Factors associated with interest in novel interfaces for upper limb prosthesis control.
Factors associated with interest in novel interfaces for upper limb prosthesis control.
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DOI：
10.1371/journal.pone.0182482
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发表时间：
2017
期刊：
影响因子：
3.7
通讯作者：
Gates DH
中科院分区：
文献类型：
--
作者：
Engdahl SM;Chestek CA;Kelly B;Davis A;Gates DH
用于上肢假肢控制的外科侵入式接口可以允许用户操作先进的多关节装置。考虑到这些侵入性接口的潜在医疗风险，重要的是要了解哪些因素会影响个人尝试的决定。我们对失去上肢的人进行了一项匿名在线调查。共有232名参与者提供了个人信息（如年龄、截肢程度等）。并评估他们尝试非侵入性（肌电）和侵入性（靶向肌肉神经再支配，外周神经接口，皮质接口）接口进行假体控制的可能性。双变量之间的关系，在每个接口和16个个人描述符的兴趣进行了检查。然后将来自双变量分析的重要变量输入到多个逻辑回归模型中，以预测对每个界面的兴趣。虽然许多双变量关系是显着的，只有少数变量在回归模型中仍然显着。回归模型显示，如果参与者单侧肢体缺失，则他们更可能对所有接口感兴趣（p ≤ 0.001，比值比≥ 2.799）。如果受试者年龄较小（p < 0.001，比值比≤ 0.959）且有获得性肢体缺失（p ≤ 0.012，比值比≥ 3.287），则受试者更可能对三种有创接口感兴趣。使用肌电装置的参与者比未使用者更可能对肌电控制感兴趣（p = 0.003，比值比= 24.958）。新的假肢控制接口可能是最容易接受的人谁是年轻的，有单侧肢体损失，和/或获得性肢体损失然而，这项分析并没有包括所有可能的因素，可能会影响参与者的意见，接口，所以额外的探索是必要的。
Surgically invasive interfaces for upper limb prosthesis control may allow users to operate advanced, multi-articulated devices. Given the potential medical risks of these invasive interfaces, it is important to understand what factors influence an individual’s decision to try one. We conducted an anonymous online survey of individuals with upper limb loss. A total of 232 participants provided personal information (such as age, amputation level, etc.) and rated how likely they would be to try noninvasive (myoelectric) and invasive (targeted muscle reinnervation, peripheral nerve interfaces, cortical interfaces) interfaces for prosthesis control. Bivariate relationships between interest in each interface and 16 personal descriptors were examined. Significant variables from the bivariate analyses were then entered into multiple logistic regression models to predict interest in each interface. While many of the bivariate relationships were significant, only a few variables remained significant in the regression models. The regression models showed that participants were more likely to be interested in all interfaces if they had unilateral limb loss (p ≤ 0.001, odds ratio ≥ 2.799). Participants were more likely to be interested in the three invasive interfaces if they were younger (p < 0.001, odds ratio ≤ 0.959) and had acquired limb loss (p ≤ 0.012, odds ratio ≥ 3.287). Participants who used a myoelectric device were more likely to be interested in myoelectric control than those who did not (p = 0.003, odds ratio = 24.958). Novel prosthesis control interfaces may be accepted most readily by individuals who are young, have unilateral limb loss, and/or have acquired limb loss However, this analysis did not include all possible factors that may have influenced participant’s opinions on the interfaces, so additional exploration is warranted.
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