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Advanced technologies for intuitive control and sensation of prosthetics

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Abstract

The Department of Defense, Department of Veterans Affairs and National Institutes of Health have invested significantly in advancing prosthetic technologies over the past 25 years, with the overall intent to improve the function, participation and quality of life of Service Members, Veterans, and all United States Citizens living with limb loss. These investments have contributed to substantial advancements in the control and sensory perception of prosthetic devices over the past decade. While control of motorized prosthetic devices through the use of electromyography has been widely available since the 1980s, this technology is not intuitive. Additionally, these systems do not provide stimulation for sensory perception. Recent research has made significant advancement not only in the intuitive use of electromyography for control but also in the ability to provide relevant meaningful perceptions through various stimulation approaches. While much of this previous work has traditionally focused on those with upper extremity amputation, new developments include advanced bidirectional neuroprostheses that are applicable to both the upper and lower limb amputation. The goal of this review is to examine the state-of-the-science in the areas of intuitive control and sensation of prosthetic devices and to discuss areas of exploration for the future. Current research and development efforts in external systems, implanted systems, surgical approaches, and regenerative approaches will be explored.

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Authors and Affiliations

  1. Clinical and Rehabilitative Medicine Research Program, US Army Medical Research and Development Command, Fort Detrick, MD, 21702, USA

    Erik J. Wolf

  2. National Institute of Child Health and Human Development, National Institute of Health, Bethesda, MD, 20817, USA

    Theresa H. Cruz

  3. Defense Advanced Research Projects Agency, Arlington, VA, 22203, USA

    Alfred A. Emondi

  4. National Institute of Neurological Disorders and Stroke, National Institute of Health, Bethesda, MD, 20892, USA

    Nicholas B. Langhals

  5. ECS, Fairfax, VA, 22031, USA

    Stephanie Naufel

  6. National Institute of Biomedical Imaging and Bioengineering, National Institute of Health, Bethesda, MD, 20817, USA

    Grace C. Y. Peng & Michael Wolfson

  7. VA Office of Research and Development, Washington, DC, 20002, USA

    Brian W. Schulz

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Wolf, E.J., Cruz, T.H., Emondi, A.A. et al. Advanced technologies for intuitive control and sensation of prosthetics. Biomed. Eng. Lett. 10, 119–128 (2020). https://doi.org/10.1007/s13534-019-00127-7

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