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EMG-driven control in lower limb prostheses: a topic-based systematic review.

Andrea Cimolato1,2, Josephus J M Driessen3, Leonardo S Mattos4

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Electromyography (EMG)-driven control for microprocessor-controlled lower limb prostheses (MLLPs) shows promise but lacks standardized validation. Combining control methods may improve performance for various activities, enhancing user acceptance and reducing negative health effects.

Keywords:
ElectromyograhyLegged locomotionMicroprocessored-controlled lower limb prosthesisNeuro-control

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Area of Science:

  • Biomedical Engineering
  • Rehabilitation Technology
  • Neuroprosthetics

Background:

  • Low acceptance of current prostheses stems from poor user control.
  • Electromyography (EMG)-based control offers intuitive interaction for microprocessor-controlled lower limb prostheses (MLLPs).
  • Despite research, commercial EMG-driven MLLPs are absent, unlike upper limb counterparts.

Purpose of the Study:

  • To review EMG-driven control methods for MLLPs.
  • To identify prospects and limitations of current EMG control strategies.
  • To suggest future research and development directions for EMG-driven MLLPs.

Main Methods:

  • Systematic review of academic studies on EMG-driven MLLPs.
  • Categorization based on neuro-control type, EMG-driven controllers, neural input/processing, and performance assessment.
  • Analysis of existing literature to compare controller efficacy.

Main Results:

  • Lack of standardized quantitative measures hinders direct comparison of EMG controller performance.
  • The true efficacy of EMG-driven controllers for MLLPs requires further validation.
  • Combining multiple neuro-controller types shows potential for seamless and reliable EMG-driven control.

Conclusions:

  • EMG-driven controllers can potentially match non-EMG controllers for rhythmic tasks and improve volitional activities.
  • Advancements in invasive neural interfaces (bionics) promise more reliable user-prosthesis connections.
  • Improved EMG-driven MLLPs could significantly mitigate psychosomatic and degenerative conditions in amputees.