Proprioception from a neurally controlled lower-extremity prosthesis

作者: Tyler R. Clites , Matthew J. Carty , Jessica B. Ullauri , Matthew E. Carney , Luke M. Mooney

DOI: 10.1126/SCITRANSLMED.AAP8373

关键词: ProprioceptionStair climbingNervous systemAmputationProsthesisResidual limbPhysical medicine and rehabilitationMotor controlNeural ProsthesisComputer science

摘要: Humans can precisely sense the position, speed, and torque of their body parts. This is known as proprioception essential to human motor control. Although there have been many attempts create human-mechatronic interactions, still no robust, repeatable methodology reflect proprioceptive information from a synthetic device onto nervous system. To address this shortcoming, we present an agonist-antagonist myoneural interface (AMI). The AMI composed (i) surgical construct made up two muscle-tendons-an agonist antagonist-surgically connected in series so that contraction one muscle stretches other (ii) bidirectional efferent-afferent neural control architecture. preserves dynamic relationships exist within native anatomy, thereby allowing signals mechanoreceptors both muscles be communicated central We surgically constructed AMIs residual limb subject with transtibial amputation. Each sends joint two-degree-of-freedom ankle-foot prosthesis provides pertaining movement joint. displayed improved over compared group four subjects having traditional also show natural reflexive behaviors during stair ambulation do not appear cohort In addition, demonstrate system for closed-loop subjects. These results provide framework integrating bionic systems physiology.

参考文章(61)
Richard J. Casler, Matthew J. Carty, Hugh M. Herr, Katherine W. Song, Ronald R. Riso, Peripheral Neural Interface Via Nerve Regeneration to Distal Tissues ,(2014)
Matthew Botvinick, Jonathan Cohen, Rubber hands ‘feel’ touch that eyes see Nature. ,vol. 391, pp. 756- 756 ,(1998) , 10.1038/35784
Levi J. Hargrove, Ann M. Simon, Robert D. Lipschutz, Suzanne B. Finucane, Todd A. Kuiken, Real-Time Myoelectric Control of Knee and Ankle Motions for Transfemoral Amputees JAMA. ,vol. 305, pp. 1542- 1544 ,(2011) , 10.1001/JAMA.2011.465
Ulrika Wijk, Ingela Carlsson, Forearm amputees' views of prosthesis use and sensory feedback. Journal of Hand Therapy. ,vol. 28, pp. 269- 278 ,(2015) , 10.1016/J.JHT.2015.01.013
Stephanie Huang, Jeffrey P. Wensman, Daniel P. Ferris, An Experimental Powered Lower Limb Prosthesis Using Proportional Myoelectric Control Journal of Medical Devices-transactions of The Asme. ,vol. 8, pp. 024501- ,(2014) , 10.1115/1.4026633
Susan Sienko Thomas, Cathleen E Buckon, Sabrina Jakobson-Huston, Michael D Sussman, Michael D Aiona, Stair locomotion in children with spastic hemiplegia: the impact of three different ankle foot orthosis (AFOS) configurations Gait & Posture. ,vol. 16, pp. 180- 187 ,(2002) , 10.1016/S0966-6362(02)00002-4
Edith Ribot-Ciscar, Jean-Pierre Roll, Ago-antagonist muscle spindle inputs contribute together to joint movement coding in man Brain Research. ,vol. 791, pp. 167- 176 ,(1998) , 10.1016/S0006-8993(98)00092-4
Maureen T Nahorniak, George E Gorton, Mary E Gannotti, Peter D Masso, Kinematic compensations as children reciprocally ascend and descend stairs with unilateral and bilateral solid AFOs. Gait & Posture. ,vol. 9, pp. 199- 206 ,(1999) , 10.1016/S0966-6362(99)00014-4