Final report of 2008-2009 sustainable strategic partnerships of scale : SPEEAD (sporting prosthetics for everyday and elite athletes with a disability)

In considering a strategy for research development in prosthetics in the National Centre for Prosthetics and Orthotics, the importance of making involvement in sport more accessible to those athletically inclined became apparent. In preparation for the 2014 Commonwealth Games in Glasgow, there was also a clear need to herald a renewed focus on sport for those with mobility challenges and empower those who might never have participated to become involved1. There was a desire to build an enhanced national profile in terms of expertise and research in sporting prostheses and to promote our field of prosthetics. SPEEAD continues to have two aims: - To build the level and nature of expertise and research capacity in the wider prosthetics practitioner community - To address a postgraduate instructional course need in the UK prosthetics practitioner communit

From Thesis to Haiti

2014 Honors graduate Peter Horning, who wrote his thesis on prosthetics, is now in Haiti on an internship at a prosthetics clinic

Recording advances for neural prosthetics

An important challenge for neural prosthetics research is to record from populations of neurons over long periods of time, ideally for the lifetime of the patient. Two new advances toward this goal are described, the use of local field potentials (LFPs) and autonomously positioned recording electrodes. LFPs are the composite extracellular potential field from several hundreds of neurons around the electrode tip. LFP recordings can be maintained for longer periods of time than single cell recordings. We find that similar information can be decoded from LFP and spike recordings, with better performance for state decodes with LFPs and, depending on the area, equivalent or slightly less than equivalent performance for signaling the direction of planned movements. Movable electrodes in microdrives can be adjusted in the tissue to optimize recordings, but their movements must be automated to be a practical benefit to patients. We have developed automation algorithms and a meso-scale autonomous electrode testbed, and demonstrated that this system can autonomously isolate and maintain the recorded signal quality of single cells in the cortex of awake, behaving monkeys. These two advances show promise for developing very long term recording for neural prosthetic applications

Physical activity and quality of life of amputees in southern Brazil

Physical activity is a positive component of human health. Its effects are associated with improvement in physical, psychological and social aspects of quality of life. Physical activity is therefore an important factor in the rehabilitation of amputees. To analyse the relationship between physical activity and quality of life for amputees in southern Brazil. Descriptive, cross-sectional design with nonrandomized sample. A total of 40 questionnaire instruments were distributed to subjects who met the inclusion criteria, with a response rate of 55% (22 individuals, n = 15 males, n = 7 females). Outcome measurements were obtained through the International Physical Activity Questionnaire and World Health Organization Quality of Life–Bref. The sample was characterized by physically active adult male prosthetic users with positive quality of life, and amputation below the right knee caused by mechanical trauma related to traffic accidents with motorcycles. Significant correlations were identified between all domains of quality of life and between level of physical activity and psychological quality of life. No correlation was identified between gender and quality of life variables or physical activity levels. This study showed that in very active amputees of both genders, level of physical activity is not associated with quality of life except for the psychological domai

The normalization of the cyborg: from futuristic artistic expression of mutilation to daily aesthetic beauty

The concept of mutilation as a permanent scarring of the integrity of the body has been overcome by the representation in visual culture of the cyborg, the bionic human and the genetically and bionically engineered mutant. Mutants with bionic prosthetics in the X-Men film trilogy, the bionic man in The Six Million Dollar Man (1974) and his companion The Bionic Woman (1976) as well as The Terminator (1984) with its sequels have contributed to create a new aesthetic perception of the artificial. From the Cyborg Manifesto to theories of Post-humanism and Trans-humanism, the arts have embraced the opportunity of realizing the conjunction between human and machine envisaged at first by Tommaso Marinetti in the Futurist Manifesto. Stelarc has contributed with his performances and body implants to explore new aesthetic forms that conceive the prosthesis as an evolutionary empowering design. If in the arts this approach has created aesthetic debates and polarizations between bioconservatism and technoprogressivism, how is the reality of mutilation approached by people in their daily lives? The paper analyzes whether the aesthetic perception of prosthetics is that of a permanent sign of mutilation or that of a new technological empowerment. “In the last two to three years many men have asked to have prosthetics without coverage, leaving the metal part visible. They tell me that a leg like this is more futuristic! Maybe they feel more masculine because the metallic leg gives them the sensation of being bionic, half human and half machine. Men under fifty especially request it. At the opposite end of the spectrum, women ask for symmetric prosthetics very similar to the one they lost.” Interview with Dr. X at the Limb Fitting Centre, London. If the visual arts have created an experience and imagination of post-humanity as the futuristic merging of human and machine that the public perceives as increasingly achievable, what are the new frontiers of aesthetic exploration? Are the aesthetics of post-humanity becoming those of a ‘normalization’ of cyborgology? The paper will argue that the contemporary aesthetics of futuristic empowerment look to artists and designers in order to deliver new modes of aesthetic consumption for a technology no longer perceived as reconstruction of a mutilation but as the empowering necessary framework to facilitate the transition from human to super-human

Categorisation of activities of daily living of lower limb amputees during short-term use of a portable kinetic recording system: a preliminary study

The purpose of this preliminary study was to determine the relevance of the categorisation of the load regime data to assess the functional output and usage of the prosthesis of lower limb amputees. The objectives were (A) to introduce a categorisation of load regime, (B) to present some descriptors of each activity and (C) to report the results for a case. The load applied on the osseointegrated fixation of one transfemoral amputee was recorded using a portable kinetic system for five hours. The periods of directional locomotion, localised locomotion and stationary loading occurred 44%, 34% and 22% of recording time and each accounted for 51%, 38% and 12% of the duration of the periods of activity, respectively. The absolute maximum force during directional locomotion, localised locomotion and stationary loading was 19%, 15% and 8% of the BW on the antero-posterior axis, 20%, 19% and 12% on the medio-lateral axis as well as 121%, 106% and 99% on the long axis. A total of 2,783 gait cycles were recorded. Approximately 10% more gait cycles and 50% more of the total impulse than conventional analyses were identified. The proposed categorisation and apparatus have the potential to complement conventional instruments, particularly for difficult cases

A Rehabilitation Engineering Course for Biomedical Engineers

This paper describes an upper division elective course in rehabilitation engineering that addresses prosthetics and orthotics, wheelchair design, seating and positioning, and automobile modifications for individuals with disabilities. Faculty lectures are enhanced by guest lectures and class field trips. Guest lecturers include a prosthetist and a lower extremity amputee client, an engineer/prosthetist specializing in the upper extremity, and a rehabilitation engineer. The lower extremity prosthetist and his client present a case study for prosthetic prescription, fabrication, fitting, alignment, and evaluation. The engineer/prosthetist contrasts body-powered versus externally powered upper extremity prostheses and associated design, fitting, and functional considerations; he also discusses myoelectric signal conditioning, signal processing, and associated control strategies for upper extremity prosthetic control. Finally, the rehabilitation engineer presents case studies related to assessment and prescription of mobility aids, environmental control systems, and children\u27s toys. The course also includes visits to a local prosthetic and orthotic facility to observe typical fabrication, fitting, and alignment procedures and a driver rehabilitation program for exposure to driver assessment, training, and common vehicle modifications. These applications of biomedical engineering to persons with disabilities have been well received by the students and have furthered interdisciplinary design and research projects

A review of the effectiveness of lower limb orthoses used in cerebral palsy

To produce this review, a systematic literature search was conducted for relevant articles published in the period between the date of the previous ISPO consensus conference report on cerebral palsy (1994) and April 2008. The search terms were 'cerebral and pals* (palsy, palsies), 'hemiplegia', 'diplegia', 'orthos*' (orthoses, orthosis) orthot* (orthotic, orthotics), brace or AFO

Live Demonstration: Upper Limb Prosthetic Control Using Toe Gesture Sensors and Various Touch Interfaces

Orienting technology, through new techniques, to rehabilitate the disabled and physically challenged and to help elderly is a noble cause, which will improve the quality of life of millions. Prosthetics is one of the important research area where robotic technology serves its best for medical sciences. Conventionally various prosthetic control techniques exists and each has their own advantages and disadvantages. These control techniques ranges from simply implementable, cable-controlled, body-powered prosthetics to technologically challenging Targeted Muscle Reinnervation (TMR) based prosthetics control system. The effectiveness of a upper-limb prosthetic control method for wide-spread application depends on various factors such as cost-effectiveness, ability for easy fabrication, ruggedness, repeatability on daily use, easily installable, usability, ability to bring dexterity and accuracy to perform various gestures/associated activities etc. The current techniques have major drawbacks, namely: with EMG there is a need of relatively complex electronics/sensor electrodes and classification algorithms for implementing large gesture range; EEG suffers from reliability issue and cost; sweating and placement positions of electrodes may interfere with reliable working in case of both EEG and EMG techniques; need of invasive surgery and associated high cost in case of TMR or implanted myo/neural interface etc. We will present demo of a robust, non-invasive, simple, touch-based toe gesture sensor system for upper limb prosthetic control

New developments in prosthetic arm systems

Absence of an upper limb leads to severe impairments in everyday life, which can further influence the social and mental state. For these reasons, early developments in cosmetic and body-driven prostheses date some centuries ago, and they have been evolving ever since. Following the end of the Second World War, rapid developments in technology resulted in powered myoelectric hand prosthetics. In the years to come, these devices were common on the market, though they still suffered high user abandonment rates. The reasons for rejection were trifold - insufficient functionality of the hardware, fragile design, and cumbersome control. In the last decade, both academia and industry have reached major improvements concerning technical features of upper limb prosthetics and methods for their interfacing and control. Advanced robotic hands are offered by several vendors and research groups, with a variety of active and passive wrist options that can be articulated across several degrees of freedom. Nowadays, elbow joint designs include active solutions with different weight and power options. Control features are getting progressively more sophisticated, offering options for multiple sensor integration and multi-joint articulation. Latest developments in socket designs are capable of facilitating implantable and multiple surface electromyography sensors in both traditional and osseointegration-based systems. Novel surgical techniques in combination with modern, sophisticated hardware are enabling restoration of dexterous upper limb functionality. This article is aimed at reviewing the latest state of the upper limb prosthetic market, offering insights on the accompanying technologies and techniques. We also examine the capabilities and features of some of academia’s flagship solutions and methods