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Task-oriented gaming for transfer to prosthesis use

Published on Dec 1, 2016 in EMBC (International Conference of the IEEE Engineering in Medicine and Biology Society)
· DOI :10.1109/TNSRE.2015.2502424
Ludger van Dijk5
Estimated H-index: 5
(UMCG: University Medical Center Groningen),
Corry K. van der Sluis17
Estimated H-index: 17
+ 1 AuthorsRaoul M. Bongers18
Estimated H-index: 18
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Abstract
The aim of this study is to establish the effect of task-oriented video gaming on using a myoelectric prosthesis in a basic activity of daily life (ADL). Forty-one able-bodied right-handed participants were randomly assigned to one of four groups. In three of these groups the participants trained to control a video game using the myosignals of the flexors and extensors of the wrist: in the Adaptive Catching group participants needed to catch falling objects by opening and closing a grabber and received ADL-relevant feedback during performance. The Free Catching group used the same game, but without augmented feedback. The Interceptive Catching group trained a game where the goal was to intercept a falling object by moving a grabber to the left and right. They received no additional feedback. The control group played a regular Mario computer game. All groups trained 20 minutes a day for four consecutive days. Two tests were conducted before and after training: one level of the training game was performed, and participants grasped objects with a prosthesis simulator. Results showed all groups improved their game performance over controls. In the prosthesis-simulator task, after training the Adaptive Catching group outperformed the other groups in their ability to adjust the hand aperture to the size of the objects and the degree of compression of compressible objects. This study is the first to demonstrate transfer effects from a serious game to a myoelectric prosthesis task. The specificity of the learning effects suggests that research into serious gaming will benefit from placing ADL-specific constraints on game development.
  • References (34)
  • Citations (12)
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References34
Newest
Published on May 1, 2014 in ICRA (International Conference on Robotics and Automation)
Mark Ison7
Estimated H-index: 7
(ASU: Arizona State University),
Chris Wilson Antuvan2
Estimated H-index: 2
(ASU: Arizona State University),
Panagiotis K. Artemiadis19
Estimated H-index: 19
Fraser Anderson12
Estimated H-index: 12
(U of A: University of Alberta),
Walter F. Bischof31
Estimated H-index: 31
(U of A: University of Alberta)
This paper presents the ARM Trainer, a new augmented reality-based system that can be used to train amputees in the use of myoelectric prostheses. The ARM Trainer provides users with a natural and intuitive method to develop the muscles used to control a myoelectric prosthetic. In addition to improving the training process, the new interface has the potential to mitigate psychological issues arising from amputation that are not addressed by existing approaches (e.g., self-image, phantom limb pai...
Published on Jan 1, 2014in Journal of Neuroengineering and Rehabilitation3.58
Hanneke Bouwsema7
Estimated H-index: 7
(UMCG: University Medical Center Groningen),
Corry K. van der Sluis17
Estimated H-index: 17
(UMCG: University Medical Center Groningen),
Raoul M. Bongers18
Estimated H-index: 18
(UMCG: University Medical Center Groningen)
Background: Training increases the functional use of an upper limb prosthesis, but little is known about how people learn to use their prosthesis. The aim of this study was to describe the changes in performance with an upper limb myoelectric prosthesis during practice. The results provide a basis to develop an evidence-based training program. Methods: Thirty-one able-bodied participants took part in an experiment as well as thirty-one age- and gender-matched controls. Participants in the experi...
Published on Dec 1, 2013in Annals of Biomedical Engineering3.47
Tobias Pistohl9
Estimated H-index: 9
(Newcastle University),
Christian Cipriani28
Estimated H-index: 28
+ 1 AuthorsKianoush Nazarpour16
Estimated H-index: 16
(Newcastle University)
Powered hand prostheses with many degrees of freedom are moving from research into the market for prosthetics. In order to make use of the prostheses’ full functionality, it is essential to study efficient ways of high dimensional myoelectric control. Human subjects can rapidly learn to employ electromyographic (EMG) activity of several hand and arm muscles to control the position of a cursor on a computer screen, even if the muscle-cursor map contradicts directions in which the muscles would ac...
Gabriele Wulf60
Estimated H-index: 60
(UNLV: University of Nevada, Las Vegas)
Over the past 15 years, research on focus of attention has consistently demonstrated that an external focus (i.e., on the movement effect) enhances motor performance and learning relative to an internal focus (i.e., on body movements). This article provides a comprehensive review of the extant literature. Findings show that the performance and learning advantages through instructions or feedback inducing an external focus extend across different types of tasks, skill levels, and age groups. Bene...
Published on Jan 1, 2013in Journal of Neuroengineering and Rehabilitation3.58
Mike van Diest3
Estimated H-index: 3
(UG: University of Groningen),
Claudine J. C. Lamoth30
Estimated H-index: 30
(UMCG: University Medical Center Groningen)
+ 2 AuthorsK. Postema15
Estimated H-index: 15
(UMCG: University Medical Center Groningen)
Fall injuries are responsible for physical dysfunction, significant disability, and loss of independence among elderly. Poor postural control is one of the major risk factors for falling but can be trained in fall prevention programs. These however suffer from low therapy adherence, particularly if prevention is the goal. To provide a fun and motivating training environment for elderly, exercise games, or exergames, have been studied as balance training tools in the past years. The present paper...
Published on Jan 1, 2013in Physical Therapy3.04
Sietske Romkema4
Estimated H-index: 4
(UMCG: University Medical Center Groningen),
Raoul M. Bongers18
Estimated H-index: 18
(UMCG: University Medical Center Groningen),
Corry K. van der Sluis17
Estimated H-index: 17
(UMCG: University Medical Center Groningen)
Background Intermanual transfer may improve prosthetic handling and acceptance if used in training soon after an amputation. Objective The purpose of this study was to determine whether intermanual transfer effects can be detected after training with a myoelectric upper-limb prosthesis simulator. Design A mechanistic, randomized, pretest-posttest design was used. Participants A total of 48 right-handed participants (25 women, 23 men) who were able-bodied were randomly assigned to an experimental...
Published on Oct 1, 2012in Games for health journal1.78
Esmaeel Rahmani1
Estimated H-index: 1
,
Suzanne Austin Boren1
Estimated H-index: 1
Abstract Objective: There are potential benefits of playing videogames for health improvement such as increasing knowledge about health-related issues by playing educational games and fighting a sedentary lifestyle by playing exergames. The number of systematic review articles about “videogames” and “health improvement” is limited. Therefore, the purpose of this study is to review those randomized controlled trials (RCTs) with the topic of “videogames” and “health improvement.” Materials and Met...
Published on Oct 1, 2012in British Journal of Surgery5.59
Maurits Graafland8
Estimated H-index: 8
,
Johannes Martinus Cornelis Schraagen16
Estimated H-index: 16
,
Marlies P. Schijven29
Estimated H-index: 29
Background: The application of digital games for training medical professionals is on the rise. So-called ‘serious’ games form training tools that provide a challenging simulated environment, ideal for future surgical training. Ultimately, serious games are directed at reducing medical error and subsequent healthcare costs. The aim was to review current serious games for training medical professionals and to evaluate the validity testing of such games. Methods: PubMed, Embase, the Cochrane Datab...
Published on Sep 1, 2012in Nature Reviews Neuroscience33.16
Nitzan Censor13
Estimated H-index: 13
,
Dov Sagi48
Estimated H-index: 48
,
Leonardo G. Cohen115
Estimated H-index: 115
The adult mammalian brain has a remarkable capacity to learn in both the perceptual and motor domains through the formation and consolidation of memories. Such practice-enabled procedural learning results in perceptual and motor skill improvements. Here, we examine evidence supporting the notion that perceptual and motor learning in humans exhibit analogous properties, including similarities in temporal dynamics and the interactions between primary cortical and higher-order brain areas. These si...
Cited By12
Newest
Published on Dec 1, 2019in Scientific Reports4.01
Ananya S. Dhawan (GMU: George Mason University), Biswarup Mukherjee3
Estimated H-index: 3
(GMU: George Mason University)
+ 7 AuthorsSiddhartha Sikdar16
Estimated H-index: 16
(GMU: George Mason University)
Technological advances in multi-articulated prosthetic hands have outpaced the development of methods to intuitively control these devices. In fact, prosthetic users often cite "difficulty of use" as a key contributing factor for abandoning their prostheses. To overcome the limitations of the currently pervasive myoelectric control strategies, namely unintuitive proportional control of multiple degrees-of-freedom, we propose a novel approach: proprioceptive sonomyographic control. Unlike myoelec...
Published on Mar 1, 2019 in PerCom (IEEE International Conference on Pervasive Computing and Communications)
Meera Radhakrishnan3
Estimated H-index: 3
(Singapore Management University),
Asim Smailagic28
Estimated H-index: 28
(CMU: Carnegie Mellon University)
+ 2 AuthorsRajesh Krishna Balan21
Estimated H-index: 21
(Singapore Management University)
In this paper, we present the design and evaluation of our system, which provides an engaging game-based pre-prosthesis training environment for upper limb transradial amputees. We believe that patients who train using such a training tool will demonstrate significantly higher improvement in functional performance tests using a myoelectric prosthesis than when conventional pre-prosthesis training protocols are used. We re-designed two simple games to be playable using three muscle contractions w...
Published on Mar 1, 2019in Current Surgery Reports
Aidan D. Roche9
Estimated H-index: 9
,
Ben Lakey (Imperial College London)+ 3 AuthorsOskar C. Aszmann24
Estimated H-index: 24
(Medical University of Vienna)
Purpose of Review This paper aims to summarise the development trends in upper limb bionics over the past 5 years.
Published on Jan 1, 2019in arXiv: Human-Computer Interaction
Avinash Sharma1
Estimated H-index: 1
(Johns Hopkins University),
Wally Niu + 3 AuthorsNitish V. Thakor61
Estimated H-index: 61
Adjusting to amputation can often time be difficult for the body. Post-surgery, amputees have to wait for up to several months before receiving a properly fitted prosthesis. In recent years, there has been a trend toward quantitative outcome measures. In this paper, we developed the augmented reality (AR) version of one such measure, the Prosthetic Hand Assessment Measure (PHAM). The AR version of the PHAM - HoloPHAM, offers amputees the advantage to train with pattern recognition, at their own ...
Published on Nov 1, 2018in Pm&r1.90
Cosima Prahm4
Estimated H-index: 4
(Medical University of Vienna),
Fares Kayali5
Estimated H-index: 5
(TU Wien: Vienna University of Technology)
+ 1 AuthorsOskar C. Aszmann24
Estimated H-index: 24
(Medical University of Vienna)
Abstract Background Prosthetic motor rehabilitation usually relies on the highly repetitive training of movements. Patients might drop out of training because the rehabilitation process is long and often discouraging. Game-based interventions provide a potentially useful alternative to standard myoelectric (electromyographic [EMG]) training and can increase engagement with training. Objective To assess the short-term impact of a game-based rehabilitation protocol on parameters for EMG control, e...
Published on Oct 17, 2018in Frontiers in Neurology2.63
Briana N. Perry2
Estimated H-index: 2
(WRAIR: Walter Reed Army Institute of Research),
Robert S. Armiger13
Estimated H-index: 13
(Johns Hopkins University)
+ 6 AuthorsJack W. Tsao8
Estimated H-index: 8
Aaron Tabor2
Estimated H-index: 2
(UNB: University of New Brunswick),
Scott Bateman (UNB: University of New Brunswick), Erik Scheme10
Estimated H-index: 10
(UNB: University of New Brunswick)
While training is critical for ensuring initial success as well as continued adoption of a myoelectric powered prosthesis, relatively little is known about the amount of training that is necessary. In previous studies, participants have completed only a small number of sessions, leaving doubt about whether the findings necessarily generalize to a longer-term clinical training program. Furthermore, a heavy emphasis has been placed on a functional prosthesis use when assessing the effectiveness of...
Published on Sep 1, 2018in Journal of Neuroengineering and Rehabilitation3.58
Levi J. Hargrove29
Estimated H-index: 29
(NU: Northwestern University),
Laura A. Miller14
Estimated H-index: 14
(NU: Northwestern University)
+ 1 AuthorsTodd A. Kuiken40
Estimated H-index: 40
(NU: Northwestern University)
Background Advances such as targeted muscle reinnervation and pattern recognition control may provide improved control of upper limb myoelectric prostheses, but evaluating user function remains challenging. Virtual environments are cost-effective and immersive tools that are increasingly used to provide practice and evaluate prosthesis control, but the relationship between virtual and physical outcomes—i.e., whether practice in a virtual environment translates to improved physical performance—is...
Published in bioRxiv
Ananya S. Dhawan (GMU: George Mason University), Biswarup Mukherjee3
Estimated H-index: 3
(GMU: George Mason University)
+ -3 AuthorsSiddhartha Sikdar16
Estimated H-index: 16
(GMU: George Mason University)
Technological advances in multi-articulated prosthetic hands have outpaced the methods available to amputees to intuitively control these devices. Amputees often cite difficulty of use as a key contributing factor for abandoning their prosthesis, creating a pressing need for improved control technology. A major challenge of traditional myoelectric control strategies using surface electromyography electrodes has been the difficulty in achieving intuitive and robust proportional control of multipl...
Published on Jan 1, 2018
Endah Sudarmilah1
Estimated H-index: 1
,
Umi Fadlilah + 3 AuthorsAzizah Fatmawati