How Do We Measure Success? A Review of Performance Evaluations for Lower-Limb Neuroprosthetics

Vigdís Vala Valgeirsdóttir, Jóna Sigrún Sigurðardóttir, Knut Lechler, Lisa Tronicke, Ómar I. Jóhannesson, Ásgeir Alexandersson, Árni Kristjánsson

Research output: Contribution to journalArticle

Abstract

Introduction Neuroprostheses that can relay signals to and from the nervous system and work with lower-limb prostheses are currently being developed to provide users with sensory feedback and/or intent control over their prostheses. Such systems incorporate functions not available to persons with lower-limb amputation before, and many of their potential benefits have not yet been addressed in performance-based outcome measures. As such, the evaluation of neuroprosthetic systems is considerably more difficult than that of current devices, which are already difficult due to limitations of testing strategies. This review includes an overview of performance-based measures for lower-limb prostheses as well as an appraisal of their utility for neuroprosthetic assessment. Methods Electronic searches were conducted (2013-2019) in the PubMed (PM) database, the Web of Science (WOS), and Cochrane (CC), resulting in 72 included articles. Conclusions There is an urgent need for further development of performance tests and metrics, as well as new strategies specifically intended for the evaluation of lower-limb neuroprosthetic systems.

Original languageEnglish
Pages (from-to)E20-E36
JournalJournal of Prosthetics and Orthotics
Volume34
Issue number1
DOIs
Publication statusPublished - 1 Jan 2022

Bibliographical note

Funding Information: Funding Statement: The research described was funded by The Icelandic Centre for Research (RANNIS), grant number 195657-051, and Össur hf, Iceland, which further provided technical support. Publisher Copyright: © Lippincott Williams & Wilkins.

Other keywords

  • amputation
  • clinical benefits
  • evaluation
  • intent control
  • lower-limb
  • neuroprostheses
  • performance
  • prosthetics
  • sensory feedback

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