Neural Interfacing Architecture Enables Enhanced Motor Control and Residual Limb Functionality Postamputation
Neural interfacing architecture enables enhanced motor control and residual limb functionality postamputation Shriya S. Srinivasana,b,c,1, Samantha Gutierrez-Arangoa, Ashley Chia-En Tengd, Erica Israela, Hyungeun Songa,b, Zachary Keith Baileya,e, Matthew J. Cartya,f,c, Lisa E. Freeda,b, and Hugh M. Herra,c,1 aMIT Center for Extreme Bionics, Biomechatronics Group, Massachusetts Institute of Technology, Cambridge, MA 02139; bHarvard-MIT Program in Health Sciences and Technology, Massachusetts Institute of Technology, Cambridge, MA 02139; cHarvard Medical School, Boston, MA 02114; dDepartment of Mechanical Engineering, Massachusetts Institute of Technology, Cambridge, MA 02139; eDepartment of Mechanical Engineering, United States Air Force Academy, Colorado Springs, CO 80920; and fDivision of Plastics and Reconstructive Surgery, Brigham and Women’s Hospital, Boston, MA 02114 Edited by Peter L. Strick, University of Pittsburgh, Pittsburgh, PA, and approved December 30, 2020 (received for review September 16, 2020) Despite advancements in prosthetic technologies, patients with excurse, causing cocontraction of muscles and changing gait amputation today suffer great diminution in mobility and quality patterns (11–14). Together, these peripheral and central modi- of life. We have developed a modified below-knee amputation fications result in the poor production of efferent signals for (BKA) procedure that incorporates agonist–antagonist myoneural direct myoelectric control (15, 16). To compensate for these interfaces (AMIs), which surgically preserve and couple agonist– shortcomings, considerable effort has been spent on developing antagonist muscle pairs for the subtalar and ankle joints. AMIs are and deploying pattern-recognition–based myoelectric control designed to restore physiological neuromuscular dynamics, enable strategies (17–19). However, even with these advanced myo- bidirectional neural signaling, and offer greater neuroprosthetic electric devices and controllers, end users find their operation controllability compared to traditional amputation techniques.
[Show full text]