Control of a six degree of freedom prosthetic arm after targeted muscle reinnervation surgery.

Control of a six degree of freedom prosthetic arm after targeted muscle reinnervation surgery.
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DOI:
10.1016/j.apmr.2008.05.016
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发表时间:
2008-11
影响因子:
4.3
通讯作者:
Kuiken, Todd A.
Kuiken, Todd A.
中科院分区:
医学1区
文献类型:
--
作者:
Miller, Laura A.;Lipschutz, Robert A.;Stubblefield, Kathy A.;Lock, Blair A.;Huang, He;Williams, T. Walley, III;Weir, Richard F.;Kuiken, Todd A.

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为肩关节离断节段截肢受试者进行靶向肌肉神经再支配,对复杂假体进行拟合和评价。一名接受靶向肌肉神经再支配手术的参与者安装了先进的假体,并将该器械的使用情况与家庭环境中使用的器械进行了比较。实验在实验室环境中完成。第一个接受靶向肌肉神经再支配的患者:双侧肩关节离断水平截肢者。术后2年,受试者安装了6自由度(DOF)假体(肩关节屈曲、肱骨旋转、肘关节屈曲、腕关节旋转、腕关节屈曲和手控制)。将该装置的控制与他的市售3 DOF系统(肘部、腕部旋转和动力钩终端装置)进行比较。为了评估性能,执行运动分析和定时运动任务。受试者能够独立操作所有6个手臂功能,控制良好。他可以同时操作两个自由度的几个不同的关节组合相对容易。他同时操作多达4个自由度,但控制力差。工作空间显着增加,一些定时任务更快的6自由度系统。这项概念验证研究表明,肩关节离断水平假体控制的进步可以提高运动质量。额外的控制源可能会刺激开发更先进和复杂的组件,这些截肢者。
To fit and evaluate the control of a complex prosthesis for a shoulder disarticulation level amputee subject with targeted muscle reinnervation. One participant who had targeted muscle reinnervation surgery was fit with an advanced prosthesis and usage with this device was compared to the device used in the home setting. The experiments were completed within a laboratory setting. The first recipient of targeted muscle reinnervation: a bilateral shoulder disarticulation level amputee. Two years after surgery, the subject was fit with a 6 degree of freedom (DOF) prosthesis (shoulder flexion, humeral rotation, elbow flexion, wrist rotation, wrist flexion, and hand control). Control of this device was compared to his commercially available 3 DOF system (elbow, wrist rotation, and powered hook terminal device). In order to assess performance, movement analysis and timed movement tasks were executed. The subject was able to independently operate all 6 arm functions with good control. He could simultaneously operate 2 DOF of several different joint combinations with relative ease. He operated up to 4 DOF simultaneously, but with poor control. Work space was markedly increased and some timed-tasks were faster with the 6-DOF system. This proof-of-concept study shows that advances in control of shoulder disarticulation level prostheses can improve the quality of movement. Additional control sources may spur the development of more advanced and complex componentry for these amputees.
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发表时间: 2007-02-03
期刊: LANCET
影响因子: 168.9
作者:
Kuiken, Todd A.;Miller, Laura A.;Dumanian, Gregory A.
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发表时间: 1985-06-01
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发表时间: 2008-02-01
影响因子: 5.3
作者:
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发表时间: 2006-12-01
影响因子: 3.2
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通讯作者: Kuiken, Todd A.