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用于模式识别控制假肢功能使用的患者培训。

Patient training for functional use of pattern recognition-controlled prostheses.

作者信息

Simon Ann M, Lock Blair A, Stubblefield Kathy A

机构信息

Center for Bionic Medicine, Rehabilitation Institute of Chicago, Chicago, IL.

出版信息

J Prosthet Orthot. 2012 Apr;24(2):56-64. doi: 10.1097/JPO.0b013e3182515437.

DOI:10.1097/JPO.0b013e3182515437
PMID:22563231
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3339840/
Abstract

Pattern recognition control systems have the potential to provide better, more reliable myoelectric prosthesis control for individuals with an upper-limb amputation. However, proper patient training is essential. We begin user training by teaching the concepts of pattern recognition control and progress to teaching how to control, use, and maintain prostheses with one or many degrees of freedom. Here we describe the training stages, with relevant case studies, and highlight several tools that can be used throughout the training process, including prosthesis-guided training (PGT)-a self-initiated, simple method of recalibrating a pattern recognition-controlled prosthesis. PGT may lengthen functional use times, potentially increasing prosthesis wear time. Using this training approach, we anticipate advancing pattern recognition control from the laboratory to the home environment and finally realizing the full potential of these control systems.

摘要

模式识别控制系统有潜力为上肢截肢者提供更好、更可靠的肌电假肢控制。然而,适当的患者培训至关重要。我们通过教授模式识别控制的概念开始用户培训,并逐步教授如何控制、使用和维护具有一个或多个自由度的假肢。在此,我们描述培训阶段,并附上相关案例研究,同时重点介绍在整个培训过程中可以使用的几种工具,包括假肢引导训练(PGT)——一种自我启动的、重新校准模式识别控制假肢的简单方法。PGT可能会延长功能使用时间,从而有可能增加假肢佩戴时间。采用这种培训方法,我们期望将模式识别控制从实验室推广到家庭环境,最终实现这些控制系统的全部潜力。

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Patient training for functional use of pattern recognition-controlled prostheses.用于模式识别控制假肢功能使用的患者培训。
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2
Prosthesis-guided training of pattern recognition-controlled myoelectric prosthesis.假体引导的模式识别控制肌电假肢训练
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引用本文的文献

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Optimal Sites for Upper Extremity Amputation: Comparison Between Surgeons and Prosthetists.上肢截肢的最佳部位:外科医生与假肢矫形师的比较
Bioengineering (Basel). 2025 Jul 15;12(7):765. doi: 10.3390/bioengineering12070765.
2
Toward Cyborg: Exploring Long-Term Clinical Outcomes of a Multi-Degree-of-Freedom Myoelectric Prosthetic Hand.迈向半机械人:探索多自由度肌电假手的长期临床结果。
Cyborg Bionic Syst. 2025 Mar 18;6:0195. doi: 10.34133/cbsystems.0195. eCollection 2025.
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Enhancing neuroprosthesis calibration: the advantage of integrating prior training over exclusive use of new data.

本文引用的文献

1
Target Achievement Control Test: evaluating real-time myoelectric pattern-recognition control of multifunctional upper-limb prostheses.目标达成控制测试:评估多功能上肢假肢的实时肌电模式识别控制
J Rehabil Res Dev. 2011;48(6):619-27. doi: 10.1682/jrrd.2010.08.0149.
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The effects of electrode size and orientation on the sensitivity of myoelectric pattern recognition systems to electrode shift.电极大小和方向对肌电模式识别系统对电极移位的敏感性的影响。
IEEE Trans Biomed Eng. 2011 Sep;58(9):2537-44. doi: 10.1109/TBME.2011.2159216. Epub 2011 Jun 9.
3
A decision-based velocity ramp for minimizing the effect of misclassifications during real-time pattern recognition control.
增强神经假体校准:整合先前训练数据优于单纯使用新数据的优势。
J Neural Eng. 2024 Nov 29;21(6):066020. doi: 10.1088/1741-2552/ad94a7.
4
Sonomyography for Control of Upper-Limb Prostheses: Current State and Future Directions.用于上肢假肢控制的超声成像:现状与未来方向。
J Prosthet Orthot. 2024 Jul;36(3):174-184. doi: 10.1097/jpo.0000000000000482.
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Validity and Impact of Methods for Collecting Training Data for Myoelectric Prosthetic Control Algorithms.用于肌电假肢控制算法的训练数据采集方法的有效性和影响。
IEEE Trans Neural Syst Rehabil Eng. 2024;32:1974-1983. doi: 10.1109/TNSRE.2024.3400729. Epub 2024 May 22.
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Implications of EMG channel count: enhancing pattern recognition online prosthetic testing.肌电图通道数量的影响:增强在线假肢测试中的模式识别
Front Rehabil Sci. 2024 Mar 4;5:1345364. doi: 10.3389/fresc.2024.1345364. eCollection 2024.
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Understanding the capacity of children with congenital unilateral below-elbow deficiency to actuate their affected muscles.了解先天性单侧肘下缺失儿童主动活动其患病肌肉的能力。
Sci Rep. 2024 Feb 24;14(1):4563. doi: 10.1038/s41598-024-54952-7.
8
Current status and clinical perspectives of extended reality for myoelectric prostheses: review.肌电假肢扩展现实的现状与临床前景:综述
Front Bioeng Biotechnol. 2024 Jan 8;11:1334771. doi: 10.3389/fbioe.2023.1334771. eCollection 2023.
9
Myoelectric prosthesis hand grasp control following targeted muscle reinnervation in individuals with transradial amputation.经桡骨截肢患者靶向肌再支配后的肌电假体手抓握控制。
PLoS One. 2023 Jan 26;18(1):e0280210. doi: 10.1371/journal.pone.0280210. eCollection 2023.
10
User Performance With a Transradial Multi-Articulating Hand Prosthesis During Pattern Recognition and Direct Control Home Use.用户在模式识别和直接控制家庭使用中使用经桡动脉多关节手假肢的性能。
IEEE Trans Neural Syst Rehabil Eng. 2023;31:271-281. doi: 10.1109/TNSRE.2022.3221558. Epub 2023 Jan 31.
基于决策的速度斜坡,用于最小化实时模式识别控制中误分类的影响。
IEEE Trans Biomed Eng. 2011 Aug;58(8). doi: 10.1109/TBME.2011.2155063. Epub 2011 May 16.
4
Examining the adverse effects of limb position on pattern recognition based myoelectric control.研究肢体位置对基于模式识别的肌电控制的不良影响。
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Quantifying pattern recognition-based myoelectric control of multifunctional transradial prostheses.基于模式识别的多功能经桡动脉假肢肌电控制量化研究。
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Real-time myoelectric decoding of individual finger movements for a virtual target task.用于虚拟目标任务的单个手指运动的实时肌电解码
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Decoding of individuated finger movements using surface electromyography.使用表面肌电图对个体化手指运动进行解码。
IEEE Trans Biomed Eng. 2009 May;56(5):1427-34. doi: 10.1109/TBME.2008.2005485.
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Targeted muscle reinnervation for real-time myoelectric control of multifunction artificial arms.用于多功能假臂实时肌电控制的靶向肌肉再支配术
JAMA. 2009 Feb 11;301(6):619-28. doi: 10.1001/jama.2009.116.
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Online electromyographic control of a robotic prosthesis.机器人假肢的在线肌电图控制
IEEE Trans Biomed Eng. 2008 Mar;55(3):1128-35. doi: 10.1109/TBME.2007.909536.
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A real-time pattern recognition based myoelectric control usability study implemented in a virtual environment.在虚拟环境中实施的基于实时模式识别的肌电控制可用性研究。
Annu Int Conf IEEE Eng Med Biol Soc. 2007;2007:4842-5. doi: 10.1109/IEMBS.2007.4353424.