Article

Body-powered prostheses use a cable-operated system to generate forces and move
prosthetic joints. However, this control system can only generate forces in one
direction, so current body-powered prehensor designs allow the user either to
voluntarily open or voluntarily close the tongs. Both voluntary opening (VO) and
voluntary closing (VC) modes of operation have advantages for certain tasks, and
many end-users desire a terminal device that can switch between the two modes.
However, such a terminal device must maintain the same thumb position (i.e.,
point of Bowden cable attachment) and movement direction in both modes in order
to avoid the need to readjust the harness after every mode switch. In this study,
we demonstrate a simple design that fulfills these requirements while allowing
the user to switch easily between modes. We describe the design concept, describe
a rugged split-hook prototype, provide specifications (size, weight, efficiency,
etc.), and present a pilot study in which five subjects with intact arms and two
subjects with amputation used the VO and VC split-hook prehensor to perform the
Southampton Hand Assessment Procedure. Subjects performed an average of 4 to 7
(+/- 0.2) points better when they could choose to switch between modes on a
task-by-task basis than when they were constrained to using only VO or VC modes.

Langue : ANGLAIS