Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 11 , Pages 2057-2065 , November 2008

Control of a Six Degree of Freedom Prosthetic Arm After Targeted Muscle Reinnervation Surgery

Presented to the Myoelectric Controls Symposium, August 15–19, 2005, New Brunswick, Canada, and the International Society for Prosthetics and Orthotics, July 29–August 3, 2007, Vancouver, BC, Canada.

  • Laura A. Miller, PhD, CP

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL
    • Neural Engineering Center for Artificial Limbs, Rehabilitation Institute of Chicago, Chicago, IL
    • Corresponding Author InformationReprint requests to Laura A. Miller, PhD, CP, Rehabilitation Institute of Chicago, 345 E Superior St, Room 1309, Chicago, IL 60611
    • ,
  • Robert D. Lipschutz, CP

      Affiliations

    • Neural Engineering Center for Artificial Limbs, Rehabilitation Institute of Chicago, Chicago, IL
    • ,
  • Kathy A. Stubblefield, OT

      Affiliations

    • Neural Engineering Center for Artificial Limbs, Rehabilitation Institute of Chicago, Chicago, IL
    • ,
  • Blair A. Lock, MS

      Affiliations

    • Neural Engineering Center for Artificial Limbs, Rehabilitation Institute of Chicago, Chicago, IL
    • ,
  • He Huang, PhD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL
    • Neural Engineering Center for Artificial Limbs, Rehabilitation Institute of Chicago, Chicago, IL
    • ,
  • T. Walley Williams III, MA

      Affiliations

    • Liberating Technologies, Inc, Holliston, MA
    • ,
  • Richard F. Weir, PhD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL
    • Biomedical Engineering, Northwestern University, Chicago, IL
    • Biomechatronics Development Laboratory, Rehabilitation Institute of Chicago, Chicago, IL
    • ,
  • Todd A. Kuiken, MD, PhD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL
    • Biomedical Engineering, Northwestern University, Chicago, IL
    • Neural Engineering Center for Artificial Limbs, Rehabilitation Institute of Chicago, Chicago, IL

References 

  1. Kuiken TA. Consideration of nerve-muscle grafts to improve the control of artificial arms. J Technol Disabil. 2003;15:105–111
  2. Hoffer JA, Loeb GE. Implantable electrical and mechanical interfaces with nerve and muscle. Ann Biomed Eng. 1980;8:351–360
  3. Kuiken TA, Dumanian GA, Lipschutz RD, Miller LA, Stubblefield KA. The use of targeted muscle reinnervation for improved myoelectric prosthesis control in a bilateral shoulder disarticulation amputee. Prosthet Orthot Int. 2004;28:245–253
  4. Hijjawi JB, Kuiken TA, Lipschutz RD, Miller LA, Stubblefield KA, Dumanian GA. Improved myoelectric prosthesis control accomplished using multiple nerve transfers. Plast Reconstr Surg. 2006;118:1573–1578
  5. Lipschutz RD, Kuiken TA, Miller LA, Dumanian GA, Stubblefield KA. Shoulder disarticulation externally powered prosthetic fitting following targeted muscle reinnervation for improved myoelectric control. J Prosthet Orthot. 2006;18:28–34
  6. Kuiken TA, Miller LA, Lipschutz RD, et al. Targeted reinnervation for enhanced prosthetic arm function in a woman with a proximal amputation: a case study. Lancet. 2007;369:371–380
  7. O'Shaughnessy KD, Dumanian GA, Lipschutz RD, Miller LA, Stubblefield KA, Kuiken TA. Targeted reinnervation to improve prosthesis control in transhumeral amputees: a report of three cases. J Bone Joint Surg Am. 2008;90:393–400
  8. Weir RF, Grahn EC, et al. Powered humeral rotator for persons with shoulder disarticulation amputations. 2005;Proceedings of the Myoelectric Control Symposium. Fredericton (Canada)
  9. Zhou P, Kuiken TA. Eliminating cardiac contamination from myoelectric control signals developed by targeted muscle reinnervation. Physiol Meas. 2006;27:1311–1327
  10. Miller LA, Lipschutz RD, Weir RF, et al. Shoulder disarticulation fitting with 6 independently controlled motors after targeted hyper-reinnervation nerve transfer surgery. 2005;Proceedings of the Myoelectric Controls Symposium. New Brunswick (Canada)
  11. Huang H. Development of a novel immersive and interactive therapeutic tool for neurorehabilitation. Tempe: Arizona State Univ Pr; 2006;
  12. Mathiowetz V, Volland G, Kashman N, Weber K. Adult norms for the Box and Block Test of manual dexterity. Am J Occup Ther. 1985;39:386–391
  13. Englehart K, Hudgins B. A robust, real-time control scheme for multifunction myoelectric control. IEEE Trans Biomed Eng. 2003;50:848–854
  14. Zhou P, Englehart K, Lowery MM, Kuiken TA. Classification of high density surface electromyographic signals developed by targeted muscle reinnervation. 2006;Proceedings of the 16th Congress of the International Society of Electrophysiological Kinesiology. Torino (Italy)

 Supported by the National Institutes of Health, National Institute of Child and Human Development (grant no. R01 HD043137-01), and the Keiser Family Foundation.

 A commercial party having a direct financial interest in the results of the research supporting this article has conferred or will confer a financial benefit on the author or one or more of the authors. Williams III is an employee of Liberating Technologies, Inc, maker of the Boston Digital Arm, used in this study. This component was purchased by the Neural Engineering Center for Artificial Limbs from Liberating Technologies, Inc for this study.

PII: S0003-9993(08)00795-8

doi: 10.1016/j.apmr.2008.05.016

Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 11 , Pages 2057-2065 , November 2008

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