Nerve Transfers in Transhumeral Amputation: Creating Myoneurosomes for Improved Myoelectric Prosthesis Control

2005 ◽  
Vol 21 (07) ◽  
Author(s):  
Hakim Said ◽  
Todd Kuiken ◽  
Robert Lipzchutz ◽  
Laura Miller ◽  
Gregory Dumanian
2006 ◽  
Vol 118 (7) ◽  
pp. 1573-1578 ◽  
Author(s):  
John B. Hijjawi ◽  
Todd A. Kuiken ◽  
Robert D. Lipschutz ◽  
Laura A. Miller ◽  
Kathy A. Stubblefield ◽  
...  

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Eric J. Earley ◽  
Reva E. Johnson ◽  
Jonathon W. Sensinger ◽  
Levi J. Hargrove

AbstractAccurate control of human limbs involves both feedforward and feedback signals. For prosthetic arms, feedforward control is commonly accomplished by recording myoelectric signals from the residual limb to predict the user’s intent, but augmented feedback signals are not explicitly provided in commercial devices. Previous studies have demonstrated inconsistent results when artificial feedback was provided in the presence of vision; some studies showed benefits, while others did not. We hypothesized that negligible benefits in past studies may have been due to artificial feedback with low precision compared to vision, which results in heavy reliance on vision during reaching tasks. Furthermore, we anticipated more reliable benefits from artificial feedback when providing information that vision estimates with high uncertainty (e.g. joint speed). In this study, we test an artificial sensory feedback system providing joint speed information and how it impacts performance and adaptation during a hybrid positional-and-myoelectric ballistic reaching task. We found that overall reaching errors were reduced after perturbed control, but did not significantly improve steady-state reaches. Furthermore, we found that feedback about the joint speed of the myoelectric prosthesis control improved the adaptation rate of biological limb movements, which may have resulted from high prosthesis control noise and strategic overreaching with the positional control and underreaching with the myoelectric control. These results provide insights into the relevant factors influencing the improvements conferred by artificial sensory feedback.


2007 ◽  
Vol 28 (4) ◽  
pp. 397-413 ◽  
Author(s):  
Ping Zhou ◽  
Blair Lock ◽  
Todd A Kuiken

2017 ◽  
Vol 5 (1) ◽  
pp. e3 ◽  
Author(s):  
Cosima Prahm ◽  
Ivan Vujaklija ◽  
Fares Kayali ◽  
Peter Purgathofer ◽  
Oskar C Aszmann

2004 ◽  
Vol 28 (3) ◽  
pp. 245-253 ◽  
Author(s):  
T. A. Kuiken ◽  
G. A. Dumanian ◽  
R. D. Lipschutz ◽  
L. A. Miller ◽  
K. A. Stubblefield

A novel method for the control of a myoelectric upper limb prosthesis was achieved in a patient with bilateral amputations at the shoulder disarticulation level. Four independently controlled nerve-muscle units were created by surgically anastomosing residual brachial plexus nerves to dissected and divided aspects of the pectoralis major and minor muscles. The musculocutaneous nerve was anastomosed to the upper pectoralis major; the median nerve was transferred to the middle pectoralis major region; the radial nerve was anastomosed to the lower pectoralis major region; and the ulnar nerve was transferred to the pectoralis minor muscle which was moved out to the lateral chest wall. After five months, three nerve-muscle units were successful (the musculocutaneous, median and radial nerves) in that a contraction could be seen, felt and a surface electromyogram (EMG) could be recorded. Sensory reinnervation also occurred on the chest in an area where the subcutaneous fat was removed. The patient was fitted with a new myoelectric prosthesis using the targeted muscle reinnervation. The patient could simultaneously control two degrees-of-freedom with the experimental prosthesis, the elbow and either the terminal device or wrist. Objective testing showed a doubling of blocks moved with a box and blocks test and a 26% increase in speed with a clothes pin moving test. Subjectively the patient clearly preferred the new prosthesis. He reported that it was easier and faster to use, and felt more natural.


Author(s):  
Heather Elizabeth Williams ◽  
Ahmed W. Shehata ◽  
Michael Rory Dawson ◽  
Erik Scheme ◽  
Jacqueline Susanne Hebert ◽  
...  

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