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Updated: Mar 23, 2026

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A Structured Rehabilitation Protocol for Improved Multifunctional Prosthetic Control: A Case Study
Published on: November 6, 2015
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Cognitive predictors of skilled performance with an advanced upper limb multifunction prosthesis: a preliminary
Laura Hancock1, Stephen Correia2,3, David Ahern4
1a Department of Psychiatry and Human Behavior , Alpert Medical School of Brown University , Providence , RI , USA.
Disability and Rehabilitation. Assistive Technology
|April 7, 2016
Summary
Cognitive functions like attention and processing speed are key to learning the DEKA Arm prosthesis. Neuropsychological tests can predict user proficiency and help set realistic training goals for upper limb amputees.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Prosthetics
Background:
- Learning to use advanced prosthetics like the DEKA Arm requires specific cognitive skills.
- Understanding these cognitive demands is crucial for optimizing training and outcomes for individuals with upper limb amputations.
Purpose of the Study:
- Identify cognitive domains essential for DEKA Arm use.
- Differentiate cognitive skills between basic and advanced users.
- Determine if baseline memory and executive function predict learning ability.
Main Methods:
- 35 individuals with upper limb amputations underwent neuropsychological testing before DEKA Arm training.
- Physical performance was measured pre- and post-training.
- Regression models and t-tests analyzed the relationship between cognitive scores and prosthetic performance.
Main Results:
- Attention and processing speed were significantly linked to DEKA Arm proficiency.
- These cognitive domains predicted the level of user proficiency.
- Baseline cognitive scores could predict changes in physical performance over time.
Conclusions:
- Neuropsychological tests can predict learning and proficiency with multifunctional prostheses.
- Assessing cognitive status early can help manage expectations for training duration and outcomes.
- This approach aids in setting realistic goals for upper limb amputee rehabilitation.

