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Updated: Nov 4, 2025

A Structured Rehabilitation Protocol for Improved Multifunctional Prosthetic Control: A Case Study
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Intuitive real-time control strategy for high-density myoelectric hand prosthesis using deep and transfer learning.

Simon Tam1, Mounir Boukadoum2, Alexandre Campeau-Lecours3,4

  • 1Department of Electrical and Computer Engineering, Université Laval, Québec, G1V 0A6, Canada. simon.tam.1@ulaval.ca.

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Summary

This study introduces an intuitive myoelectric hand prosthesis control system using high-density electromyography (HD-EMG) and convolutional neural networks (CNNs). The novel approach significantly reduces setup time and enhances user control for amputees.

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Area of Science:

  • Biomedical Engineering
  • Rehabilitation Technology
  • Artificial Intelligence in Medicine

Background:

  • Myoelectric hand prostheses aim to restore function for upper-limb amputees but suffer from low user acceptance due to non-intuitive control interfaces.
  • Existing systems often require complex calibration and lack responsiveness, hindering seamless integration into daily activities.

Purpose of the Study:

  • To develop and evaluate a highly intuitive, responsive, and reliable real-time myoelectric hand prosthesis control strategy.
  • To demonstrate the efficacy of a novel human-machine interface for improved prosthesis usability and user acceptance.

Main Methods:

  • Utilized surface high-density electromyography (HD-EMG) for muscle signal acquisition.
  • Implemented a convolutional neural network (CNN) for adaptive, user-specific gesture recognition.
  • Employed a transfer learning approach to minimize training time and simplify calibration.

Main Results:

  • Achieved high real-time performance with mean and median positive predictive values (PPV) of 93.43% and 100% for 6 grip modes.
  • Demonstrated instant accessibility between gesture states, eliminating mode switching for natural control.
  • System latency for correct prediction was under 116 ms.
  • Transfer learning reduced setup time to under 10 minutes, an 89.4% improvement over traditional methods.

Conclusions:

  • The proposed HD-EMG and CNN-based control strategy offers an intuitive and efficient solution for myoelectric hand prostheses.
  • The system's reduced setup time and enhanced responsiveness significantly improve potential user acceptance and rehabilitation outcomes.
  • This approach paves the way for more natural and seamless control of prosthetic devices.