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Advanced Rehabilitation for Amputees after Selective Nerve Transfers: EMG-Guided Training and Testing

  • Conference paper
Replace, Repair, Restore, Relieve – Bridging Clinical and Engineering Solutions in Neurorehabilitation

Part of the book series: Biosystems & Biorobotics ((BIOSYSROB,volume 7))

Abstract

A special kind of selective nerve transfer, targeted muscle reinnervation, can provide upper limb amputees with up to 6 intuitive myosignals to govern their myoelectric prosthesis. Following surgery, a comprehensive rehabilitation package is required. It should include electromyographic (EMG) feedback training to facilitate recruitment of newly reinnervated muscles. In order to select appropriate tasks for training, an EMG testing tool is required that can provide clinicians with scores directly reflecting the patient’s ability to generate myoelectric signals. Here, an EMG testing tool implementing the Item Response Theory for ability classification is presented. Used for testing healthy subjects and patients, the tool was able to detect an increase of muscular coordination with training, as well as existing deficits in motor control. These findings suggest that this tool can assist in rehabilitation planning for patients after selective nerve transfers.

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Author information

Authors and Affiliations

  1. Christian Doppler Laboratory for Restoration of Extremity Function, Medical University of Vienna, 1090, Vienna, Austria

    Agnes Sturma, Aidan Roche & Oskar C. Aszmann

  2. Otto Bock Helthcare Products GmbH, 1070, Vienna, Austria

    Peter Göbel & Nan Gee

  3. Department of Physical and Rehabilitation Medicine, Medical University of Vienna, 1090, Vienna, Austria

    Malvina Herceg & Veronika Fialka-Moser

  4. Academic Foundation Program, Newcastle upon Tyne Hospitals NHS Trust, Freeman Hospital, Newcastle upon Tyne, UK

    Aidan Roche

  5. Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University of Vienna, 1090, Vienna, Austria

    Oskar C. Aszmann

Authors
  1. Agnes Sturma
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  2. Peter Göbel
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  3. Malvina Herceg
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  4. Nan Gee
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  5. Aidan Roche
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  6. Veronika Fialka-Moser
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  7. Oskar C. Aszmann
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Editor information

Editors and Affiliations

  1. Center for Sensory-Motor Interaction, Aalborg University, Aalborg, Denmark

    Winnie Jensen

  2. Center for Sensory-Motor Interaction, Aalborg University, Aalborg, Denmark

    Ole Kæseler Andersen

  3. Biomedical Engineering Department, University of Houston, Houston, Texas, USA

    Metin Akay

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© 2014 Springer International Publishing Switzerland

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Sturma, A. et al. (2014). Advanced Rehabilitation for Amputees after Selective Nerve Transfers: EMG-Guided Training and Testing. In: Jensen, W., Andersen, O., Akay, M. (eds) Replace, Repair, Restore, Relieve – Bridging Clinical and Engineering Solutions in Neurorehabilitation. Biosystems & Biorobotics, vol 7. Springer, Cham. https://doi.org/10.1007/978-3-319-08072-7_33

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  • DOI: https://doi.org/10.1007/978-3-319-08072-7_33

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-08071-0

  • Online ISBN: 978-3-319-08072-7

  • eBook Packages: EngineeringEngineering (R0)

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