Evidence map›Paper›PMID 33593940›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2021

Neural interfacing architecture enables enhanced motor control and residual limb functionality postamputation.

Shriya S Srinivasan, Samantha Gutierrez-Arango, Ashley Chia-En Teng, Erica Israel, Hyungeun Song, Zachary Keith Bailey, Matthew J Carty, Lisa E Freed, Hugh M Herr

Registry-linked trialAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05247827 (The Effects of Targeted Phantom Motor Execution, Prosthetic Embodiment, and Surgical Closure on Phantom Limb Control, and Physical Function in People With Unilateral), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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.

NCT05247827 nacompletednot on this mapstarted 2022, after this paper: background citation

The Effects of Targeted Phantom Motor Execution, Prosthetic Embodiment, and Surgical Closure on Phantom Limb Control, and Physical Function in People With Unilateral (Single) Transtibial (Below-the-knee) Amputation

TypeinterventionalSponsorUniversity of SaskatchewanRan2022 to 2023Enrolled30ConditionsPhantom Limb, Motor Activity, Amputation Stump, AmputationArmsTargeted phantom limb motor execution (exercise)
3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Using EMG Biofeedback to Restore Closed-Loop Neural Control on a Powered Prosthetic Ankle.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2026
    Article
  4. Article
  5. Article
  6. Cortical Reorganization after Limb Loss: Bridging the Gap between Basic Science and Clinical Recovery.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2024
    Review
  7. Flexible intentions: An Active Inference theory.Frontiers in computational neuroscience · 2023
    Article
  8. Article
  9. 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

9 authors.

Shriya S SrinivasanMIT Center for Extreme Bionics, Biomechatronics Group, Massachusetts Institute of Technology, Cambridge, MA 02139; shriyas@mit.edu hherr@media.mit.edu.ORCID 0000-0002-2508-1324
Samantha Gutierrez-ArangoMIT Center for Extreme Bionics, Biomechatronics Group, Massachusetts Institute of Technology, Cambridge, MA 02139.ORCID 0000-0001-6734-1668
Ashley Chia-En TengDepartment of Mechanical Engineering, Massachusetts Institute of Technology, Cambridge, MA 02139.ORCID 0000-0001-9019-4096
Erica IsraelMIT Center for Extreme Bionics, Biomechatronics Group, Massachusetts Institute of Technology, Cambridge, MA 02139.
Hyungeun SongMIT Center for Extreme Bionics, Biomechatronics Group, Massachusetts Institute of Technology, Cambridge, MA 02139.
Zachary Keith BaileyMIT Center for Extreme Bionics, Biomechatronics Group, Massachusetts Institute of Technology, Cambridge, MA 02139.ORCID 0000-0002-2274-5914
Matthew J CartyMIT Center for Extreme Bionics, Biomechatronics Group, Massachusetts Institute of Technology, Cambridge, MA 02139.
Lisa E FreedMIT Center for Extreme Bionics, Biomechatronics Group, Massachusetts Institute of Technology, Cambridge, MA 02139.ORCID 0000-0002-0720-8432
Hugh M HerrMIT Center for Extreme Bionics, Biomechatronics Group, Massachusetts Institute of Technology, Cambridge, MA 02139; shriyas@mit.edu hherr@media.mit.edu.ORCID 0000-0003-3169-1011

Funding

Agonist-Antagonist Myoneural Interface for Functional Limb Restoration after Transtibial AmputationR01HD097135 · NICHD · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI HERR, HUGH M · 2019 to 2023
$2.8M
NICHD NIH HHS R01 HD097135
6 · The paper itself

Abstract

Despite advancements in prosthetic technologies, patients with amputation today suffer great diminution in mobility and quality of life. We have developed a modified below-knee amputation (BKA) procedure that incorporates agonist-antagonist myoneural interfaces (AMIs), which surgically preserve and couple agonist-antagonist muscle pairs for the subtalar and ankle joints. AMIs are designed to restore physiological neuromuscular dynamics, enable bidirectional neural signaling, and offer greater neuroprosthetic controllability compared to traditional amputation techniques. In this prospective, nonrandomized, unmasked study design, 15 subjects with AMI below-knee amputation (AB) were matched with 7 subjects who underwent a traditional below-knee amputation (TB). AB subjects demonstrated significantly greater control of their residual limb musculature, production of more differentiable efferent control signals, and greater precision of movement compared to TB subjects (

Indexed as

Artificial LimbsAdultAmputation, SurgicalAnkle InjuriesAnkle JointElectromyographyFeedback, SensoryFemaleHumansMaleMiddle AgedMovementMuscle, SkeletalPainPhantom LimbProprioceptionamputationneural engineeringphysiologyprostheticssensory feedback

Identifiers

PMID33593940
PMCPMC7936324

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.