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How do you control a prosthesis?

Published in Prosthetics 4 mins read

Myoelectric prostheses are controlled by detecting and interpreting the electrical signals produced by muscle contractions in the residual limb. These signals, known as electromyographic (EMG) signals, are then used to command the movements of the prosthetic device.

The Myoelectric Control Process:

The control of a myoelectric prosthesis typically involves the following steps:

  1. Muscle Contraction: The user consciously contracts specific muscles in their residual limb. These muscles are typically the ones that were used to control the missing limb.

  2. EMG Signal Detection: Sensors (electrodes) placed on the skin surface or implanted directly into the muscle detect the electrical activity generated by the muscle contraction. Surface electrodes are non-invasive and the most common approach.

  3. Signal Processing: The raw EMG signal is very noisy and complex. Signal processing techniques are applied to amplify, filter, and clean the signal to extract meaningful information. This includes reducing noise and isolating the signals related to specific muscle activations.

  4. Pattern Recognition (Decoding): Advanced algorithms, often based on machine learning, analyze the processed EMG signals to identify patterns associated with different desired movements (e.g., opening hand, closing hand, wrist rotation). The system "learns" the user's unique muscle activation patterns.

  5. Prosthesis Activation: The processed and decoded signal is sent to the prosthesis's control system. The control system activates the appropriate motors and mechanisms in the prosthesis to execute the intended movement.

  6. Feedback: Ideally, the user receives sensory feedback (e.g., visual, tactile, proprioceptive) about the prosthesis's position, force, and movement. This feedback loop allows for more precise and natural control. However, providing reliable and intuitive sensory feedback remains a significant challenge in prosthetics.

Types of Myoelectric Control:

  • Two-Site Control: This is the most basic type, using two electrode sites to control two functions. For example, one muscle site might control hand opening and closing, while another controls wrist pronation/supination.

  • Multiple-Site Control: Uses more than two electrode sites to control more functions, enabling more complex and coordinated movements.

  • Pattern Recognition Control: As described above, employs sophisticated algorithms to recognize patterns in EMG signals, allowing for more intuitive and versatile control of the prosthesis. This type allows for a greater range of movements and functionalities.

Advantages of Myoelectric Control:

  • Intuitive control based on natural muscle activation.
  • Can provide proportional control (e.g., stronger muscle contraction leads to faster or stronger movement).
  • Allows for a greater range of motion compared to body-powered prostheses.

Challenges of Myoelectric Control:

  • Susceptibility to noise and interference from sweat, muscle fatigue, and electrode displacement.
  • Requires consistent and reliable EMG signals, which can be affected by muscle atrophy or changes in skin impedance.
  • The learning curve for mastering myoelectric control can be significant.
  • Sensory feedback is limited or absent in most systems.

Examples:

  • A person with a below-elbow amputation might use a myoelectric prosthesis to grasp and manipulate objects. By contracting the muscles that would have controlled their hand, they can open and close the prosthetic hand.

  • Advanced myoelectric prostheses can allow for multiple degrees of freedom, enabling the user to control the hand, wrist, and elbow simultaneously.

In conclusion, controlling a prosthesis, specifically a myoelectric prosthesis, relies on capturing, processing, and translating the electrical signals from muscle contractions into commands that drive the prosthetic limb's movements. Advancements in signal processing and pattern recognition are continually improving the intuitiveness and functionality of these devices.

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