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Functional assessment of current upper limb prostheses: An integrated clinical and technological perspective

Although recent technological developments in the field of bionic upper limb prostheses, their rejection rate remains excessively high. The reasons are diverse (e.g. lack of functionality, control complexity, and comfortability) and most of these are reported only through self-rated questionnaires....

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Autores principales: Capsi-Morales, Patricia, Piazza, Cristina, Sjoberg, Lis, Catalano, Manuel G., Grioli, Giorgio, Bicchi, Antonio, Hermansson, Liselotte M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10431634/
https://www.ncbi.nlm.nih.gov/pubmed/37585427
http://dx.doi.org/10.1371/journal.pone.0289978
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author Capsi-Morales, Patricia
Piazza, Cristina
Sjoberg, Lis
Catalano, Manuel G.
Grioli, Giorgio
Bicchi, Antonio
Hermansson, Liselotte M.
author_facet Capsi-Morales, Patricia
Piazza, Cristina
Sjoberg, Lis
Catalano, Manuel G.
Grioli, Giorgio
Bicchi, Antonio
Hermansson, Liselotte M.
author_sort Capsi-Morales, Patricia
collection PubMed
description Although recent technological developments in the field of bionic upper limb prostheses, their rejection rate remains excessively high. The reasons are diverse (e.g. lack of functionality, control complexity, and comfortability) and most of these are reported only through self-rated questionnaires. Indeed, there is no quantitative evaluation of the extent to which a novel prosthetic solution can effectively address users’ needs compared to other technologies. This manuscript discusses the challenges and limitations of current upper limb prosthetic devices and evaluates their functionality through a standard functional assessment, the Assessment of Capacity for Myoelectric Control (ACMC). To include a good representation of technologies, the authors collect information from participants in the Cybathlon Powered Arm Prostheses Race 2016 and 2020. The article analyzes 7 hour and 41 min of video footage to evaluate the performance of different prosthetic devices in various tasks inspired by activities of daily living (ADL). The results show that commercially-available rigid hands perform well in dexterous grasping, while body-powered solutions are more reliable and convenient for competitive environments. The article also highlights the importance of wrist design and control modality for successful execution of ADL. Moreover, we discuss the limitations of the evaluation methodology and suggest improvements for future assessments. With regard to future development, this work highlights the need for research in intuitive control of multiple degrees of freedom, adaptive solutions, and the integration of sensory feedback.
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spelling pubmed-104316342023-08-17 Functional assessment of current upper limb prostheses: An integrated clinical and technological perspective Capsi-Morales, Patricia Piazza, Cristina Sjoberg, Lis Catalano, Manuel G. Grioli, Giorgio Bicchi, Antonio Hermansson, Liselotte M. PLoS One Research Article Although recent technological developments in the field of bionic upper limb prostheses, their rejection rate remains excessively high. The reasons are diverse (e.g. lack of functionality, control complexity, and comfortability) and most of these are reported only through self-rated questionnaires. Indeed, there is no quantitative evaluation of the extent to which a novel prosthetic solution can effectively address users’ needs compared to other technologies. This manuscript discusses the challenges and limitations of current upper limb prosthetic devices and evaluates their functionality through a standard functional assessment, the Assessment of Capacity for Myoelectric Control (ACMC). To include a good representation of technologies, the authors collect information from participants in the Cybathlon Powered Arm Prostheses Race 2016 and 2020. The article analyzes 7 hour and 41 min of video footage to evaluate the performance of different prosthetic devices in various tasks inspired by activities of daily living (ADL). The results show that commercially-available rigid hands perform well in dexterous grasping, while body-powered solutions are more reliable and convenient for competitive environments. The article also highlights the importance of wrist design and control modality for successful execution of ADL. Moreover, we discuss the limitations of the evaluation methodology and suggest improvements for future assessments. With regard to future development, this work highlights the need for research in intuitive control of multiple degrees of freedom, adaptive solutions, and the integration of sensory feedback. Public Library of Science 2023-08-16 /pmc/articles/PMC10431634/ /pubmed/37585427 http://dx.doi.org/10.1371/journal.pone.0289978 Text en © 2023 Capsi-Morales et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Capsi-Morales, Patricia
Piazza, Cristina
Sjoberg, Lis
Catalano, Manuel G.
Grioli, Giorgio
Bicchi, Antonio
Hermansson, Liselotte M.
Functional assessment of current upper limb prostheses: An integrated clinical and technological perspective
title Functional assessment of current upper limb prostheses: An integrated clinical and technological perspective
title_full Functional assessment of current upper limb prostheses: An integrated clinical and technological perspective
title_fullStr Functional assessment of current upper limb prostheses: An integrated clinical and technological perspective
title_full_unstemmed Functional assessment of current upper limb prostheses: An integrated clinical and technological perspective
title_short Functional assessment of current upper limb prostheses: An integrated clinical and technological perspective
title_sort functional assessment of current upper limb prostheses: an integrated clinical and technological perspective
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10431634/
https://www.ncbi.nlm.nih.gov/pubmed/37585427
http://dx.doi.org/10.1371/journal.pone.0289978
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