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A Structured Rehabilitation Protocol for Improved Multifunctional Prosthetic Control: A Case Study
Published on: November 6, 2015
Crossed four-bar mechanism for improved prosthetic grasp
Issa A Ramirez1, Craig P Lusk, Rajiv Dubey
1Department of Mechanical Engineering, University of South Florida, Tampa, FL 33620-5350 , USA.
Journal of Rehabilitation Research and Development
|February 17, 2010
Summary
New prosthetic hand linkages improve grasp stability and power for some tasks, though precision grasps are hindered. This advancement aims to enhance prosthetic terminal device functionality with fewer user controls.
Area of Science:
- Biomedical Engineering
- Rehabilitation Engineering
- Prosthetics
Background:
- Prosthetic terminal devices often lack the dexterity and intuitive control of human hands.
- Improving grasp functionality and reducing user input are key challenges in prosthetic design.
Purpose of the Study:
- To develop and evaluate passive linkages for prosthetic terminal devices.
- To enhance grasp stability and minimize user-controlled inputs.
- To compare the performance of the new mechanism against a normal hand and a commercial hook.
Main Methods:
- Development of passive linkages to aid grasp.
- Utilizing the Southampton Hand Assessment Procedure for performance evaluation.
- Comparative analysis of a prototype device, a normal hand, and a commercial hook.
Main Results:
- The prototype demonstrated improved heavyweight power and spherical grasps compared to the commercial hook.
- Prosthetic devices, including the prototype, were three times slower than the normal hand in task completion.
- Precision grasps were negatively impacted by the prototype's smooth distal surface.
Conclusions:
- Passive linkages can enhance specific grasp types in prosthetic terminal devices.
- Further development is needed to address limitations in precision grasps and overall task speed.
- The findings offer insights into optimizing prosthetic hand design for improved functionality.

