TPress
1.
Shimizu, Y.; Mutsuzaki, H.; Maezawa, T.; Idei, Y.; Takao, K.; Takeuchi, R.; Onishi, S.; Hada, Y.; Yamazaki, M.; Wadano, Y.
In: Prosthet. Orthot. Int., Bd. 41, Nr. 5, S. 522–526, 2017, ISSN: 0309-3646.
Abstract | Links | Schlagwörter: adult, amputee, article, bilateral transfemoral amputee, burn, case report, clinical article, diabetes mellitus, dipeptidyl peptidase IV inhibitor, hemoglobin A1c, hip prosthesis, human, laminoplasty, leg amputation, male, middle aged, muscle strength, Ottobock, postoperative care, range of motion, sitting, skin transplantation, swan, SwanS, walking, wheelchair, wound healing
@article{Shimizu2017,
title = {Hip prosthesis in sitting posture for bilateral transfemoral amputee after burn injury: a case report},
author = {Y. Shimizu and H. Mutsuzaki and T. Maezawa and Y. Idei and K. Takao and R. Takeuchi and S. Onishi and Y. Hada and M. Yamazaki and Y. Wadano},
url = {https://www.embase.com/search/results?subaction=viewrecord&id=L618507994&from=export},
doi = {10.1177/0309364616682384},
issn = {0309-3646},
year = {2017},
date = {2017-01-01},
journal = {Prosthet. Orthot. Int.},
volume = {41},
number = {5},
pages = {522–526},
address = {Y. Shimizu, Department of Rehabilitation Medicine, University of Tsukuba Hospital, 2-1-1, Amakubo, Tsukuba, Ibaraki, Japan},
abstract = {Background: To overcome the challenges of rehabilitation of bilateral transfemoral amputees, we developed a novel “hip prosthesis in the sitting posture.” Case Description and Methods: A 64-year-old male bilateral transfemoral amputee was transferred for rehabilitation 4 months following a burn injury. His wounds remained unhealed for 20 months; thus, he was unable to participate in standing training with the standard prosthetic sockets. Hip prosthesis in the sitting posture has very little friction between the sockets and residual limbs, which facilitated our patient to begin standing and walking exercises. Findings and Outcomes: The patient’s refractory wounds healed 1 month after initiating exercises using hip prosthesis in the sitting posture, and he could begin rehabilitation with the standard prostheses. Discussion and Conclusion: Hip prosthesis in the sitting posture enabled a bilateral transfemoral amputee with unhealed residual limbs to stand, walk, and begin balance training. Hip prosthesis in the sitting posture is an effective temporary prosthesis to prevent disuse until wounds are healed and to continue rehabilitation with standard prostheses. Clinical relevance: Hip prosthesis in the sitting posture is useful for bilateral transfemoral amputees with unhealed residual limbs after burn injuries to prevent disuse and maintain motivation for walking.},
keywords = {adult, amputee, article, bilateral transfemoral amputee, burn, case report, clinical article, diabetes mellitus, dipeptidyl peptidase IV inhibitor, hemoglobin A1c, hip prosthesis, human, laminoplasty, leg amputation, male, middle aged, muscle strength, Ottobock, postoperative care, range of motion, sitting, skin transplantation, swan, SwanS, walking, wheelchair, wound healing},
pubstate = {published},
tppubtype = {article}
}
Background: To overcome the challenges of rehabilitation of bilateral transfemoral amputees, we developed a novel “hip prosthesis in the sitting posture.” Case Description and Methods: A 64-year-old male bilateral transfemoral amputee was transferred for rehabilitation 4 months following a burn injury. His wounds remained unhealed for 20 months; thus, he was unable to participate in standing training with the standard prosthetic sockets. Hip prosthesis in the sitting posture has very little friction between the sockets and residual limbs, which facilitated our patient to begin standing and walking exercises. Findings and Outcomes: The patient’s refractory wounds healed 1 month after initiating exercises using hip prosthesis in the sitting posture, and he could begin rehabilitation with the standard prostheses. Discussion and Conclusion: Hip prosthesis in the sitting posture enabled a bilateral transfemoral amputee with unhealed residual limbs to stand, walk, and begin balance training. Hip prosthesis in the sitting posture is an effective temporary prosthesis to prevent disuse until wounds are healed and to continue rehabilitation with standard prostheses. Clinical relevance: Hip prosthesis in the sitting posture is useful for bilateral transfemoral amputees with unhealed residual limbs after burn injuries to prevent disuse and maintain motivation for walking.
2.
Schweisfurth, M. A.; Markovic, M.; Dosen, S.; Teich, F.; Graimann, B.; Farina, D.
Electrotactile EMG feedback improves the control of prosthesis grasping force Artikel
In: J. Neural Eng., Bd. 13, Nr. 5, 2016, ISSN: 1741-2560.
Abstract | Links | Schlagwörter: accuracy, adult, amputee, article, case report, controlled study, electromyography, electrotactile electromyography, feedback system, female, force, grip strength, hand prosthesis, human, Michaelangelo Hand, myoelectrically controlled prosthesis, priority journal, sensory feedback, task performance, young adult
@article{Schweisfurth2016,
title = {Electrotactile EMG feedback improves the control of prosthesis grasping force},
author = {M. A. Schweisfurth and M. Markovic and S. Dosen and F. Teich and B. Graimann and D. Farina},
url = {https://www.embase.com/search/results?subaction=viewrecord&id=L612465506&from=export},
doi = {10.1088/1741-2560/13/5/056010},
issn = {1741-2560},
year = {2016},
date = {2016-01-01},
journal = {J. Neural Eng.},
volume = {13},
number = {5},
address = {D. Farina, Institute for NeuroRehabilitation Systems, University Medical Center Göttingen, Georg-August University, Göttingen, Germany},
abstract = {Objective. A drawback of active prostheses is that they detach the subject from the produced forces, thereby preventing direct mechanical feedback. This can be compensated by providing somatosensory feedback to the user through mechanical or electrical stimulation, which in turn may improve the utility, sense of embodiment, and thereby increase the acceptance rate. Approach. In this study, we compared a novel approach to closing the loop, namely EMG feedback (emgFB), to classic force feedback (forceFB), using electrotactile interface in a realistic task setup. Eleven intact-bodied subjects and one transradial amputee performed a routine grasping task while receiving emgFB or forceFB. The two feedback types were delivered through the same electrotactile interface, using a mixed spatial/frequency coding to transmit 8 discrete levels of the feedback variable. In emgFB, the stimulation transmitted the amplitude of the processed myoelectric signal generated by the subject (prosthesis input), and in forceFB the generated grasping force (prosthesis output). The task comprised 150 trials of routine grasping at six forces, randomly presented in blocks of five trials (same force). Interquartile range and changes in the absolute error (AE) distribution (magnitude and dispersion) with respect to the target level were used to assess precision and overall performance, respectively. Main results. Relative to forceFB, emgFB significantly improved the precision of myoelectric commands (min/max of the significant levels) for 23%/36% as well as the precision of force control for 12%/32%, in intact-bodied subjects. Also, the magnitude and dispersion of the AE distribution were reduced. The results were similar in the amputee, showing considerable improvements. Significance. Using emgFB, the subjects therefore decreased the uncertainty of the forward pathway. Since there is a correspondence between the EMG and force, where the former anticipates the latter, the emgFB allowed for predictive control, as the subjects used the feedback to adjust the desired force even before the prosthesis contacted the object. In conclusion, the online emgFB was superior to the classic forceFB in realistic conditions that included electrotactile stimulation, limited feedback resolution (8 levels), cognitive processing delay, and time constraints (fast grasping).},
keywords = {accuracy, adult, amputee, article, case report, controlled study, electromyography, electrotactile electromyography, feedback system, female, force, grip strength, hand prosthesis, human, Michaelangelo Hand, myoelectrically controlled prosthesis, priority journal, sensory feedback, task performance, young adult},
pubstate = {published},
tppubtype = {article}
}
Objective. A drawback of active prostheses is that they detach the subject from the produced forces, thereby preventing direct mechanical feedback. This can be compensated by providing somatosensory feedback to the user through mechanical or electrical stimulation, which in turn may improve the utility, sense of embodiment, and thereby increase the acceptance rate. Approach. In this study, we compared a novel approach to closing the loop, namely EMG feedback (emgFB), to classic force feedback (forceFB), using electrotactile interface in a realistic task setup. Eleven intact-bodied subjects and one transradial amputee performed a routine grasping task while receiving emgFB or forceFB. The two feedback types were delivered through the same electrotactile interface, using a mixed spatial/frequency coding to transmit 8 discrete levels of the feedback variable. In emgFB, the stimulation transmitted the amplitude of the processed myoelectric signal generated by the subject (prosthesis input), and in forceFB the generated grasping force (prosthesis output). The task comprised 150 trials of routine grasping at six forces, randomly presented in blocks of five trials (same force). Interquartile range and changes in the absolute error (AE) distribution (magnitude and dispersion) with respect to the target level were used to assess precision and overall performance, respectively. Main results. Relative to forceFB, emgFB significantly improved the precision of myoelectric commands (min/max of the significant levels) for 23%/36% as well as the precision of force control for 12%/32%, in intact-bodied subjects. Also, the magnitude and dispersion of the AE distribution were reduced. The results were similar in the amputee, showing considerable improvements. Significance. Using emgFB, the subjects therefore decreased the uncertainty of the forward pathway. Since there is a correspondence between the EMG and force, where the former anticipates the latter, the emgFB allowed for predictive control, as the subjects used the feedback to adjust the desired force even before the prosthesis contacted the object. In conclusion, the online emgFB was superior to the classic forceFB in realistic conditions that included electrotactile stimulation, limited feedback resolution (8 levels), cognitive processing delay, and time constraints (fast grasping).
3.
Dosen, S.; Markovic, M.; Somer, K.; Graimann, B.; Farina, D.
EMG Biofeedback for online predictive control of grasping force in a myoelectric prosthesis Artikel
In: J. NeuroEng. Rehabil., Bd. 12, Nr. 1, 2015, ISSN: 1743-0003.
Abstract | Links | Schlagwörter: adult, arm amputation, article, case report, computer interface, controlled study, EMG biofeedback, feedback system, grip strength, human, human computer interaction, Michelangelo hand, middle aged, muscle strength, myoelectric control, myoelectrically controlled prosthesis, online system, prediction, priority journal, Sensor Hand
@article{Dosen2015,
title = {EMG Biofeedback for online predictive control of grasping force in a myoelectric prosthesis},
author = {S. Dosen and M. Markovic and K. Somer and B. Graimann and D. Farina},
url = {https://www.embase.com/search/results?subaction=viewrecord&id=L605002250&from=export},
doi = {10.1186/s12984-015-0047-z},
issn = {1743-0003},
year = {2015},
date = {2015-06-01},
journal = {J. NeuroEng. Rehabil.},
volume = {12},
number = {1},
publisher = {Springer Science and Business Media LLC},
address = {D. Farina, Department of Neurorehabilitation Engineering, University Medical Center Göttingen (UMG), Georg-August University, Göttingen, Germany},
abstract = {Background: Active hand prostheses controlled using electromyography (EMG) signals have been used for decades to restore the grasping function, lost after an amputation. Although myocontrol is a simple and intuitive interface, it is also imprecise due to the stochastic nature of the EMG recorded using surface electrodes. Furthermore, the sensory feedback from the prosthesis to the user is still missing. In this study, we present a novel concept to close the loop in myoelectric prostheses. In addition to conveying the grasping force (system output), we provided to the user the online information about the system input (EMG biofeedback). Methods: As a proof-of-concept, the EMG biofeedback was transmitted in the current study using a visual interface (ideal condition). Ten able-bodied subjects and two amputees controlled a state-of-the-art myoelectric prosthesis in routine grasping and force steering tasks using EMG and force feedback (novel approach) and force feedback only (classic approach). The outcome measures were the variability of the generated forces and absolute deviation from the target levels in the routine grasping task, and the root mean square tracking error and the number of sudden drops in the force steering task. Results: During the routine grasping, the novel method when used by able-bodied subjects decreased twofold the force dispersion as well as absolute deviations from the target force levels, and also resulted in a more accurate and stable tracking of the reference force profiles during the force steering. Furthermore, the force variability during routine grasping did not increase for the higher target forces with EMG biofeedback. The trend was similar in the two amputees. Conclusions: The study demonstrated that the subjects, including the two experienced users of a myoelectric prosthesis, were able to exploit the online EMG biofeedback to observe and modulate the myoelectric signals, generating thereby more consistent commands. This allowed them to control the force predictively (routine grasping) and with a finer resolution (force steering). The future step will be to implement this promising and simple approach using an electrotactile interface. A prosthesis with a reliable response, following faithfully user intentions, would improve the utility during daily-life use and also facilitate the embodiment of the assistive system.},
keywords = {adult, arm amputation, article, case report, computer interface, controlled study, EMG biofeedback, feedback system, grip strength, human, human computer interaction, Michelangelo hand, middle aged, muscle strength, myoelectric control, myoelectrically controlled prosthesis, online system, prediction, priority journal, Sensor Hand},
pubstate = {published},
tppubtype = {article}
}
Background: Active hand prostheses controlled using electromyography (EMG) signals have been used for decades to restore the grasping function, lost after an amputation. Although myocontrol is a simple and intuitive interface, it is also imprecise due to the stochastic nature of the EMG recorded using surface electrodes. Furthermore, the sensory feedback from the prosthesis to the user is still missing. In this study, we present a novel concept to close the loop in myoelectric prostheses. In addition to conveying the grasping force (system output), we provided to the user the online information about the system input (EMG biofeedback). Methods: As a proof-of-concept, the EMG biofeedback was transmitted in the current study using a visual interface (ideal condition). Ten able-bodied subjects and two amputees controlled a state-of-the-art myoelectric prosthesis in routine grasping and force steering tasks using EMG and force feedback (novel approach) and force feedback only (classic approach). The outcome measures were the variability of the generated forces and absolute deviation from the target levels in the routine grasping task, and the root mean square tracking error and the number of sudden drops in the force steering task. Results: During the routine grasping, the novel method when used by able-bodied subjects decreased twofold the force dispersion as well as absolute deviations from the target force levels, and also resulted in a more accurate and stable tracking of the reference force profiles during the force steering. Furthermore, the force variability during routine grasping did not increase for the higher target forces with EMG biofeedback. The trend was similar in the two amputees. Conclusions: The study demonstrated that the subjects, including the two experienced users of a myoelectric prosthesis, were able to exploit the online EMG biofeedback to observe and modulate the myoelectric signals, generating thereby more consistent commands. This allowed them to control the force predictively (routine grasping) and with a finer resolution (force steering). The future step will be to implement this promising and simple approach using an electrotactile interface. A prosthesis with a reliable response, following faithfully user intentions, would improve the utility during daily-life use and also facilitate the embodiment of the assistive system.
4.
Hausmann, J.; Sweeney-Reed, C. M.; Sobieray, U.; Matzke, M.; Heinze, H. -J.; Voges, J.; Buentjen, L.
In: J. NeuroEng. Rehabil., Bd. 12, Nr. 1, 2015, ISSN: 1743-0003.
Abstract | Links | Schlagwörter: ActiGait, adult, article, case report, cerebrovascular accident, clinical evaluation, fatigue, feasibility study, female, functional electrical stimulation, gait, human, male, middle aged, multiple sclerosis, pain, peroneus nerve, peroneus nerve paralysis, priority journal, quality of life, rehabilitation care, therapy effect, transcutaneous electrical nerve stimulator, walking speed
@article{Hausmann2015,
title = {Functional electrical stimulation through direct 4-channel nerve stimulation to improve gait in multiple sclerosis: a feasibility study},
author = {J. Hausmann and C. M. Sweeney-Reed and U. Sobieray and M. Matzke and H. -J. Heinze and J. Voges and L. Buentjen},
url = {https://www.embase.com/search/results?subaction=viewrecord&id=L606904897&from=export},
doi = {10.1186/s12984-015-0096-3},
issn = {1743-0003},
year = {2015},
date = {2015-01-01},
journal = {J. NeuroEng. Rehabil.},
volume = {12},
number = {1},
address = {J. Hausmann, Department of Neurology, Otto-von-Guericke University, Magdeburg, Leipziger Str. 44, Magdeburg, Germany},
abstract = {Background: Gait dysfunction due to lower limb central paralysis, frequently involving drop foot, is a common cause of disability in multiple sclerosis and has been treated with transcutaneous functional electrical stimulation (FES). We provide here the first report of 4-channel semi-implantable FES of the peroneal nerve which has been successfully used for rehabilitation in patients following stroke. Methods: FES was implemented via a 4-channel semi-implantable closed-loop system (ActiGait®, ©Ottobock), generating dorsiflexion in drop foot. Walking distance, gait symmetry (temporospatial gait analyses, Vicon Motion Systems®), gait velocity (10 m walking test) and quality of life (SF-36 questionnaire) were measured to evaluate the therapeutic benefit of this system in two patients with progressive MS. Results: Walking distance increased from 517 to 1884 m in Patient 1 and from 52 to 506 m in Patient 2. Gait velocity did not change significantly in Patient 1 and increased from 0.6 to 0.8 m/s in Patient 2. Maximum deviations of center of mass from the midline to each side changed significantly after 3 months of stimulation compared to baseline, decreasing from 15 to 12 mm in Patient 1 and from 47 to 37 mm in Patient 2. Both patients experienced reduced pain and fatigue and benefits to quality of life. Adverse events did not occur during the observation period. Conclusion: We conclude that implantable 4-channel FES systems are not only feasible but present a promising new alternative for treating central drop foot in MS patients.},
keywords = {ActiGait, adult, article, case report, cerebrovascular accident, clinical evaluation, fatigue, feasibility study, female, functional electrical stimulation, gait, human, male, middle aged, multiple sclerosis, pain, peroneus nerve, peroneus nerve paralysis, priority journal, quality of life, rehabilitation care, therapy effect, transcutaneous electrical nerve stimulator, walking speed},
pubstate = {published},
tppubtype = {article}
}
Background: Gait dysfunction due to lower limb central paralysis, frequently involving drop foot, is a common cause of disability in multiple sclerosis and has been treated with transcutaneous functional electrical stimulation (FES). We provide here the first report of 4-channel semi-implantable FES of the peroneal nerve which has been successfully used for rehabilitation in patients following stroke. Methods: FES was implemented via a 4-channel semi-implantable closed-loop system (ActiGait®, ©Ottobock), generating dorsiflexion in drop foot. Walking distance, gait symmetry (temporospatial gait analyses, Vicon Motion Systems®), gait velocity (10 m walking test) and quality of life (SF-36 questionnaire) were measured to evaluate the therapeutic benefit of this system in two patients with progressive MS. Results: Walking distance increased from 517 to 1884 m in Patient 1 and from 52 to 506 m in Patient 2. Gait velocity did not change significantly in Patient 1 and increased from 0.6 to 0.8 m/s in Patient 2. Maximum deviations of center of mass from the midline to each side changed significantly after 3 months of stimulation compared to baseline, decreasing from 15 to 12 mm in Patient 1 and from 47 to 37 mm in Patient 2. Both patients experienced reduced pain and fatigue and benefits to quality of life. Adverse events did not occur during the observation period. Conclusion: We conclude that implantable 4-channel FES systems are not only feasible but present a promising new alternative for treating central drop foot in MS patients.
2017
Shimizu, Y.; Mutsuzaki, H.; Maezawa, T.; Idei, Y.; Takao, K.; Takeuchi, R.; Onishi, S.; Hada, Y.; Yamazaki, M.; Wadano, Y.
In: Prosthet. Orthot. Int., Bd. 41, Nr. 5, S. 522–526, 2017, ISSN: 0309-3646.
Abstract | Links | Schlagwörter: adult, amputee, article, bilateral transfemoral amputee, burn, case report, clinical article, diabetes mellitus, dipeptidyl peptidase IV inhibitor, hemoglobin A1c, hip prosthesis, human, laminoplasty, leg amputation, male, middle aged, muscle strength, Ottobock, postoperative care, range of motion, sitting, skin transplantation, swan, SwanS, walking, wheelchair, wound healing
@article{Shimizu2017,
title = {Hip prosthesis in sitting posture for bilateral transfemoral amputee after burn injury: a case report},
author = {Y. Shimizu and H. Mutsuzaki and T. Maezawa and Y. Idei and K. Takao and R. Takeuchi and S. Onishi and Y. Hada and M. Yamazaki and Y. Wadano},
url = {https://www.embase.com/search/results?subaction=viewrecord&id=L618507994&from=export},
doi = {10.1177/0309364616682384},
issn = {0309-3646},
year = {2017},
date = {2017-01-01},
journal = {Prosthet. Orthot. Int.},
volume = {41},
number = {5},
pages = {522–526},
address = {Y. Shimizu, Department of Rehabilitation Medicine, University of Tsukuba Hospital, 2-1-1, Amakubo, Tsukuba, Ibaraki, Japan},
abstract = {Background: To overcome the challenges of rehabilitation of bilateral transfemoral amputees, we developed a novel “hip prosthesis in the sitting posture.” Case Description and Methods: A 64-year-old male bilateral transfemoral amputee was transferred for rehabilitation 4 months following a burn injury. His wounds remained unhealed for 20 months; thus, he was unable to participate in standing training with the standard prosthetic sockets. Hip prosthesis in the sitting posture has very little friction between the sockets and residual limbs, which facilitated our patient to begin standing and walking exercises. Findings and Outcomes: The patient’s refractory wounds healed 1 month after initiating exercises using hip prosthesis in the sitting posture, and he could begin rehabilitation with the standard prostheses. Discussion and Conclusion: Hip prosthesis in the sitting posture enabled a bilateral transfemoral amputee with unhealed residual limbs to stand, walk, and begin balance training. Hip prosthesis in the sitting posture is an effective temporary prosthesis to prevent disuse until wounds are healed and to continue rehabilitation with standard prostheses. Clinical relevance: Hip prosthesis in the sitting posture is useful for bilateral transfemoral amputees with unhealed residual limbs after burn injuries to prevent disuse and maintain motivation for walking.},
keywords = {adult, amputee, article, bilateral transfemoral amputee, burn, case report, clinical article, diabetes mellitus, dipeptidyl peptidase IV inhibitor, hemoglobin A1c, hip prosthesis, human, laminoplasty, leg amputation, male, middle aged, muscle strength, Ottobock, postoperative care, range of motion, sitting, skin transplantation, swan, SwanS, walking, wheelchair, wound healing},
pubstate = {published},
tppubtype = {article}
}
Background: To overcome the challenges of rehabilitation of bilateral transfemoral amputees, we developed a novel “hip prosthesis in the sitting posture.” Case Description and Methods: A 64-year-old male bilateral transfemoral amputee was transferred for rehabilitation 4 months following a burn injury. His wounds remained unhealed for 20 months; thus, he was unable to participate in standing training with the standard prosthetic sockets. Hip prosthesis in the sitting posture has very little friction between the sockets and residual limbs, which facilitated our patient to begin standing and walking exercises. Findings and Outcomes: The patient’s refractory wounds healed 1 month after initiating exercises using hip prosthesis in the sitting posture, and he could begin rehabilitation with the standard prostheses. Discussion and Conclusion: Hip prosthesis in the sitting posture enabled a bilateral transfemoral amputee with unhealed residual limbs to stand, walk, and begin balance training. Hip prosthesis in the sitting posture is an effective temporary prosthesis to prevent disuse until wounds are healed and to continue rehabilitation with standard prostheses. Clinical relevance: Hip prosthesis in the sitting posture is useful for bilateral transfemoral amputees with unhealed residual limbs after burn injuries to prevent disuse and maintain motivation for walking.
2016
Schweisfurth, M. A.; Markovic, M.; Dosen, S.; Teich, F.; Graimann, B.; Farina, D.
Electrotactile EMG feedback improves the control of prosthesis grasping force Artikel
In: J. Neural Eng., Bd. 13, Nr. 5, 2016, ISSN: 1741-2560.
Abstract | Links | Schlagwörter: accuracy, adult, amputee, article, case report, controlled study, electromyography, electrotactile electromyography, feedback system, female, force, grip strength, hand prosthesis, human, Michaelangelo Hand, myoelectrically controlled prosthesis, priority journal, sensory feedback, task performance, young adult
@article{Schweisfurth2016,
title = {Electrotactile EMG feedback improves the control of prosthesis grasping force},
author = {M. A. Schweisfurth and M. Markovic and S. Dosen and F. Teich and B. Graimann and D. Farina},
url = {https://www.embase.com/search/results?subaction=viewrecord&id=L612465506&from=export},
doi = {10.1088/1741-2560/13/5/056010},
issn = {1741-2560},
year = {2016},
date = {2016-01-01},
journal = {J. Neural Eng.},
volume = {13},
number = {5},
address = {D. Farina, Institute for NeuroRehabilitation Systems, University Medical Center Göttingen, Georg-August University, Göttingen, Germany},
abstract = {Objective. A drawback of active prostheses is that they detach the subject from the produced forces, thereby preventing direct mechanical feedback. This can be compensated by providing somatosensory feedback to the user through mechanical or electrical stimulation, which in turn may improve the utility, sense of embodiment, and thereby increase the acceptance rate. Approach. In this study, we compared a novel approach to closing the loop, namely EMG feedback (emgFB), to classic force feedback (forceFB), using electrotactile interface in a realistic task setup. Eleven intact-bodied subjects and one transradial amputee performed a routine grasping task while receiving emgFB or forceFB. The two feedback types were delivered through the same electrotactile interface, using a mixed spatial/frequency coding to transmit 8 discrete levels of the feedback variable. In emgFB, the stimulation transmitted the amplitude of the processed myoelectric signal generated by the subject (prosthesis input), and in forceFB the generated grasping force (prosthesis output). The task comprised 150 trials of routine grasping at six forces, randomly presented in blocks of five trials (same force). Interquartile range and changes in the absolute error (AE) distribution (magnitude and dispersion) with respect to the target level were used to assess precision and overall performance, respectively. Main results. Relative to forceFB, emgFB significantly improved the precision of myoelectric commands (min/max of the significant levels) for 23%/36% as well as the precision of force control for 12%/32%, in intact-bodied subjects. Also, the magnitude and dispersion of the AE distribution were reduced. The results were similar in the amputee, showing considerable improvements. Significance. Using emgFB, the subjects therefore decreased the uncertainty of the forward pathway. Since there is a correspondence between the EMG and force, where the former anticipates the latter, the emgFB allowed for predictive control, as the subjects used the feedback to adjust the desired force even before the prosthesis contacted the object. In conclusion, the online emgFB was superior to the classic forceFB in realistic conditions that included electrotactile stimulation, limited feedback resolution (8 levels), cognitive processing delay, and time constraints (fast grasping).},
keywords = {accuracy, adult, amputee, article, case report, controlled study, electromyography, electrotactile electromyography, feedback system, female, force, grip strength, hand prosthesis, human, Michaelangelo Hand, myoelectrically controlled prosthesis, priority journal, sensory feedback, task performance, young adult},
pubstate = {published},
tppubtype = {article}
}
Objective. A drawback of active prostheses is that they detach the subject from the produced forces, thereby preventing direct mechanical feedback. This can be compensated by providing somatosensory feedback to the user through mechanical or electrical stimulation, which in turn may improve the utility, sense of embodiment, and thereby increase the acceptance rate. Approach. In this study, we compared a novel approach to closing the loop, namely EMG feedback (emgFB), to classic force feedback (forceFB), using electrotactile interface in a realistic task setup. Eleven intact-bodied subjects and one transradial amputee performed a routine grasping task while receiving emgFB or forceFB. The two feedback types were delivered through the same electrotactile interface, using a mixed spatial/frequency coding to transmit 8 discrete levels of the feedback variable. In emgFB, the stimulation transmitted the amplitude of the processed myoelectric signal generated by the subject (prosthesis input), and in forceFB the generated grasping force (prosthesis output). The task comprised 150 trials of routine grasping at six forces, randomly presented in blocks of five trials (same force). Interquartile range and changes in the absolute error (AE) distribution (magnitude and dispersion) with respect to the target level were used to assess precision and overall performance, respectively. Main results. Relative to forceFB, emgFB significantly improved the precision of myoelectric commands (min/max of the significant levels) for 23%/36% as well as the precision of force control for 12%/32%, in intact-bodied subjects. Also, the magnitude and dispersion of the AE distribution were reduced. The results were similar in the amputee, showing considerable improvements. Significance. Using emgFB, the subjects therefore decreased the uncertainty of the forward pathway. Since there is a correspondence between the EMG and force, where the former anticipates the latter, the emgFB allowed for predictive control, as the subjects used the feedback to adjust the desired force even before the prosthesis contacted the object. In conclusion, the online emgFB was superior to the classic forceFB in realistic conditions that included electrotactile stimulation, limited feedback resolution (8 levels), cognitive processing delay, and time constraints (fast grasping).
2015
Dosen, S.; Markovic, M.; Somer, K.; Graimann, B.; Farina, D.
EMG Biofeedback for online predictive control of grasping force in a myoelectric prosthesis Artikel
In: J. NeuroEng. Rehabil., Bd. 12, Nr. 1, 2015, ISSN: 1743-0003.
Abstract | Links | Schlagwörter: adult, arm amputation, article, case report, computer interface, controlled study, EMG biofeedback, feedback system, grip strength, human, human computer interaction, Michelangelo hand, middle aged, muscle strength, myoelectric control, myoelectrically controlled prosthesis, online system, prediction, priority journal, Sensor Hand
@article{Dosen2015,
title = {EMG Biofeedback for online predictive control of grasping force in a myoelectric prosthesis},
author = {S. Dosen and M. Markovic and K. Somer and B. Graimann and D. Farina},
url = {https://www.embase.com/search/results?subaction=viewrecord&id=L605002250&from=export},
doi = {10.1186/s12984-015-0047-z},
issn = {1743-0003},
year = {2015},
date = {2015-06-01},
journal = {J. NeuroEng. Rehabil.},
volume = {12},
number = {1},
publisher = {Springer Science and Business Media LLC},
address = {D. Farina, Department of Neurorehabilitation Engineering, University Medical Center Göttingen (UMG), Georg-August University, Göttingen, Germany},
abstract = {Background: Active hand prostheses controlled using electromyography (EMG) signals have been used for decades to restore the grasping function, lost after an amputation. Although myocontrol is a simple and intuitive interface, it is also imprecise due to the stochastic nature of the EMG recorded using surface electrodes. Furthermore, the sensory feedback from the prosthesis to the user is still missing. In this study, we present a novel concept to close the loop in myoelectric prostheses. In addition to conveying the grasping force (system output), we provided to the user the online information about the system input (EMG biofeedback). Methods: As a proof-of-concept, the EMG biofeedback was transmitted in the current study using a visual interface (ideal condition). Ten able-bodied subjects and two amputees controlled a state-of-the-art myoelectric prosthesis in routine grasping and force steering tasks using EMG and force feedback (novel approach) and force feedback only (classic approach). The outcome measures were the variability of the generated forces and absolute deviation from the target levels in the routine grasping task, and the root mean square tracking error and the number of sudden drops in the force steering task. Results: During the routine grasping, the novel method when used by able-bodied subjects decreased twofold the force dispersion as well as absolute deviations from the target force levels, and also resulted in a more accurate and stable tracking of the reference force profiles during the force steering. Furthermore, the force variability during routine grasping did not increase for the higher target forces with EMG biofeedback. The trend was similar in the two amputees. Conclusions: The study demonstrated that the subjects, including the two experienced users of a myoelectric prosthesis, were able to exploit the online EMG biofeedback to observe and modulate the myoelectric signals, generating thereby more consistent commands. This allowed them to control the force predictively (routine grasping) and with a finer resolution (force steering). The future step will be to implement this promising and simple approach using an electrotactile interface. A prosthesis with a reliable response, following faithfully user intentions, would improve the utility during daily-life use and also facilitate the embodiment of the assistive system.},
keywords = {adult, arm amputation, article, case report, computer interface, controlled study, EMG biofeedback, feedback system, grip strength, human, human computer interaction, Michelangelo hand, middle aged, muscle strength, myoelectric control, myoelectrically controlled prosthesis, online system, prediction, priority journal, Sensor Hand},
pubstate = {published},
tppubtype = {article}
}
Background: Active hand prostheses controlled using electromyography (EMG) signals have been used for decades to restore the grasping function, lost after an amputation. Although myocontrol is a simple and intuitive interface, it is also imprecise due to the stochastic nature of the EMG recorded using surface electrodes. Furthermore, the sensory feedback from the prosthesis to the user is still missing. In this study, we present a novel concept to close the loop in myoelectric prostheses. In addition to conveying the grasping force (system output), we provided to the user the online information about the system input (EMG biofeedback). Methods: As a proof-of-concept, the EMG biofeedback was transmitted in the current study using a visual interface (ideal condition). Ten able-bodied subjects and two amputees controlled a state-of-the-art myoelectric prosthesis in routine grasping and force steering tasks using EMG and force feedback (novel approach) and force feedback only (classic approach). The outcome measures were the variability of the generated forces and absolute deviation from the target levels in the routine grasping task, and the root mean square tracking error and the number of sudden drops in the force steering task. Results: During the routine grasping, the novel method when used by able-bodied subjects decreased twofold the force dispersion as well as absolute deviations from the target force levels, and also resulted in a more accurate and stable tracking of the reference force profiles during the force steering. Furthermore, the force variability during routine grasping did not increase for the higher target forces with EMG biofeedback. The trend was similar in the two amputees. Conclusions: The study demonstrated that the subjects, including the two experienced users of a myoelectric prosthesis, were able to exploit the online EMG biofeedback to observe and modulate the myoelectric signals, generating thereby more consistent commands. This allowed them to control the force predictively (routine grasping) and with a finer resolution (force steering). The future step will be to implement this promising and simple approach using an electrotactile interface. A prosthesis with a reliable response, following faithfully user intentions, would improve the utility during daily-life use and also facilitate the embodiment of the assistive system.
Hausmann, J.; Sweeney-Reed, C. M.; Sobieray, U.; Matzke, M.; Heinze, H. -J.; Voges, J.; Buentjen, L.
In: J. NeuroEng. Rehabil., Bd. 12, Nr. 1, 2015, ISSN: 1743-0003.
Abstract | Links | Schlagwörter: ActiGait, adult, article, case report, cerebrovascular accident, clinical evaluation, fatigue, feasibility study, female, functional electrical stimulation, gait, human, male, middle aged, multiple sclerosis, pain, peroneus nerve, peroneus nerve paralysis, priority journal, quality of life, rehabilitation care, therapy effect, transcutaneous electrical nerve stimulator, walking speed
@article{Hausmann2015,
title = {Functional electrical stimulation through direct 4-channel nerve stimulation to improve gait in multiple sclerosis: a feasibility study},
author = {J. Hausmann and C. M. Sweeney-Reed and U. Sobieray and M. Matzke and H. -J. Heinze and J. Voges and L. Buentjen},
url = {https://www.embase.com/search/results?subaction=viewrecord&id=L606904897&from=export},
doi = {10.1186/s12984-015-0096-3},
issn = {1743-0003},
year = {2015},
date = {2015-01-01},
journal = {J. NeuroEng. Rehabil.},
volume = {12},
number = {1},
address = {J. Hausmann, Department of Neurology, Otto-von-Guericke University, Magdeburg, Leipziger Str. 44, Magdeburg, Germany},
abstract = {Background: Gait dysfunction due to lower limb central paralysis, frequently involving drop foot, is a common cause of disability in multiple sclerosis and has been treated with transcutaneous functional electrical stimulation (FES). We provide here the first report of 4-channel semi-implantable FES of the peroneal nerve which has been successfully used for rehabilitation in patients following stroke. Methods: FES was implemented via a 4-channel semi-implantable closed-loop system (ActiGait®, ©Ottobock), generating dorsiflexion in drop foot. Walking distance, gait symmetry (temporospatial gait analyses, Vicon Motion Systems®), gait velocity (10 m walking test) and quality of life (SF-36 questionnaire) were measured to evaluate the therapeutic benefit of this system in two patients with progressive MS. Results: Walking distance increased from 517 to 1884 m in Patient 1 and from 52 to 506 m in Patient 2. Gait velocity did not change significantly in Patient 1 and increased from 0.6 to 0.8 m/s in Patient 2. Maximum deviations of center of mass from the midline to each side changed significantly after 3 months of stimulation compared to baseline, decreasing from 15 to 12 mm in Patient 1 and from 47 to 37 mm in Patient 2. Both patients experienced reduced pain and fatigue and benefits to quality of life. Adverse events did not occur during the observation period. Conclusion: We conclude that implantable 4-channel FES systems are not only feasible but present a promising new alternative for treating central drop foot in MS patients.},
keywords = {ActiGait, adult, article, case report, cerebrovascular accident, clinical evaluation, fatigue, feasibility study, female, functional electrical stimulation, gait, human, male, middle aged, multiple sclerosis, pain, peroneus nerve, peroneus nerve paralysis, priority journal, quality of life, rehabilitation care, therapy effect, transcutaneous electrical nerve stimulator, walking speed},
pubstate = {published},
tppubtype = {article}
}
Background: Gait dysfunction due to lower limb central paralysis, frequently involving drop foot, is a common cause of disability in multiple sclerosis and has been treated with transcutaneous functional electrical stimulation (FES). We provide here the first report of 4-channel semi-implantable FES of the peroneal nerve which has been successfully used for rehabilitation in patients following stroke. Methods: FES was implemented via a 4-channel semi-implantable closed-loop system (ActiGait®, ©Ottobock), generating dorsiflexion in drop foot. Walking distance, gait symmetry (temporospatial gait analyses, Vicon Motion Systems®), gait velocity (10 m walking test) and quality of life (SF-36 questionnaire) were measured to evaluate the therapeutic benefit of this system in two patients with progressive MS. Results: Walking distance increased from 517 to 1884 m in Patient 1 and from 52 to 506 m in Patient 2. Gait velocity did not change significantly in Patient 1 and increased from 0.6 to 0.8 m/s in Patient 2. Maximum deviations of center of mass from the midline to each side changed significantly after 3 months of stimulation compared to baseline, decreasing from 15 to 12 mm in Patient 1 and from 47 to 37 mm in Patient 2. Both patients experienced reduced pain and fatigue and benefits to quality of life. Adverse events did not occur during the observation period. Conclusion: We conclude that implantable 4-channel FES systems are not only feasible but present a promising new alternative for treating central drop foot in MS patients.
2017
Shimizu, Y.; Mutsuzaki, H.; Maezawa, T.; Idei, Y.; Takao, K.; Takeuchi, R.; Onishi, S.; Hada, Y.; Yamazaki, M.; Wadano, Y.
In: Prosthet. Orthot. Int., Bd. 41, Nr. 5, S. 522–526, 2017, ISSN: 0309-3646.
@article{Shimizu2017,
title = {Hip prosthesis in sitting posture for bilateral transfemoral amputee after burn injury: a case report},
author = {Y. Shimizu and H. Mutsuzaki and T. Maezawa and Y. Idei and K. Takao and R. Takeuchi and S. Onishi and Y. Hada and M. Yamazaki and Y. Wadano},
url = {https://www.embase.com/search/results?subaction=viewrecord&id=L618507994&from=export},
doi = {10.1177/0309364616682384},
issn = {0309-3646},
year = {2017},
date = {2017-01-01},
journal = {Prosthet. Orthot. Int.},
volume = {41},
number = {5},
pages = {522–526},
address = {Y. Shimizu, Department of Rehabilitation Medicine, University of Tsukuba Hospital, 2-1-1, Amakubo, Tsukuba, Ibaraki, Japan},
abstract = {Background: To overcome the challenges of rehabilitation of bilateral transfemoral amputees, we developed a novel “hip prosthesis in the sitting posture.” Case Description and Methods: A 64-year-old male bilateral transfemoral amputee was transferred for rehabilitation 4 months following a burn injury. His wounds remained unhealed for 20 months; thus, he was unable to participate in standing training with the standard prosthetic sockets. Hip prosthesis in the sitting posture has very little friction between the sockets and residual limbs, which facilitated our patient to begin standing and walking exercises. Findings and Outcomes: The patient’s refractory wounds healed 1 month after initiating exercises using hip prosthesis in the sitting posture, and he could begin rehabilitation with the standard prostheses. Discussion and Conclusion: Hip prosthesis in the sitting posture enabled a bilateral transfemoral amputee with unhealed residual limbs to stand, walk, and begin balance training. Hip prosthesis in the sitting posture is an effective temporary prosthesis to prevent disuse until wounds are healed and to continue rehabilitation with standard prostheses. Clinical relevance: Hip prosthesis in the sitting posture is useful for bilateral transfemoral amputees with unhealed residual limbs after burn injuries to prevent disuse and maintain motivation for walking.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Background: To overcome the challenges of rehabilitation of bilateral transfemoral amputees, we developed a novel “hip prosthesis in the sitting posture.” Case Description and Methods: A 64-year-old male bilateral transfemoral amputee was transferred for rehabilitation 4 months following a burn injury. His wounds remained unhealed for 20 months; thus, he was unable to participate in standing training with the standard prosthetic sockets. Hip prosthesis in the sitting posture has very little friction between the sockets and residual limbs, which facilitated our patient to begin standing and walking exercises. Findings and Outcomes: The patient’s refractory wounds healed 1 month after initiating exercises using hip prosthesis in the sitting posture, and he could begin rehabilitation with the standard prostheses. Discussion and Conclusion: Hip prosthesis in the sitting posture enabled a bilateral transfemoral amputee with unhealed residual limbs to stand, walk, and begin balance training. Hip prosthesis in the sitting posture is an effective temporary prosthesis to prevent disuse until wounds are healed and to continue rehabilitation with standard prostheses. Clinical relevance: Hip prosthesis in the sitting posture is useful for bilateral transfemoral amputees with unhealed residual limbs after burn injuries to prevent disuse and maintain motivation for walking.
2016
Schweisfurth, M. A.; Markovic, M.; Dosen, S.; Teich, F.; Graimann, B.; Farina, D.
Electrotactile EMG feedback improves the control of prosthesis grasping force Artikel
In: J. Neural Eng., Bd. 13, Nr. 5, 2016, ISSN: 1741-2560.
@article{Schweisfurth2016,
title = {Electrotactile EMG feedback improves the control of prosthesis grasping force},
author = {M. A. Schweisfurth and M. Markovic and S. Dosen and F. Teich and B. Graimann and D. Farina},
url = {https://www.embase.com/search/results?subaction=viewrecord&id=L612465506&from=export},
doi = {10.1088/1741-2560/13/5/056010},
issn = {1741-2560},
year = {2016},
date = {2016-01-01},
journal = {J. Neural Eng.},
volume = {13},
number = {5},
address = {D. Farina, Institute for NeuroRehabilitation Systems, University Medical Center Göttingen, Georg-August University, Göttingen, Germany},
abstract = {Objective. A drawback of active prostheses is that they detach the subject from the produced forces, thereby preventing direct mechanical feedback. This can be compensated by providing somatosensory feedback to the user through mechanical or electrical stimulation, which in turn may improve the utility, sense of embodiment, and thereby increase the acceptance rate. Approach. In this study, we compared a novel approach to closing the loop, namely EMG feedback (emgFB), to classic force feedback (forceFB), using electrotactile interface in a realistic task setup. Eleven intact-bodied subjects and one transradial amputee performed a routine grasping task while receiving emgFB or forceFB. The two feedback types were delivered through the same electrotactile interface, using a mixed spatial/frequency coding to transmit 8 discrete levels of the feedback variable. In emgFB, the stimulation transmitted the amplitude of the processed myoelectric signal generated by the subject (prosthesis input), and in forceFB the generated grasping force (prosthesis output). The task comprised 150 trials of routine grasping at six forces, randomly presented in blocks of five trials (same force). Interquartile range and changes in the absolute error (AE) distribution (magnitude and dispersion) with respect to the target level were used to assess precision and overall performance, respectively. Main results. Relative to forceFB, emgFB significantly improved the precision of myoelectric commands (min/max of the significant levels) for 23%/36% as well as the precision of force control for 12%/32%, in intact-bodied subjects. Also, the magnitude and dispersion of the AE distribution were reduced. The results were similar in the amputee, showing considerable improvements. Significance. Using emgFB, the subjects therefore decreased the uncertainty of the forward pathway. Since there is a correspondence between the EMG and force, where the former anticipates the latter, the emgFB allowed for predictive control, as the subjects used the feedback to adjust the desired force even before the prosthesis contacted the object. In conclusion, the online emgFB was superior to the classic forceFB in realistic conditions that included electrotactile stimulation, limited feedback resolution (8 levels), cognitive processing delay, and time constraints (fast grasping).},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Objective. A drawback of active prostheses is that they detach the subject from the produced forces, thereby preventing direct mechanical feedback. This can be compensated by providing somatosensory feedback to the user through mechanical or electrical stimulation, which in turn may improve the utility, sense of embodiment, and thereby increase the acceptance rate. Approach. In this study, we compared a novel approach to closing the loop, namely EMG feedback (emgFB), to classic force feedback (forceFB), using electrotactile interface in a realistic task setup. Eleven intact-bodied subjects and one transradial amputee performed a routine grasping task while receiving emgFB or forceFB. The two feedback types were delivered through the same electrotactile interface, using a mixed spatial/frequency coding to transmit 8 discrete levels of the feedback variable. In emgFB, the stimulation transmitted the amplitude of the processed myoelectric signal generated by the subject (prosthesis input), and in forceFB the generated grasping force (prosthesis output). The task comprised 150 trials of routine grasping at six forces, randomly presented in blocks of five trials (same force). Interquartile range and changes in the absolute error (AE) distribution (magnitude and dispersion) with respect to the target level were used to assess precision and overall performance, respectively. Main results. Relative to forceFB, emgFB significantly improved the precision of myoelectric commands (min/max of the significant levels) for 23%/36% as well as the precision of force control for 12%/32%, in intact-bodied subjects. Also, the magnitude and dispersion of the AE distribution were reduced. The results were similar in the amputee, showing considerable improvements. Significance. Using emgFB, the subjects therefore decreased the uncertainty of the forward pathway. Since there is a correspondence between the EMG and force, where the former anticipates the latter, the emgFB allowed for predictive control, as the subjects used the feedback to adjust the desired force even before the prosthesis contacted the object. In conclusion, the online emgFB was superior to the classic forceFB in realistic conditions that included electrotactile stimulation, limited feedback resolution (8 levels), cognitive processing delay, and time constraints (fast grasping).
2015
Dosen, S.; Markovic, M.; Somer, K.; Graimann, B.; Farina, D.
EMG Biofeedback for online predictive control of grasping force in a myoelectric prosthesis Artikel
In: J. NeuroEng. Rehabil., Bd. 12, Nr. 1, 2015, ISSN: 1743-0003.
@article{Dosen2015,
title = {EMG Biofeedback for online predictive control of grasping force in a myoelectric prosthesis},
author = {S. Dosen and M. Markovic and K. Somer and B. Graimann and D. Farina},
url = {https://www.embase.com/search/results?subaction=viewrecord&id=L605002250&from=export},
doi = {10.1186/s12984-015-0047-z},
issn = {1743-0003},
year = {2015},
date = {2015-06-01},
journal = {J. NeuroEng. Rehabil.},
volume = {12},
number = {1},
publisher = {Springer Science and Business Media LLC},
address = {D. Farina, Department of Neurorehabilitation Engineering, University Medical Center Göttingen (UMG), Georg-August University, Göttingen, Germany},
abstract = {Background: Active hand prostheses controlled using electromyography (EMG) signals have been used for decades to restore the grasping function, lost after an amputation. Although myocontrol is a simple and intuitive interface, it is also imprecise due to the stochastic nature of the EMG recorded using surface electrodes. Furthermore, the sensory feedback from the prosthesis to the user is still missing. In this study, we present a novel concept to close the loop in myoelectric prostheses. In addition to conveying the grasping force (system output), we provided to the user the online information about the system input (EMG biofeedback). Methods: As a proof-of-concept, the EMG biofeedback was transmitted in the current study using a visual interface (ideal condition). Ten able-bodied subjects and two amputees controlled a state-of-the-art myoelectric prosthesis in routine grasping and force steering tasks using EMG and force feedback (novel approach) and force feedback only (classic approach). The outcome measures were the variability of the generated forces and absolute deviation from the target levels in the routine grasping task, and the root mean square tracking error and the number of sudden drops in the force steering task. Results: During the routine grasping, the novel method when used by able-bodied subjects decreased twofold the force dispersion as well as absolute deviations from the target force levels, and also resulted in a more accurate and stable tracking of the reference force profiles during the force steering. Furthermore, the force variability during routine grasping did not increase for the higher target forces with EMG biofeedback. The trend was similar in the two amputees. Conclusions: The study demonstrated that the subjects, including the two experienced users of a myoelectric prosthesis, were able to exploit the online EMG biofeedback to observe and modulate the myoelectric signals, generating thereby more consistent commands. This allowed them to control the force predictively (routine grasping) and with a finer resolution (force steering). The future step will be to implement this promising and simple approach using an electrotactile interface. A prosthesis with a reliable response, following faithfully user intentions, would improve the utility during daily-life use and also facilitate the embodiment of the assistive system.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Background: Active hand prostheses controlled using electromyography (EMG) signals have been used for decades to restore the grasping function, lost after an amputation. Although myocontrol is a simple and intuitive interface, it is also imprecise due to the stochastic nature of the EMG recorded using surface electrodes. Furthermore, the sensory feedback from the prosthesis to the user is still missing. In this study, we present a novel concept to close the loop in myoelectric prostheses. In addition to conveying the grasping force (system output), we provided to the user the online information about the system input (EMG biofeedback). Methods: As a proof-of-concept, the EMG biofeedback was transmitted in the current study using a visual interface (ideal condition). Ten able-bodied subjects and two amputees controlled a state-of-the-art myoelectric prosthesis in routine grasping and force steering tasks using EMG and force feedback (novel approach) and force feedback only (classic approach). The outcome measures were the variability of the generated forces and absolute deviation from the target levels in the routine grasping task, and the root mean square tracking error and the number of sudden drops in the force steering task. Results: During the routine grasping, the novel method when used by able-bodied subjects decreased twofold the force dispersion as well as absolute deviations from the target force levels, and also resulted in a more accurate and stable tracking of the reference force profiles during the force steering. Furthermore, the force variability during routine grasping did not increase for the higher target forces with EMG biofeedback. The trend was similar in the two amputees. Conclusions: The study demonstrated that the subjects, including the two experienced users of a myoelectric prosthesis, were able to exploit the online EMG biofeedback to observe and modulate the myoelectric signals, generating thereby more consistent commands. This allowed them to control the force predictively (routine grasping) and with a finer resolution (force steering). The future step will be to implement this promising and simple approach using an electrotactile interface. A prosthesis with a reliable response, following faithfully user intentions, would improve the utility during daily-life use and also facilitate the embodiment of the assistive system.
Hausmann, J.; Sweeney-Reed, C. M.; Sobieray, U.; Matzke, M.; Heinze, H. -J.; Voges, J.; Buentjen, L.
In: J. NeuroEng. Rehabil., Bd. 12, Nr. 1, 2015, ISSN: 1743-0003.
@article{Hausmann2015,
title = {Functional electrical stimulation through direct 4-channel nerve stimulation to improve gait in multiple sclerosis: a feasibility study},
author = {J. Hausmann and C. M. Sweeney-Reed and U. Sobieray and M. Matzke and H. -J. Heinze and J. Voges and L. Buentjen},
url = {https://www.embase.com/search/results?subaction=viewrecord&id=L606904897&from=export},
doi = {10.1186/s12984-015-0096-3},
issn = {1743-0003},
year = {2015},
date = {2015-01-01},
journal = {J. NeuroEng. Rehabil.},
volume = {12},
number = {1},
address = {J. Hausmann, Department of Neurology, Otto-von-Guericke University, Magdeburg, Leipziger Str. 44, Magdeburg, Germany},
abstract = {Background: Gait dysfunction due to lower limb central paralysis, frequently involving drop foot, is a common cause of disability in multiple sclerosis and has been treated with transcutaneous functional electrical stimulation (FES). We provide here the first report of 4-channel semi-implantable FES of the peroneal nerve which has been successfully used for rehabilitation in patients following stroke. Methods: FES was implemented via a 4-channel semi-implantable closed-loop system (ActiGait®, ©Ottobock), generating dorsiflexion in drop foot. Walking distance, gait symmetry (temporospatial gait analyses, Vicon Motion Systems®), gait velocity (10 m walking test) and quality of life (SF-36 questionnaire) were measured to evaluate the therapeutic benefit of this system in two patients with progressive MS. Results: Walking distance increased from 517 to 1884 m in Patient 1 and from 52 to 506 m in Patient 2. Gait velocity did not change significantly in Patient 1 and increased from 0.6 to 0.8 m/s in Patient 2. Maximum deviations of center of mass from the midline to each side changed significantly after 3 months of stimulation compared to baseline, decreasing from 15 to 12 mm in Patient 1 and from 47 to 37 mm in Patient 2. Both patients experienced reduced pain and fatigue and benefits to quality of life. Adverse events did not occur during the observation period. Conclusion: We conclude that implantable 4-channel FES systems are not only feasible but present a promising new alternative for treating central drop foot in MS patients.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Background: Gait dysfunction due to lower limb central paralysis, frequently involving drop foot, is a common cause of disability in multiple sclerosis and has been treated with transcutaneous functional electrical stimulation (FES). We provide here the first report of 4-channel semi-implantable FES of the peroneal nerve which has been successfully used for rehabilitation in patients following stroke. Methods: FES was implemented via a 4-channel semi-implantable closed-loop system (ActiGait®, ©Ottobock), generating dorsiflexion in drop foot. Walking distance, gait symmetry (temporospatial gait analyses, Vicon Motion Systems®), gait velocity (10 m walking test) and quality of life (SF-36 questionnaire) were measured to evaluate the therapeutic benefit of this system in two patients with progressive MS. Results: Walking distance increased from 517 to 1884 m in Patient 1 and from 52 to 506 m in Patient 2. Gait velocity did not change significantly in Patient 1 and increased from 0.6 to 0.8 m/s in Patient 2. Maximum deviations of center of mass from the midline to each side changed significantly after 3 months of stimulation compared to baseline, decreasing from 15 to 12 mm in Patient 1 and from 47 to 37 mm in Patient 2. Both patients experienced reduced pain and fatigue and benefits to quality of life. Adverse events did not occur during the observation period. Conclusion: We conclude that implantable 4-channel FES systems are not only feasible but present a promising new alternative for treating central drop foot in MS patients.