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Externally-Powered Prostheses

photo source: http://www.rehabtech.org.uk/r&d.html

Description
Electric motors are used in externally-powered prostheses to operate hand function The three main types of control of an externally-powered prosthesis are:
Harness Switch Control (on/off)- shrugging of shoulders pulls on the switch
Servo Control- force sensor placed in harness
Myoelectric control- one of the newest and most popular ways to control an electrical prosthesis.

In the myoelectric control system there is an electrode attached to the surface of the skin to record the electromyograph (EMG) signal. The recorded signal is amplified and then processed by a controller that switches the motor on or off in the hand, wrist or elbow to produce movement and function. The system can have a one or two muscle control circuit. The user learns to select and control the muscle(s) required to operate the arm and hand. With a two muscle control sites, one is used for opening and one for closing the hand. If only a single muscle can be used, than the size or speed of the contraction can be used to indicate either the open or close signal.

photo source: http://pubweb.acns.nwu.edu/~rfw586/Interests.htm

Advantages
Electric motors in externally-powered prostheses, increase the grip force of the hand significantly––often in excess of 20-32 pounds. For persons with severe scar tissue, or the inability to generate sufficient force, an externally-powered device can a viable alternative to a body-powered prosthesis. Myoelectric prostheses transmit electrical activity detected by surface electrodes on the residual limb muscles to activate electric motor and so simply flexing a muscle can control a myoelectrically powered prosthesis. The need for tight harnesses and cables, as used in body-powered prostheses, is eliminated. Furthermore, the operational range is greatly increased. It can be used out to the sides of the body, down by the feet and even over the head.

Disadvantages
One of the major inconveniences of the externally-powered prostheses is the required battery system. The systems must be charged, maintained, and sometimes replaced. Electrically-powered prostheses also tend to be heaver than other options because of the combined weight of the motor and the battery. Damage from water exposure may result in expensive repairs, adding to the already costly system.

References
1) Bodeau, Valerie S. “Upper Limb Prosthetics.” 2002. eMedicine: Instant Access to the Minds of Medicine. 23 Apr. 2003. <http://emedicine.com/pmr/topic174.htm>.

2) Dailami, Jeremy. “The Myoelectric Arm: It’s Electrifying.” 2002. Illumin: A Review of Everyday Life and Engineering. 10 Apr. 2003.
<http://engrwp.usc.edu/illumin/article.print.php?articleID=6>.

3) “Externally Powered Prostheses.” The Catholic University of America. 10 Apr. 2003 <http://engineering.cua.edu/biomedical/courses/be524/powered/>.

Links:
Externally Powered Prostheses
The Myoelectric Arm