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Related Experiment Video

Updated: May 2, 2026

A Structured Rehabilitation Protocol for Improved Multifunctional Prosthetic Control: A Case Study
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Changes in performance over time while learning to use a myoelectric prosthesis.

Hanneke Bouwsema1, Corry K van der Sluis, Raoul M Bongers

  • 1University of Groningen, University Medical Center Groningen, Center for Human Movement Sciences, UMCG sector F, FA 23, PO Box 196, Groningen NL-9700 AD, The Netherlands. hannekebouwsema@gmail.com.

Journal of Neuroengineering and Rehabilitation
|February 27, 2014
PubMed
Summary

Learning to use a myoelectric prosthesis involves mastering grip force control over time. Initial training should focus on indirect grasping for better performance and quicker adaptation in prosthetic rehabilitation.

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Area of Science:

  • Rehabilitation Engineering
  • Prosthetics and Orthotics
  • Human-Computer Interaction

Background:

  • Functional use of upper limb prostheses improves with training.
  • Understanding the learning process for myoelectric prosthesis use is limited.
  • This study describes performance changes during myoelectric prosthesis practice.

Purpose of the Study:

  • To characterize performance changes in individuals using a myoelectric prosthesis during practice.
  • To establish a foundation for evidence-based prosthetic training programs.

Main Methods:

  • Thirty-one able-bodied participants and 31 controls were recruited.
  • Experimental groups practiced grasping, fixating, or combined tasks with a myoelectric simulator over five sessions.
  • The Southampton Hand Assessment Procedure (SHAP) was used for pretest, posttest, and retention assessments.

Main Results:

  • Experimental groups showed greater SHAP improvement than controls.
  • Prosthesis position control improved rapidly, while grip force control required more practice.
  • Indirect grasping led to less object compression and consistent grasp times across object rigidities.

Conclusions:

  • Prosthetic hand rehabilitation training should emphasize fine motor control.
  • Starting training with indirect grasping may enhance initial performance due to sensory feedback.
  • Training programs can be optimized by focusing on specific task components and learning curves.