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Functional assessment of current upper limb prostheses: An integrated clinical and technological perspective
School of Computation, Information and Technology, Technische Universität München, Garching, Germany.
School of Computation, Information and Technology, Technische Universität München, Garching, Germany.
Örebro University, School of Health Sciences.ORCID iD: 0000-0002-7670-0885
Instituto Italiano di Tecnologia, Genoa, Italy.
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2023 (English)In: PLOS ONE, E-ISSN 1932-6203, Vol. 18, no 8, article id e0289978Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
Public Library of Science (PLoS), 2023. Vol. 18, no 8, article id e0289978
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Occupational Therapy
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URN: urn:nbn:se:oru:diva-107658DOI: 10.1371/journal.pone.0289978ISI: 001051734600047PubMedID: 37585427Scopus ID: 2-s2.0-85168252861OAI: oai:DiVA.org:oru-107658DiVA, id: diva2:1788773
Funder
EU, European Research Council, 810346Available from: 2023-08-17 Created: 2023-08-17 Last updated: 2023-09-26Bibliographically approved

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Sjöberg, LisHermansson, Liselotte

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