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Background: Myoelectric-based decoding has gained popularity in upper-limb neural-machine interfaces. Motor unit (MU) firings decomposed from surface electromyographic (EMG) signals can represent motor intent, but EMG properties at different arm configurations can change due to electrode shift and differing neuromuscular states. This study investigated whether isometric fingertip force estimation using MU firings is robust to forearm rotations from a neutral to either a fully pronated or supinated posture. Methods: We extracted MU information from high-density EMG of the extensor digitorum communis in two ways: (1) Decomposed EMG in all three postures (MU-AllPost); and (2) Decomposed EMG in neutral posture (MU-Neu), and extracted MUs (separation matrix) were applied to other postures. Populational MU firing frequency estimated forces scaled to subjects’ maximum voluntary contraction (MVC) using a regression analysis. The results were compared with the conventional EMG-amplitude method. Results: We found largely similar root-mean-square errors (RMSE) for the two MU-methods, indicating that MU decomposition was robust to postural differences. MU-methods demonstrated lower RMSE in the ring (EMG = 6.23, MU-AllPost = 5.72, MU-Neu = 5.64 %MVC) and pinky (EMG = 6.12, MU-AllPost = 4.95, MU-Neu = 5.36 %MVC) fingers, with mixed results in the middle finger (EMG = 5.47, MU-AllPost = 5.52, MU-Neu = 6.19% MVC). Conclusion: Our results suggest that MU firings can be extracted reliably with little influence from forearm posture, highlighting its potential as an alternative decoding scheme for robust and continuous control of assistive devices. 

Abstract Objective. Advanced robotic lower limb prostheses are mainly controlled autonomously. Although the existing control can assist cyclic movements during locomotion of amputee users, the function of these modern devices is still limited due to the lack of neuromuscular control (i.e. control based on human efferent neural signals from the central nervous system to peripheral muscles for movement production). Neuromuscular control signals can be recorded from muscles, called electromyographic (EMG) or myoelectric signals. In fact, using EMG signals for robotic lower limb prostheses control has been an emerging research topic in the field for the past decade to address novel prosthesis functionality and adaptability to different environments and task contexts. The objective of this paper is to review robotic lower limb Prosthesis control via EMG signals recorded from residual muscles in individuals with lower limb amputations. Approach. We performed a literature review on surgical techniques for enhanced EMG interfaces, EMG sensors, decoding algorithms, and control paradigms for robotic lower limb prostheses. Main results. This review highlights the promise of EMG control for enabling new functionalities in robotic lower limb prostheses, as well as the existing challenges, knowledge gaps, and opportunities on this research topic from human motor control and clinical practice perspectives. Significance. This review may guide the future collaborations among researchers in neuromechanics, neural engineering, assistive technologies, and amputee clinics in order to build and translate true bionic lower limbs to individuals with lower limb amputations for improved motor function. 

Abstract Despite the promise of powered lower limb prostheses, existing controllers do not assist many daily activities that require continuous control of prosthetic joints according to human states and environments. The objective of this case study was to investigate the feasibility of direct, continuous electromyographic (dEMG) control of a powered ankle prosthesis, combined with physical therapist-guided training, for improved standing postural control in an individual with transtibial amputation. Specifically, EMG signals of the residual antagonistic muscles (i.e. lateral gastrocnemius and tibialis anterior) were used to proportionally drive pneumatical artificial muscles to move a prosthetic ankle. Clinical-based activities were used in the training and evaluation protocol of the control paradigm. We quantified the EMG signals in the bilateral shank muscles as well as measures of postural control and stability. Compared to the participant’s daily passive prosthesis, the dEMG-controlled ankle, combined with the training, yielded improved clinical balance scores and reduced compensation from intact joints. Cross-correlation coefficient of bilateral center of pressure excursions, a metric for quantifying standing postural control, increased to .83(±.07) when using dEMG ankle control ( passive device: .39(±.29)) . We observed synchronized activation of homologous muscles, rapid improvement in performance on the first day of the training for load transfer tasks, and further improvement in performance across training days (p = .006). This case study showed the feasibility of this dEMG control paradigm of a powered prosthetic ankle to assist postural control. This study lays the foundation for future study to extend these results through the inclusion of more participants and activities.