Cited by 319Spinal Cord Injury ResearchStroke Rehabilitation and RecoveryNeuroscience and Neural Engineering

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Efficacy of an implanted neuroprosthesis for restoring hand grasp in tetraplegia: A multicenter study

Peckham, P.Hunter, Keith, Michael W., Kilgore, Kevin L., Grill, Julie H., Wuolle, Kathy S., Thrope, Geoffrey B., Gorman, Peter, Hobby, John, Mulcahey, M.J., Carroll, Sara, Hentz, Vincent R., Wiegner, Allen·2001·Archives of Physical Medicine and Rehabilitation

DOI 10.1053/apmr.2001.25910

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Abstract

Objective To evaluate an implanted neuroprosthesis that allows tetraplegic users to control grasp and release in 1 hand.Design Multicenter cohort trial with at least 3 years of follow-up. Function for each participant was compared before and after implantation, and with and without the neuroprosthesis activated.Setting Tertiary spinal cord injury (SCI) care centers, 8 in the United States, 1 in the United Kingdom, and 1 in Australia.Participants Fifty-one tetraplegic adults with C5 or C6 SCIs.Intervention An implanted neuroprosthetic system, in which electric stimulation of the grasping muscles of 1 arm are controlled by using contralateral shoulder movements, and concurrent tendon transfer surgery. Assessed participants' ability to grasp, move, and release standardized objects; degree of assistance required to perform activities of daily living (ADLs), device usage; and user satisfaction.Main outcome measures Pinch force; grasp and release tests; ADL abilities test and ADL assessment test; and user satisfaction survey.Results Pinch force was significantly greater with the neuroprosthesis in all available 50 participants, and grasp-release abilities were improved in 49. All tested participants (49/49) were more independent in performing ADLs with the neuroprosthesis than they were without it. Home use of the device for regular function and exercise was reported by over 90% of the participants, and satisfaction with the neuroprosthesis was high.Conclusions The grasping ability provided by the neuroprosthesis is substantial and lasting. The neuroprosthesis is safe, well accepted by users, and offers improved independence for a population without comparable alternatives.

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Chae, J., & Hochberg, L. R. (2010) · Cambridge University Press eBooks · doi:10.1017/cbo9780511777547.023
Task Practice with or without Cellular Transplantation Promotes Recovery of Reach-to Grasp Function after Cervical Spinal Cord Injury
Stackhouse, S. K. (2014) · International Journal of Physical Medicine & Rehabilitation · doi:10.4172/2329-9096.1000239
“Restoration of a grossly functional palmar grasp is achievable by establishing tenodesis of the long finger flexors in people who have some residual active wrist extension (C6/C7 tetraplegia), but this does not allow fine digital manipulation or lifting heavy objects [3].”
Background
Investigation of below injury muscle signals as a command source for a motor neuroprosthesis
Moss, C. W. (2011) · OhioLink ETD Center (Ohio Library and Information Network)
Attempts to Reorganize Locomotor Function Using Spinal Stimulation in individuals with Severe Spinal Cord Injury
Nakao, Y. (2016) · Spinal Surgery · doi:10.2531/spinalsurg.30.83
Functional Electrical Stimulators
Baura, G. (2011) · Elsevier eBooks · doi:10.1016/b978-0-12-374976-5.00016-5
Implanted Antennas and RF Transmission in Through‐Body Communications
See, T. S. P., Chen, Z. N., & Qing, X. (2016) · Wiley eBooks · doi:10.1002/9781119082910.ch6
SELECTIVE SURFACE ACTIVATION OF MOTOR CIRCUITRY IN
Meacham, K. (2008)
A Validated Peripheral Nerve Model for the Simulation of Multicontact Nerve Cuff Recordings
Garai, P. (2016) · TSpace (University of Toronto)
The development of an outcome scale to measure the unilateral hand function of people with tetraplegia
McLean, S. K. (2008) · UWA Profiles and Research Repository (UWA)
The Feasibility of an Upper Extremity Poststroke Neuroprosthesis
Makowski, N. S. (2013) · OhioLink ETD Center (Ohio Library and Information Network)
Neuroprosthetic Surgical Strategies for Neuromuscular Stimulation
Keith, M. W., & Hoyen, H. A. (2018) · Elsevier eBooks · doi:10.1016/b978-0-12-805353-9.00041-3
Self-citation
Osseointegrated Amputation Prostheses and Implanted Electrodes
Li, Y., Ortiz-Catalan, M., & Brånemark, R. (2021) · Springer eBooks · doi:10.1007/978-3-030-60746-3_6 · Cited by 1
Developing and Validating a Functional Electrical Stimulation Controller for Use with Visual Feedback Training for Standing Balance Therapy in Individuals with Incomplete Spinal Cord Injury
Grabke, E. P. (2019) · TSpace (University of Toronto)
Automatic Segmentation and Three-dimensional Reconstruction of Fascicles in Peripheral Nerves
Tovbis, D. (2019) · TSpace (University of Toronto)
A study of the feasibility of using nerve cuff signals as feedback for maintenance of posture in paraplegic subjects
Kerr, J. (2004) · Summit (Simon Fraser University)
A Bibliography on Myoelectric Control of Upper Limb Prostheses
Smart, H. (2004) · Springer eBooks · doi:10.1007/978-3-642-18812-1_10

Authors: Peckham, P. H., Keith, M. W., Kilgore, K. L., Grill, J. H., Wuolle, K. S., Thrope, G. B., Gorman, P., Hobby, J., Mulcahey, M. J., Carroll, S., Hentz, V. R., & Wiegner, A.
Affiliations: The University of Melbourne (AU)
United States Department of Veterans Affairs (US)
ORCID: Keith, Michael W.
Kilgore, Kevin L.
Gorman, Peter
Mulcahey, M.J.
Hentz, Vincent R.
Venue: Archives of Physical Medicine and Rehabilitation
Publisher: Elsevier BV
Published: 2001-10
Volume: 82
Issue: 10
Pages: 1380-1388
ISSN: 0003-9993 (ISSN-L)
DOI: 10.1053/apmr.2001.25910
OpenAlex: W2044493647
Cited by: 319
References: 36
Citations by year: 2026: 6 · 2025: 4 · 2024: 6 · 2023: 14 · 2022: 14 · 2021: 12 · 2020: 14 · 2019: 22 · 2018: 16 · 2017: 12 · 2016: 13 · 2015: 11 · 2014: 19 · 2013: 9 · 2012: 13
FWCI: 9.26
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Archives of Physical Medicine and Rehabilitation (publishedVersion)
PubMed (publishedVersion)
Funders: National Center for Research Resources (M01RR000080, 5M01RR 00080)
Topics: Health Sciences › Medicine › Clinical Neurology › Spinal Cord Injury Research
Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neural Engineering
Keywords: tetraplegia, spinal cord injury, hand grasp, grasp and release, tendon transfer, pinch strength, activities of daily living, user satisfaction, upper limb prosthesis
MeSH terms: Adult, Electric Stimulation, Electrodes, Implanted, Female, Follow-Up Studies, Hand, Humans, Male, Prosthesis Design, Quadriplegia, Cohort Studies, Hand Strength, Prostheses and Implants

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Efficacy of an implanted neuroprosthesis for restoring hand grasp in tetraplegia: A multicenter study

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