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A Structured Rehabilitation Protocol for Improved Multifunctional Prosthetic Control: A Case Study
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Approaches for retraining sEMG classifiers for upper-limb prostheses.

Tom Donnelly1,2, Elena Seminati1,2,3, Benjamin Metcalfe1,2,4

  • 1Centre for Accountable, Responsible, and Transparent AI (ART-AI), Department of Computer Science, University of Bath, Bath, United Kingdom.

Frontiers in Neurorobotics
|October 17, 2025
PubMed
Summary
This summary is machine-generated.

Machine learning for prosthetic control degrades over time. This study introduces three retraining methods to improve accuracy, with signal-to-noise ratio and nearest neighbour approaches showing the best performance for myoelectric prostheses.

Keywords:
hand gesture recognitioninter-session retrainingmachine learningmyoelectric prosthesessurface electromyography

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Area of Science:

  • Biomedical Engineering
  • Rehabilitation Technology
  • Machine Learning in Prosthetics

Background:

  • High abandonment rates (44%) for myoelectric upper limb prostheses negatively impact quality of life and increase injury risk.
  • Conventional signal processing in prosthetics is less robust than machine learning pattern recognition for movement intention.
  • Surface electromyogram (sEMG) signal non-stationarity and daily variations degrade machine learning classification accuracy, necessitating retraining or adaptation.

Purpose of the Study:

  • To evaluate three distinct paradigms for retraining machine learning classifiers used in myoelectric prostheses.
  • To compare the effectiveness of confidence scores, nearest neighbour window assessment, and a novel signal-to-noise ratio (SNR) approach for mitigating accuracy loss.

Main Methods:

  • The study assessed three retraining paradigms for machine learning-based myoelectric prosthetic control.
  • Paradigms evaluated included confidence scores, nearest neighbour window assessment, and a novel SNR-based approach.
  • Effectiveness was measured by intersession accuracy across 10 sessions over 5 days using the NinaPro 6 dataset.

Main Results:

  • All evaluated retraining paradigms demonstrated improved accuracy compared to no retraining.
  • The nearest neighbour window assessment and SNR-based approaches yielded a 5% average accuracy improvement over the confidence score method.
  • These findings highlight the potential of adaptive retraining strategies to enhance prosthetic control reliability.

Conclusions:

  • Retraining is crucial for maintaining machine learning classifier performance in myoelectric prostheses.
  • The SNR-based and nearest neighbour methods offer superior accuracy improvements compared to confidence scores.
  • These advanced retraining techniques can help reduce prosthetic abandonment and improve user outcomes.