OTRCTJournal of neuroengineering and rehabilitation2018

Myocontrol is closed-loop control: incidental feedback is sufficient for scaling the prosthesis force in routine grasping.

Marko Markovic, Meike A Schweisfurth, Leonard F Engels and 2 others

PMID 30176929

WHAT IT FOUND

Able-bodied people scaled myoelectric prosthesis grasp force across five levels using muscle contraction plus prosthesis motion and sound.

Adding explicit visual force feedback reduced command error from 15% to 12% and force error from 14% to 13%.

Key findings

01Subjects could scale prosthesis grasping force across the tested target levels without explicit force feedback.

02Myoelectric command error fell from 22% to 15% when prosthesis motion and sound were added, and to 12% with explicit visual force feedback.

03Explicit visual force feedback did not improve force accuracy at level 3 but significantly improved it at levels 4 and 5, by median 4% and 6%.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

The study included 10 able-bodied people who had never used a prosthesis, so it does not show how experienced people with amputation perform. All testing was done in a quiet lab with the prosthesis visible and the same object grasped repeatedly, which may make incidental cues easier to use than in daily life. The tasks were presented in a fixed order that increased feedback, so performance differences are partly tied to that sequence. Levels 2 and 6 were excluded from error analysis because level 6 saturated and level 2 used the prosthesis minimum-force coupling, so extremes are not captured. The prosthesis could not reduce force after contact, so explicit force feedback was used between trials, not within a grasp. The explicit feedback was an ideal continuous visual force display, which may not resemble usable feedback in a real prosthesis.

Declared interests

Funding was from the European Commission and BMBF; no author conflicts of interest are stated.

The easy way to misread this

Do not conclude that explicit force feedback is unnecessary for people with amputation who use myoelectric prostheses. The study used 10 able-bodied people in a quiet lab, and explicit visual force feedback still significantly improved command accuracy and force accuracy at higher target levels.

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