<abstract xmlns="http://www.w3.org/1999/xhtml"><p>The most common causes of upper-limb amputations include traumatic etiology and malignity, followed by peripheral vascular diseases. Prosthetic fitting along with conducting a rehabilitation program provide the greatest possible degree of independence to the upper-limb amputees in performing their daily tasks, occupational, recreational and work activities. Despite recent advance in strategies of design and control, the lack of sensory feedback is, according to patients, one of the most important characteristics lacked by commercial myoelectric prostheses. This reason has led to the need for the development of comprehensive prosthetic part which would provide intuitive control and realistic sensory feedback to the amputees enabling them thus to more easily accomplish the tasks which are essential for easier performance of activities of daily life. Electromyography, and recently, electroneurography signals have been used for the development of more efficacious upper-limb prosthetic control. Several recent studies have demonstrated the efficacy of homologous and somatotopic approach in upper-limb amputees, by applying implanted and surface electrodes. This work presents novel methods for effective bidirectional control of myoelectric prostheses in patients with upper-limb amputations using motor control and sensory feedback. The above-mentioned approaches are applicable and have good prospects in further clinical use. The intraneural, extraneural and surface approach can be more or less applicable depending on the etiology and the level of amputation. From a clinical point of view, various approaches should be combined for obtaining more efficient control of bidirectional prostheses and corresponding sensory feedback.</p></abstract>

The most common causes of upper-limb amputations include traumatic etiology and malignity, followed by peripheral vascular diseases. Prosthetic fitting along with conducting a rehabilitation program provide the greatest possible degree of independence to the upper-limb amputees in performing their daily tasks, occupational, recreational and work activities. Despite recent advance in strategies of design and control, the lack of sensory feedback is, according to patients, one of the most important characteristics lacked by commercial myoelectric prostheses. This reason has led to the need for the development of comprehensive prosthetic part which would provide intuitive control and realistic sensory feedback to the amputees enabling them thus to more easily accomplish the tasks which are essential for easier performance of activities of daily life. Electromyography, and recently, electroneurography signals have been used for the development of more efficacious upper-limb prosthetic control. Several recent studies have demonstrated the efficacy of homologous and somatotopic approach in upper-limb amputees, by applying implanted and surface electrodes. This work presents novel methods for effective bidirectional control of myoelectric prostheses in patients with upper-limb amputations using motor control and sensory feedback. The above-mentioned approaches are applicable and have good prospects in further clinical use. The intraneural, extraneural and surface approach can be more or less applicable depending on the etiology and the level of amputation. From a clinical point of view, various approaches should be combined for obtaining more efficient control of bidirectional prostheses and corresponding sensory feedback.

Bidirectional Control of Myoelectric Prostheses in Upper Limb Amputees: Current Results and Expectations

Clinical Centre “Dr. Dragisa Misovic”, Department of Surgery

Faculty of Medical Sciences, Department of Surgery

Experimental and Applied Biomedical Research (EABR)

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

The most common causes of upper-limb amputations include traumatic etiology and malignity, followed by peripheral vascular diseases. Prosthetic fitting along...

Bidirectional Control of Myoelectric Prostheses in Upper Limb Amputees: Current Results and Expectations

Published Online: Nov 29, 2019

Page range: -

Received: Nov 08, 2019

Accepted: Nov 13, 2019

DOI: https://doi.org/10.2478/sjecr-2019-0065

Keywords
sepsis, Upper-limb amputations, sensory feedback, myoelectric prostheses

© 2019 Igor Popovic et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Bidirectional Control of Myoelectric Prostheses in Upper Limb Amputees: Current Results and Expectations

Published Online: Nov 29, 2019

Page range: -

Received: Nov 08, 2019

Accepted: Nov 13, 2019

DOI: https://doi.org/10.2478/sjecr-2019-0065

Keywordssepsis, Upper-limb amputations, sensory feedback, myoelectric prostheses

© 2019 Igor Popovic et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
sepsis, Upper-limb amputations, sensory feedback, myoelectric prostheses