IEEE Access · 2023 · 12 citations · 28 references
MedicineBiomedical EngineeringRehabilitation MedicineAmputee RehabilitationRehabilitationRehabilitation EngineeringNeuromuscular ControlProprioceptionProprioceptive FeedbackProsthetic DevicesProsthetic RehabilitationRehabilitation RoboticsElectrical StimulationElectromyographyProsthetic Hand FunctionSensory Feedback For ProsthesesSensory Feedback SystemsSurface ElectromyographyTactile FeedbackTactile Feedback Input
Prosthetic limb embodiment remains a significant challenge for many amputees due to traditional designs’ lack of sensory feedback. To address this challenge, the effectiveness of non-invasive neuromuscular electrical stimulation (NMES) controlled by a hybrid proportional-differential (PD)-Fuzzy logic system was evaluated, for providing real-time proprioception and tactile feedback. The study used a human-in-the-closed-loop approach with ten participants, five upper limb amputees and five non-disabled individuals, as the control group. The intensity of sensory feedback applied force, joint angle of a prosthetic hand’s finger and surface electromyography signals generated from the biceps muscle was regulated. Additionally, the C6 and C7 myotomes were selected as elicitation sites. The average threshold for detecting action motion and force was around 21° and 1.524N, respectively. The participants successfully reproduced desired joint angles within the range of 0°-110° at five separate intervals. In the weight recognition experiment, the amputee participant’s minimum number of false predictions was four(4). The most accurate achieved was 80.66% in detecting object size and stiffness. Additionally, unpaired t-tests were performed for each means of the results of the experiments to determine statistically significant differences between groups. The results suggest that stimulation of myotomes by NMES is an effective non-invasive method for delivering rich multimodal sensation information to individuals with disabilities, including upper limb amputees, without needing visual or auditory cues. These findings contribute to the development of non-invasive sensory substitution in prostheses.
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Tyler S. Davis, Heather A.C. Wark, Douglas T. Hutchinson et al. · Journal of Neural Engineering · 2016 · 332 citations
Ethne L. Nussbaum, Pamela E. Houghton, Joseph Anthony et al. · Physiotherapy Canada · 2017 · 209 citations · Full text