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Toward higher-performance bionic limbs for wider clinical use
Authors
A Bicchi
A Fernández
+219 more
A Sturma
AD Roche
AF Azocar
AJ Young
AJ Young
AK Fontaine
AK Fontaine
AK Fontaine
AL Edwards
AM De Nunzio
AM Simon
AM Simon
AM Simon
B Hudgins
B Peerdeman
B Wodlinger
BE Lawson
C Antfolk
C Antfolk
C Castellini
C Chen
C Cipriani
C Delianides
C Klaes
C Lake
C Prahm
C Prahm
C Pylatiuk
C Villa
CH Jang
CK van der Sluis
CM Frost
CM Light
CM Oddo
CP Van Nes
D Farina
D Farina
D Farina
D Graupe
D Yeung
DJ Fogelberg
DJ Matthews
DJ Tyler
DJ Tyler
DL Crouch
DL Crouch
DL Grimes
DR Merrill
DW Tan
DW Tan
E Biddiss
E D’Anna
E D’Anna
E Koc
E Mastinu
E Mastinu
E Noce
E Scheme
EA Biddiss
EC Martinez-Villalpando
EJ Scheme
EL Graczyk
F Anderson
F Cordella
F Sup
F Zhang
F Zhang
F Zhang
FM Petrini
FM Petrini
FM Petrini
G Courtine
G Durandau
G Hickey
G Khademi
G Risso
G Valle
GA Dumanian
GK Patel
H Burger
H Huang
H Huang
H Meulenbelt
HA Varol
HE Anderson
HJ Witteveen
HL Jarvis
I Astrom
I Delgado-Martinez
I Saunders
I Vujaklija
I Vujaklija
I Vujaklija
J Hoffer
J Kruit
J Ning
J Peng
J Tillander
J Wheeler
JA Doeringer
JA Spanias
JA Spanias
JB Webster
JJ Baker
JL Collinger
JM Hahne
JM Hahne
JM Hahne
JM Hahne
JT Belter
JW Sensinger
K Englehart
K Englehart
K Hagberg
K Hagberg
K Horch
K Ohnishi
K Soyer
KB Shimoga
KD Bergmeister
KD Bergmeister
KH Ha
KZ Zhuang
L Brückner
L Resnik
L Vargas
L Zollo
LA Hruby
LA Wheaton
LJ Hargrove
LJ Hargrove
LJ Hargrove
LM Smurr
M Al Muderis
M Berniker
M Cracchiolo
M Goldfarb
M Ison
M Li
M Ortiz-Catalan
M Ortiz-Catalan
M Ortiz-Catalan
M Ortiz-Catalan
M Pitkin
M Rohm
M Sartori
M Sartori
M Sartori
M Sartori
M Sartori
M Strbac
M Štrbac
MA Lebedev
MA Schiefer
MA Schweisfurth
MBK Potter
MG Urbanchek
MK Haugland
MR Mulvey
N Jiang
OC Aszmann
P Gallagher
P Parker
P Sewell
P Zhou
P Čvančara
PD Marasco
PD Marasco
PE Patterson
PF Pasquina
PJ Kyberd
PM Rossini
PM Stevens
PP Vu
PP Vu
R Brånemark
R Riener
R Volkmar
RF Weir
RF Weir
RF Weir
RN Scott
RN Scott
RP Brånemark
S Amsuess
S Au
S Chandrasekaran
S Dosen
S Jezernik
S Jönsson
S Lewis
S Micera
S Micera
S Muceli
S Raspopovic
S Salminger
S Vasudevan
S Wurth
SC Sartoretto
SL Carey
SS Johnson
SS Srinivasan
T Boretius
T Kapelner
T Kuiken
T May
T Stieglitz
TA Kuiken
TA Kuiken
TA Kuiken
TJ Shelton
TR Dillingham
TR Makin
TS Davis
V Paggi
W Daly
W Schweitzer
X Navarro
Z Ding
Publication date
1 April 2021
Publisher
'Springer Science and Business Media LLC'
Doi
Cite
Abstract
Funding Information: We were supported by the Academy of Finland (I.V.), Austrian Federal Ministry of Science (A.S. and O.C.A.), Bertarelli Foundation (S.M.), the European Union (A.S., D.F., K.-P.H., O.C.A., R.B. and S.M.), the European Research Council (A.S., D.F. and O.C.A.), German Federal Ministry of Education and Research BMBF (K.-P.H. and T.S.), the German National Research Foundation (T.S.), the Royal British Legion (A.M.J.B.), the Swedish Innovation Agency (VINNOVA) (R.B.), the Swedish Research Council (R.B.), the Swiss National Competence Center in Research (NCCR) in Robotics (S.M.), US Department of Defense (R.B. and H.H.), US Department of Veterans Affairs (D.T.), US Department of Veterans Affairs Rehabilitation Research and Development Service (R.F.ff.W.), US National Institute on Disability, Independent Living and Rehabilitation Research (H.H. and T.K.), US National Institutes of Health (D.T., H.H., L.J.H. and R.F.ff.W.), US National Institute on Neurological Disorders and Stroke (R.F.ff.W.), USNational Institute on Bioimaging and Bioengineering (R.F.ff.W.) and US National Science Foundation (H.H.). Publisher Copyright: © 2021, Springer Nature Limited.Most prosthetic limbs can autonomously move with dexterity, yet they are not perceived by the user as belonging to their own body. Robotic limbs can convey information about the environment with higher precision than biological limbs, but their actual performance is substantially limited by current technologies for the interfacing of the robotic devices with the body and for transferring motor and sensory information bidirectionally between the prosthesis and the user. In this Perspective, we argue that direct skeletal attachment of bionic devices via osseointegration, the amplification of neural signals by targeted muscle innervation, improved prosthesis control via implanted muscle sensors and advanced algorithms, and the provision of sensory feedback by means of electrodes implanted in peripheral nerves, should all be leveraged towards the creation of a new generation of high-performance bionic limbs. These technologies have been clinically tested in humans, and alongside mechanical redesigns and adequate rehabilitation training should facilitate the wider clinical use of bionic limbs.Peer reviewe
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