Usability Assessment of Body Controlled Electric Hand Prostheses: A Pilot Study

Poly-articulated hands, actuated by multiple motors and controlled by surface myoelectric technologies, represent the most advanced aids among commercial prostheses. However, simple hook-like body-powered solutions are still preferred for their robustness and control reliability, especially for challenging environments (such as those encountered in manual work or developing countries). This study presents the mechatronic implementation and the usability assessment of the SoftHand Pro-Hybrid, a family of poly-articulated, electrically-actuated, and body-controlled artificial hands, which combines the main advantages of both body-powered and myoelectric systems in a single device. An assessment of the proposed system is performed with individuals with and without limb loss, using as a benchmark the SoftHand Pro, which shares the same soft mechanical architecture, but is controlled using surface electromyographic sensors. Results indicate comparable task performance between the two control methods and suggest the potential of the SoftHand Pro-Hybrid configurations as a viable alternative to myoelectric control, especially in work and demanding environments.

[1]  M. J. Highsmith,et al.  Differences in myoelectric and body-powered upper-limb prostheses: Systematic literature review. , 2015, Journal of rehabilitation research and development.

[2]  L. Resnik,et al.  Development and evaluation of the activities measure for upper limb amputees. , 2013, Archives of Physical Medicine and Rehabilitation.

[3]  Ching-Lai Hwang,et al.  Multiple Attribute Decision Making: Methods and Applications - A State-of-the-Art Survey , 1981, Lecture Notes in Economics and Mathematical Systems.

[4]  A. Bicchi,et al.  The SoftHand Pro-H: A Hybrid Body-Controlled, Electrically Powered Hand Prosthesis for Daily Living and Working , 2017, IEEE Robotics & Automation Magazine.

[5]  Linda Resnik,et al.  Reliability and Validity of Outcome Measures for Upper Limb Amputation , 2012 .

[6]  J. B. Brooke,et al.  SUS: A 'Quick and Dirty' Usability Scale , 1996 .

[7]  Manuel G. Catalano,et al.  Adaptive synergies for the design and control of the Pisa/IIT SoftHand , 2014, Int. J. Robotics Res..

[8]  R Dakpa,et al.  Prosthetic management and training of adult upper limb amputees , 1997 .

[9]  Robert Riener,et al.  The Cybathlon promotes the development of assistive technology for people with physical disabilities , 2016, Journal of NeuroEngineering and Rehabilitation.

[10]  A. Eliasson,et al.  Assessment of capacity for myoelectric control: a new Rasch-built measure of prosthetic hand control. , 2005, Journal of rehabilitation medicine.

[11]  Todd A. Todd A. Kuiken Kuiken,et al.  A Comparison of Pattern Recognition Control and Direct Control of a Multiple Degree-of-Freedom Transradial Prosthesis , 2016, IEEE Journal of Translational Engineering in Health and Medicine.

[12]  Jon W Sensinger,et al.  Design and evaluation of voluntary opening and voluntary closing prosthetic terminal device. , 2015, Journal of rehabilitation research and development.

[13]  C. Light,et al.  Establishing a standardized clinical assessment tool of pathologic and prosthetic hand function: normative data, reliability, and validity. , 2002, Archives of physical medicine and rehabilitation.

[14]  Giorgio Grioli,et al.  The Quest for Natural Machine Motion: An Open Platform to Fast-Prototyping Articulated Soft Robots , 2017, IEEE Robotics & Automation Magazine.

[15]  Ashok Muzumdar Powered upper limb prostheses : control, implementation and clinical application , 2004 .

[16]  E. Biddiss,et al.  Upper limb prosthesis use and abandonment: A survey of the last 25 years , 2007, Prosthetics and orthotics international.

[17]  Noor Azuan Abu Osman,et al.  Improvement on upper limb body-powered prostheses (1921–2016): A systematic review , 2018, Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine.

[18]  M Jason Highsmith,et al.  Kinematic Comparison of Myoelectric and Body Powered Prostheses While Performing Common Activities , 2009, Prosthetics and orthotics international.

[19]  Elaine Biddiss,et al.  Consumer design priorities for upper limb prosthetics , 2007, Disability and rehabilitation. Assistive technology.

[20]  Pieter U Dijkstra,et al.  Job Adjustments, Job Satisfaction and Health Experience in Upper and Lower Limb Amputees , 2009, Prosthetics and orthotics international.

[21]  W. T. Dempster,et al.  SPACE REQUIREMENTS OF THE SEATED OPERATOR, GEOMETRICAL, KINEMATIC, AND MECHANICAL ASPECTS OF THE BODY WITH SPECIAL REFERENCE TO THE LIMBS , 1955 .

[22]  J. Edelstein,et al.  Performance comparison among children fitted with myoelectric and body-powered hands. , 1993, Archives of physical medicine and rehabilitation.

[23]  B. J. Darter,et al.  Factors Influencing Functional Outcomes and Return-to-Work After Amputation: A Review of the Literature , 2018, Journal of Occupational Rehabilitation.

[24]  Ashok Muzumdar,et al.  Powered Upper Limb Prostheses , 2004, Springer Berlin Heidelberg.

[25]  Tom Chau,et al.  The roles of predisposing characteristics, established need, and enabling resources on upper extremity prosthesis use and abandonment , 2007, Disability and rehabilitation. Assistive technology.

[26]  Manuel G. Catalano,et al.  A Soft Modular End Effector for Underwater Manipulation: A Gentle, Adaptable Grasp for the Ocean Depths , 2018, IEEE Robotics & Automation Magazine.

[27]  C. E. Clauser,et al.  Anthropometric Relationships of Body and Body Segment Moments of Inertia , 1980 .

[28]  Jacob L. Segil,et al.  Mechanical design and performance specifications of anthropomorphic prosthetic hands: a review. , 2013, Journal of rehabilitation research and development.

[29]  Christian Antfolk,et al.  Sensory feedback in upper limb prosthetics , 2013, Expert review of medical devices.

[30]  R. Brent Gillespie,et al.  An Empirical Evaluation of Force Feedback in Body-Powered Prostheses , 2017, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[31]  Loredana Zollo,et al.  Literature Review on Needs of Upper Limb Prosthesis Users , 2016, Front. Neurosci..

[32]  M. J. Highsmith,et al.  Differences in Myoelectric and Body-Powered Upper-Limb Prostheses: Systematic Literature Review , 2017 .

[33]  Kristin Østlie,et al.  Prosthesis use in adult acquired major upper-limb amputees: patterns of wear, prosthetic skills and the actual use of prostheses in activities of daily life , 2012, Disability and rehabilitation. Assistive technology.

[34]  Matteo Bianchi,et al.  The SoftHand Pro: Functional evaluation of a novel, flexible, and robust myoelectric prosthesis , 2018, PloS one.

[35]  S. Millstein,et al.  Prosthetic Use in Adult Upper Limb Amputees: A Comparison of the Body Powered and Electrically Powered Prostheses , 1986, Prosthetics and orthotics international.

[36]  Oliver Brock,et al.  Benchmarking Hand and Grasp Resilience to Dynamic Loads , 2020, IEEE Robotics and Automation Letters.

[37]  Manuel G. Catalano,et al.  A Century of Robotic Hands , 2019, Annu. Rev. Control. Robotics Auton. Syst..

[38]  R. Hébert,et al.  Validation of the Box and Block Test as a measure of dexterity of elderly people: reliability, validity, and norms studies. , 1994, Archives of physical medicine and rehabilitation.