Evidence map›Paper›PMID 30458876›Full record

ArticleJournal of neuroengineering and rehabilitation2018

Regenerative peripheral nerve interfaces for real-time, proportional control of a Neuroprosthetic hand.

Christopher M Frost, Daniel C Ursu, Shane M Flattery, Andrej Nedic, Cheryl A Hassett, Jana D Moon, Patrick J Buchanan, R Brent Gillespie, Theodore A Kung, Stephen W P Kemp and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of neuroengineering and rehabilitation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05008185 (Regenerative Peripheral Nerve Interfaces to Treat Painful Digit and Hand Neuromas After Amputation), which is not on this map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05008185 recruitingnot on this mapstarted 2021, after this paper: background citation

Regenerative Peripheral Nerve Interfaces to Treat Painful Digit and Hand Neuromas After Amputation: A Prospective Observational Trial"

TypeobservationalSponsorMedstar Health Research InstituteRan2021 to 2025Enrolled80ConditionsNeuromaArmsRegenerative Peripheral Nerve Interface (RPNI) surgery, Traction Neurectomy
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  14. Regenerative Peripheral Nerve Interface Surgery: Anatomic and Technical Guide.Plastic and reconstructive surgery. Global open · 2023
    Article
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  20. Comparison of Myoelectric Control Schemes for Simultaneous Hand and Wrist Movement using Chronically Implanted Electromyography: A Case SeriesAnnual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Christopher M FrostUniversity of Michigan Department of Surgery, Section of Plastic Surgery, 570 MSRB II Level A, 1150 W. Medical Center Drive, Ann Arbor, MI, 48109-5456, USA.
Daniel C UrsuUniversity of Michigan Department of Surgery, Section of Plastic Surgery, 570 MSRB II Level A, 1150 W. Medical Center Drive, Ann Arbor, MI, 48109-5456, USA. danursu@umich.edu.ORCID 0000-0002-6579-103X
Shane M FlatteryVassar College, Poughkeepsie, NY, USA.
Andrej NedicUniversity of Michigan Department of Surgery, Section of Plastic Surgery, 570 MSRB II Level A, 1150 W. Medical Center Drive, Ann Arbor, MI, 48109-5456, USA.
Cheryl A HassettUniversity of Michigan Department of Surgery, Section of Plastic Surgery, 570 MSRB II Level A, 1150 W. Medical Center Drive, Ann Arbor, MI, 48109-5456, USA.
Jana D MoonUniversity of Michigan Department of Surgery, Section of Plastic Surgery, 570 MSRB II Level A, 1150 W. Medical Center Drive, Ann Arbor, MI, 48109-5456, USA.
Patrick J BuchananUniversity of Michigan Department of Surgery, Section of Plastic Surgery, 570 MSRB II Level A, 1150 W. Medical Center Drive, Ann Arbor, MI, 48109-5456, USA.
R Brent GillespieUniversity of Michigan Department of Mechanical Engineering, Ann Arbor, MI, USA.
Theodore A KungUniversity of Michigan Department of Surgery, Section of Plastic Surgery, 570 MSRB II Level A, 1150 W. Medical Center Drive, Ann Arbor, MI, 48109-5456, USA.
Stephen W P KempUniversity of Michigan Department of Surgery, Section of Plastic Surgery, 570 MSRB II Level A, 1150 W. Medical Center Drive, Ann Arbor, MI, 48109-5456, USA.
Paul S CedernaUniversity of Michigan Department of Surgery, Section of Plastic Surgery, 570 MSRB II Level A, 1150 W. Medical Center Drive, Ann Arbor, MI, 48109-5456, USA.
Melanie G UrbanchekUniversity of Michigan Department of Surgery, Section of Plastic Surgery, 570 MSRB II Level A, 1150 W. Medical Center Drive, Ann Arbor, MI, 48109-5456, USA.

Funding

TRAINING GRANT IN TRAUMA, BURN AND WOUND HEALING RESEARCT32GM008616 · NIGMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BUCHMAN, STEVEN R, CHUNG, KEVIN C · 1997 to 2025
$3.1M
NIGMS NIH HHS T32 GM008616
6 · The paper itself

Abstract

introductionRegenerative peripheral nerve interfaces (RPNIs) are biological constructs which amplify neural signals and have shown long-term stability in rat models. Real-time control of a neuroprosthesis in rat models has not yet been demonstrated. The purpose of this study was to: a) design and validate a system for translating electromyography (EMG) signals from an RPNI in a rat model into real-time control of a neuroprosthetic hand, and; b) use the system to demonstrate RPNI proportional neuroprosthesis control.

methodsAnimals were randomly assigned to three experimental groups: (1) Control; (2) Denervated, and; (3) RPNI. In the RPNI group, the extensor digitorum longus (EDL) muscle was dissected free, denervated, transferred to the lateral thigh and neurotized with the residual end of the transected common peroneal nerve. Rats received tactile stimuli to the hind-limb via monofilaments, and electrodes were used to record EMG. Signals were filtered, rectified and integrated using a moving sample window. Processed EMG signals (iEMG) from RPNIs were validated against Control and Denervated group outputs.

resultsVoluntary reflexive rat movements produced signaling that activated the prosthesis in both the Control and RPNI groups, but produced no activation in the Denervated group. Signal-to-Noise ratio between hind-limb movement and resting iEMG was 3.55 for Controls and 3.81 for RPNIs. Both Control and RPNI groups exhibited a logarithmic iEMG increase with increased monofilament pressure, allowing graded prosthetic hand speed control (R

conclusionEMG signals were successfully acquired from RPNIs and translated into real-time neuroprosthetic control. Signal contamination from muscles adjacent to the RPNI was minimal. RPNI constructs provided reliable proportional prosthetic hand control.

Indexed as

Artificial LimbsNerve RegenerationSignal Processing, Computer-AssistedAnimalsElectromyographyHindlimbMaleMovementMuscle, SkeletalPeripheral NervesRatsAmputeesPeripheral nerve InterfaceProstheticsRegenerative medicine

Identifiers

PMID30458876
PMCPMC6245539

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.