MYOELECTRIC ACTIVATION DIFFERENCES IN TRANSFEMORAL AMPUTEES DURING LOCOMOTOR STATE TRANSITIONS

摘要

Locomotor state transitions are challenging for transfemoral (TF) amputees due to the lack of active knee control even in the current powered prosthetic devices. Myoelectric activation has been used successfully to classify steady-state locomotion states, but classification of transitions between locomotion states remains a challenge, especially for TF amputees. The purpose of this study was to determine if lower-extremity muscle activation differences between pre-transition and transition gait cycles occur in the involved or uninvolved limb of TF amputees during locomotion state transitions. Surface electromyography (EMG) was collected from residual muscles on the involved limb and from the uninvolved limb from five TF amputees as they transitioned between different locomotion states (level ground, ramp ascent/descent, stair ascent/descent). Statistical parametric mapping (SPM) was used to assess differences in activation. When analyzed as a group, the only significant differences were observed in the vastus lateralis of the uninvolved limb. High inter-subject variation reduced the significance of other pattern differences. Further inspection revealed that the individual subjects expressed three different recruitment patterns. These recruitment patterns may indicate compensatory strategies adopted by the subjects over the years since amputation. Furthermore, the separate recruitment patterns suggest the need for individualized locomotion transition classification algorithms rather than a general classification scheme.