An official website of the United States government
Children with Unilateral Congenital Below-Elbow Deficiencies (born without a hand, UCBED) have a high rate of prosthetic abandonment, pointing to unresolved challenges that may be distinct from those faced by adults with limb loss. There is limited knowledge of the motor control these children have over their affected muscles, a highly relevant question for effective dextrous prosthetic control. Our research aims to measure the extent of volitional muscle activation that exists in the residuum when children attempt moving their missing hand, with the goal of creating highly functional pediatric-specific prosthetic devices. In this work, we recruited 28 pediatric UCBED patients across four Shriners Hospital locations. We measured muscle activity using ultrasound imaging and surface electromyography while children attempted 10 missing-hand movements, then used machine learning to analyze the patterns of the affected and unaffected sides. Our algorithms predicted hand movements from residual muscle activity at over 80% accuracy in most cases, and well above chance in all participants. This indicates inherent muscular control which may be leveraged to develop more functional prosthetic devices tailored towards pediatric UCBED patients.
more »
« less
First Demonstration of Functional Task Performance Using a Sonomyographic Prosthesis: A Case Study
Ultrasound-based sensing of muscle deformation, known as sonomyography, has shown promise for accurately classifying the intended hand grasps of individuals with upper limb loss in offline settings. Building upon this previous work, we present the first demonstration of real-time prosthetic hand control using sonomyography to perform functional tasks. An individual with congenital bilateral limb absence was fitted with sockets containing a low-profile ultrasound transducer placed over forearm muscle tissue in the residual limbs. A classifier was trained using linear discriminant analysis to recognize ultrasound images of muscle contractions for three discrete hand configurations (rest, tripod grasp, index finger point) under a variety of arm positions designed to cover the reachable workspace. A prosthetic hand mounted to the socket was then controlled using this classifier. Using this real-time sonomyographic control, the participant was able to complete three functional tasks that required selecting different hand grasps in order to grasp and move one-inch wooden blocks over a broad range of arm positions. Additionally, these tests were successfully repeated without retraining the classifier across 3 hours of prosthesis use and following simulated donning and doffing of the socket. This study supports the feasibility of using sonomyography to control upper limb prostheses in real-world applications.
more »
« less
- Award ID(s):
- 1922598
- PAR ID:
- 10352061
- Date Published:
- Journal Name:
- Frontiers in Bioengineering and Biotechnology
- Volume:
- 10
- ISSN:
- 2296-4185
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
More Like this
-
-
Abstract Children with a unilateral congenital below elbow deficiency (UCBED) have one typical upper limb and one that lacks a hand, ending below the elbow at the proximal/mid forearm. UCBED is an isolated condition, and affected children otherwise develop normal sensorimotor control. Unlike adults with upper limb absence, the majority of whom have an acquired loss, children with UCBED never developed a hand, so their residual muscles have never actuated an intact limb. Their ability to purposefully modulate affected muscle activity is often assumed to be limited, and this assumption has influenced prosthetic design and prescription practices for this population as many modern devices derive control signals from affected muscle activity. To better understand the motor capabilities of the affected muscles, we used ultrasound imaging to study 6 children with UCBED. We examined the extent to which subjects activate their affected muscles when performing mirrored movements with their typical and missing hands. We demonstrate that all subjects could intentionally and consistently enact at least five distinct muscle patterns when attempting different missing hand movements (e.g., power grasp) and found similar performance across affected and typically developed limbs. These results suggest that although participants had never actuated the missing hand they could distinctively and consistently activate the residual muscle patterns associated with actions on the unaffected side. These findings indicate that motor control still develops in the absence of the normal effector, and can serve as a guide for developing prostheses that leverage the full extent of these children’s motor control capabilities.more » « less
-
Training for children who are prescribed myoelectric upper limb prostheses presents unique challenges in maintaining attention, motivation, and ultimately providing an enjoyable experience that is effective in developing the core motor skills required for device operation. From a clinical perspective, patient engagement is critical for maximizing functional outcomes, and from a research perspective, it can be vital to ensuring the quality of collected data. Therefore, our goal was to develop a training and research platform designed to both collect high-quality data from actively engaged participants and to provide them with a fun and engaging way to practice actuating the muscles relevant to myoelectric prosthetic control. “Ice is Nice” is a side scrolling video game that prompts children to perform a variety of movements with their missing hand, and the game is controlled using real-time measurement of their muscular activity. Our system is agnostic to muscle measurement systems, capable of using electromyography, force myography, and ultrasound-based control, among many others. As the game is played, data is logged to capture metrics relevant to game proficiency, human motor learning, and machine learning performance. Therefore, we suggest “Ice is Nice” provides a research and training platform with significant potential to support numerous follow-on studies conducted with children and adults. These studies aim to develop robust prosthetic control strategies, understand the effects of motor learning on prosthetic operation, and examine the functional capabilities of individuals operating upper limb prostheses.more » « less
-
Although beginning to emerge, multiarticulate upper limb prostheses for children remain sparse despite the continued advancement of mechatronic technologies that have benefited adults with upper limb amputations. Upper limb prosthesis research is primarily focused on adults, even though rates of pediatric prosthetic abandonment far surpass those seen in adults. The implicit goal of a prosthesis is to provide effective functionality while promoting healthy social interaction. Yet most current pediatric devices offer a single degree of freedom open/close grasping function, a stark departure from the multiple grasp configurations provided in advanced adult devices. Although comparable child-sized devices are on the clinical horizon, understanding how to effectively translate these technologies to the pediatric population is vital. This includes exploring grasping movements that may provide the most functional benefits and techniques to control the newly available dexterity. Currently, no dexterous pediatric research platforms exist that offer open access to hardware and programming to facilitate the investigation and provision of multi-grasp function. Our objective was to deliver a child-sized multi-grasp prosthesis that may serve as a robust research platform. In anticipation of an open-source release, we performed a comprehensive set of benchtop and functional tests with common household objects to quantify the performance of our device. This work discusses and evaluates our pediatric-sized multiarticulate prosthetic hand that provides 6 degrees of actuation, weighs 177 g and was designed specifically for ease of implementation in a research or clinical-research setting. Through the benchtop and validated functional tests, the pediatric hand produced grasping forces ranging from 0.424–7.216 N and was found to be comparable to the functional capabilities of similar adult devices. As mechatronic technologies advance and multiarticulate prostheses continue to evolve, translating many of these emerging technologies may help provide children with more useful and functional prosthesis options. Effective translation will inevitably require a solid scientific foundation to inform how best to prescribe advanced prosthetic devices and control systems for children. This work begins addressing these current gaps by providing a much-needed research platform with supporting data to facilitate its use in laboratory and clinical research settings.more » « less
-
Generative Attention Learning (GenerAL) is a framework for high-DOF multi-fingered grasping that is not only robust to dense clutter and novel objects but also effective with a variety of different parallel-jaw and multi-fingered robot hands. This framework introduces a novel attention mechanism that substantially improves the grasp success rate in clutter. Its generative nature allows the learning of full-DOF grasps with flexible end-effector positions and orientations, as well as all finger joint angles of the hand. Trained purely in simulation, this framework skillfully closes the sim-to-real gap. To close the visual sim-to-real gap, this framework uses a single depth image as input. To close the dynamics sim-to-real gap, this framework circumvents continuous motor control with a direct mapping from pixel to Cartesian space inferred from the same depth image. Finally, this framework demonstrates inter-robot generality by achieving over 92% real-world grasp success rates in cluttered scenes with novel objects using two multi-fingered robotic hand-arm systems with different degrees of freedom.more » « less
- Free Publicly Accessible Full Text
-
Accepted Manuscript1.0
- Journal Article:
- https://doi.org/10.3389/fbioe.2022.876836
