Improvements in hand functions and changes in proximal muscle activities in myoelectric prosthetic hand users at home: a case series.
Journal
Prosthetics and orthotics international
ISSN: 1746-1553
Titre abrégé: Prosthet Orthot Int
Pays: France
ID NLM: 7707720
Informations de publication
Date de publication:
01 Dec 2022
01 Dec 2022
Historique:
received:
02
06
2021
accepted:
14
03
2022
pubmed:
6
5
2022
medline:
17
12
2022
entrez:
5
5
2022
Statut:
ppublish
Résumé
Adaptation in proximal muscles for daily motor tasks after sustained use of a prosthetic hand has not been fully understood. This study aimed to investigate changes in hand functions and activities of proximal muscles after multiple weeks of using a myoelectric prosthetic hand at home. Repeated measures. Four people with traumatic upper-limb loss used a myoelectric prosthetic hand (bebionic) at home over the 6- to 8-week period. A user survey, Orthotics and Prosthetics User Survey for Upper Extremity Functional Status 2.0, was used to measure upper-limb functions and the degree of using the prosthetic hand each week. Their hand functions, muscle activities, and grip-specific neuromuscular effort were evaluated by the Southampton Hand Assessment Procedure at the preassessment and postassessment sessions (PRE and POST, respectively). All subjects increased Southampton Hand Assessment Procedure scores at PRE compared with POST with subject-specific changes in muscle activations. In a detail, at POST, subject 1 reduced the shoulder muscle activity compared with PRE, while at POST, subject 2 reduced biceps activity compared with PRE. At POST, greater pectoralis activity and reduced trapezius activity were observed in subject 3, and greater activity in those two muscles was found in subject 4 compared with PRE. After multiple weeks of using the myoelectric prosthetic hands, their hand functions during ADL tasks were improved and changes in the muscle activities were found.
Sections du résumé
BACKGROUND
BACKGROUND
Adaptation in proximal muscles for daily motor tasks after sustained use of a prosthetic hand has not been fully understood.
OBJECTIVES
OBJECTIVE
This study aimed to investigate changes in hand functions and activities of proximal muscles after multiple weeks of using a myoelectric prosthetic hand at home.
STUDY DESIGN
METHODS
Repeated measures.
METHODS
METHODS
Four people with traumatic upper-limb loss used a myoelectric prosthetic hand (bebionic) at home over the 6- to 8-week period. A user survey, Orthotics and Prosthetics User Survey for Upper Extremity Functional Status 2.0, was used to measure upper-limb functions and the degree of using the prosthetic hand each week. Their hand functions, muscle activities, and grip-specific neuromuscular effort were evaluated by the Southampton Hand Assessment Procedure at the preassessment and postassessment sessions (PRE and POST, respectively).
RESULTS
RESULTS
All subjects increased Southampton Hand Assessment Procedure scores at PRE compared with POST with subject-specific changes in muscle activations. In a detail, at POST, subject 1 reduced the shoulder muscle activity compared with PRE, while at POST, subject 2 reduced biceps activity compared with PRE. At POST, greater pectoralis activity and reduced trapezius activity were observed in subject 3, and greater activity in those two muscles was found in subject 4 compared with PRE.
CONCLUSION
CONCLUSIONS
After multiple weeks of using the myoelectric prosthetic hands, their hand functions during ADL tasks were improved and changes in the muscle activities were found.
Identifiants
pubmed: 35511455
doi: 10.1097/PXR.0000000000000139
pii: 00006479-202212000-00009
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
582-590Informations de copyright
Copyright © 2022 International Society for Prosthetics and Orthotics.
Références
Bergman K, Ornholmer L, Zackrisson K, et al. Functional benefit of an adaptive myoelectric prosthetic hand compared to a conventional myoelectric hand. Prosthet Orthot Int 1992; 16: 32–37.
Spiers AJ, Resnik L, Dollar AM. Analyzing at-home prosthesis use in unilateral upper-limb amputees to inform treatment & device design. IEEE Int Conf Rehabil Robot 2017; 2017: 1273–1280.
Parker P, Englehart K, Hudgins B. Myoelectric signal processing for control of powered limb prostheses. J Electromyogr Kinesiol 2006; 16: 541–548.
Light CM, Chappell PH, Kyberd PJ. Establishing a standardized clinical assessment tool of pathologic and prosthetic hand function: normative data, reliability, and validity. Arch Phys Med Rehabil 2002; 83: 776–783.
Fougner AL, Stavdahl O, Kyberd PJ. System training and assessment in simultaneous proportional myoelectric prosthesis control. J Neuroeng Rehabil 2014; 2811: 75.
Hargrove LJ, Miller LA, Turner K, et al. Myoelectric pattern recognition outperforms direct control for transhumeral amputees with targeted muscle reinnervation: a randomized clinical trial. Sci Rep 2017; 7: 13840.
Kuiken TA, Miller LA, Turner K, et al. A comparison of pattern recognition control and direct control of a multiple degree-of-freedom transradial prosthesis. IEEE J Transl Eng Health Med 2016; 4: 2100508.
Vasluian E, Bongers RM, Reinders-Messelink HA, et al. Learning effects of repetitive administration of the Southampton Hand Assessment Procedure in novice prosthetic users. J Rehabil Med 2014; 46: 788–797.
Lee JH, Oh YE, Lee HJ, et al. Quantification of upper limb isometric force control abilities for evaluating upper limb functions among prosthetic users. IEEE Trans Neural Syst Rehabil Eng 2021; 29: 2559–2568.
Delagi EF, Perotto A. Anatomical Guide for the Electromyographer. Charles C Thomas; 1980.
Ottobock. https://www.ottobock.nl/media/local-media/docs-tbv-lma/brochure-training-myoelectric-protheses-professionals-en.pdf .
Burger H, Franchignoni F, Heinemann AW, et al. Validation of the orthotics and prosthetics user survey upper extremity functional status module in people with unilateral upper limb amputation. J Rehabil Med 2008; 40: 393–399.
Heinemann AW, Bode RK, O'Reilly C. Development and measurement properties of the Orthotics and Prosthetics Users' Survey (OPUS): a comprehensive set of clinical outcome instruments. Prosthet Orthot Int 2003; 27: 191–206.
Southampton Hand Assessment Procedure. http://www.shap.ecs.soton.ac.uk/entry.php .
Lee SJ, Hidler J. Biomechanics of overground vs. treadmill walking in healthy individuals. J Appl Physiol 2008; 104: 747–755.
Stenum J, Choi JT. Neuromuscular effort predicts walk-run transition speed in normal and adapted human gaits. J Exp Biol 2016; 219: 2809–2813.
Deijs M, Bongers RM, Ringeling-van Leusen ND, et al. Flexible and static wrist units in upper limb prosthesis users: functionality scores, user satisfaction and compensatory movements. J Neuroeng Rehabil 2016; 13: 26.
Bouwsema H, van der Sluis CK, Bongers RM. Changes in performance over time while learning to use a myoelectric prosthesis. J Neuroeng Rehabil. Feb 2014; 11: 16.
Corcos DM, Jaric S, Agarwal GC, et al. Principles for learning single-joint movements. I. Enhanced performance by practice. Exp Brain Res 1993; 94: 499–513.
Lay BS, Sparrow WA, Hughes KM, et al. Practice effects on coordination and control, metabolic energy expenditure, and muscle activation. Hum Mov Sci 2002; 21: 807–830.
Bourbonnais D, Vanden Noven S, Carey KM, et al. Abnormal spatial patterns of elbow muscle activation in hemiparetic human subjects. Brain 1989; 112: 85–102.
Beer RF, Ellis MD, Holubar BG, et al. Impact of gravity loading on post-stroke reaching and its relationship to weakness. Muscle Nerve 2007; 36: 242–250.
Barker RN, Brauer S, Carson R. Training-induced changes in the pattern of triceps to biceps activation during reaching tasks after chronic and severe stroke. Exp Brain Res 2009; 196: 483–496.
Heise GD. Emg changes in agonist muscles during practice of a multijoint throwing skill. J Electromyogr Kines 1995; 5: 81–94.
Aggelousis N, Mavromatis G, Gourgoulis V, et al. Modifications of neuromuscular activity and improvement in performance of a novel motor skill. Percept Mot Skills 2001; 93: 239–248.