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https://www.readbyqxmd.com/read/28227966/real-time-evaluation-of-a-myoelectric-control-method-for-high-level-upper-limb-amputees-based-on-homologous-leg-movements
#1
Kenneth R Lyons, Sanjay S Joshi, Kenneth R Lyons, Sanjay S Joshi, Sanjay S Joshi, Kenneth R Lyons
Electromyography-based gesture classification methods for control of advanced upper limb prostheses are limited either to individuals with amputations distal to the elbow or to those willing to undergo targeted muscle reinnervation surgery. Based on the natural similarity between gestures of the lower leg and the arm and on established methods in electromyography-based gesture classification, we propose a noninvasive system with which users control an upper limb prosthesis via homologous movements of the leg and foot...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227740/influence-of-force-feedback-on-grasp-force-modulation-in-prosthetic-applications-a-preliminary-study
#2
Sasha B Godfrey, Matteo Bianchi, Antonio Bicchi, Marco Santello, Sasha B Godfrey, Matteo Bianchi, Antonio Bicchi, Marco Santello, Marco Santello, Antonio Bicchi, Sasha B Godfrey, Matteo Bianchi
In typical movement, humans use a combination of feed-forward and feedback motor control strategies to interact with the world around them. However, when sensory input is impaired or absent, as in the case of various neuropathies or amputation, the ability to perform everyday tasks, like modulating grip force to object weight, can be affected. In this study, we show the results of a preliminary study using a pressure cuff-like force feedback device (CUFF) with the SoftHand Pro (SHP) prosthetic hand. Subjects lifted an object of various weights using their own hand, with the SHP without feedback, and the SHP with force feedback...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227653/delaying-ambulation-mode-transitions-in-a-powered-knee-ankle-prosthesis
#3
Ann M Simon, John A Spanias, Kimberly A Ingraham, Levi J Hargrove, Ann M Simon, John A Spanias, Kimberly A Ingraham, Levi J Hargrove, John A Spanias, Ann M Simon, Kimberly A Ingraham, Levi J Hargrove
Powered knee and ankle prostheses have the potential to improve the mobility of individuals with a lower limb amputation. As the number of different ambulation modes the prosthesis can be configured for increases, so too does the challenge of how to best transition the prosthesis between these modes. Pattern recognition systems have been suggested as a means to provide seamless and natural transitions, although error rates need to be reduced for these systems to be clinical viable. Delaying mode transitions by a small window may be one way to reduce error rates and improve reliability...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227642/building-blocks-system-for-a-prosthesis-training-of-a-child-with-congenital-amputee
#4
Tomoya Shimokakimoto, Tomoyuki Ueno, Nanao Akimichi, Kenji Suzuki, Tomoya Shimokakimoto, Tomoyuki Ueno, Nanao Akimichi, Kenji Suzuki, Kenji Suzuki, Tomoya Shimokakimoto, Tomoyuki Ueno, Nanao Akimichi
Our objective is to provide a novel habilitation experience using play to children with special needs, in particular to those with congenital defects of the upper limbs. Our concept is a device-assisted motivational training session using tangible building block devices. In order to verify the feasibility of our concept with used bioToys in a clinical training session with occupational therapists. Our participant was a one-year-old girl with congenital amputation of the right upper limb. We verified that bioToys could be used in clinical training for a prosthesis, and could assist with both playful training and quantitative therapeutic evaluation...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227547/a-low-cost-open-source-compliant-hand-for-enabling-sensorimotor-control-for-people-with-transradial-amputations
#5
Aadeel Akhtar, Kyung Yun Choi, Michael Fatina, Jesse Cornman, Edward Wu, Joseph Sombeck, Chris Yim, Patrick Slade, Jason Lee, Jack Moore, Daniel Gonzales, Alvin Wu, Garrett Anderson, David Rotter, Cliff Shin, Timothy Bretl, Aadeel Akhtar, Kyung Yun Choi, Michael Fatina, Jesse Cornman, Edward Wu, Joseph Sombeck, Chris Yim, Patrick Slade, Jason Lee, Jack Moore, Daniel Gonzales, Alvin Wu, Garrett Anderson, David Rotter, Cliff Shin, Timothy Bretl, Kyung Yun Choi, Michael Fatina, Chris Yim, Jesse Cornman, Alvin Wu, Garrett Anderson, Jason Lee, Edward Wu, Daniel Gonzales, Aadeel Akhtar, David Rotter, Cliff Shin, Timothy Bretl, Patrick Slade, Jack Moore, Joseph Sombeck
In this paper, we describe the design and implementation of a low-cost, open-source prosthetic hand that enables both motor control and sensory feedback for people with transradial amputations. We integrate electromyographic pattern recognition for motor control along with contact reflexes and sensory substitution to provide feedback to the user. Compliant joints allow for robustness to impacts. The entire hand can be built for around $550. This low cost makes research and development of sensorimotor prosthetic hands more accessible to researchers worldwide, while also being affordable for people with amputations in developing nations...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227203/real-time-ultrasound-based-control-of-a-virtual-hand-by-a-trans-radial-amputee
#6
Clayton A Baker, Nima Akhlaghi, Huzefa Rangwala, Jana Kosecka, Siddhartha Sikdar, Clayton A Baker, Nima Akhlaghi, Huzefa Rangwala, Jana Kosecka, Siddhartha Sikdar, Nima Akhlaghi, Siddhartha Sikdar, Clayton A Baker, Jana Kosecka, Huzefa Rangwala
Advancements in multiarticulate upper-limb prosthetics have outpaced the development of intuitive, non-invasive control mechanisms for implementing them. Surface electromyography is currently the most popular non-invasive control method, but presents a number of drawbacks including poor deep-muscle specificity. Previous research established the viability of ultrasound imaging as an alternative means of decoding movement intent, and demonstrated the ability to distinguish between complex grasps in able-bodied subjects via imaging of the anterior forearm musculature...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226938/a-wearable-skin-stretch-haptic-feedback-device-towards-improving-balance-control-in-lower-limb-amputees
#7
M A B Husman, H F Maqbool, M I Awad, A Abouhossein, A A Dehghani-Sanij, M A B Husman, H F Maqbool, M I Awad, A Abouhossein, A A Dehghani-Sanij, A Abouhossein, A A Dehghani-Sanij, M A B Husman, M I Awad, H F Maqbool
Haptic feedback to lower limb amputees is essential to maximize the functionality of a prosthetic device by providing information to the user about the interaction with the environment and the position of the prostheses in space. Severed sensory pathway and the absence of connection between the prosthesis and the Central Nervous System (CNS) after lower limb amputation reduces balance control, increases visual dependency and increases risk of falls among amputees. This work describes the design of a wearable haptic feedback device for lower limb amputees using lateral skin-stretch modality intended to serve as a feedback cue during ambulation...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226831/muscle-synergy-analysis-in-transtibial-amputee-during-ramp-ascending-activity
#8
P Mehryar, M S Shourijeh, H F Maqbool, M Torabi, A A Dehghani-Sanij, P Mehryar, M S Shourijeh, H F Maqbool, M Torabi, A A Dehghani-Sanij, A A Dehghani-Sanij, M S Shourijeh, P Mehryar, M Torabi, H F Maqbool
In developed countries, the highest number of amputees are elderly with transtibial amputation. Walking on inclined surfaces is difficult for amputees due to loss of muscle volume and strength thereby transtibial amputees (TA) rely on the intact limb to maintain stability. The aim of this study was to use the concatenated non-negative matrix factorization (CNMF) technique to calculate muscle synergy components and compare the difference in muscle synergies and their associated activation profiles in the healthy and amputee groups during ramp ascending (RA) activity...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226502/an-ensemble-based-regression-approach-for-continuous-estimation-of-wrist-and-fingers-movements-from-surface-electromyography
#9
Rami Alazrai, Ala Khalifeh, Nasim Alnuman, Deena Alabed, Yaser Mowafi, Rami Alazrai, Ala Khalifeh, Nasim Alnuman, Deena Alabed, Yaser Mowafi, Nasim Alnuman, Rami Alazrai, Ala Khalifeh, Yaser Mowafi, Deena Alabed
Late development and evolution of high degree-of-freedom (DOF) robotic hands have seen great technological strides to enhance the quality of life for amputated people. A robust hand kinematic estimation mechanisms have shown promising results to control robotic hands that can mimic the human hand functions and perform daily life hand dexterous tasks. In this paper, we propose an ensemble-based regression approach for continuous estimation of wrist and fingers movements from surface Electromyography (sEMG) signals...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226494/upper-extremity-prosthesis-user-perspectives-on-unmet-needs-and-innovative-technology
#10
Heather L Benz, Jia Yao, Laura Rose, Okan Olgac, Karen Kreutz, Anindita Saha, Eugene F Civillico, Heather L Benz, Jia Yao, Laura Rose, Okan Olgac, Karen Kreutz, Anindita Saha, Eugene F Civillico, Laura Rose, Heather L Benz, Anindita Saha, Okan Olgac, Eugene F Civillico, Karen Kreutz, Jia Yao
The needs of individuals with upper limb amputation and congenital limb difference are not being fully met by current prostheses, as evidenced by prosthesis rejection, non-wear, and user reports of pain and challenging activities. Emerging technologies such as dexterous sensorized robotic limbs, osseointegrated prostheses, implantable EMG electrodes, and electrical stimulation for sensory feedback have the potential to address unmet needs, but pose additional risks. We plan to assess upper limb prosthesis user needs and perspectives on these new benefits and risks using an extensive quantitative survey...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226435/resting-state-eeg-network-change-in-alpha-and-beta-bands-after-upper-limb-amputation
#11
Yuanyuan Lyu, Xiaoli Guo, Zhuo Wang, Shanbao Tong, Yuanyuan Lyu, Xiaoli Guo, Zhuo Wang, Shanbao Tong, Yuanyuan Lyu, Xiaoli Guo, Zhuo Wang, Shanbao Tong
To investigate the reorganization of functional brain network following amputation, twenty-two right-hand amputees and twenty-four age- and education-matched controls participated in a resting-state EEG study. EEG networks in alpha and beta bands were constructed using phase synchronization. Both global and local network parameters were compared between amputees and healthy controls. In the aspect of global connectivity, amputees showed increased clustering coefficient (C), decreased characteristic path length (L) and increased small worldness (S) in alpha band, and an increase of L in beta band...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226423/simple-emg-driven-musculoskeletal-model-enables-consistent-control-performance-during-path-tracing-tasks
#12
Dustin Crouch, He Huang, Dustin Crouch, He Huang, Dustin Crouch, He Huang
Consistent, robust performance is critical for the utility and user-acceptance of neurally-controlled powered upper limb prostheses. We preliminarily evaluated the performance consistency of an electromyography (EMG)-driven controller based on a two degree-of-freedom musculoskeletal hand model, whose simplified structure is more practical for real-time prosthesis control than existing, complex models. Parameters of four virtual muscles were computed by numerical optimization from an able-bodied subject's kinematic and EMG data collected during wrist and metacarpophalangeal (MCP) flexion/extension movements...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28224229/structural-changes-in-the-thigh-muscles-following-trans-femoral-amputation
#13
C Putz, J Block, S Gantz, D W W Heitzmann, T Dreher, B Lehner, M Alimusaj, S I Wolf, S Müller
INTRODUCTION: Early ambulation is the principal objective in trans-femoral amputees. Postamputation modifications complicate the rehabilitation process due to a reduced control at the interface between stump and prosthesis. The aim of this study is to determine whether magnetic resonance imaging depicts the amount of fatty degeneration of the thigh muscles after trans-femoral amputation (TFA). METHODS: A total of 12 patients following a TFA on the basis of a bone neoplasm or metastasis with an evaluable postoperative MRI were identified...
February 21, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/28224127/early-diagnosis-and-surgical-treatment-for-necrotizing-fasciitis-a-multicenter-study
#14
Evangelos P Misiakos, George Bagias, Iordanis Papadopoulos, Nickolaos Danias, Paul Patapis, Nickolaos Machairas, Theodore Karatzas, Nickolaos Arkadopoulos, Konstantinos Toutouzas, Nickolaos Alexakis, Manousos N Konstantoulakis, George Zografos, Vasilis Smyrniotis, Gregory Kouraklis, Anastasios Machairas
BACKGROUND: Necrotizing fasciitis (NF) is a group of relatively rare infections, usually caused by two or more pathogens. It affects the skin and subcutaneous tissues of lower and upper limbs, perineal area (Fournier's gangrene), and the abdominal wall. Early diagnosis and aggressive surgical management are of high significance for the management of this potentially lethal disease. METHODS: We conducted a retrospective study in patients who presented, during the last decade, at four University Surgical Departments in the area of Athens, Greece, with an admission diagnosis of NF...
2017: Frontiers in Surgery
https://www.readbyqxmd.com/read/28223839/ultrasound-guided-alcohol-neurolysis-and-radiofrequency-ablation-of-painful-stump-neuroma-effective-treatments-for-post-amputation-pain
#15
Xin Zhang, Yongming Xu, Jin Zhou, Shaofeng Pu, Yingying Lv, Yueping Chen, Dongping Du
BACKGROUND: Post-amputation pain (PAP) is highly prevalent after limb amputation, and stump neuromas play a key role in the generation of the pain. Presently, PAP refractory to medical management is frequently treated with minimally invasive procedures guided by ultrasound, such as alcohol neurolysis and radiofrequency ablation (RFA). OBJECTIVE: To record the immediate and long-term efficacy of alcohol neurolysis and RFA. We first used alcohol neurolysis and then, when necessary, we performed RFA on PAP patients...
2017: Journal of Pain Research
https://www.readbyqxmd.com/read/28222382/corporeal-illusions-in-chronic-spinal-cord-injuries
#16
Michele Scandola, Salvatore Maria Aglioti, Renato Avesani, Gianettore Bertagnoni, Anna Marangoni, Valentina Moro
While several studies have investigated corporeal illusions in patients who have suffered from a stroke or undergone an amputation, only anecdotal or single case reports have explored this phenomenon after spinal cord injury. Here we examine various different types of bodily misperceptions in a comparatively large group of 49 people with spinal cord injury in the post-acute and chronic phases after the traumatic lesion onset. An extensive battery of questionnaires concerning a variety of body related feelings was administered and the results were correlated to the main clinical variables...
February 17, 2017: Consciousness and Cognition
https://www.readbyqxmd.com/read/28220759/musculoskeletal-model-based-control-interface-mimics-physiologic-hand-dynamics-during-path-tracing-task
#17
Dustin Lee Crouch, Helen Huang
OBJECTIVE: We investigated the feasibility of a novel, customizable, simplified EMG-driven musculoskeletal model for estimating coordinated hand and wrist motions during a real-time path tracing task. APPROACH: A two-degree-of-freedom (DOF) computational musculoskeletal model was implemented for real-time EMG-driven control of a stick figure hand displayed on a computer screen. After 5 to 10 minutes of undirected practice, subjects were given 3 attempts to trace 10 straight paths, one at a time, with the fingertip of the virtual hand...
February 21, 2017: Journal of Neural Engineering
https://www.readbyqxmd.com/read/28217409/muscle-derived-stem-cells-stimulate-muscle-myofiber-repair-and-counteract-fat-infiltration-in-a-diabetic-mouse-model-of-critical-limb-ischemia
#18
J Tsao, I Kovanecz, N Awadalla, R Gelfand, I Sinha-Hikim, R A White, N F Gonzalez-Cadavid
BACKGROUND: Critical Limb Ischemia (CLI) affects patients with Type 2 Diabetes (T2D) and obesity, with high risk of amputation and post-surgical mortality, and no effective medical treatment. Stem cell therapy, mainly with bone marrow mesenchymal, adipose derived, endothelial, hematopoietic, and umbilical cord stem cells, is promising in CLI mouse and rat models and is in clinical trials. Their general focus is on angiogenic repair, with no reports on the alleviation of necrosis, lipofibrosis, and myofiber regeneration in the ischemic muscle, or the use of Muscle Derived Stem Cells (MDSC) alone or in combination with pharmacological adjuvants, in the context of CLI in T2D...
December 2016: Journal of Stem Cell Research & Therapy
https://www.readbyqxmd.com/read/28216859/prevalence-of-phantom-limb-pain-stump-pain-and-phantom-limb-sensation-among-the-amputated-cancer-patients-in-india-a-prospective-observational-study
#19
Arif Ahmed, Sushma Bhatnagar, Seema Mishra, Deepa Khurana, Saurabh Joshi, Syed Mehmood Ahmad
INTRODUCTION: The phantom limb pain (PLP) and phantom limb sensation (PLS) are very common among amputated cancer patients, and they lead to considerable morbidity. In spite of this, there is a lack of epidemiological data of this phenomenon among the Asian population. This study was done to provide the data from Indian population. METHODS: The prevalence of PLP, stump pain (SP), and PLS was prospectively analyzed from the amputated cancer patients over a period of 2 years in Dr...
January 2017: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/28216827/distal-phalanx-amputation-with-delayed-presentation-and-successful-reconstruction-with-reposition-and-flap-after-2-weeks
#20
Jefferson Braga-Silva, Renato Franz Matta Ramos, Gabriela Meirelles Marchese, Pedro Salomao Piccinini
Traumatic finger amputations are common, causing significant functional and cosmetic deficits. Microsurgical replantation techniques are the mainstay of treatment for most such injuries although they require adequate conservation of the amputated segment for a successful result. In distal finger amputations, replantation is the procedure of choice, as long as the amputated fragment is viable. If replantation is not an option, reposition + flap using a neurovascular flap can be an efficient option, as this offers improved skin coverage...
September 2016: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
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