Objective: The intent recognizers of advanced lower limb prostheses utilize mechanical sensors on the prosthesis and/or electromyographic measurements from the residual limb. Besides the delay caused by these signals, such systems require user-specific databases to train the recognizers. In this paper, our objective is the development and validation of a user-independent intent recognition framework utilizing depth sensing.
Methods: We collected a depth image dataset from 12 healthy subjects engaging in a variety of routine activities. After filtering the depth images, we extracted simple features employing a recursive strategy. The feature vectors were classified using a support vector machine. For robust activity mode switching, we implemented a voting filter scheme.
Results: The model selection showed that the support vector machine classifier with no dimension reduction has the highest classification accuracy. Specifically, it reached 94.1% accuracy on the testing data from four subjects. We also observed a positive trend in the accuracy of classifiers trained with data from increasing the number of subjects. Activity mode switching using a voting filter detected 732 out of 778 activity mode transitions of the four users while initiating 70 erroneous transitions during steady-state activities.
Conclusion: The intent recognizer trained on multiple subjects can be used for any other subject, providing a promising solution for supervisory control of powered lower limb prostheses.
Significance: A user-independent intent recognition framework has the potential to decrease or eliminate the time required for extensive data collection regiments for intent recognizer training. This could accelerate the introduction of robotic lower limb prostheses to the market.
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http://dx.doi.org/10.1109/TBME.2017.2776157 | DOI Listing |
Gun-related violence is becoming increasingly more common in the United States, and ballistic injuries pose a challenge to the orthopaedic surgeon on trauma call. The guiding principles of trauma care are almost exclusively based on blunt trauma, and the management principles do not always translate. Ballistic long bone fractures, particularly of the lower extremity, can often be managed with similar principles, although the injury pattern can make restoration of anatomic alignment a challenge.
View Article and Find Full Text PDFClin J Sport Med
January 2025
Department of Orthopaedic Surgery and Sports Medicine, Children's Mercy, Kansas City, Missouri; and.
Objective: To report injury epidemiology in youth male academy-level athletes in the United States.
Design: An observational study on injury occurrences and playing time over the 2019 to 2020, 2020 to 2021, and 2021 to 2022 soccer seasons.
Setting: Data collected from a single midwestern soccer academy in the United States in partnership with a tertiary care level I pediatric heath institution.
World J Orthop
December 2024
Department of Orthopaedic Surgery and Traumatology, Cantonal Hospital Sankt Gallen, Sankt Gallen 9007, Switzerland.
Background: When patients with a failed hip arthroplasty are unsuitable for reimplantation, Girdlestone resection arthroplasty (GRA) is a viable treatment option. We report on a patient who was treated with a GRA due to a periprosthetic infection. We discovered partial paralysis of the quadriceps muscle in this patient.
View Article and Find Full Text PDFWorld J Orthop
December 2024
Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA 02114, United States.
Background: Pes planus (flatfoot) and pes cavus (high arch foot) are common foot deformities, often requiring clinical and radiographic assessment for diagnosis and potential subsequent management. Traditional diagnostic methods, while effective, pose limitations such as cost, radiation exposure, and accessibility, particularly in underserved areas.
Aim: To develop deep learning algorithms that detect and classify such deformities using smartphone cameras.
Front Public Health
January 2025
Department of Surgery, University of California, San Francisco, San Francisco, CA, United States.
Background: Shared micromobility programs (SMPs) are integral to urban transport in US cities, providing sustainable transit options. Increased use has raised safety concerns, notably about helmet usage among e-scooter and e-bicycle riders. Prior studies have shown that head and upper extremity injuries have risen with SMP adoption, yet data on helmet use remains sparse.
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