Objective: Non-invasive human machine interfaces (HMIs) have high potential in medical, entertainment, and industrial applications. Traditionally, surface electromyography (sEMG) has been used to track muscular activity and infer motor intention. Ultrasound (US) has received increasing attention as an alternative to sEMG-based HMIs. Here, we developed a portable US armband system with 24 channels and a multiple receiver approach, and compared it with existing sEMG- and US-based HMIs on movement intention decoding.
Methods: US and motion capture data was recorded while participants performed wrist and hand movements of four degrees of freedom (DoFs) and their combinations. A linear regression model was used to offline predict hand kinematics from the US (or sEMG, for comparison) features. The method was further validated in real-time for a 3-DoF target reaching task.
Results: In the offline analysis, the wearable US system achieved an average [Formula: see text] of 0.94 in the prediction of four DoFs of the wrist and hand while sEMG reached a performance of [Formula: see text]= 0.60. In online control, the participants achieved an average 93% completion rate of the targets.
Conclusion: When tailored for HMIs, the proposed US A-mode system and processing pipeline can successfully regress hand kinematics both in offline and online settings with performances comparable or superior to previously published interfaces.
Significance: Wearable US technology may provide a new generation of HMIs that use muscular deformation to estimate limb movements. The wearable US system allowed for robust proportional and simultaneous control over multiple DoFs in both offline and online settings.
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http://dx.doi.org/10.1109/TBME.2023.3307952 | DOI Listing |
J Sports Sci
January 2025
Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy.
Anticipatory postural adjustments (APAs) are responsible for a successful first step execution in handstand walking. This study evaluates gymnasts' ability to adapt their APAs and stepping parameters in response to adding/removing an external load over repeated handstand walking initiation trials. Eighteen gymnasts performed five handstand walking initiation trials without load (PRE), eight trials with an external load (LOAD) and five trials with removed load (POST).
View Article and Find Full Text PDFJ Hand Microsurg
January 2025
OrthoCarolina Hand Center, Charlotte, NC, USA.
Background: We sought to determine the diagnostic utility of the flexion-compression (F-C) test for carpal tunnel syndrome (CTS). Using electrodiagnostic testing as the gold standard, we hypothesized that the F-C test would be a better diagnostic test for CTS as compared to the wrist flexion (Phalen's) or palmar compression (Durkan's) tests alone.
Methods: We studied patients who presented with and without CTS symptoms, designated as study and control group patients, respectively.
J Hand Microsurg
January 2025
Columbia University Medical Center/New York Presbyterian Hospital, Department of Orthopedic Surgery, 622 West 168th Street, PH-11 Center, New York, NY, United States.
Background: The definitive treatment of Kienbock's disease has yet to be determined. Wrist denervation combined with core decompression of the radius has not been previously studied as a combined treatment for Kienbock's disease.
Purpose: The purpose of this study was to assess the efficacy of simultaneous wrist denervation and core decompression of the radius in the treatment of Kienbock's disease.
Wiad Lek
January 2025
DEPARTAMENT OF GENERAL NAD HAND SURGERY, STUDENT'S SCIENTIFIC CIRCLE, POMERANIAN MEDICAL UNIVERSITY, SZCZECIN, POLAND.
Carpal tunnel syndrome (CTS) can be treated with several methods, including surgical and non-surgical techniques. Non-surgical methods include wrist splinting, systemic pharmacotherapy, intracarpal injections of steroids hydrodissection, acupuncture, nerve and tendon mobilization, osteopathy, taping, topical application of ointments, laser, ultrasound and shock-wave therapies. These treatments are generally less effective than surgery, and provide only short-lived effect, but it may be quite sufficient for a certain category of patients, particularly those suffering from mild symptoms.
View Article and Find Full Text PDFJMIR Rehabil Assist Technol
January 2025
Department of Occupational Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, Canada.
Background: Forearm, wrist, and hand impairments affect many individuals and impose a significant economic burden on health care systems. The FEPSim (flexion, extension, pronation, and supination) is designed for hand and wrist rehabilitation. It could become part of the standard care for upper extremity rehabilitation, aiming to improve range of motion, dexterity, and strength during therapeutic activities.
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