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A Structured Rehabilitation Protocol for Improved Multifunctional Prosthetic Control: A Case Study
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Game-Based Rehabilitation for Myoelectric Prosthesis Control.

Cosima Prahm1, Ivan Vujaklija2,3, Fares Kayali4

  • 1Christian Doppler Laboratory for Restoration of Extremity Function, Department of Plastic and Reconstructive Surgery, Medical University of Vienna, Vienna, Austria.

JMIR Serious Games
|February 11, 2017
PubMed
Summary

Video game-based rehabilitation significantly improves myoelectric prosthesis control and endurance in users. This engaging approach enhances muscle coordination and retention, offering a motivating alternative to traditional therapy.

Keywords:
EMG controlgamingintrinsic motivationneuromuscular rehabilitationserious gamesupper extremity amputeesupper limb prosthesis control

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Area of Science:

  • Rehabilitation Engineering
  • Human-Computer Interaction
  • Prosthetics

Background:

  • Myoelectric prosthesis abandonment is high due to control difficulties and lack of motivation.
  • Virtual training via video games offers an engaging solution for improved prosthesis control.
  • Early and continued home-based virtual training can supplement traditional rehabilitation.

Purpose of the Study:

  • To evaluate the short-term effects of a video game-based rehabilitation protocol on electromyographic (EMG) control.
  • To assess different input methods, control mechanisms, and game designs within the virtual training system.

Main Methods:

  • Eleven able-bodied participants without prior EMG experience were recruited.
  • Surface EMG tests measured muscle contraction, accuracy, isolation, and endurance before, after, and during follow-up sessions.
  • Participants completed user evaluation surveys and an intrinsic motivation questionnaire post-gaming.

Main Results:

  • Significant improvements were observed in fine accuracy, electrode separation, and endurance control.
  • EMG goal deviation decreased, and opposing electrode activation was reduced.
  • Engaging gameplay elements like item collection and challenging tasks enhanced user enjoyment.

Conclusions:

  • Video game-based rehabilitation effectively trains 2-channel myoelectric prosthesis control.
  • This approach offers a viable and motivating method for improving prosthesis controllability and user adherence.