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https://www.readbyqxmd.com/read/28229193/osseointegrated-prostheses-for-rehabilitation-following-amputation-the-pioneering-swedish-model
#1
Yan Li, Rickard Brånemark
The direct attachment of osseointegrated (OI) prostheses to the skeleton avoids the inherent problems of socket suspension. It also provides physiological weight bearing, improved range of motion in the proximal joint, as well as osseoperceptive sensory feedback, enabling better control of the artificial limbs by amputees. The present article briefly reviews the pioneering efforts on extremity osseointegration surgeries in Sweden and the development of the OPRA (Osseointegrated Prostheses for the Rehabilitation of Amputees) program...
February 22, 2017: Der Unfallchirurg
https://www.readbyqxmd.com/read/28227976/user-intent-prediction-with-a-scaled-conjugate-gradient-trained-artificial-neural-network-for-lower-limb-amputees-using-a-powered-prosthesis
#2
Richard B Woodward, John A Spanias, Levi J Hargrove, Richard B Woodward, John A Spanias, Levi J Hargrove, John A Spanias, Richard B Woodward, Levi J Hargrove
Powered lower limb prostheses have the ability to provide greater mobility for amputee patients. Such prostheses often have pre-programmed modes which can allow activities such as climbing stairs and descending ramps, something which many amputees struggle with when using non-powered limbs. Previous literature has shown how pattern classification can allow seamless transitions between modes with a high accuracy and without any user interaction. Although accurate, training and testing each subject with their own dependent data is time consuming...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
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
#3
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/28227747/split-belt-adaptation-and-gait-symmetry-in-transtibial-amputees-walking-with-a-hybrid-emg-controlled-ankle-foot-prosthesis
#4
Oliver A Kannape, Hugh M Herr, Oliver A Kannape, Hugh M Herr, Oliver A Kannape, Hugh M Herr
Our ability to automatically adapt our walking pattern to the demands of our environment is central to maintaining a steady gait. Accordingly, a large effort is being made to extend and integrate this adaptability to lower-limb prostheses. To date, the main focus of this research has been on short term adaptation, such as in response to a terrain transition or a sudden change in the environment. However, long term adaptation and underlying sensorimotor learning processes are critical to optimizing walking patterns and predictively changing our gait when faced with continued perturbations...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227744/classification-of-non-weight-bearing-lower-limb-movements-towards-a-potential-treatment-for-phantom-limb-pain-based-on-myoelectric-pattern-recognition
#5
Eva Lendaro, Max Ortiz-Catalan, Eva Lendaro, Max Ortiz-Catalan, Max Ortiz-Catalan, Eva Lendaro
Research in myoelectric pattern recognition (MPR) for the prediction of motor volition has primarily focused on the upper limbs. Recent studies in the lower limbs have mainly concentrated on prosthetic control, while MPR for lower limb rehabilitation purposes has received little attention. In this work we investigated the viability of a MPR system for the prediction of four degrees of freedom controlled in a near natural or physiologically appropriate fashion. We explored three different electrode configurations for acquiring electromyographic (EMG) signals: two targeted (bipolar and monopolar) and one untargeted (electrodes equally spaced axially)...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227654/preliminary-results-for-an-adaptive-pattern-recognition-system-for-novel-users-using-a-powered-lower-limb-prosthesis
#6
John A Spanias, Ann M Simon, Eric J Perreault, Levi J Hargrove, John A Spanias, Ann M Simon, Eric J Perreault, Levi J Hargrove, Eric J Perreault, John A Spanias, Ann M Simon, Levi J Hargrove
Powered prosthetic legs are capable of improving the gait of lower limb amputees. Pattern recognition systems for these devices allow amputees to transition between different locomotion modes in a way that is seamless and transparent to the user. However, the potential of these systems is diminished because they require large amounts of training data that is burdensome to collect. To reduce the effort required to acquire these data, we developed an adaptive pattern recognition system that automatically learns from subject-specific data as the user is ambulating...
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
#7
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/28227652/does-the-impedance-of-above-knee-powered-prostheses-need-to-be-adjusted-for-load-carrying-conditions
#8
Andrea Brandt, Ming Liu, He Helen Huang, Andrea Brandt, Ming Liu, He Helen Huang, He Helen Huang, Ming Liu, Andrea Brandt
Powered knee prostheses provide substantial advantages for amputees compared to traditional passive devices during basic walking tasks (i.e. level-ground, stairs, ramps), but the impedance control parameters are fixed. For environments that differ from the well-controlled setting of the clinic, amputees must compensate their gait patterns because fixed control parameters ideal for walking on level ground in the clinic do not meet real-life task demands. Load carriage is one instance where fixed control parameters may lead to undesired gait patterns and potentially result in injury...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227651/adaptive-control-of-powered-transfemoral-prostheses-based-on-adaptive-dynamic-programming
#9
Yue Wen, Ming Liu, Jennie Si, He Helen Huang, Yue Wen, Ming Liu, Jennie Si, He Huang, He Helen Huang, Yue Wen, Ming Liu, Jennie Si
In this study, we developed and tested a novel adaptive controller for powered transfemoral prostheses. Adaptive dynamic programming (ADP) was implemented within the prosthesis control to complement the existing finite state impedance control (FS-IC) in a prototypic active-transfemoral prosthesis (ATP). The ADP controller interacts with the human user-prosthesis system, observes the prosthesis user's dynamic states during walking, and learns to personalize user performance properties via online adaptation to meet the individual user's objectives...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227650/real-time-gait-event-detection-for-lower-limb-amputees-using-a-single-wearable-sensor
#10
H F Maqbool, M A B Husman, M I Awad, A Abouhossein, P Mehryar, N Iqbal, A A Dehghani-Sanij, H F Maqbool, M A B Husman, M I Awad, A Abouhossein, P Mehryar, N Iqbal, A A Dehghani-Sanij, M A B Husman, M I Awad, N Iqbal, P Mehryar, H F Maqbool, A Abouhossein, A A Dehghani-Sanij
This paper presents a rule-based real-time gait event/phase detection system (R-GEDS) using a shank mounted inertial measurement unit (IMU) for lower limb amputees during the level ground walking. Development of the algorithm is based on the shank angular velocity in the sagittal plane and linear acceleration signal in the shank longitudinal direction. System performance was evaluated with four control subjects (CS) and one transfemoral amputee (TFA) and the results were validated with four FlexiForce footswitches (FSW)...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227649/metabolic-cost-of-level-ground-walking-with-a-robotic-transtibial-prosthesis-combining-push-off-power-and-nonlinear-damping-behaviors-preliminary-results
#11
Yanggang Feng, Jinying Zhu, Qining Wang, Yanggang Feng, Jinying Zhu, Qining Wang, Jinying Zhu, Qining Wang, Yanggang Feng
Recent advances in robotic technology are facilitating the development of robotic prostheses. Our previous studies proposed a lightweight robotic transtibial prosthesis with a damping control strategy. To improve the performance of power assistance, in this paper, we redesign the prosthesis and improve the control strategy by supplying extra push-off power. A male transtibial amputee subject volunteered to participate in the study. Preliminary experimental results show that the proposed prosthesis with push-off control improves energy expenditure by a percentage ranged from 9...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227643/effect-of-environmental-factors-on-level-of-trip-disturbance-a-simulation-study
#12
Ming Liu, Peter Bohlen, He Helen Huang, Ming Liu, Peter Bohlen, He Helen Huang, Peter Bohlen, He Helen Huang, Ming Liu
Above knee amputees exhibit a higher risk of falling than able-bodied people, so the capacity to recover from trips (a major cause of unintentional falls) is critical for these amputees to prevent fall-related injuries. Although trip recovery approaches using powered prostheses have been proposed, the effectiveness of these approaches has not been evaluated with varied trip-related disturbance levels. Here, we conducted a simulation study to understand the relationship between trip-related disturbance levels and environmental factors...
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
#13
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/28227546/a-control-method-for-transfemoral-prosthetic-knees-in-level-walking-and-stair-ascending-based-on-thigh-angular-motion
#14
K Inoue, A Pripunnochai, T Wada, K Inoue, A Pripunnochai, T Wada, T Wada, K Inoue, A Pripunnochai
Regaining the locomotive ability is necessary to maintain the activities of daily living in lower extremity amputees. Recently, the stability of the gait and multifunctionality of transfemoral prosthetic knees have drastically improved with the use of microprocessor-controlled knees, such as Genium ® (Otto Bock, GmbH). However, these knees, which also include products from other companies, are very expensive. Therefore, the purpose of the present study was to develop a control method for transfemoral prosthetic knees in order to perform level walking and stairs ascending safely, with fewer sensors or simpler procedures...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227544/tolerance-of-neural-decoding-errors-for-powered-artificial-legs-a-pilot-study
#15
Fan Zhang, Ming Liu, He Huang, Fan Zhang, Ming Liu, He Huang, He Huang, Ming Liu, Fan Zhang
Neural-machine interface (NMI) decoding errors challenge the clinical value of neural control of powered artificial legs, because these errors can dangerously disturb the user's walking balance, cause stumbles or falls, and thus threaten the user's confidence and safety in prosthesis use. Although extensive research efforts have been made to minimize the NMI decoding error rate, none of the current approaches can completely eliminate the errors in NMI. This study aimed at improving the robustness of prosthesis control system against neural decoding errors by introducing a fault-tolerant control (FTC) strategy...
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
#16
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
#17
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/28226916/a-pressure-and-shear-sensing-liner-for-prosthetic-sockets
#18
Jason Wheeler, Anirban Mazumdar, Lisa Marron, Kevin Dullea, Joan Sanders, Kate Allyn, Jason Wheeler, Anirban Mazumdar, Lisa Marron, Kevin Dullea, Joan Sanders, Kate Allyn, Kevin Dullea, Joan Sanders, Kate Allyn, Anirban Mazumdar, Lisa Marron, Jason Wheeler
Interface pressures are closely related to the comfort and fit of a lower-limb prosthetic socket and clinicians and researchers are interested in monitoring these loads. In particular, shear stresses at the socket/liner interface are indicative of important fit characteristics but are difficult to measure in situ. We have developed an elastomeric liner with sixteen integrated pressure and shear sensors, along with necessary wiring and data acquisition electronics. The sensors measure three-axis pressures using optical emitter/detector pairs coupled with transparent and opaque elastomeric layers...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226836/myoelectric-feature-extraction-using-temporal-spatial-descriptors-for-multifunction-prosthetic-hand-control
#19
Rami N Khushaba, Ali Al-Timemy, Ahmed Al-Ani, Adel Al-Jumaily, Rami N Khushaba, Ali Al-Timemy, Ahmed Al-Ani, Adel Al-Jumaily, Ahmed Al-Ani, Rami N Khushaba, Adel Al-Jumaily, Ali Al-Timemy
We tackle the challenging problem of myoelectric prosthesis control with an improved feature extraction algorithm. The proposed algorithm correlates a set of spectral moments and their nonlinearly mapped version across the temporal and spatial domains to form accurate descriptors of muscular activity. The main processing step involves the extraction of the Electromyogram (EMG) signal power spectrum characteristics directly from the time-domain for each analysis window, a step to preserve the computational power required for the construction of spectral features...
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
#20
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
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