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Osborn LE, Moran C, Dodd LD, Sutton E, Norena Acosta N, Wormley J, Pyles CO, Gordge KD, Nordstrom M, Butkus J, Forsberg JA, Pasquina P, Fifer MS, Armiger RS. Monitoring at-home prosthesis control improvements through real-time data logging. J Neural Eng 2022; 19. [PMID: 35523131 DOI: 10.1088/1741-2552/ac6d7b] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2021] [Accepted: 05/06/2022] [Indexed: 11/12/2022]
Abstract
OBJECTIVE Validating the ability for advanced prostheses to improve function beyond the laboratory remains a critical step in enabling long-term benefits for prosthetic limb users. APPROACH A nine week take-home case study was completed with a single participant with upper limb amputation and osseointegration (OI) to better understand how an advanced prosthesis is used during daily activities. The participant was already an expert prosthesis user and used the Modular Prosthetic Limb (MPL) at home during the study. The MPL was controlled using wireless electromyography (EMG) pattern recognition-based movement decoding. Clinical assessments were performed before and after the take-home portion of the study. Data was recorded using an onboard data log in order to measure daily prosthesis usage, sensor data, and EMG data. MAIN RESULT The participant's continuous prosthesis usage steadily increased (p = 0.04, max = 5.5 hr) over time and over 30% of the total time was spent actively controlling the prosthesis. The duration of prosthesis usage after each pattern recognition training session also increased over time (p = 0.04), resulting in up to 5.4 hr of usage before retraining the movement decoding algorithm. Pattern recognition control accuracy improved (1.2% per week, p < 0.001) with a maximum number of 10 classes trained at once and the transitions between different degrees of freedom increased as the study progressed, indicating smooth and efficient control of the advanced prosthesis. Variability of decoding accuracy also decreased with prosthesis usage (p < 0.001) and 30% of the time was spent performing a prosthesis movement. During clinical evaluations, Box and Blocks and the Assessment of the Capacity for Myoelectric Control (ACMC) scores increased by 43% and 6.2%, respectively, demonstrating prosthesis functionality and the NASA Task Load Index (NASA-TLX) scores decreased, on average, by 25% across assessments, indicating reduced cognitive workload while using the MPL, over the nine week study. SIGNIFICANCE In this case study, we demonstrate that an onboard system to monitor prosthesis usage enables better understanding of how prostheses are incorporated into daily life. That knowledge can support the long-term goal of completely restoring independence and quality of life to individuals living with upper limb amputation.
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Affiliation(s)
- Luke E Osborn
- Research & Exploratory Development, Johns Hopkins University Applied Physics Laboratory, 11100 Johns Hopkins Rd, Laurel, Maryland, 20723, UNITED STATES
| | - Courtney Moran
- Johns Hopkins University Applied Physics Laboratory, 11100 Johns Hopkins Rd, Laurel, Maryland, 20723, UNITED STATES
| | - Lauren D Dodd
- Henry M Jackson Foundation for the Advancement of Military Medicine, 6720A Rockledge Dr, Bethesda, Maryland, 20817, UNITED STATES
| | - Erin Sutton
- Research & Exploratory Development, Johns Hopkins University Applied Physics Laboratory, 11100 Johns Hopkins Rd, Laurel, Maryland, 20723, UNITED STATES
| | - Nicolas Norena Acosta
- Research & Exploratory Development, Johns Hopkins University Applied Physics Laboratory, 11100 Johns Hopkins Rd, Laurel, Maryland, 20723, UNITED STATES
| | - Jared Wormley
- Research & Exploratory Development, Johns Hopkins University Applied Physics Laboratory, 11100 Johns Hopkins Rd, Laurel, Maryland, 20723, UNITED STATES
| | - Connor O Pyles
- Research & Exploratory Development, Johns Hopkins University Applied Physics Laboratory, 11100 Johns Hopkins Rd, Laurel, Maryland, 20723, UNITED STATES
| | - Kelles D Gordge
- Research & Exploratory Development, Johns Hopkins University Applied Physics Laboratory, 11100 Johns Hopkins Rd, Laurel, Maryland, 20723, UNITED STATES
| | - Michelle Nordstrom
- Department of Rehabilitation, Walter Reed National Military Medical Center, 4494 Palmer Rd N, Bethesda, 20889, UNITED STATES
| | - Josef Butkus
- Department of Rehabilitation, Walter Reed National Military Medical Center, 4494 Palmer Rd N, Bethesda, 20889, UNITED STATES
| | - Jonathan A Forsberg
- Department of Orthopaedic Surgery, Johns Hopkins Medicine, 1800 Orleans St, Baltimore, Maryland, 21287, UNITED STATES
| | - Paul Pasquina
- Department of Rehabilitation, Walter Reed National Military Medical Center, 4494 Palmer Rd N, Bethesda, Maryland, 20814, UNITED STATES
| | - Matthew S Fifer
- Research & Exploratory Development, Johns Hopkins University Applied Physics Laboratory, 11100 Johns Hopkins Rd, Laurel, Maryland, 20723, UNITED STATES
| | - Robert S Armiger
- Research & Exploratory Development, Johns Hopkins University Applied Physics Laboratory, 11100 Johns Hopkins Rd, Laurel, Maryland, 20723, UNITED STATES
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Li Z, Zhao X, Liu G, Zhang B, Zhang D, Han J. Electrode Shifts Estimation and Adaptive Correction for Improving Robustness of sEMG-Based Recognition. IEEE J Biomed Health Inform 2021; 25:1101-1110. [PMID: 32750979 DOI: 10.1109/jbhi.2020.3012698] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
In sEMG-based recognition systems, accuracy is severely worsened by disturbances, such as electrode shifts by doffing/donning. Traditional recognition models are fixed or static, with limited abilities to work in the presence of the disturbances. In this paper, a transfer learning method is proposed to reduce the impact of electrode shifts. In the proposed method, a novel activation angle is introduced to locate electrodes within a polar coordinate system. An adaptive transformation is utilized to correct electrode-shifted sEMG samples. The transformation is based on estimated shifts relative to the initial position. The experiments acquisition data from ten subjects consist of sEMG signals under eight gestures in seven or nine arbitrary positions, and recorded shifts from a 3D-printed annular ruler. In our extensive experiments, the errors between recorded shifts (as the reference) and estimated shifts is about -0.017±0.13 radians. Eight gestures recognition results have shown an average accuracy around 79.32%, which represents a significant improvement over the 35.72% ( ) average accuracy of results obtained using nonadaptive models, and 60.99% ( ) results of the other method iGLCM (an improved gray-level co-occurrence matrix). More importantly, by only using one-label samples, the proposed method updates the pre-trained model in an initial position. As a result, the pre-trained model can be adaptively corrected to recognize eight-label gestures in arbitrarily rotary positions. It is proven a highly efficient way to relieve subjects' re-training burden of sEMG-based rehabilitation systems.
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