuming the visual tool length
(lt) and tool angle (θt) was
judged perfectly, the subject can calculate the tool tip coordinates asOur task was planar, where the subjects could use only their shoulder (shol) and
elbow joints. The fixation of the hand on the manipulandum prevented them from
using their wrist. Therefore we can uniquely calculate the joint angle required
to perform the reach. The BRC model assumes that the subject estimates the
target reach and tool length in terms of a change in their joint angles, and
calculates the required hand movement to make the reach by subtracting the joint
angle corresponding to the tool length from the required joint angles to reach
the tool target with the hand (without the tool). The model assumes that the
subject calculates the tool length before the movement start in terms of their
joint angles (because this is the only time the tool is visible) as:whereand Invkin(X, Y, lua,
lfa) represents the inverse kinematics function given
by:with the appropriate coordinate considerations. Note that the start position is
available to the subject through both his proprioception and inverse kinematics
of visual hand position and although his actual perception is probably a
combination of the two, here we assume that vision dominates this estimation
process26.The joint angles required to reach an observed tool target with the hand (without
the tool) are given byThe overall joint angle changes required to reach the target (holding the tool)
with the tool tip are estimated by:kshol and kelbow are scaling factors used to
fit our data quantitatively.Finally, the movement expected due to the misplan (with the misperceived upper
arm and forearm lengths) can be calculated asNote that we use the real limb lengths in this calculation.forwkin(θshol, θelbow,
lua, lfa) represents the forward
kinematics function given by:The concept of the BRC model is shown in the left panel of Fig.
5c, and its average predictions over the same tool targets as in our
experiment are shown in Fig. 5d,e.The model uses three parameters. ρ adjusts the effect of the tool on
the arm length and was set to 0.013. kshol and
kelbow were used as scaling factors for the shoulder and
elbow angle changes. kshol=1 (no scaling) and
kelbow=1.3 gave optimal fit on the averaged data.We note here that even though the scaling factors can be used to explain some
deviations even in the absence of any tool-induced effects, the experiment data
is matched, especially in terms of the overshoot, only in the presence of a
tool-induced reduction in limb perception (that is, ρ>0).
Although it is not completely clear why a scaling occurs in our task, we believe
it can come from the online control during the task. While we perform the joint
angle identification only at the start of the movement, a similar process is
probably repeated by a subject through his movement, leading to accumulation of
the error. This would explain why the scaling is present only in the tool trials
and does not affect the no-tool trials. It is also interesting to note that the
scaling is required more on the elbow angles even though over the targets both
the shoulder and elbow contribute in making the reach. This indicates to
probably a differential effect on the lower and upper arm due to the tool,
similar to the report by a previous study5.
Visual perception change model
The VPC model was assumed as a linear extension of the perceived target distance
along the direction of movement. The change in perceived reach target position
is assumed to be additive and proportional to the length of the tool:where (Xtar, Ytar) represents the actual
target coordinates, while (XtarVPC,
YtarVPC) represents the perceived target
coordinates. lt represents the tool length and ϕ
represents the movement angle (angle of the line joining the start position to
the target with respect to the x axis). β is a constant that
was calculated as 0.175 from the data of the KIH experiment (change in decision
boundary/tool length ⩾0.7/4=0.175).
Model constraints
Critically, it should be noted that here we have examined (in both BRC and VPC)
minimal models with minimal parameters. These minimal models were sufficient for
us to distinguish whether changes in limb perception or changes of visual
perception were causes of the observations in our study. However while the
minimal BRC model, where the parameters were tuned on the averaged data, can
qualitatively explain target overshoot and deviation across the workspace (Supplementary Fig. 2), and the
average subject behaviour (Fig. 6), it does not capture
local quantitative variations in the subject behaviour. For example, the model
predictions exhibit higher errors in certain tool angles (Fig.
6a) and certain targets (right targets of Supplementary Fig. 2). Therefore the BRC
model does not represent the complete model of human tool use. As mentioned in
the discussion, the model requires to consider additional tool related effects
including possible interactions between tool orientation and movement direction
to explain the complete human tool behaviour across the entire tool-arm
workspace.
Analysis of KIH data
The reachability judgement data from a tool and no-tool trials were collected
together and averaged for each subject in 15 bins according to the distance from
the reachable boundary. For each subject, the averaged judgement over the 15
bins was fitted with an exponential curve of the formWhere J represents the percentage not reachable judgement, 0 representing
‘reachable’ and 100 representing ‘not reachable’,
parameter a represents sensitivity and b the decision boundary.
δ represents the distance from the reach boundary where the
keyhole was presented. The decision boundary calculated in each calibration
session without the tool was used as the reach boundary in the subsequent KIH
session. The decision boundary (perceived reachable space) from the calibration
sessions are plotted in Fig. 4. The difference between the
decision boundaries in the tool and no-tool trials within the KIH sessions were
collected across the subjects and a t-test was used to determine the
significance of the change. The subject averaged psychometric curve was plotted
at the solid trace inFigs. 1d, 2b
and 3c. The shaded region represents the ±s.e. of the
decision boundary.
Analysis of the THR data
For each subject, the hand position of the no-tool reach trials was averaged for
each target. Across the subjects and targets, the no-tool reached the target
(T(9)<0.55, P>0.60, two-tailed t-test on the
ordinate and abscissa errors for each target over the subjects) with no
consistent error with relative to the target position. The rest of the analysis
for each subject was thus done relative to the mean no-tool endpoint.For each subject the hand position of the reach made with each tool of the eight
tools was considered relative to the mean no-tool reach endpoint and averaged
across the six targets. The averaged data from each subject and tool orientation
for each target is presented in Supplementary Fig. 2. The data averages over the targets was plotted
in the inset of Fig. 6a and coloured according to the tool
angle with the colour code shown in Fig. 5c.For calculating the target overshoot (d) and deviation (r), the
endpoints hand positions averaged across the six targets was plotted
individually for each tool length and for every tool angle as in the inset of
Fig. 6a. The average of the ordinate and abscissa over
the different tools was considered as the ‘centre’ where the
subject tended to reach with a tool. The angle of the line joining the center
and each of the tool reach points was averaged across the six targets for each
subject. The subject average for each tool was plotted in Fig.
6a. The distance of the centre from the no-tool reach endpoint gave
the target overshoot (d) for that subject. The average distance of the
hand reach position with each tool from the centre was used as the deviation
(r) for the subject. The average d and r across the
subjects was plotted in Fig. 6b.A similar procedure was followed to plot the data from the THR control experiment
in Fig. 6b.
Additional information
How to cite this article: Ganesh, G. et al. Immediate tool
incorporation processes determine human motor planning with tools. Nat.
Commun. 5:4524 doi: 10.1038/ncomms5524 (2014).
Authors: Ling Li; John Hartigan; Peter Peduzzi; Peter Guarino; Alexander T Beed; Xiaotian Wu; Michael Wininger Journal: Front Robot AI Date: 2018-05-24
Authors: Salam Bahmad; Luke E Miller; Minh Tu Pham; Richard Moreau; Romeo Salemme; Eric Koun; Alessandro Farnè; Alice C Roy Journal: Sci Rep Date: 2020-10-14 Impact factor: 4.379