Visualisation of upper limb activity using spirals: A new approach to the assessment of daily prosthesis usage

Background: Current outcome measures used in upper limb myoelectric prosthesis studies include clinical tests of function and self-report questionnaires on real-world prosthesis use. Research in other cohorts has questioned both the validity of self-report as an activity assessment tool and the relationship between clinical functionality and real-world upper limb activity. Previously,1 we reported the first results of monitoring upper limb prosthesis use. However, the data visualisation technique used was limited in scope. Study Design: Methodology development. Objectives: To introduce two new methods for the analysis and display of upper limb activity monitoring data and to demonstrate the potential value of the approach with example real-world data. Methods: Upper limb activity monitors, worn on each wrist, recorded data on two anatomically intact participants and two prosthesis users over 1 week. Participants also filled in a diary to record upper limb activity. Data visualisation was carried out using histograms, and Archimedean spirals to illustrate temporal patterns of upper limb activity. Results: Anatomically intact participants’ activity was largely bilateral in nature, interspersed with frequent bursts of unilateral activity of each arm. At times when the prosthesis was worn prosthesis users showed very little unilateral use of the prosthesis (≈20–40 min/week compared to ≈350 min/week unilateral activity on each arm for anatomically intact participants), with consistent bias towards the intact arm throughout. The Archimedean spiral plots illustrated participant-specific patterns of non-use in prosthesis users. Conclusion: The data visualisation techniques allow detailed and objective assessment of temporal patterns in the upper limb activity of prosthesis users. Clinical relevance Activity monitoring offers an objective method for the assessment of upper limb prosthesis users’ (PUs) activity outside of the clinic. By plotting data using Archimedean spirals, it is possible to visualise, in detail, the temporal patterns of upper limb activity. Further work is needed to explore the relationship between traditional functional outcome measures and real-world prosthesis activity.

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Systems in Prosthetic Hands and the Relationship With Their Performance

Volume 3A: Biomedical and Biotechnology Engineering ◽

10.1115/imece2013-63179 ◽

2013 ◽

Author(s):

Julio C. Díaz-Montes ◽

Jesús Manuel Dorador-González

Keyword(s):

Upper Limb ◽

State Of The Art ◽

The State ◽

Prosthetic Devices ◽

Prosthetic Hands ◽

Upper Limb Prosthesis ◽

The Relationship ◽

Limb Prosthesis ◽

The Way

A review of the state of the art in prosthetic hands is presented; this review covers the most common commercial prosthesis and prototypes under development. In this analysis, prosthetic devices were divided in six systems: actuation, reduction, blocking, transmission, flexion and support. The information obtained is presented according to those systems. The most important features of each system are presented together with their relationship with the performance of the entire prosthesis. An analysis that indicates the way in which prosthesis take advantage of the capabilities of current technologies is presented. Recommendations for improving the performance of upper limb prosthesis are proposed.

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Understanding the relationship between patient-reported perceived function and actual function in the upper limb prosthesis user population: a preliminary study

Archives of Rehabilitation Research and Clinical Translation ◽

10.1016/j.arrct.2021.100148 ◽

2021 ◽

pp. 100148

Author(s):

Xuyuan Zhang ◽

Kerstin S. Baun ◽

Lauren Trent ◽

John Miguelez ◽

Kimberly Kontson

Keyword(s):

Upper Limb ◽

Upper Limb Prosthesis ◽

Patient Reported ◽

Preliminary Study ◽

The Relationship ◽

Limb Prosthesis

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Upper Limb Prosthetic Outcome Measures: Review and Content Comparison Based on International Classification of Functioning, Disability and Health

Prosthetics and Orthotics International ◽

10.3109/03093641003776976 ◽

2010 ◽

Vol 34 (2) ◽

pp. 109-128 ◽

Cited By ~ 58

Author(s):

Helen Y. N. Lindner ◽

Birgitta Sjöqvist Nätterlund ◽

Liselotte M. Norling Hermansson

Keyword(s):

Outcome Measures ◽

Upper Limb ◽

International Classification ◽

International Classification Of Functioning ◽

Disability And Health ◽

Upper Limb Prosthesis ◽

The Social ◽

Psychometric Studies ◽

Limb Prosthesis

The International Classification of Functioning, Disability and Health (ICF) has been recommended as a framework for evaluation of aspects of health. The aim of this study was to compare the contents of outcome measures for upper limb prosthesis users by using the ICF. Measurement focus and psychometric properties of these measures were also investigated. Outcome measures that used upper limb prosthesis users as subjects in their development and psychometric evaluations were selected. The psychometric studies ( n = 14) were reviewed and scored and the items in the measures were linked to the ICF. One measure for all ages (ACMC), five paediatric measures (CAPP-FSI, CAPP-PSI, PUFI, UBET and UNB) and two adult measures (OPUS and TAPES) were selected. The concepts extracted ( n = 393) were linked to 54 categories in the ICF. The ACMC, CAPP-FSI, UBET, UNB and PUFI measure categories mostly under the ICF component ‘Activity and participation’. The TAPES and OPUS also measure ICF categories that describe the emotional and social status of a person. The main conclusion is that the use of a mixture of outcome measures would give a better picture on the aspects of our clients. Measures that focus on the social interaction in paediatric users are required.

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Application of machine learning to the identification of joint degrees of freedom involved in abnormal movement during upper limb prosthesis use

PLoS ONE ◽

10.1371/journal.pone.0246795 ◽

2021 ◽

Vol 16 (2) ◽

pp. e0246795

Author(s):

Sophie L. Wang ◽

Conor Bloomer ◽

Gene Civillico ◽

Kimberly Kontson

Keyword(s):

Machine Learning ◽

Outcome Measures ◽

Upper Limb ◽

Degrees Of Freedom ◽

Clustering Algorithm ◽

The Body ◽

Movement Quality ◽

Upper Limb Prosthesis ◽

Norm Group ◽

Limb Prosthesis

To evaluate movement quality of upper limb (UL) prosthesis users, performance-based outcome measures have been developed that examine the normalcy of movement as compared to a person with a sound, intact hand. However, the broad definition of “normal movement” and the subjective nature of scoring can make it difficult to know which areas of the body to evaluate, and the expected magnitude of deviation from normative movement. To provide a more robust approach to characterizing movement differences, the goals of this work are to identify degrees of freedom (DOFs) that will inform abnormal movement for several tasks using unsupervised machine learning (clustering methods) and elucidate the variations in movement approach across two upper-limb prosthesis devices with varying DOFs as compared to healthy controls. 24 participants with no UL disability or impairment were recruited for this study and trained on the use of a body-powered bypass (n = 6) or the DEKA limb bypass (n = 6) prosthetic devices or included as normative controls. 3D motion capture data were collected from all participants as they performed the Jebsen-Taylor Hand Function Test (JHFT) and targeted Box and Blocks Test (tBBT). Range of Motion, peak angle, angular path length, mean angle, peak angular velocity, and number of zero crossings were calculated from joint angle data for the right/left elbows, right/left shoulders, torso, and neck and fed into a K-means clustering algorithm. Results show right shoulder and torso DOFs to be most informative in distinguishing between bypass user and norm group movement. The JHFT page turning task and the seated tBBT elicit movements from bypass users that are most distinctive from the norm group. Results can be used to inform the development of movement quality scoring methodology for UL performance-based outcome measures. Identifying tasks across two different devices with known variations in movement can inform the best tasks to perform in a rehabilitation setting that challenge the prosthesis user’s ability to achieve normative movement.

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Silicone roll-on suspension for upper limb prostheses: Users’ views

Prosthetics and Orthotics International ◽

10.1080/03093640108726584 ◽

2001 ◽

Vol 25 (2) ◽

pp. 113-118 ◽

Cited By ~ 8

Author(s):

T. A-Z. K. Gaber ◽

C. M. Gardner ◽

S. G. B. Kirker

Keyword(s):

Outcome Measures ◽

Upper Limb ◽

Phantom Pain ◽

Artificial Limb ◽

Myoelectric Prostheses ◽

Upper Limb Prosthesis ◽

Upper Limb Prostheses ◽

Perceived Benefit ◽

Limb Prosthesis ◽

Structured Questionnaire

Objective: To determine the perceived benefit, pattern of use and problems of the ICEROSS socket for upper limb prostheses.Design: Structured questionnaire sent to patients provided with ICEROSS systems.Setting: NHS artificial limb clinic.Subjects: All patients (20) who have used an upper limb prosthesis with an ICEROSS inner socket between 1995–1999.Main outcome measures: Purpose-designed questionnaire.Results: Replies were obtained from 18 patients. Eight (8) amputees continue to use their ICEROSS limb regularly (44%) after a mean of 32 months. Ten (10) amputees stopped using the ICEROSS system. Six (6) developed persistent skin problems, 2 switched to myoelectric prostheses, 1 was unable to put the ICEROSS on independently and 1 amputee stopped using all kinds of prostheses because he did not find them useful. Fourteen (14) amputees complained of phantom pain, 4 of whom reported worsening of the pain with ICEROSS sockets.Conclusion: The ICEROSS socket provides good suspension for upper limb prostheses, but its use is limited by skin problems and incompatibility with myoelectric contacts.

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