Assisted Grasping in Individuals with Tetraplegia: Improving Control through Residual Muscle Contraction and Movement

Individuals who sustained a spinal cord injury often lose important motor skills, and cannot perform basic daily living activities. Several assistive technologies, including robotic assistance and functional electrical stimulation, have been developed to restore lost functions. However, designing re...

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Main Authors: Lucas Fonseca, Wafa Tigra, Benjamin Navarro, David Guiraud, Charles Fattal, Antônio Bó, Emerson Fachin-Martins, Violaine Leynaert, Anthony Gélis, Christine Azevedo-Coste
Format: Article
Language:English
Published: MDPI AG 2019-10-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/19/20/4532
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author Lucas Fonseca
Wafa Tigra
Benjamin Navarro
David Guiraud
Charles Fattal
Antônio Bó
Emerson Fachin-Martins
Violaine Leynaert
Anthony Gélis
Christine Azevedo-Coste
author_facet Lucas Fonseca
Wafa Tigra
Benjamin Navarro
David Guiraud
Charles Fattal
Antônio Bó
Emerson Fachin-Martins
Violaine Leynaert
Anthony Gélis
Christine Azevedo-Coste
author_sort Lucas Fonseca
collection DOAJ
description Individuals who sustained a spinal cord injury often lose important motor skills, and cannot perform basic daily living activities. Several assistive technologies, including robotic assistance and functional electrical stimulation, have been developed to restore lost functions. However, designing reliable interfaces to control assistive devices for individuals with C4−C8 complete tetraplegia remains challenging. Although with limited grasping ability, they can often control upper arm movements via residual muscle contraction. In this article, we explore the feasibility of drawing upon these residual functions to pilot two devices, a robotic hand and an electrical stimulator. We studied two modalities, supra-lesional electromyography (EMG), and upper arm inertial sensors (IMU). We interpreted the muscle activity or arm movements of subjects with tetraplegia attempting to control the opening/closing of a robotic hand, and the extension/flexion of their own contralateral hand muscles activated by electrical stimulation. Two groups were recruited: eight subjects issued EMG-based commands; nine other subjects issued IMU-based commands. For each participant, we selected at least two muscles or gestures detectable by our algorithms. Despite little training, all participants could control the robot’s gestures or electrical stimulation of their own arm via muscle contraction or limb motion.
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spelling doaj.art-213485b203934e568df466804c1aeaca2022-12-22T02:57:02ZengMDPI AGSensors1424-82202019-10-011920453210.3390/s19204532s19204532Assisted Grasping in Individuals with Tetraplegia: Improving Control through Residual Muscle Contraction and MovementLucas Fonseca0Wafa Tigra1Benjamin Navarro2David Guiraud3Charles Fattal4Antônio Bó5Emerson Fachin-Martins6Violaine Leynaert7Anthony Gélis8Christine Azevedo-Coste9LARA, Department of Electrical Engineering, University of Brasília, Brasília 70919, BrazilINRIA, University of Montpellier, 34095 Montpellier, FranceLIRMM, University of Montpellier, 34095 Montpellier, FranceINRIA, University of Montpellier, 34095 Montpellier, FranceCRF La Châtaigneraie, 95180 Menucourt, FranceLARA, Department of Electrical Engineering, University of Brasília, Brasília 70919, BrazilDepartment of Physiotherapy at the Faculdade de Ceilândia, University of Brasília, Brasília 72220, BrazilPROPARA Clinical Center, 34090 Montpellier, FrancePROPARA Clinical Center, 34090 Montpellier, FranceINRIA, University of Montpellier, 34095 Montpellier, FranceIndividuals who sustained a spinal cord injury often lose important motor skills, and cannot perform basic daily living activities. Several assistive technologies, including robotic assistance and functional electrical stimulation, have been developed to restore lost functions. However, designing reliable interfaces to control assistive devices for individuals with C4−C8 complete tetraplegia remains challenging. Although with limited grasping ability, they can often control upper arm movements via residual muscle contraction. In this article, we explore the feasibility of drawing upon these residual functions to pilot two devices, a robotic hand and an electrical stimulator. We studied two modalities, supra-lesional electromyography (EMG), and upper arm inertial sensors (IMU). We interpreted the muscle activity or arm movements of subjects with tetraplegia attempting to control the opening/closing of a robotic hand, and the extension/flexion of their own contralateral hand muscles activated by electrical stimulation. Two groups were recruited: eight subjects issued EMG-based commands; nine other subjects issued IMU-based commands. For each participant, we selected at least two muscles or gestures detectable by our algorithms. Despite little training, all participants could control the robot’s gestures or electrical stimulation of their own arm via muscle contraction or limb motion.https://www.mdpi.com/1424-8220/19/20/4532spinal cord injurytetraplegiafes-assisted graspinginertial measurement unit interfaceelectromyography interface
spellingShingle Lucas Fonseca
Wafa Tigra
Benjamin Navarro
David Guiraud
Charles Fattal
Antônio Bó
Emerson Fachin-Martins
Violaine Leynaert
Anthony Gélis
Christine Azevedo-Coste
Assisted Grasping in Individuals with Tetraplegia: Improving Control through Residual Muscle Contraction and Movement
Sensors
spinal cord injury
tetraplegia
fes-assisted grasping
inertial measurement unit interface
electromyography interface
title Assisted Grasping in Individuals with Tetraplegia: Improving Control through Residual Muscle Contraction and Movement
title_full Assisted Grasping in Individuals with Tetraplegia: Improving Control through Residual Muscle Contraction and Movement
title_fullStr Assisted Grasping in Individuals with Tetraplegia: Improving Control through Residual Muscle Contraction and Movement
title_full_unstemmed Assisted Grasping in Individuals with Tetraplegia: Improving Control through Residual Muscle Contraction and Movement
title_short Assisted Grasping in Individuals with Tetraplegia: Improving Control through Residual Muscle Contraction and Movement
title_sort assisted grasping in individuals with tetraplegia improving control through residual muscle contraction and movement
topic spinal cord injury
tetraplegia
fes-assisted grasping
inertial measurement unit interface
electromyography interface
url https://www.mdpi.com/1424-8220/19/20/4532
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