Innovations in prosthetic interfaces for the upper extremity.

Abstract:

:Advancements in modern robotic technology have led to the development of highly sophisticated upper extremity prosthetic limbs. High-fidelity volitional control of these devices is dependent on the critical interface between the patient and the mechanical prosthesis. Recent innovations in prosthetic interfaces have focused on several control strategies. Targeted muscle reinnervation is currently the most immediately applicable prosthetic control strategy and is particularly indicated in proximal upper extremity amputations. Investigation into various brain interfaces has allowed acquisition of neuroelectric signals directly or indirectly from the central nervous system for prosthetic control. Peripheral nerve interfaces permit signal transduction from both motor and sensory nerves with a higher degree of selectivity. This article reviews the current developments in each of these interface systems and discusses the potential of these approaches to facilitate motor control and sensory feedback in upper extremity neuroprosthetic devices.

journal_name

Plast Reconstr Surg

authors

Kung TA,Bueno RA,Alkhalefah GK,Langhals NB,Urbanchek MG,Cederna PS

doi

10.1097/PRS.0b013e3182a97e5f

subject

Has Abstract

pub_date

2013-12-01 00:00:00

pages

1515-1523

issue

6

eissn

0032-1052

issn

1529-4242

pii

00006534-201312000-00025

journal_volume

132

pub_type

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