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Amputation, Surgical

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Emergent coordination underlying learning to reach to grasp with a brain-machine interface.

Journal of neurophysiology
The development of coordinated reach-to-grasp movement has been well studied in infants and children. However, the role of motor cortex during this development is unclear because it is difficult to study in humans. We took the approach of using a bra...

Preservation of hand movement representation in the sensorimotor areas of amputees.

Brain : a journal of neurology
Denervation due to amputation is known to induce cortical reorganization in the sensorimotor cortex. Although there is evidence that reorganization does not lead to a complete loss of the representation of the phantom limb, it is unclear to what exte...

Energy-Optimal Human Walking With Feedback-Controlled Robotic Prostheses: A Computational Study.

IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society
Lower-limb amputees typically experience reduced mobility and higher metabolic rates than non-amputees. It may be possible to improve their mobility and metabolic rate with an optimized robotic prosthesis. Here, we use large-scale trajectory optimiza...

Control within a virtual environment is correlated to functional outcomes when using a physical prosthesis.

Journal of neuroengineering and rehabilitation
BACKGROUND: Advances such as targeted muscle reinnervation and pattern recognition control may provide improved control of upper limb myoelectric prostheses, but evaluating user function remains challenging. Virtual environments are cost-effective an...

Exploring the Impact of Machine-Learned Predictions on Feedback from an Artificial Limb.

IEEE ... International Conference on Rehabilitation Robotics : [proceedings]
Learning to get by without an arm or hand can be very challenging, and existing prostheses do not yet fill the needs of individuals with amputations. One promising solution is to improve the feedback from the device to the user. Towards this end, we ...

On the Design of a Novel Underactuated Robotic Finger Prosthesis for Partial Hand Amputation.

IEEE ... International Conference on Rehabilitation Robotics : [proceedings]
This paper presents a novel robotic finger prosthesis for partially amputated patients who have lost a thumb and index finger. The challenging issues were to design i) a three-degree-of-freedom (DOF) underactuated mechanism that mimics intact finger ...

What microsurgeon, orthopaedic and plastic surgeon should know about bionic hand.

Injury
Hand loss is a catastrophic event that generates significant demands for orthopedics and prosthetics. In the course of history, prostheses evolved from passive esthetic replacements to sophisticated robotic hands. Yet, their actuation and particularl...

Self-Contained Neuromusculoskeletal Arm Prostheses.

The New England journal of medicine
We report the use of a bone-anchored, self-contained robotic arm with both sensory and motor components over 3 to 7 years in four patients after transhumeral amputation. The implant allowed for bidirectional communication between a prosthetic hand an...

Use of Natural Language Processing to Improve Identification of Patients With Peripheral Artery Disease.

Circulation. Cardiovascular interventions
BACKGROUND: Peripheral artery disease (PAD) is underrecognized, undertreated, and understudied: each of these endeavors requires efficient and accurate identification of patients with PAD. Currently, PAD patient identification relies on diagnosis/pro...

Cleaning Up the MESS: Can Machine Learning Be Used to Predict Lower Extremity Amputation after Trauma-Associated Arterial Injury?

Journal of the American College of Surgeons
BACKGROUND: Thirty years after the Mangled Extremity Severity Score was developed, advances in vascular, trauma, and orthopaedic surgery have rendered the sensitivity of this score obsolete. A significant number of patients receive amputation during ...