Christopher L. Hunt

Ruichen Yang, György M. Lévay, Christopher L. Hunt et al.

State-of-the-art upper limb myoelectric prostheses often use pattern recognition (PR) control systems that translate electromyography (EMG) signals into desired movements. As prosthesis movement complexity increases, users often struggle to produce sufficiently distinct EMG patterns for reliable classification. Existing training typically involves heuristic, trial-and-error user adjustments to static decoder boundaries. Goal: We introduce the Reviewer, a 3D visual interface projecting EMG signals directly into the decoder's classification space, providing intuitive, real-time insight into PR algorithm behavior. This structured feedback reduces cognitive load and fosters mutual, data-driven adaptation between user-generated EMG patterns and decoder boundaries. Methods: A 10-session study with 12 able-bodied participants compared PR performance after motor-based training and updating using the Reviewer versus conventional virtual arm visualization. Performance was assessed using a Fitts law task that involved the aperture of the cursor and the control of orientation. Results: Participants trained with the Reviewer achieved higher completion rates, reduced overshoot, and improved path efficiency and throughput compared to the standard visualization group. Significance: The Reviewer introduces decoder-informed motor training, facilitating immediate and consistent PR-based myoelectric control improvements. By iteratively refining control through real-time feedback, this approach reduces reliance on trial-and-error recalibration, enabling a more adaptive, self-correcting training framework. Conclusion: The 3D visual feedback significantly improves PR control in novice operators through structured training, enabling feedback-driven adaptation and reducing reliance on extensive heuristic adjustments.

Joseph L. Betthauser, Rebecca Greene, Ananya Dhawan et al.

One of the most elusive goals in myographic prosthesis control is the ability to reliably decode continuous positions simultaneously across multiple degrees-of-freedom. Goal: To demonstrate dexterous, natural, biomimetic finger and wrist control of the highly advanced robotic Modular Prosthetic Limb. Methods: We combine sequential temporal regression models and reinforcement learning using myographic signals to predict continuous simultaneous predictions of 7 finger and wrist degrees-of-freedom for 9 non-amputee human subjects in a minimally-constrained freeform training process. Results: We demonstrate highly dexterous 7 DoF position-based regression for prosthesis control from EMG signals, with significantly lower error rates than traditional approaches (p < 0.001) and nearly zero prediction response time delay (p < 0.001). Their performance can be continuously improved at any time using our freeform reinforcement process. Significance: We have demonstrated the most dexterous, biomimetic, and natural prosthesis control performance ever obtained from the surface EMG signal. Our reinforcement approach allowed us to abandon standard training protocols and simply allow the subject to move in any desired way while our models adapt. Conclusions: This work redefines the state-of-the-art in myographic decoding in terms of the reliability, responsiveness, and movement complexity available from prosthesis control systems. The present-day emergence and convergence of advanced algorithmic methods, experiment protocols, dexterous robotic prostheses, and sensor modalities represents a unique opportunity to finally realize our ultimate goal of achieving fully restorative natural upper-limb function for amputees.

Avinash Sharma, Wally Niu, Christopher L. Hunt et al.

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 time and convenience, pre- and post-prosthesis fitting. We provide a rigorous analysis of our system, focusing on its ability to simulate reach, grasp, and touch in AR. Similarity of motion joint dynamics for reach in physical and AR space were compared, with experiments conducted to illustrate how depth in AR is perceived. To show the effectiveness and validity of our system for prosthesis training, we conducted a 10-day study with able-bodied subjects (N = 3) to see the effect that training on the HoloPHAM had on other established functional outcome measures. A washout phase of 5 days was incorporated to observe the effect without training. Comparisons were made with standardized outcome metrics, along with the progression of kinematic variability over time. Statistically significant (p<0.05) improvements were observed between pre- and post-training stages. Our results show that AR can be an effective tool for prosthesis training with pattern recognition systems, fostering motor learning for reaching movement tasks, and paving the possibility of replacing physical training.