Myoelectric forearm prostheses: State of the art from a user-centered perspective

User acceptance of myoelectric forearm prostheses is currently low. Awkward control, lack of feedback, and difficult training are cited as primary reasons. Recently, researchers have focused on exploiting the new possibilities offered by advancements in prosthetic technology. Alternatively, researchers could focus on prosthesis acceptance by developing functional requirements based on activities users are likely to perform. In this article, we describe the process of determining such requirements and then the application of these requirements to evaluating the state of the art in myoelectric forearm prosthesis research. As part of a needs assessment, a workshop was organized involving clinicians (representing end users), academics, and engineers. The resulting needs included an increased number of functions, lower reaction and execution times, and intuitiveness of both control and feedback systems. Reviewing the state of the art of research in the main prosthetic subsystems (electromyographic [EMG] sensing, control, and feedback) showed that modern research prototypes only partly fulfill the requirements. We found that focus should be on validating EMG-sensing results with patients, improving simultaneous control of wrist movements and grasps, deriving optimal parameters for force and position feedback, and taking into account the psychophysical aspects of feedback, such as intensity perception and spatial acuity

Stable Electromyographic Sequence Prediction During Movement Transitions using Temporal Convolutional Networks

Transient muscle movements influence the temporal structure of myoelectric signal patterns, often leading to unstable prediction behavior from movement-pattern classification methods. We show that temporal convolutional network sequential models leverage the myoelectric signal's history to discover contextual temporal features that aid in correctly predicting movement intentions, especially during interclass transitions. We demonstrate myoelectric classification using temporal convolutional networks to effect 3 simultaneous hand and wrist degrees-of-freedom in an experiment involving nine human-subjects. Temporal convolutional networks yield significant $(p<0.001)$ performance improvements over other state-of-the-art methods in terms of both classification accuracy and stability.Comment: 4 pages, 5 figures, accepted for Neural Engineering (NER) 2019 Conferenc

Moving approximate entropy and its application to the electromyographic control of an artificial hand

A multiple-degree-of-freedom artificial hand has been developed at the University of Southampton with the aim of including control philosophies to form a highly functional prosthesis hand. Using electromyographic signals is an established technique for the control of a hand. In it simplest form, the signals allow for opening a hand and subsequent closing to grasp an object.This thesis describes the work carried out in the development of an electromyographic control system, with the aim to have a simple and robust method. A model of the control system was developed to differentiate grip postures using two surface electromyographic signals. A new method, moving approximate entropy was employed to investigate whether any significant patterns can be observed in the structure of the electromyographic signals. An investigation, using moving approximate entropy, on twenty healthy participants' wrist muscles (flexor carpi ulnaris and extensor carpi radialis) during wrist exion, wrist extension and cocontraction at different speeds has shown repeatable and distinct patterns at three states of contraction: start, middle and end. An analysis of the results also showed differences at different speeds of contraction. There is a low variation of the approximate entropy values between participants. This result, if used in the control of an artificial hand, would eliminate any training requirement. Other methods, mean absolute value, number of zero crossings, sample entropy, standard deviation, skewness and kurtosis have been determined from the signals. Of these features, mean absolute value and kurtosis were selected for information extraction. These three methods: moving approximate entropy, mean absolute value and kurtosis are used in the feature extraction process of the control system. A fuzzy logic system is used to classify the extracted information in discriminating the final grip posture. The results demonstrate the ability of the system to classify the information related to different grip postures

Classification of EMG signals to control a prosthetic hand using time-frequesncy representations and Support Vector Machines

Myoelectric signals (MES) are viable control signals for externally-powered prosthetic devices. They may improve both the functionality and the cosmetic appearance of these devices. Conventional controllers, based on the signal\u27s amplitude features in the control strategy, lack a large number of controllable states because signals from independent muscles are required for each degree of freedom (DoF) of the device. Myoelectric pattern recognition systems can overcome this problem by discriminating different residual muscle movements instead of contraction levels of individual muscles. However, the lack of long-term robustness in these systems and the design of counter-intuitive control/command interfaces have resulted in low clinical acceptance levels. As a result, the development of robust, easy to use myoelectric pattern recognition-based control systems is the main challenge in the field of prosthetic control. This dissertation addresses the need to improve the controller\u27s robustness by designing a pattern recognition-based control system that classifies the user\u27s intention to actuate the prosthesis. This system is part of a cost-effective prosthetic hand prototype developed to achieve an acceptable level of functional dexterity using a simple to use interface. A Support Vector Machine (SVM) classifier implemented as a directed acyclic graph (DAG) was created. It used wavelet features from multiple surface EMG channels strategically placed over five forearm muscles. The classifiers were evaluated across seven subjects. They were able to discriminate five wrist motions with an accuracy of 91.5%. Variations of electrode locations were artificially introduced at each recording session as part of the procedure, to obtain data that accounted for the changes in the user\u27s muscle patterns over time. The generalization ability of the SVM was able to capture most of the variability in the data and to maintain an average classification accuracy of 90%. Two principal component analysis (PCA) frameworks were also evaluated to study the relationship between EMG recording sites and the need for feature space reduction. The dimension of the new feature set was reduced with the goal of improving the classification accuracy and reducing the computation time. The analysis indicated that the projection of the wavelet features into a reduced feature space did not significantly improve the accuracy and the computation time. However, decreasing the number of wavelet decomposition levels did lower the computational load without compromising the average signal classification accuracy. Based on the results of this work, a myoelectric pattern recognition-based control system that uses an SVM classifier applied to time-frequency features may be used to discriminate muscle contraction patterns for prosthetic applications

Relationship between force signal and superficial electromyographic signals associated to hand movements

The analysis of electromyographic signals is applied both to the diagnosis of pathologies and to the recognition of movement patterns. Variables such as force and speed of movement are factors that affect the characteristics of the signals of surface electromyography (SMEG). The naturalness of the movements of the hand are also associated with strength and speed. Current work assessment 96 records of SEMG -Force). The objective was to obtain a linear model that would allow the relation of the force signal with the tone of the forearm SEMG signals. The work results show models at the determination coefficient R2 - median 0.78. The SEMG signal would contribute to the variation of the strength signal. However, there are appreciable differences in relation to the model in each type of hand movement

Navigating features: A topologically informed chart of electromyographic features space

The success of biological signal pattern recognition depends crucially on the selection of relevant features. Across signal and imaging modalities, a large number of features have been proposed, leading to feature redundancy and the need for optimal feature set identification. A further complication is that, due to the inherent biological variability, even the same classification problem on different datasets can display variations in the respective optimal sets, casting doubts on the generalizability of relevant features. Here, we approach this problem by leveraging topological tools to create charts of features spaces. These charts highlight feature sub-groups that encode similar information (and their respective similarities) allowing for a principled and interpretable choice of features for classification and analysis. Using multiple electromyographic (EMG) datasets as a case study, we use this feature chart to identify functional groups among 58 state-of-the-art EMG features, and to show that they generalize across three different forearm EMG datasets obtained from able-bodied subjects during hand and finger contractions. We find that these groups describe meaningful non-redundant information, succinctly recapitulating information about different regions of feature space. We then recommend representative features from each group based on maximum class separability, robustness and minimum complexity

Analysis of forearm muscles activity by means of new protocols of multichannel EMG signal recording and processing

Los movimientos voluntarios del cuerpo son controlados por el sistema nervioso central y periférico a través de la contracción de los músculos esqueléticos. La contracción se inicia al liberarse un neurotransmisor sobre la unión neuromuscular, iniciando la propagación de un biopotencial sobre la membrana de las fibras musculares que se desplaza hacia los tendones: el Potencial de Acción de la Unidad Motora (MUAP). La señal electromiográfica de superficie registra la activación continua de dichos potenciales sobre la superficie de la piel y constituye una valiosa herramienta para la investigación, diagnóstico y seguimiento clínico de trastornos musculares, así como para la identificación de la intención movimiento tanto en términos de dirección como de potencia. En el estudio de las enfermedades del sistema neuromuscular es necesario analizar el nivel de actividad, la capacidad de producción de fuerza, la activación muscular conjunta y la predisposición a la fatiga muscular, todos ellos asociados con factores fisiológicos que determinan la resultante contracción mioeléctrica. Además, el uso de matrices de electrodos facilita la investigación de las propiedades periféricas de las unidades motoras activas, las características anatómicas del músculo y los cambios espaciales en su activación, ocasionados por el tipo de tarea motora o la potencia de la misma. El objetivo principal de esta tesis es el diseño e implementación de protocolos experimentales y algoritmos de procesado para extraer información fiable de señales sEMG multicanal en 1 y 2 dimensiones del espacio. Dicha información ha sido interpretada y relacionada con dos patologías específicas de la extremidad superior: Epicondilitis Lateral y Lesión de Esfuerzo Repetitivo. También fue utilizada para identificar la dirección de movimiento y la fuerza asociada a la contracción muscular, cuyos patrones podrían ser de utilidad en aplicaciones donde la señal electromiográfica se utilice para controlar interfaces hombre-máquina como es el caso de terapia física basada en robots, entornos virtuales de rehabilitación o realimentación de la actividad muscular. En resumen, las aportaciones más relevantes de esta tesis son: * La definición de protocolos experimentales orientados al registro de señales sEMG en una región óptima del músculo. * Definición de índices asociados a la co-activación de diferentes músculos * Identificación de señales artefactuadas en registros multicanal * Selección de los canales mas relevantes para el análisis Extracción de un conjunto de características que permita una alta exactitud en la identificación de tareas motoras Los protocolos experimentales y los índices propuestos permitieron establecer que diversos desequilibrios entre músculos extrínsecos del antebrazo podrían desempeñar un papel clave en la fisiopatología de la epicondilitis lateral. Los resultados fueron consistentes en diferentes ejercicios y pueden definir un marco de evaluación para el seguimiento y evaluación de pacientes en programas de rehabilitación motora. Por otra parte, se encontró que las características asociadas con la distribución espacial de los MUAPs mejoran la exactitud en la identificación de la intención de movimiento. Lo que es más, las características extraídas de registros sEMG de alta densidad son más robustas que las extraídas de señales bipolares simples, no sólo por la redundancia de contacto implicada en HD-EMG, sino también porque permite monitorizar las regiones del músculo donde la amplitud de la señal es máxima y que varían con el tipo de ejercicio, permitiendo así una mejor estimación de la activación muscular mediante el análisis de los canales mas relevantes.Voluntary movements are achieved by the contraction of skeletal muscles controlled by the Central and Peripheral Nervous system. The contraction is initiated by the release of a neurotransmitter that promotes a reaction in the walls of the muscular fiber, producing a biopotential known as Motor Unit Action Potential (MUAP) that travels from the neuromuscular junction to the tendons. The surface electromyographic signal records the continuous activation of such potentials over the surface of the skin and constitutes a valuable tool for the diagnosis, monitoring and clinical research of muscular disorders as well as to infer motion intention not only regarding the direction of the movement but also its power. In the study of diseases of the neuromuscular system it is necessary to analyze the level of activity, the capacity of production of strength, the load-sharing between muscles and the probably predisposition to muscular fatigue, all of them associated with physiological factors determining the resultant muscular contraction. Moreover, the use of electrode arrays facilitate the investigation of the peripheral properties of the active Motor Units, the anatomical characteristics of the muscle and the spatial changes induced in their activation of as product of type of movement or power of the contraction.The main objective of this thesis was the design and implementation of experimental protocols, and algorithms to extract information from multichannel sEMG signals in 1 and 2 dimensions of the space. Such information was interpreted and related to pathological events associated to two upper-limb conditions: Lateral Epicondylitis and Repetitive Strain Injury. It was also used to identify the direction of movement and contraction strength which could be useful in applications concerning the use of biofeedback from EMG like in robotic- aided therapies and computer-based rehabilitation training.In summary, the most relevant contributions are:§The definition of experimental protocols intended to find optimal regions for the recording of sEMG signals. §The definition of indices associated to the co- activation of different muscles. §The detection of low-quality signals in multichannel sEMG recordings.§ The selection of the most relevant EMG channels for the analysis§The extraction of a set of features that led to high classification accuracy in the identification of tasks.The experimental protocols and the proposed indices allowed establishing that imbalances between extrinsic muscles of the forearm could play a key role in the pathophysiology of lateral epicondylalgia. Results were consistent in different types of motor task and may define an assessment framework for the monitoring and evaluation of patients during rehabilitation programs.On the other hand, it was found that features associated with the spatial distribution of the MUAPs improve the accuracy of the identification of motion intention. What is more, features extracted from high density EMG recordings are more robust not only because it implies contact redundancy but also because it allows the tracking of (task changing) skin surface areas where EMG amplitude is maximal and a better estimation of muscle activity by the proper selection of the most significant channels