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Ahkami B, Ahmed K, Thesleff A, Hargrove L, Ortiz-Catalan M. Electromyography-Based Control of Lower Limb Prostheses: A Systematic Review. IEEE TRANSACTIONS ON MEDICAL ROBOTICS AND BIONICS 2023; 5:547-562. [PMID: 37655190 PMCID: PMC10470657 DOI: 10.1109/tmrb.2023.3282325] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/02/2023]
Abstract
Most amputations occur in lower limbs and despite improvements in prosthetic technology, no commercially available prosthetic leg uses electromyography (EMG) information as an input for control. Efforts to integrate EMG signals as part of the control strategy have increased in the last decade. In this systematic review, we summarize the research in the field of lower limb prosthetic control using EMG. Four different online databases were searched until June 2022: Web of Science, Scopus, PubMed, and Science Direct. We included articles that reported systems for controlling a prosthetic leg (with an ankle and/or knee actuator) by decoding gait intent using EMG signals alone or in combination with other sensors. A total of 1,331 papers were initially assessed and 121 were finally included in this systematic review. The literature showed that despite the burgeoning interest in research, controlling a leg prosthesis using EMG signals remains challenging. Specifically, regarding EMG signal quality and stability, electrode placement, prosthetic hardware, and control algorithms, all of which need to be more robust for everyday use. In the studies that were investigated, large variations were found between the control methodologies, type of research participant, recording protocols, assessments, and prosthetic hardware.
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Affiliation(s)
- Bahareh Ahkami
- Center for Bionics and Pain Research, 43130 Mölndal, Sweden, and also with the Department of Electrical Engineering, Chalmers University of Technology, 41296 Gothenburg, Sweden
| | - Kirstin Ahmed
- Center for Bionics and Pain Research, 43130 Mölndal, Sweden, and also with the Department of Electrical Engineering, Chalmers University of Technology, 41296 Gothenburg, Sweden
| | - Alexander Thesleff
- Center for Bionics and Pain Research, 43130 Mölndal, Sweden, also with the Department of Electrical Engineering, Chalmers University of Technology, 41296 Gothenburg, Sweden, and also with Integrum AB, 43153 Molndal, Sweden
| | - Levi Hargrove
- Department of Physical Medicine and Rehabilitation, Northwestern University, Chicago, IL 60611 USA, and also with the Regenstein Foundation Center for Bionic Medicine, Shirley Ryan AbilityLab, Chicago, IL 60611 USA
| | - Max Ortiz-Catalan
- Center for Bionics and Pain Research, 43130 Mölndal, Sweden, also with the Department of Electrical Engineering, Chalmers University of Technology, 41296 Gothenburg, Sweden, also with the Operational Area 3, Sahlgrenska University Hospital, 41345 Gothenburg, Sweden, and also with Bionics Institute, Melbourne, VIC 3002, Australia
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Domínguez-Ruiz A, López-Caudana EO, Lugo-González E, Espinosa-García FJ, Ambrocio-Delgado R, García UD, López-Gutiérrez R, Alfaro-Ponce M, Ponce P. Low limb prostheses and complex human prosthetic interaction: A systematic literature review. Front Robot AI 2023; 10:1032748. [PMID: 36860557 PMCID: PMC9968924 DOI: 10.3389/frobt.2023.1032748] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Accepted: 01/11/2023] [Indexed: 02/15/2023] Open
Abstract
A few years ago, powered prostheses triggered new technological advances in diverse areas such as mobility, comfort, and design, which have been essential to improving the quality of life of individuals with lower limb disability. The human body is a complex system involving mental and physical health, meaning a dependant relationship between its organs and lifestyle. The elements used in the design of these prostheses are critical and related to lower limb amputation level, user morphology and human-prosthetic interaction. Hence, several technologies have been employed to accomplish the end user's needs, for example, advanced materials, control systems, electronics, energy management, signal processing, and artificial intelligence. This paper presents a systematic literature review on such technologies, to identify the latest advances, challenges, and opportunities in developing lower limb prostheses with the analysis on the most significant papers. Powered prostheses for walking in different terrains were illustrated and examined, with the kind of movement the device should perform by considering the electronics, automatic control, and energy efficiency. Results show a lack of a specific and generalised structure to be followed by new developments, gaps in energy management and improved smoother patient interaction. Additionally, Human Prosthetic Interaction (HPI) is a term introduced in this paper since no other research has integrated this interaction in communication between the artificial limb and the end-user. The main goal of this paper is to provide, with the found evidence, a set of steps and components to be followed by new researchers and experts looking to improve knowledge in this field.
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Affiliation(s)
- Adan Domínguez-Ruiz
- Institute for the Future of Education, Tecnologico de Monterrey, Mexico City, México
| | | | - Esther Lugo-González
- Instituto de Electrónica y Mecatrónica, Universidad Tecnológica de la Mixteca, Huajuapan de León, Oaxaca, México
| | | | - Rocío Ambrocio-Delgado
- División de Estudios de Posgrado, Universidad Tecnológica de la Mixteca, Huajuapan de León, Oaxaca, México
| | - Ulises D. García
- CONACYT-CINVESTAV, Av. Instituto Politécnico Nacional 2508, col. San Pedro Zacatenco, Ciudad deMéxico, México
| | - Ricardo López-Gutiérrez
- CONACYT-CINVESTAV, Av. Instituto Politécnico Nacional 2508, col. San Pedro Zacatenco, Ciudad deMéxico, México
| | - Mariel Alfaro-Ponce
- Institute of Advanced Materials for Sustainable Manufacturing, Tecnologico de Monterrey, Mexico City, México
| | - Pedro Ponce
- Institute of Advanced Materials for Sustainable Manufacturing, Tecnologico de Monterrey, Mexico City, México,*Correspondence: Pedro Ponce,
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Fleming A, Stafford N, Huang S, Hu X, Ferris DP, Huang H(H. Myoelectric control of robotic lower limb prostheses: a review of electromyography interfaces, control paradigms, challenges and future directions. J Neural Eng 2021; 18:10.1088/1741-2552/ac1176. [PMID: 34229307 PMCID: PMC8694273 DOI: 10.1088/1741-2552/ac1176] [Citation(s) in RCA: 49] [Impact Index Per Article: 16.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2021] [Accepted: 07/06/2021] [Indexed: 11/16/2022]
Abstract
Objective.Advanced robotic lower limb prostheses are mainly controlled autonomously. Although the existing control can assist cyclic movements during locomotion of amputee users, the function of these modern devices is still limited due to the lack of neuromuscular control (i.e. control based on human efferent neural signals from the central nervous system to peripheral muscles for movement production). Neuromuscular control signals can be recorded from muscles, called electromyographic (EMG) or myoelectric signals. In fact, using EMG signals for robotic lower limb prostheses control has been an emerging research topic in the field for the past decade to address novel prosthesis functionality and adaptability to different environments and task contexts. The objective of this paper is to review robotic lower limb Prosthesis control via EMG signals recorded from residual muscles in individuals with lower limb amputations.Approach.We performed a literature review on surgical techniques for enhanced EMG interfaces, EMG sensors, decoding algorithms, and control paradigms for robotic lower limb prostheses.Main results.This review highlights the promise of EMG control for enabling new functionalities in robotic lower limb prostheses, as well as the existing challenges, knowledge gaps, and opportunities on this research topic from human motor control and clinical practice perspectives.Significance.This review may guide the future collaborations among researchers in neuromechanics, neural engineering, assistive technologies, and amputee clinics in order to build and translate true bionic lower limbs to individuals with lower limb amputations for improved motor function.
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Affiliation(s)
- Aaron Fleming
- Joint Department of Biomedical Engineering, North Carolina State University, Raleigh, NC 27695, United States of America
- Joint Department of Biomedical Engineering, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States of America
- Equal contribution as the first author
| | - Nicole Stafford
- Department of Mechanical and Aerospace Engineering, University of Florida, Gainesville, FL 32611, United States of America
- Equal contribution as the first author
| | - Stephanie Huang
- Joint Department of Biomedical Engineering, North Carolina State University, Raleigh, NC 27695, United States of America
- Joint Department of Biomedical Engineering, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States of America
| | - Xiaogang Hu
- Joint Department of Biomedical Engineering, North Carolina State University, Raleigh, NC 27695, United States of America
- Joint Department of Biomedical Engineering, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States of America
| | - Daniel P Ferris
- J. Crayton Pruitt Family Department of Biomedical Engineering, University of Florida, Gainesville, FL 32611, United States of America
| | - He (Helen) Huang
- Joint Department of Biomedical Engineering, North Carolina State University, Raleigh, NC 27695, United States of America
- Joint Department of Biomedical Engineering, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States of America
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Liu G, Wang L, Wang J. A novel energy-motion model for continuous sEMG decoding: from muscle energy to motor pattern. J Neural Eng 2021; 18. [DOI: 10.1088/1741-2552/abbece] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Accepted: 10/06/2020] [Indexed: 11/11/2022]
Abstract
Abstract
At present, sEMG-based gesture recognition requires vast amounts of training data; otherwise it is limited to a few gestures. Objective. This paper presents a novel dynamic energy model that decodes continuous hand actions by training small amounts of sEMG data. Approach. The activation of forearm muscles can set the corresponding fingers in motion or state with movement trends. The moving fingers store kinetic energy, and the fingers with movement trends store potential energy. The kinetic energy and potential energy in each finger are dynamically allocated due to the adaptive-coupling mechanism of five-fingers in actual motion. Meanwhile, the sum of the two energies remains constant at a certain muscle activation. We regarded hand movements with the same direction of acceleration for five-finger as the same in energy mode and divided hand movements into ten energy modes. Independent component analysis and machine learning methods were used to model associations between sEMG signals and energy modes and expressed gestures by energy form adaptively. This theory imitates the self-adapting mechanism in actual tasks. Thus, ten healthy subjects were recruited, and three experiments mimicking activities of daily living were designed to evaluate the interface: (1) the expression of untrained gestures, (2) the decoding of the amount of single-finger energy, and (3) real-time control. Main results. (1) Participants completed the untrained hand movements (100/100,
p
< 0.0001). (2) The interface performed better than chance in the experiment where participants pricked balloons with a needle tip (779/1000,
p
< 0.0001). (3) In the experiment where participants punched a hole in the plasticine on the balloon, the success rate was over 95% (97.67 ± 5.04%,
p
< 0.01). Significance. The model can achieve continuous hand actions with speed or force information by training small amounts of sEMG data, which reduces learning task complexity.
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