Journal of Rehabilitation Research and Development最新文献_第3页

Capturing nighttime symptoms in Parkinson disease: Technical development and experimental verification of inertial sensors for nocturnal hypokinesia. 捕捉帕金森病的夜间症状:用于夜间运动不足的惯性传感器的技术发展和实验验证。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2015.04.0062

Roongroj Bhidayasiri, Jirada Sringean, Poonpak Taechalertpaisarn, Chusak Thanawattano

{"title":"Capturing nighttime symptoms in Parkinson disease: Technical development and experimental verification of inertial sensors for nocturnal hypokinesia.","authors":"Roongroj Bhidayasiri, Jirada Sringean, Poonpak Taechalertpaisarn, Chusak Thanawattano","doi":"10.1682/JRRD.2015.04.0062","DOIUrl":"https://doi.org/10.1682/JRRD.2015.04.0062","url":null,"abstract":"Although nocturnal hypokinesia represents one of the most common nocturnal disabilities in Parkinson disease (PD), it is often a neglected problem in daily clinical practice. We have developed a portable ambulatory motion recorder (the NIGHT-Recorder), which consists of 16-bit triaxial integrated microelectromechanical system inertial sensors that are specifically designed to measure movements, register the position of the body with respect to gravity, and provide information on rotations on the longitudinal axis while lying in bed. The signal processing uses the forward derivative method to identify rolling over and getting out of bed as primary indicators. The prototype was tested on six PD pairs to measure their movements for one night. Using predetermined definitions, 134 movements were captured consisting of rolling over 115 times and getting out of bed 19 times. Patients with PD rolled over significantly fewer times than their spouses (p = 0.03), and the position change was significantly smaller in patients with PD (p = 0.03). Patients with PD rolled over at a significantly slower speed (p = 0.03) and acceleration (p = 0.03) than their spouses. In contrast, patients with PD got out of bed significantly more often than their spouses (p = 0.02). It is technically feasible to develop an easy-to-use, portable, and accurate device that can assist physicians in the assessment of nocturnal movements of patients with PD.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 4","pages":"487-98"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34313907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 23

Transfer component skill deficit rates among Veterans who use wheelchairs. 使用轮椅的退伍军人的转移组件技能缺乏率。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2015.02.0023

Alicia M Koontz, Chung-Ying Tsai, Nathan S Hogaboom, Michael L Boninger

{"title":"Transfer component skill deficit rates among Veterans who use wheelchairs.","authors":"Alicia M Koontz, Chung-Ying Tsai, Nathan S Hogaboom, Michael L Boninger","doi":"10.1682/JRRD.2015.02.0023","DOIUrl":"https://doi.org/10.1682/JRRD.2015.02.0023","url":null,"abstract":"The purpose of this study was to quantify the deficit rates for transfer component skills in a Veteran cohort and explore the relationship between deficit rates and subject characteristics. Seventy-four men and 18 women performed up to four transfers independently from their wheelchair to a mat table while a therapist evaluated their transfer techniques using the Transfer Assessment Instrument. The highest deficit rates concerned the improper use of handgrips (63%). Other common problems included not setting the wheelchair up at the proper angle (50%) and not removing the armrest (58%). Veterans over 60 yr old and Veterans with moderate shoulder pain were more likely to set up their wheelchairs inappropriately than younger Veterans (p = 0.003) and Veterans with mild shoulder pain (p = 0.004). Women were less likely to remove their armrests than men (p = 0.03). Subjects with disabilities other than spinal cord injury were less inclined to set themselves up for a safe and easy transfer than the subjects with spinal cord injury (p ≤ 0.001). The results provide insight into the disparities present in transfer skills among Veterans and will inform the development of future transfer training programs both within and outside of the Department of Veterans Affairs.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 2","pages":"279-94"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2015.02.0023","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34522101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 12

Usability evaluation of low-cost virtual reality hand and arm rehabilitation games. 低成本虚拟现实手和手臂康复游戏的可用性评估。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2015.03.0045

Na Jin Seo, Jayashree Arun Kumar, Pilwon Hur, Vincent Crocher, Binal Motawar, Kishor Lakshminarayanan

{"title":"Usability evaluation of low-cost virtual reality hand and arm rehabilitation games.","authors":"Na Jin Seo, Jayashree Arun Kumar, Pilwon Hur, Vincent Crocher, Binal Motawar, Kishor Lakshminarayanan","doi":"10.1682/JRRD.2015.03.0045","DOIUrl":"https://doi.org/10.1682/JRRD.2015.03.0045","url":null,"abstract":"The emergence of lower-cost motion tracking devices enables home-based virtual reality rehabilitation activities and increased accessibility to patients. Currently, little documentation on patients' expectations for virtual reality rehabilitation is available. This study surveyed 10 people with stroke for their expectations of virtual reality rehabilitation games. This study also evaluated the usability of three lower-cost virtual reality rehabilitation games using a survey and House of Quality analysis. The games (kitchen, archery, and puzzle) were developed in the laboratory to encourage coordinated finger and arm movements. Lower-cost motion tracking devices, the P5 Glove and Microsoft Kinect, were used to record the movements. People with stroke were found to desire motivating and easy-to-use games with clinical insights and encouragement from therapists. The House of Quality analysis revealed that the games should be improved by obtaining evidence for clinical effectiveness, including clinical feedback regarding improving functional abilities, adapting the games to the user's changing functional ability, and improving usability of the motion-tracking devices. This study reports the expectations of people with stroke for rehabilitation games and usability analysis that can help guide development of future games.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 3","pages":"321-34"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2015.03.0045","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34618836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 46

Development of a comprehensive Blast-Related Auditory Injury Database (BRAID). 一个综合性爆炸相关听觉损伤数据库(BRAID)的开发。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2015.02.0031

Antony R Joseph, Jaime L Horton, Mary C Clouser, Andrew J MacGregor, Michelle Louie, Michael R Galarneau

{"title":"Development of a comprehensive Blast-Related Auditory Injury Database (BRAID).","authors":"Antony R Joseph, Jaime L Horton, Mary C Clouser, Andrew J MacGregor, Michelle Louie, Michael R Galarneau","doi":"10.1682/JRRD.2015.02.0031","DOIUrl":"https://doi.org/10.1682/JRRD.2015.02.0031","url":null,"abstract":"The Department of Defense Hearing Conservation Program provides specific guidance for service components to prevent occupational hearing loss; however, it does not specifically contend with the unique noise exposures observed in the theater of war, such as blasts and explosions. In order to examine the effects of blast injury on hearing sensitivity, we developed a large database composed of demographic, audiometric, point of injury, and medical outcome data, with the primary aim of developing a long-standing and integrated capability for the surveillance, assessment, and investigation of blast-related hearing outcomes. Methods used to develop the dataset are described. Encompassing more than 16,500 Navy and Marine Corps personnel, the Blast-Related Auditory Injury Database (BRAID) includes individuals with a blast-related injury and nonblast control subjects. Using baseline and postdeployment hearing threshold data, a retrospective analysis of the cohort revealed that the rate of hearing loss for the injured servicemembers was 39%. The BRAID will be useful for studies that assess hearing patterns following deployment-related injury, such as blast exposures, that facilitate exploration of health outcomes and whether they are predictive of audiometric disposition and that help establish hearing loss prevention strategies and program policies for affected military commands and servicemembers.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 3","pages":"295-306"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2015.02.0031","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34620445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 12

High-density force myography: A possible alternative for upper-limb prosthetic control. 高密度肌力图:上肢假肢控制的一种可能选择。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2015.03.0041

Ashkan Radmand, Erik Scheme, Kevin Englehart

{"title":"High-density force myography: A possible alternative for upper-limb prosthetic control.","authors":"Ashkan Radmand, Erik Scheme, Kevin Englehart","doi":"10.1682/JRRD.2015.03.0041","DOIUrl":"https://doi.org/10.1682/JRRD.2015.03.0041","url":null,"abstract":"Several multiple degree-of-freedom upper-limb prostheses that have the promise of highly dexterous control have recently been developed. Inadequate controllability, however, has limited adoption of these devices. Introducing more robust control methods will likely result in higher acceptance rates. This work investigates the suitability of using high-density force myography (HD-FMG) for prosthetic control. HD-FMG uses a high-density array of pressure sensors to detect changes in the pressure patterns between the residual limb and socket caused by the contraction of the forearm muscles. In this work, HD-FMG outperforms the standard electromyography (EMG)-based system in detecting different wrist and hand gestures. With the arm in a fixed, static position, eight hand and wrist motions were classified with 0.33% error using the HD-FMG technique. Comparatively, classification errors in the range of 2.2%-11.3% have been reported in the literature for multichannel EMG-based approaches. As with EMG, position variation in HD-FMG can introduce classification error, but incorporating position variation into the training protocol reduces this effect. Channel reduction was also applied to the HD-FMG technique to decrease the dimensionality of the problem as well as the size of the sensorized area. We found that with informed, symmetric channel reduction, classification error could be decreased to 0.02%.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 4","pages":"443-56"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2015.03.0041","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34375488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 94

Functional performance differences between the Genium and C-Leg prosthetic knees and intact knees. Genium和C-Leg假膝与完整膝关节功能性能的差异。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2014.06.0149

MJ Highsmith, JT Kahle, Cress ME Miro RM, DJ Lura

{"title":"Functional performance differences between the Genium and C-Leg prosthetic knees and intact knees.","authors":"MJ Highsmith, JT Kahle, Cress ME Miro RM, DJ Lura","doi":"10.1682/JRRD.2014.06.0149","DOIUrl":"https://doi.org/10.1682/JRRD.2014.06.0149","url":null,"abstract":"Microprocessor prosthetic knees (MPKs) have advanced technologically, offering new features to decrease impairment and activity limitations for persons with transfemoral amputation (TFA). The Genium knee is functionally untested, and functional differences between it and intact knees are unknown. This study sought to determine whether Genium use improves functional performance compared with the C-Leg. A randomized experimental crossover design was used, with a cross-section of five nonamputee controls for comparison to normal. Twenty community-ambulating persons with TFA were trained and tested for accommodation with study components. All subjects (n = 25) were assessed using the Continuous-Scale Physical Functional Performance-10 (CS-PFP10) assessment. Subjects with TFA used both MPK systems. Genium use improved upper-body flexibility, balance, and endurance domain scores (7.0%-8.4%, p </= 0.05) compared with the C-Leg. Only in the endurance domain did Genium users score significantly lower than nonamputees (22.4%, p = 0.05). Comparing the C-Leg with nonamputees, CS-PFP10 total (2.0%-24.4%, p = 0.03) and all domains except upper-body strength were lower than nonamputees (-13.4% to -28.9%, p </= 0.05). Nonetheless, regardless of knee condition, subjects with TFAs did not equal or surpass nonamputees in any functional domain, suggesting room for improvements in TFA functional performance.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 6 1","pages":"753-766"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2014.06.0149","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67551522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 15

Interagency partnership to deliver Veteran-Directed Home and Community-Based Services: Interviews with Aging and Disability Network agency personnel regarding their experience with partner Department of Veterans Affairs medical centers. 提供退伍军人指导的家庭和社区服务的机构间合作伙伴关系:对老龄和残疾网络机构人员的采访，了解他们与合作伙伴退伍军人事务部医疗中心的经验。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2015.02.0019

K. Thomas, S. Allen

{"title":"Interagency partnership to deliver Veteran-Directed Home and Community-Based Services: Interviews with Aging and Disability Network agency personnel regarding their experience with partner Department of Veterans Affairs medical centers.","authors":"K. Thomas, S. Allen","doi":"10.1682/JRRD.2015.02.0019","DOIUrl":"https://doi.org/10.1682/JRRD.2015.02.0019","url":null,"abstract":"Veteran-Directed Home and Community-Based Services (VD-HCBS) is a consumer-directed program that began in 2009 and is jointly administered in a partnership between the Veterans Health Administration and the Administration for Community Living. The objective of this article is to describe the Aging and Disability Network agency (ADNA) personnel's perceptions of the implementation of the VD-HCBS program with partner Department of Veterans Affairs medical centers (VAMCs). Qualitative interviews with 26 ADNA VD-HCBS personnel across the country were transcribed, coded, and analyzed. Results suggest that the majority of ADNA personnel interviewed perceive the collaboration experience to be positive. Interviewees reported several key mechanisms for facilitating a successful partnership, including frequent communication, training in VAMC billing procedures, having a designated VAMC staff person for the program, and active involvement of the VAMC from the onset of VD-HCBS program development. Findings have implications for other interagency partnerships formed to deliver services to vulnerable Veterans.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 5 1","pages":"611-618"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2015.02.0019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67552104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 13

Prediction of Skeletal Medial-Lateral for transfemoral ischial containment sockets. 经股骨坐骨包容窝的内外侧骨预测。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2015.03.0036

Michael P Dillon, Richard G D Fernandez, Bircan Erbas, Chris Briggs, Matthew Quigley

{"title":"Prediction of Skeletal Medial-Lateral for transfemoral ischial containment sockets.","authors":"Michael P Dillon, Richard G D Fernandez, Bircan Erbas, Chris Briggs, Matthew Quigley","doi":"10.1682/JRRD.2015.03.0036","DOIUrl":"https://doi.org/10.1682/JRRD.2015.03.0036","url":null,"abstract":"Accurate measurement of the pelvis is critical for well-fitting and comfortable ischial containment sockets. The \"Skeletal Medial-Lateral (ML)\" is intrusive and unreliable to measure in vivo. This study aimed to determine how accurately the Skeletal ML could be predicted and to identify which measurements were significant predictors. Computed tomography scans were randomly sampled from a cadaveric database (n = 200). Inclusion criteria were age > 20 yr; lower-limb alignment that replicated the anatomical position; and no evidence of osteological trauma, implants, or bony growths. Multivariate linear regression models were developed to predict the Skeletal ML based on a suite of independent variables, including sex, body mass, and distance between pelvic landmarks. The regression model explained 76% of the variance in the Skeletal ML (p < 0.001). Variables that contributed significantly to the prediction of the Skeletal ML (p < 0.05) included body mass, sex, inter-greater trochanter distance, pelvic depth, and age. Significant predictors of the Skeletal ML dimension characterize variation in subcutaneous adipose tissue thickness and pelvic morphology. The Skeletal ML could be predicted with relatively small errors (standard error of the estimate = 7 mm) that could be easily and reliably adjusted during socket fitting. Further research is needed to test the predictive tool in a real-world setting.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 2","pages":"253-62"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2015.03.0036","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34374686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Reliability and validity of the Microsoft Kinect for assessment of manual wheelchair propulsion. 微软Kinect用于评估手动轮椅推进的可靠性和有效性。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2015.10.0198

Rachel Milgrom, Matthew Foreman, John Standeven, Jack R Engsberg, Kerri A Morgan

{"title":"Reliability and validity of the Microsoft Kinect for assessment of manual wheelchair propulsion.","authors":"Rachel Milgrom, Matthew Foreman, John Standeven, Jack R Engsberg, Kerri A Morgan","doi":"10.1682/JRRD.2015.10.0198","DOIUrl":"https://doi.org/10.1682/JRRD.2015.10.0198","url":null,"abstract":"Concurrent validity and test-retest reliability of the Microsoft Kinect in quantification of manual wheelchair propulsion were examined. Data were collected from five manual wheelchair users on a roller system. Three Kinect sensors were used to assess test-retest reliability with a still pose. Three systems were used to assess concurrent validity of the Kinect to measure propulsion kinematics (joint angles, push loop characteristics): Kinect, Motion Analysis, and Dartfish ProSuite (Dartfish joint angles were limited to shoulder and elbow flexion). Intraclass correlation coefficients revealed good reliability (0.87-0.99) between five of the six joint angles (neck flexion, shoulder flexion, shoulder abduction, elbow flexion, wrist flexion). ICCs suggested good concurrent validity for elbow flexion between the Kinect and Dartfish and between the Kinect and Motion Analysis. Good concurrent validity was revealed for maximum height, hand-axle relationship, and maximum area (0.92-0.95) between the Kinect and Dartfish and maximum height and hand-axle relationship (0.89-0.96) between the Kinect and Motion Analysis. Analysis of variance revealed significant differences (p < 0.05) in maximum length between Dartfish (mean 58.76 cm) and the Kinect (40.16 cm). Results pose promising research and clinical implications for propulsion assessment and overuse injury prevention with the application of current findings to future technology.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 6","pages":"901-918"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2015.10.0198","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34969968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

Effect of clinical parameters on the control of myoelectric robotic prosthetic hands. 临床参数对肌电机械假手控制的影响。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2014.09.0218

Manfredo Atzori, Arjan Gijsberts, Claudio Castellini, Barbara Caputo, Anne-Gabrielle Mittaz Hager, Simone Elsig, Giorgio Giatsidis, Franco Bassetto, Henning Müller

{"title":"Effect of clinical parameters on the control of myoelectric robotic prosthetic hands.","authors":"Manfredo Atzori, Arjan Gijsberts, Claudio Castellini, Barbara Caputo, Anne-Gabrielle Mittaz Hager, Simone Elsig, Giorgio Giatsidis, Franco Bassetto, Henning Müller","doi":"10.1682/JRRD.2014.09.0218","DOIUrl":"https://doi.org/10.1682/JRRD.2014.09.0218","url":null,"abstract":"Improving the functionality of prosthetic hands with noninvasive techniques is still a challenge. Surface electromyography (sEMG) currently gives limited control capabilities; however, the application of machine learning to the analysis of sEMG signals is promising and has recently been applied in practice, but many questions still remain. In this study, we recorded the sEMG activity of the forearm of 11 male subjects with transradial amputation who were mentally performing 40 hand and wrist movements. The classification performance and the number of independent movements (defined as the subset of movements that could be distinguished with >90% accuracy) were studied in relationship to clinical parameters related to the amputation. The analysis showed that classification accuracy and the number of independent movements increased significantly with phantom limb sensation intensity, remaining forearm percentage, and temporal distance to the amputation. The classification results suggest the possibility of naturally controlling up to 11 movements of a robotic prosthetic hand with almost no training. Knowledge of the relationship between classification accuracy and clinical parameters adds new information regarding the nature of phantom limb pain as well as other clinical parameters, and it can lay the foundations for future \"functional amputation\" procedures in surgery.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 3","pages":"345-58"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2014.09.0218","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34556167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 46