Towards Natural Control of Artificial Limbs

The use of implantable electrodes has been long thought as the solution for a more natural control of artificial limbs, as these offer access to long-term stable and physiologically appropriate sources of control, as well as the possibility to elicit appropriate sensory feedback via neurostimulation. Although these ideas have been explored since the 1960’s, the lack of a long-term stable human-machine interface has prevented the utilization of even the simplest implanted electrodes in clinically viable limb prostheses.In this thesis, a novel human-machine interface for bidirectional communication between implanted electrodes and the artificial limb was developed and clinically implemented. The long-term stability was achieved via osseointegration, which has been shown to provide stable skeletal attachment. By enhancing this technology as a communication gateway, the longest clinical implementation of prosthetic control sourced by implanted electrodes has been achieved, as well as the first in modern times. The first recipient has used it uninterruptedly in daily and professional activities for over one year. Prosthetic control was found to improve in resolution while requiring less muscular effort, as well as to be resilient to motion artifacts, limb position, and environmental conditions.In order to support this work, the literature was reviewed in search of reliable and safe neuromuscular electrodes that could be immediately used in humans. Additional work was conducted to improve the signal-to-noise ratio and increase the amount of information retrievable from extraneural recordings. Different signal processing and pattern recognition algorithms were investigated and further developed towards real-time and simultaneous prediction of limb movements. These algorithms were used to demonstrate that higher functionality could be restored by intuitive control of distal joints, and that such control remains viable over time when using epimysial electrodes. Lastly, the long-term viability of direct nerve stimulation to produce intuitive sensory feedback was also demonstrated.The possibility to permanently and reliably access implanted electrodes, thus making them viable for prosthetic control, is potentially the main contribution of this work. Furthermore, the opportunity to chronically record and stimulate the neuromuscular system offers new venues for the prediction of complex limb motions and increased understanding of somatosensory perception. Therefore, the technology developed here, combining stable attachment with permanent and reliable human-machine communication, is considered by the author as a critical step towards more functional artificial limbs

Proceedings of the first workshop on Peripheral Machine Interfaces: going beyond traditional surface electromyography

abstract: One of the hottest topics in rehabilitation robotics is that of proper control of prosthetic devices. Despite decades of research, the state of the art is dramatically behind the expectations. To shed light on this issue, in June, 2013 the first international workshop on Present and future of non-invasive peripheral nervous system (PNS)–Machine Interfaces (MI; PMI) was convened, hosted by the International Conference on Rehabilitation Robotics. The keyword PMI has been selected to denote human–machine interfaces targeted at the limb-deficient, mainly upper-limb amputees, dealing with signals gathered from the PNS in a non-invasive way, that is, from the surface of the residuum. The workshop was intended to provide an overview of the state of the art and future perspectives of such interfaces; this paper represents is a collection of opinions expressed by each and every researcher/group involved in it

Design and effectiveness evaluation of mirror myoelectric interfaces: a novel method to restore movement in hemiplegic patients

The motor impairment occurring after a stroke is characterized by pathological muscle activation patterns or synergies. However, while robot-aided myoelectric interfaces have been proposed for stroke rehabilitation, they do not address this issue, which might result in inefficient interventions. Here, we present a novel paradigm that relies on the correction of the pathological muscle activity as a way to elicit rehabilitation, even in patients with complete paralysis. Previous studies demonstrated that there are no substantial inter-limb differences in the muscle synergy organization of healthy individuals. We propose building a subject-specific model of muscle activity from the healthy limb and mirroring it to use it as a learning tool for the patient to reproduce the same healthy myoelectric patterns on the paretic limb during functional task training. Here, we aim at understanding how this myoelectric model, which translates muscle activity into continuous movements of a 7-degree of freedom upper limb exoskeleton, could transfer between sessions, arms and tasks. The experiments with 8 healthy individuals and 2 chronic stroke patients proved the feasibility and effectiveness of such myoelectric interface. We anticipate the proposed method to become an efficient strategy for the correction of maladaptive muscle activity and the rehabilitation of stroke patients.This study was funded by the Baden-Württemberg Stiftung (GRUENS ROB-1), the Deutsche Forschungsgemeinschaft (DFG, Koselleck), the Fortüne-Program of the University of Tübingen (2422-0-0), and the Bundes Ministerium für Bildung und Forschung BMBF MOTORBIC (FKZ 13GW0053), AMORSA (FKZ 16SV7754), Gipuzkoa Regional Government (INKRATEK), Ministry of Science of the Basque Country (Elkartek: EXOTEK). A. Sarasola-Sanz’s work was supported by La Caixa-DAAD scholarship and N. Irastorza-Landa’s work by the Basque Government and IKERBASQUE, Basque Foundation for Science, Bilbao, Spain

Role of Muscle Synergies in Real-Time Classification of Upper Limb Motions using Extreme Learning Machines

10.1186/s12984-016-0183-0Journal of NeuroEngineering and Rehabilitation13118

Real-time EMG based pattern recognition control for hand prostheses : a review on existing methods, challenges and future implementation

Upper limb amputation is a condition that significantly restricts the amputees from performing their daily activities. The myoelectric prosthesis, using signals from residual stump muscles, is aimed at restoring the function of such lost limbs seamlessly. Unfortunately, the acquisition and use of such myosignals are cumbersome and complicated. Furthermore, once acquired, it usually requires heavy computational power to turn it into a user control signal. Its transition to a practical prosthesis solution is still being challenged by various factors particularly those related to the fact that each amputee has different mobility, muscle contraction forces, limb positional variations and electrode placements. Thus, a solution that can adapt or otherwise tailor itself to each individual is required for maximum utility across amputees. Modified machine learning schemes for pattern recognition have the potential to significantly reduce the factors (movement of users and contraction of the muscle) affecting the traditional electromyography (EMG)-pattern recognition methods. Although recent developments of intelligent pattern recognition techniques could discriminate multiple degrees of freedom with high-level accuracy, their efficiency level was less accessible and revealed in real-world (amputee) applications. This review paper examined the suitability of upper limb prosthesis (ULP) inventions in the healthcare sector from their technical control perspective. More focus was given to the review of real-world applications and the use of pattern recognition control on amputees. We first reviewed the overall structure of pattern recognition schemes for myo-control prosthetic systems and then discussed their real-time use on amputee upper limbs. Finally, we concluded the paper with a discussion of the existing challenges and future research recommendations

Classification of human hand movements using surface EMG for myoelectric control

© Springer International Publishing AG 2017.Surface electromyogram (sEMG) is a bioelectric signal that can be captured non-invasively by placing electrodes on the human skin. The sEMG is capable of representing the action intent of nearby muscles. The research of myoelectric control using sEMG has been primarily driven by the potential to create humanmachine interfaces which respond to users intentions intuitively. However, it is one of the major gaps between research and commercial applications that there are rarely robust simultaneous control schemes. This paper proposes one classification method and a potential real-time control scheme. Four machine learning classifiers have been tested and compared to find the best configuration for different potential applications, and non-negative matrix factorisation has been used as a pre-processing tool for performance improvement. This control scheme achieves its highest accuracy when it is adapted to a single user at a time. It can identify intact subjects hand movements with above 98% precision and 91% upwards for amputees but takes double the amount of time for decision-making

Electromyography Based Human-Robot Interfaces for the Control of Artificial Hands and Wearable Devices

The design of robotic systems is currently facing human-inspired solutions as a road to replicate the human ability and flexibility in performing motor tasks. Especially for control and teleoperation purposes, the human-in-the-loop approach is a key element within the framework know as Human-Robot Interface. This thesis reports the research activity carried out for the design of Human-Robot Interfaces based on the detection of human motion intentions from surface electromyography. The main goal was to investigate intuitive and natural control solutions for the teleoperation of both robotic hands during grasping tasks and wearable devices during elbow assistive applications. The design solutions are based on the human motor control principles and surface electromyography interpretation, which are reviewed with emphasis on the concept of synergies. The electromyography based control strategies for the robotic hand grasping and the wearable device assistance are also reviewed. The contribution of this research for the control of artificial hands rely on the integration of different levels of the motor control synergistic organization, and on the combination of proportional control and machine learning approaches under the guideline of user-centred intuitiveness in the Human-Robot Interface design specifications. From the side of the wearable devices, the control of a novel upper limb assistive device based on the Twisted String Actuation concept is faced. The contribution regards the assistance of the elbow during load lifting tasks, exploring a simplification in the use of the surface electromyography within the design of the Human-Robot Interface. The aim is to work around complex subject-dependent algorithm calibrations required by joint torque estimation methods