Beyond Humanoid Prosthetic Hands: Modular Terminal Devices That Improve User Performance

Despite decades of research and development, myoelectric prosthetic hands lack functionality and are often rejected by users. This lack in functionality can be partially attributed to the widely accepted anthropomorphic design ideology in the field; attempting to replicate human hand form and functi...

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Main Authors: Digby Chappell, Barry Mulvey, Shehara Perera, Fernando Bello, Petar Kormushev, Nicolas Rojas
Format: Article
Language:English
Published: IEEE 2025-01-01
Series:IEEE Transactions on Neural Systems and Rehabilitation Engineering
Subjects:
Online Access:https://ieeexplore.ieee.org/document/10838713/
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author Digby Chappell
Barry Mulvey
Shehara Perera
Fernando Bello
Petar Kormushev
Nicolas Rojas
author_facet Digby Chappell
Barry Mulvey
Shehara Perera
Fernando Bello
Petar Kormushev
Nicolas Rojas
author_sort Digby Chappell
collection DOAJ
description Despite decades of research and development, myoelectric prosthetic hands lack functionality and are often rejected by users. This lack in functionality can be partially attributed to the widely accepted anthropomorphic design ideology in the field; attempting to replicate human hand form and function despite severe limitations in control and sensing technology. Instead, prosthetic hands can be tailored to perform specific tasks without increasing complexity by shedding the constraints of anthropomorphism. In this paper, we develop and evaluate four open-source modular non-humanoid devices to perform the motion required to replicate human flicking motion and to twist a screwdriver, and the functionality required to pick and place flat objects and to cut paper. Experimental results from these devices demonstrate that, versus a humanoid prosthesis, non-humanoid prosthesis design dramatically improves task performance, reduces user compensatory movement, and reduces task load. Case studies with two end users demonstrate the translational benefits of this research. We found that special attention should be paid to monitoring end-user task load to ensure positive rehabilitation outcomes.
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publishDate 2025-01-01
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series IEEE Transactions on Neural Systems and Rehabilitation Engineering
spelling doaj-art-c97d5639c27c4c5fa41a303166bf76cc2025-01-24T00:00:08ZengIEEEIEEE Transactions on Neural Systems and Rehabilitation Engineering1534-43201558-02102025-01-013346647510.1109/TNSRE.2025.352872510838713Beyond Humanoid Prosthetic Hands: Modular Terminal Devices That Improve User PerformanceDigby Chappell0https://orcid.org/0000-0003-4252-8121Barry Mulvey1https://orcid.org/0000-0002-5013-8484Shehara Perera2https://orcid.org/0000-0001-6695-4307Fernando Bello3https://orcid.org/0000-0003-4136-0355Petar Kormushev4https://orcid.org/0000-0002-6677-3044Nicolas Rojas5https://orcid.org/0000-0001-5988-9180Dyson School of Design Engineering, Imperial College London, London, U.K.Dyson School of Design Engineering, Imperial College London, London, U.K.Dyson School of Design Engineering, Imperial College London, London, U.K.Department of Surgery and Cancer, Imperial College London, London, U.K.Dyson School of Design Engineering, Imperial College London, London, U.K.The AI Institute, Cambridge, MA, USADespite decades of research and development, myoelectric prosthetic hands lack functionality and are often rejected by users. This lack in functionality can be partially attributed to the widely accepted anthropomorphic design ideology in the field; attempting to replicate human hand form and function despite severe limitations in control and sensing technology. Instead, prosthetic hands can be tailored to perform specific tasks without increasing complexity by shedding the constraints of anthropomorphism. In this paper, we develop and evaluate four open-source modular non-humanoid devices to perform the motion required to replicate human flicking motion and to twist a screwdriver, and the functionality required to pick and place flat objects and to cut paper. Experimental results from these devices demonstrate that, versus a humanoid prosthesis, non-humanoid prosthesis design dramatically improves task performance, reduces user compensatory movement, and reduces task load. Case studies with two end users demonstrate the translational benefits of this research. We found that special attention should be paid to monitoring end-user task load to ensure positive rehabilitation outcomes.https://ieeexplore.ieee.org/document/10838713/Prostheticsend effectorupper limb prosthetics
spellingShingle Digby Chappell
Barry Mulvey
Shehara Perera
Fernando Bello
Petar Kormushev
Nicolas Rojas
Beyond Humanoid Prosthetic Hands: Modular Terminal Devices That Improve User Performance
IEEE Transactions on Neural Systems and Rehabilitation Engineering
Prosthetics
end effector
upper limb prosthetics
title Beyond Humanoid Prosthetic Hands: Modular Terminal Devices That Improve User Performance
title_full Beyond Humanoid Prosthetic Hands: Modular Terminal Devices That Improve User Performance
title_fullStr Beyond Humanoid Prosthetic Hands: Modular Terminal Devices That Improve User Performance
title_full_unstemmed Beyond Humanoid Prosthetic Hands: Modular Terminal Devices That Improve User Performance
title_short Beyond Humanoid Prosthetic Hands: Modular Terminal Devices That Improve User Performance
title_sort beyond humanoid prosthetic hands modular terminal devices that improve user performance
topic Prosthetics
end effector
upper limb prosthetics
url https://ieeexplore.ieee.org/document/10838713/
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AT fernandobello beyondhumanoidprosthetichandsmodularterminaldevicesthatimproveuserperformance
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