Visual Feedback of Pattern Separability Improves Myoelectric Decoding Performance of Upper Limb Prostheses

State-of-the-art upper limb myoelectric prostheses often use pattern recognition (PR) control systems that translate electromyography (EMG) signals into desired movements. As prosthesis movement complexity increases, users often struggle to produce sufficiently distinct EMG patterns for reliable classification. Existing training typically involves heuristic, trial-and-error user adjustments to static decoder boundaries. Goal: We introduce the Reviewer, a 3D visual interface projecting EMG signals directly into the decoder's classification space, providing intuitive, real-time insight into PR algorithm behavior. This structured feedback reduces cognitive load and fosters mutual, data-driven adaptation between user-generated EMG patterns and decoder boundaries. Methods: A 10-session study with 12 able-bodied participants compared PR performance after motor-based training and updating using the Reviewer versus conventional virtual arm visualization. Performance was assessed using a Fitts law task that involved the aperture of the cursor and the control of orientation. Results: Participants trained with the Reviewer achieved higher completion rates, reduced overshoot, and improved path efficiency and throughput compared to the standard visualization group. Significance: The Reviewer introduces decoder-informed motor training, facilitating immediate and consistent PR-based myoelectric control improvements. By iteratively refining control through real-time feedback, this approach reduces reliance on trial-and-error recalibration, enabling a more adaptive, self-correcting training framework. Conclusion: The 3D visual feedback significantly improves PR control in novice operators through structured training, enabling feedback-driven adaptation and reducing reliance on extensive heuristic adjustments.

Online Adaptation for Myographic Control of Natural Dexterous Hand and Finger Movements

One of the most elusive goals in myographic prosthesis control is the ability to reliably decode continuous positions simultaneously across multiple degrees-of-freedom. Goal: To demonstrate dexterous, natural, biomimetic finger and wrist control of the highly advanced robotic Modular Prosthetic Limb. Methods: We combine sequential temporal regression models and reinforcement learning using myographic signals to predict continuous simultaneous predictions of 7 finger and wrist degrees-of-freedom for 9 non-amputee human subjects in a minimally-constrained freeform training process. Results: We demonstrate highly dexterous 7 DoF position-based regression for prosthesis control from EMG signals, with significantly lower error rates than traditional approaches (p < 0.001) and nearly zero prediction response time delay (p < 0.001). Their performance can be continuously improved at any time using our freeform reinforcement process. Significance: We have demonstrated the most dexterous, biomimetic, and natural prosthesis control performance ever obtained from the surface EMG signal. Our reinforcement approach allowed us to abandon standard training protocols and simply allow the subject to move in any desired way while our models adapt. Conclusions: This work redefines the state-of-the-art in myographic decoding in terms of the reliability, responsiveness, and movement complexity available from prosthesis control systems. The present-day emergence and convergence of advanced algorithmic methods, experiment protocols, dexterous robotic prostheses, and sensor modalities represents a unique opportunity to finally realize our ultimate goal of achieving fully restorative natural upper-limb function for amputees.

Stable Electromyographic Sequence Prediction During Movement Transitions using Temporal Convolutional Networks

Transient muscle movements influence the temporal structure of myoelectric signal patterns, often leading to unstable prediction behavior from movement-pattern classification methods. We show that temporal convolutional network sequential models leverage the myoelectric signal's history to discover contextual temporal features that aid in correctly predicting movement intentions, especially during interclass transitions. We demonstrate myoelectric classification using temporal convolutional networks to effect 3 simultaneous hand and wrist degrees-of-freedom in an experiment involving nine human-subjects. Temporal convolutional networks yield significant $(p<0.001)$ performance improvements over other state-of-the-art methods in terms of both classification accuracy and stability.