Evidence map›Paper›PMID 37851818›Full record

ArticleScience robotics2023

Neural prosthesis control restores near-normative neuromechanics in standing postural control.

Aaron Fleming, Wentao Liu, He Helen Huang

Open access · greenAbstract read
In one paragraph

Article in Science robotics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.3field-weighted citation impact, top 7% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
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  7. 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
  8. Article
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  11. Unified Control of a Powered Knee-Ankle Prosthesis Enables Walking, Stairs, Transitions, and Other Daily Ambulation Activities.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2025
    Article
  12. Review
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  14. Walking Ankle Biomechanics of Individuals With Transtibial Amputations Using a Prescribed Prosthesis and a Portable Bionic Prosthesis Under Myoelectric Control.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2024
    Article
  15. 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

3 authors at 1 institution in 1 country.

Aaron FlemingJoint Department of Biomedical Engineering, North Carolina State University, Raleigh, NC 27695, USA.ORCID 0000-0002-1910-5385
Wentao LiuJoint Department of Biomedical Engineering, North Carolina State University, Raleigh, NC 27695, USA.ORCID 0000-0002-3237-6307
He Helen HuangJoint Department of Biomedical Engineering, North Carolina State University, Raleigh, NC 27695, USA.ORCID 0000-0001-5581-1423
University of North Carolina at Chapel Hill · US

Funding

Toward Restoration of Normative Postural Control and Stability using Neural Control of Powered Prosthetic AnklesR01HD110519 · NICHD · NORTH CAROLINA STATE UNIVERSITY RALEIGH · PI He Huang · 2023 to 2026
$2.5M
Investigation of Transtibial Amputee Ability to Coordinate Residual Antagonistic Muscle Activations with Direct Electromyographic Control for the Enhancement of Postural ControlF31HD101285 · NICHD · NORTH CAROLINA STATE UNIVERSITY RALEIGH · PI FLEMING, AARON · 2019 to 2022
$97k
NICHD NIH HHS F31 HD101285NICHD NIH HHS R01 HD110519
6 · The paper itself

Abstract

Current lower-limb prostheses do not provide active assistance in postural control tasks to maintain the user's balance, particularly in situations of perturbation. In this study, we aimed to address this missing function by enabling neural control of robotic lower-limb prostheses. Specifically, electromyographic (EMG) signals (amplified neural control signals) recorded from antagonistic residual ankle muscles were used to drive a robotic prosthetic ankle directly and continuously. Participants with transtibial amputation were recruited and trained in using the EMG-driven robotic ankle. We studied how using the EMG-controlled ankle affected the participants' anticipatory and compensatory postural control strategies and stability under expected perturbations compared with using their daily passive devices. We investigated the similarity of neuromuscular coordination (by analyzing motor modules) of the participants, using either device in a postural sway task, to that of able-bodied controls. Results showed that, compared with their passive prosthesis, the EMG-controlled prosthesis enabled participants to use near-normative postural control strategies, as evidenced by improved between-limb symmetry in intact-prosthetic center-of-pressure and joint angle excursions. Participants substantially improved postural stability, as evidenced by a reduction in steps or falls using the EMG-controlled prosthetic ankle. Furthermore, after relearning to use residual ankle muscles to drive the robotic ankle in postural control, nearly all participants' motor module structure shifted toward that observed in individuals without limb amputations. Here, we have demonstrated the potential benefit of direct EMG control of robotic lower limb prostheses to restore normative postural control strategies (both neural and biomechanical) toward enhancing standing postural stability in amputee users.

Indexed as

Artificial LimbsRoboticsAnkleBiomechanical PhenomenaHumansPostural Balance

Identifiers

PMID37851818
PMCPMC10882517
OpenAlexW4387760981

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.