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Updated: Sep 22, 2025

A Structured Rehabilitation Protocol for Improved Multifunctional Prosthetic Control: A Case Study
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First Demonstration of Functional Task Performance Using a Sonomyographic Prosthesis: A Case Study.

Susannah M Engdahl1,2, Samuel A Acuña1,2, Erica L King1,2

  • 1Department of Bioengineering, George Mason University, Fairfax, VA, United States.

Frontiers in Bioengineering and Biotechnology
|May 23, 2022
PubMed
Summary
This summary is machine-generated.

Sonomyography, an ultrasound technique, now enables real-time control of prosthetic hands for individuals with limb differences. This technology allows for functional tasks and shows promise for advanced upper limb prostheses.

Keywords:
functional tasksgesture recognitionprosthesis controlrehabilitationsonomyographyultrasound imagingupper limb

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Area of Science:

  • Biomedical Engineering
  • Rehabilitation Technology
  • Prosthetics

Background:

  • Ultrasound-based sonomyography has previously shown potential for classifying hand grasps in offline settings.
  • Real-time control of upper limb prostheses remains a significant challenge for individuals with limb absence.

Purpose of the Study:

  • To demonstrate the first real-time prosthetic hand control using sonomyography for functional tasks.
  • To evaluate the feasibility of sonomyography for controlling upper limb prostheses in real-world applications.

Main Methods:

  • An individual with congenital bilateral limb absence was fitted with sockets containing ultrasound transducers.
  • A linear discriminant analysis classifier was trained to recognize muscle contractions for rest, tripod grasp, and index finger point.
  • The classifier controlled a prosthetic hand mounted to the socket for functional tasks.

Main Results:

  • The participant successfully completed functional tasks requiring different hand grasps using real-time sonomyographic control.
  • Control was maintained across a broad range of arm positions.
  • The system demonstrated robustness, with successful repetitions over 3 hours and after simulated donning/doffing without retraining.

Conclusions:

  • Sonomyography is a feasible method for real-time control of upper limb prostheses.
  • This technology offers a promising pathway for improving the functionality of prosthetic devices.
  • The study supports the potential of sonomyography for real-world prosthetic applications.