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Concept

Amputation

Publications associées (29)

Prototyping and Experimental Analysis of Active Offloading Footwear for Patients With Diabetes Using an Array of Magnetorheological Fluid–Based Modules

Yves Perriard, Yoan René Cyrille Civet, Paolo Germano, Christian Köchli, Bhawnath Tiwari

Diabetic foot ulceration is a serious challenge worldwide which imposes an immense risk of lower extremity amputation and in many cases may lead to the death. The presented work focuses on the offloading requirements using an active approach and considers ...

2024

Intelligent plantar pressure offloading for the prevention of diabetic foot ulcers and amputations

Yves Perriard, Yoan René Cyrille Civet, Christian Köchli, Sofia Lydia Ntella, Bhawnath Tiwari, Kenny Jeanmonod

The high prevalence of lower extremity ulceration and amputation in people with diabetes is strongly linked to difficulties in achieving and maintaining a reduction of high plantar pressures (PPs) which remains an important risk factor. The effectiveness o ...

2023

Bidirectional bionic limbs: a perspective bridging technology and physiology

Silvestro Micera

Precise control of bionic limbs relies on robust decoding of motor commands from nerves or muscles signals and sensory feedback from artificial limbs to the nervous system by interfacing the afferent nerve pathways. Implantable devices for bidirectional co ...

IOP Publishing Ltd2022

Pressure Offloading Device for Diabetic Footwear Based on Magnetorheological Fluids

Yves Perriard, Yoan René Cyrille Civet, Christian Köchli, Sofia Lydia Ntella, Kenny Jeanmonod

Diabetes is a rapidly growing disease, with important complications that decrease the quality of life of patients. Diabetic Foot Ulceration is a major complication of diabetes and can lead to gangrene and amputation. It is related to high pressure develope ...

IEEE2022

Biomechanical Measures for Fall Risk Assessment and Fall Detection in People with Transfemoral Amputations for the Next-Generation Prostheses: A Scoping Review

Silvestro Micera

Introduction: Transfemoral amputations are known to compromise balance control capabilities, thus increasing the probability of falling. Current research in robotic prostheses is exploring novel strategies to assess the risk of fall and, if required, enabl ...

LIPPINCOTT WILLIAMS & WILKINS2022

The various forms of sensorimotor plasticity following limb amputation and their link with rehabilitation strategies

Estelle Emeline Raffin

Limb amputation is characterized by complex and intermingled brain reorganization processes combining sensorimotor deprivation induced by the loss of the limb per se, and compensatory behaviors, such as the over-use of the intact or remaining limb. While a ...

2021

Material surface detection on various body parts: a preliminary study for temperature substitution for upper arm amputees

Silvestro Micera, Solaiman Shokur

Experiments have shown that healthy subjects can detect materials solely relying on the material's thermal properties at their fingertip. We are interested in developing a non-invasive temperature display for sensory substitution for patients with arm ampu ...

IEEE2021

Current Solutions and Future Trends for Robotic Prosthetic Hands

Silvestro Micera, Solaiman Shokur, Vincent Alexandre Mendez

The desire for functional replacement of a missing hand is an ancient one. Historically, humans have replaced a missing limb with a prosthesis for cosmetic, vocational, or personal autonomy reasons. The hand is a powerful tool, and its loss causes severe p ...

ANNUAL REVIEWS2021

Foot Control of a Surgical Laparoscopic Gripper via 5DoF Haptic Robotic Platform: Design, Dynamics and Haptic Shared Control

Aude Billard, Mohamed Bouri, Walid Amanhoud, Jacob Hernandez Sanchez

Foot devices have been ubiquitously used in surgery to control surgical equipment. Most common applications are foot switches for electro-surgery, endoscope positioning and tele-robotic consoles. Switches fall short of providing continuous control as requi ...

2021

Cortical plasticity after hand prostheses use: Is the hypothesis of deafferented cortex "invasion" always true?

Silvestro Micera, Ivo Strauss, Stanisa Raspopovic, Giacomo Valle, Francesco Maria Petrini, Pablo Garcia del Valle, Edoardo D'Anna

Objective: To study motor cortex plasticity after a period of training with a new prototype of bidirectional hand prosthesis in three left trans-radial amputees, correlating these changes with the modification of Phantom Limb Pain (PLP) in the same period. ...

ELSEVIER IRELAND LTD2020

Sensitivity to temporal parameters of intraneural tactile sensory feedback

Silvestro Micera, Stanisa Raspopovic, Ivo Strauss, Giacomo Valle, Francesco Maria Petrini, Edoardo D'Anna

Background Recent studies have shown that neural stimulation can be used to provide artificial sensory feedback to amputees eliciting sensations referred on the amputated hand. The temporal properties of the neural stimulation modulate aspects of evoked se ...

BioMed Central2020

Decoding of grasping tasks from intraneural recordings in trans-radial amputee

Silvestro Micera, Stanisa Raspopovic, Ivo Strauss, Giacomo Valle, Francesco Maria Petrini

Objective. A major challenge in neuroprosthetics is the restoration of sensory-motor hand functions in upper-limb amputees. Neuroprostheses based on the direct re-connection of the peripheral nerves may be an interesting approach for re-establishing the na ...

2020

Stability of flexible thin-film metallization stimulation electrodes: analysis of explants after first-in-human study and improvement ofin vivoperformance

Silvestro Micera, Stanisa Raspopovic, Francesco Maria Petrini

Objective.Micro-fabricated neural interfaces based on polyimide (PI) are achieving increasing importance in translational research. The ability to produce well-defined micro-structures with properties that include chemical inertness, mechanical flexibility ...

2020

Design optimization of Miniature Magnetorheological Valves with Self-Sensing Capabilities Used for a Wearable Medical Application

Yves Perriard, Yoan René Cyrille Civet, Sofia Lydia Ntella, Minh Trung Duöng

Magnetorheological (MR) fluids are materials characterized as “intelligent” since their rheological properties may be controlled by the excitation of an external magnetic field. The application of the latter brings the fluid from a liquid to a semi-solid s ...

IEEE2020

Enhancing functional abilities and cognitive integration of the lower limb prosthesis

Silvestro Micera, Stanisa Raspopovic, Giacomo Valle, Francesco Maria Petrini

Lower limb amputation (LLA) destroys the sensory communication between the brain and the external world during standing and walking. Current prostheses do not restore sensory feedback to amputees, who, relying on very limited haptic information from the st ...

2019

Development of a simulated transtibial amputee model

Auke Ijspeert, Florin Dzeladini, Ricardo Cesar Guerrero Ferreira

Currently, there are more than 30 million amputees in the world and each year thousands of people suffer from amputation and, therefore, the development of lower limb prostheses is crucial to improve the quality of millions of people's lives by restoring t ...

IEEE2019

Prosthetic Control and Sensory Feedback for Upper Limb Amputees

Huaiqi Huang

Hand amputation could dramatically degrade the life quality of amputees. Many amputees use prostheses to restore part of the hand functions. Myoelectric prosthesis provides the most dexterous control. However, they are facing high rejection rate. One of th ...

EPFL2018

Comparison of linear frequency and amplitude modulation for intraneural sensory feedback in bidirectional hand prostheses

Silvestro Micera, Francesco Maria Petrini, Ivo Strauss, Stanisa Raspopovic, Giacomo Valle, Pablo Garcia del Valle, Edoardo D'Anna, Valeria Granata

Recent studies have shown that direct nerve stimulation can be used to provide sensory feedback to hand amputees. The intensity of the elicited sensations can be modulated using the amplitude or frequency of the injected stimuli. However, a comprehensive c ...

Nature Research2018

Designing sensory feedback approaches for restoring touch and position feedback in upper limb amputees

Edoardo D'Anna

Upper limb amputation disrupts most daily activities and reduces the quality of life of affected individuals. Building a suitable prosthetic limb, which can restore at least some of the lost capabilities, is a goal which has been pursued for centuries. In ...

EPFL2018

Knee Implant Loosening Detection: A Vibration Analysis Investigation

Kamiar Aminian, Hossein Rouhani, Arash Arami

Knee implant loosening is mainly caused by the weakness of the prosthesis-bone interface and is the main reason for surgical revisions. However, pre-operative diagnosis is difficult due to lack of accurate tests. In this study, we developed a vibration-bas ...

Springer Verlag2018