OTPilotFrontiers in rehabilitation sciences2024

Implications of EMG channel count: enhancing pattern recognition online prosthetic testing.

Ann M Simon, Keira Newkirk, Laura A Miller and 4 others

PMID 38500790

WHAT IT FOUND

Increasing EMG channels from 8 to 16 did not significantly improve virtual prosthesis failure rates, but virtual movements became faster and more direct.

Only two transradial users completed physical testing.

Key findings

01Virtual prosthesis completion time and path efficiency improved with 16 channels.

02Virtual prosthesis failure rate was not significantly different between channel counts.

03Two transradial users completed physical prosthesis testing, and both demonstrated increased capabilities with the 16-channel system.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

Only ten people were tested, including four transradial users, so the findings are preliminary. Only two transradial participants completed physical prosthesis testing; two could not because the study device caused fatigue, so physical prosthesis findings cannot be generalised. The study required a residual limb long enough for 33 electrode contacts, so it does not show what happens for shorter residual limbs or when electrode contacts must be shared. The 8-channel condition used clinically selected bands rather than an optimally chosen 8-channel set, so it may underestimate the best possible 8-channel system. The no limb absence and transradial groups used different electrodes, sockets, trained movements, and target tolerances, so their results are not directly comparable. Failure rate improved numerically but did not reach significance, so not every control measure improved.

Declared interests

Funding came from NIH R01 HD094861, DoD W81XWH2210431, discretionary laboratory funding, and NIDILRR 90REGE0003; the authors declare that financial support was received for the research, authorship, and/or publication.

The easy way to misread this

Do not conclude that increasing EMG channels from 8 to 16 will improve prosthetic control for all transradial users. Only four transradial participants were tested, only two completed physical prosthesis testing, failure rates were not significantly different, and the study required a residual limb long enough for 33 electrodes.

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