Most amputations
occur in lower limbs and despite improvements in prosthetic technology, no
commercially available prosthetic leg uses electromyography (EMG) information
as an input for control. Efforts to integrate <a>EMG </a>signals
as part of the control strategy have increased in the last decade. In this
review, we summarize the research in the field of lower limb prosthetic control
using EMG. Four different online databases were searched from July-September
2020: Web of Science, Scopus, PubMed, and Science Direct. We included articles
that reported systems for controlling a prosthetic leg (with an ankle and/or
knee actuator) by decoding gait intent using EMG signals alone or in
combination with other sensors. A total of 1,327 papers were initially assessed
and 117 were finally included in this review. The literature showed that
despite the burgeoning interest in research, controlling a leg prosthesis using
EMG signals remains challenging. Specifically, regarding EMG signal quality and
stability, electrode placement, prosthetic hardware, and control algorithms,
all of which need to be more robust for everyday use. In the studies that were
investigated large variations were found across studies between the different
control methodologies, type of research participant, recording protocols,
assessments, and prosthetic hardware.