The SmartHand transradial prosthesis

<p>Abstract</p> <p>Background</p> <p>Prosthetic components and control interfaces for upper limb amputees have barely changed in the past 40 years. Many transradial prostheses have been developed in the past, nonetheless most of them would be inappropriate if/when a large bandwidth human-machine interface for control and perception would be available, due to either their limited (or inexistent) sensorization or limited dexterity. <it>SmartHand </it>tackles this issue as is meant to be clinically experimented in amputees employing different neuro-interfaces, in order to investigate their effectiveness. This paper presents the design and on bench evaluation of the SmartHand.</p> <p>Methods</p> <p>SmartHand design was bio-inspired in terms of its physical appearance, kinematics, sensorization, and its multilevel control system. Underactuated fingers and differential mechanisms were designed and exploited in order to fit all mechatronic components in the size and weight of a natural human hand. Its sensory system was designed with the aim of delivering significant afferent information to the user through adequate interfaces.</p> <p>Results</p> <p>SmartHand is a five fingered self-contained robotic hand, with 16 degrees of freedom, actuated by 4 motors. It integrates a bio-inspired sensory system composed of 40 proprioceptive and exteroceptive sensors and a customized embedded controller both employed for implementing automatic grasp control and for potentially delivering sensory feedback to the amputee. It is able to perform everyday grasps, count and independently point the index. The weight (530 g) and speed (closing time: 1.5 seconds) are comparable to actual commercial prostheses. It is able to lift a 10 kg suitcase; slippage tests showed that within particular friction and geometric conditions the hand is able to stably grasp up to 3.6 kg cylindrical objects.</p> <p>Conclusions</p> <p>Due to its unique embedded features and human-size, the SmartHand holds the promise to be experimentally fitted on transradial amputees and employed as a bi-directional instrument for investigating -during realistic experiments- different interfaces, control and feedback strategies in neuro-engineering studies.</p

Advancing the Underactuated Grasping Capabilities of Single Actuator Prosthetic Hands

The last decade has seen significant advancements in upper limb prosthetics, specifically in the myoelectric control and powered prosthetic hand fields, leading to more active and social lifestyles for the upper limb amputee community. Notwithstanding the improvements in complexity and control of myoelectric prosthetic hands, grasping still remains one of the greatest challenges in robotics. Upper-limb amputees continue to prefer more antiquated body-powered or powered hook terminal devices that are favored for their control simplicity, lightweight and low cost; however, these devices are nominally unsightly and lack in grasp variety. The varying drawbacks of both complex myoelectric and simple body-powered devices have led to low adoption rates for all upper limb prostheses by amputees, which includes 35% pediatric and 23% adult rejection for complex devices and 45% pediatric and 26% adult rejection for body-powered devices [1]. My research focuses on progressing the grasping capabilities of prosthetic hands driven by simple control and a single motor, to combine the dexterous functionality of the more complex hands with the intuitive control of the more simplistic body-powered devices with the goal of helping upper limb amputees return to more active and social lifestyles. Optimization of a prosthetic hand driven by a single actuator requires the optimization of many facets of the hand. This includes optimization of the finger kinematics, underactuated mechanisms, geometry, materials and performance when completing activities of daily living. In my dissertation, I will present chapters dedicated to improving these subsystems of single actuator prosthetic hands to better replicate human hand function from simple control. First, I will present a framework created to optimize precision grasping – which is nominally unstable in underactuated configurations – from a single actuator. I will then present several novel mechanisms that allow a single actuator to map to higher degree of freedom motion and multiple commonly used grasp types. I will then discuss how fingerpad geometry and materials can better grasp acquisition and frictional properties within the hand while also providing a method of fabricating lightweight custom prostheses. Last, I will analyze the results of several human subject testing studies to evaluate the optimized hands performance on activities of daily living and compared to other commercially available prosthesis

Nonlinear control strategy for a cost effective myoelectric prosthetic hand

The loss of a limb tremendously impacts the life of the affected individual. In the past decades, researchers have been developing artificial limbs that may return some of the missing functions and cosmetics. However, the development of dexterous mechanisms capable of mimicking the function of the human hand is a complex venture. Even though myoelectric prostheses have advanced, several issues remain to be solved before an artificial limb may be comparable to its human counterpart. Moreover, the high cost of advanced limbs prevents their widespread use among the low-income population. This dissertation presents a strategy for the low-level of control of a cost effective robotic hand for prosthetic applications. The main purpose of this work is to reduce the high cost associated with limb replacement. The presented strategy uses an electromyographic signal classifier, which detects user intent by classifying 4 different wrist movements. This information is supplied as 4 different pre-shapes of the robotic hand to the low-level of control for safely and effectively performing the grasping tasks. Two proof-of-concept prototypes were implemented, consisting on five-finger underactuated hands driven by inexpensive DC motors and equipped with low-cost sensors. To overcome the limitations and nonlinearities of inexpensive components, a multi-stage control methodology was designed for modulating the grasping force based on slippage detection and nonlinear force control. A multi-stage control methodology for modulating the grasping force based on slippage detection and nonlinear force control was designed. The two main stages of the control strategy are the force control stage and the detection stage. The control strategy uses the force control stage to maintain a constant level of force over the object. The results of the experiments performed over this stage showed a rising time of less than 1 second, force overshoot of less than 1 N and steady state error of less than 0.15 N. The detection stage is used to monitor any sliding of the object from the hand. The experiments performed over this stage demonstrated a delay in the slip detection process of less than 200 milliseconds. The initial force, and the amount of force incremented after sliding is detected, were adjusted to reduce object displacement. Experiments were then performed to test the control strategy on situations often encountered in the ADL. The results showed that the control strategy was able to detect the dynamic changes in mass of the object and to successfully adjust the grasping force to prevent the object from dropping. The evaluation of the proposed control strategy suggests that this methodology can overcome the limitation of inexpensive sensors and actuators. Therefore, this control strategy may reduce the cost of current myoelectric prosthesis. We believe that the work presented here is a major step towards the development of a cost effective myoelectric prosthetic hand

Pattern recognition-based real-time myoelectric control for anthropomorphic robotic systems : a thesis presented in partial fulfilment of the requirements for the degree of Doctor of Philosophy in Mechatronics at Massey University, Manawatū, New Zealand

All copyrighted Figures have been removed but may be accessed via their source cited in their respective captions.Advanced human-computer interaction (HCI) or human-machine interaction (HMI) aims to help humans interact with computers smartly. Biosignal-based technology is one of the most promising approaches in developing intelligent HCI systems. As a means of convenient and non-invasive biosignal-based intelligent control, myoelectric control identifies human movement intentions from electromyogram (EMG) signals recorded on muscles to realise intelligent control of robotic systems. Although the history of myoelectric control research has been more than half a century, commercial myoelectric-controlled devices are still mostly based on those early threshold-based methods. The emerging pattern recognition-based myoelectric control has remained an active research topic in laboratories because of insufficient reliability and robustness. This research focuses on pattern recognition-based myoelectric control. Up to now, most of effort in pattern recognition-based myoelectric control research has been invested in improving EMG pattern classification accuracy. However, high classification accuracy cannot directly lead to high controllability and usability for EMG-driven systems. This suggests that a complete system that is composed of relevant modules, including EMG acquisition, pattern recognition-based gesture discrimination, output equipment and its controller, is desirable and helpful as a developing and validating platform that is able to closely emulate real-world situations to promote research in myoelectric control. This research aims at investigating feasible and effective EMG signal processing and pattern recognition methods to extract useful information contained in EMG signals to establish an intelligent, compact and economical biosignal-based robotic control system. The research work includes in-depth study on existing pattern recognition-based methodologies, investigation on effective EMG signal capturing and data processing, EMG-based control system development, and anthropomorphic robotic hand design. The contributions of this research are mainly in following three aspects: Developed precision electronic surface EMG (sEMG) acquisition methods that are able to collect high quality sEMG signals. The first method was designed in a single-ended signalling manner by using monolithic instrumentation amplifiers to determine and evaluate the analog sEMG signal processing chain architecture and circuit parameters. This method was then evolved into a fully differential analog sEMG detection and collection method that uses common commercial electronic components to implement all analog sEMG amplification and filtering stages in a fully differential way. The proposed fully differential sEMG detection and collection method is capable of offering a higher signal-to-noise ratio in noisy environments than the single-ended method by making full use of inherent common-mode noise rejection capability of balanced signalling. To the best of my knowledge, the literature study has not found similar methods that implement the entire analog sEMG amplification and filtering chain in a fully differential way by using common commercial electronic components. Investigated and developed a reliable EMG pattern recognition-based real-time gesture discrimination approach. Necessary functional modules for real-time gesture discrimination were identified and implemented using appropriate algorithms. Special attention was paid to the investigation and comparison of representative features and classifiers for improving accuracy and robustness. A novel EMG feature set was proposed to improve the performance of EMG pattern recognition. Designed an anthropomorphic robotic hand construction methodology for myoelectric control validation on a physical platform similar to in real-world situations. The natural anatomical structure of the human hand was imitated to kinematically model the robotic hand. The proposed robotic hand is a highly underactuated mechanism, featuring 14 degrees of freedom and three degrees of actuation. This research carried out an in-depth investigation into EMG data acquisition and EMG signal pattern recognition. A series of experiments were conducted in EMG signal processing and system development. The final myoelectric-controlled robotic hand system and the system testing confirmed the effectiveness of the proposed methods for surface EMG acquisition and human hand gesture discrimination. To verify and demonstrate the proposed myoelectric control system, real-time tests were conducted onto the anthropomorphic prototype robotic hand. Currently, the system is able to identify five patterns in real time, including hand open, hand close, wrist flexion, wrist extension and the rest state. With more motion patterns added in, this system has the potential to identify more hand movements. The research has generated a few journal and international conference publications

Investigation into the control of an upper-limb myoelectric prosthesis

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Neuromusculoskeletal Arm Prostheses: Personal and Social Implications of Living With an Intimately Integrated Bionic Arm

People with limb loss are for the first time living chronically and uninterruptedly with intimately integrated neuromusculoskeletal prostheses. This new generation of artificial limbs are fixated to the skeleton and operated by bidirectionally transferred neural information. This unprecedented level of human–machine integration is bound to have profound psychosocial effects on the individuals living with these prostheses. Here, we examined the psychosociological impact on people as they integrate neuromusculoskeletal prostheses into their bodies and lives. Three people with transhumeral amputations participated in this study, all of whom had been living with neuromusculoskeletal prostheses in their daily lives between 2 and 6 years at the time of the interview. Direct neural sensory feedback had been enabled for 6 months to 2 years. Participants were interviewed about their experiences living with the neuromusculoskeletal prostheses in their home and professional daily lives. We analyzed these interviews to elucidate themes using an interpretive phenomenological approach that regards participants’ own experiences as forms of expertise and knowledge-making. Our participant-generated results indicate that people adapted and integrated the technology into functional and social arenas of daily living, with positive psychosocial effects on self-esteem, self-image, and social relations intimately linked to improved trust of the prostheses. Participants expressed enhanced prosthetic function, increased and more diverse prosthesis use in tasks of daily living, and improved relationships between their prosthesis and phantom limb. Our interviews with patients also generated critiques of the language commonly used to describe human-prosthetic relations, including terms such as “embodiment,” and the need for specificity surrounding the term “natural” with regard to control versus sensory feedback. Experiences living with neuromusculoskeletal prostheses were complex and subject-dependent, and therefore future research should consider human–machine interaction as a relationship that is constantly enacted, negotiated, and deeply contextualized

The effect of prefabricated wrist-hand orthoses on grip strength

Prefabricated wrist-hand orthoses (WHOs) are commonly prescribed to manage the functional deficit and compromised grip strength as a result of rheumatoid changes. It is thought that an orthosis which improves wrist extension, reduces synovitis and increases the mechanical advantage of the flexor muscles will improve hand function. Previous studies report an initial reduction in grip strength with WHO use which may increase following prolonged use. Using normal subjects, and thus in the absence of pain as a limiting factor, the impact of ten WHOs on grip strength was measured using a Jamar dynamometer. Tests were performed with and without WHOs by right-handed, female subjects, aged 20-50 years over a ten week period. During each test, a wrist goniometer and a forearm torsiometer were used to measure wrist joint position when maximum grip strength was achieved. The majority of participants achieved maximum grip strength with no orthosis at 30° extension. All the orthoses reduced initial grip strength but surprisingly the restriction of wrist extension did not appear to contribute in a significant way to this. Reduction in grip must therefore also be attributable to WHO design characteristics or the quality of fit. The authors recognize the need for research into the long term effect of WHOs on grip strength. However if grip is initially adversely affected, patients may be unlikely to persevere with treatment thereby negating all therapeutic benefits. In studies investigating patient opinions on WHO use, it was a stable wrist rather than a stronger grip reported to have facilitated task performance. This may explain why orthoses that interfere with maximum grip strength can improve functional task performance. Therefore while it is important to measure grip strength, it is only one factor to be considered when evaluating the efficacy of WHOs

Use of stance control knee-ankle-foot orthoses : a review of the literature

The use of stance control orthotic knee joints are becoming increasingly popular as unlike locked knee-ankle-foot orthoses, these joints allow the limb to swing freely in swing phase while providing stance phase stability, thus aiming to promote a more physiological and energy efficient gait. It is of paramount importance that all aspects of this technology is monitored and evaluated as the demand for evidence based practice and cost effective rehabilitation increases. A robust and thorough literature review was conducted to retrieve all articles which evaluated the use of stance control orthotic knee joints. All relevant databases were searched, including The Knowledge Network, ProQuest, Web of Knowledge, RECAL Legacy, PubMed and Engineering Village. Papers were selected for review if they addressed the use and effectiveness of commercially available stance control orthotic knee joints and included participant(s) trialling the SCKAFO. A total of 11 publications were reviewed and the following questions were developed and answered according to the best available evidence: 1. The effect SCKAFO (stance control knee-ankle-foot orthoses) systems have on kinetic and kinematic gait parameters 2. The effect SCKAFO systems have on the temporal and spatial parameters of gait 3. The effect SCKAFO systems have on the cardiopulmonary and metabolic cost of walking. 4. The effect SCKAFO systems have on muscle power/generation 5. Patient’s perceptions/ compliance of SCKAFO systems Although current research is limited and lacks in methodological quality the evidence available does, on a whole, indicate a positive benefit in the use of SCKAFOs. This is with respect to increased knee flexion during swing phase resulting in sufficient ground clearance, decreased compensatory movements to facilitate swing phase clearance and improved temporal and spatial gait parameters. With the right methodological approach, the benefits of using a SCKAFO system can be evidenced and the research more effectively converted into clinical practice

The effect of prefabricated wrist-hand orthoses on performing activities of daily living

Wrist-hand orthoses (WHOs) are commonly prescribed to manage the functional deficit associated with the wrist as a result of rheumatoid changes. The common presentation of the wrist is one of flexion and radial deviation with ulnar deviation of the fingers. This wrist position Results in altered biomechanics compromising hand function during activities of daily living (ADL). A paucity of evidence exists which suggests that improvements in ADL with WHO use are very task specific. Using normal subjects, and thus in the absence of pain as a limiting factor, the impact of ten WHOs on performing five ADLs tasks was investigated. The tasks were selected to represent common grip patterns and tests were performed with and without WHOs by right-handed, females, aged 20-50 years over a ten week period. The time taken to complete each task was recorded and a wrist goniometer, elbow goniometer and a forearm torsiometer were used to measure joint motion. Results show that, although orthoses may restrict the motion required to perform a task, participants do not use the full range of motion which the orthoses permit. The altered wrist position measured may be attributable to a modified method of performing the task or to a necessary change in grip pattern, resulting in an increased time in task performance. The effect of WHO use on ADL is task specific and may initially impede function. This could have an effect on WHO compliance if there appears to be no immediate benefits. This orthotic effect may be related to restriction of wrist motion or an inability to achieve the necessary grip patterns due to the designs of the orthoses