Neural bases of hand synergies

abstract: The human hand has so many degrees of freedom that it may seem impossible to control. A potential solution to this problem is “synergy control” which combines dimensionality reduction with great flexibility. With applicability to a wide range of tasks, this has become a very popular concept. In this review, we describe the evolution of the modern concept using studies of kinematic and force synergies in human hand control, neurophysiology of cortical and spinal neurons, and electromyographic (EMG) activity of hand muscles. We go beyond the often purely descriptive usage of synergy by reviewing the organization of the underlying neuronal circuitry in order to propose mechanistic explanations for various observed synergy phenomena. Finally, we propose a theoretical framework to reconcile important and still debated concepts such as the definitions of “fixed” vs. “flexible” synergies and mechanisms underlying the combination of synergies for hand control.View the article as published at http://journal.frontiersin.org/article/10.3389/fncom.2013.00023/ful

Design of a cybernetic hand for perception and action

Strong motivation for developing new prosthetic hand devices is provided by the fact that low functionality and controllability—in addition to poor cosmetic appearance—are the most important reasons why amputees do not regularly use their prosthetic hands. This paper presents the design of the CyberHand, a cybernetic anthropomorphic hand intended to provide amputees with functional hand replacement. Its design was bio-inspired in terms of its modular architecture, its physical appearance, kinematics, sensorization, and actuation, and its multilevel control system. Its underactuated mechanisms allow separate control of each digit as well as thumb–finger opposition and, accordingly, can generate a multitude of grasps. Its sensory system was designed to provide proprioceptive information as well as to emulate fundamental functional properties of human tactile mechanoreceptors of specific importance for grasp-and-hold tasks. The CyberHand control system presumes just a few efferent and afferent channels and was divided in two main layers: a high-level control that interprets the user’s intention (grasp selection and required force level) and can provide pertinent sensory feedback and a low-level control responsible for actuating specific grasps and applying the desired total force by taking advantage of the intelligent mechanics. The grasps made available by the high-level controller include those fundamental for activities of daily living: cylindrical, spherical, tridigital (tripod), and lateral grasps. The modular and flexible design of the CyberHand makes it suitable for incremental development of sensorization, interfacing, and control strategies and, as such, it will be a useful tool not only for clinical research but also for addressing neuroscientific hypotheses regarding sensorimotor control

Explication of Extrinsic Forearm Muscles On the Classification of Thumb Position Using High-Density Surface Electromyogram

Muscles for hand functions and movements play a major role in basic daily activities such as writing and lifting objects. The main digit of the finger in differentiating the hand gesture is the thumb and its main muscles are intrinsic muscles. However, for transradial amputees, despite the loss of access to the intrinsic muscles, any information from the extrinsic muscles would be paramount and non-negotiable in creating a perfect hand prosthesis. As such, the research is dedicated to studying the relationship between extrinsic muscles located at the human’s forearm to characterize the actual thumb attitudes. A 64-channel HD-sEMG recording device together with a thumb force measuring platform was utilized to collect the required signals from 17 participants at several thumb angle positions namely zero-degrees, thirty-degree, sixty-degrees, and ninety-degree. For each position, the participants were required to place their thumbs on top of a load cell at relaxing (no force at all) and contact (30% of their individual Maximum Voluntary Contraction or known as MVC) conditions repetitively by following a designated trajectory. Feature extraction was performed by calculating the Root Mean Square (RMS) values of the HD-sEMG data collected from each channel. Six different classifiers have been used to classify the relationship between the forearm HD-sEMG and the corresponding thumb positions. As a result, LazyIBK obtained the highest correctly classified instances with 81.05%. The finding is significant in developing a dedicated control framework for a prosthetic hand for tansradial amputees that can operate as closely as normal

Explication of Extrinsic Forearm Muscles On the Classification of Thumb Position Using High-Density Surface Electromyogram

Muscles for hand functions and movements play a major role in basic daily activities such as writing and lifting objects. The main digit of the finger in differentiating the hand gesture is the thumb and its main muscles are intrinsic muscles. However, for transradial amputees, despite the loss of access to the intrinsic muscles, any information from the extrinsic muscles would be paramount and non-negotiable in creating a perfect hand prosthesis. As such, the research is dedicated to studying the relationship between extrinsic muscles located at the human’s forearm to characterize the actual thumb attitudes. A 64-channel HD-sEMG recording device together with a thumb force measuring platform was utilized to collect the required signals from 17 participants at several thumb angle positions namely zero-degrees, thirty-degree, sixty-degrees, and ninety-degree. For each position, the participants were required to place their thumbs on top of a load cell at relaxing (no force at all) and contact (30% of their individual Maximum Voluntary Contraction or known as MVC) conditions repetitively by following a designated trajectory. Feature extraction was performed by calculating the Root Mean Square (RMS) values of the HD-sEMG data collected from each channel. Six different classifiers have been used to classify the relationship between the forearm HD-sEMG and the corresponding thumb positions. As a result, LazyIBK obtained the highest correctly classified instances with 81.05%. The finding is significant in developing a dedicated control framework for a prosthetic hand for tansradial amputees that can operate as closely as normal

On the development of a cybernetic prosthetic hand

The human hand is the end organ of the upper limb, which in humans serves the important function of prehension, as well as being an important organ for sensation and communication. It is a marvellous example of how a complex mechanism can be implemented, capable of realizing very complex and useful tasks using a very effective combination of mechanisms, sensing, actuation and control functions. In this thesis, the road towards the realization of a cybernetic hand has been presented. After a detailed analysis of the model, the human hand, a deep review of the state of the art of artificial hands has been carried out. In particular, the performance of prosthetic hands used in clinical practice has been compared with the research prototypes, both for prosthetic and for robotic applications. By following a biomechatronic approach, i.e. by comparing the characteristics of these hands with the natural model, the human hand, the limitations of current artificial devices will be put in evidence, thus outlining the design goals for a new cybernetic device. Three hand prototypes with a high number of degrees of freedom have been realized and tested: the first one uses microactuators embedded inside the structure of the fingers, and the second and third prototypes exploit the concept of microactuation in order to increase the dexterity of the hand while maintaining the simplicity for the control. In particular, a framework for the definition and realization of the closed-loop electromyographic control of these devices has been presented and implemented. The results were quite promising, putting in evidence that, in the future, there could be two different approaches for the realization of artificial devices. On one side there could be the EMG-controlled hands, with compliant fingers but only one active degree of freedom. On the other side, more performing artificial hands could be directly interfaced with the peripheral nervous system, thus establishing a bi-directional communication with the human brain

Neural bases of hand synergies

The human hand has so many degrees of freedom that it may seem impossible to control. A potential solution to this problem is "synergy control" which combines dimensionality reduction with great flexibility. With applicability to a wide range of tasks, this has become a very popular concept. In this review, we describe the evolution of the modern concept using studies of kinematic and force synergies in human hand control, neurophysiology of cortical and spinal neurons, and electromyographic (EMG) activity of hand muscles. We go beyond the often purely descriptive usage of synergy by reviewing the organization of the underlying neuronal circuitry in order to propose mechanistic explanations for various observed synergy phenomena. Finally, we propose a theoretical framework to reconcile important and still debated concepts such as the definitions of "fixed" vs. "flexible" synergies and mechanisms underlying the combination of synergies for hand control

A non-invasive human-machine interfacing framework for investigating dexterous control of hand muscles

The recent fast development of virtual reality and robotic assistive devices enables to augment the capabilities of able-body individuals as well as to overcome the motor missing functions of neurologically impaired or amputee individuals. To control these devices, movement intentions can be captured from biological structures involved in the process of motor planning and execution, such as the central nervous system (CNS), the peripheral nervous system (in particular the spinal motor neurons) and the musculoskeletal system. Thus, human-machine interfaces (HMI) enable to transfer neural information from the neuro-muscular system to machines. To prevent any risks due to surgical operations or tissue damage in implementing these HMIs, a non-invasive approach is proposed in this thesis. In the last five decades, surface electromyography (sEMG) has been extensively explored as a non-invasive source of neural information. EMG signals are constituted by the mixed electrical activity of several recruited motor units, the fundamental components of muscle contraction. High-density sEMG (HD-sEMG) with the use of blind source separation methods enabled to identify the discharge patterns of many of these active motor units. From these decomposed discharge patterns, the net common synaptic input (CSI) to the corresponding spinal motor neurons was quantified with cross-correlation in the time and frequency domain or with principal component analysis (PCA) on one or few muscles. It has been hypothesised that this CSI would result from the contribution of spinal descending commands sent by supra-spinal structures and afferences integrated by spinal interneurons. Another motor strategy implying the integration of descending commands at the spinal level is the one regarding the coordination of many muscles to control a large number of articular joints. This neurophysiological mechanism was investigated by measuring a single EMG amplitude per muscle, thus without the use of HD-sEMG and decomposition. In this case, the aim was to understand how the central nervous system (CNS) could control a large set of muscles actuating a vast set of combinations of degrees of freedom in a modular way. Thus, time-invariant patterns of muscle coordination, i.e. muscle synergies , were found in animals and humans from EMG amplitude of many muscles, modulated by time-varying commands to be combined to fulfil complex movements. In this thesis, for the first time, we present a non-invasive framework for human-machine interfaces based on both spinal motor neuron recruitment strategy and muscle synergistic control for unifying the understanding of these two motor control strategies and producing control signals correlated to biomechanical quantities. This implies recording both from many muscles and using HD-sEMG for each muscle. We investigated 14 muscles of the hand, 6 extrinsic and 8 intrinsic. The first two studies, (in Chapters 2 and 3, respectively) present the framework for CSI quantification by PCA and the extraction of the synergistic organisation of spinal motor neurons innervating the 14 investigated muscles. For the latter analysis, in Chapter 3, we proposed the existence of what we named as motor neuron synergies extracted with non-negative matrix factorisation (NMF) from the identified motor neurons. In these first two studies, we considered 7 subjects and 7 grip types involving differently all the four fingers in opposition with the thumb. In the first study, we found that the variance explained by the CSI among all motor neuron spike trains was (53.0 ± 10.9) % and its cross-correlation with force was 0.67 ± 0.10, remarkably high with respect to previous findings. In the second study, 4 motor neuron synergies were identified and associated with the actuation of one finger in opposition with the thumb, finding even higher correlation values with force (over 0.8) for each synergy associated with a finger during the actuation of the relative finger. In Chapter 4, we then extended the set of analysed movements in a vast repertoire of gestures and repeated the analysis of Chapter 3 by finding a different synergistic organisation during the execution of tens of tasks. We divided the contribution among extrinsic and intrinsic muscles and we found that intrinsic better enable single-finger spatial discrimination, while no difference was found in regression of joint angles by dividing the two groups of muscles. Finally, in Chapter 5 we proposed the techniques of the previous chapters for cases of impairment due both to amputation and stroke. We analysed one case of pre and post rehabilitation sessions of a trans-humeral amputee, the case of a post-stroke trans-radial amputee and three cases of acute stroke, i.e. less than one month from the stroke event. We present future perspectives (Chapter 6) aimed to design and implement a platform for both rehabilitation monitoring and myoelectric control. Thus, this thesis provides a bridge between two extensively studied motor control mechanisms, i.e. motor neuron recruitment and muscle synergies, and proposes this framework as suitable for rehabilitation monitoring and control of assistive devices.Open Acces

MULTI-DIGIT HUMAN PREHENSION

The current dissertation addresses the central nervous system (CNS) strategies to solve kinetic redundancy in multi-digit static prehension under different geometries of hand-held objects and systematically varied mechanical constraints such as translation and rotation of the hand-held object. A series of experiments conducted for this dissertation tested the following hypotheses suggested in the current literatures for multi-digit human static prehension: Hierarchical organization hypothesis, principle of superposition hypothesis, proximity hypothesis, and mechanical advantage hypothesis. (1) Forces and moments produced by fingers during circular object prehension were grouped into two independent subsets: one subset related to grasping stability control and the other associated with rotational equilibrium control. This result supports the principle of superposition hypothesis. Individual fingers acted synergistically to compensate each other's errors. This result confirms the hierarchical organization hypothesis in circular object prehension. (2) During fixed object prehension of a rectangular object, the closer the non-task fingers positioned to the task finger, the greater the forces produced by the non-task fingers. However, during free object prehension, the non-task fingers with longer moment arms produced greater forces. The former and latter results support the proximity hypothesis and the mechanical advantage hypothesis, respectively. (3) The grasping stability control and rotational equilibrium control were decoupled during fixed object prehension as well as free object prehension. This result supports the principle of superposition hypothesis regardless of the mechanical constraints provided for these two prehension types. (4) During torque production, the fingers with longer moment arms produced greater forces when the fingers acted as agonists for the torque production. Therefore, the mechanical advantage hypothesis was supported for agonist fingers. (5) Coupling of thumb normal force and virtual finger normal force was not necessitated when horizontal translation of hand-held object was mechanically fixed. However, the coupling of two normal forces was always observed regardless of given translational constraints, and these two normal forces were independent to other mechanical variables such as tangential forces and moments. This result supports the principle of superposition hypothesis in static prehension under varied combinations of translational constraints

Development and pilot testing of HEXORR: Hand EXOskeleton Rehabilitation Robot

<p>Abstract</p> <p>Background</p> <p>Following acute therapeutic interventions, the majority of stroke survivors are left with a poorly functioning hemiparetic hand. Rehabilitation robotics has shown promise in providing patients with intensive therapy leading to functional gains. Because of the hand's crucial role in performing activities of daily living, attention to hand therapy has recently increased.</p> <p>Methods</p> <p>This paper introduces a newly developed Hand Exoskeleton Rehabilitation Robot (HEXORR). This device has been designed to provide full range of motion (ROM) for all of the hand's digits. The thumb actuator allows for variable thumb plane of motion to incorporate different degrees of extension/flexion and abduction/adduction. Compensation algorithms have been developed to improve the exoskeleton's backdrivability by counteracting gravity, stiction and kinetic friction. We have also designed a force assistance mode that provides extension assistance based on each individual's needs. A pilot study was conducted on 9 unimpaired and 5 chronic stroke subjects to investigate the device's ability to allow physiologically accurate hand movements throughout the full ROM. The study also tested the efficacy of the force assistance mode with the goal of increasing stroke subjects' active ROM while still requiring active extension torque on the part of the subject.</p> <p>Results</p> <p>For 12 of the hand digits'15 joints in neurologically normal subjects, there were no significant ROM differences (P > 0.05) between active movements performed inside and outside of HEXORR. Interjoint coordination was examined in the 1^stand 3^rddigits, and no differences were found between inside and outside of the device (P > 0.05). Stroke subjects were capable of performing free hand movements inside of the exoskeleton and the force assistance mode was successful in increasing active ROM by 43 ± 5% (P < 0.001) and 24 ± 6% (P = 0.041) for the fingers and thumb, respectively.</p> <p>Conclusions</p> <p>Our pilot study shows that this device is capable of moving the hand's digits through nearly the entire ROM with physiologically accurate trajectories. Stroke subjects received the device intervention well and device impedance was minimized so that subjects could freely extend and flex their digits inside of HEXORR. Our active force-assisted condition was successful in increasing the subjects' ROM while promoting active participation.</p