Engeberg Erik D, Meek Sanford
University of Akron, Mechanical Engineering Department, ASEC, Room 113 Akron, OH 44325-3903, USA. engeberg@uakron
Prosthet Orthot Int. 2012 Dec;36(4):423-9. doi: 10.1177/0309364612440077. Epub 2012 Mar 8.
Upper limb amputees have no direct sense of the grip force applied by a prosthetic hand; thus, precise control of the applied grip force is difficult for amputees. Since there is little object deformation when rigid objects are grasped, it is difficult for amputees to visually gauge the applied grip force in this situation.
To determine if the applied grip force from a prosthetic hand can be visually displayed and used to more efficaciously grasp objects.
Experimental controlled trial.
Force feedback is used in the control algorithm for the prosthetic hand and supplied visually to the user through a bicolor LED experimentally mounted to the thumb. Several experiments are performed by able-bodied test subjects to rate the usefulness of the additional visual feedback when manipulating a clearly visible, brittle object that can break if grasped too firmly. A hybrid force-velocity sliding mode controller is used with and without additional visual force feedback supplied to the operators.
Subjective evaluations and success rates from the test subjects indicate a statistically significant reduction in breaking the grasped object when using the prosthesis with the extra visual feedback.
The additional visual force feedback can effectively facilitate the manipulation of brittle objects. Clinical relevance The novel approach of this research is the implementation of a noninvasive, effective and economic technique to visually indicate the grip force applied by a prosthetic hand to upper limb amputees. This technique provides a statistically significant improvement when handling brittle objects.
上肢截肢者无法直接感知假手施加的握力;因此,截肢者很难精确控制所施加的握力。由于抓握刚性物体时物体变形很小,截肢者在这种情况下很难通过视觉判断所施加的握力。
确定假手施加的握力是否可以视觉显示并用于更有效地抓握物体。
实验对照试验。
在假手的控制算法中使用力反馈,并通过实验安装在拇指上的双色发光二极管将其视觉反馈给用户。健全的测试对象进行了几项实验,以评估在操作一个清晰可见、易碎的物体(如果抓握过紧可能会破碎)时额外视觉反馈的有用性。在向操作员提供或不提供额外视觉力反馈的情况下,使用混合力-速度滑模控制器。
测试对象的主观评价和成功率表明,在使用具有额外视觉反馈的假肢时,抓握物体破碎的情况在统计学上有显著减少。
额外的视觉力反馈可以有效地促进对易碎物体的操作。临床相关性 本研究的新颖方法是实施一种无创、有效且经济的技术,以视觉方式向肢体截肢者显示假手施加的握力。在处理易碎物体时,该技术在统计学上有显著改善。