The Feasibility and Validity of a Wearable Sensor System to Assess the Stability of High-Functioning Lower-Limb Prosthesis Users

Miller, Kyle T.; Russell, Molly J; Jenks, Terese; Surratt, Kaddie; Poretti, Kelly; Eigenbrot, Samantha; Akins, Jonathan S.; Major, Matthew J.

doi:10.1097/jpo.0000000000000332

Cited by 3 publications

(1 citation statement)

References 85 publications

(162 reference statements)

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“…While not yet integrated into standard clinical practice, several studies have demonstrated that wearable sensors, machine learning, and artificial intelligence could potentially be used in clinical practice to improve prosthetic care (97)(98)(99)(100). However, many challenges still exist in integrating these technologies into clinical practice (e.g., privacy concerns with data collection and storage, maintaining software updates, data collection and storage, costeffectiveness, clinician scope of practice, health equity) (101-105).…”

Section: Consider Data Collection and Privacymentioning

confidence: 99%

Advances in prosthetic technology: a perspective on ethical considerations for development and clinical translation

Gavette,

McDonald,

Kostick-Quenet

et al. 2024

Front. Rehabil. Sci.

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Technological advancements of prostheses in recent years, such as haptic feedback, active power, and machine learning for prosthetic control, have opened new doors for improved functioning, satisfaction, and overall quality of life. However, little attention has been paid to ethical considerations surrounding the development and translation of prosthetic technologies into clinical practice. This article, based on current literature, presents perspectives surrounding ethical considerations from the authors' multidisciplinary views as prosthetists (HG, AM, CLM, MGF), as well as combined research experience working directly with people using prostheses (AM, CLM, MGF), wearable technologies for rehabilitation (MGF, BN), machine learning and artificial intelligence (BN, KKQ), and ethics of advanced technologies (KKQ). The target audience for this article includes developers, manufacturers, and researchers of prosthetic devices and related technology. We present several ethical considerations for current advances in prosthetic technology, as well as topics for future research, that may inform product and policy decisions and positively influence the lives of those who can benefit from advances in prosthetic technology.

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Section: Consider Data Collection and Privacymentioning

confidence: 99%

Advances in prosthetic technology: a perspective on ethical considerations for development and clinical translation

Gavette,

McDonald,

Kostick-Quenet

et al. 2024

Front. Rehabil. Sci.

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Characterizing the Gait of People With Different Types of Amputation and Prosthetic Components Through Multimodal Measurements: A Methodological Perspective

Marchis

Ranaldi

Varrecchia

et al. 2022

Front. Rehabilit. Sci.

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Prosthetic gait implies the use of compensatory motor strategies, including alterations in gait biomechanics and adaptations in the neural control mechanisms adopted by the central nervous system. Despite the constant technological advancements in prostheses design that led to a reduction in compensatory movements and an increased acceptance by the users, a deep comprehension of the numerous factors that influence prosthetic gait is still needed. The quantitative prosthetic gait analysis is an essential step in the development of new and ergonomic devices and to optimize the rehabilitation therapies. Nevertheless, the assessment of prosthetic gait is still carried out by a heterogeneous variety of methodologies, and this limits the comparison of results from different studies, complicating the definition of shared and well-accepted guidelines among clinicians, therapists, physicians, and engineers. This perspective article starts from the results of a project funded by the Italian Worker's Compensation Authority (INAIL) that led to the generation of an extended dataset of measurements involving kinematic, kinetic, and electrophysiological recordings in subjects with different types of amputation and prosthetic components. By encompassing different studies published along the project activities, we discuss the specific information that can be extracted by different kinds of measurements, and we here provide a methodological perspective related to multimodal prosthetic gait assessment, highlighting how, for designing improved prostheses and more effective therapies for patients, it is of critical importance to analyze movement neural control and its mechanical actuation as a whole, without limiting the focus to one specific aspect.

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Pain After Lower Limb Amputations: Insights from the Heidelberg Amputation Registry

Nees,

Matt,

Deisenhofer

et al. 2024

Medicina

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Background and Objectives: The experience of unpleasant sensory phenomena after lower limb amputations (LLAs), including phantom limb pain (PLP), phantom limb sensation (PLS), and residual limb pain (RLP), impacts global healthcare and adversely affects outcomes post-amputation. This study aimed to describe the distribution of PLP, PLS, and RLP among patients with LLAs registered in the Heidelberg Amputation Registry. The primary objective was to determine the prevalence of sensory abnormalities across different amputation levels and causes. Materials and Methods: In this single-center, cross-sectional study, data from 459 patients registered in the Heidelberg Amputation Registry were analyzed for the occurrence of PLP, PLS and RLP. Subsequently, logistic regression models were used to identify the independent risk factors associated with sensory disturbances following LLAs. The mean age of the LLA patients (31% female, 69% male) was 58 years (SD ± 18). Results: The patients were, on average, 44 years old (SD ± 22) at the time of amputation, with a mean duration since amputation of 15 years (SD ± 17). Transtibial amputations were the most common (43%), followed by transfemoral (39%) and partial foot amputations (10%). Hip and knee disarticulations were observed in 3.7% and 3.5% of the cohort, respectively, with hemipelvectomies accounting for 1%. Traumatic injuries (32%) and neoplastic disorders (22%) were the leading causes of LLAs, while peripheral artery disease and diabetes were responsible for 12% and 6% of cases, respectively. Importantly, a significant proportion of participants (85%) reported experiencing abnormal sensations. The prevalence rates for phantom limb pain (PLP), phantom limb sensation (PLS), and residual limb pain (RLP) were 58%, 66%, and 46%, respectively. The occurrence of sensory disturbances, with the exception of RLP, was significantly affected by the level of amputation. Notably, the age at amputation emerged as an independent risk factor for developing abnormal sensations, including PLS. Conclusions: In conclusion, this study provides a comprehensive overview of sensory abnormalities in a diverse cohort of LLA patients, highlighting the age at amputation as an important factor. The findings emphasize the role of comprehensive registries in enhancing care for individuals with amputations and guiding targeted pain management strategies.

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The Feasibility and Validity of a Wearable Sensor System to Assess the Stability of High-Functioning Lower-Limb Prosthesis Users

Cited by 3 publications

References 85 publications

Advances in prosthetic technology: a perspective on ethical considerations for development and clinical translation

Advances in prosthetic technology: a perspective on ethical considerations for development and clinical translation

Characterizing the Gait of People With Different Types of Amputation and Prosthetic Components Through Multimodal Measurements: A Methodological Perspective

Pain After Lower Limb Amputations: Insights from the Heidelberg Amputation Registry

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