{"id":"https://openalex.org/W4412346947","doi":"https://doi.org/10.1109/icorr66766.2025.11063161","title":"Guided Training with Visual Feedback can Improve Direct Electromyography Control of Prosthetic Ankles and Sit-to-Stand Performance: A Case Study","display_name":"Guided Training with Visual Feedback can Improve Direct Electromyography Control of Prosthetic Ankles and Sit-to-Stand Performance: A Case Study","publication_year":2025,"publication_date":"2025-05-12","ids":{"openalex":"https://openalex.org/W4412346947","doi":"https://doi.org/10.1109/icorr66766.2025.11063161","pmid":"https://pubmed.ncbi.nlm.nih.gov/40644016"},"language":"en","primary_location":{"id":"doi:10.1109/icorr66766.2025.11063161","is_oa":false,"landing_page_url":"https://doi.org/10.1109/icorr66766.2025.11063161","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2025 International Conference On Rehabilitation Robotics (ICORR)","raw_type":"proceedings-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5028400278","display_name":"Joshua R. Tacca","orcid":"https://orcid.org/0000-0003-2273-821X"},"institutions":[{"id":"https://openalex.org/I4210131205","display_name":"UNC/NCSU Joint Department of Biomedical Engineering","ror":"https://ror.org/03hakdk41","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177","https://openalex.org/I137902535","https://openalex.org/I4210131205"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Joshua R. Tacca","raw_affiliation_strings":["UNC-Chapel Hill and NC State University,Lampe Joint Department of Biomedical Engineering,Raleigh,USA"],"affiliations":[{"raw_affiliation_string":"UNC-Chapel Hill and NC State University,Lampe Joint Department of Biomedical Engineering,Raleigh,USA","institution_ids":["https://openalex.org/I4210131205"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066394692","display_name":"Austin Mituniewicz","orcid":null},"institutions":[{"id":"https://openalex.org/I4210131205","display_name":"UNC/NCSU Joint Department of Biomedical Engineering","ror":"https://ror.org/03hakdk41","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177","https://openalex.org/I137902535","https://openalex.org/I4210131205"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Austin L. Mituniewicz","raw_affiliation_strings":["UNC-Chapel Hill and NC State University,Lampe Joint Department of Biomedical Engineering,Raleigh,USA"],"affiliations":[{"raw_affiliation_string":"UNC-Chapel Hill and NC State University,Lampe Joint Department of Biomedical Engineering,Raleigh,USA","institution_ids":["https://openalex.org/I4210131205"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5056839364","display_name":"Brendan Driscoll","orcid":"https://orcid.org/0009-0003-0508-1858"},"institutions":[{"id":"https://openalex.org/I137902535","display_name":"North Carolina State University","ror":"https://ror.org/04tj63d06","country_code":"US","type":"education","lineage":["https://openalex.org/I137902535"]},{"id":"https://openalex.org/I2801313472","display_name":"North Central State College","ror":"https://ror.org/04b6b6f76","country_code":"US","type":"education","lineage":["https://openalex.org/I2801313472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Brendan Driscoll","raw_affiliation_strings":["NC State University,Department of Electrical and Computer Engineering,Raleigh,USA"],"affiliations":[{"raw_affiliation_string":"NC State University,Department of Electrical and Computer Engineering,Raleigh,USA","institution_ids":["https://openalex.org/I137902535","https://openalex.org/I2801313472"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060811724","display_name":"Elizabeth Buxton","orcid":null},"institutions":[{"id":"https://openalex.org/I1333535994","display_name":"University of North Carolina Health Care","ror":"https://ror.org/00qz24g20","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1333535994"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Elizabeth D. Buxton","raw_affiliation_strings":["UNC Hospitals,Department of Rehabilitation Therapies,Chapel Hill,USA"],"affiliations":[{"raw_affiliation_string":"UNC Hospitals,Department of Rehabilitation Therapies,Chapel Hill,USA","institution_ids":["https://openalex.org/I1333535994"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5050865436","display_name":"Michael D. Lewek","orcid":"https://orcid.org/0000-0002-1917-5594"},"institutions":[{"id":"https://openalex.org/I4210131205","display_name":"UNC/NCSU Joint Department of Biomedical Engineering","ror":"https://ror.org/03hakdk41","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177","https://openalex.org/I137902535","https://openalex.org/I4210131205"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael D. Lewek","raw_affiliation_strings":["UNC-Chapel Hill and NC State University,Lampe Joint Department of Biomedical Engineering,Raleigh,USA"],"affiliations":[{"raw_affiliation_string":"UNC-Chapel Hill and NC State University,Lampe Joint Department of Biomedical Engineering,Raleigh,USA","institution_ids":["https://openalex.org/I4210131205"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5036072216","display_name":"He Huang","orcid":"https://orcid.org/0000-0001-5581-1423"},"institutions":[{"id":"https://openalex.org/I4210131205","display_name":"UNC/NCSU Joint Department of Biomedical Engineering","ror":"https://ror.org/03hakdk41","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177","https://openalex.org/I137902535","https://openalex.org/I4210131205"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"He Helen Huang","raw_affiliation_strings":["UNC-Chapel Hill and NC State University,Lampe Joint Department of Biomedical Engineering,Raleigh,USA"],"affiliations":[{"raw_affiliation_string":"UNC-Chapel Hill and NC State University,Lampe Joint Department of Biomedical Engineering,Raleigh,USA","institution_ids":["https://openalex.org/I4210131205"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5028400278"],"corresponding_institution_ids":["https://openalex.org/I4210131205"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.19118833,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"2025","issue":null,"first_page":"1524","last_page":"1529"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10784","display_name":"Muscle activation and electromyography studies","score":0.9995999932289124,"subfield":{"id":"https://openalex.org/subfields/2204","display_name":"Biomedical Engineering"},"field":{"id":"https://openalex.org/fields/22","display_name":"Engineering"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},"topics":[{"id":"https://openalex.org/T10784","display_name":"Muscle activation and electromyography studies","score":0.9995999932289124,"subfield":{"id":"https://openalex.org/subfields/2204","display_name":"Biomedical Engineering"},"field":{"id":"https://openalex.org/fields/22","display_name":"Engineering"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T11023","display_name":"Prosthetics and Rehabilitation Robotics","score":0.9995999932289124,"subfield":{"id":"https://openalex.org/subfields/2204","display_name":"Biomedical Engineering"},"field":{"id":"https://openalex.org/fields/22","display_name":"Engineering"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T10510","display_name":"Stroke Rehabilitation and Recovery","score":0.9840999841690063,"subfield":{"id":"https://openalex.org/subfields/2742","display_name":"Rehabilitation"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/electromyography","display_name":"Electromyography","score":0.8561018705368042},{"id":"https://openalex.org/keywords/visual-feedback","display_name":"Visual feedback","score":0.6705589890480042},{"id":"https://openalex.org/keywords/physical-medicine-and-rehabilitation","display_name":"Physical medicine and rehabilitation","score":0.5736844539642334},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.5598952770233154},{"id":"https://openalex.org/keywords/training","display_name":"Training (meteorology)","score":0.4741643965244293},{"id":"https://openalex.org/keywords/control","display_name":"Control (management)","score":0.4731532037258148},{"id":"https://openalex.org/keywords/feedback-control","display_name":"Feedback control","score":0.4141017496585846},{"id":"https://openalex.org/keywords/artificial-intelligence","display_name":"Artificial intelligence","score":0.23815804719924927},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.23022133111953735},{"id":"https://openalex.org/keywords/engineering","display_name":"Engineering","score":0.16630420088768005},{"id":"https://openalex.org/keywords/control-engineering","display_name":"Control engineering","score":0.15351346135139465}],"concepts":[{"id":"https://openalex.org/C2777515770","wikidata":"https://www.wikidata.org/wiki/Q507369","display_name":"Electromyography","level":2,"score":0.8561018705368042},{"id":"https://openalex.org/C3020716817","wikidata":"https://www.wikidata.org/wiki/Q4132092","display_name":"Visual feedback","level":2,"score":0.6705589890480042},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.5736844539642334},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.5598952770233154},{"id":"https://openalex.org/C2777211547","wikidata":"https://www.wikidata.org/wiki/Q17141490","display_name":"Training (meteorology)","level":2,"score":0.4741643965244293},{"id":"https://openalex.org/C2775924081","wikidata":"https://www.wikidata.org/wiki/Q55608371","display_name":"Control (management)","level":2,"score":0.4731532037258148},{"id":"https://openalex.org/C3018651601","wikidata":"https://www.wikidata.org/wiki/Q183635","display_name":"Feedback control","level":2,"score":0.4141017496585846},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.23815804719924927},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.23022133111953735},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.16630420088768005},{"id":"https://openalex.org/C133731056","wikidata":"https://www.wikidata.org/wiki/Q4917288","display_name":"Control engineering","level":1,"score":0.15351346135139465},{"id":"https://openalex.org/C153294291","wikidata":"https://www.wikidata.org/wiki/Q25261","display_name":"Meteorology","level":1,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000674","descriptor_name":"Amputees","qualifier_ui":"Q000534","qualifier_name":"rehabilitation","is_major_topic":false},{"descriptor_ui":"D000674","descriptor_name":"Amputees","qualifier_ui":"Q000534","qualifier_name":"rehabilitation","is_major_topic":false},{"descriptor_ui":"D000674","descriptor_name":"Amputees","qualifier_ui":"Q000534","qualifier_name":"rehabilitation","is_major_topic":false},{"descriptor_ui":"D000842","descriptor_name":"Ankle","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":true},{"descriptor_ui":"D000842","descriptor_name":"Ankle","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":true},{"descriptor_ui":"D000842","descriptor_name":"Ankle","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":true},{"descriptor_ui":"D001186","descriptor_name":"Artificial Limbs","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001186","descriptor_name":"Artificial Limbs","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001186","descriptor_name":"Artificial Limbs","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004576","descriptor_name":"Electromyography","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D004576","descriptor_name":"Electromyography","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D004576","descriptor_name":"Electromyography","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D056228","descriptor_name":"Feedback, Sensory","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":true},{"descriptor_ui":"D056228","descriptor_name":"Feedback, Sensory","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":true},{"descriptor_ui":"D056228","descriptor_name":"Feedback, Sensory","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1109/icorr66766.2025.11063161","is_oa":false,"landing_page_url":"https://doi.org/10.1109/icorr66766.2025.11063161","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2025 International Conference On Rehabilitation Robotics (ICORR)","raw_type":"proceedings-article"},{"id":"pmid:40644016","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40644016","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IEEE ... International Conference on Rehabilitation Robotics : [proceedings]","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Gender equality","score":0.47999998927116394,"id":"https://metadata.un.org/sdg/5"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":22,"referenced_works":["https://openalex.org/W1638873375","https://openalex.org/W1972738853","https://openalex.org/W2052016793","https://openalex.org/W2077678058","https://openalex.org/W2082314228","https://openalex.org/W2095577106","https://openalex.org/W2097919178","https://openalex.org/W2121680738","https://openalex.org/W2220291955","https://openalex.org/W2792328837","https://openalex.org/W2805546547","https://openalex.org/W2903633218","https://openalex.org/W2943731335","https://openalex.org/W3152734401","https://openalex.org/W3181506109","https://openalex.org/W3202438372","https://openalex.org/W4383879243","https://openalex.org/W4387760981","https://openalex.org/W4392543670","https://openalex.org/W4400193944","https://openalex.org/W4401416470","https://openalex.org/W4406276601"],"related_works":["https://openalex.org/W2391009298","https://openalex.org/W4200608454","https://openalex.org/W2475323306","https://openalex.org/W1982574520","https://openalex.org/W1975009760","https://openalex.org/W2400220752","https://openalex.org/W2569707862","https://openalex.org/W3178902134","https://openalex.org/W4200042811","https://openalex.org/W2385411235"],"abstract_inverted_index":{"Direct":[0],"electromyography":[1],"(EMG)-controlled":[2],"prostheses":[3,184],"can":[4,19],"allow":[5,65],"people":[6],"with":[7,21,61,80,173],"amputation":[8],"(PWA)":[9],"to":[10,53,67,134,160,176,190],"directly":[11],"control":[12,18,45],"their":[13,55,88],"prosthetic":[14],"ankle.":[15],"This":[16],"versatile":[17],"assist":[20],"a":[22,37,50,97],"variety":[23],"of":[24,26,87,170,180],"activities":[25],"daily":[27],"life":[28],"(ADL),":[29],"including":[30],"rising":[31],"from":[32],"and":[33,84,90,110,138,185],"sitting":[34],"down":[35],"into":[36],"chair":[38],"(i.e.,":[39],"sit-to-stand":[40],"(S2S)).":[41],"However,":[42],"direct":[43,70,98,181],"EMG":[44,92,129],"may":[46,64],"be":[47],"limited":[48],"by":[49],"PWA's":[51,178],"ability":[52],"activate":[54],"residual":[56,128],"muscles.":[57],"Physical":[58],"therapy":[59,82,172],"training":[60,78,108,126,163],"visual":[62,85,119,174],"feedback":[63,86,142,175],"PWA":[66,74],"better":[68],"utilize":[69],"EMGcontrolled":[71],"prostheses.":[72],"One":[73],"(transtibial)":[75],"completed":[76],"four":[77],"sessions":[79],"physical":[81,115,171],"guidance":[83,117],"dorsiflexor":[89],"plantarflexor":[91],"during":[93,155],"S2S":[94,112,149],"tasks":[95,113,188],"using":[96],"EMG-controlled":[99,182],"prosthesis.":[100],"They":[101],"returned":[102],"two":[103],"weeks":[104],"after":[105],"the":[106,125,135,156,161,168],"fourth":[107],"session":[109,158],"repeated":[111],"without":[114],"therapist":[116],"or":[118],"feedback.":[120],"We":[121,145],"found":[122,147],"that":[123,148],"as":[124],"progressed,":[127],"activation":[130],"became":[131],"more":[132],"similar":[133],"intact":[136],"limb":[137],"was":[139,143,151],"retained":[140],"when":[141],"removed.":[144],"also":[146],"movement":[150],"smoother":[152],"(less":[153],"jerk)":[154],"retention":[157],"compared":[159],"first":[162],"session.":[164],"Our":[165],"results":[166],"demonstrate":[167],"potential":[169],"improve":[177],"utilization":[179],"ankle":[183],"performance":[186],"in":[187],"related":[189],"ADL.":[191]},"counts_by_year":[],"updated_date":"2025-11-06T03:46:38.306776","created_date":"2025-10-10T00:00:00"}